公开(公告)号：US20140107731A1

公开(公告)日：2014-04-17

申请号：US14107894

申请日：2013-12-16

Applicant: Medtronic, Inc.

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

IPC: A61N1/372 ,  A61N1/36

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.

Abstract translation: 本公开描述了允许用户通过定义三维（3D）刺激场来配置电刺激治疗的方法和系统。 在将刺激引线植入患者体内之后，临床医生操纵3D环境中的3D刺激场以包围病人的所需解剖区域。 以这种方式，临床医生确定要刺激的解剖区域，并且系统产生必要的刺激参数。 在一些情况下，显示代表植入引线的引线图标，以显示临床医生铅的相对于患者的3D解剖区域。

公开(公告)号：US20140088666A1

公开(公告)日：2014-03-27

申请号：US14028371

申请日：2013-09-16

Applicant: Medtronic, Inc.

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

IPC: A61N1/372

CPC classification number: A61N1/0534 ,  A61N1/36071 ,  A61N1/36157 ,  A61N1/36185 ,  A61N1/37247

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.

Abstract translation: 本公开涉及编程可植入刺激器以通过具有复杂电极阵列几何形状的一个或多个可植入引线输送刺激能量。 本公开还考虑了引导编程以选择电极组合和参数值以支持功效。 这些技术可以应用于与临床医生程序员，患者程序员或两者相关联的编程接口。 用户界面允许用户从相对于铅的不同角度来观察电极。 例如，用户界面提供引线的侧视图和引线的横截面图。 用户界面可以包括轴向控制介质，用于选择和/或查看沿引线长度的不同轴向位置处的电极;以及旋转控制介质，用于选择和/或查看围绕引线圆周的不同角位置处的电极。

公开(公告)号：US11904161B2

公开(公告)日：2024-02-20

申请号：US17873003

申请日：2022-07-25

Applicant: Medtronic, Inc.

Inventor： Richard T. Stone ,  Michael T. Hegland

IPC: A61N1/05 ,  A61N1/36

CPC classification number: A61N1/0534 ,  A61N1/0536 ,  A61N1/0558 ,  A61N1/36062 ,  A61N1/36067 ,  A61N1/36017 ,  A61N1/36128

Abstract: A lead assembly includes a central lead member having a distal portion configured to extend along a longitudinal axis. The lead assembly also includes two or more side lead members disposed around the central lead member. Each side lead member includes a deploying portion extending at an angle away from the longitudinal axis. Each deploying portion has a proximal portion and a distal portion. The distal portion is laterally spaced from the central lead member and extends more parallel to the longitudinal axis than the proximal portion. The lead assembly also includes one or more electrodes attached to the distal portion of the deploying portion of each side lead member. The lead assembly optionally includes a cannula comprising a lumen, an end portion, and a buckler disposed in the lumen on the end portion for deploying the lead members.

公开(公告)号：US11752351B2

公开(公告)日：2023-09-12

申请号：US16579579

申请日：2019-09-23

Applicant: MEDTRONIC, INC.

Inventor： Richard T. Stone ,  Michael T. Hegland ,  Darren A. Janzig ,  Dale F. Seeley ,  Sean P. Skubitz ,  Ryan Davis ,  Salil M. Vaidya

IPC: A61N1/37 ,  A61N1/375 ,  A61M39/00 ,  A61F2/30

CPC classification number: A61N1/3752 ,  A61M39/00 ,  A61F2002/3007 ,  A61M2039/0054

Abstract: Seals used within lead bores of implantable medical devices for creating a seal to implantable medical leads inserted into the lead bores include a cylinder that engages the lead body. The length of contact of the cylinder to the lead body is at least 0.010″ long while average contact pressure is no greater than (10 pounds per inch)/(contact length). Adequate electrical isolation is achieved, even when a debris particle is present between the inner cylinder and the lead body while insertion force remains acceptable.

公开(公告)号：US11701513B2

公开(公告)日：2023-07-18

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 ,  A61N1/372 ,  A61N1/36

CPC classification number: A61N1/0534 ,  A61N1/36157 ,  A61N1/36185 ,  A61N1/37247 ,  A61N1/36071

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：US11666767B2

公开(公告)日：2023-06-06

申请号：US16091290

申请日：2017-04-13

Applicant: MEDTRONIC, INC.

