公开(公告)号：US20100222845A1

公开(公告)日：2010-09-02

申请号：US12682923

申请日：2008-09-29

Applicant: Steven M. Goetz

Inventor： Steven M. Goetz

IPC: A61N1/08 ,  G06Q50/00 ,  G06Q10/00

CPC classification number: G16H40/67 ,  A61B2560/0271 ,  A61N1/37247 ,  A61N1/37252 ,  A61N1/37264 ,  A61N1/37282 ,  G06F19/00 ,  G06F19/324 ,  G06F19/3418 ,  G06F19/3456 ,  G06F19/3481 ,  G06Q50/24 ,  G16H10/60 ,  G16H20/10 ,  G16H20/40 ,  G16H40/20 ,  G16H40/63

Abstract: The disclosure is directed to techniques for remote management of information relating to therapy delivered to a patient by an implantable medical device (IMD). A remote monitoring system for therapy programming includes an IMD that delivers therapy, e.g., neurostimulation, drug therapy, or both, to a patient, an external programming device associated with the IMD, such as a patient programmer, and a remote networking device that receives usage information from the external programming device. The external programming device communicates with the IMD via local, wireless communication, and the remote networking device receives usage information from the external programming device via a network. The usage information includes information that relates to use of therapy by the patient, use of features of the external programming device and the IMD, or use of navigation patterns of a user interface of the external programming device.

Abstract translation: 本公开涉及用于远程管理与由可植入医疗装置（IMD）递送给患者的治疗有关的信息的技术。 用于治疗编程的远程监视系统包括向患者，与IMD相关联的外部编程设备（例如患者编程器）和接收的远程联网设备（例如神经刺激，药物治疗或两者）提供治疗的IMD 来自外部编程设备的使用信息。 外部编程设备通过本地无线通信与IMD通信，并且远程网络设备经由网络从外部编程设备接收使用信息。 使用信息包括与患者使用治疗有关的信息，使用外部编程设备和IMD的特征，或使用外部编程设备的用户界面的导航模式。

公开(公告)号：US07676273B2

公开(公告)日：2010-03-09

申请号：US11591189

申请日：2006-10-31

Applicant: Steven M. Goetz ,  Richard T. Stone ,  Warren W. Ball ,  Carl D. Wahlstrand

Inventor： Steven M. Goetz ,  Richard T. Stone ,  Warren W. Ball ,  Carl D. Wahlstrand

IPC: A61N1/00

CPC classification number: A61N1/37247 ,  A61N1/0529 ,  A61N1/0531 ,  A61N1/0534 ,  A61N1/0553 ,  A61N1/36082 ,  A61N1/36185

Abstract: The disclosure is directed to programming implantable stimulators to deliver stimulation energy via one or more implantable leads having complex electrode array geometries. A user interface of a programmer allows a user to define stimulation therapy by interacting with one or more representations of the lead that delivers the therapy. The disclosure also contemplates selecting stimulation parameters to satisfy a user defined stimulation field by selecting one or more volumetric stimulation templates that best fit the stimulation field. The user interface may display the stimulation templates in relation to different perspectives of a lead and the stimulation field. Use of stimulation templates may simplify the determination of stimulation parameters in response to any of a variety of types of user definition of a stimulation field.

Abstract translation: 本公开涉及编程可植入刺激器以通过具有复杂电极阵列几何形状的一个或多个可植入引线输送刺激能量。 程序员的用户界面允许用户通过与递送治疗的引线的一个或多个表示相互作用来定义刺激治疗。 本公开还考虑通过选择最适合刺激场的一个或多个体积刺激模板来选择刺激参数以满足用户定义的刺激场。 用户界面可以显示与铅和刺激场的不同观点相关的刺激模板。 刺激模板的使用可以响应于刺激场的各种类型的用户定义中的任一种来简化刺激参数的确定。

公开(公告)号：US20090276009A1

公开(公告)日：2009-11-05

申请号：US12112523

申请日：2008-04-30

Applicant: Steven M. Goetz ,  Warren W. Ball

Inventor： Steven M. Goetz ,  Warren W. Ball

IPC: A61N1/08

CPC classification number: A61N1/37247 ,  A61N1/36185 ,  A61N1/3706 ,  A61N2001/083

Abstract: Method, controller and system for an implantable medical device having a plurality of electrodes, the implantable medical device capable of delivering therapeutic stimulation to a patient, comprising a control module, a user interface operatively coupled to the control module, the user interface providing control of the control module by a medical professional or other user, and an electrode interface operatively coupled between the plurality of electrodes and the control module. The control module uses the electrode interface to obtain a plurality of measurements of integrity metrics for a plurality of selected pairs of individual ones of the plurality of electrodes. The control module determines a prescriptive analysis using the plurality of measurements of integrity metrics of the selected pairs of individual ones of the plurality of electrodes comparative to a range, and the user interface displays the prescriptive analysis.

