METHOD OF NEUROSTIMULATION OF DISTINCT NEURAL STRUCTURES USING SINGLE PADDLE LEAD TO TREAT MULTIPLE PAIN LOCATIONS AND MULTI-COLUMN, MULTI-ROW PADDLE LEAD FOR SUCH NEUROSTIMULATION
    52.
    发明申请
    METHOD OF NEUROSTIMULATION OF DISTINCT NEURAL STRUCTURES USING SINGLE PADDLE LEAD TO TREAT MULTIPLE PAIN LOCATIONS AND MULTI-COLUMN, MULTI-ROW PADDLE LEAD FOR SUCH NEUROSTIMULATION 有权
    使用单个引导线治疗多发性疼痛位置和多列,多层导管对这样的神经细胞的神经元神经元的神经修复方法

    公开(公告)号:US20100030300A1

    公开(公告)日:2010-02-04

    申请号:US12578396

    申请日:2009-10-13

    IPC分类号: A61N1/34

    摘要: In some embodiments, a paddle lead is implanted within a patient such that the electrodes are positioned within the cervical or thoracic spinal levels. An electrode combination on a first row of electrodes can be determined that is effective for a first pain location with minimal effects on other regions of the body. The first pain location can be addressed by stimulating a first dorsal column fiber due to the relatively fine electrical field resolution achievable by the multiple columns. Then, another electrode combination on a second row of electrodes can be determined for a second pain location with minimal effects on other regions. The second pain location could be addressed by stimulating a second dorsal column fiber. After the determination of the appropriate electrodes for stimulation, the patient's IPG can be programmed to deliver pulses using the first and second rows according to the determined electrode combinations.

    摘要翻译: 在一些实施例中,将桨引线植入患者体内,使得电极定位在子宫颈或胸部脊柱水平内。 可以确定在第一排电极上的电极组合,对于第一疼痛位置是有效的,对身体的其他区域的影响最小。 可以通过刺激第一背侧列纤维来解决第一个疼痛位置,这是由于多列可实现的相对精细的电场分辨率。 然后,可以确定第二排电极上的另一电极组合用于第二疼痛位置,对其他区域的影响最小。 可以通过刺激第二背侧纤维来解决第二个疼痛位置。 在确定用于刺激的适当电极之后,可以根据所确定的电极组合,将患者的IPG编程为使用第一和第二行递送脉冲。

    METHOD FOR PROVIDING MULTIPLE VOLTAGE LEVELS DURING PULSE GENERATION AND IMPLANTABLE PULSE GENERATING EMPLOYING THE SAME
    53.
    发明申请
    METHOD FOR PROVIDING MULTIPLE VOLTAGE LEVELS DURING PULSE GENERATION AND IMPLANTABLE PULSE GENERATING EMPLOYING THE SAME 有权
    在脉冲发生过程中提供多个电压水平的方法和使用其的可植入脉冲生成方法

    公开(公告)号:US20090048643A1

    公开(公告)日:2009-02-19

    申请号:US12245208

    申请日:2008-10-03

    IPC分类号: A61N1/36

    CPC分类号: A61N1/378 A61N1/3787

    摘要: In one embodiment, a method of operating an implantable pulse generator comprises: providing power to a voltage converter at a first voltage level; outputting a second voltage level by the voltage converter, the second voltage level being a variable voltage level that is controlled by a control signal provided to the voltage converter, the second voltage level being provided to pulse generating circuitry of the implantable pulse generator, the second voltage level being selectable from a plurality of voltages including non-integer multiples of the first voltage level; generating pulses by the pulse generating circuitry, the pulse generating circuitry including current control circuitry for controlling the pulses to cause the pulses to provide substantially constant current to tissue of the patient; and applying at least two different control signals to the voltage converter during individual pulses to provide successively increasing voltages to the pulse generating circuitry during a respective pulse.

