公开(公告)号：US09174048B2

公开(公告)日：2015-11-03

申请号：US13226939

申请日：2011-09-07

申请人： Richard J. Polefko ,  Steven E. Wilder ,  Scott G. Leyh

发明人： Richard J. Polefko ,  Steven E. Wilder ,  Scott G. Leyh

IPC分类号： A61N1/36 ,  A61N1/372

CPC分类号： A61N1/36071 ,  A61N1/36017 ,  A61N1/36021 ,  A61N1/36132 ,  A61N1/36185 ,  A61N1/37247

摘要： A stimulation system, such as a spinal cord stimulation (SCS) system, for storing position information of an implanted medical lead implanted in a patient. A communication unit is configured to receive, from a first programmer, position data that indicates an actual position of the implanted medical lead with respect to a spinal column of the patient and an anatomically correct image of the spinal column. The communication unit is further configured to forward the position data, and to transmit both to a second programmer. The second programmer is then able to display a representation of the implanted medical lead on the anatomically correct image in an anatomically correct location and in an actual orientation based on the position data.

摘要翻译： 刺激系统，例如脊髓刺激（SCS）系统，用于存储植入患者体内的植入医用铅的位置信息。 通信单元被配置为从第一编程器接收指示植入的医疗引线相对于患者的脊柱的实际位置的位置数据和脊柱的解剖学上正确的图像。 通信单元还被配置为转发位置数据，并将两者传送到第二编程器。 然后，第二编程器能够基于位置数据在解剖学正确的位置和实际取向上在解剖学正确的图像上显示植入的医疗引线的表示。

公开(公告)号：US09166321B2

公开(公告)日：2015-10-20

申请号：US13053640

申请日：2011-03-22

申请人： Alexander K. Smith ,  Daniel N. Kelsch

发明人： Alexander K. Smith ,  Daniel N. Kelsch

IPC分类号： A61N1/375 ,  H01R13/11 ,  H01R24/58

CPC分类号： H01R13/111 ,  A61N1/3752 ,  H01R24/58 ,  H01R2201/12

摘要： A connector is described herein that includes a plurality of layers patterned in two dimensions and joined in a stack with a bore there through. At least a subset of the plurality of layers are contact layers that include deflectable members (e.g., springs) that deflect in plane or out of plane upon insertion of a lead into the bore through the connector. The deflectable members form redundant electrical connections with the lead when the lead is inserted into the bore. For example, the connector can be incorporated into an implantable medical device (e.g., IPG). Moreover, methods of manufacturing a connector are set forth herein.

摘要翻译： 本文描述了一种连接器，其包括以两维图案化的多个层并且在其中穿过其中的孔连接在一起。 所述多个层中的至少一个子集是接触层，其包括当通过所述连接器插入所述孔时引线在平面内偏离或偏离平面的偏转构件（例如弹簧）。 当导线插入孔中时，可偏转构件与导线形成冗余的电连接。 例如，连接器可以结合到可植入医疗装置（例如，IPG）中。 此外，本文阐述了制造连接器的方法。

公开(公告)号：US09144680B2

公开(公告)日：2015-09-29

申请号：US13118764

申请日：2011-05-31

申请人： Norbert Kaula ,  Yohannes Iyassu

发明人： Norbert Kaula ,  Yohannes Iyassu

IPC分类号： A61N1/00 ,  A61N1/36 ,  A61N1/372 ,  G06F19/00

CPC分类号： A61N1/36132 ,  A61N1/36071 ,  A61N1/36185 ,  A61N1/37247 ,  G06F19/00 ,  G06F19/3481 ,  G16H40/63

摘要： A stimulation system, such as a spinal cord stimulation (SCS) system, having a programmer and a patient feedback device for establishing a protocol to treat a patient. The programmer uses a computer assisted stimulation programming procedure for establishing the protocol. Also described are methods of treating a patient with a spinal cord stimulation system including the programmer and the patient feedback device.

