公开(公告)号：US08738145B2

公开(公告)日：2014-05-27

申请号：US13251925

申请日：2011-10-03

申请人： Steven M. Goetz ,  Andrew H. Houchins ,  Jeffrey T. Keacher ,  Gary W. King ,  Kenneth T. Heruth ,  Roy L. Testerman ,  Michael T. Lee ,  Nathan A. Torgerson ,  Joseph J. Nolan

发明人： Steven M. Goetz ,  Andrew H. Houchins ,  Jeffrey T. Keacher ,  Gary W. King ,  Kenneth T. Heruth ,  Roy L. Testerman ,  Michael T. Lee ,  Nathan A. Torgerson ,  Joseph J. Nolan

IPC分类号： A61N1/08 ,  A61N1/372

CPC分类号： A61N1/37247 ,  A61N1/36071 ,  A61N1/36185 ,  A61N1/37252

摘要： The disclosure is directed to techniques for shifting between two electrode combinations. An amplitude of a first electrode combination is incrementally decreased while an amplitude of a second, or subsequent, electrode combination is concurrently incrementally increased. Alternatively, an amplitude of the first electrode combination is maintained at a target amplitude level while the amplitude of the second electrode combination is incrementally increased. The stimulation pulses of the electrode combinations are delivered to the patient interleaved in time. In this manner, the invention provides for a smooth, gradual shift from a first electrode combination to a second electrode combination, allowing the patient to maintain a continual perception of stimulation. The shifting techniques described herein may be used during programming to shift between different electrode combinations to find an efficacious electrode combination. Additionally, the techniques may be used for shifting between different electrode combinations associated with different stimulation programs or program sets.

公开(公告)号：US08730032B2

公开(公告)日：2014-05-20

申请号：US13265028

申请日：2010-04-28

申请人： Nathan A. Torgerson ,  James A. Zimmerman

发明人： Nathan A. Torgerson ,  James A. Zimmerman

IPC分类号： G08B1/08 ,  A61B5/00 ,  G06F19/00

CPC分类号： A61B5/0031 ,  A61B5/0002 ,  A61N1/025 ,  A61N1/37 ,  A61N1/37211 ,  A61N1/37258 ,  A61N1/3752 ,  G06F19/3418

摘要： Proper insertion of medical leads into medical devices is detected at the time the lead is being inserted. An external device initiates impedance testing by the medical device that is receiving the lead prior to the insertion of the lead being completed. The medical device reports back the results of the impedance testing so that the external device can determine whether the lead is properly inserted at the time of lead insertion and can provide an output to a user to indicate whether the lead insertion is proper. The medical device may poll only a last connector expected to be connected before responding, test other connector combinations before or after responding, and so forth.

摘要翻译： 在插入导线时，会检测到医疗线路正确插入医疗器械。 外部设备通过在完成引线插入之前接收引线的医疗设备启动阻抗测试。 医疗设备报告阻抗测试的结果，使得外部设备可以确定引线插入时是否正确插入引线，并且可以向用户提供输出以指示引线插入是否适当。 医疗设备可以仅在响应之前轮询期望连接的最后连接器，在响应之前或之后测试其他连接器组合等等。

公开(公告)号：US08649757B2

公开(公告)日：2014-02-11

申请号：US12686971

申请日：2010-01-13

申请人： Earle T. Roberts ,  Donald L. Villalta ,  David S Slack ,  Irfan Z. Ali ,  Sudheendhar Raghavendran ,  Nathan A. Torgerson ,  Garrett R. Sipple

发明人： Earle T. Roberts ,  Donald L. Villalta ,  David S Slack ,  Irfan Z. Ali ,  Sudheendhar Raghavendran ,  Nathan A. Torgerson ,  Garrett R. Sipple

IPC分类号： H04M11/04 ,  A61N1/08

CPC分类号： H04W4/80 ,  A61N1/37217 ,  A61N1/37252 ,  A61N1/37282 ,  H04L9/3271 ,  H04L63/0492 ,  H04L63/18 ,  H04L67/12 ,  H04L2209/805 ,  H04L2209/88 ,  H04W8/005 ,  H04W12/06 ,  H04W88/06

摘要： Devices and systems provide for proximity based selection of an implantable medical device for far field communication with an external device. By using a proximity communication that is limited to the IMD of interest during the selection process, the external device can eliminate those IMDs that are in range of far field communications but are able to receive the proximity communication. Thus, information may be shared via a proximity communication that is validated via a far field communication, or shared via a far field communication as a challenge and then validated via a proximity communication. The proximity communication may be used to initially limit the number of devices that respond to a discovery request and then subsequently used to select the intended implantable medical device as well as automatically select the appropriate therapy application corresponding to the selected IMD.