    摘要翻译: 在一个实施例中,一种操作可植入脉冲发生器的方法包括:在第一电压电平下向电压转换器供电; 由所述电压转换器输出第二电压电平,所述第二电压电平是由提供给所述电压转换器的控制信号控制的可变电压电平,所述第二电压电平被提供给所述可植入脉冲发生器的脉冲发生电路,所述第二电压电平 电压电平可从包括第一电压电平的非整数倍的多个电压中选择; 由脉冲发生电路产生脉冲,脉冲发生电路包括电流控制电路,用于控制脉冲以使脉冲向患者的组织提供基本恒定的电流; 以及在单个脉冲期间将至少两个不同的控制信号施加到所述电压转换器,以在相应脉冲期间向所述脉冲发生电路提供连续增加的电压。

    Systems and methods used to reserve a constant battery capacity
    54.
    发明授权
    Systems and methods used to reserve a constant battery capacity 有权
    用于保留电池容量的系统和方法

    公开(公告)号:US07450991B2

    公开(公告)日:2008-11-11

    申请号:US11138120

    申请日:2005-05-26

    IPC分类号: A61N1/00

    CPC分类号: A61N1/3708 A61N1/3787

    摘要: Techniques are disclosed which provide a substantially constant battery reserve capacity with respect to therapeutic medical devices. Accordingly, a battery control system may be operable to maintain a substantially constant reserve capacity throughout the life of the battery. The battery reserve capacity activation threshold may be set and continuously or periodically updated so that a battery's remaining capacity equals the predetermined reserve capacity when the measured parameter reaches the activation threshold, thereby allowing a maximum amount of a battery's total capacity to be employed for therapeutic use and reserve only that portion of that capacity determined to provide for a desired level and/or period of device function after reaching the reserve threshold.

    摘要翻译: 公开了相对于治疗医疗装置提供基本上恒定的电池储备容量的技术。 因此,电池控制系统可操作以在电池的整个寿命期间保持基本上恒定的储备容量。 可以设置并持续或周期性地更新电池储备容量激活阈值,使得当测量的参数达到激活阈值时,电池的剩余容量等于预定的储备容量,从而允许最大量的电池的总容量用于治疗用途 并且仅保留该容量的那部分以确定在达到预定阈值之后提供期望的等级和/或设备功能的周期。

    NON-CONSTANT PRESSURE INFUSION PUMP
    55.
    发明申请
    NON-CONSTANT PRESSURE INFUSION PUMP 审中-公开
    非常压输液泵

    公开(公告)号:US20080125702A1

    公开(公告)日:2008-05-29

    申请号:US12021967

    申请日:2008-01-29

    IPC分类号: A61M5/142

    摘要: The present invention relates to an implantable infusion pump having a refillable infusate reservoir in fluid communication with a delivery site via a flow path. This flow path includes a flow resistance. The infusion pump includes a sensing device(s), positioned relative to the flow path, to provide data regarding a flow rate along the flow path. The infusion pump effects a division of a total flow period into at least a plurality of unit dose periods, each unit dose period effecting delivery of a unit dose of infusate. The cumulative effect of delivering the total number of unit dose periods is the delivery of a desired dose over the total flow period. The present invention permits a reservoir pressure to vary over any portion of total flow period but effects a constant-pressure state over each unit dose cycle.

    摘要翻译: 本发明涉及一种植入式输注泵,其具有经由流路与输送部位流体连通的可再填充输液管储存器。 该流路包括流动阻力。 输液泵包括相对于流动路径定位的感测装置,以提供关于沿着流动路径的流量的数据。 输注泵将总流动周期分成至少多个单位剂量周期,每个单位剂量周期影响输送单位剂量的输注液。 递送单位剂量周期总数的累积效应是在总流动周期内递送期望的剂量。 本发明允许储存器压力在总流动周期的任何部分上变化,但是在每个单位剂量周期上影响恒定压力状态。

    System and method for generating and testing treatment protocols
    56.
    发明授权
    System and method for generating and testing treatment protocols 有权
    用于生成和测试治疗方案的系统和方法

    公开(公告)号:US07295876B1

    公开(公告)日:2007-11-13

    申请号:US11072998

    申请日:2005-03-04

    申请人: John H. Erickson

    发明人: John H. Erickson

    IPC分类号: A61N1/18

    CPC分类号: A61N1/08

    摘要: A system, method, and computer program product for interactively defining and calibrating a treatment protocol program for a stimulation device such as an implantable pulse generator (IPG). An IPG, whether it is a self-contained implantable pulse generator (SCIPG) or externally-powered implantable pulse generator (EPIPG), communicates with an external patient programmer (EPP) to receive treatment protocol programs. Using the EPP, treatment protocol programs are developed, executed, and tested while the patient provides real-time feedback, providing efficient and effective programming.

