公开(公告)号：US20120038477A1

公开(公告)日：2012-02-16

申请号：US13265028

申请日：2010-04-28

申请人： Nathan A. Torgerson ,  James A. Zimmerman

发明人： Nathan A. Torgerson ,  James A. Zimmerman

IPC分类号： G08B1/08 ,  G08B21/00

CPC分类号： A61B5/0031 ,  A61B5/0002 ,  A61N1/025 ,  A61N1/37 ,  A61N1/37211 ,  A61N1/37258 ,  A61N1/3752 ,  G06F19/3418

摘要： Proper insertion of medical leads into medical devices is detected at the time the lead is being inserted. An external device initiates impedance testing by the medical device that is receiving the lead prior to the insertion of the lead being completed. The medical device reports back the results of the impedance testing so that the external device can determine whether the lead is properly inserted at the time of lead insertion and can provide an output to a user to indicate whether the lead insertion is proper. The medical device may poll only a last connector expected to be connected before responding, test other connector combinations before or after responding, and so forth.

摘要翻译： 在插入导线时，会检测到医疗线路正确插入医疗器械。 外部设备通过在完成引线插入之前接收引线的医疗设备启动阻抗测试。 医疗设备报告阻抗测试的结果，使得外部设备可以确定引线插入时是否正确插入引线，并且可以向用户提供输出以指示引线插入是否适当。 医疗设备可以仅在响应之前轮询期望连接的最后连接器，在响应之前或之后测试其他连接器组合等等。

公开(公告)号：US20110172741A1

公开(公告)日：2011-07-14

申请号：US12686971

申请日：2010-01-13

申请人： Earle T. Roberts ,  Donald L. Villalta ,  David S. Slack ,  Irfan Z. Ali ,  Sudheendhar Raghavendran ,  Nathan A. Torgerson ,  Garrett R. Sipple

发明人： Earle T. Roberts ,  Donald L. Villalta ,  David S. Slack ,  Irfan Z. Ali ,  Sudheendhar Raghavendran ,  Nathan A. Torgerson ,  Garrett R. Sipple

IPC分类号： A61N1/08

CPC分类号： H04W4/80 ,  A61N1/37217 ,  A61N1/37252 ,  A61N1/37282 ,  H04L9/3271 ,  H04L63/0492 ,  H04L63/18 ,  H04L67/12 ,  H04L2209/805 ,  H04L2209/88 ,  H04W8/005 ,  H04W12/06 ,  H04W88/06

摘要： Devices and systems provide for proximity based selection of an implantable medical device for far field communication with an external device. By using a proximity communication that is limited to the IMD of interest during the selection process, the external device can eliminate those IMDs that are in range of far field communications but are able to receive the proximity communication. Thus, information may be shared via a proximity communication that is validated via a far field communication, or shared via a far field communication as a challenge and then validated via a proximity communication. The proximity communication may be used to initially limit the number of devices that respond to a discovery request and then subsequently used to select the intended implantable medical device as well as automatically select the appropriate therapy application corresponding to the selected IMD.

公开(公告)号：US07962211B2

公开(公告)日：2011-06-14

申请号：US11414151

申请日：2006-04-28

申请人： Nathan A. Torgerson ,  John E. Kast ,  Kevin J. Kelly ,  Todd P. Goblish

发明人： Nathan A. Torgerson ,  John E. Kast ,  Kevin J. Kelly ,  Todd P. Goblish

IPC分类号： A61N1/378 ,  A61N1/40

CPC分类号： A61N1/37229 ,  A61N1/3787

摘要： System, method and antenna for an external power source for an implantable medical device having therapeutic componentry and a secondary coil operatively coupled to the therapeutic componentry. A housing has a first surface adapted to be placed closest to the secondary coil of the implantable medical device. A primary coil is operatively coupled to the external power and is capable of inductively energizing the secondary coil, the primary coil being wound forming generally concentric loops having an axis. The housing has a protrusion extending from the first surface.