摘要翻译： 刺激系统，例如脊髓刺激（SCS）系统，具有用于建立治疗患者的方案的程序员和患者反馈装置。 程序员使用计算机辅助刺激编程程序来建立协议。 还描述了用包括程序员和患者反馈装置的脊髓刺激系统治疗患者的方法。

公开(公告)号：US09126043B2

公开(公告)日：2015-09-08

申请号：US13118781

申请日：2011-05-31

申请人： Norbert Kaula ,  Yohannes Iyassu

发明人： Norbert Kaula ,  Yohannes Iyassu

IPC分类号： A61N1/36

CPC分类号： A61N1/36071 ,  A61N1/36132

摘要： A patient feedback device for communicating with a programming device of an electrical stimulation system. The device includes a housing, a sensor, a controller, and a communication port. The sensor is supported by the housing and generates a sensor signal in response to an action from the patient. The controller is supported by the housing and is in operative communication with the sensor. The controller receives the sensor signal and sends information to the communication port based on the sensor signal. The communication port is connected to the housing and is in operative communication with the controller. The communication port receives information from the controller and wirelessly transmits a communication signal to the programming device of the electrical stimulation system.

摘要翻译： 一种用于与电刺激系统的编程装置通信的患者反馈装置。 该装置包括壳体，传感器，控制器和通信端口。 传感器由壳体支撑并且响应于患者的动作而产生传感器信号。 控制器由外壳支撑并与传感器进行操作通信。 控制器接收传感器信号，并根据传感器信号向通信端口发送信息。 通信端口连接到外壳并与控制器进行操作通信。 通信端口从控制器接收信息，并将通信信号无线发送到电刺激系统的编程装置。

公开(公告)号：US09119968B2

公开(公告)日：2015-09-01

申请号：US13544461

申请日：2012-07-09

申请人： Henry R. Halperin ,  Robert A. Stevenson

发明人： Henry R. Halperin ,  Robert A. Stevenson

IPC分类号： A61B5/04 ,  A61N1/37 ,  A61N1/05 ,  G01R33/28 ,  H03H1/00 ,  A61N1/08 ,  H03H7/01

CPC分类号： A61N1/08 ,  A61B18/1492 ,  A61B2018/00839 ,  A61B2090/374 ,  A61N1/05 ,  A61N1/086 ,  A61N1/37 ,  A61N1/3718 ,  G01R33/285 ,  G01R33/287 ,  G01R33/288 ,  H03H1/0007 ,  H03H7/1766 ,  H03H2007/013 ,  Y10T29/49169

摘要： A band stop filter is provided for a lead wire of an active medical device (AMD). The band stop filter includes a capacitor in parallel with an inductor. The parallel capacitor and inductor are placed in series with the lead wire of the AMD, wherein values of capacitance and inductance are selected such that the band stop filter is resonant at a selected frequency. The Q of the inductor may be relatively maximized and the Q of the capacitor may be relatively minimized to reduce the overall Q of the band stop filter to attenuate current flow through the lead wire along a range of selected frequencies. In a preferred form, the band stop filter is integrated into a TIP and/or RING electrode for an active implantable medical device.

摘要翻译： 为有源医疗装置（AMD）的引线提供带阻滤波器。 带阻滤波器包括与电感并联的电容器。 并联电容器和电感器与AMD的引线串联放置，其中选择电容和电感值，使得阻带滤波器以选定的频率谐振。 电感器的Q可以相对最大化，并且电容器的Q可以相对最小化，以减小带阻滤波器的总体Q，以衰减沿着选定频率的范围通过引线的电流。 在优选形式中，带阻滤波器被集成到用于有源可植入医疗装置的TIP和/或RING电极中。

公开(公告)号：US09101370B2

公开(公告)日：2015-08-11

申请号：US13157350

申请日：2011-06-10

申请人： Gary C. Victor

发明人： Gary C. Victor

IPC分类号： A61B17/00 ,  A61B17/16 ,  A61B17/17

CPC分类号： A61B17/1668 ,  A61B17/175

摘要： A single use bone cutter comprised of a plate with a plurality of insert blade enclosures is described. The insert blade enclosures are arranged in a spiral pattern about the plate and are further positioned at varying height intervals through the thickness of the plate. The bone cutter provides a means whereby the insert blades can be easily positioned within the plurality of blade enclosures to provide a wide array of cutting diameters.

