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31.发明申请Programming interface with a concentric axial view of a stimulation lead with complex electrode array geometry 有权具有复杂电极阵列几何形状的刺激引线的同心轴视图的编程界面公开(公告)号：US20070203544A1
公开(公告)日：2007-08-30
申请号：US11591280
申请日：2006-10-31
IPC分类号： A61N1/00
CPC分类号： A61N1/37247 , A61N1/36007 , A61N1/36071 , A61N1/36082 , A61N1/36185
摘要： The disclosure is directed to programming implantable stimulators to deliver stimulation energy via one or more implantable leads having complex electrode array geometries. The disclosure also contemplates guided programming to select electrode combinations and parameter values to support efficacy. The techniques may be applied to a programming interface associated with a clinician programmer, a patient programmer, or both. A user interface permits a user to view electrodes from different perspectives relative to the lead. For example, the user interface provides a side view of a lead and a concentric axial view of the lead. The user interface may include an axial control medium to select and/or view electrodes at different axial positions along the length of a lead, and a rotational control medium to select and/or view electrodes at different angular positions around a circumference of the lead.
摘要翻译： 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。 本公开还考虑了引导编程以选择电极组合和参数值以支持功效。 这些技术可以应用于与临床医生程序员，患者程序员或两者相关联的编程接口。 用户界面允许用户从相对于铅的不同角度来观察电极。 例如，用户界面提供引线的侧视图和引线的同心轴向视图。 用户界面可以包括轴向控制介质，用于选择和/或查看沿引线长度的不同轴向位置处的电极;以及旋转控制介质，用于选择和/或查看围绕引线圆周的不同角位置处的电极。
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32.发明申请Programming interface with an unwrapped 2D view of a stimulation lead with complex electrode array geometry 有权具有复杂电极阵列几何形状的刺激引线的展开2D视图的编程界面公开(公告)号：US20070203537A1
公开(公告)日：2007-08-30
申请号：US11591170
申请日：2006-10-31
IPC分类号： A61N1/00
CPC分类号： A61N1/0529 , A61N1/0531 , A61N1/0534 , A61N1/0553 , A61N1/36082 , A61N1/36185 , A61N1/37247
摘要： The disclosure is directed to programming implantable stimulators to deliver stimulation energy via one or more implantable leads having complex electrode array geometries. The disclosure also contemplates guided programming to select electrode combinations and parameter values to support efficacy. The techniques may be applied to a programming interface associated with a clinician programmer, a patient programmer, or both. A user interface permits a user to view electrodes from different perspectives relative to the lead. For example, the user interface provides an unwrapped two-dimensional array view of a lead and a concentric axial view of the lead. The user interface may include an axial control medium to select and/or view electrodes at different axial positions along the length of a lead, and a rotational control medium to select and/or view electrodes at different angular positions around a circumference of the lead.
摘要翻译： 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。 本公开还考虑了引导编程以选择电极组合和参数值以支持功效。 这些技术可以应用于与临床医生程序员，患者程序员或两者相关联的编程接口。 用户界面允许用户从相对于铅的不同角度来观察电极。 例如，用户界面提供引线的未展开的二维阵列视图和引线的同心轴向视图。 用户界面可以包括轴向控制介质，用于选择和/或查看沿引线长度的不同轴向位置处的电极;以及旋转控制介质，用于选择和/或查看围绕引线圆周的不同角位置处的电极。
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公开(公告)号：US06415816B1
公开(公告)日：2002-07-09
申请号：US09653339
申请日：2000-08-31
IPC分类号： F16K2400
CPC分类号： E03C1/1225 , E03C1/12 , F16K15/06 , F16K15/144 , F16K24/06 , Y10T137/7897 , Y10T137/7918
摘要： A one directional flow valve assembly for a fluid system. The valve assembly is comprised of a valve body having an internal valve chamber in communication with the ambient environment with a valve seat of a predetermined configuration. The assembly further has a cap structure with means to position and align a sealing membrane with respect to the valve seat. A flexible elastomeric sealing diaphragm is provided which is under tension when the diaphragm is in a sealing configuration. A carrier plate structure may be provided to position the sealing diaphragm. The sealing member is in tension adjacent to the sealing seat when in a sealing position.
