公开(公告)号：US10980996B2

公开(公告)日：2021-04-20

申请号：US16139013

申请日：2018-09-22

Applicant: MEDTRONIC, INC.

Inventor： Richard T. Stone ,  Spencer Fodness-Bondhus ,  Walter Doell ,  John D. Welter ,  Guillaume Schmit ,  Niklaus Schneeberger

IPC: A61N1/05 ,  H01H49/00 ,  H01F41/02 ,  H01H36/00 ,  A61N1/08

Abstract: Magnetic orientation-independent magnetically actuated switches may be made by producing an outer cylinder and an actuator cylinder from ferromagnetic sheets and non-ferromagnetic sheets in alternating order. A first ferromagnetic body is attached to an end of the outer cylinder. The actuator cylinder is positioned within a first bore of the outer cylinder, the actuator pin is positioned within a second bore of the actuator cylinder and a third bore of the first ferromagnetic body with a portion of the actuator pin extending beyond the third bore of the first ferromagnetic body. A second ferromagnetic body is attached to the portion of the actuator pin, thus forming the magnetic orientation-independent magnetically operated switch.

公开(公告)号：US20200376255A1

公开(公告)日：2020-12-03

申请号：US16947944

申请日：2020-08-25

Applicant: Medtronic, Inc.

Inventor： Brad C. Tischendorf ,  John E. Kast ,  Thomas P. Miltich ,  Gordon O. Munns ,  Randy S. Roles ,  Craig L. Schmidt ,  Joseph J. Viavattine ,  Christian S. Nielsen ,  Prabhakar A. Tamirisa ,  Anthony M. Chasensky ,  Markus W. Reiterer ,  Chris J. Paidosh ,  Reginald D. Robinson ,  Bernard Q. Li ,  Erik R. Scott ,  Phillip C. Falkner ,  Xuan K. Wei ,  Eric H. Bonde ,  David A. Dinsmoor ,  Duane L. Bourget ,  Forrest C M Pape ,  Gabriela C. Molnar ,  Joel A. Anderson ,  Michael J. Ebert ,  Richard T. Stone ,  Shawn C. Kelley ,  Stephen J. Roddy ,  Timothy J. Denison ,  Todd V. Smith

IPC: A61N1/02 ,  A61B17/00 ,  A61N1/05 ,  A61N1/372 ,  A61N1/375 ,  A61N1/36 ,  A61N1/378

Abstract: A neuromodulation therapy is delivered via at least one electrode implanted subcutaneously and superficially to a fascia layer superficial to a nerve of a patient. In one example, an implantable medical device is deployed along a superficial surface of a deep fascia tissue layer superficial to a nerve of a patient. Electrical stimulation energy is delivered to the nerve through the deep fascia tissue layer via implantable medical device electrodes.

公开(公告)号：US20200282205A1

公开(公告)日：2020-09-10

申请号：US16881907

申请日：2020-05-22

Applicant: Medtronic, Inc.

Inventor： Steven M. Goetz ,  Richard T. Stone ,  Warren W. Ball ,  Carl D. Wahlstrand ,  Michael T. Hegland ,  Gabriela C. Molnar ,  James M. Olsen

IPC: A61N1/05 ,  A61N1/36 ,  A61N1/372

Abstract: The disclosure is directed to programming implantable stimulators to deliver stimulation energy via one or more implantable leads having complex electrode array geometries. The disclosure also contemplates guided programming to select electrode combinations and parameter values to support efficacy. The techniques may be applied to a programming interface associated with a clinician programmer, a patient programmer, or both. A user interface permits a user to view electrodes from different perspectives relative to the lead. For example, the user interface provides a side view of a lead and a cross-sectional view of the lead. The user interface may include an axial control medium to select and/or view electrodes at different axial positions along the length of a lead, and a rotational control medium to select and/or view electrodes at different angular positions around a circumference of the lead.

公开(公告)号：US10556105B2

公开(公告)日：2020-02-11

申请号：US15973502

申请日：2018-05-07

Applicant: MEDTRONIC, INC.

Inventor： Michael J. Kern ,  James M. Olsen ,  Michael R. Klardie ,  Richard T. Stone ,  Chad Q. Cai ,  Spencer Fodness-Bondhus ,  Mark J. Conroy ,  Timothy R. Abraham ,  Brian T. Stolz

IPC: A61N1/05 ,  A61N1/08 ,  A61N1/37 ,  A61N1/375 ,  A61B90/00

Abstract: A shield located within an implantable medical lead may be terminated in various ways. The shield may be terminated by butt, scarf, lap, or other joints between insulation layers surrounding the lead and an insulation extension. For lap joints, a portion of an outer insulation layer may be removed and a replacement outer insulation layer is positioned in place of the removed outer insulation layer, where the replacement layer extends beyond an inner insulation layer and the shield. The replacement layer may also lap onto a portion of the insulation extension. Barbs may be located between the replacement layer and the inner insulation layer or the insulation extension. The shield wires have ends at the termination point that may be folded over individually or may be capped with a ring located within one of the insulation layers of the jacket.

公开(公告)号：US10512427B2

公开(公告)日：2019-12-24

申请号：US13764911

申请日：2013-02-12

Applicant: Medtronic, Inc.

