公开(公告)号：US09545521B1

公开(公告)日：2017-01-17

申请号：US14575818

申请日：2014-12-18

Applicant: Medtronic, Inc.

Inventor： Nathan A. Torgerson ,  Lynn A. Davenport

IPC: A61N1/372 ,  A61N1/36

CPC classification number: A61N1/3727 ,  A61N1/36017 ,  A61N1/3605 ,  A61N1/36185 ,  A61N1/37241 ,  A61N1/37247

Abstract: One or more efficacious electrode combinations for delivering electrical stimulation therapy to a patient may be selected based on the delivery of electrical stimulation to the patient via a predefined set of test electrode combinations in a predetermined order. In some examples, the electrode combinations of the set are arranged in the predetermined order such that adjacent electrode combinations in the order include at least one shared anode electrode or cathode electrode. In addition, the electrode combinations in the predetermined order may define a predetermined sequence of electrode patterns, each electrode pattern defining a relative arrangement between one or more anodes and one or more cathodes of the respective electrode pattern. In some examples, the transition between electrode combinations in the predefined set is achieved by incrementally adjusting at least one of anodic amplitudes assigned to active anode electrodes or cathodic amplitudes assigned to active cathode electrodes.

Abstract translation: 可以基于以预定顺序经由预定义的一组测试电极组合向患者递送电刺激来选择用于将电刺激治疗递送给患者的一个或多个有效电极组合。 在一些示例中，组的电极组合以预定顺序排列，使得依次的相邻电极组合包括至少一个共用阳极电极或阴极电极。 另外，预定顺序的电极组合可以限定电极图案的预定顺序，每个电极图案限定一个或多个阳极与相应电极图案的一个或多个阴极之间的相对布置。 在一些示例中，预定义集合中的电极组合之间的转变通过递增地调整分配给主动阳极电极的阳极振幅或分配给活性阴极电极的阴极振幅中的至少一个来实现。

公开(公告)号：US09393434B2

公开(公告)日：2016-07-19

申请号：US14135201

申请日：2013-12-19

Applicant: Medtronic, Inc.

Inventor： David P. Olson ,  Nathan A. Torgerson

IPC: A61N1/378

CPC classification number: A61N1/3787

Abstract: Medical device recharging systems include a controller and a separate recharge device that communicate wirelessly together to provide recharging to an implantable medical device. Either the controller or the recharge device may also communicate wirelessly with the implantable medical device to obtain recharge status and other information. There may be multiple recharge devices present within communication range of the controller, and the controller may determine which recharge device to activate depending upon proximity of each recharge device to the implantable medical device. The controller may allow the recharge device that is active at any given time to change so that the patient having the implantable medical device can move about in the area where the recharge devices are located while recharging continues.

Abstract translation: 医疗装置再充电系统包括一个控制器和一个单独的再充电装置，它们以无线方式通信在一起以向可植入医疗装置提供再充电。 控制器或充电设备也可以与可植入医疗设备进行无线通信，以获得充电状态和其他信息。 在控制器的通信范围内可能存在多个充电设备，并且控制器可以根据每个再充电设备与可植入医疗设备的接近度来确定要激活的再充电设备。 控制器可以允许在任何给定时间处于活动状态的再充电设备改变，使得具有可植入医疗设备的患者可以在充电设备所在的区域中移动，同时继续充电。

公开(公告)号：US20160121124A1

公开(公告)日：2016-05-05

申请号：US14530372

申请日：2014-10-31

Applicant: Medtronic, Inc.

Inventor： Lisa M. Johanek ,  Nathan A. Torgerson ,  Louis Vera-Portocarrero

IPC: A61N1/36

CPC classification number: A61N1/36139 ,  A61N1/36007 ,  A61N1/36064 ,  A61N1/36067 ,  A61N1/36071 ,  A61N1/36075 ,  A61N1/36085 ,  A61N1/36096 ,  A61N1/36107 ,  A61N1/36164 ,  A61N1/37247 ,  A61N1/37264

Abstract: In some examples, a method may include delivering an electrical stimulation therapy to a patient, the electrical stimulation therapy comprising a first electrical stimulation pulse delivered to the patient via a first electrode and a second electrical stimulation pulse delivered to the patient via a second electrode, wherein the first electrical stimulation pulse and second electrical stimulation pulse are delivered as paired pulses with respect to each other and a combination of the first electrical stimulation pulse and the second electrical stimulation pulse evoke a compound action potential within the patient; sensing the compound action potential evoked by the combination of the first electrical stimulation pulse and the second electrical stimulation pulse; and adjusting one or more parameters of the electrical stimulation therapy based on the sensed compound action potential

