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公开(公告)号：US08532773B2
公开(公告)日：2013-09-10
申请号：US13461539
申请日：2012-05-01
IPC分类号： A61N1/37
CPC分类号： A61N1/08 , A61N2001/083
摘要： A method, system, and apparatus for performing a lead condition assessment and/or a lead orientation determination associated with an implantable medical device (IMD). A first impedance is determined. The first impedance relates to the impedance relative to a first electrode and a portion of the IMD. A second impedance is determined. The second impedance relates to the impedance relative to a second electrode and the portion of the IMD. The first impedance is compared with the second impedance to determine an impedance difference. A determination is made whether the impedance difference is outside a predetermined tolerance range. Furthermore, artifact measured during impedance measurements or test pulses may be compared to assess lead orientation. An indication of a lead condition error is provided in response to determining that the impedance difference is outside the predetermined tolerance range.
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公开(公告)号：US08190258B2
公开(公告)日：2012-05-29
申请号：US12499001
申请日：2009-07-07
IPC分类号： A61N1/37
CPC分类号： A61N1/08 , A61N2001/083
摘要： A method, system, and apparatus for performing a lead condition assessment and/or a lead orientation determination associated with an implantable medical device (IMD). A first impedance is determined. The first impedance relates to the impedance relative to a first electrode and a portion of the IMD. A second impedance is determined. The second impedance relates to the impedance relative to a second electrode and the portion of the IMD. The first impedance is compared with the second impedance to determine an impedance difference. A determination is made whether the impedance difference is outside a predetermined tolerance range. Furthermore, artifact measured during impedance measurements or test pulses may be compared to assess lead orientation. An indication of a lead condition error is provided in response to determining that the impedance difference is outside the predetermined tolerance range.
摘要翻译： 一种用于执行与可植入医疗装置（IMD）相关联的引导条件评估和/或引导方向确定的方法，系统和装置。 确定第一阻抗。 第一阻抗涉及相对于第一电极和IMD的一部分的阻抗。 确定第二阻抗。 第二阻抗涉及相对于第二电极和IMD的部分的阻抗。 将第一阻抗与第二阻抗进行比较以确定阻抗差。 确定阻抗差是否在预定的公差范围之外。 此外，可以比较阻抗测量或测试脉冲期间测量的伪像，以评估引线方向。 响应于确定阻抗差在预定公差范围之外，提供引导条件错误的指示。
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公开(公告)号：US08165693B2
公开(公告)日：2012-04-24
申请号：US11186261
申请日：2005-07-21
IPC分类号： A61N1/00
CPC分类号： A61N1/36082 , A61N1/36114 , A61N1/36142 , A61N1/36146 , A61N1/3718
摘要： A method, system, and apparatus for implementing a safe mode operation of an implantable medical system using impedance adjustment(s) are provided. A first impedance is provided to a lead. An indication of a possibility of a coupled energy is received. Based upon said indication, a second impedance associated with the lead to reduce the coupled energy is provided.
摘要翻译： 提供了一种用于实现使用阻抗调节的可植入医疗系统的安全模式操作的方法，系统和装置。 向引线提供第一阻抗。 接收到耦合能量的可能性的指示。 基于所述指示，提供与引线相关联的用于降低耦合能量的第二阻抗。
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公开(公告)号：US08140159B2
公开(公告)日：2012-03-20
申请号：US11186547
申请日：2005-07-21
IPC分类号： A61N1/18
CPC分类号： A61N1/36082 , A61N1/36114 , A61N1/36142 , A61N1/36146 , A61N1/3718
摘要： A method, system, and apparatus for implementing a safe mode operation of an implantable medical system using impedance adjustment(s) are provided. A first impedance is provided to a lead. An indication of a possibility of a coupled energy is received. Based upon said indication, a second impedance associated with the lead to reduce the coupled energy is provided.
摘要翻译： 提供了一种用于实现使用阻抗调节的可植入医疗系统的安全模式操作的方法，系统和装置。 向引线提供第一阻抗。 接收到耦合能量的可能性的指示。 基于所述指示，提供与引线相关联的用于降低耦合能量的第二阻抗。
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公开(公告)号：US08086311B2
公开(公告)日：2011-12-27
申请号：US11656105
申请日：2007-01-22
IPC分类号： A61N1/362
CPC分类号： G06F19/3406 , A61N1/3706 , A61N1/37211 , A61N1/37264 , G06F19/00 , G06Q50/22 , G16H40/63
摘要： Methods and systems for constructing a comprehensive history for an IMD are disclosed. The method includes interrogating an implantable medical device (IMD) with an interrogating external programmer device (EPD), and comparing a unique signature associated with the interrogating EPD to a stored signature, associated with a particular programmer device that most immediately previously programmed the IMD, in memory of the IMD. If the unique signature of the interrogating programmer device is not the same as the stored signature, the method includes recording the stored signature in the interrogating EPD. The method may optionally include replacing the stored signature in the IMD memory with the unique signature of the interrogating EPD if the interrogating EPD programs the IMD. A comprehensive history for the IMD may be constructed by tracing the values in the IMD and the programmer databases.
摘要翻译： 披露了为IMD构建综合历史的方法和系统。 该方法包括用询问式外部编程器设备（EPD）询问可植入医疗设备（IMD），并将与询问EPD相关联的唯一签名与存储的签名进行比较，所述签名与最早被编程为IMD的特定编程器设备相关联， 记忆IMD。 如果询问编程器设备的唯一签名与存储的签名不同，则该方法包括将所存储的签名记录在询问EPD中。 如果询问的EPD对IMD进行编程，则该方法可以可选地包括用询问的EPD的唯一签名替换IMD存储器中存储的签名。 可以通过跟踪IMD和程序员数据库中的值来构建IMD的综合历史。
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公开(公告)号：US07996079B2
公开(公告)日：2011-08-09
申请号：US11338548
申请日：2006-01-24
IPC分类号： A61N1/08
CPC分类号： A61N1/37211 , A61N1/08 , A61N1/36114 , A61N1/3718
摘要： A method and apparatus for providing an override of an operational mode of an implantable medical device. An override input to enter an override mode is received. A determination as to whether a magnetic input has been received is made. A predetermined response to the magnetic input is blocked in response to receiving the override input.
