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公开(公告)号：US08397732B2
公开(公告)日：2013-03-19
申请号：US10731868
申请日：2003-12-09
IPC分类号： A61B19/00
CPC分类号： A61N1/375 , A61N1/3605 , A61N1/3754 , A61N1/3758
摘要： In general, the invention is directed to techniques for implantation of a low-profile implantable medical device (IMD) in the body of a patient. In an exemplary embodiment, the low-profile IMD is implanted under the scalp. When the treatment or monitoring site is in or on the head of the patient, the low-profile IMD can be implanted under the scalp proximate to the treatment or monitoring site. In one embodiment, the invention is directed to a method that includes making an incision in the scalp of a head of a patient to create a scalp flap, exposing a skull beneath the scalp flap, creating a pocket between the scalp and the skull, and placing at least a portion of a low-profile IMD in the pocket. The low-profile IMD may include a plurality of modules, covered in part by a flexible overmold.
摘要翻译： 通常，本发明涉及用于在患者体内植入低轮廓可植入医疗装置（IMD）的技术。 在示例性实施例中，将低调IMD植入头皮下。 当治疗或监测部位位于患者头部或头部时，可以将低调的IMD植入到靠近治疗或监测部位的头皮下。 在一个实施例中，本发明涉及一种方法，其包括在患者的头部的头皮中形成切口以产生头皮瓣，暴露头皮下的头骨，在头皮和头骨之间产生口袋，以及 将低调IMD的至少一部分放置在口袋中。 低调的IMD可以包括多个模块，部分由柔性包覆模制覆盖。
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公开(公告)号：US20120078332A1
公开(公告)日：2012-03-29
申请号：US13376117
申请日：2010-06-21
IPC分类号： A61N1/05
CPC分类号： A61N1/05 , A61N1/0529 , A61N1/0551
摘要： A medical lead includes a lead body having a proximal end for electrical connection to an implantable electric signal generator and a distal end portion having a plurality of electrodes extending in a helical manner longitudinally along the distal end portion. Adjacent helical electrodes may be offset, for example, 90 degrees or 180 degrees. The helical electrodes may extend less than, greater than, or 360 degrees. The electrode arrangement provides increased surface area, improving the capability of positioning the lead against the nerve as desired.
摘要翻译： 医用引线包括具有用于与可植入电信号发生器电连接的近端的引线体和具有沿着远端部分纵向延伸的多个电极的多个电极的远端部分。 相邻的螺旋电极可以偏移例如90度或180度。 螺旋电极可以延伸小于，大于或360度。 电极布置提供增加的表面积，提高根据需要将引线对准神经的能力。
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公开(公告)号：US07881796B2
公开(公告)日：2011-02-01
申请号：US11831333
申请日：2007-07-31
IPC分类号： A61N1/08
摘要： An implantable medical device (IMD) including a nonhermetic battery is described. The IMD includes components and a power source module that includes the nonhermetic battery. The IMD also includes a barrier to substantially impede movement of substances from the nonhermetic battery to the components. The barrier may include a hermetic feedthrough, a gel, a polymer, or a solid electrolyte within the nonhermetic battery, and a seal member. The barrier may also be a material that encapsulates the nonhermetic battery and a getter within the IMD. In some embodiments, the IMD comprises a modular IMD including an interconnect member. In that case, the barrier may include a material that fills at least a portion of a void defined by the interconnect member. A length and a cross-sectional area of the interconnect member may also act as a barrier.
摘要翻译： 描述了包括非密封电池的可植入医疗装置（IMD）。 IMD包括组件和包含非密封电池的电源模块。 IMD还包括阻止物质从非密封电池移动到部件的屏障。 阻挡层可以包括非密封电池内的密封馈通，凝胶，聚合物或固体电解质，以及密封构件。 屏障还可以是在IMD内封装非密封电池和吸气剂的材料。 在一些实施例中，IMD包括包括互连构件的模块化IMD。 在这种情况下，阻挡层可以包括填充由互连构件限定的空隙的至少一部分的材料。 互连构件的长度和横截面积也可以用作屏障。
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公开(公告)号：US20100145183A1
公开(公告)日：2010-06-10
申请号：US12706266
申请日：2010-02-16
申请人： Carl D. Wahlstrand , Mark J. Conroy , John Kast , Erik R. Scott
发明人： Carl D. Wahlstrand , Mark J. Conroy , John Kast , Erik R. Scott
IPC分类号： A61B5/055
CPC分类号： G01R33/56572 , A61B5/055 , A61B34/10 , A61N1/05 , A61N1/0529 , A61N1/0551 , A61N1/08 , A61N1/086 , A61N1/3605 , A61N1/36125 , A61N1/3718 , A61N1/375 , A61N1/3758 , A61N1/378 , G01R33/3875 , H01M2/0217 , H01M2/026 , H01M2/0275 , H01M2/0285 , H01M2/0404 , H01M2/1066 , H01M2/22 , H01M2/263 , H01M2/30 , H01M10/0431 , H01M10/052 , H01M10/0525 , H01M10/0587 , H01M2220/30 , Y10T29/49 , Y10T29/49002
摘要： An implantable medical device includes a housing and a circuit board provided within the housing. The circuit board includes a plurality of electronic components electrically coupled thereto. At least one non-functional component is provided on the circuit board and formed from a material that has an electromagnetic permeability configured to reduce the amount of image distortion caused by at least one of the plurality of electronic components when the device is subject to a magnetic field during an MRI scan.
