Implantable article
    55.
    发明授权
    Implantable article 有权
    植入物品

    公开(公告)号:US06648921B2

    公开(公告)日:2003-11-18

    申请号:US10004185

    申请日:2001-10-30

    IPC分类号: A61B1900

    CPC分类号: A61F2/0045

    摘要: An implantable article is disclosed. The implantable article includes features for tightening or loosening the implantable article. In preferred embodiments, the adjustment may occur post or perioperatively.

    摘要翻译: 公开了可植入物品。 可植入物品包括用于紧固或松动可植入制品的特征。 在优选实施例中,调整可以在后期或围手术期发生。

    Sensor, method of sensor implant and system for treatment of respiratory
disorders

    公开(公告)号:US6132384A

    公开(公告)日:2000-10-17

    申请号:US673246

    申请日:1996-06-26

    摘要: An implantable sensing device includes a sensing element and a mounting element. The mounting element has a first end and a second end with a longitudinal axis therethrough. The sensing element is positioned at the first end of the mounting element with the mounting element having a length that is adjustable along the longitudinal axis. The mounting element includes a sleeve having a first open end and a second open end with the longitudinal axis therethrough. The sensing element is positioned in the second open end and includes a lead body connected thereto extending through the second open end. The sleeve includes an outer sleeve member coupled for adjustment along the longitudinal axis with respect to an inner sleeve member. Further, the mounting element may include a flexible element about the first open end extending outwardly relative to the longitudinal axis and a flange element extending outwardly relative to the longitudinal axis from at least a portion of the second end. The device can be implanted in a bone with the flange element and the flexible element for direct or indirect contact with the anterior and posterior surface of the bone. A method of implanting the sensor includes providing a sensing element and drilling a hole in a bone. The hole extends to the intrathoracic cavity. The sensing element is inserted into the hole and positioned in communication with a region in the intrathoracic cavity. The hole is drilled in the manubrium. When the flexible element is inserted into the hole, the flexible element about the first open end collapses towards the longitudinal axis and when the sensor mounting assembly is removed from the hole, the flexible element collapses towards the longitudinal axis during removal. Methods for providing stimulation of a patient to treat respiratory disorders using the sensor are also provided as are stimulation systems for providing stimulation of a patient to treat respiratory disorders.

    Diagnostic testing methods and apparatus for implantable therapy devices
    57.
    发明授权
    Diagnostic testing methods and apparatus for implantable therapy devices 失效
    用于植入式治疗装置的诊断测试方法和装置

    公开(公告)号:US6021352A

    公开(公告)日:2000-02-01

    申请号:US673717

    申请日:1996-06-26

    摘要: A testing method for use with a patient stimulation system includes providing a stimulation system including a patient control unit. The patient control unit initiates and terminates treatment periods. At least one period of stimulation to stimulate the patient is automatically provided upon initiating a treatment period. Another method includes a system test method for use with a therapy system. The method includes providing a therapy system having a plurality of components; the therapy system physiologically interacting with a patient. A diagnostic self test of a component of the therapy system is performed internally to the system to determine if the component is functioning properly at a time when the therapy system is not interacting physiologically with the patient. Apparatus for using such methods are also provided.

    摘要翻译: 用于患者刺激系统的测试方法包括提供包括患者控制单元的刺激系统。 患者控制单元启动并终止治疗期。 在开始治疗期间,自动提供刺激患者的至少一个刺激周期。 另一种方法包括与治疗系统一起使用的系统测试方法。 该方法包括提供具有多个部件的治疗系统; 治疗系统在生理上与患者相互作用。 在治疗系统的部件的诊断自我测试在系统内部执行以确定组件是否在治疗系统与患者生理上没有相互作用的时候正常工作。 还提供了使用这种方法的装置。

    Implantable eyelid electrode and method of implanting same
    58.
    发明授权
    Implantable eyelid electrode and method of implanting same 失效
    植入式眼睑电极及其植入方法

    公开(公告)号:US5843147A

    公开(公告)日:1998-12-01

    申请号:US643118

    申请日:1996-04-30

    IPC分类号: A61F9/007 A61N1/05 A61N1/36

    摘要: The implantable eyelid electrode apparatus includes a body of nonconductive material having first and second edges and first and second ends. A longitudinal axis extends between the first and second ends and a distance from the longitudinal axis to at least one of the first and second edges decreases towards at least one of the first and second ends. Conductive material is positioned at a surface of the body and at least one lead wire is in electrical contact with the conductive material. Further, the conductive material may include a number of conductive electrodes which are capable of being connected as an anode, a cathode, or left in an open configuration. The conductive electrodes may be strip electrodes positioned perpendicular to the longitudinal axis, and further, the plurality of conductive electrodes may be configured in a guarded multipolar configuration. An electrode device may be implanted in the upper eyelid or the lower eyelid or both. Moreover, a method for implanting an electrode apparatus includes positioning the electrode apparatus adjacent the orbicularis oculi muscle fiber such that the conductive material of the implantable eyelid electrode is adjacent the surface of the muscle fibers. The conductive electrodes, which may be of a strip configuration, are positioned with their length perpendicular to the muscle fibers, when implanted, to promote current passing parallel to the muscle fibers.