Abstract translation: 用于具有多个电极的可植入医疗装置的方法，控制器和系统，所述可植入医疗装置能够向患者递送治疗刺激，所述可植入医疗装置包括控制模块，可操作地耦合到所述控制模块的用户界面，所述用户界面提供 医疗专业人员或其他用户的控制模块以及可操作地耦合在多个电极和控制模块之间的电极接口。 所述控制模块使用所述电极接口来获得所述多个电极中的多个选定对中的多个选定对的完整性度量的多个测量值。 控制模块使用多个电极中所选择的多个电极对中的多个单独的电极对的完整性度量的多个测量结果来确定规范性分析，并且用户界面显示规定性分析。

公开(公告)号：US20090196472A1

公开(公告)日：2009-08-06

申请号：US12359264

申请日：2009-01-23

Applicant: Steven M. Goetz ,  Andrew Ng

Inventor： Steven M. Goetz ,  Andrew Ng

IPC: G06K9/00 ,  A61B5/00

CPC classification number: A61N1/37264 ,  A61N1/0551 ,  A61N1/36185 ,  A61N1/37247 ,  G06F19/00 ,  G06T7/0012 ,  G06T7/73 ,  G06T2207/10116 ,  G06T2207/30052 ,  G06T2207/30196

Abstract: In general, the disclosure is related to electrode-to-lead association using post-implant imaging. An image analysis unit may calculate distances between representations of electrodes in an electronic image and identify groups based on the calculated distances. Each identified group may include a plurality of electrode representations. The distance between a first electrode representation and a second electrode representation may be substantially a same distance between the second electrode representation and a third electrode representation. A characterization unit may determine one or more lead types based on the identified groups.

Abstract translation: 通常，本公开涉及使用植入后成像的电极到引线关联。 图像分析单元可以计算电子图像中的电极的表示之间的距离，并且基于计算的距离来识别组。 每个识别的组可以包括多个电极表示。 第一电极表示和第二电极表示之间的距离可以在第二电极表示和第三电极表示之间基本相同的距离。 表征单元可以基于所识别的组来确定一个或多个引线类型。

公开(公告)号：US20090112289A1

公开(公告)日：2009-04-30

申请号：US12345483

申请日：2008-12-29

Applicant: Michael T. Lee ,  Daniel K. Vinup ,  Steven M. Goetz

Inventor： Michael T. Lee ,  Daniel K. Vinup ,  Steven M. Goetz

IPC: A61N1/36 ,  A61N1/08

CPC classification number: A61N1/36071 ,  A61N1/37247 ,  G06F19/00

Abstract: An implantable medical device delivers neurostimulation therapy to a patient according to a parameter set, which may consist of a number of programs that are delivered substantially simultaneously. When programming the implantable medical device for the patient, a clinician programmer may maintain a session log that includes a listing of programs delivered to the patient and rating information provided by a clinician and the patient for programs of the list. The listing may be ordered according to the rating information in order to facilitate the selection of programs for a parameter set. A program library that may include particularly effective programs may be stored in a memory. One or both of the implantable medical device and a patient programmer may store usage information that provides an objective and accurate record of therapy use by the patient, and allows a clinician to later improve the therapy based on the usage information.

Abstract translation: 植入式医疗装置根据参数集向患者传递神经刺激疗法，该参数组可由基本同时传送的多个程序组成。 当编程用于患者的可植入医疗设备时，临床医生程序员可以维护会话日志，其包括递送给患者的程序的列表以及临床医生和患者为列表的程序提供的评级信息。 可以根据评级信息对列表进行排序，以便于选择参数集的程序。 可以包括特别有效的程序的程序库可以存储在存储器中。 可植入医疗装置和患者编程器中的一个或两个可以存储提供患者的治疗使用的客观和准确记录的使用信息，并且允许临床医生随后基于使用信息改进治疗。

公开(公告)号：US20080140161A1

公开(公告)日：2008-06-12

申请号：US11940573

申请日：2007-11-15

Applicant: Steven M. Goetz ,  Donald R. Johnson ,  Touby A. Drew ,  Andrew H. Houchins ,  Jeffrey T. Keacher ,  Theodore J. Stone ,  Earle T. Roberts

