公开(公告)号：US20140194964A1

公开(公告)日：2014-07-10

申请号：US14202653

申请日：2014-03-10

Applicant: GREATBATCH LTD.

Inventor： Jason Woods ,  Richard L. Brendel ,  Robert A. Stevenson ,  Christopher M. Williams ,  Robert Naugler ,  Christine A. Frysz

IPC: A61N1/08

CPC classification number: A61N1/3754 ,  H01G2/02 ,  H01G4/228 ,  H01G4/35 ,  H01G4/40 ,  H01R13/7195 ,  H03H1/0007 ,  H03H7/1766 ,  H03H2001/0042 ,  H03H2001/0085

Abstract: A hermetically sealed filtered feedthrough assembly for an AIMD includes an insulator hermetically sealed to a conductive ferrule or housing. A conductor is hermetically sealed and disposed through the insulator in non-conductive relation to the conductive ferrule or housing between a body fluid side and a device side. A feedthrough capacitor is disposed on the device side. A first low impedance electrical connection is between a first end metallization of the capacitor and the conductor. A second low impedance electrical connection is between a second end metallization of the capacitor and the ferrule or housing. The second low impedance electrical connection includes an oxide-resistant metal addition attached directly to the ferrule or housing and an electrical connection coupling the second end metallization electrically and physically directly to the oxide-resistant metal addition.

Abstract translation: 用于AIMD的气密密封的过滤馈通组件包括密封到导电套圈或壳体的绝缘体。 导体被气密地密封并且通过绝缘体以非导电关系设置在导体套管或壳体之间，在体液侧和器件侧之间。 馈通电容器设置在器件侧。 第一低阻抗电连接在电容器的第一端金属化和导体之间。 第二低阻抗电连接在电容器的第二端金属化和套圈或壳体之间。 第二低阻抗电连接包括直接连接到套圈或壳体的耐氧化金属添加剂和将第二端金属化物电和物理直接耦合到耐氧化金属添加物的电连接。

公开(公告)号：US20140137403A1

公开(公告)日：2014-05-22

申请号：US14166161

申请日：2014-01-28

Applicant: Greatbatch Ltd.

Inventor： JOHN M. SWOYER

IPC: A61N1/05 ,  A61M5/00

CPC classification number: A61N1/05 ,  A61M5/00 ,  A61N1/0529 ,  A61N1/056 ,  A61N1/306 ,  A61N1/375

Abstract: A temporary medical lead in which stimulating electrical energy is transmitted to body tissue through the lead electrodes via ionic conduction within the hydrogel material is described. The hydrophilic hydrogel material consists of a porous structure into which conductive salt ions are diffused. In addition the structure of the hydrogel material can be loaded with a single or combination of therapeutic drugs which is elutable from the electrode.

Abstract translation: 描述了临时医疗用铅，其中通过水凝胶材料内的离子传导，刺激电能通过引线电极传递到身体组织。 亲水性水凝胶材料由导电盐离子扩散到其中的多孔结构组成。 此外，水凝胶材料的结构可以加载可从电极中洗脱的单一或组合的治疗药物。

公开(公告)号：US20140094871A1

公开(公告)日：2014-04-03

申请号：US14041082

申请日：2013-09-30

Applicant: Greatbatch Ltd.

Inventor： Stephen C. Trier ,  Jeffrey A. Weisgarber ,  Richard J. Polefko ,  David J. Howard

IPC: A61N1/36

CPC classification number: A61N1/36125 ,  A61N1/36 ,  A61N1/36071 ,  A61N1/36128

Abstract: A controller for implementing a method, device and/or system for generating arbitrary waveforms of a desired shape that can be used for generating a stimulation pulse for medical purposes such as for spinal cord stimulation therapy, where such arbitrary waveforms can also be used for charge balancing purposes.

Abstract translation: 一种用于实现用于产生可用于医疗目的的刺激脉冲（例如用于脊髓刺激治疗）的期望形状的任意波形的方法，装置和/或系统的控制器，其中这种任意波形也可用于充电 平衡目的。

公开(公告)号：US20140067017A1

公开(公告)日：2014-03-06

申请号：US13973363

申请日：2013-08-22

Applicant: Greatbatch Ltd.

