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公开(公告)号:US20230355981A1
公开(公告)日:2023-11-09
申请号:US18131592
申请日:2023-04-06
Applicant: Medtronic, Inc.
Inventor: Maneesh Shrivastav , Shaileshkumar V. Musley , Kanthaiah Koka , Steven M. Goetz , Suryakiran Vadrevu , Rebecca K. Gottlieb , David John Miller , Leonid M. Litvak
IPC: A61N1/36
CPC classification number: A61N1/36139 , A61N1/36053
Abstract: A system is provided herein for stimulating an anatomical element of a patient. For example, a device may be configured to generate a current, and an electrode device coupled to the device may be configured to apply the current to the anatomical element. In some examples, the current may be configured to prevent hypoglycemic episodes from occurring in the patient when applied to the anatomical element. For example, the current may be configured to downregulate neural activity of a celiac vagal trunk and to upregulate neural activity of a hepatic vagal trunk. Accordingly, the current being applied to anatomical element of the patient may result in a decrease in insulin production of the patient, an increase in glucose production of the patient, an increase in blood sugar levels of the patient, or a combination thereof. Additionally, applying the current may prevent nocturnal hypoglycemic episodes from occurring.
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公开(公告)号:US20230355976A1
公开(公告)日:2023-11-09
申请号:US18131576
申请日:2023-04-06
Applicant: Medtronic, Inc.
Inventor: Maneesh Shrivastav , ShaileshKumar V. Musley , Kanthaiah Koka , Steven M. Goetz , Suryakiran Vadrevu , Rebecca K. Gottlieb , David John Miller , Leonid M. Litvak
CPC classification number: A61N1/36053 , A61N1/0556 , A61B5/14532
Abstract: A system is provided herein for stimulating an anatomical element of a patient to regulate insulin production of the patient. In some examples, the system may include a device configured to generate a current and an electrode device electrically coupled to the device. Subsequently, the device may receive instructions to apply the current to the anatomical element via a plurality of electrodes of the electrode device, where the current is configured to regulate insulin production of the patient. For example, a first electrode may be configured for placement on or around a celiac vagal trunk, where the current downregulates neural activity of the celiac vagal trunk, and a second electrode may be configured for placement on or around a hepatic vagal trunk, where the current upregulates neural activity of the hepatic vagal trunk.
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公开(公告)号:US20230355975A1
公开(公告)日:2023-11-09
申请号:US18131555
申请日:2023-04-06
Applicant: Medtronic, Inc.
Inventor: Maneesh Shrivastav , ShaileshKumar V. Musley , Kanthaiah Koka , Steven M. Goetz , Suryakiran Vadrevu , Rebecca K. Gottlieb , David John Miller , Leonid M. Litvak
IPC: A61N1/36
CPC classification number: A61N1/36053 , A61N1/36146
Abstract: A system is provided herein for stimulating an anatomical element of a patient to achieve glycemic control for the patient. In some examples, the system may include a device configured to generate a current and an electrode device electrically coupled to the device that includes a plurality of electrodes configured for placement on or around the anatomical element. The device may receive instructions to apply the current to the anatomical element via the plurality of electrodes of the electrode device. Additionally, the current may be applied using a first waveform of a plurality of waveforms that the device is capable of generating, where each of the plurality of waveforms comprise a substantially similar charge density. Additionally or alternatively, a system is provided that provides a pharmacological blockade at the anatomical element using a micropump that is configured to deliver a pharmacological agent to the anatomical element to achieve glycemic control.
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公开(公告)号:US20230355244A1
公开(公告)日:2023-11-09
申请号:US18131513
申请日:2023-04-06
Applicant: Medtronic, Inc.
