公开(公告)号：US12251556B2

公开(公告)日：2025-03-18

申请号：US16786756

申请日：2020-02-10

Applicant: Medtronic, Inc.

Inventor： Steven M. Goetz ,  Richard T. Stone ,  Warren W. Ball ,  Carl D. Wahlstrand ,  Michael T. Hegland ,  Gabriela C. Molnar ,  James M. Olsen

IPC: A61N1/372 ,  A61N1/05 ,  A61N1/36

Abstract: The disclosure is directed to programming implantable stimulators to deliver stimulation energy via one or more implantable leads having complex electrode array geometries. The disclosure also contemplates guided programming to select electrode combinations and parameter values to support efficacy. The techniques may be applied to a programming interface associated with a clinician programmer, a patient programmer, or both. A user interface permits a user to view electrodes from different perspectives relative to the lead. For example, the user interface provides a side view of a lead and a cross-sectional view of the lead. The user interface may include an axial control medium to select and/or view electrodes at different axial positions along the length of a lead, and a rotational control medium to select and/or view electrodes at different angular positions around a circumference of the lead.

公开(公告)号：US20250072811A1

公开(公告)日：2025-03-06

申请号：US18951110

申请日：2024-11-18

Applicant: Medtronic, Inc.

Inventor： Evan D. Schnell ,  Scott R. Stanslaski ,  Ilan D. Gordon ,  Steven M. Goetz ,  Hijaz M. Haris ,  Eric J. Panken ,  Timothy R. Abraham ,  Thomas L. Chouinard ,  Susan Heilman Kilbane ,  Karan Chitkara ,  Christopher M. Arnett ,  Alicia W. Thompson ,  Kevin C. Johnson ,  Ankush Thakur ,  Lukas Valine ,  Christopher L. Pulliam ,  Brady N. Fetting ,  Rucha Gokul G. Samant ,  Andrew H. Houchins ,  Caleb C. Zarns

IPC: A61B5/372 ,  A61B5/00 ,  A61B5/318 ,  A61B5/37 ,  A61B5/384 ,  A61N1/05 ,  A61N1/36 ,  A61N1/372

Abstract: Devices, systems, and techniques are disclosed for managing electrical stimulation therapy and/or sensing of physiological signals such as brain signals. For example, a system may assist a clinician in identifying one or more electrode combinations for sensing a brain signal. In another example, a user interface may display brain signal information and values of a stimulation parameter at least partially defining electrical stimulation delivered to a patient when the brain signal information was sensed.

公开(公告)号：US20240399154A1

公开(公告)日：2024-12-05

申请号：US18688210

申请日：2022-09-08

Applicant: Medtronic, Inc

Inventor： Benjamin Kevin Hendrick ,  Steven M. Goetz ,  David A. Simon ,  Maneesh Shrivastav ,  Leslie Hiemenz Holton ,  Xuan K. Wei ,  David J. Miller ,  Ryan B. Sefkow ,  Phillip C. Falkner ,  Meredith S. Seaborn ,  Richard T. Stone ,  Robert L. Olson ,  Scott D DeFoe

IPC: A61N1/36 ,  A61N1/05 ,  A61N1/372 ,  A61N1/378 ,  A61N2/00 ,  A61N2/02

Abstract: Devices, systems, and techniques are disclosed for planning, updating, and delivering electric field therapy. In one example, a system comprises processing circuitry configured to receive a request to deliver alternating electric field (AEF) therapy and determine therapy parameter values that define the AEF therapy, wherein the AEF therapy comprises delivery of a first electric field and a second electric field. The processing circuitry may also be configured to control an implantable medical device to deliver the first electric field from a first electrode combination of implanted electrodes and control the implantable medical device to deliver, alternating with the first electric field, the second electric field from a second electrode combination of implanted electrodes different than the first electrode combination.

公开(公告)号：US20240261573A1

公开(公告)日：2024-08-08

申请号：US18427933

申请日：2024-01-31

Applicant: Medtronic, Inc.

Inventor： Lilian Kornet ,  Steven M. Goetz ,  Andrew J. Cleland

IPC: A61N1/36

CPC classification number: A61N1/36062 ,  A61N1/36139 ,  A61N1/36146

Abstract: Systems, devices, and methods for affecting a patient's kidney function by activating the reno-renal reflex via electrical stimulation of preganglionic dorsal root fibers using one or more electrodes placed proximate preganglionic dorsal root fibers of one or more dorsal roots at the T10 to L1 vertebrae of the patient's spinal cord.

公开(公告)号：US20230381520A1

公开(公告)日：2023-11-30

申请号：US18231071

申请日：2023-08-07

Applicant: Medtronic, Inc.

Inventor： Gary W. King ,  Steven M. Goetz ,  Andrew H. Houchins ,  Jeffrey T. Keacher ,  Jordan J. Greenberg ,  Kenneth T. Heruth ,  Mark S. Lent ,  Paul W. Wacnik

IPC: A61N1/36

CPC classification number: A61N1/36139 ,  A61N1/36071 ,  A61N1/36057

Abstract: Peripheral nerve field stimulation (PNFS) may be controlled based on detected physiological effects of the PNFS, which may be an efferent response to the PNFS. In some examples, a closed-loop therapy system may include a sensing module that senses a physiological parameter of the patient, which may be indicative of the patient's response to the PNFS. Based on a signal generated by the sensing module, the PNFS may be activated, deactivated or modified. Example physiological parameters of the patient include heart rate, respiratory rate, electrodermal activity, muscle activity, blood flow rate, sweat gland activity, pilomotor reflex, or thermal activity of the patient's body. In some examples, a patient pain state may be detected based on a signal generated by the sensing module, and therapy may be controlled based on the detection of the pain state.