摘要翻译： 设备和系统提供用于与外部设备进行远场通信的可植入医疗设备的基于邻近度的选择。 通过在选择过程中使用限于感兴趣的IMD的邻近通信，外部设备可以消除处于远场通信范围但能够接收邻近通信的那些IMD。 因此，信息可以通过经由远场通信验证的邻近通信共享，或者经由远场通信作为挑战共享，然后经由邻近通信来验证。 邻近通信可以用于初始限制响应于发现请求的设备的数量，然后随后用于选择预期的可植入医疗设备，并且自动选择与所选择的IMD相对应的适当的治疗应用。

公开(公告)号：US08355783B2

公开(公告)日：2013-01-15

申请号：US12577071

申请日：2009-10-09

申请人： Steven M. Goetz ,  Nathan A. Torgerson ,  Michael T. Lee

发明人： Steven M. Goetz ,  Nathan A. Torgerson ,  Michael T. Lee

IPC分类号： A61N1/05

CPC分类号： A61N1/37 ,  A61N1/36114 ,  A61N1/3706 ,  A61N2001/083

摘要： Techniques for performing lead functionality tests, e.g., lead impedance tests, for implantable electrical leads are described. In some of the described embodiments, an implantable medical device determines whether a patient is in a target activity state, e.g., an activity state in which lead impedance testing will be unobtrusive, such as when a patient is asleep, or capture information of particular interest, such as when the patient is active, in a particular posture, or changing postures. The implantable medical device performs the lead functionality test based on this determination. Additionally, in some embodiments, the implantable medical device may group a plurality of measurements for a single lead functionality test into a plurality of sessions, and perform the measurement sessions interleaved with delivery of therapeutic stimulation.

公开(公告)号：US08301110B2

公开(公告)日：2012-10-30

申请号：US12686994

申请日：2010-01-13

申请人： Earle T. Roberts ,  Donald L. Villalta ,  David S Slack ,  Irfan Z. Ali ,  Sudheendhar Raghavendran ,  Nathan A. Torgerson ,  Garrett R. Sipple

发明人： Earle T. Roberts ,  Donald L. Villalta ,  David S Slack ,  Irfan Z. Ali ,  Sudheendhar Raghavendran ,  Nathan A. Torgerson ,  Garrett R. Sipple

IPC分类号： H04M11/04

CPC分类号： A61N1/37252 ,  H04L9/3271 ,  H04L2209/805 ,  H04L2209/88

摘要： Devices and systems provide for proximity based selection of an implantable medical device for far field communication with an external device. By using a proximity communication that is limited to the IMD of interest during the selection process, the external device can eliminate those IMDs that are in range of far field communications but are able to receive the proximity communication. Thus, information may be shared via a proximity communication that is validated via a far field communication, or shared via a far field communication as a challenge and then validated via a proximity communication. The proximity communication may be used to initially limit the number of devices that respond to a discovery request and then subsequently used to select the intended implantable medical device as well as automatically select the appropriate therapy application corresponding to the selected IMD.

摘要翻译： 设备和系统提供用于与外部设备进行远场通信的可植入医疗设备的基于邻近度的选择。 通过在选择过程中使用限于感兴趣的IMD的邻近通信，外部设备可以消除处于远场通信范围但能够接收邻近通信的那些IMD。 因此，信息可以通过经由远场通信验证的邻近通信共享，或者经由远场通信作为挑战共享，然后经由邻近通信来验证。 邻近通信可以用于初始限制响应于发现请求的设备的数量，然后随后用于选择预期的可植入医疗设备，并且自动选择与所选择的IMD相对应的适当的治疗应用。

公开(公告)号：US20110270357A1

公开(公告)日：2011-11-03

申请号：US12769149

申请日：2010-04-28

申请人： Nathan A. Torgerson ,  Steven M. Goetz

发明人： Nathan A. Torgerson ,  Steven M. Goetz

IPC分类号： A61N1/08

CPC分类号： A61N1/36082 ,  A61N1/08 ,  A61N1/36071

摘要： This disclosure describes techniques that support delivering electrical stimulation current via at least two user-selected electrodes of an implantable medical device (IMD) and automatically delivering balancing current below via at least one non-selected electrode. Balancing currents delivered via the at least one non-selected electrode may be configured with an amplitude below a perception threshold of a patient. Delivery of balancing current via the at least one third electrode may allow an implantable medical device to automatically balance the total current delivered to a patient.

