公开(公告)号：US08447413B2

公开(公告)日：2013-05-21

申请号：US12111822

申请日：2008-04-29

Applicant: Richard T. Stone ,  Steven M. Goetz ,  Gregory F. Molnar ,  Gabriela C. Miyazawa ,  Martin T. Gerber

Inventor： Richard T. Stone ,  Steven M. Goetz ,  Gregory F. Molnar ,  Gabriela C. Miyazawa ,  Martin T. Gerber

IPC: A61N1/00

CPC classification number: A61N1/0534 ,  A61N1/0551 ,  A61N1/36082 ,  A61N1/37247

Abstract: Techniques for configuring electrical stimulation therapy utilizing one or more stimulation intensity values are described. In one example, a method includes receiving a stimulation intensity value that corresponds to an equal intensity function; determining a pulse width value and a pulse amplitude value based on the equal intensity function; and controlling delivery of electrical stimulation pulses with the determined pulse width value and amplitude value to a patient. A stimulation intensity value may correspond to a plurality of paired pulse width and amplitude values having substantially the same intensity. For example, the plurality of paired pulse width and amplitude values may activate a substantially equal volume of tissue when a stimulation pulse with the paired values is delivered.

Abstract translation: 描述了利用一个或多个刺激强度值来配置电刺激治疗的技术。 在一个示例中，一种方法包括接收对应于等强度函数的刺激强度值; 基于等强度函数确定脉冲宽度值和脉冲振幅值; 并且以确定的脉冲宽度值和振幅值来控制对电刺激脉冲的传递给患者。 刺激强度值可以对应于具有基本上相同强度的多个成对的脉冲宽度和幅度值。 例如，当递送具有成对值的刺激脉冲时，多个成对的脉冲宽度和振幅值可以激活基本上相等体积的组织。

公开(公告)号：US08352039B2

公开(公告)日：2013-01-08

申请号：US12985919

申请日：2011-01-06

Applicant: Jon P. Davis ,  Steven M. Goetz ,  Nathan A. Torgerson ,  Wende L. Dewing ,  Ashish Singal ,  Lynn A. Davenport ,  Rajeev M. Sahasrabudhe

Inventor： Jon P. Davis ,  Steven M. Goetz ,  Nathan A. Torgerson ,  Wende L. Dewing ,  Ashish Singal ,  Lynn A. Davenport ,  Rajeev M. Sahasrabudhe

IPC: A61N1/00

CPC classification number: A61N1/36185 ,  A61N1/36071 ,  A61N1/37247 ,  A61N1/37264 ,  G06F19/00 ,  G06F19/3418 ,  G16H40/63

Abstract: This disclosure describes techniques for programming stimulation therapy programs according to therapy targets (e.g., symptoms or areas of pain) in a patient to which they are applied. Several programs can be programmed for each therapy target, stored on an implantable medical device, and retrieved later by a programmer to modify, edit, delete, create, and/or select a therapy program for each of the therapy targets. Each therapy target is independent from the other therapy targets, and a user can select or change a program under one therapy target without affecting programs under the other therapy targets. During programming, a user can specify parameters for each program applicable to only that program, and can specify parameters for each therapy target applicable to every program associated with that therapy target. The organization of programs into slots and the selection of a program in each slot may be manual or automated.

Abstract translation: 本公开描述了根据其所应用的患者的治疗目标（例如，疼痛的症状或区域）来编程刺激治疗程序的技术。 可以为每个治疗目标编程几个程序，存储在可植入医疗装置上，并且稍后由程序员检索以修改，编辑，删除，创建和/或选择每个治疗目标的治疗程序。 每个治疗目标独立于其他治疗目标，用户可以在一个治疗目标下选择或改变程序，而不影响其他治疗目标下的程序。 在编程期间，用户可以为仅适用于该程序的每个程序指定参数，并且可以指定适用于与该治疗目标相关联的每个程序的每个治疗目标的参数。 将程序组织到插槽中并在每个插槽中选择一个程序可能是手动或自动化的。

公开(公告)号：US08321808B2

公开(公告)日：2012-11-27

申请号：US11999726

申请日：2007-12-06

Applicant: Steven M. Goetz ,  Jeffrey T. Keacher ,  Rajeev Sahasrabudhe ,  Wende L. Dewing ,  Jon P. Davis ,  John Rondoni ,  Gabriela C. Miyazawa ,  Gary W. King