摘要翻译： 可植入医疗装置包括壳体和设置在壳体内的电路板。 电路板包括与其电耦合的多个电子部件。 至少一个非功能部件设置在电路板上，并且由具有电磁渗透率的材料形成，该材料被配置为当该器件经受磁性时减少由多个电子部件中的至少一个引起的图像失真量 在MRI扫描期间。
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公开(公告)号：US07676271B2
公开(公告)日：2010-03-09
申请号：US11689943
申请日：2007-03-22
IPC分类号： A61N1/36
CPC分类号： A61N1/0551 , A61N1/0502 , A61N1/36017 , A61N1/36021 , A61N1/36071
摘要： A process is described for non-invasively screening a patient to select a stimulation site for treatment of head, neck or facial pain and tension symptoms caused by disorders such as occipital neuralgia. The screening process involves application of a transcutaneous stimulation screening device, a percutaneous micro-electrode screening device, and a temporary implantable screening device to the patient to select a site for chronic implantation.
摘要翻译： 描述了一种非侵入式筛选患者以选择用于治疗头部，颈部或面部疼痛的刺激部位和由诸如枕骨神经痛等疾病引起的紧张症状的过程。 筛选过程包括将经皮刺激筛选装置，经皮微电极筛选装置和临时植入式筛选装置应用于患者以选择用于慢性植入的部位。
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公开(公告)号：US07664552B2
公开(公告)日：2010-02-16
申请号：US11800640
申请日：2007-05-07
IPC分类号： A61N1/36
CPC分类号： A61N1/0551 , A61N1/0502 , A61N1/36017 , A61N1/36021 , A61N1/36071
摘要： The disclosure describes a process for non-invasively screening a patient to select a stimulation site for treatment of head, neck or facial pain and tension symptoms caused by disorders such as occipital neuralgia. The screening process involves application of a transcutaneous stimulation screening device, a percutaneous micro-electrode screening device, and a temporary implantable screening device to the patient to select a site for chronic implantation.
摘要翻译： 本公开描述了非侵入式筛选患者以选择用于治疗头部，颈部或面部疼痛的刺激部位和由诸如枕骨神经痛等疾病引起的紧张症状的方法。 筛选过程包括将经皮刺激筛选装置，经皮微电极筛选装置和临时植入式筛选装置应用于患者以选择用于慢性植入的部位。
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47.发明授权Passive charge of implantable medical device utilizing external power source and method 有权使用外部电源的可植入医疗器械的被动电荷和方法公开(公告)号：US07650192B2
公开(公告)日：2010-01-19
申请号：US11414136
申请日：2006-04-28
申请人： Carl D. Wahlstrand
发明人： Carl D. Wahlstrand
IPC分类号： A61N1/378
CPC分类号： A61M5/14276 , A61M1/12 , A61M1/127 , A61M2205/3523 , A61M2205/8206 , A61M2205/8243 , A61N1/3787 , H02J7/0042 , H02J7/025 , H02J50/12 , H02J50/40 , H02J50/80
摘要： External power source for an implantable medical device implanted in a patient, the implantable medical device having a secondary coil operatively coupled to therapeutic componentry and method therefore. A modulation circuit is operatively coupled to a power source. A plurality of primary coils are operatively coupled to the modulation circuitry and physically associated with an article into which the patient may come into proximity. The modulation circuit drives at least one of the plurality of primary coils. A sensor is coupled to modulation circuit and is adapted to sense proximity of a component related to the implantable medical device. The modulation circuit commences operation to drive at least one of the plurality of primary coils when the sensor senses proximity with the component related to the implantable medical device.