摘要翻译： 描述了由具有多个插入叶片外壳的板组成的单次使用的骨切割机。 插入叶片外壳以围绕板的螺旋图案布置，并且通过板的厚度进一步定位在变化的高度间隔处。 骨切割器提供了一种装置，由此插入刀片可以容易地定位在多个叶片外壳内，以提供广泛的切割直径。

公开(公告)号：US09084881B2

公开(公告)日：2015-07-21

申请号：US14258365

申请日：2014-04-22

申请人： Greatbatch Ltd.

发明人： Shahn S. Sage ,  John M. Swoyer ,  Jesse Geroy

IPC分类号： A61N1/05 ,  A61N1/36 ,  H01B7/04

CPC分类号： A61N1/05 ,  A61N1/0551 ,  A61N1/0558 ,  A61N1/36071 ,  H01B7/048

摘要： In some examples, an extension includes a connector adapted to electrically couple to a proximal end of the therapy delivery element. An elongated extension body is attached to the connector. The elongated extension body includes a stylet coil having a stylet coil lumen. The stylet coil extends within the elongated extension body to the connector. A conductor assembly includes a plurality of insulated electrical conductors braided to extend around the stylet coil and electrically coupled to the connector. The conductor assembly includes an inner lumen with a diameter greater than an outside diameter of the stylet coil, wherein axial elongated of the elongated extension body reduces the inner diameter of the conductor assembly. A low durometer insulator extends around the conductor assembly. A stylet is sized to slide freely within the stylet coil lumen during implantation of the extension in the living body.

摘要翻译： 在一些示例中，延伸部包括适于电耦合到治疗递送元件的近端的连接器。 细长的延伸体连接到连接器上。 细长延伸体包括具有探针线圈腔的探针线圈。 探针线圈在细长延伸体内延伸到连接器。 导体组件包括多个绝缘电导体，编织成围绕管心针线圈延伸并电耦合到连接器。 导体组件包括直径大于通管线圈外径的内腔，其中细长延伸体的轴向细长减小了导体组件的内径。 低硬度绝缘体围绕导体组件延伸。 探针的尺寸可以在植入生物体内的延伸部分时在探针线圈腔内自由滑动。

公开(公告)号：US09026227B2

公开(公告)日：2015-05-05

申请号：US14330033

申请日：2014-07-14

申请人： Greatbatch Ltd.

发明人： Terry D. Daglow

IPC分类号： A61N1/05 ,  A61M25/04 ,  A61N1/36 ,  A61M5/14 ,  A61M39/02

CPC分类号： A61M25/04 ,  A61M2005/1416 ,  A61M2039/0223 ,  A61M2039/0261 ,  A61N1/05 ,  A61N1/0558 ,  A61N1/3605

摘要： An anchor sleeve for securing a therapy delivery element, such as a stimulation lead or catheter, within a living body, that includes an inner sleeve with pre-formed locations of weakness that facilitate localized deformation. The anchor includes a deformable outer sleeve with a primary lumen extending along an axis. The outer surface of the outer sleeve includes a plurality of suture grooves oriented generally concentric to the axis. The inner sleeve includes a plurality of beams connected at deflection regions arranged around a secondary lumen. The inner sleeve is located in the primary lumen adjacent to the suture grooves so that the secondary lumen is generally concentric with the primary lumen. A plurality of locations of weakness are preformed in each of the beams to facilitate localized deformation in response to a radially inward force applied around the suture grooves by a suture material.