公开(公告)号：US11813038B2

公开(公告)日：2023-11-14

申请号：US17025518

申请日：2020-09-18

Applicant: Medtronic, Inc.

Inventor： Steven M. Goetz

IPC: A61N1/00 ,  A61B5/00 ,  A61N1/372 ,  A61M5/172 ,  A61N1/36

CPC classification number: A61B5/0031 ,  A61M5/1723 ,  A61N1/36007 ,  A61N1/36071 ,  A61N1/37252 ,  A61N1/37282

Abstract: Techniques for remotely titrating a therapy delivered using an implantable medical device system are disclosed. An implantable medical device delivers therapy according to a first program. The system collects patient data relating to at least one of an efficacy of, or side effects resulting from, the delivered therapy, and transmits the patient data to a remote network device. A clinician may then analyze the patient data and determine if changes to the therapy are warranted. The clinician may then transmit a programming change, e.g., a modification to the first program or a new, second program, to the implantable medical device system, and the implantable medical device may deliver therapy according to the changed programming. The process of receiving patient data and modifying the therapy programming may be repeated multiple times until the therapy is adequately titrated, e.g., until the patient data indicates adequate efficacy and/or acceptable side effects.

公开(公告)号：US20230355969A1

公开(公告)日：2023-11-09

申请号：US18132219

申请日：2023-04-07

Applicant: Medtronic, Inc.

Inventor： Maneesh Shrivastav ,  ShaileshKumar V. Musley ,  Kanthaiah Koka ,  Steven M. Goetz ,  Suryakiran Vadrevu ,  Rebecca K. Gottlieb ,  David John Miller ,  Leonid M. Litvak

IPC: A61N1/36 ,  A61N1/05 ,  A61N1/372 ,  A61B5/145 ,  A61B5/00 ,  G16H10/40

CPC classification number: A61N1/36007 ,  A61N1/0507 ,  A61N1/37247 ,  A61B5/14532 ,  A61B5/7435 ,  G16H10/40

Abstract: A system is provided herein for stimulating an anatomical element of a patient. For example, a device may be configured to generate a current, and an electrode device coupled to the device may be configured to apply the current to the anatomical element. Additionally, the system may include a user interface in communication with the implantable pulse generator, the electrode device, or both. In some examples, the user interface may include a first element that is configured to display information associated with the patient. Additionally, the user interface may include a second element that is configured to receive inputs for programming parameters of the current. The user interface may also include a third element that is configured to display diagnostic information associated with applying the current to the anatomical element.

公开(公告)号：US20230355141A1

公开(公告)日：2023-11-09

申请号：US18132204

申请日：2023-04-07

Applicant: Medtronic, Inc.

Inventor： Maneesh Shrivastav ,  ShaileshKumar V. Musley ,  Kanthaiah Koka ,  Steven M. Goetz ,  Suryakiran Vadrevu ,  Rebecca K. Gottlieb ,  David John Miller ,  Leonid M. Litvak

IPC: A61B5/145 ,  G16H20/17

CPC classification number: A61B5/14532 ,  G16H20/17

Abstract: A system is provided herein for stimulating an anatomical element of a patient. For example, the system may include a device (e.g., an implantable pulse generator) and an electrode device electrically coupled to the device. In some examples, the device may be configured to generate a current that is to be applied to the anatomical element via the electrode device to stimulate the anatomical element as part of a therapy aimed at achieving or supporting glycemic control in the patient. Additionally, the current may be applied to the anatomical element based on a machine learning algorithm that uses inputs gathered for determining one or more characteristics for the current. Accordingly, the machine learning algorithm may be configured to determine the one or more characteristics for the current specific to the patient (e.g., to provide personalized therapy settings for the patient).

公开(公告)号：US11529517B2

公开(公告)日：2022-12-20

申请号：US17036641

申请日：2020-09-29

Applicant: Medtronic, Inc.

Inventor： Jadin C. Jackson ,  Steven M. Goetz

IPC: A61N1/02 ,  A61N1/36 ,  A61N1/05 ,  A61N1/372

Abstract: Devices, systems, and techniques are disclosed for managing electrical stimulation therapy and/or sensing of physiological signals such as brain signals. For example, a system may assist a clinician in identifying one or more electrode combinations for sensing a brain signal. In another example, a user interface may display brain signal information and values of a stimulation parameter at least partially defining electrical stimulation delivered to a patient when the brain signal information was sensed.

公开(公告)号：US11071861B2

公开(公告)日：2021-07-27

申请号：US16658368

申请日：2019-10-21

Applicant: Medtronic, Inc.

Inventor： Martin T. Gerber ,  Steven M. Goetz ,  Christopher Poletto

IPC: A61N1/36

Abstract: Prophylactic stimulation and abortive electrical stimulation are delivered to a cranial nerve, including, e.g. an occipital or trigeminal nerve to treat symptoms of various conditions, including, e.g. occipital neuralgia or migraines.