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公开(公告)号:US20210060331A1
公开(公告)日:2021-03-04
申请号:US17097776
申请日:2020-11-13
Applicant: Medtronic, Inc.
Inventor: Scott R. Stanslaski , Timothy R. Abraham , Thomas Adamski , Timothy J. Denison , Robert S. Raike
Abstract: Techniques are disclosed for delivering electrical stimulation therapy to a patient. In one example, a medical system delivers electrical stimulation therapy to a tissue of the patient via electrodes. The medical system determines a first change of a first sensed signal of the patient to movement by the patient and a second change of a second sensed signal of the patient to the movement by the patient. Based on the first change and the second change, the medical system selects one of the first sensed signal and the second sensed signal of the patient for controlling the electrical stimulation therapy. The medical system adjusts a level of at least one parameter of the electrical stimulation therapy based on the selected one of the first sensed signal and the second sensed signal.
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公开(公告)号:US10556105B2
公开(公告)日:2020-02-11
申请号:US15973502
申请日:2018-05-07
Applicant: MEDTRONIC, INC.
Inventor: Michael J. Kern , James M. Olsen , Michael R. Klardie , Richard T. Stone , Chad Q. Cai , Spencer Fodness-Bondhus , Mark J. Conroy , Timothy R. Abraham , Brian T. Stolz
Abstract: A shield located within an implantable medical lead may be terminated in various ways. The shield may be terminated by butt, scarf, lap, or other joints between insulation layers surrounding the lead and an insulation extension. For lap joints, a portion of an outer insulation layer may be removed and a replacement outer insulation layer is positioned in place of the removed outer insulation layer, where the replacement layer extends beyond an inner insulation layer and the shield. The replacement layer may also lap onto a portion of the insulation extension. Barbs may be located between the replacement layer and the inner insulation layer or the insulation extension. The shield wires have ends at the termination point that may be folded over individually or may be capped with a ring located within one of the insulation layers of the jacket.
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公开(公告)号:US10220204B2
公开(公告)日:2019-03-05
申请号:US15665347
申请日:2017-07-31
Applicant: MEDTRONIC, INC.
Inventor: Scott R. Stanslaski , Timothy R. Abraham , Timothy J. Denison , Vincent A. Roczniak , Wesley A. Santa , Steven J. Stroncek
Abstract: Leakage of signal between conduction paths of an implantable medical lead or lead and lead extension combination is detected. A stimulation signal is provided via one electrode. Two other electrodes sense the stimulation signal. A difference in amplitude of the two sensed signals is determined and based on this difference, leakage is detected. A sensing circuit may use differential amplification of the two signals and compare a resulting output signal to a leakage threshold. When the amplitude of the output signal exceeds the leakage threshold, then leakage is occurring between the conduction path providing the stimulation and one of the conduction paths used for sensing. Other techniques for determining leakage from the difference may also be used such as comparing the amplitudes of the two sensed signals and providing a value that is based on the comparison to indicate whether leakage is present.
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公开(公告)号:US20180304087A1
公开(公告)日:2018-10-25
申请号:US16017401
申请日:2018-06-25
Applicant: Medtronic, Inc.
Inventor: Hrishikesh Gadagkar , James Zimmerman , James M. Olsen , Robyn L. Jagler , Timothy R. Abraham , Jeffrey R. Dixon
CPC classification number: A61N1/37264 , A61B5/055 , A61N1/086 , A61N1/3718 , A61N1/372 , A61N1/37247 , A61N1/37258 , A61N1/37282 , A61N1/3925 , G01R33/285 , G01R33/288 , G06F19/00 , G16H40/40
Abstract: A system may include a processor configured to automatically obtain magnetic resonance imaging compatibility information relating to compatibility of an active implantable medical device implantable in a patient with an MRI modality from at least two information sources. The processor may also be configured to automatically determine compatibility of the active implantable medical device with the magnetic resonance imaging modality based on the magnetic resonance imaging compatibility information.
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公开(公告)号:US20180256893A1
公开(公告)日:2018-09-13
申请号:US15973502
申请日:2018-05-07
Applicant: MEDTRONIC, INC.
Inventor: Michael J. Kern , James M. Olsen , Michael R. Klardie , Richard T. Stone , Chad Q. Cai , Spencer M. Bondhus , Mark J. Conroy , Timothy R. Abraham , Brian T. Stolz
Abstract: A shield located within an implantable medical lead may be terminated in various ways. The shield may be terminated by butt, scarf, lap, or other joints between insulation layers surrounding the lead and an insulation extension. For lap joints, a portion of an outer insulation layer may be removed and a replacement outer insulation layer is positioned in place of the removed outer insulation layer, where the replacement layer extends beyond an inner insulation layer and the shield. The replacement layer may also lap onto a portion of the insulation extension. Barbs may be located between the replacement layer and the inner insulation layer or the insulation extension. The shield wires have ends at the termination point that may be folded over individually or may be capped with a ring located within one of the insulation layers of the jacket.
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公开(公告)号:US20180085585A1
公开(公告)日:2018-03-29
申请号:US15714867
申请日:2017-09-25
Applicant: Medtronic, Inc.
