公开(公告)号：US09901284B2

公开(公告)日：2018-02-27

申请号：US13087736

申请日：2011-04-15

Applicant: James M. Olsen ,  Steven M. Goetz

Inventor： James M. Olsen ,  Steven M. Goetz

IPC: A61B5/055 ,  A61N1/372 ,  A61B5/00 ,  A61N1/362

CPC classification number: A61B5/055 ,  A61B5/7203 ,  A61N1/362 ,  A61N1/37235 ,  A61N1/37247

Abstract: Changes in electrical stimulation therapy delivered via a medical device are coordinated with Functional Magnetic Resonance Imaging (fMRI) scans. In one example, a medical device delivers electrical stimulation therapy to a patient in an MRI unit, where the medical device is configured to cycle electrical stimulation therapy between a plurality of stimulation states. An indication that the medical device will cycle the electrical stimulation therapy or has cycled the electrical stimulation therapy while the patient is in the MRI unit or being imaged by the MRI unit is generated, and an MRI scan of the patient via an MRI workstation is initiated based on the indication. In another example, a medical device detects activation of an MRI scan and automatically switches stimulation states based upon the detection of the MRI scan, such that the scan is associated with a particular stimulation state.

公开(公告)号：US08996123B2

公开(公告)日：2015-03-31

申请号：US12906418

申请日：2010-10-18

Applicant: Steven M. Goetz ,  Jon P. Davis ,  Nathan A. Torgerson ,  Shyam Gokaldas ,  Ashish Singal ,  Rajeev M. Sahasrabudhe ,  Brent A. Huhta

Inventor： Steven M. Goetz ,  Jon P. Davis ,  Nathan A. Torgerson ,  Shyam Gokaldas ,  Ashish Singal ,  Rajeev M. Sahasrabudhe ,  Brent A. Huhta

IPC: A61N1/36 ,  A61N1/372 ,  A61N1/05

CPC classification number: A61N1/37247 ,  A61N1/0553

Abstract: Various programming techniques are described for medical devices that deliver electrical stimulation therapy that may include mapping between discrete electrical stimulation parameters and a graphical view of the electrical stimulation representing a stimulation zone generated by the parameters. In one example, a method includes receiving, via a programmer for an electrical stimulator, user input that graphically manipulates at least one of size and a shape of a graphical representation of at least one electrical stimulation zone displayed on the programmer, and defining a program to control delivery of electrical stimulation therapy based on the user input.

Abstract translation: 描述用于提供电刺激治疗的医疗装置的各种编程技术，其可以包括离散电刺激参数之间的映射和表示由参数产生的刺激区域的电刺激的图形视图。 在一个示例中，一种方法包括经由用于电刺激器的程序员接收图形地操纵在程序员上显示的至少一个电刺激区域的图形表示的尺寸和形状中的至少一个的用户输入，并且定义程序 以控制基于用户输入的电刺激治疗的递送。

公开(公告)号：US08862240B2

公开(公告)日：2014-10-14

申请号：US12359261

申请日：2009-01-23

Applicant: Steven M. Goetz ,  Wende L. Dewing

Inventor： Steven M. Goetz ,  Wende L. Dewing

IPC: A61N1/00 ,  G06T7/00 ,  A61N1/36 ,  A61N1/05 ,  A61N1/372

CPC classification number: A61N1/37264 ,  A61N1/0551 ,  A61N1/36185 ,  A61N1/37247 ,  G06F19/00 ,  G06T7/0012 ,  G06T7/73 ,  G06T2207/10116 ,  G06T2207/30052 ,  G06T2207/30196

Abstract: In general, the disclosure is related to characterization of implanted electrical stimulation electrode arrays using post-implant imaging. The electrode arrays may be carried by implanted leads. Characterization of implanted electrode arrays may include identification of the type or types of leads implanted within a patient and/or determination of positions of the implanted leads or electrodes carried by the leads relative to one another or relative to anatomical structures within the patient. In addition, the disclosure relates to techniques for specifying or modifying patient therapy parameters based on the characterization of the implanted electrode arrays.