    摘要翻译: 可植入式眼睑电极装置包括具有第一和第二边缘以及第一和第二端的非导电材料体。 纵向轴线在第一和第二端部之间延伸,并且从纵向轴线到第一和第二边缘中的至少一个的距离朝向第一和第二端部中的至少一个减小。 导电材料位于主体的表面,并且至少一根引线与导电材料电接触。 此外,导电材料可以包括能够作为阳极连接的多个导电电极,阴极,或者处于打开构型的左侧。 导电电极可以是垂直于纵向轴线定位的带状电极,此外,多个导电电极可被配置成保护的多极配置。 电极装置可以植入上眼睑或下眼睑或两者。 此外,用于植入电极装置的方法包括将电极装置定位在眼轮匝肌纤维附近,使得可植入的眼睑电极的导电材料邻近肌肉纤维的表面。 当植入时,可以具有带状构造的导电电极的长度与肌肉纤维垂直,以促进平行于肌肉纤维的电流通过。

    Cardiac assist device having circadian muscle simulation
    59.
    发明授权
    Cardiac assist device having circadian muscle simulation 失效
    具有昼夜节律性肌肉模拟的心脏辅助装置

    公开(公告)号:US5697884A

    公开(公告)日:1997-12-16

    申请号:US516086

    申请日:1995-08-17

    摘要: A cardiac assist device having circadian muscle stimulation. In particular the present invention operates in one of two states, either day mode or night mode. During the day mode, muscle stimulation and conditioning are performed according to a first schedule. During the night mode, muscle stimulation and conditioning are performed according to a second schedule. In addition, the night mode is only reached if the night mode is permitted, a set number of sensed beats are less than the night mode rate, and the time of day is nighttime. The night mode is interrupted if the night mode is turned off, the time of day is daytime, or a set number of beats are greater than the night rate. In short, the present invention provides for skeletal muscle stimulation at a less fatiguing level during the night than during the day.

    摘要翻译: 具有昼夜节律性肌肉刺激的心脏辅助装置。 特别地,本发明以日间模式或夜间模式的两种状态之一操作。 在白天模式中,根据第一时间表执行肌肉刺激和调理。 在夜间模式中,根据第二时间表执行肌肉刺激和调理。 另外夜间模式仅在夜间模式允许的情况下被设定,感测节拍的设定数量小于夜间模式,夜间时间为夜间。 如果夜间模式关闭,白天的时间是白天,或者设定的节拍数量大于夜晚,夜间模式将被中断。 简而言之,本发明提供了在夜间比日间疲劳水平低的骨骼肌刺激。

    Multiple therapy cardiac assist device having battery voltage safety
monitor
    60.
    发明授权
    Multiple therapy cardiac assist device having battery voltage safety monitor 失效
    具有电池电压安全监控器的多疗程心脏辅助装置

    公开(公告)号:US5562595A

    公开(公告)日:1996-10-08

    申请号:US516082

    申请日:1995-08-17

    申请人: Johann J. Neisz

    发明人: Johann J. Neisz

    摘要: A cardiac assist system which provides simultaneous cardiac assistance during a confirmed cardiac arrythmia, but which provides for the inhibition of the cardiac assistance in the event battery voltage drops below a predefined point. In particular the present invention features a battery voltage safety limit during the deliver VF therapy state. During VF therapy state the system provides skeletal muscle stimulation while charging a defibrillation output capacitor. The battery voltage safety limit is set above a threshold which will insure proper device functionality, i.e. above the power-on-reset threshold (hereafter "POR"). If the battery voltage safety limit is reached the system inhibits the skeletal muscle stimulation to thereby avoid reaching the POR threshold, but yet still maintain the charging of the defibrillation output capacitor. Once charging of the defibrillation output capacitor is completed a synchronization routine is begun and defibrillation therapy is delivered. In such a manner the present invention prevents the dual demands of skeletal muscle stimulation along with charging of the defibrillation output capacitor to cause the battery voltage to collapse and drop below the power-on-reset threshold.

    摘要翻译: 心脏辅助系统,其在确认的心脏心律不全期间提供同时心脏辅助,但是在电池电压下降到低于预定点的情况下提供对心脏辅助的抑制。 特别地,本发明在递送VF治疗状态期间具有电池电压安全限制。 在VF治疗期间,系统在给除颤输出电容器充电的同时提供骨骼肌肉刺激。 电池电压安全限值设定在阈值以上,这将确保正确的设备功能,即高于上电复位阈值(以下称为“POR”)。 如果达到电池电压安全限制,系统可以抑制骨骼肌的刺激,从而避免达到POR阈值,但仍然保持除颤输出电容器的充电。 一旦完成除颤输出电容器的充电,则开始同步程序并递送除颤治疗。 以这种方式,本发明防止骨骼肌刺激的双重要求以及除颤输出电容器的充电,导致电池电压崩溃并降低到上电复位阈值以下。