Inventor： Steven M. Goetz ,  Jeffrey T. Keacher ,  Rajeev Sahasrabudhe ,  Wende L. Dewing ,  Jon P. Davis ,  John Rondoni ,  Gabriela C. Miyazawa ,  Gary W. King

IPC: G06F3/048

CPC classification number: A61N1/37247 ,  A61N1/36185

Abstract: The disclosure is directed to a user interface with a menu that facilitates stimulation therapy programming. The user interface displays a representation of the electrical leads implanted in the patient and at least one menu with icons that the user can use to adjust the stimulation therapy. The user may drag one or more field shapes from a field shape selection menu onto the desired location relative to the electrical leads. A manipulation tool menu may also allow the user to adjust the field shapes placed on the electrical leads, which represent the stimulation region. The programmer that includes the user interface then generates electrical stimulation parameter values for the stimulator to deliver stimulation according to the field shapes or field shape groups defined/located by the user. The field shapes may represent different types of stimulation representations, such as current density, activation functions, and neuron models.

公开(公告)号：US20120277621A1

公开(公告)日：2012-11-01

申请号：US13456829

申请日：2012-04-26

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

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

IPC: A61B5/05 ,  A61N1/36

Abstract: An implantable nerve stimulator is implanted in a patient near a nerve target. The implantable nerve stimulator has a plurality of electrodes through which stimulation is provided to the nerve target. The relative location of the nerve target and the electrodes may be determined by applying stimulation to the nerves via each of the electrodes, determining an effect of the stimulation for each of the electrodes, and mapping a location of the nerve relative to the electrodes based on the effect of the stimulation for each of the electrodes.

Abstract translation: 植入式神经刺激器植入神经靶附近的患者。 可植入神经刺激器具有多个电极，刺激被提供给神经靶。 可以通过经由每个电极对神经施加刺激来确定神经靶和电极的相对位置，确定每个电极的刺激的影响，以及基于相对于电极的神经位置 刺激对每个电极的影响。

公开(公告)号：US08295938B2

公开(公告)日：2012-10-23

申请号：US11999261

申请日：2007-12-04

Applicant: Steven M. Goetz ,  Touby A. Drew ,  Jeffrey T. Keacher

Inventor： Steven M. Goetz ,  Touby A. Drew ,  Jeffrey T. Keacher

IPC: A61N1/08

CPC classification number: A61N1/37235 ,  G06F19/00 ,  G16H40/63

Abstract: An apparatus including a processor configured to selectively load a first operating system that controls general purpose computer functionality of the apparatus; and a second operating system different from the first operating system. The second operating system controls medical device programming functionality of the apparatus, enabling the apparatus to program a medical device including at least one implantable component.

Abstract translation: 一种包括处理器的设备，其被配置为选择性地加载控制所述设备的通用计算机功能的第一操作系统; 以及与第一操作系统不同的第二操作系统。 第二操作系统控制设备的医疗设备编程功能，使得设备能够对包括至少一个可植入组件的医疗设备进行编程。

公开(公告)号：US20120022615A1

公开(公告)日：2012-01-26

申请号：US13251925

申请日：2011-10-03

Applicant: Steven M. Goetz ,  Andrew H. Houchins ,  Jeffrey T. Keacher ,  Gary W. King ,  Kenneth T. Heruth ,  Roy L. Testerman ,  Michael T. Lee ,  Nathan A. Torgerson ,  Joseph J. Nolan

Inventor： Steven M. Goetz ,  Andrew H. Houchins ,  Jeffrey T. Keacher ,  Gary W. King ,  Kenneth T. Heruth ,  Roy L. Testerman ,  Michael T. Lee ,  Nathan A. Torgerson ,  Joseph J. Nolan

IPC: A61N1/378

CPC classification number: A61N1/37247 ,  A61N1/36071 ,  A61N1/36185 ,  A61N1/37252

Abstract: The disclosure is directed to techniques for shifting between two electrode combinations. An amplitude of a first electrode combination is incrementally decreased while an amplitude of a second, or subsequent, electrode combination is concurrently incrementally increased. Alternatively, an amplitude of the first electrode combination is maintained at a target amplitude level while the amplitude of the second electrode combination is incrementally increased. The stimulation pulses of the electrode combinations are delivered to the patient interleaved in time. In this manner, the invention provides for a smooth, gradual shift from a first electrode combination to a second electrode combination, allowing the patient to maintain a continual perception of stimulation. The shifting techniques described herein may be used during programming to shift between different electrode combinations to find an efficacious electrode combination. Additionally, the techniques may be used for shifting between different electrode combinations associated with different stimulation programs or program sets.

