公开(公告)号：US07553193B2

公开(公告)日：2009-06-30

申请号：US12140877

申请日：2008-06-17

申请人： John Kast ,  Mark Lent ,  James Olsen ,  Andrew Ries ,  James Skakoon ,  Carl Wahlstrand

发明人： John Kast ,  Mark Lent ,  James Olsen ,  Andrew Ries ,  James Skakoon ,  Carl Wahlstrand

IPC分类号： H01R24/00

CPC分类号： H01R13/502 ,  A61N1/3752 ,  H01R13/193 ,  H01R13/5224 ,  H01R24/58 ,  H01R2107/00 ,  H01R2201/12 ,  Y10S439/909

摘要： An electrical connection assembly of a medical device includes at least one conductive sidewall mounted in a fixed position to a module base; the sidewall may be electrically coupled to a feedthrough wire. The assembly further includes at least one resilient member to apply a spring force against a connector element of a lead connector when the connector element is positioned adjacent to the conductive sidewall. The spring force of the resilient member causes electrical coupling between the connector element and the conductive sidewall.

摘要翻译： 医疗装置的电连接组件包括安装在模块底座的固定位置的至少一个导电侧壁; 侧壁可以电耦合到馈通线。 组件还包括至少一个弹性构件，当连接器元件邻近导电侧壁定位时，该弹性构件将弹簧力施加到引线连接器的连接器元件上。 弹性构件的弹簧力引起连接器元件和导电侧壁之间的电耦合。

公开(公告)号：US07798862B2

公开(公告)日：2010-09-21

申请号：US12482033

申请日：2009-06-10

申请人： John Kast ,  Mark Lent ,  James Olsen ,  Andrew Ries ,  James Skakoon ,  Carl Wahlstrand

发明人： John Kast ,  Mark Lent ,  James Olsen ,  Andrew Ries ,  James Skakoon ,  Carl Wahlstrand

IPC分类号： H01R24/00

CPC分类号： H01R13/502 ,  A61N1/3752 ,  H01R13/193 ,  H01R13/5224 ,  H01R24/58 ,  H01R2107/00 ,  H01R2201/12 ,  Y10S439/909

摘要： An electrical connection assembly of a medical device includes a plurality of electrical contact blocks and a sealing member, which are held within a cavity of a base of the assembly. The sealing member includes a plurality of openings, at least one interior surface surrounding a bore and at least one void. Each electrical contact block extends into a corresponding opening of the sealing member, and a conductive sidewall of each block defines a portion of a perimeter of an area for receiving a lead connector, while the bore of the sealing member forms another portion of the perimeter of the area. The at least one void provides a compressible space in a bulk volume of the sealing member. When the lead is inserted within the area, and a cap is engaged with the base, the at least one interior surface of the sealing member is compressed about the lead.

摘要翻译： 医疗装置的电连接组件包括多个电接触块和密封构件，所述密封构件保持在组件的基座的空腔内。 密封构件包括多个开口，围绕孔和至少一个空隙的至少一个内表面。 每个电接触块延伸到密封构件的对应的开口中，并且每个块的导电侧壁限定用于容纳引线连接器的区域的周边的一部分，同时密封构件的孔形成周边的另一部分 该地区。 至少一个空隙在密封构件的本体体积中提供可压缩空间。 当引线插入区域内并且帽与基座接合时，密封构件的至少一个内表面围绕引线被压缩。

公开(公告)号：US20070156206A1

公开(公告)日：2007-07-05

申请号：US11687440

申请日：2007-03-16

申请人： Carl Wahlstrand ,  Robert Skime

发明人： Carl Wahlstrand ,  Robert Skime

IPC分类号： A61N1/18

CPC分类号： A61B5/053 ,  A61B5/04012 ,  A61B5/0402 ,  A61B5/103 ,  A61N1/36071 ,  A61N1/36521 ,  A61N1/37247 ,  G06F19/00 ,  G16H40/63

摘要： Techniques for selectably providing either constant voltage or constant current stimulation are described. A programming device provides a user interface by which a user selects either constant voltage or constant current stimulation, and selects either a voltage or current amplitude based on the selected stimulation mode. The programming device configures a medical device to provide the selected mode of stimulation at the selected amplitude. For example, when a medical device has constant voltage stimulation circuitry, e.g., circuitry including a voltage source, and the user selects constant current stimulation, the programming device configures the medical device to adjust the voltage amplitude based on a measured impedance to provide substantially constant current amplitude.