摘要翻译： 本公开描述了支持通过可植入医疗装置（IMD）的至少两个用户选择的电极传递电刺激电流并且经由至少一个未选择的电极自动递送平衡电流的技术。 经由至少一个未选择的电极传送的平衡电流可以被配置为具有低于患者感知阈值的幅度。 通过至少一个第三电极传送平衡电流可以允许可植入医疗装置自动平衡递送给患者的总电流。

公开(公告)号：US20110230940A1

公开(公告)日：2011-09-22

申请号：US13152870

申请日：2011-06-03

申请人： Steven M. Goetz ,  Andrew H. Houchins ,  Jeffrey T. Keacher ,  Gary W. King ,  Kenneth T. Heruth ,  Roy L. Testerman ,  Michael T. Lee ,  Nathan A. Torgerson ,  Joseph J. Nolan

发明人： Steven M. Goetz ,  Andrew H. Houchins ,  Jeffrey T. Keacher ,  Gary W. King ,  Kenneth T. Heruth ,  Roy L. Testerman ,  Michael T. Lee ,  Nathan A. Torgerson ,  Joseph J. Nolan

IPC分类号： A61N1/36

CPC分类号： A61N1/37247 ,  A61N1/36071 ,  A61N1/36185 ,  A61N1/37252

摘要： The disclosure is directed to techniques for shifting between two electrode combinations. An amplitude of a first electrode combination is incrementally decreased while an amplitude of a second, or subsequent, electrode combination is concurrently incrementally increased. Alternatively, an amplitude of the first electrode combination is maintained at a target amplitude level while the amplitude of the second electrode combination is incrementally increased. The stimulation pulses of the electrode combinations are delivered to the patient interleaved in time. In this manner, the invention provides for a smooth, gradual shift from a first electrode combination to a second electrode combination, allowing the patient to maintain a continual perception of stimulation. The shifting techniques described herein may be used during programming to shift between different electrode combinations to find an efficacious electrode combination. Additionally, the techniques may be used for shifting between different electrode combinations associated with different stimulation programs or program sets.

摘要翻译： 本公开涉及用于在两个电极组合之间移位的技术。 第一电极组合的振幅逐渐减小，而第二或随后的电极组合的振幅同时递增地增加。 或者，第一电极组合的振幅保持在目标振幅水平，而第二电极组合的振幅逐渐增加。 电极组合的刺激脉冲在时间上交付给患者。 以这种方式，本发明提供从第一电极组合到第二电极组合的平滑，逐渐的移动，允许患者保持连续的刺激感知。 本文描述的移位技术可以在编程期间用于在不同电极组合之间移动以找到有效的电极组合。 另外，这些技术可用于在与不同刺激程序或程序集相关联的不同电极组合之间进行移位。

公开(公告)号：US20110171905A1

公开(公告)日：2011-07-14

申请号：US12686994

申请日：2010-01-13

申请人： Earle T. Roberts ,  Donald L. Villalta ,  David S. Slack ,  Irfan Z. Ali ,  Sudheendhar Raghavendran ,  Nathan A. Torgerson ,  Garrett R. Sipple

发明人： Earle T. Roberts ,  Donald L. Villalta ,  David S. Slack ,  Irfan Z. Ali ,  Sudheendhar Raghavendran ,  Nathan A. Torgerson ,  Garrett R. Sipple

IPC分类号： H04B5/00 ,  H04B7/00

CPC分类号： A61N1/37252 ,  H04L9/3271 ,  H04L2209/805 ,  H04L2209/88

摘要： Devices and systems provide for proximity based selection of an implantable medical device for far field communication with an external device. By using a proximity communication that is limited to the IMD of interest during the selection process, the external device can eliminate those IMDs that are in range of far field communications but are able to receive the proximity communication. Thus, information may be shared via a proximity communication that is validated via a far field communication, or shared via a far field communication as a challenge and then validated via a proximity communication. The proximity communication may be used to initially limit the number of devices that respond to a discovery request and then subsequently used to select the intended implantable medical device as well as automatically select the appropriate therapy application corresponding to the selected IMD.