Inventor： Norbert Kaula ,  Yohannes Iyassu ,  Carl Mosley ,  Scott Drees

IPC: A61N1/372

CPC classification number: A61N1/37252 ,  A61N1/36128 ,  A61N1/37247 ,  G06F19/00 ,  G06T19/20 ,  G06T2210/41 ,  G06T2219/2012 ,  G06T2219/2021 ,  G16H10/60

Abstract: The present disclosure involves a method of data-reducing and storing a sensation map. A sensation map associated with a patient is provided. The sensation map includes a graphical depiction of a sensation experienced by the patient. The sensation may be pain or paresthesia experienced by the patient in response to an electrical stimulation therapy. A data file is generated. The data file has a data size less than a data size of the sensation map. The data file contains digital information allowing a reconstruction of the sensation map. Electronic communication is then established with an implanted medical device located inside the patient's body. Thereafter, the data file is sent to the implanted medical device for storage. The stored data files are retrievable by another clinician programmer later to reconstruct the sensation map.

Abstract translation: 本公开涉及一种数据减少和存储感觉图的方法。 提供与患者相关联的感觉图。 感觉图包括患者经历的感觉的图形描绘。 感觉可能是患者对电刺激治疗的反应而感到疼痛或感觉异常。 生成数据文件。 数据文件的数据大小小于感觉图的数据大小。 数据文件包含允许重建感觉图的数字信息。 然后与位于患者体内的植入式医疗装置建立电子通信。 此后，将数据文件发送到植入的医疗装置进行存储。 存储的数据文件可以由另一位临床医师程序员随后检索以重构感觉图。

公开(公告)号：US20140067016A1

公开(公告)日：2014-03-06

申请号：US13973292

申请日：2013-08-22

Applicant: Greatbatch Ltd.

Inventor： Norbert Kaula ,  Yohannes Iyassu

IPC: A61N1/08

Abstract: The present disclosure involves a method of setting stimulation parameters for neurostimulation. A plurality of stimulation parameters available for bracketing is displayed. The stimulation parameters are selected from the group consisting of: stimulation current amplitude, pulse width, frequency, and contact location. Thereafter, in response to an input from a user, at least a subset of the stimulation parameters is selected for bracketing. A respective initial value is then obtained for each of the stimulation parameters in the selected subset. Thereafter, a bracketing process is used to generate a plurality of bracketed values for each of the stimulation parameters in the selected subset. The bracketed values are generated as a function of the initial value. A plurality of stimulation pulses is then delivered to a patient through a neurostimulator that is automatically programmed with a different combination of the bracketed values for the stimulation parameters for each stimulation pulse.

Abstract translation: 本公开涉及一种设置神经刺激刺激参数的方法。 显示可用于包围的多个刺激参数。 刺激参数选自：刺激电流幅度，脉冲宽度，频率和接触位置。 此后，响应于来自用户的输入，选择刺激参数的至少一个子集用于包围。 然后针对所选子集中的每个刺激参数获得相应的初始值。 此后，使用包围处理来为所选子集中的每个刺激参数生成多个括号值。 括号中的值是根据初始值生成的。 然后通过神经刺激器将多个刺激脉冲递送给患者，神经刺激器用针对每个刺激脉冲的刺激参数的括号值的不同组合自动编程。

公开(公告)号：US20140067007A1

公开(公告)日：2014-03-06

申请号：US14011156

申请日：2013-08-27

Applicant: Greatbatch Ltd.