摘要翻译： 描述了可选择地提供恒定电压或恒定电流刺激的技术。 编程设备提供用户界面，用户通过该界面用户选择恒定电压或恒定电流刺激，并且基于所选择的刺激模式选择电压或电流幅度。 编程设备配置医疗设备以在所选择的幅度提供所选择的刺激模式。 例如，当医疗设备具有恒定电压刺激电路（例如，包括电压源的电路）并且用户选择恒定电流刺激时，编程设备配置医疗设备以基于测量的阻抗来调整电压幅度以提供基本上恒定的 电流幅度。

公开(公告)号：US20070150034A1

公开(公告)日：2007-06-28

申请号：US11450148

申请日：2006-06-09

申请人： Ethan Rooney ,  Carl Wahlstrand ,  Gary King ,  Thomas Cross ,  Richard Stone

发明人： Ethan Rooney ,  Carl Wahlstrand ,  Gary King ,  Thomas Cross ,  Richard Stone

IPC分类号： A61N1/00

CPC分类号： A61N1/0531 ,  A61N1/0534 ,  A61N1/0553 ,  A61N1/36071 ,  A61N1/37211

摘要： The disclosure describes an implantable medical lead for delivering stimulation to a patient. Electrodes may be located on two or more surfaces of the lead to, for example, selectively deliver stimulation to one or more tissue layers within the patient. The lead may be implanted within or between intra-dermal, deep dermal, or subcutaneous tissue layers, and may be used to, for example, deliver peripheral nerve field stimulation to treat pain experienced by the patient at the site at which the lead is implanted. The lead may comprise a paddle lead or a multiple level lead, e.g., a lead having a plurality of flat or paddle shaped lead bodies arranged in substantially parallel planes. Further, the lead may include fixation structures on the distal end, proximal end, or both ends to prevent migration.

摘要翻译： 本公开描述了用于将刺激递送给患者的可植入医疗引线。 电极可以位于引线的两个或更多个表面上，以例如选择性地将刺激递送到患者体内的一个或多个组织层。 铅可以植入在真皮内，深层皮肤或皮下组织层之内或之间，并且可以用于例如递送周围神经域刺激，以治疗患者在植入铅的部位所经历的疼痛 。 引线可以包括桨引线或多级引线，例如具有布置在基本上平行的平面中的多个扁平或桨状引线的引线。 此外，引线可以包括远端，近端或两端的固定结构，以防止迁移。

公开(公告)号：US20070255354A1

公开(公告)日：2007-11-01

申请号：US11414156

申请日：2006-04-28

申请人： Carl Wahlstrand ,  Robert Skime ,  Erik Scott ,  Craig Schmidt

发明人： Carl Wahlstrand ,  Robert Skime ,  Erik Scott ,  Craig Schmidt

IPC分类号： A61N1/00

CPC分类号： A61N1/3787

摘要： Implantable medical device adapted to provide a therapeutic output to a patient. A therapy module, operatively coupled to a battery, is adapted to provide the therapeutic output. A control circuit provides an action indicative of recharging the battery when the voltage of the battery reaches a recharge voltage wherein the recharge voltage is varied as the battery ages. Also a method of providing a therapeutic output to a patient using an implantable medical device having a battery having a voltage. An action indicative of recharging the battery is provided when the voltage of the battery reaches a recharge voltage. The recharge voltage is varied as the battery ages.

摘要翻译： 适于向患者提供治疗输出的可植入医疗装置。 可操作地耦合到电池的治疗模块适于提供治疗输出。 当电池的电压达到充电电压时，控制电路提供指示对电池再充电的动作，其中充电电压随着电池的老化而变化。 还有一种使用具有电压的电池的可植入医疗装置向患者提供治疗输出的方法。 当电池的电压达到充电电压时，提供指示对电池再充电的动作。 充电电压随电池老化而变化。

公开(公告)号：US20060206163A1

公开(公告)日：2006-09-14

申请号：US11078467

申请日：2005-03-11

申请人： Carl Wahlstrand ,  Robert Skime

发明人： Carl Wahlstrand ,  Robert Skime

IPC分类号： A61N1/34

CPC分类号： A61N1/0551 ,  A61N1/0502 ,  A61N1/36017 ,  A61N1/36021 ,  A61N1/36071

摘要： The disclosure describes a process for non-invasively screening a patient to select a stimulation site for treatment of head, neck or facial pain and tension symptoms caused by disorders such as occipital neuralgia. The screening process involves application of a transcutaneous stimulation screening device, a percutaneous micro-electrode screening device, and a temporary implantable screening device to the patient to select a site for chronic implantation.

摘要翻译： 本公开描述了非侵入式筛选患者以选择用于治疗头部，颈部或面部疼痛的刺激部位和由诸如枕骨神经痛等疾病引起的紧张症状的方法。 筛选过程包括将经皮刺激筛选装置，经皮微电极筛选装置和临时植入式筛选装置应用于患者以选择用于慢性植入的部位。

公开(公告)号：US20060195156A1

公开(公告)日：2006-08-31

申请号：US11404070

申请日：2006-04-13

申请人： Ruchika Singhal ,  Carl Wahlstrand ,  Robert Skime ,  Ashwini Sharan

发明人： Ruchika Singhal ,  Carl Wahlstrand ,  Robert Skime ,  Ashwini Sharan

IPC分类号： A61N1/08

CPC分类号： A61N1/375

摘要： In general, the invention is directed to apparatus and techniques that aid in the removal or explantation of an implantable medical device (IMD) under the scalp of a patient. The various embodiments of the invention address risks associated with the explantation, such as the risk of damage to leads, the risk of damage to the IMD, the risk that the incision may hinder the explantation, and the risk that the IMD may be difficult to remove. In some embodiments, the invention is directed to apparatus that help the surgeon identify the location of the implanted elements, and that protect the implanted elements from inadvertent damage. In other embodiments, the invention is directed to techniques that facilitate the removal of the IMD.

