Automatic lead identification using electric field fingerprinting

    公开(公告)号:US09731106B2

    公开(公告)日:2017-08-15

    申请号:US12941657

    申请日:2010-11-08

    摘要: A method, programmer for a neurostimulator, and neurostimulation kit are provided. The kit comprises a neurostimulator, and a plurality of elongated lead bodies configured for being coupled to the neurostimulator, each having a plurality of proximal contacts and a plurality of distal electrodes respectively electrically coupled to the proximal contacts, wherein an in-line connectivity between the electrodes and proximal contacts carried by the different lead bodies differs from each other. Electrical energy is conveyed between the electrodes of the selected lead body and the tissue, an electrical fingerprint is measured at the proximal contacts of the selected lead body in response to the conveyed electrical energy, and the selected lead body is identified based on the measured electrical fingerprint. These steps can be performed by the programmer.

    Automatic evaluation technique for deep brain stimulation programming
    3.
    发明授权
    Automatic evaluation technique for deep brain stimulation programming 有权
    深层脑刺激程序自动评估技术

    公开(公告)号:US09352156B2

    公开(公告)日:2016-05-31

    申请号:US12976658

    申请日:2010-12-22

    IPC分类号: A61N1/36 A61N1/05 A61N1/372

    摘要: Neurostimulation systems and methods for providing therapy to a patient suffering from a symptom of a disease that latently responds to electrical stimulation therapy are provided. First electrical stimulation energy is conveyed to or from a tissue region of the patient in accordance with a first set of stimulation parameters, thereby affecting the symptom. A predetermined period of time estimated for the symptom to resolve in response to electrical stimulation therapy is allowed to elapse. Second electrical stimulation energy is conveyed to or from the tissue region in accordance with a second set of stimulation parameters different from the first set of stimulation parameters.

    摘要翻译: 提供了神经刺激系统和方法,用于向患有潜在的电刺激治疗反应的疾病症状的患者提供治疗。 根据第一组刺激参数将第一电刺激能量传送到患者的组织区域或从患者的组织区域传送,从而影响症状。 对于电刺激治疗反应的症状的预定时间段被允许经过。 根据与第一组刺激参数不同的第二组刺激参数将第二电刺激能量传送到组织区域或从组织区域传送。

    Techniques for sensing and adjusting a compliance voltage in an implantable stimulator device

    公开(公告)号:US08538548B2

    公开(公告)日:2013-09-17

    申请号:US13446784

    申请日:2012-04-13

    IPC分类号: A61N1/05

    摘要: Disclosed herein are methods and circuitry for monitoring and adjusting a compliance voltage in an implantable stimulator devices to an optimal value that is sufficiently high to allow for proper circuit performance (i.e., sufficient current output), but low enough that power is not needlessly wasted via excessive voltage drops across the current output circuitry. The algorithm measures output voltages across the current source and sink circuitry during at least periods of actual stimulation when both the current sources and sinks are operable, and adjusts the compliance voltage so as to reduce these output voltages to within guard band values preferably indicative for operation in transistor saturation. The output voltages can additionally be monitored during periods between stimulation pulses to improve the accuracy of the measurement, and is further beneficial in that such additional measurements are not perceptible to the patient.

    System and method for maintaining a distribution of currents in an electrode array using independent voltage sources
    7.
    发明授权
    System and method for maintaining a distribution of currents in an electrode array using independent voltage sources 有权
    用于使用独立电压源维持电极阵列中的电流分布的系统和方法

    公开(公告)号:US08055337B2

    公开(公告)日:2011-11-08

    申请号:US12507260

    申请日:2009-07-22

    IPC分类号: A61N1/00

    CPC分类号: A61N1/36071 A61N1/0551

    摘要: In one technique, a desired electrical current distribution on at least three active electrodes is selected. An electrical energy perturbation is generated on at least one electrode. A current-to-voltage relationship at each active electrode is estimated based on the energy perturbation. The current-to-voltage relationship for each active electrode takes into account current flow through other active electrodes. The voltage distribution necessary to achieve the desired current distribution is determined based on the estimated current-to-voltage relationship. Voltage-regulated energy is conveyed between the electrodes and tissue in accordance with the determined electrical voltage distribution. In another technique, an electrical energy perturbation on at least one of the electrodes is generated. Network resistances for each of at least three active electrodes are computed in response to the energy perturbation. The network resistances represent the resistances between the electrodes and common node to which the electrodes are connected.