Inventor： Steven M. Goetz ,  Donald R. Johnson ,  Touby A. Drew ,  Andrew H. Houchins ,  Jeffrey T. Keacher ,  Theodore J. Stone ,  Earle T. Roberts

IPC: A61N1/00

CPC classification number: G06F19/3481 ,  G06F19/00 ,  G06F19/3418

Abstract: Techniques for increasing the safety of medical device programming using general purpose hardware, such as a general purpose personal computer, are described. Some embodiments include a watchdog module that is serviced by the general purpose hardware, a mediator module that monitors programming instructions from the general purpose hardware, and/or a safe mode input that may be activated by a user. In some embodiments, a system comprises an implantable medical device, an intermediate device, a computing device that communicates with the implantable medical device via the intermediate device. The intermediate device may provide any one or more of the safety measures described above. In some embodiments, the intermediate device is dedicated hardware, and critical programming functions are provided by the intermediate device, rather than the general purpose hardware. In some embodiments, an implantable medical device provides one or more of the above-discussed safety features, rather than a separate intermediate device.

Abstract translation: 描述用于增加使用通用硬件（例如通用个人计算机）的医疗设备编程安全性的技术。 一些实施例包括由通用硬件服务的看门狗模块，监视来自通用硬件的编程指令的调解器模块和/或可由用户激活的安全模式输入。 在一些实施例中，系统包括可植入医疗装置，中间装置，经由中间装置与可植入医疗装置通信的计算装置。 中间装置可以提供上述任何一种或多种安全措施。 在一些实施例中，中间设备是专用硬件，并且关键编程功能由中间设备而不是通用硬件提供。 在一些实施例中，可植入医疗装置提供一个或多个上述安全特征，而不是单独的中间装置。

公开(公告)号：US20080046036A1

公开(公告)日：2008-02-21

申请号：US11810943

申请日：2007-06-07

Applicant: Gary W. King ,  Gabriela C. Miyazawa ,  Jordan J. Greenberg ,  Steven M. Goetz

Inventor： Gary W. King ,  Gabriela C. Miyazawa ,  Jordan J. Greenberg ,  Steven M. Goetz

IPC: A61N1/32

CPC classification number: A61N1/37247 ,  A61N1/0529 ,  A61N1/0534 ,  A61N1/0553 ,  A61N1/36185 ,  G06F19/00 ,  G06F19/3481 ,  G16H40/63

Abstract: Techniques for selecting electrode combinations for stimulation therapy include delivering stimulation via each of at least five combination groups. A first group of electrode combinations is characterized by the presence of a caudal anode. A second group of electrode combinations is characterized by the presence of a rostral anode. A third group of electrode combinations is characterized by the presence of a single anode above and a single anode below the cathode(s) of the combination. A fourth group of electrode combinations is characterized by the presence of multiple anodes above and below the cathode(s) of the combination. A fifth group of electrode combinations is characterized by the presence of transverse anodes. A sixth group of electrode combination is characterized by at least one off-center cathode. One or more preferred electrode combinations groups, and/or a number of leads to implant within the patient, may by selected based on patient feedback.

Abstract translation: 用于选择用于刺激治疗的电极组合的技术包括通过至少五个组合组中的每一个递送刺激。 第一组电极组合的特征在于尾部阳极的存在。 第二组电极组合的特征在于存在罗氏阳极。 第三组电极组合的特征在于在组合的阴极下方存在单个阳极和单个阳极。 第四组电极组合的特征在于在组合的阴极上方和下方存在多个阳极。 第五组电极组合的特征在于存在横向阳极。 第六组电极组合的特征在于至少一个偏心阴极。 可以通过基于患者反馈来选择一个或多个优选的电极组合组和/或在患者体内植入的多个引线。

公开(公告)号：US07247155B2

公开(公告)日：2007-07-24

申请号：US10847979

申请日：2004-05-18

Applicant: Michael F. Hoey ,  Mark A. Christopherson ,  Steven M. Goetz

Inventor： Michael F. Hoey ,  Mark A. Christopherson ,  Steven M. Goetz

IPC: A61B18/18

CPC classification number: A61B18/18 ,  A61B18/1206 ,  A61B18/1233 ,  A61B18/14 ,  A61B18/1402 ,  A61B18/1815 ,  A61B2018/00029 ,  A61B2018/00196 ,  A61B2018/00666 ,  A61B2018/00678 ,  A61B2018/00702 ,  A61B2018/00708 ,  A61B2018/00779 ,  A61B2018/00791 ,  A61B2018/00797 ,  A61B2018/00821 ,  A61B2018/00875 ,  A61B2018/1213 ,  A61B2018/1253 ,  A61B2018/1417 ,  A61B2018/1472 ,  A61B2018/1475 ,  A61B2218/002 ,  A61B2218/007

