ADAPTIVE DEEP BRAIN STIMULATION USING MOVEMENT DESYNCHRONIZATION

    公开(公告)号:US20210060331A1

    公开(公告)日:2021-03-04

    申请号:US17097776

    申请日:2020-11-13

    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.

    Leakage detection within implantable medical system conduction paths

    公开(公告)号:US10220204B2

    公开(公告)日:2019-03-05

    申请号:US15665347

    申请日:2017-07-31

    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.

    GROUNDING OF A SHIELD WITHIN AN IMPLANTABLE MEDICAL LEAD
    37.
    发明申请
    GROUNDING OF A SHIELD WITHIN AN IMPLANTABLE MEDICAL LEAD 审中-公开
    在可植入医疗领域接触皮肤

    公开(公告)号:US20140350654A1

    公开(公告)日:2014-11-27

    申请号:US14456809

    申请日:2014-08-11

    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。

    ROBUST ADAPTIVE BRAIN STIMULATION
    38.
    发明申请

    公开(公告)号:US20250152946A1

    公开(公告)日:2025-05-15

    申请号:US19020791

    申请日:2025-01-14

    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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