    摘要翻译: 在一种技术中,选择在至少三个有效电极上的期望的电流分布。 在至少一个电极上产生电能扰动。 基于能量扰动来估计每个有源电极处的电流 - 电压关系。 每个有源电极的电流 - 电压关系考虑到通过其他有源电极的电流。 基于估计的电流 - 电压关系确定实现所需电流分布所需的电压分布。 电压调节能量根据确定的电压分布在电极和组织之间传送。 在另一技术中,产生至少一个电极上的电能扰动。 响应于能量扰动计算至少三个有效电极中的每一个的网络电阻。 网络电阻表示电极与电极连接的公共节点之间的电阻。

    Multiple tunable central cathodes on a paddle for increased medial-lateral and rostral-caudal flexibility via current steering
    8.
    发明授权
    Multiple tunable central cathodes on a paddle for increased medial-lateral and rostral-caudal flexibility via current steering 有权
    桨上的多个可调节的中心阴极,通过电流转向增加内侧和外侧和尾端的尾部灵活性

    公开(公告)号:US07987000B2

    公开(公告)日:2011-07-26

    申请号:US12204094

    申请日:2008-09-04

    IPC分类号: A61N1/00

    摘要: A neurostimulation paddle lead, method of neurostimulation, and neurostimulation system are provided. The neurostimulation paddle lead carries a plurality of electrodes comprising at least four columns of electrodes having a spacing between two inner electrode columns less than a spacing between the inner electrode columns and adjacent outer electrode columns. The inner electrode columns may also be longitudinally offset from the outer electrode columns. The methods and neurostimulation systems steer current between the electrodes to modify a medial-lateral electrical field created adjacent spinal cord tissue.

    摘要翻译: 提供神经刺激桨引导,神经刺激方法和神经刺激系统。 神经刺激桨引线承载包括至少四列电极的多个电极,所述至少四列电极具有小于内电极柱和相邻外电极柱之间的间隔的两个内电极柱之间的间隔。 内电极柱也可以与外电极柱纵向偏移。 方法和神经刺激系统在电极之间引导电流以修改邻近脊髓组织产生的内侧 - 外侧电场。

    Charger alignment indicator with adjustable threshold
    9.
    发明授权
    Charger alignment indicator with adjustable threshold 有权
    充电器校准指示器,具有可调阈值

    公开(公告)号:US07932696B2

    公开(公告)日:2011-04-26

    申请号:US11748436

    申请日:2007-05-14

    IPC分类号: H01M10/46

    CPC分类号: A61N1/3787

    摘要: Electrical energy is transmitted to charge the implanted medical device, and an electrical parameter (e.g., a steady-state voltage) indicating a rate at which the implanted medical device is charged by the electrical energy is detected. A threshold (e.g., by modifying a stored threshold value) at which the charge strength indicator generates a user-discernible signal is adjusted based on the detected electrical parameter.

    摘要翻译: 传输电能以对植入的医疗装置充电,并且检测指示通过电能对植入的医疗装置充电的速率的电参数(例如,稳态电压)。 基于检测到的电参数来调整充电强度指示器产生用户可识别信号的阈值(例如,通过修改存储的阈值)。

    Multiple templates for filtering of far field R-waves
    10.
    发明授权
    Multiple templates for filtering of far field R-waves 有权
    用于过滤远场R波的多个模板

    公开(公告)号:US06810283B2

    公开(公告)日:2004-10-26

    申请号:US09951320

    申请日:2001-09-13

    IPC分类号: A61B50428

    摘要: The invention presents techniques for processing an atrial electrogram. An atrial electrogram senses atrial events, but may also sense a ventricular event, causing a far field R-wave to be present in the atrial electrogram signal. A far field R-wave is an undesired artifact. The invention provides techniques for estimating the far field R-wave and subtracting the far field R-wave from the atrial electrogram signal.

    摘要翻译: 本发明提供了用于处理心房电描记图的技术。 心房电图感应心房事件,但也可以感觉到心室事件,导致远场R波存在于心房电图信号中。 远场R波是不期望的神器。 本发明提供了用于估计远场R波并从心房电描记图信号中减去远场R波的技术。