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公开(公告)号:US20210196964A1
公开(公告)日:2021-07-01
申请号:US17139213
申请日:2020-12-31
Applicant: Medtronic, Inc.
Inventor: Evan D. Schnell , Scott R. Stanslaski , Ilan D. Gordon , Steven M. Goetz , Hijaz M. Haris , Eric J. Panken , Timothy R. Abraham , Thomas L. Chouinard , Susan E. Heilman Kilbane , Karan Chitkara , Christopher M. Arnett , Alicia W. Thompson , Kevin C. Johnson , Ankush Thakur , Lukas Valine , Christopher L. Pulliam , Brady N. Fetting , Rucha Gokul G. Samant , Andrew H. Houchins , Caleb C. Zarns
Abstract: Devices, systems, and techniques are disclosed for managing electrical stimulation therapy and/or sensing of physiological signals such as brain signals. For example, a system may assist a clinician in identifying one or more electrode combinations for sensing a brain signal. In another example, a user interface may display brain signal information and values of a stimulation parameter at least partially defining electrical stimulation delivered to a patient when the brain signal information was sensed.
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公开(公告)号:US10980978B2
公开(公告)日:2021-04-20
申请号:US15858436
申请日:2017-12-29
Applicant: Medtronic, Inc.
Inventor: Steven M. Goetz , Mark J. Holle , Ashish Singal , Spencer Fodness-Bondhus
Abstract: In some examples, a burr hole cap assembly includes one or more markers that indicate a rotational orientation of a therapy delivery member relative to the burr hole cap assembly, where the therapy delivery member extends through an opening defined by the burr hole cap assembly. In addition, in some examples, the burr hole cap assembly includes a feature that indicates the rotational orientation of the therapy delivery member after the therapy delivery member is implanted in the patient. The feature can include the one or more markers in some examples.
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公开(公告)号:US20210000349A1
公开(公告)日:2021-01-07
申请号:US17025518
申请日:2020-09-18
Applicant: Medtronic, Inc.
Inventor: Steven M. Goetz
Abstract: Techniques for remotely titrating a therapy delivered using an implantable medical device system are disclosed. An implantable medical device delivers therapy according to a first program. The system collects patient data relating to at least one of an efficacy of, or side effects resulting from, the delivered therapy, and transmits the patient data to a remote network device. A clinician may then analyze the patient data and determine if changes to the therapy are warranted. The clinician may then transmit a programming change, e.g., a modification to the first program or a new, second program, to the implantable medical device system, and the implantable medical device may deliver therapy according to the changed programming. The process of receiving patient data and modifying the therapy programming may be repeated multiple times until the therapy is adequately titrated, e.g., until the patient data indicates adequate efficacy and/or acceptable side effects.
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公开(公告)号:US10744326B2
公开(公告)日:2020-08-18
申请号:US14454427
申请日:2014-08-07
Applicant: Medtronic, Inc.
Inventor: Gary W. King , Steven M. Goetz , Andrew H. Houchins , Jeffrey T. Keacher , Jordan J. Greenberg , Kenneth T. Heruth , Mark S. Lent , Paul W. Wacnik
IPC: A61N1/36
Abstract: Peripheral nerve field stimulation (PNFS) may be controlled based on detected physiological effects of the PNFS, which may be an efferent response to the PNFS. In some examples, a closed-loop therapy system may include a sensing module that senses a physiological parameter of the patient, which may be indicative of the patient's response to the PNFS. Based on a signal generated by the sensing module, the PNFS may be activated, deactivated or modified. Example physiological parameters of the patient include heart rate, respiratory rate, electrodermal activity, muscle activity, blood flow rate, sweat gland activity, pilomotor reflex, or thermal activity of the patient's body. In some examples, a patient pain state may be detected based on a signal generated by the sensing module, and therapy may be controlled based on the detection of the pain state.
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公开(公告)号:US10579149B2
公开(公告)日:2020-03-03
申请号:US14607885
申请日:2015-01-28
Applicant: Medtronic, Inc.
Inventor: Steven M. Goetz , Pedram Afshar
IPC: G06F3/01
Abstract: Devices, systems, and techniques for mitigating error from gesture input are disclosed. A system may receive an indication of a first gesture input, determine that the first gesture input is an indicator gesture input, and, responsive to the determination that the first gesture input is the indicator gesture input, enter a gesture control mode during which the system is configured to control one or more actions related to a medical procedure. Only during the gesture control mode, the system may receive an indication of a second gesture input associated with the medical procedure and, responsive to receiving the indication of the second gesture input, control, based on the second gesture input, at least a portion of the medical procedure. Additionally, or alternatively, the system may employ other error mitigation techniques for gesture input related to medical procedures.
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公开(公告)号:US20200046970A1
公开(公告)日:2020-02-13
申请号:US16658368
申请日:2019-10-21
Applicant: Medtronic, Inc.
Inventor: Martin T. Gerber , Steven M. Goetz , Christopher Poletto
IPC: A61N1/36
Abstract: Prophylactic stimulation and abortive electrical stimulation are delivered to a cranial nerve, including, e.g. an occipital or trigeminal nerve to treat symptoms of various conditions, including, e.g. occipital neuralgia or migraines.
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公开(公告)号:US10556103B2
公开(公告)日:2020-02-11
申请号:US15710571
申请日:2017-09-20
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
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.
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公开(公告)号:US20190214126A1
公开(公告)日:2019-07-11
申请号:US15866718
申请日:2018-01-10
Applicant: Medtronic, Inc.
Inventor: Steven M. Goetz
Abstract: Devices, systems, and methods pertain to planning and providing guidance for a cranial based implantation of an implantable medical device or devices. The collection of data, such as data pertaining to the skull of the patient, the scalp of the patient, the vascular structure or neurological structures in the head of the patient, is performed. The data may be in the form of images, such as images generated by X-ray, magnetic resonance imaging, CT-scan and fluoroscopy. A surgeon can use the collected data to determine, for example, whether the patient is a candidate for a cranial implantation, whether the patient's skull and scalp can support the implantation, what configuration of device should be implanted, where the device should be implanted, and how the surgical incisions should be made.
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公开(公告)号:US10335588B2
公开(公告)日:2019-07-02
申请号:US14954298
申请日:2015-11-30
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
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.
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公开(公告)号:US10279166B2
公开(公告)日:2019-05-07
申请号:US15456268
申请日:2017-03-10
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
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.
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