摘要翻译： 用于植入患者体内的可植入医疗装置的外部电源，所述可植入医疗装置具有可操作地耦合到治疗组件的次级线圈和因此的方法。 调制电路可操作地耦合到电源。 多个初级线圈可操作地耦合到调制电路并且物理上与患者可能接近的物品相关联。 调制电路驱动多个初级线圈中的至少一个。 传感器耦合到调制电路并且适于感测与可植入医疗装置相关的部件的接近度。 当传感器感测到与可植入医疗装置相关的部件的接近时，调制电路开始操作以驱动多个初级线圈中的至少一个。
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公开(公告)号：US20090240303A1
公开(公告)日：2009-09-24
申请号：US12480467
申请日：2009-06-08
IPC分类号： A61N1/34
CPC分类号： A61N1/0504 , A61N1/0456 , A61N1/0476 , A61N1/0492 , A61N1/0502 , A61N1/36071 , A61N1/3756
摘要： The disclosure describes an implantable neurostimulator device for delivery of neurostimulation to treat head, neck, or facial pain or tension, including pain or tension caused by occipital neuralgia. The device may be a neurostimulation device having a miniaturized housing with a low profile that permits subcutaneous implantation at a stimulation site directly adjacent a neuralgic region at the back of the neck of a patient. For example, the device may be subcutaneously implanted at the back of the neck of a patient to relieve symptoms of occipital neuralgia.
摘要翻译： 本公开描述了用于递送神经刺激以治疗头部，颈部或面部疼痛或张力的可植入神经刺激器装置，包括由枕骨神经痛引起的疼痛或张力。 该装置可以是具有小型化的壳体的神经刺激装置，其具有允许在紧邻患者颈部后方的神经痛区域的刺激部位皮下植入。 例如，该装置可以皮下植入患者颈部的后部以减轻枕骨神经痛的症状。
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公开(公告)号：US07389147B2
公开(公告)日：2008-06-17
申请号：US11119420
申请日：2005-04-29
IPC分类号： A61N1/00
CPC分类号： A61B5/053 , A61B5/04012 , A61B5/0402 , A61B5/103 , A61N1/36071 , A61N1/36521 , A61N1/37247 , G06F19/00 , G16H40/63
摘要： Techniques for selectably providing either constant voltage or constant current stimulation are described. A programming device provides a user interface by which a user selects either constant voltage or constant current stimulation, and selects either a voltage or current amplitude based on the selected stimulation mode. The programming device configures a medical device to provide the selected mode of stimulation at the selected amplitude. For example, when a medical device has constant voltage stimulation circuitry, e.g., circuitry including a voltage source, and the user selects constant current stimulation, the programming device configures the medical device to adjust the voltage amplitude based on a measured impedance to provide substantially constant current amplitude.
摘要翻译： 描述了可选择地提供恒定电压或恒定电流刺激的技术。 编程设备提供用户界面，用户通过该界面用户选择恒定电压或恒定电流刺激，并且基于所选择的刺激模式选择电压或电流幅度。 编程设备配置医疗设备以在所选择的幅度提供所选择的刺激模式。 例如，当医疗设备具有恒定电压刺激电路（例如，包括电压源的电路）并且用户选择恒定电流刺激时，编程设备配置医疗设备以基于测量的阻抗来调整电压幅度以提供基本上恒定的 电流幅度。
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公开(公告)号：US20070203545A1
公开(公告)日：2007-08-30
申请号：US11591281
申请日：2006-10-31
IPC分类号： A61N1/00
CPC分类号： A61N1/37247 , A61N1/0529 , A61N1/0531 , A61N1/0534 , A61N1/0553 , A61N1/3605 , A61N1/3606 , A61N1/36082 , A61N1/36125 , A61N1/36146 , A61N1/36153 , A61N1/36157 , A61N1/36192 , G06F3/04815 , G06F3/04817 , G06F3/0482 , G06F19/00 , G06F19/321 , G06F19/325 , G16H50/50
摘要： The disclosure describes a method and system that allows a user to configure electrical stimulation therapy by defining a three-dimensional (3D) stimulation field. After a stimulation lead is implanted in a patient, a clinician manipulates the 3D stimulation field in a 3D environment to encompass desired anatomical regions of the patient. In this manner, the clinician determines which anatomical regions to stimulate, and the system generates the necessary stimulation parameters. In some cases, a lead icon representing the implanted lead is displayed to show the clinician where the lead is relative to the 3D anatomical regions of the patient.
摘要翻译： 本公开描述了允许用户通过定义三维（3D）刺激场来配置电刺激治疗的方法和系统。 在将刺激引线植入患者体内之后，临床医生操纵3D环境中的3D刺激场以包围病人的所需解剖区域。 以这种方式，临床医生确定要刺激的解剖区域，并且系统产生必需的刺激参数。 在一些情况下，显示代表植入引线的引线图标，以显示临床医生铅的相对于患者的3D解剖区域。
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