Abstract translation: 本公开涉及用于在两个电极组合之间移位的技术。 第一电极组合的振幅逐渐减小，而第二或随后的电极组合的振幅同时递增地增加。 或者，第一电极组合的振幅保持在目标振幅水平，而第二电极组合的振幅逐渐增加。 电极组合的刺激脉冲在时间上交付给患者。 以这种方式，本发明提供从第一电极组合到第二电极组合的平滑，逐渐的移动，允许患者保持连续的刺激感知。 本文描述的移位技术可以在编程期间用于在不同电极组合之间移动以找到有效的电极组合。 另外，这些技术可用于在与不同刺激程序或程序集相关联的不同电极组合之间进行移位。

公开(公告)号：US20120022614A1

公开(公告)日：2012-01-26

申请号：US13251911

申请日：2011-10-03

Applicant: Steven M. Goetz ,  Andrew H. Houchins ,  Jeffrey T. Keacher ,  Gary W. King ,  Kenneth T. Heruth ,  Roy L. Testerman ,  Michael T. Lee ,  Nathan A. Torgerson ,  Joseph J. Nolan

Inventor： Steven M. Goetz ,  Andrew H. Houchins ,  Jeffrey T. Keacher ,  Gary W. King ,  Kenneth T. Heruth ,  Roy L. Testerman ,  Michael T. Lee ,  Nathan A. Torgerson ,  Joseph J. Nolan

IPC: A61N1/372

CPC classification number: A61N1/37247 ,  A61N1/36071 ,  A61N1/36185 ,  A61N1/37252

Abstract: The disclosure is directed to techniques for shifting between two electrode combinations. An amplitude of a first electrode combination is incrementally decreased while an amplitude of a second, or subsequent, electrode combination is concurrently incrementally increased. Alternatively, an amplitude of the first electrode combination is maintained at a target amplitude level while the amplitude of the second electrode combination is incrementally increased. The stimulation pulses of the electrode combinations are delivered to the patient interleaved in time. In this manner, the invention provides for a smooth, gradual shift from a first electrode combination to a second electrode combination, allowing the patient to maintain a continual perception of stimulation. The shifting techniques described herein may be used during programming to shift between different electrode combinations to find an efficacious electrode combination. Additionally, the techniques may be used for shifting between different electrode combinations associated with different stimulation programs or program sets.

公开(公告)号：US20110307032A1

公开(公告)日：2011-12-15

申请号：US13156011

申请日：2011-06-08

Applicant: Steven M. Goetz ,  Rajeev M. Sahasrabudhe ,  Jon P. Davis ,  Brent A. Huhta ,  Ashish Singal

Inventor： Steven M. Goetz ,  Rajeev M. Sahasrabudhe ,  Jon P. Davis ,  Brent A. Huhta ,  Ashish Singal

IPC: A61N1/08

CPC classification number: A61N1/37247 ,  A61N1/36185 ,  A61N1/37264 ,  G06F19/00 ,  G06F19/3481 ,  G16H40/63

Abstract: Techniques are described, for medical devices that deliver electrical stimulation therapy, for controlling a transition from an initial stimulation location or initial stimulation shape to a user-specified target stimulation location or target stimulation shape in order to limit the rate of change of stimulation. One example method includes receiving, via a programmer for an electrical stimulator, user input indicating a target stimulation zone, and controlling the electrical stimulator to transition electrical stimulation from an initial stimulation zone to the target stimulation zone via one or more intermediate stimulation zones.