摘要翻译： 一种用于提供可植入医疗装置的操作模式的超控的方法和装置。 接收到进入覆盖模式的覆盖输入。 确定是否接收到磁性输入。 响应于接收到超控输入，阻止对磁输入的预定响应。
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公开(公告)号：US07869867B2
公开(公告)日：2011-01-11
申请号：US11588512
申请日：2006-10-27
IPC分类号： A61N1/00
CPC分类号： A61N1/3605 , A61N1/36064 , A61N1/36082
摘要： In some embodiments, a method comprises providing an electrical signal to a nerve to evoke an action potential. The nerve thereby enters a refractory period in which the nerve is in a refractory state. The method further comprises, during the refractory period, providing an electrical signal to the nerve thereby altering the refractory period of the nerve or non-target tissues.
摘要翻译： 在一些实施例中，一种方法包括向神经提供电信号以引起动作电位。 因此神经进入神经处于难治状态的难治期。 该方法还包括在不应期内，向神经提供电信号，从而改变神经或非靶组织的不应期。
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公开(公告)号：US20100274302A1
公开(公告)日：2010-10-28
申请号：US12785244
申请日：2010-05-21
IPC分类号： A61N1/08
CPC分类号： A61N1/3708 , A61N2001/083 , G01R31/3662
摘要： A method and an apparatus for projecting an end of service (EOS) and/or an elective replacement indication (ERI) of a component in an implantable device and for determining an impedance experienced by a lead associated with the implantable device. An active charge depletion of an implantable device is determined. An inactive charge depletion of the implantable device is determined. A time period until an end of service (EOS) and/or elective replacement indication (ERI) of a power supply associated with the IMD based upon the active charge depletion, the inactive charge depletion, and the initial and final (EOS) battery charges, is determined. Furthermore, to determine the impedance described above, a substantially constant current signal is provided through a first terminal and a second terminal of the lead. A voltage across the first and second terminals is measured. An impedance across the first and second terminals is determined based upon the constant current signal and the measured voltage.
摘要翻译： 一种用于在可植入装置中投射组件的服务结束（EOS）和/或选择性替换指示（ERI）的方法和装置，并且用于确定与所述可植入装置相关联的导线经历的阻抗。 确定可植入装置的有效电荷消耗。 确定可植入装置的非活性电荷耗尽。 基于有效电荷消耗，非活动电荷消耗以及初始和最终（EOS）电池电量的与IMD相关联的电源的服务结束（EOS）和/或选择性替换指示（ERI）的时间段 ， 决心，决意，决定。 此外，为了确定上述阻抗，通过引线的第一端子和第二端子提供基本恒定的电流信号。 测量第一和第二端子两端的电压。 基于恒定电流信号和测量电压确定跨第一和第二端子的阻抗。
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公开(公告)号：US07567840B2
公开(公告)日：2009-07-28
申请号：US11262243
申请日：2005-10-28
IPC分类号： A61N1/37
CPC分类号： A61N1/08 , A61N2001/083
摘要： A method, system, and apparatus for performing a lead condition assessment and/or a lead orientation determination associated with an implantable medical device (IMD). A first impedance is determined. The first impedance relates to the impedance relative to a first electrode and a portion of the IMD. A second impedance is determined. The second impedance relates to the impedance relative to a second electrode and the portion of the IMD. The first impedance is compared with the second impedance to determine an impedance difference. A determination is made whether the impedance difference is outside a predetermined tolerance range. Furthermore, artifact measured during impedance measurements or test pulses may be compared to assess lead orientation. An indication of a lead condition error is provided in response to determining that the impedance difference is outside the predetermined tolerance range.
摘要翻译： 一种用于执行与可植入医疗装置（IMD）相关联的引导条件评估和/或引导方向确定的方法，系统和装置。 确定第一阻抗。 第一阻抗涉及相对于第一电极和IMD的一部分的阻抗。 确定第二阻抗。 第二阻抗涉及相对于第二电极和IMD的部分的阻抗。 将第一阻抗与第二阻抗进行比较以确定阻抗差。 确定阻抗差是否在预定的公差范围之外。 此外，可以比较阻抗测量或测试脉冲期间测量的伪像，以评估引线方向。 响应于确定阻抗差在预定公差范围之外，提供引导条件错误的指示。
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公开(公告)号：US07561918B2
公开(公告)日：2009-07-14
申请号：US11046601
申请日：2005-01-28
IPC分类号： A61N1/36
CPC分类号： A61N1/36071 , A61N1/36114
摘要： A method (and associated apparatus) of providing electrical neurostimulation therapy to a patient using an implanted neurostimulator comprises (a) delivering an electrical stimulation to a nerve and (b) determining whether a predetermined condition has occurred as a result of the stimulation. The method further comprises (c) if the predetermined condition has not occurred, adjusting one or more stimulation parameters; and (d) repeating (a), (b), and (c) until the predetermined condition occurs.
摘要翻译： 使用植入的神经刺激器向患者提供电神经刺激疗法的方法（和相关联的装置）包括（a）向神经递送电刺激，以及（b）确定刺激结果是否已经发生预定条件。 该方法还包括（c）如果没有发生预定条件，则调整一个或多个刺激参数; 和（d）重复（a），（b）和（c）直到发生预定条件。
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