摘要翻译： 用于具有治疗组件的可植入医疗装置的外部电源的系统，方法和天线以及可操作地耦合到治疗组件的次级线圈。 壳体具有适于放置成最接近可植入医疗装置的次级线圈的第一表面。 初级线圈可操作地耦合到外部电源并且能够感应地激励次级线圈，初级线圈被卷绕成大体上具有轴的同心环。 壳体具有从第一表面延伸的突起。

公开(公告)号：US20110077720A1

公开(公告)日：2011-03-31

申请号：US12959138

申请日：2010-12-02

申请人： Nathan A. Torgerson ,  James E. Riekels

发明人： Nathan A. Torgerson ,  James E. Riekels

IPC分类号： A61N1/02

CPC分类号： A61N1/3787 ,  A61N1/36142

摘要： An implantable medical device having an implantable power source such as a rechargeable lithium ion battery. The implantable medical device includes a recharge module that regulates the recharging process of the implantable power source using closed-loop feedback control. The recharge module includes a recharge regulator, a recharge measurement device monitoring at least one recharge parameter, and a recharge regulation control unit for regulating the recharge energy delivered to the power source in response to the recharge measurement device. The recharge module adjusts the energy provided to the power source to ensure that the power source is being recharged under safe levels.

摘要翻译： 一种具有可植入电源的可植入医疗装置，例如可充电锂离子电池。 可植入医疗装置包括充电模块，其使用闭环反馈控制来调节可植入电源的再充电过程。 再充电模块包括再充电调节器，监视至少一个再充电参数的再充电测量装置，以及用于响应于再充电测量装置调节传送到电源的再充电能量的再充电调节控制单元。 充电模块调整提供给电源的能量，以确保电源在安全水平下充电。

公开(公告)号：US20100121215A1

公开(公告)日：2010-05-13

申请号：US12432268

申请日：2009-04-29

申请人： Jonathon E. Giftakis ,  Nathan A. Torgerson

发明人： Jonathon E. Giftakis ,  Nathan A. Torgerson

IPC分类号： A61B5/0476 ,  A61B5/11

摘要： A medical system implements a seizure detection algorithm to detect a seizure based on a first patient parameter. The medical system monitors a second patient parameter to adjust the seizure detection algorithm. In some examples, the medical system determines whether a seizure for which therapy delivery is desirable occurred based on a second patient parameter. If a target seizure occurred, and the seizure detection algorithm did not detect the target seizure, the medical system adjusts the seizure detection algorithm to detect the target seizure. For example, the medical system may determine a first patient parameter characteristic indicative of the target seizure detected based on the second patient parameter and store the first patient parameter characteristic as part of the seizure detection algorithm. In some examples, the first patient parameter is an electrical brain signal and the second patient parameter is patient activity (e.g., patient motion or posture).

摘要翻译： 医疗系统实施缉获检测算法以基于第一患者参数检测癫痫发作。 医疗系统监测第二个患者参数以调整发作检测算法。 在一些示例中，医疗系统基于第二患者参数确定是否期望发生治疗递送的癫痫发作。 如果发生目标发作，并且癫痫发作检测算法未检测到目标癫痫发作，则医疗系统调整癫痫发作检测算法以检测目标癫痫发作。 例如，医疗系统可以基于第二患者参数确定指示检测到的目标发作的第一患者参数特征，并将第一患者参数特征存储为发作检测算法的一部分。 在一些示例中，第一患者参数是电脑信号，第二患者参数是患者活动（例如患者运动或姿势）。

