公开(公告)号：US10204706B2

公开(公告)日：2019-02-12

申请号：US12771475

申请日：2010-04-30

Applicant: Jon P. Davis ,  Steven M. Goetz ,  Nathan A. Torgerson ,  Ashish Singal ,  Lynn A. Davenport ,  Rajeev M. Sahasrabudhe ,  Shyam Gokaldas ,  Joel A. Anderson ,  Leroy L. Perz ,  Scott E. Straka

Inventor： Jon P. Davis ,  Steven M. Goetz ,  Nathan A. Torgerson ,  Ashish Singal ,  Lynn A. Davenport ,  Rajeev M. Sahasrabudhe ,  Shyam Gokaldas ,  Joel A. Anderson ,  Leroy L. Perz ,  Scott E. Straka

IPC: A61N1/08 ,  G16H40/63 ,  G06F19/00

Abstract: In one aspect, a programmer for an implantable medical device comprises a user interface that receives user input corresponding to one or more selected stimulation therapy parameters for delivering stimulation therapy to a patient with the implantable medical device and presents an energy consumption estimate of a power source based on the selected stimulation therapy parameters; and a processor that determines one or more programming options that, if selected, would alter the selected stimulation therapy parameters and reduce the energy consumption estimate. The user interface presents at least one of the programming options to reduce the energy consumption estimate to the user with an indication that user selection of one or more of the presented programming options would alter the selected stimulation therapy parameters to reduce energy consumption of the implantable medical device.

公开(公告)号：US09814885B2

公开(公告)日：2017-11-14

申请号：US12768403

申请日：2010-04-27

Applicant: Gabriela C. Molnar ,  Steven M. Goetz ,  Andrew N. Csavoy

Inventor： Gabriela C. Molnar ,  Steven M. Goetz ,  Andrew N. Csavoy

IPC: A61N1/36 ,  A61N1/05 ,  A61N1/08 ,  A61N1/372

CPC classification number: A61N1/36185 ,  A61N1/0529 ,  A61N1/08 ,  A61N1/37247

Abstract: One or more stimulation electrodes may be selected based on a bioelectrical signal sensed in a brain of a patient with a sense electrode combination that comprises at least one electrode and a physiological model that indicates one or more anatomical structures of the brain of the patient that are proximate the implanted at least one electrode. In some examples, the bioelectrical brain signal indicates which electrodes are located closest to a target tissue site. The physiological model can be generated based on a location of implanted at least one electrode within a patient and patient anatomy data, which can, for example, indicate one or more characteristics of patient tissue proximate to the implanted at least one electrode. In some example, the physiological model includes a therapy field model that represents a region of the tissue of the patient to which therapy is delivered via a selected set of electrodes.

公开(公告)号：US09723987B2

公开(公告)日：2017-08-08

申请号：US12738047

申请日：2008-09-29

Applicant: Steven M. Goetz

Inventor： Steven M. Goetz

IPC: A61B5/00 ,  A61B5/11 ,  G06F19/00

CPC classification number: A61B5/0031 ,  A61B5/0022 ,  A61B5/11 ,  A61B2560/0223 ,  A61B2560/0271 ,  A61B2562/0219 ,  G06F19/3418

Abstract: Techniques for remotely calibrating an implanted patient sensor with a remote networking device are described. In some embodiments, the sensor is a component of an implantable medical device (IMD). The remote networking device communicates with the IMD via a network to which the IMD and/or external programmer is connected. The IMD may transmit sensor information to the remote networking device when the IMD detects a problem with the sensor or when the patient indicates that therapy is not correctly selected for different activities. New calibration settings may be remotely generated by directly interrogating the sensor and/or communicating with the patient in order to associate sensor output with patient activities, motions, or postures.

公开(公告)号：US09649494B2

公开(公告)日：2017-05-16

申请号：US13457063

申请日：2012-04-26

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

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

IPC: A61N1/08 ,  A61N1/36 ,  A61N1/05

CPC classification number: A61N1/36139 ,  A61N1/0526 ,  A61N1/0551 ,  A61N1/36128

Abstract: Techniques and systems for determining a head position of a patient and controlling delivery of electrical stimulation to a target stimulation site based on the determined head position are described. In some examples, movement of the head of the patient may result in movement of a lead, through which the electrical stimulation may be delivered, relative to the target stimulation site. Thus, controlling delivery of the electrical stimulation based on the head position may improve the efficiency and efficacy of the electrical stimulation therapy.

公开(公告)号：US09633170B2

公开(公告)日：2017-04-25

申请号：US12738056

申请日：2008-09-29

Applicant: Steven M. Goetz

Inventor： Steven M. Goetz

IPC: A61N1/08 ,  A61N1/37 ,  G06F19/00

CPC classification number: G06F19/3418 ,  A61N2001/083 ,  G06F19/00 ,  G16H40/63

Abstract: In general, the invention is directed toward techniques for remotely monitoring the integrity of a medical device and its components. A remote networking device communicates with a medical device, e.g., an implantable medical device, via a network. The remote networking device sends a request for an integrity measurement to the medical device via the network, a remote network that requests a medical device to perform an integrity measurement. In response to the request, the medical device performs the requested integrity measurement. The medical device may transmit a result of the integrity measurement, e.g., a measured value, back to the remote networking device via the network.