摘要翻译： 用于固定生物体内的治疗递送元件（例如刺激引线或导管）的锚定套筒，其包括具有促进局部变形的预先形成的弱点位置的内套筒。 锚固件包括具有沿轴线延伸的主腔的可变形外套筒。 外套筒的外表面包括大致与轴线同心取向的多个缝合槽。 内套筒包括连接在布置在次内腔周围的偏转区域的多个梁。 内套筒位于与缝合槽相邻的主腔内，使得第二内腔与主腔大致同心。 在每个梁中形成多个弱点位置，以便响应于通过缝合材料施加在缝合线槽周围的径向向内的力而促进局部变形。

公开(公告)号：US09014808B2

公开(公告)日：2015-04-21

申请号：US14187297

申请日：2014-02-23

申请人： Greatbatch Ltd.

发明人： Robert A. Stevenson ,  Christine A. Frysz ,  Jason Woods ,  Richard L. Brendel ,  Robert S. Johnson ,  Dominick J. Frustaci ,  Warren S. Dabney ,  Keith W. Seitz ,  Thomas Marzano ,  John E. Roberts ,  William C. Thiebolt ,  Christopher M. Williams ,  Buehl E. Truex

IPC分类号： H01G4/35 ,  A61N1/08 ,  A61N1/37 ,  A61N1/375 ,  H03H1/00 ,  A61N1/05

CPC分类号： A61N1/08 ,  A61N1/05 ,  A61N1/3718 ,  A61N1/3754 ,  H01G4/35 ,  H03H1/0007

摘要： An RF filter for an active medical device (AMD), for handling RF power induced in an associated lead from an external RF field at a selected MRI frequency or range frequencies includes a capacitor having a capacitance of between 100 and 10,000 picofarads, and a temperature stable dielectric having a dielectric constant of 200 or less and a temperature coefficient of capacitance (TCC) within the range of plus 400 to minus 7112 parts per million per degree centigrade. The capacitor's dielectric loss tangent in ohms is less than five percent of the capacitor's equivalent series resistance (ESR) at the selected MRI RF frequency or range of frequencies.

摘要翻译： 用于在选定的MRI频率或范围频率处理来自外部RF场的相关引线中感应的RF功率的用于主动医疗装置（AMD）的RF滤波器包括具有100至10,000皮​​法之间的电容的电容器，以及温度 介电常数为200以下，电容温度系数（TCC）在400〜71212ppm /摄氏度范围内的稳定电介质。 电容器的介电损耗角正切欧姆小于所选MRI射频频率或频率范围内电容器等效串联电阻（ESR）的百分之五。

公开(公告)号：US09002471B2

公开(公告)日：2015-04-07

申请号：US14337314

申请日：2014-07-22

申请人： Greatbatch Ltd.

发明人： Robert A. Stevenson ,  Gabriel A. Kustra

IPC分类号： A61N1/37 ,  A61N1/04 ,  A61N1/08 ,  A61N1/02 ,  A61N1/36 ,  A61N1/05 ,  A61N1/375 ,  H03H1/00 ,  H03H7/01

CPC分类号： A61N1/08 ,  A61N1/025 ,  A61N1/05 ,  A61N1/086 ,  A61N1/3605 ,  A61N1/3718 ,  A61N1/3754 ,  H03H1/0007 ,  H03H2007/013

摘要： An MRI-compatible electronic medical therapy system includes an active medical device connected to a plurality of electrodes. An independently actuatable switch selectively electrically connects at least one circuit protection device in electrical series with the electrodes and the medical device. The circuit protection device is adapted to permit current flow therethrough during normal medical device related therapy, but substantially prevent current flow therethrough in the presence of an induced electromagnetic field.

摘要翻译： MRI兼容的电子医疗治疗系统包括连接到多个电极的有源医疗装置。 可独立致动的开关选择性地将至少一个与电极和医疗装置电连接的电路保护装置电连接。 电路保护装置适于在正常的医疗装置相关治疗期间允许电流流过其中，但是在存在感应电磁场的情况下基本上防止电流流过其中。