摘要翻译： 一种用于流体系统的单向流量阀组件。 阀组件包括具有与周围环境连通的内部阀室的阀体，其具有预定构造的阀座。 组件还具有盖结构，其具有相对于阀座定位和对准密封膜的装置。 提供了一种柔性的弹性密封隔膜，当膜片处于密封结构时，其处于张力下。 可以提供载体板结构来定位密封膜片。 当处于密封位置时，密封构件处于与密封座相邻的张紧状态。
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公开(公告)号：US10035014B2
公开(公告)日：2018-07-31
申请号：US13264013
申请日：2010-04-27
申请人： James M. Olsen , Michael R. Klardie , Richard T. Stone , Chad Q. Cai , Spencer M. Bondhus , Mark J. Conway , Timothy R. Abraham
发明人： James M. Olsen , Michael R. Klardie , Richard T. Stone , Chad Q. Cai , Spencer M. Bondhus , Mark J. Conway , Timothy R. Abraham
CPC分类号： A61N1/08 , A61B90/39 , A61B2090/3966 , A61N1/05 , A61N1/0551 , A61N1/086 , A61N1/3718 , A61N1/3752 , A61N2001/058 , A61N2001/0582 , Y10T29/49016 , Y10T29/49117 , Y10T29/4921 , Y10T29/49227 , Y10T29/49826
摘要： An implantable medical lead has a torsional stiffness and is rotationally coupled to a stylet. Applying rotation directly to the lead in turn causes rotation of the stylet. Where the stylet has a bent tip for purposes of steering the lead, the rotation applied to the lead rotates the bent tip so that the lead can be steered by rotating the lead rather than rotating a hub of the stylet. The rotational coupling may be achieved through one or more features provided for the lead and/or the stylet, such as a feature within a lumen of the lead that mates to a feature along the stylet or a feature of the stylet hub that engages the proximal end of the lead. The torsional stiffness of the lead may be provided by adding a feature within the lead body, such as a braided metal wire or an overlapping foil.
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公开(公告)号：US09084872B2
公开(公告)日：2015-07-21
申请号：US12869891
申请日：2010-08-27
CPC分类号： A61M25/0662 , A61N1/0551 , A61N1/0553 , A61N1/372 , A61N1/37205 , A61N1/3756
摘要： The disclosure describes an introducer for facilitating implantation of therapy elements into a patient. The introducer has an elongated body that defines a lumen for advancement of a therapy element to an implant site, and includes a curved portion medially located between substantially straight proximal and distal portions. As an example, the shape of the introducer may allow a clinician to more easily, and without substantially damaging surrounding tissue, find the correct tissue depth and follow that tissue depth to the implant site. For example, the introducer may facilitate implantation of a therapy element within or between desired layers of tissue of the patient. In some embodiments, fluid may be injected through the introducer to create a space within the tissue to implant the therapy element. Fluid may also be evacuated through the introducer prior to implantation.
摘要翻译： 本公开描述了一种用于促进将治疗元件植入患者体内的导引器。 引导器具有限定用于使治疗元件前进到植入部位的内腔的细长主体，并且包括中间位于基本上直的近端部分和远端部分之间的弯曲部分。 作为示例，引导器的形状可以允许临床医生更容易地且不会基本上损伤周围的组织，找到正确的组织深度并且将该组织深度跟随到植入部位。 例如，导引器可以有助于将治疗元件植入患者组织的期望的层之内或之间。 在一些实施例中，流体可以通过导引器注入，以在组织内产生植入治疗元件的空间。 在植入之前，流体也可以通过引入器排空。
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公开(公告)号：US08538549B2
公开(公告)日：2013-09-17
申请号：US13592918
申请日：2012-08-23
IPC分类号： A61N1/08
CPC分类号： A61N1/0534 , A61N1/36071 , A61N1/36157 , A61N1/36185 , A61N1/37247
摘要： The disclosure is directed to programming implantable stimulators to deliver stimulation energy via one or more implantable leads having complex electrode array geometries. The disclosure also contemplates guided programming to select electrode combinations and parameter values to support efficacy. The techniques may be applied to a programming interface associated with a clinician programmer, a patient programmer, or both. A user interface permits a user to view electrodes from different perspectives relative to the lead. For example, the user interface provides a side view of a lead and a cross-sectional view of the lead. The user interface may include an axial control medium to select and/or view electrodes at different axial positions along the length of a lead, and a rotational control medium to select and/or view electrodes at different angular positions around a circumference of the lead.