摘要翻译： 设备和系统提供用于与外部设备进行远场通信的可植入医疗设备的基于邻近度的选择。 通过在选择过程中使用限于感兴趣的IMD的邻近通信，外部设备可以消除处于远场通信范围但能够接收邻近通信的那些IMD。 因此，信息可以通过经由远场通信验证的邻近通信共享，或者经由远场通信作为挑战共享，然后经由邻近通信来验证。 邻近通信可以用于初始限制响应于发现请求的设备的数量，然后随后用于选择预期的可植入医疗设备，并且自动选择与所选择的IMD相对应的适当的治疗应用。

公开(公告)号：US07957814B2

公开(公告)日：2011-06-07

申请号：US12392876

申请日：2009-02-25

申请人： Steven M. Goetz ,  Andrew H. Houchins ,  Jeffrey T. Keacher ,  Gary W. King ,  Kenneth T. Heruth ,  Roy L. Testerman ,  Michael T. Lee ,  Nathan A. Torgerson ,  Joseph J. Nolan

发明人： Steven M. Goetz ,  Andrew H. Houchins ,  Jeffrey T. Keacher ,  Gary W. King ,  Kenneth T. Heruth ,  Roy L. Testerman ,  Michael T. Lee ,  Nathan A. Torgerson ,  Joseph J. Nolan

IPC分类号： A61N1/18

CPC分类号： A61N1/37247 ,  A61N1/36071 ,  A61N1/36185 ,  A61N1/37252

摘要： The disclosure is directed to techniques for shifting between two electrode combinations. An amplitude of a first electrode combination is incrementally decreased while an amplitude of a second, or subsequent, electrode combination is concurrently incrementally increased. Alternatively, an amplitude of the first electrode combination is maintained at a target amplitude level while the amplitude of the second electrode combination is incrementally increased. The stimulation pulses of the electrode combinations are delivered to the patient interleaved in time. In this manner, the invention provides for a smooth, gradual shift from a first electrode combination to a second electrode combination, allowing the patient to maintain a continual perception of stimulation. The shifting techniques described herein may be used during programming to shift between different electrode combinations to find an efficacious electrode combination. Additionally, the techniques may be used for shifting between different electrode combinations associated with different stimulation programs or program sets.

摘要翻译： 本公开涉及用于在两个电极组合之间移位的技术。 第一电极组合的振幅逐渐减小，而第二或随后的电极组合的振幅同时递增地增加。 或者，第一电极组合的振幅保持在目标振幅水平，而第二电极组合的振幅逐渐增加。 电极组合的刺激脉冲在时间上交付给患者。 以这种方式，本发明提供从第一电极组合到第二电极组合的平滑，逐渐的移动，允许患者保持连续的刺激感知。 本文描述的移位技术可以在编程期间用于在不同电极组合之间移动以找到有效的电极组合。 另外，这些技术可用于在与不同刺激程序或程序集相关联的不同电极组合之间进行移位。

公开(公告)号：US20110125214A1

公开(公告)日：2011-05-26

申请号：US12829089

申请日：2010-07-01

申请人： Steven M. Goetz ,  Nathan A. Torgerson

发明人： Steven M. Goetz ,  Nathan A. Torgerson

IPC分类号： A61N1/36

CPC分类号： A61N1/3605 ,  A61N1/0534 ,  A61N1/0553 ,  A61N1/36017 ,  A61N1/36025 ,  A61N1/37247

摘要： This disclosure describes delivery of omnipolar electrical stimulation with an external electrical stimulator. Omnipolar electrical stimulation may involve stimulation with an electrode carried on the housing of an implantable medical device (IMD) while substantially simultaneously delivering stimulation via one or more implanted electrodes having the same polarity as the electrode on the housing. An external medical device (EMD) may simulate the IMD housing electrode with an electrode separate from the electrodes carried on leads implanted near target tissue. This electrode may be an external electrode carried on the external housing of the EMD or an external patch electrode. Alternatively, the electrode may be an implantable electrode coupled to the EMD. The conductivity of the external or implantable electrode may also be optimized to approximate the conductivity of the IMD housing electrode. This electrode coupled to the EMD may be utilized during trial stimulation or chronic, external, stimulation.

摘要翻译： 本公开描述了用外部电刺激器递送全极电刺激。 全极性电刺激可涉及利用携带在可植入医疗装置（IMD）的壳体上的电极进行刺激，同时通过一个或多个与壳体上的电极极性相同的注入电极输送刺激。 外部医疗设备（EMD）可以模拟IMD外壳电极，其中电极与植入靶组织附近的导线上携带的电极分开。 该电极可以是承载在EMD的外壳上的外部电极或外部贴片电极。 或者，电极可以是耦合到EMD的可植入电极。 外部或可植入电极的导电性也可以被优化以接近IMD外壳电极的导电性。 耦合到EMD的该电极可以在试验刺激或慢性，外部刺激期间使用。