Abstract translation: 对于用于控制从初始刺激位置或初始刺激形状到用户指定的目标刺激位置或目标刺激形状的转换以便限制刺激变化率的技术，描述了用于递送电刺激治疗的医疗装置的技术。 一个示例性方法包括经由用于电刺激器的编程器接收指示目标刺激区的用户输入，以及控制电刺激器经由一个或多个中间刺激区从初始刺激区转移到目标刺激区的电刺激。

公开(公告)号：US20110172744A1

公开(公告)日：2011-07-14

申请号：US12986683

申请日：2011-01-07

Applicant: Jon P. Davis ,  Steven M. Goetz ,  James Zimmerman ,  Lynn A. Davenport ,  Rajeev M. Sahasrabudhe ,  David Simons

Inventor： Jon P. Davis ,  Steven M. Goetz ,  James Zimmerman ,  Lynn A. Davenport ,  Rajeev M. Sahasrabudhe ,  David Simons

IPC: A61N1/05

CPC classification number: A61N1/37247 ,  A61M5/14276 ,  A61M5/1723 ,  A61M2205/502 ,  A61M2230/62 ,  A61M2230/63 ,  A61N1/08 ,  A61N1/36071 ,  A61N1/36132 ,  A61N1/36135 ,  G06F19/00 ,  G16H40/63

Abstract: This disclosure is related to techniques for presenting therapy factors related to medical device therapy in a manner that allows a user, such as a patient or a clinician, to receive, comprehend and evaluate information relating to therapy delivered by the medical device efficiently. In one aspect, a method comprises obtaining a data set corresponding to a therapy factor associated with delivery of a medical therapy to a patient with a medical system including an implantable medical device, receiving a user selection associated with a subset of the data set, the subset of the data set including less than all the information relating to the therapy factor in the data set, and presenting a representation, corresponding to the subset of the data set, of the therapy factor on a display of a programmer.

Abstract translation: 本公开涉及用于以允许诸如患者或临床医师的用户有效地接收，理解和评估与由医疗装置递送的治疗有关的信息的方式呈现与医疗装置治疗相关的治疗因素的技术。 在一个方面，一种方法包括获得与包括可植入医疗装置的医疗系统相关联的医疗治疗相关联的治疗因子的数据集，接收与数据集的子集相关联的用户选择， 数据集的子集包括少于与数据集中的治疗因子相关的所有信息，并且在程序员的显示器上呈现与治疗因子对应的数据集的子集的表示。

公开(公告)号：US20110172737A1

公开(公告)日：2011-07-14

申请号：US12985919

申请日：2011-01-06

Applicant: Jon P. Davis ,  Steven M. Goetz ,  Nathan A. Torgerson ,  Wende L. Dewing ,  Ashish Singal ,  Lynn A. Davenport ,  Rajeev M. Sahasrabudhe

Inventor： Jon P. Davis ,  Steven M. Goetz ,  Nathan A. Torgerson ,  Wende L. Dewing ,  Ashish Singal ,  Lynn A. Davenport ,  Rajeev M. Sahasrabudhe

IPC: A61N1/08

CPC classification number: A61N1/36185 ,  A61N1/36071 ,  A61N1/37247 ,  A61N1/37264 ,  G06F19/00 ,  G06F19/3418 ,  G16H40/63

Abstract: This disclosure describes techniques for programming stimulation therapy programs according to therapy targets (e.g., symptoms or areas of pain) in a patient to which they are applied. Several programs can be programmed for each therapy target, stored on an implantable medical device, and retrieved later by a programmer to modify, edit, delete, create, and/or select a therapy program for each of the therapy targets. Each therapy target is independent from the other therapy targets, and a user can select or change a program under one therapy target without affecting programs under the other therapy targets. During programming, a user can specify parameters for each program applicable to only that program, and can specify parameters for each therapy target applicable to every program associated with that therapy target. The organization of programs into slots and the selection of a program in each slot may be manual or automated.

Abstract translation: 本公开描述了根据其所应用的患者的治疗目标（例如，疼痛的症状或区域）来编程刺激治疗程序的技术。 可以为每个治疗目标编程几个程序，存储在可植入医疗装置上，并且稍后由程序员检索以修改，编辑，删除，创建和/或选择每个治疗目标的治疗程序。 每个治疗目标独立于其他治疗目标，用户可以在一个治疗目标下选择或改变程序，而不影响其他治疗目标下的程序。 在编程期间，用户可以为仅适用于该程序的每个程序指定参数，并且可以指定适用于与该治疗目标相关联的每个程序的每个治疗目标的参数。 将程序组织到插槽中并在每个插槽中选择一个程序可能是手动或自动化的。