IMPLANTABLE MEDICAL SYSTEMS, DEVICES, AND METHODS FOR AFFECTING CARDIAC FUNCTION THROUGH DIAPHRAGM STIMULATION, AND FOR MONITORING DIAPHRAGMATIC HEALTH

    公开(公告)号:US20230052143A1

    公开(公告)日:2023-02-16

    申请号:US17980308

    申请日:2022-11-03

    Abstract: Devices, systems and methods provide forms of asymptomatic diaphragmatic stimulation (ADS) therapy that affect pressures within the intrathoracic cavity, including: 1) dual-pulse ADS therapy, during which a first ADS pulse is delivered during a diastolic phase of a cardiac cycle and a second ADS pulse is delivered during a systolic phase, 2) paired-pulse ADS therapy, during which a first ADS pulse is delivered, closely followed by a second ADS pulse, with the second ADS pulse functioning to extend or enhance a phase of a transient, partial contraction of the diaphragm, and 3) multiple-pulse ADS therapy, during which a stream of ADS pulses is delivered, wherein the time between pulses is based on heart rate. Devices, systems and methods also monitor electromyography (EMG) activity of the diaphragm relative to baseline activity to assess the health of a diaphragm subject to ADS therapy and to adjust ADS therapy parameters or sensing parameters.

    APPARATUSES AND METHODS FOR WIRELESSLY POWERED CHARGE-BALANCED ELECTRICAL STIMULATION

    公开(公告)号:US20230046820A1

    公开(公告)日:2023-02-16

    申请号:US17798554

    申请日:2021-02-10

    Abstract: Apparatuses and methods are disclosed for efficient wireless powering of an electrical load with precise external control over pulsed voltage waveform and metering of charge delivered. The system interfaces to an inductive coil for RF power delivery from an external duty-cycled RF power transmitter, and the electrical load. The electrical load may be a photosensitive array of electrodes for an optically addressed, electrically activated retinal prosthesis. The voltage waveform to activate the load is controlled by the transmitted RF amplitude, including switching between cathodic and anodic phases of electrical stimulation. Charge delivered to the load is quantified as discharge events through a series capacitor, transmitted by backtelemetry to the receiver for continuous monitoring throughout the stimulation phases. The subject disclosure further provides for calibration of voltage amplitude and charge metering, to compensate for variable wireless link and load conditions, through additional stimulation phases with a supplementary load with known and stable characteristics.

    Method and device for managing biological activity data storage utilizing lossy compression

    公开(公告)号:US11577084B2

    公开(公告)日:2023-02-14

    申请号:US16842904

    申请日:2020-04-08

    Inventor: Dean P. Andersen

    Abstract: An implantable medical device (IMD) and method are provided. The IMD includes a sensing channel configured to obtain biological signals indicative of biological behavior of an anatomy of interest over a period of time. The biological behavior has a feature of interest that repeats over time. The biological signals have clinically relevant (CR) segments that include information related to the feature of interest. The biological signals have non-clinically relevant (NCR) segments that do not include information related to the feature of interest. At least one of circuitry or a processor are configured to compare the biological signals to an amplitude window to distinguish the CR segments from the NCR segments, save to memory the CR segments and delete the NCR segments, save to memory time information indicative of a duration of the NCR segments that were deleted and to form a lossy compressed data set for the biological signals.

    ELECTRICAL STIMULATION OF TISSUE
    75.
    发明申请

    公开(公告)号:US20230035441A1

    公开(公告)日:2023-02-02

    申请号:US17642062

    申请日:2020-09-10

    Abstract: A method for stimulating a group of nerves, the method comprising: placing at least one electrode in contact with skin of a subject; applying an electrical signal to the subject through the at least one electrode, wherein the electrical signal comprises a series of pulses; and continuously randomly varying at least one of the following signal parameters: (i) a duration of each of the pulses, (ii) a time interval between each pair of pulses, and (iii) an energy value of each of the pulses, while maintaining a number of pulses per second of the electrical signal above a predetermined minimum number of pulses per second, and the energy value per pulse above a predetermined minimum energy value.

    Stimulation response profiles
    78.
    发明授权

    公开(公告)号:US11534597B2

    公开(公告)日:2022-12-27

    申请号:US16879297

    申请日:2020-05-20

    Abstract: Techniques for providing therapy to a patient via electrical stimulation are described. The techniques include, for example, determining, relative to a start time of providing the electrical stimulation, one or more efficacy times that correspond to an efficacy indicator, determining, according to the efficacy times, efficacy data items for the patient, comparing the efficacy data items with the efficacy indicator, and generating, based on the comparison, a prediction of an expected response to the therapy manifesting in the patient at a prospective time.

    Methods for treating urinary stress incontinence

    公开(公告)号:US11511110B2

    公开(公告)日:2022-11-29

    申请号:US16454578

    申请日:2019-06-27

    Applicant: Viveve, Inc.

    Abstract: Methods for treating urinary stress incontinence by non-invasively delivering energy to one or more submucosal regions of vaginal tissue to induce remodeling within the vaginal tissue are provided. In some embodiments, the energy delivery results in heating of the target tissue to a temperature that ranges from about 38° C. to about 46° C. In some embodiments, the subject methods involve cooling a mucosal epithelial layer over the vaginal tissue. In some embodiments, a reverse thermal gradient is produced as the mucosal epithelium is cooled while energy is delivered to the underlying vaginal tissue.

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