Abstract translation: 在一些示例中，方法可以包括将电刺激治疗递送给患者，所述电刺激治疗包括经由第一电极传递给患者的第一电刺激脉冲和经由第二电极传送给患者的第二电刺激脉冲， 其中所述第一电刺激脉冲和所述第二电刺激脉冲相对于彼此成对地传送，并且所述第一电刺激脉冲和所述第二电刺激脉冲的组合引起所述患者内的复合动作电位; 感测由第一电刺激脉冲和第二电刺激脉冲的组合引起的复合动作电位; 以及基于所感测到的复合动作电位来调整所述电刺激治疗的一个或多个参数

公开(公告)号：US09259578B2

公开(公告)日：2016-02-16

申请号：US14696176

申请日：2015-04-24

Applicant: Medtronic, Inc.

Inventor： Nathan A. Torgerson

IPC: A61N1/36

CPC classification number: A61N1/36146 ,  A61N1/36 ,  A61N1/3605

Abstract: Techniques are described for generating electrical stimulation current pulses for delivery of electrical stimulation therapy via a current-controlled system that emulates voltage pulses generated via a voltage-controlled system. In one example, a method includes receiving user input specifying a voltage level of electrical stimulation to be delivered by one or more of a plurality of electrodes implanted within the patient, selectively coupling the one or more electrodes to respective regulated current paths to deliver the electrical stimulation to the patient, selectively coupling at least another of the plurality of electrodes implanted within the patient to an unregulated current path to deliver the electrical stimulation to the patient, determining a regulated current for each respective regulated current path in order to produce the specified voltage level at the one or more electrodes selectively coupled to the respective regulated current paths, and delivering the determined regulated currents via the respective regulated current paths.

公开(公告)号：US20150157869A1

公开(公告)日：2015-06-11

申请号：US14623307

申请日：2015-02-16

Applicant: Medtronic, Inc.

Inventor： Nathan A. Torgerson ,  James E. Riekels

IPC: A61N1/378 ,  A61N1/36

CPC classification number: A61N1/3787 ,  A61N1/36142

Abstract: Method of recharging a power source such as a rechargeable lithium ion battery for an implantable medical device. Energy is received within the implantable medical device from an external energy source which energy is used to recharge the power source. At least one recharge parameter associated with recharging of the power source is monitored. Recharging is regulated by increasing a charging rate of the power source in response, at least in part, on the recharge parameter being monitored.

Abstract translation: 对可植入医疗器械的可再充电锂离子电池等电源进行再充电的方法。 在可植入医疗装置内的能量是从外部能量源接收的，该能量用于对电源进行再充电。 监视与电源的再充电相关联的至少一个充电参数。 通过增加电源的充电速率来至少部分地响应被监视的充电参数来调节充电。

公开(公告)号：US08918184B1

公开(公告)日：2014-12-23

申请号：US13796529

申请日：2013-03-12

Applicant: Medtronic, Inc.

Inventor： Nathan A. Torgerson ,  Lynn A. Davenport

IPC: A61N1/00 ,  A61N1/36

CPC classification number: A61N1/3727 ,  A61N1/36017 ,  A61N1/3605 ,  A61N1/36185 ,  A61N1/37241 ,  A61N1/37247

Abstract: One or more efficacious electrode combinations for delivering electrical stimulation therapy to a patient may be selected based on the delivery of electrical stimulation to the patient via a predefined set of test electrode combinations in a predetermined order. In some examples, the electrode combinations of the set are arranged in the predetermined order such that adjacent electrode combinations in the order include at least one shared anode electrode or cathode electrode. In addition, the electrode combinations in the predetermined order may define a predetermined sequence of electrode patterns, each electrode pattern defining a relative arrangement between one or more anodes and one or more cathodes of the respective electrode pattern. In some examples, the transition between electrode combinations in the predefined set is achieved by incrementally adjusting at least one of anodic amplitudes assigned to active anode electrodes or cathodic amplitudes assigned to active cathode electrodes.

Abstract translation: 可以基于以预定顺序经由预定义的一组测试电极组合向患者递送电刺激来选择用于将电刺激治疗递送给患者的一个或多个有效电极组合。 在一些示例中，组的电极组合以预定顺序排列，使得依次的相邻电极组合包括至少一个共用阳极电极或阴极电极。 另外，预定顺序的电极组合可以限定电极图案的预定顺序，每个电极图案限定一个或多个阳极与相应电极图案的一个或多个阴极之间的相对布置。 在一些示例中，预定义集合中的电极组合之间的转变通过递增地调整分配给主动阳极电极的阳极振幅或分配给活性阴极电极的阴极振幅中的至少一个来实现。

公开(公告)号：US12036401B2

公开(公告)日：2024-07-16

申请号：US16773719

申请日：2020-01-27

Applicant: Medtronic, Inc.