Inventor： Scott Drees ,  Norbert Kaula ,  Yohannes lyassu ,  Scott G. Leyh ,  Richard J. Polefko ,  Stephen C. Trier ,  Raymond L. Yoder

IPC: A61N1/372 ,  G06F3/044 ,  G06F3/0354

CPC classification number: A61N1/37247 ,  A61N1/37282 ,  G06F3/03545 ,  G06F3/03547 ,  G06F3/0412 ,  G06F3/044 ,  G06F3/04812 ,  G06F3/0488 ,  G06F2203/04104 ,  G06F2203/04106 ,  G06F2203/04108 ,  G06F2203/04801 ,  G09G3/36

Abstract: A method of visualizing a user interaction with a clinician programmer is disclosed. A user engagement with respect to a screen of the clinician programmer is detected via one or more sensors associated with the screen of the clinician programmer. One or more locations on the screen of the clinician programmer corresponding to the user engagement is determined. An external monitor is communicatively coupled to the clinician programmer. The external monitor displays one or more cursors that graphically represent the one or more locations on the screen of the clinician programmer corresponding to the user engagement, respectively.

Abstract translation: 公开了一种可视化与临床医师程序员的用户交互的方法。 通过与临床医生编程器的屏幕相关联的一个或多个传感器来检测与临床医生编程器的屏幕的用户接合。 确定对应于用户参与的临床医师程序员的屏幕上的一个或多个位置。 外部监视器通信耦合到临床医生程序员。 外部监视器分别显示一个或多个图形地分别表示与用户参与对应的临床医师编程器的屏幕上的一个或多个位置的光标。

公开(公告)号：US20140063003A1

公开(公告)日：2014-03-06

申请号：US13973219

申请日：2013-08-22

Applicant: Greatbatch Ltd.

Inventor： Norbert Kaula ,  Yohannes Iyassu

IPC: A61B5/00 ,  G06T15/00

CPC classification number: A61B5/4824 ,  A61N1/36128 ,  A61N1/37247 ,  G06T15/00 ,  G06T15/04 ,  G06T19/00 ,  G06T2200/24 ,  G06T2210/41

Abstract: The present disclosure involves an electronic device for visualizing a sensation experienced by a patient. The electronic device includes a touchscreen display configured to receive a tactile input from a user and display a visual output. The electronic device includes a memory storage component configured to store programming code. The electronic device includes a computer processor configured to execute the programming code to perform the following tasks: generating, in response to the tactile input from the user, a three-dimensional (3D) sensation map that represents the sensation experienced by the patient; deriving a two-dimensional (2D) sensation map based on the 3D sensation map, wherein the 2D sensation map contains substantially less data than the 3D sensation map; and sending the 2D sensation map over a network to facilitate a reconstruction of the 3D sensation map using the 2D sensation map.

Abstract translation: 本公开涉及一种用于使患者经历的感觉可视化的电子设备。 电子设备包括触摸屏显示器，其被配置为从用户接收触觉输入并显示视觉输出。 电子设备包括被配置为存储节目代码的存储器存储组件。 电子设备包括被配置为执行编程代码以执行以下任务的计算机处理器：响应于来自用户的触觉输入，生成表示患者经历的感觉的三维（3D）感觉图; 基于3D感觉图导出二维（2D）感觉图，其中2D感觉图包含比3D感觉图明显少得多的数据; 以及通过网络发送2D感觉图，以便于使用2D感觉图重建3D感觉图。

公开(公告)号：US20140031909A1

公开(公告)日：2014-01-30

申请号：US14033592

申请日：2013-09-23

Applicant: Greatbatch Ltd.

Inventor： Qingshan Ye ,  John M. Swoyer

IPC: A61N1/05

CPC classification number: A61N1/0551 ,  A61N1/00 ,  A61N1/0558 ,  A61N1/36057

Abstract: Methods and apparatus for implanting a neural stimulation lead in a patient's body are described. A lead assembly comprises a pointed-tip stylet, a stimulation lead, and an optional tube to deploy a fixation element attached to the lead. One embodiment of the implant methods starts with inserting the pointed-tip lead assembly directly into tissue. After the desired implant position is determined, the pointed-tip component is separated from the stimulation lead and removed from the tissue, leaving the stimulation lead implanted. After confirmation that the stimulation lead is in the right, tissue location, the pointed-tip component is removed from the body, leaving the stimulation lead in place. The stimulation lead can be connected to a neurostimulator to delivery therapies to treat neural disorders, such as urinary control disorders, fecal control disorders, sexual, dysfunction, and pelvic pain, etc.