公开(公告)号：US20100114252A1

公开(公告)日：2010-05-06

申请号：US12362198

申请日：2009-01-29

申请人： Nathan A. Torgerson

发明人： Nathan A. Torgerson

IPC分类号： A61N1/36

CPC分类号： A61N1/3782 ,  A61N1/3605 ,  A61N1/36082 ,  A61N1/3708

摘要： Techniques for determining whether a medical device will be able to deliver stimulation according to a particular program throughout a useable voltage range of a power source of the medical device are described. According to some examples, the medical device charges a charge pump to a level sufficient to provide a stimulation output according to a stimulation program, determines a length of time that the charge pump charges at the present power source voltage level, and determines a time between stimulation pulses of the stimulation program. Whether the medical device will be able to deliver stimulation according to the program when the power source is at a power source voltage level lower than the present voltage level is determined based on the length of time the charge pump charges at the present voltage level of the power source and the time between stimulation pulses.

摘要翻译： 描述了用于确定医疗设备是否能够根据特定程序在医疗设备的电源的可用电压范围内递送刺激的技术。 根据一些示例，医疗设备将电荷泵充电到足以根据刺激程序提供刺激输出的水平，确定电荷泵在当前电源电压电平下充电的时间长度，并确定 刺激程序的刺激脉冲。 当电源处于低于当前电压电平的电源电压电平时，医疗设备是否能够根据程序传送刺激是基于电荷泵在当前电压水平下的电压时间长度来确定的 电源和刺激脉冲之间的时间。

公开(公告)号：US20090132009A1

公开(公告)日：2009-05-21

申请号：US11943858

申请日：2007-11-21

申请人： Nathan A. Torgerson

发明人： Nathan A. Torgerson

IPC分类号： A61N1/00

CPC分类号： A61N1/3708 ,  A61N1/3706 ,  A61N1/371 ,  A61N1/378 ,  A61N1/3782

摘要： Techniques for determining whether a medical device will be able to deliver stimulation according to a particular program throughout a voltage range of a power source of the medical device are described. According to some examples, the medical device simulates a power source voltage level lower than a present voltage level of the power source, and delivers stimulation according to the program while simulating the lower power source voltage level. Whether medical device will be able to deliver stimulation according to the program when the power source is actually at the lower voltage level is determined based on an electrical parameter measured during the delivery of stimulation while simulating the lower voltage level. The simulation and determination for a program may be performed, as an example, when the program is created or modified.

摘要翻译： 描述了用于确定医疗设备是否能够在医疗设备的电源的整个电压范围内根据特定程序传递刺激的技术。 根据一些示例，医疗设备模拟低于电源的当前电压电平的电源电压电平，并且在模拟较低电源电压电平的同时根据程序传送刺激。 基于在模拟较低电压电平期间在刺激递送期间测量的电参数来确定当电源实际处于较低电压电平时，医疗装置是否能够根据程序传送刺激。 作为示例，当程序被创建或修改时，可以执行程序的模拟和确定。

公开(公告)号：US06820019B1

公开(公告)日：2004-11-16

申请号：US09364967

申请日：1999-07-31

申请人： Kevin J. Kelly ,  Nathan A. Torgerson

发明人： Kevin J. Kelly ,  Nathan A. Torgerson

IPC分类号： A61N139

CPC分类号： A61N1/3708

摘要： The invention is a device and method for determining the current status and remaining life of a power source in an implantable neurological tissue stimulator. The invention contemplates a method, performed in a system without human intervention, that includes the steps of assessing the power source voltage of the power source in an IPG, determining, using the power source voltage, where in the power source life cycle the power source is, and taking action in response to the determination of where in the power source life cycle the power source is. The invention also includes a device that embodies the method described above. The device, which is partially resident in an IPG and partially resident in an external device such as a programmer measures the power source voltage in the IPG, using the power source voltage determines where in the power source life cycle the power source is and takes appropriate action in response to the determination of where in the power source life cycle the power source is. A processor, either on the IPG or in the programmer is the preferred structure for determining where in the power source life cycle the power source is and for directing the appropriate action in response to the determination of where in the power source life cycle the power source is.