Inventor： Richard T. Stone ,  Keith A. Miesel

IPC: A61B7/00 ,  A61B5/20 ,  A61B5/11 ,  A61B5/00 ,  A61N1/36 ,  A61N1/05

Abstract: A bladder fullness level of a patient may be determined based on a frequency of mechanical oscillations of the bladder of the patient. The bladder may mechanically oscillate in response to the occurrence of non-micturition contractions of the bladder of the patient, which are contractions not associated with urine release. The frequency at which the bladder oscillates, e.g., following a non-micturition contraction, may have a correlation to the bladder fullness level. In some examples, a medical device may be configured to control the delivery of electrical stimulation therapy to the patient based on the oscillation frequency of the bladder. In addition, or instead to controlling therapy based on the oscillation frequency of the bladder, a notification, such as a patient or patient caretaker notification, may be generated (e.g., automatically by a processor of a device) based on the oscillation frequency of the bladder.

公开(公告)号：US10342970B2

公开(公告)日：2019-07-09

申请号：US15193816

申请日：2016-06-27

Applicant: Medtronic, Inc.

Inventor： Steven M. Goetz ,  Richard T. Stone ,  Warren W. Ball ,  Carl D. Wahlstrand ,  Michael T. Hegland ,  Gabriela C. Molnar ,  James M. Olsen

IPC: A61N1/05 ,  A61N1/36 ,  A61N1/372

Abstract: The disclosure is directed to programming implantable stimulators to deliver stimulation energy via one or more implantable leads having complex electrode array geometries. The disclosure also contemplates guided programming to select electrode combinations and parameter values to support efficacy. The techniques may be applied to a programming interface associated with a clinician programmer, a patient programmer, or both. A user interface permits a user to view electrodes from different perspectives relative to the lead. For example, the user interface provides a side view of a lead and a cross-sectional view of the lead. The user interface may include an axial control medium to select and/or view electrodes at different axial positions along the length of a lead, and a rotational control medium to select and/or view electrodes at different angular positions around a circumference of the lead.

公开(公告)号：US10286216B2

公开(公告)日：2019-05-14

申请号：US15374564

申请日：2016-12-09

Applicant: Medtronic, Inc.

Inventor： Richard T. Stone ,  Warren W. Ball ,  Carl D. Wahlstrand ,  Steven M. Goetz ,  Lynn M. Otten

IPC: A61N1/00 ,  A61N1/372 ,  A61N1/05 ,  A61N1/36 ,  G06F3/0481 ,  G06F3/0482 ,  G06F19/00 ,  G16H50/50

Abstract: 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.

公开(公告)号：US20180256893A1

公开(公告)日：2018-09-13

申请号：US15973502

申请日：2018-05-07

Applicant: MEDTRONIC, INC.

Inventor： Michael J. Kern ,  James M. Olsen ,  Michael R. Klardie ,  Richard T. Stone ,  Chad Q. Cai ,  Spencer M. Bondhus ,  Mark J. Conroy ,  Timothy R. Abraham ,  Brian T. Stolz

IPC: A61N1/08 ,  A61N1/37 ,  A61N1/375 ,  A61N1/05 ,  A61B90/00

Abstract: A shield located within an implantable medical lead may be terminated in various ways. The shield may be terminated by butt, scarf, lap, or other joints between insulation layers surrounding the lead and an insulation extension. For lap joints, a portion of an outer insulation layer may be removed and a replacement outer insulation layer is positioned in place of the removed outer insulation layer, where the replacement layer extends beyond an inner insulation layer and the shield. The replacement layer may also lap onto a portion of the insulation extension. Barbs may be located between the replacement layer and the inner insulation layer or the insulation extension. The shield wires have ends at the termination point that may be folded over individually or may be capped with a ring located within one of the insulation layers of the jacket.

公开(公告)号：US20180168564A1

公开(公告)日：2018-06-21

申请号：US15900083

申请日：2018-02-20

Applicant: Medtronic, Inc.

Inventor： Brad C. Tischendorf ,  Eric H. Bonde ,  Phillip C. Falkner ,  John E. Kast ,  Randy S. Roles ,  Erik R. Scott ,  Todd V. Smith ,  Xuan K. Wei ,  Anthony M. Chasensky ,  Michael J. Ebert ,  Shawn C. Kelley ,  Gabriela C. Molnar ,  Richard T. Stone

IPC: A61B17/00 ,  A61N1/378 ,  A61N1/05 ,  A61N1/36 ,  A61N1/02 ,  A61N1/375 ,  A61N1/372

Abstract: A neuromodulation therapy is delivered via at least one electrode implanted subcutaneously and superficially to a fascia layer superficial to a nerve of a patient. In one example, an implantable medical device is deployed along a superficial surface of a deep fascia tissue layer superficial to a nerve of a patient. Electrical stimulation energy is delivered to the nerve through the deep fascia tissue layer via implantable medical device electrodes.

公开(公告)号：US09849295B2

公开(公告)日：2017-12-26

申请号：US15238478

申请日：2016-08-16

Applicant: Medtronic, Inc.

Inventor： Richard T. Stone ,  Warren W. Ball ,  Carl D. Wahlstrand ,  Steven M. Goetz ,  Lynn M. Otten

IPC: A61N1/00 ,  A61N1/372 ,  A61N1/05 ,  A61N1/36 ,  G06F3/0481 ,  G06F3/0482 ,  G06F19/00

CPC classification number: 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

Abstract: 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.