Abstract translation: 描述了将神经刺激引线植入患者体内的方法和装置。 引线组件包括尖尖探针，刺激引线和用于展开附接到引线的固定元件的可选管。 植入方法的一个实施方案是将尖尖引线组件直接插入组织中。 在确定期望的植入位置之后，将尖端部件与刺激引线分离并从组织中移出，留下刺激引线。 在确认刺激引线在右侧，组织位置之后，将尖端部件从身体移除，使刺激引线保持原位。 刺激引线可以连接到神经刺激器以进行递送疗法以治疗神经障碍，例如尿控制障碍，粪便控制障碍，性功能障碍和骨盆疼痛等。

公开(公告)号：US20140025135A1

公开(公告)日：2014-01-23

申请号：US14038833

申请日：2013-09-27

Applicant: Greatbatch Ltd.

Inventor： Jeff A. Weisgarber ,  Stephen C. Trier

IPC: A61N1/36

CPC classification number: A61N1/36071 ,  A61N1/36185 ,  A61N1/3756

Abstract: An electrical stimulation apparatus including a medical device. The medical device includes: a housing component having at least one electrically conductive area. The medical device includes a plurality of conductors configured to be electrically coupled to a distal electrode array. The electrode array are implantable in a human body. The medical device includes a stimulation circuit positioned inside the housing component. The stimulation circuit includes a plurality of controllable stimulation channels. A first subset of the stimulation channels is electrically coupled to the conductors. A second subset of the stimulation channels is electrically coupled to the electrically conductive area of the housing component. The stimulation circuit is operable to simultaneously create a first stimulation path in the electrode array and a second stimulation path that extends from the electrode array to the housing component.

Abstract translation: 一种包括医疗装置的电刺激装置。 医疗装置包括：具有至少一个导电区域的壳体部件。 医疗装置包括被配置为电耦合到远端电极阵列的多个导体。 电极阵列可植入人体内。 医疗装置包括位于壳体部件内的刺激电路。 刺激电路包括多个可控的刺激通道。 刺激通道的第一子集电连接到导体。 刺激通道的第二子集电耦合到壳体部件的导电区域。 所述刺激电路可操作以同时在所述电极阵列中产生第一刺激路径，以及从所述电极阵列延伸到所述壳体部件的第二刺激路径。

公开(公告)号：US20130304051A1

公开(公告)日：2013-11-14

申请号：US13875621

申请日：2013-05-02

Applicant: GREATBATCH LTD.

Inventor： Scott Kimmel ,  Rodolphe Katra

IPC: A61B18/14 ,  A61B18/18

CPC classification number: A61M39/1011 ,  A61B17/3439 ,  A61B17/3478 ,  A61B18/1477 ,  A61B18/18 ,  A61B2017/00247 ,  A61B2018/1425 ,  A61B2090/034 ,  A61B2090/08021 ,  A61B2218/007 ,  A61M2025/0079

Abstract: In various examples, an apparatus includes a needle cannula including a proximal end and a distal end The needle cannula includes a lumen extending from the proximal end to the distal end. A handle is disposed at the proximal end of the needle cannula. An electrocautery receiver is associated with the handle and electrically coupled to the needle cannula, wherein, with an electrocautery device activated and placed within the electrocautery receiver, electrical energy is conducted from the electrocautery device to the distal end of the needle cannula to selectively electrocauterize tissue in contact with the distal end of the needle cannula.

Abstract translation: 在各种示例中，一种装置包括一针头套管，其包括近端和远端。针插管包括从近端延伸到远端的内腔。 把手设置在针插管的近端处。 电烙术接收器与手柄相关联并且电耦合到针插管，其中，通过激活并放置在电烙术接收器内的电烙术装置将电能从电烙术装置传导到针套管的远端，以选择性地电烙组织 与针插管的远端接触。