Inventor: Scott R. Stanslaski , Timothy R. Abraham , Thomas Adamski , Timothy J. Denison , Robert S. Raike
CPC classification number: A61N1/0534 , A61B5/0002 , A61B5/04001 , A61B5/4836 , A61B5/4848 , A61B5/686 , A61B5/6868 , A61N1/0476 , A61N1/36014 , A61N1/36064 , A61N1/36067 , A61N1/36071 , A61N1/36082 , A61N1/36096 , A61N1/36132 , A61N1/36135 , A61N1/36139 , A61N1/37247
Abstract: Techniques are disclosed for delivering electrical stimulation therapy to a patient. In one example, a medical system delivers electrical stimulation therapy to a tissue of the patient via electrodes. The medical system determines a first change of a first sensed signal of the patient to movement by the patient and a second change of a second sensed signal of the patient to the movement by the patient. Based on the first change and the second change, the medical system selects one of the first sensed signal and the second sensed signal of the patient for controlling the electrical stimulation therapy. The medical system adjusts a level of at least one parameter of the electrical stimulation therapy based on the selected one of the first sensed signal and the second sensed signal.
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37.
公开(公告)号:US20140350654A1
公开(公告)日:2014-11-27
申请号:US14456809
申请日:2014-08-11
Applicant: MEDTRONIC, INC.
Inventor: James M. Olsen , Michael Robert Klardie , Richard T. Stone , Chad Q. Cai , Spencer M. Bondhus , Mark J. Conroy , Timothy R. Abraham
CPC classification number: A61N1/08 , A61B90/39 , A61B2090/3966 , A61N1/05 , A61N1/0551 , A61N1/086 , A61N1/3718 , A61N1/3752 , A61N2001/058 , A61N2001/0582 , A61N2001/086 , Y10T29/49016 , Y10T29/49117 , Y10T29/4921 , Y10T29/49227 , Y10T29/49826
Abstract: Implantable medical leads include a shield that is guarded at a termination by having a first portion and a second portion of the shield, where the first portion is between a termination of the shield at the second portion and an inner insulation layer that surrounds the filars. The first portion may reduce the coupling of RF energy from the termination of the shield at the second portion to the filars. The first and second portions may be part of a continuous shield, where the first and second portions are separated by an inversion of the shield. The first and second portions may instead be separate pieces. The first portion may be noninverted and reside between the termination at the second portion and the inner layers, or the first portion may be inverted to create first and second sub-portions. The shield termination at the second portion is between the first and second sub-portions.
Abstract translation: 植入式医疗引线包括通过具有屏蔽件的第一部分和第二部分而在端子处被保护的屏蔽件,其中第一部分位于第二部分处的屏蔽件的终端和围绕线圈的内部绝缘层之间。 第一部分可以减少RF能量从第二部分处的屏蔽端接到丝状体的耦合。 第一和第二部分可以是连续屏蔽的一部分,其中第一和第二部分被屏蔽的反转分开。 第一和第二部分可以是分开的部分。 第一部分可以是非反相的并且位于第二部分的端接部分和内层之间,或者第一部分可以被倒置以产生第一和第二子部分。 第二部分处的屏蔽终端位于第一和第二子部分之间。
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公开(公告)号:US20250152946A1
公开(公告)日:2025-05-15
申请号:US19020791
申请日:2025-01-14
Applicant: Medtronic, Inc.
Inventor: Thomas L. Chouinard , Scott R. Stanslaski , Timothy R. Abraham , Robert S. Raike
Abstract: Systems and methods that automatically adjust, or adapt, stimulation waveforms delivered to brain structures. Closed loop system embodiments can automatically be reconfigured into a more suitable closed loop control system in response to measures of control system performance. Measures can be internal performance characteristics of the adaptive control system or external inputs provided by another subsystem. As these measures change in time, the robust adaptive system changes in response.
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公开(公告)号:US12144637B2
公开(公告)日:2024-11-19
申请号:US17139213
申请日:2020-12-31
Applicant: Medtronic, Inc.
Inventor: Evan D. Schnell , Scott R. Stanslaski , Ilan D. Gordon , Steven M. Goetz , Hijaz M. Haris , Eric J. Panken , Timothy R. Abraham , Thomas L. Chouinard , Susan Heilman Kilbane , Karan Chitkara , Christopher M. Arnett , Alicia W. Thompson , Kevin C. Johnson , Ankush Thakur , Lukas Valine , Christopher L. Pulliam , Brady N. Fetting , Rucha Gokul G. Samant , Andrew H. Houchins , Caleb C. Zarns
Abstract: Devices, systems, and techniques are disclosed for managing electrical stimulation therapy and/or sensing of physiological signals such as brain signals. For example, a system may assist a clinician in identifying one or more electrode combinations for sensing a brain signal. In another example, a user interface may display brain signal information and values of a stimulation parameter at least partially defining electrical stimulation delivered to a patient when the brain signal information was sensed.
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公开(公告)号:US11975187B2
公开(公告)日:2024-05-07
申请号:US17097776
申请日:2020-11-13
Applicant: Medtronic, Inc.
Inventor: Scott R. Stanslaski , Timothy R. Abraham , Thomas Adamski , Timothy J. Denison , Robert S. Raike
CPC classification number: A61N1/0534 , A61B5/24 , A61B5/374 , A61B5/4836 , A61B5/4848 , A61B5/686 , A61B5/6868 , A61N1/36064 , A61N1/36067 , A61N1/36071 , A61N1/36082 , A61N1/36132 , A61N1/36135 , A61N1/36139 , A61N1/37247 , A61B5/0002 , A61N1/0476 , A61N1/36014 , A61N1/36096
Abstract: Techniques are disclosed for delivering electrical stimulation therapy to a patient. In one example, a medical system delivers electrical stimulation therapy to a tissue of the patient via electrodes. The medical system determines a first change of a first sensed signal of the patient to movement by the patient and a second change of a second sensed signal of the patient to the movement by the patient. Based on the first change and the second change, the medical system selects one of the first sensed signal and the second sensed signal of the patient for controlling the electrical stimulation therapy. The medical system adjusts a level of at least one parameter of the electrical stimulation therapy based on the selected one of the first sensed signal and the second sensed signal.
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