    摘要翻译: 一种用于交互地定义和校准诸如可植入脉冲发生器(IPG)的刺激装置的治疗协议程序的系统,方法和计算机程序产品。 IPG,无论是独立的可植入脉冲发生器(SCIPG)还是外部供电的可植入脉冲发生器(EPIPG),与外部患者编程器(EPP)通信以接收治疗协议程序。 使用EPP,开发,执行和测试治疗方案程序,同时患者提供实时反馈,提供高效和有效的编程。

    Dosage control apparatus
    57.
    发明授权
    Dosage control apparatus 失效
    用量控制装置

    公开(公告)号:US06880564B2

    公开(公告)日:2005-04-19

    申请号:US10331425

    申请日:2002-12-30

    申请人: John H. Erickson

    发明人: John H. Erickson

    摘要: The invention is directed to a dose control apparatus. The apparatus has two armatures pressed against a valve seat by at least one spring. A coil induces a magnetic field that motivates the armatures against the force of the spring, thereby opening the valve. The armatures may move along a common axis in opposite directions. The apparatus may also include a core located between the armatures and a casing about the coil. The core and casing act to guide the magnetic field, reducing the power requirements for creating the field. Current may be periodically reversed in the coil to provide a degaussing field. In addition, a signal may be produced by the coil in the presence an externally applied magnetic field such as an MRI. An opposing magnetic field may be produced by the coil or the current provided to the coil may be adjusted.

    摘要翻译: 本发明涉及剂量控制装置。 该装置具有通过至少一个弹簧压靠在阀座上的两个电枢。 线圈引起磁场,其抵抗弹簧的力促使电枢,从而打开阀。 电枢可以沿着相反方向的公共轴线移动。 该装置还可以包括位于电枢之间的芯和围绕线圈的外壳。 核心和套管用于引导磁场,减少了创建场地的功率要求。 线圈中的电流可以周期性地反转以提供消磁场。 此外,在存在诸如MRI的外部施加的磁场的情况下,可以由线圈产生信号。 可以通过线圈产生相反的磁场,或者可以调节提供给线圈的电流。

    System and method for programming an implantable pulse generator
    58.
    发明授权
    System and method for programming an implantable pulse generator 有权
    用于编程可植入脉冲发生器的系统和方法

    公开(公告)号:US08838243B2

    公开(公告)日:2014-09-16

    申请号:US13471153

    申请日:2012-05-14

    摘要: In one embodiment, a method of programming an IPG comprises providing one or several GUI screens on the programmer device, the GUI screens comprising a master amplitude GUI control for controlling amplitudes for stimsets of a stimulation program and one or several balancing GUI controls for controlling amplitudes of each stimset of the stimulation program; communicating one or several commands from the programmer device to the IPG to change the amplitude of all stimsets of the stimulation program in response to manipulation of the master amplitude GUI control, wherein the amplitude of each stimulation set is automatically calculated by a level selected through the master amplitude GUI control and one or several calibration parameters for the respective stimulation set; and automatically recalculating the one or several calibration parameters for a respective stimulation set in response to manipulation of one of the balancing GUI controls and storing the recalculated calibration parameters.