公开(公告)号：US08890681B2

公开(公告)日：2014-11-18

申请号：US12730751

申请日：2010-03-24

Applicant: Steven M. Goetz ,  Sarah B. Alme

Inventor： Steven M. Goetz ,  Sarah B. Alme

IPC: G08B1/08 ,  G06F19/00 ,  A61M5/142 ,  A61M5/14

CPC classification number: G06F19/3468 ,  A61M5/14276 ,  A61M2005/1402 ,  A61M2205/3523 ,  A61M2205/3569 ,  A61M2205/505 ,  A61M2205/52 ,  G06F19/00 ,  G16H15/00 ,  Y10S128/13 ,  Y10S128/903

Abstract: This disclosure describes techniques for displaying representations of therapy session histories with a programmer device configured to program an implantable fluid delivery device. Information regarding the session histories may be stored in a memory of the fluid delivery device. An example programmer includes a user interface comprising a display to present a representation of a plurality of therapy sessions administered by an implantable fluid delivery device to a patient, and a processor that controls the user interface to present on the display the representation of the plurality of therapy sessions. The representation may include simultaneously displayed, temporally-ordered representations of the plurality of therapy sessions, such as a graph comprising a plurality of nodes, each node corresponding to one of the therapy sessions. Horizontal locations of the nodes may correspond to relative ending dates for the corresponding therapy session, and shapes of each node may represent infusion patterns.

Abstract translation: 本公开描述了用配置为编程可植入流体输送装置的程序设备显示治疗会话历史的表示的技术。 关于会话历史的信息可以存储在流体输送装置的存储器中。 示例性程序员包括用户界面，其包括显示器，用于呈现由可植入流体输送装置管理给患者的多个治疗会话的表示;以及处理器，其控制所述用户界面以在所述显示器上呈现所述多个 治疗会议。 该表示可以包括多个治疗会话的同时显示的，时间有序的表示，诸如包括多个节点的图，每个节点对应于治疗会话之一。 节点的水平位置可以对应于相应治疗会话的相对终止日期，并且每个节点的形状可以表示输注模式。

公开(公告)号：US08855777B2

公开(公告)日：2014-10-07

申请号：US12359712

申请日：2009-01-26

Applicant: Gary W. King ,  Steven M. Goetz ,  Andrew H. Houchins ,  Jeffrey T. Keacher ,  Jordan J. Greenberg

Inventor： Gary W. King ,  Steven M. Goetz ,  Andrew H. Houchins ,  Jeffrey T. Keacher ,  Jordan J. Greenberg

IPC: A61N1/18 ,  A61N1/36 ,  A61N1/05 ,  A61N1/372

CPC classification number: A61N1/36071 ,  A61N1/0553 ,  A61N1/36021 ,  A61N1/36171 ,  A61N1/36182 ,  A61N1/36185 ,  A61N1/37247 ,  A61N1/37264

Abstract: A therapy program for peripheral nerve field stimulation (PNFS) may be selected based on user input indicating a desired therapeutic effect for a user-specified region in which a patient feels pain. In other examples, PNFS may be programmed based on input from a user selecting at least one region from among a plurality of regions in which the patient experiences pain. In addition, the PNFS may be programmed based on user input defining an aspect of PNFS for the selected region, such as a relative intensity of PNFS delivered to at least two selected regions, a balance of PNFS between at least two regions, a desired shift in PNFS from a first region to a second region, or an extent to which a first stimulation field within a first region overlaps with a second stimulation field in a second region.

Abstract translation: 可以基于用户输入指示用于周围神经区域刺激（PNFS）的治疗程序，其指示患者感觉疼痛的用户指定区域的期望的治疗效果。 在其他示例中，PNFS可以基于来自用户的输入来编程，所述用户从患者经历疼痛的多个区域中选择至少一个区域。 另外，PNFS可以基于定义用于所选区域的PNFS的方面的用户输入来编程，例如递送到至少两个选择的区域的PNFS的相对强度，至少两个区域之间的PNFS的平衡，期望的移位 在PNFS中从第一区域到第二区域，或第一区域内的第一刺激场与第二区域中的第二刺激场重叠的程度。

公开(公告)号：US08805518B2

公开(公告)日：2014-08-12

申请号：US12359001

申请日：2009-01-23

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

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: A61N1/34

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

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.

Abstract translation: 可以基于PNFS的检测到的生理效应来控制外周神经区域刺激（PNFS），这可能是对PNFS的传出响应。 在一些示例中，闭环治疗系统可以包括感测患者的生理参数的感测模块，其可以指示患者对PNFS的反应。 基于由感测模块产生的信号，可以激活，去激活或修改PNFS。 患者的生理参数包括心率，呼吸频率，皮肤活动，肌肉活动，血流速度，汗腺活动，引导反射或患者身体的热活动。 在一些示例中，可以基于由感测模块生成的信号来检测患者疼痛状态，并且可以基于疼痛状态的检测来控制治疗。

公开(公告)号：US08620452B2

公开(公告)日：2013-12-31

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: A61N1/05

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：US08543217B2

公开(公告)日：2013-09-24

申请号：US11591193

申请日：2006-10-31

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

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

IPC: A61N1/00

CPC classification number: A61N1/37247 ,  A61N1/36071

Abstract: The disclosure describes a method and system that generates stimulation parameters by selecting one or more stimulation parameters according to a stimulation field defined by a user. The system includes a memory that stores a plurality of stimulation templates for multiple electrode configurations of an electrical lead. A processor selects one or more volumetric stimulation templates that best match, e.g., fill, the three-dimensional stimulation field defined by the clinician. Each stimulation template is associated with a set of stimulation parameters that can be used to deliver stimulation therapy to a patient.

Abstract translation: 本公开描述了通过根据用户定义的刺激字段选择一个或多个刺激参数来生成刺激参数的方法和系统。 该系统包括存储多个用于电引线的多个电极配置的刺激模板的存储器。 处理器选择一个或多个与临床医生定义的三维刺激场最匹配，例如填充的体积刺激模板。 每个刺激模板与可用于向患者递送刺激疗法的一组刺激参数相关联。