摘要翻译： 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。 本公开还考虑了引导编程以选择电极组合和参数值以支持功效。 这些技术可以应用于与临床医生程序员，患者程序员或两者相关联的编程接口。 用户界面允许用户从相对于铅的不同角度来观察电极。 例如，用户界面提供引线的侧视图和引线的横截面图。 用户界面可以包括轴向控制介质，用于选择和/或查看沿引线长度的不同轴向位置处的电极;以及旋转控制介质，用于选择和/或查看围绕引线圆周的不同角位置处的电极。
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公开(公告)号：US08204607B2
公开(公告)日：2012-06-19
申请号：US11450148
申请日：2006-06-09
IPC分类号： A61N1/36
CPC分类号： A61N1/0531 , A61N1/0534 , A61N1/0553 , A61N1/36071 , A61N1/37211
摘要： The disclosure describes an implantable medical lead for delivering stimulation to a patient. Electrodes may be located on two or more surfaces of the lead to, for example, selectively deliver stimulation to one or more tissue layers within the patient. The lead may be implanted within or between intra-dermal, deep dermal, or subcutaneous tissue layers, and may be used to, for example, deliver peripheral nerve field stimulation to treat pain experienced by the patient at the site at which the lead is implanted. The lead may comprise a paddle lead or a multiple level lead, e.g., a lead having a plurality of flat or paddle shaped lead bodies arranged in substantially parallel planes. Further, the lead may include fixation structures on the distal end, proximal end, or both ends to prevent migration.
摘要翻译： 本公开描述了用于将刺激递送给患者的可植入医疗引线。 电极可以位于引线的两个或更多个表面上，以例如选择性地将刺激递送到患者体内的一个或多个组织层。 铅可以植入在真皮内，深层皮肤或皮下组织层之内或之间，并且可以用于例如递送周围神经域刺激，以治疗患者在植入铅的部位所经历的疼痛 。 引线可以包括桨引线或多级引线，例如具有布置在基本上平行的平面中的多个扁平或桨状引线的引线。 此外，引线可以包括远端，近端或两端的固定结构，以防止迁移。
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38.发明申请公开(公告)号：US20120130461A1
公开(公告)日：2012-05-24
申请号：US13265283
申请日：2010-04-28
申请人： James M. Olsen , Michael R. Klardie , Richard T. Stone , Chad Q. Cai , Spencer M. Bondhus , Mark J. Conroy , Timothy R. Abraham , Bruce R. Mehdizadeh , Michael J. Kern , Jay K. Lahti
发明人： James M. Olsen , Michael R. Klardie , Richard T. Stone , Chad Q. Cai , Spencer M. Bondhus , Mark J. Conroy , Timothy R. Abraham , Bruce R. Mehdizadeh , Michael J. Kern , Jay K. Lahti
IPC分类号： A61N1/05
CPC分类号： 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
摘要： Radiopaque markers represent that a lead is suitable for a particular medical procedure such as a magnetic resonance image scan and are added to the lead or related device. The markers may be added after implantation of the lead in various ways including suturing, gluing, crimping, or clamping a radiopaque tag to the lead or to the device. The markers may be added by placing a radiopaque coil about the lead, and the radiopaque coil may radially contract against the lead to obtain a fixed position. The markers may be added by placing a polymer structure onto the lead where the polymer structure includes a radiopaque marker within it. The polymer structure may include a cylindrical aperture that contracts against the lead to fix the position of the structure. The polymer structure may form a lead anchor that includes suture wings that can be sutured to the lead.