公开(公告)号：US20060020307A1

公开(公告)日：2006-01-26

申请号：US11185526

申请日：2005-07-20

申请人： Timothy Davis ,  Leroy Perz ,  Nathan Torgerson ,  Carl Wahlstrand ,  David Hoffman

发明人： Timothy Davis ,  Leroy Perz ,  Nathan Torgerson ,  Carl Wahlstrand ,  David Hoffman

IPC分类号： A61N1/08

CPC分类号： A61N1/37252 ,  A61N1/3787

摘要： A system, method and implantable medical for providing switched power while providing transcutaneous telemetry communication with an implanted medical device having an internal power source. An electronics module is adapted to supply the therapeutic output to the patient. A telemetry module is configured for transcutaneous telemetry communication. The telemetry module obtains power from the telemetry signal during transcutaneous telemetry communication.

摘要翻译： 一种用于提供切换电力的可植入医疗装置的系统，方法，同时与具有内部电源的植入式医疗装置进行经皮遥测通信。 电子模块适于将治疗输出提供给患者。 遥测模块被配置用于经皮遥测通信。 遥测模块在经皮遥测通信期间从遥测信号获得功率。

公开(公告)号：US20050004637A1

公开(公告)日：2005-01-06

申请号：US10835232

申请日：2004-04-29

申请人： Ruchika Singhal ,  Carl Wahlstrand ,  Robert Skime ,  Ashwini Sharan

发明人： Ruchika Singhal ,  Carl Wahlstrand ,  Robert Skime ,  Ashwini Sharan

IPC分类号： A61B5/04 ,  A61F2/02 ,  A61F2/12 ,  A61M25/02 ,  A61N1/00 ,  A61N1/02 ,  A61N1/04 ,  A61N1/05 ,  A61N1/18 ,  A61N1/36 ,  A61N1/375 ,  H04R25/00

CPC分类号： A61N1/375

摘要： In general, the invention is directed to apparatus and techniques that aid in the removal or explantation of an implantable medical device (IMD) under the scalp of a patient. The various embodiments of the invention address risks associated with the explantation, such as the risk of damage to leads, the risk of damage to the IMD, the risk that the incision may hinder the explantation, and the risk that the IMD may be difficult to remove. In some embodiments, the invention is directed to apparatus that help the surgeon identify the location of the implanted elements, and that protect the implanted elements from inadvertent damage. In other embodiments, the invention is directed to techniques that facilitate the removal of the IMD.

摘要翻译： 通常，本发明涉及有助于在患者头皮下移除或移除可植入医疗装置（IMD）的装置和技术。 本发明的各种实施例解决与外植相关的风险，例如导线损害的风险，IMD损伤的风险，切口可能阻碍移植的风险，以及IMD可能难以 去掉。 在一些实施例中，本发明涉及帮助外科医生识别植入元件的位置并且保护植入元件免于无意的损伤的装置。 在其它实施例中，本发明涉及便于移除IMD的技术。

公开(公告)号：US20090247018A1

公开(公告)日：2009-10-01

申请号：US12482033

申请日：2009-06-10

申请人： John Kast ,  Mark Lent ,  Jim Olsen ,  Andrew Ries ,  James Skakoon ,  Carl Wahlstrand

发明人： John Kast ,  Mark Lent ,  Jim Olsen ,  Andrew Ries ,  James Skakoon ,  Carl Wahlstrand

IPC分类号： H01R33/00 ,  H01R24/00

CPC分类号： H01R13/502 ,  A61N1/3752 ,  H01R13/193 ,  H01R13/5224 ,  H01R24/58 ,  H01R2107/00 ,  H01R2201/12 ,  Y10S439/909

摘要： An electrical connection assembly of a medical device includes a plurality of electrical contact blocks and a sealing member, which are held within a cavity of a base of the assembly. The sealing member includes a plurality of openings, at least one interior surface surrounding a bore and at least one void. Each electrical contact block extends into a corresponding opening of the sealing member, and a conductive sidewall of each block defines a portion of a perimeter of an area for receiving a lead connector, while the bore of the sealing member forms another portion of the perimeter of the area. The at least one void provides a compressible space in a bulk volume of the sealing member. When the lead is inserted within the area, and a cap is engaged with the base, the at least one interior surface of the sealing member is compressed about the lead.

摘要翻译： 医疗装置的电连接组件包括多个电接触块和密封构件，所述密封构件保持在组件的基座的空腔内。 密封构件包括多个开口，围绕孔和至少一个空隙的至少一个内表面。 每个电接触块延伸到密封构件的对应的开口中，并且每个块的导电侧壁限定用于容纳引线连接器的区域的周边的一部分，同时密封构件的孔形成周边的另一部分 该地区。 至少一个空隙在密封构件的本体体积中提供可压缩空间。 当引线插入区域内并且帽与基座接合时，密封构件的至少一个内表面围绕引线被压缩。