    摘要翻译: 在一个实施例中,编程IPG的方法包括在编程器设备上提供一个或多个GUI屏幕,GUI屏幕包括用于控制刺激程序的刺激的幅度的主幅度GUI控制和用于控制幅度的一个或多个平衡GUI控件 刺激计划的每个刺激; 将一个或多个命令从编程器设备传送到IPG,以响应于主幅度GUI控制的操纵来改变刺激程序的所有刺激的幅度,其中每个刺激集合的幅度被自动计算通过 主幅度GUI控制和用于各个刺激组的一个或几个校准参数; 以及响应于所述平衡GUI控件之一的操纵并且存储所述重新计算的校准参数而自动重新计算相应刺激组的所述一个或多个校准参数。

    System and method for programming an implantable pulse generator
    59.
    发明授权
    System and method for programming an implantable pulse generator 有权
    用于编程可植入脉冲发生器的系统和方法

    公开(公告)号:US08180451B2

    公开(公告)日:2012-05-15

    申请号:US12814968

    申请日:2010-06-14

    IPC分类号: A61N1/08

    摘要: In one embodiment, a method of programming an IPG comprises providing one or several GUI screens on the programmer device, the GUI screens comprising a master amplitude GUI control for controlling amplitudes for stimsets of a stimulation program and one or several balancing GUI controls for controlling amplitudes of each stimset of the stimulation program; communicating one or several commands from the programmer device to the IPG to change the amplitude of all stimsets of the stimulation program in response to manipulation of the master amplitude GUI control, wherein the amplitude of each stimulation set is automatically calculated by a level selected through the master amplitude GUI control and one or several calibration parameters for the respective stimulation set; and automatically recalculating the one or several calibration parameters for a respective stimulation set in response to manipulation of one of the balancing GUI controls and storing the recalculated calibration parameters.

    摘要翻译: 在一个实施例中,编程IPG的方法包括在编程器设备上提供一个或多个GUI屏幕,GUI屏幕包括用于控制刺激程序的刺激的幅度的主幅度GUI控制和用于控制幅度的一个或多个平衡GUI控件 刺激计划的每个刺激; 将一个或多个命令从编程器设备传送到IPG,以响应于主幅度GUI控制的操纵来改变刺激程序的所有刺激的幅度,其中每个刺激集合的幅度被自动计算通过 主幅度GUI控制和用于各个刺激组的一个或几个校准参数; 以及响应于所述平衡GUI控件之一的操纵并且存储所述重新计算的校准参数而自动重新计算相应刺激组的所述一个或多个校准参数。

    MULTI-PROGRAMMABLE TRIAL STIMULATOR
    60.
    发明申请
    MULTI-PROGRAMMABLE TRIAL STIMULATOR 审中-公开
    多可编程实验刺激仪

    公开(公告)号:US20110208265A1

    公开(公告)日:2011-08-25

    申请号:US13099142

    申请日:2011-05-02

    IPC分类号: A61N1/36

    摘要: Disclosed are systems and methods which provide trial stimulators suited for use interoperatively and during patient trial. Trial stimulator embodiments provide a patient interface and/or clinician interface which appears and functions substantially the same as an interface of a pulse generator controller which will be used after a trial period. A compliance monitor feature may be provided to facilitate verifying the proper use of the trial stimulator during a trial period. A diagnostic feature may be provided to facilitate verifying proper operation of various aspects of a trial stimulator, such as electrode impedance analysis. Trial stimulators of embodiments provide stimulation to a plurality of tissues and/or areas of the body, such as spinal cord stimulation, deep brain stimulation, etcetera. Embodiments provide for multi-electrode stimulation and multi-stimulation programs. Embodiments are configured to provide active discharge of stimulation pulses as well as to utilize constant current sources in providing the stimulation pulses.

    摘要翻译: 公开了提供适合于在手术期间和在患者试验期间使用的试验刺激物的系统和方法。 试验刺激器实施例提供了患者接口和/或临床医生界面,该接口出现并且与在试用期之后将被使用的脉冲发生器控制器的接口基本相同。 可以提供合规监测功能以便于在试用期间验证试用刺激器的正确使用。 可以提供诊断特征以便于验证试验刺激器的各个方面的正确操作,例如电极阻抗分析。 实施例的刺激器可以对身体的多个组织和/或区域提供刺激,例如脊髓刺激,深部脑刺激等。 实施例提供多电极刺激和多刺激程序。 实施例被配置为提供刺激脉冲的主动放电以及在提供刺激脉冲时利用恒定电流源。