Abstract: The present invention provides an apparatus and a method for producing a virtual electrode within or upon a tissue to be treated with radio frequency alternating electric current, such tissues including but not limited to liver, lung, cardiac, prostate, breast, and vascular tissues and neoplasms. An apparatus in accord with the present invention includes a supply of a conductive or electrolytic fluid to be provided to the patient, an alternating current generator, and a processor for creating, maintaining, and controlling the ablation process by the interstitial or surficial delivery of the fluid to a tissue and the delivery of electric power to the tissue via the virtual electrode. A method in accord with the present invention includes delivering a conductive fluid to a predetermined tissue ablation site for a predetermined time period, applying a predetermined power level of radio frequency current to the tissue, monitoring at least one of several parameters, and adjusting either the applied power and/or the fluid flow in response to the measured parameters.

Abstract translation: 本发明提供了一种用于在射频交流电流处理的组织内或之上产生虚拟电极的装置和方法，所述组织包括但不限于肝脏，肺，心脏，前列腺，乳腺和血管组织，以及 肿瘤。 根据本发明的装置包括供给要提供给患者的导电或电解液，交流发生器和用于通过间隔或表面递送来产生，维持和控制消融过程的处理器 流体到组织并经由虚拟电极向组织递送电力。 根据本发明的方法包括将导电流体递送到预定的组织消融部位预定的时间段，向组织施加预定功率水平的射频电流，监测几个参数中的至少一个，并且调整 响应于测量的参数施加的功率和/或流体流量。

公开(公告)号：US07239926B2

公开(公告)日：2007-07-03

申请号：US10767692

申请日：2004-01-29

Applicant: Steven M. Goetz

Inventor： Steven M. Goetz

IPC: A61N1/00

CPC classification number: A61N1/36071 ,  A61N1/36185

Abstract: In general, the invention is directed to a technique for selection of parameter configurations for a neurostimulator using genetic algorithms. The technique may be employed by a programming device to allow a clinician to select parameter configurations, and then program an implantable neurostimulator to deliver therapy using the selected parameter configurations. In operation, the programming device executes an electrode configuration search algorithm to guide the clinician in the selection of electrode configurations. The search algorithm relies on a genetic algorithms to identify potential optimum electrode configurations within an electrode set. The genetic algorithms provide guidance in the electrode configuration selections process, interactively guiding the clinician by suggesting the configurations that are most likely to be efficacious given the results of tests already performed during an evaluation session.

Abstract translation: 通常，本发明涉及一种使用遗传算法选择神经刺激器的参数配置的技术。 该技术可以由编程设备使用以允许临床医生选择参数配置，然后编程可植入神经刺激器以使用所选择的参数配置递送治疗。 在操作中，编程装置执行电极配置搜索算法以引导临床医生选择电极配置。 搜索算法依赖于遗传算法来识别电极组内的潜在最佳电极配置。 遗传算法在电极配置选择过程中提供指导，通过在评估会话期间已经执行的测试结果建议最可能有效的配置来交互地指导临床医生。

公开(公告)号：US07023359B2

公开(公告)日：2006-04-04

申请号：US10099785

申请日：2002-03-15

Applicant: Steven M. Goetz ,  Gregory Pat Spar ,  Gregg C. Link

Inventor： Steven M. Goetz ,  Gregory Pat Spar ,  Gregg C. Link

IPC: H04Q9/00

CPC classification number: A61N1/37211 ,  A61N1/37252

Abstract: Disclosed is a method and apparatus for configuring an external device so that may communicate with and an implantable medical device in accordance with a desired telemetry protocols. The external device utilizes a configurable telemetry module that comprises a protocol driver that interacts with a transmit driver and a receive driver, both of which can be configured to process a telemetry signal in accordance with the necessary telemetry protocol for communicating with the implantable medical device. Once the transmit and receive drivers are configured, the telemetry module and its associated external device, e.g., a physician programmer, are enabled to communicate with the implantable medical device.