摘要翻译： 本发明是用于确定可植入神经组织刺激器中的电源的当前状态和剩余寿命的装置和方法。 本发明考虑了一种在没有人为干预的系统中执行的方法，其包括以下步骤：评估IPG中的电源的电源电压，使用电源电压确定电源生命周期中的电源 并且采取行动来响应电源生命周期中电源的确定位置。 本发明还包括体现上述方法的装置。 部分驻留在IPG中并且部分驻留在诸如编程器的外部设备中的设备使用电源电压来测量IPG中的电源电压，从而确定电源在电源的寿命周期中并且适当地 响应于确定电源的电源生命周期中的哪个位置的动作。 在IPG或编程器中的处理器是用于确定电源在电源生命周期中的哪里的优选结构，并且响应于确定电源生命周期中的哪个电源来引导适当的动作 是的

公开(公告)号：US06456883B1

公开(公告)日：2002-09-24

申请号：US09558664

申请日：2000-04-26

申请人： Nathan A. Torgerson ,  John J. Grevious ,  Steven L. Jensen ,  John W. Forsberg ,  Robert Leinders ,  Raymond F. McMullen

发明人： Nathan A. Torgerson ,  John J. Grevious ,  Steven L. Jensen ,  John W. Forsberg ,  Robert Leinders ,  Raymond F. McMullen

IPC分类号： A61N1378

CPC分类号： A61N1/372 ,  A61F2250/0002 ,  A61M5/14276 ,  A61M2205/3523 ,  A61M2205/8206 ,  A61N1/08 ,  A61N1/3787

摘要： An apparatus and method that will allow for external communication, via an external programmer, for positive device identification and for retrieval of device or patient information stored by an implantable medical device with a depleted power source. The external programmer will deliver energy to a secondary power source located inside the implanted device using RF telemetry sufficient to charge up the secondary power source, e.g., a small capacitor. The capacitor will charge up immediately within milliseconds. Once the secondary power source is sufficiently charged, it can be used to power up a controller having the stored information in the implantable medical device. Once the controller is operational, the implanted device will transmit device and patient information to the external programmer via RF telemetry.

摘要翻译： 将允许通过外部编程器进行外部通信的设备和方法用于正器件识别以及用于耗尽功率源的由可植入医疗器件存储的装置或患者信息的检索。 外部编程器将使用足以使二次电源例如小电容器充电的RF遥测来将能量传递到位于植入装置内部的次级电源。 电容器将在几毫秒内立即充电。 一旦辅助电源充足电，就可以将具有存储信息的控制器加电到可植入医疗设备中。 一旦控制器运行，植入的设备将通过RF遥测将设备和患者信息传送到外部编程器。

公开(公告)号：US5820589A

公开(公告)日：1998-10-13

申请号：US641363

申请日：1996-04-30

申请人： Nathan A. Torgerson ,  Raymond F. McMullen

发明人： Nathan A. Torgerson ,  Raymond F. McMullen

IPC分类号： A61M5/142 ,  A61M5/168 ,  A61M11/00

CPC分类号： A61M5/14276 ,  A61M2205/3523 ,  A61M5/16877

摘要： In accordance with the present invention, an implantable pump is programmed non-invasively by means of a programmer that communicates flow rate information by means of radio frequency telemetry or other methods of non-invasive telemetry. The programmer also supplies power to the implantable pump during programming. The implanted rate-adjustable pump that receives rate information and power by telemetry preferably does not include a battery or any other type of internal power supply, relying only on the energy obtained from the programmer through telemetry.

摘要翻译： 根据本发明，借助于通过射频遥测或其他非侵入性遥测方法传送流量信息的编程器非侵入式编程可植入泵。 编程人员还可以在编程期间向可植入泵供电。 通过遥测接收速率信息和功率的植入率调节泵优选地不包括电池或任何其它类型的内部电源，仅依靠通过遥测从编程器获得的能量。