摘要翻译： 不透射线标记表示引线适用于特定的医学过程，例如磁共振图像扫描，并且被添加到引线或相关器件。 可以以各种方式植入引线之后添加标记物，包括缝合，胶合，卷曲或夹紧不透射线标签到引线或器件。 可以通过在引线周围放置不透射线的线圈来添加标记，并且不透射线圈可以径向地与引线收缩以获得固定位置。 可以通过将聚合物结构放置在引线上来添加标记，其中聚合物结构在其内包括不透射线的标记。 聚合物结构可以包括一个圆柱形的孔，该圆柱形的孔与引线收缩以固定结构的位置。 聚合物结构可以形成引线锚，其包括可以缝合到引线的缝合翼。
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公开(公告)号：US20120041528A1
公开(公告)日：2012-02-16
申请号：US13265313
申请日：2010-04-27
申请人： Bruce R. Mehdizadeh , Brian T. Stolz , Michael R. Klardie , Michael J. Kern , James M. Olsen , Richard T. Stone , Chad Q. Cai , Spencer M. Bondhus , Mark J. Conroy , Timothy R. Abraham
发明人： Bruce R. Mehdizadeh , Brian T. Stolz , Michael R. Klardie , Michael J. Kern , James M. Olsen , Richard T. Stone , Chad Q. Cai , Spencer M. Bondhus , Mark J. Conroy , Timothy R. Abraham
IPC分类号： A61N1/05
CPC分类号： A61N1/056 , A61B90/39 , A61N1/086 , A61N1/3718 , A61N1/3752 , A61N2001/058 , A61N2001/0582
摘要： A shield located within an implantable medical lead may be terminated in various ways at a metal connector. The shield may be terminated by various joints including butt, scarf, lap, or other joints between insulation layers surrounding the lead and an insulation extension. The shield may terminate with a physical and electrical connection to a single metal connector. The shield may terminate with a physical and electrical connection by passing between an overlapping pair of inner and outer metal connectors. The metal connectors may include features such as teeth or threads that penetrate the insulation layers of the lead. The shield may terminate with a physical and electrical connection by exiting a jacket of a lead adjacent to a metal connector and lapping onto the metal connector.
摘要翻译： 位于可植入医疗引线内的护罩可以以各种方式在金属连接器处终止。 屏蔽层可以由围绕引线的绝缘层和绝缘延伸部之间的各种接头（包括对接，围巾，搭接或其他接头）终止。 屏蔽可以通过与单个金属连接器的物理和电连接终止。 屏蔽可以通过在重叠的一对内部和外部金属连接器之间通过物理和电连接终止。 金属连接器可以包括贯穿引线的绝缘层的诸如齿或螺纹的特征。 通过离开与金属连接器相邻的引线的护套并且研磨到金属连接器上，屏蔽件可以通过物理和电连接终止。
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公开(公告)号：US20120035694A1
公开(公告)日：2012-02-09
申请号：US13264093
申请日：2010-04-28
申请人： James M. Olsen , Michael R. Klardie , Richard T. Stone , Chad Q Cai , Spencer M. Bondhus , Mark J. Conroy , Timothy R. Abraham
发明人： James M. Olsen , Michael R. Klardie , Richard T. Stone , Chad Q Cai , Spencer M. Bondhus , Mark J. Conroy , Timothy R. Abraham
CPC分类号： 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
摘要： Grounding of a shield that is located in an implantable medical lead may be done in many ways. The shield may be grounded directly to tissue from the lead body at one or more points along the lead body. The pathway for grounding may be a direct current pathway or be capacitively coupled. The pathway for grounding may utilize an exposed or nearly exposed shield at one or more points along the lead body. A jacket forming the lead body may have an outer layer removed at these points to provide the RF pathway to ground. Alternatively, the jacket may be doped with conductive particles at these points. Metal conductors such as ring electrodes and/or lead anchors may be attached to the lead at one or more points to provide the RF pathway to ground.
摘要翻译： 位于植入式医疗引线中的护罩的接地可以以许多方式进行。 屏蔽件可以沿着引线主体的一个或多个点从引线体直接接地到组织。 用于接地的途径可以是直流电路或电容耦合。 用于接地的路径可以沿着引线主体在一个或多个点处利用暴露或几乎暴露的屏蔽。 形成引线体的护套可以在这些点处具有去除的外层，以将RF通路提供到地面。 或者，夹套可以在这些点处掺杂导电颗粒。 诸如环形电极和/或引线锚的金属导体可以在一个或多个点附接到引线，以将RF通路提供到地。
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