Inventor： Darren Janzig ,  Robert J. Davies ,  Seth M. Humphrys ,  Richard T. Stone

IPC: A61N1/375 ,  B23K26/21 ,  A61N1/05 ,  B23K15/00 ,  B23K101/36 ,  A61N1/36

CPC classification number: A61N1/3752 ,  A61N1/05 ,  B23K15/0046 ,  B23K26/21 ,  A61N1/0551 ,  A61N1/3605 ,  B23K2101/36

Abstract: A method of forming a medical device lead connection element is described. The method includes positioning an end portion of a lead filar to overlap a lead end connection element such that the positioning creates mutual interference between the lead filar and the lead end connection element, and forming an interference configuration. Then melting the end portion of the lead filar to form a weld joint and allowint the end portion of the lead filar to move towards the end connection element.

公开(公告)号：US20210085983A1

公开(公告)日：2021-03-25

申请号：US16579579

申请日：2019-09-23

Applicant: MEDTRONIC, INC.

Inventor： Richard T. Stone ,  Michael T. Hegland ,  Darren A. Janzig ,  Dale F. Seeley ,  Sean P. Skubitz ,  Ryan Davis ,  Salil M. Vaidya

IPC: A61N1/375 ,  A61M39/00

Abstract: Seals used within lead bores of implantable medical devices for creating a seal to implantable medical leads inserted into the lead bores include a cylinder that engages the lead body. The length of contact of the cylinder to the lead body is at least 0.010″ long while average contact pressure is no greater than (10 pounds per inch)/(contact length). Adequate electrical isolation is achieved, even when a debris particle is present between the inner cylinder and the lead body while insertion force remains acceptable.

公开(公告)号：US20200376260A1

公开(公告)日：2020-12-03

申请号：US16995492

申请日：2020-08-17

Applicant: MEDTRONIC, INC.

Inventor： Jamu K. Alford ,  Spencer Fodness Bondhus ,  Michael Kalm ,  James M. Olsen ,  Brian T. Stolz ,  Richard T. Stone ,  Bryan D. Stem ,  John D. Welter

IPC: A61N1/05

Abstract: Conductors within an implantable medical lead that carry stimulation signal signals are at least partially embedded within a lead body of the medical lead over at least a portion of the length of the conductors while being surrounded by a radio frequency (RF) shield. A space between the shield and the conductors is filled by the presence of the lead body material such that body fluids that infiltrate the lead over time cannot pool in the space between the shield and the conductors. The dielectric properties of the lead body are retained and the capacitive coupling between the shield and the conductors continues to be inhibited such that current induced on the shield is inhibited from being channeled onto the conductors. Heating at the electrodes of the medical lead is prevented from becoming excessive.

公开(公告)号：US20200376257A1

公开(公告)日：2020-12-03

申请号：US16947948

申请日：2020-08-25

Applicant: Medtronic, Inc.

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

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：US20200338355A1

公开(公告)日：2020-10-29

申请号：US16396474

申请日：2019-04-26

Applicant: MEDTRONIC, INC.

Inventor： Steven T. Deininger ,  Jeffrey Clayton ,  Thomas M. Hillebrand ,  Jenna George ,  Bin Wang ,  Michael T. Hegland ,  Darren A. Janzig ,  Sean P. Skubitz ,  Richard T. Stone ,  Dale F. Seeley ,  Salil M. Vaidya

IPC: A61N1/375 ,  H01R13/52

Abstract: Seals used within lead bores of implantable medical devices for creating a seal to implantable medical leads inserted into the lead bores include an inner cylinder that engages the lead body. The inner cylinder is surrounded by a gap to either an outer cylinder of the seal or to surrounding structures of the implantable medical device. The inner cylinder has freedom of movement within the gap such that movement of the lead body that is off-axis relative to a centerline of the lead bore causes movement of the inner cylinder that is providing the seal. In this manner, the seal engagement to the lead body is maintained during this off-axis movement of the lead body.