Inventor: Maneesh Shrivastav , ShaileshKumar V. Musley , Kanthaiah Koka , Steven M. Goetz , Suryakiran Vadrevu , Rebecca K. Gottlieb , David John Miller , Leonid M. Litvak
IPC: A61B17/135
CPC classification number: A61B17/1355 , A61B2017/00867
Abstract: Systems and methods for mechanically blocking a nerve are provided. The system may comprise a blocking device configured to selectively compress the nerve. The system may also comprise a feedback mechanism configured to measure a response correlating to whether the nerve is blocked. When the blocking device compresses the nerve, a response from the feedback mechanism is received that correlates to the nerve being blocked or unblocked after a period of time.
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公开(公告)号:US11752343B2
公开(公告)日:2023-09-12
申请号:US16985955
申请日:2020-08-05
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
CPC classification number: A61N1/36139 , A61N1/36057 , A61N1/36071
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:US10661074B2
公开(公告)日:2020-05-26
申请号:US16517316
申请日:2019-07-19
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:US10449369B2
公开(公告)日:2019-10-22
申请号:US15830814
申请日:2017-12-04
Applicant: Medtronic, Inc.
Inventor: Steven M. Goetz
Abstract: A programming system allows a user to program therapy parameter values for therapy delivered by a medical device by specifying a desired therapeutic outcome. In an example, the programming system presents a model of a brain network associated with a patient condition to the user. The model may be a graphical representation of a network of anatomical structures of the brain associated with the patient condition and may indicate the functional relationship between the anatomical structures. Using the model, the user may define a desired therapeutic outcome associated with the condition, and adjust excitatory and/or inhibitory effects of the stimulation on the anatomical structures. The system may determine therapy parameter values for therapy delivered to the patient based on the user input.
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公开(公告)号:US20190275342A1
公开(公告)日:2019-09-12
申请号:US16410864
申请日:2019-05-13
Applicant: Medtronic, Inc.
Inventor: Richard T. Stone , Warren W. Ball , Carl D. Wahlstrand , Steven M. Goetz , Lynn M. Otten
IPC: A61N1/372 , G16H30/20 , A61N1/05 , G16H50/50 , A61N1/36 , G06F3/0482 , G06F3/0481 , G16H40/20
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.
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公开(公告)号:US10055550B2
公开(公告)日:2018-08-21
申请号:US15162099
申请日:2016-05-23
Applicant: Medtronic, Inc.
Inventor: Steven M. Goetz
CPC classification number: G16H40/67 , A61B2560/0271 , A61N1/37247 , A61N1/37252 , A61N1/37264 , A61N1/37282 , G06F19/324 , G06F19/3418 , G06F19/3456 , G06F19/3481 , G06Q50/24 , G16H10/60 , G16H20/10 , G16H20/40 , G16H40/20 , G16H40/63
Abstract: The disclosure is directed to techniques for remote management of information relating to therapy delivered to a patient by an implantable medical device (IMD). A remote monitoring system for therapy programming includes an IMD that delivers therapy, e.g., neurostimulation, drug therapy, or both, to a patient, an external programming device associated with the IMD, such as a patient programmer, and a remote networking device that receives usage information from the external programming device. The external programming device communicates with the IMD via local, wireless communication, and the remote networking device receives usage information from the external programming device via a network. The usage information includes information that relates to use of therapy by the patient, use of features of the external programming device and the IMD, or use of navigation patterns of a user interface of the external programming device.
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公开(公告)号:US09849293B2
公开(公告)日:2017-12-26
申请号:US13750832
申请日:2013-01-25
Applicant: Medtronic, Inc.
Inventor: Steven M. Goetz
CPC classification number: A61N1/372 , A61N1/00 , A61N1/37247
Abstract: A programming system allows a user to program therapy parameter values for therapy delivered by a medical device by specifying a desired therapeutic outcome. In an example, the programming system presents a model of a brain network associated with a patient condition to the user. The model may be a graphical representation of a network of anatomical structures of the brain associated with the patient condition and may indicate the functional relationship between the anatomical structures. Using the model, the user may define a desired therapeutic outcome associated with the condition, and adjust excitatory and/or inhibitory effects of the stimulation on the anatomical structures. The system may determine therapy parameter values for therapy delivered to the patient based on the user input.
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