Inventor： Jonathon E. Giftakis ,  Nathan A. Torgerson

IPC: A61N1/05 ,  A61B5/00 ,  A61B5/03 ,  A61N1/36

CPC classification number: A61N1/0534 ,  A61B5/031 ,  A61B5/4094 ,  A61N1/36082

Abstract: A medical system implements a seizure detection algorithm to detect a seizure based on a first patient parameter. The medical system monitors a second patient parameter to adjust the seizure detection algorithm. In some examples, the medical system determines whether a seizure for which therapy delivery is desirable occurred based on a second patient parameter. If a target seizure occurred, and the seizure detection algorithm did not detect the target seizure, the medical system adjusts the seizure detection algorithm to detect the target seizure. For example, the medical system may determine a first patient parameter characteristic indicative of the target seizure detected based on the second patient parameter and store the first patient parameter characteristic as part of the seizure detection algorithm. In some examples, the first patient parameter is an electrical brain signal and the second patient parameter is patient activity (e.g., patient motion or posture).

公开(公告)号：US20240181264A1

公开(公告)日：2024-06-06

申请号：US18439601

申请日：2024-02-12

Applicant: Medtronic, Inc.

Inventor： Warren W. Ball ,  Ajinkya M. Joglekar ,  Nathan A. Torgerson ,  Matthew L. Plante

IPC: A61N1/372 ,  G16H40/63 ,  H04B13/00 ,  H04L67/12

CPC classification number: A61N1/37217 ,  G16H40/63 ,  H04B13/005 ,  H04L67/12

Abstract: An external device transfers a key to an implantable medical device over a proximity communication and then establishes a first far field communication session with the implantable medical device where the key is used for the first communication session. This first communication session may occur before implantation while the implantable medical device is positioned outside of the sterile field so that using a proximity communication is easily achieved. Once the implantable medical device is passed into the sterile field for implantation, the external device may then establish a second far field communication session with the implantable medical device where the last key that was used for the first communication session is again used for the second communication session which avoids the need for another proximity communication to occur within the sterile field.

公开(公告)号：US20240075304A1

公开(公告)日：2024-03-07

申请号：US18461957

申请日：2023-09-06

Applicant: Medtronic, Inc.

Inventor： Ashutosh Mehra ,  Nathan A. Torgerson ,  Venkat R. Gaddam ,  Arthur K. Lai ,  Bernard P. Bechara ,  Joel A. Anderson ,  Brent P. Johnson ,  Trevor D. Webster ,  Mandla T. Shongwe ,  Cesar G. Moran ,  Charles M. Nowell, Jr.

IPC: A61N1/372 ,  A61N1/378 ,  G08C17/02

CPC classification number: A61N1/37223 ,  A61N1/3787 ,  G08C17/02

Abstract: A medical device includes wake circuitry and telemetry circuitry. The wake circuitry is configured to receive a first set of data from a device associated with the medical device, where the first set of data is received at a frequency band. The wake circuitry is configured to output a set of pulses based on the first set of data. The wake circuitry is configured to detect a data pattern using the set of pulses. The wake circuitry is configured to output an activation signal in response to a determination that the data pattern satisfies a data pattern requirement. The telemetry circuitry is configured to output a second set of data in response to receiving the activation signal. The second set of data is transmitted at the frequency band. The telemetry circuitry is configured to establish a communication session with the device using the second set of data.

公开(公告)号：US11904172B2

公开(公告)日：2024-02-20

申请号：US17008523

申请日：2020-08-31

Applicant: MEDTRONIC, INC.

Inventor： Warren W. Ball ,  Ajinkya M. Joglekar ,  Nathan A. Torgerson ,  Matthew L. Plante

IPC: A61N1/372 ,  G16H40/63 ,  H04B13/00 ,  H04L67/12

CPC classification number: A61N1/37217 ,  G16H40/63 ,  H04B13/005 ,  H04L67/12

Abstract: An external device transfers a key to an implantable medical device over a proximity communication and then establishes a first far field communication session with the implantable medical device where the key is used for the first communication session. This first communication session may occur before implantation while the implantable medical device is positioned outside of the sterile field so that using a proximity communication is easily achieved. Once the implantable medical device is passed into the sterile field for implantation, the external device may then establish a second far field communication session with the implantable medical device where the last key that was used for the first communication session is again used for the second communication session which avoids the need for another proximity communication to occur within the sterile field.