Abstract translation: 通常，本公开涉及使用植入后成像的植入电刺激电极阵列的表征。 电极阵列可以由注入引线携带。 植入电极阵列的表征可以包括识别植入在患者体内的引线的类型或类型，和/或确定由导线相对于彼此或相对于患者内的解剖结构承载的植入引线或电极的位置。 此外，本公开涉及基于植入的电极阵列的表征来指定或修改患者治疗参数的技术。

公开(公告)号：US08700157B2

公开(公告)日：2014-04-15

申请号：US11119423

申请日：2005-04-29

Applicant: Steven M. Goetz ,  Duane Bourget

Inventor： Steven M. Goetz ,  Duane Bourget

IPC: A61N1/00

CPC classification number: A61N1/37264 ,  A61N1/37211 ,  A61N1/37235 ,  A61N1/37247

Abstract: System, telemetry head and method for programming an implantable medical device adapted to provide a therapeutic output to a patient, the implantable medical device being programmable through a telemetry interface. A telemetry head is adapted for transcutaneous communication with the implantable medical device through the telemetry interface when the telemetry head is positioned with respect to the implantable medical device. A computing device has computing processing power and a user interface linked with the telemetry head. The computing device processes the computing instructions associated with the implantable medical device. The computing device supplies the user interface based, at least in part, on the computing instructions associated with the implantable medical device. The telemetry head receives programming instructions from the computing device and provides the programming instructions to the implantable medical device using the transcutaneous telemetry interface.

Abstract translation: 系统，遥测头和用于编程适于向患者提供治疗输出的可植入医疗装置的方法，所述可植入医疗装置可通过遥测接口进行编程。 当遥测头相对于可植入医疗装置定位时，遥测头适于通过遥测接口与可植入医疗装置的经皮通信。 计算设备具有与遥测头相连的计算处理能力和用户界面。 计算设备处理与可植入医疗设备相关联的计算指令。 所述计算设备至少部分地基于与所述可植入医疗设备相关联的计算指令来提供所述用户界面。 遥测头从计算设备接收编程指令，并使用经皮遥测接口将编程指令提供给可植入医疗设备。

公开(公告)号：US08560080B2

公开(公告)日：2013-10-15

申请号：US13156011

申请日：2011-06-08

Applicant: Steven M. Goetz ,  Rajeev M. Sahasrabudhe ,  Jon P. Davis ,  Brent A. Huhta ,  Ashish Singal

Inventor： Steven M. Goetz ,  Rajeev M. Sahasrabudhe ,  Jon P. Davis ,  Brent A. Huhta ,  Ashish Singal

IPC: A61N1/00

CPC classification number: A61N1/37247 ,  A61N1/36185 ,  A61N1/37264 ,  G06F19/00 ,  G06F19/3481 ,  G16H40/63

Abstract: Techniques are described, for medical devices that deliver electrical stimulation therapy, for controlling a transition from an initial stimulation location or initial stimulation shape to a user-specified target stimulation location or target stimulation shape in order to limit the rate of change of stimulation. One example method includes receiving, via a programmer for an electrical stimulator, user input indicating a target stimulation zone, and controlling the electrical stimulator to transition electrical stimulation from an initial stimulation zone to the target stimulation zone via one or more intermediate stimulation zones.

Abstract translation: 对于用于控制从初始刺激位置或初始刺激形状到用户指定的目标刺激位置或目标刺激形状的转换以便限制刺激变化率的技术，描述了用于递送电刺激疗法的医疗装置的技术。 一个示例性方法包括经由用于电刺激器的编程器接收指示目标刺激区的用户输入，以及控制电刺激器经由一个或多个中间刺激区从初始刺激区转移到目标刺激区的电刺激。

公开(公告)号：US08527059B2

公开(公告)日：2013-09-03

申请号：US13220113

申请日：2011-08-29

Applicant: Delight D. DeMulling ,  Debbie A. McConnell ,  Steven M. Goetz ,  Cari Herman ,  Wende L. Dewing

Inventor： Delight D. DeMulling ,  Debbie A. McConnell ,  Steven M. Goetz ,  Cari Herman ,  Wende L. Dewing

IPC: A61N1/372

CPC classification number: A61N1/372 ,  A61N1/36003 ,  A61N1/36071 ,  A61N1/36082 ,  A61N1/36185 ,  A61N1/3688 ,  A61N1/37241 ,  A61N1/37247 ,  A61N1/37252 ,  A61N1/37264

Abstract: Example techniques involve generating test stimulation programs based upon specific patient feedback to guide the programming process for stimulation therapy. The patient describes positive effects and adverse effects of the test stimulation by listing and/or rating specific types of effects, both positive and adverse, and the location of each effect. In this manner, a programming device, i.e. a programmer, uses the feedback to generate subsequent test stimulation programs. Initially, programs with unipolar electrode configurations are tested, but the programmer may generate bipolar electrode configurations to test if the patient rates the unipolar electrode combinations poorly. After the stimulation programs are tested and rated, the programmer sorts the tested programs based upon the feedback and presents the tested programs to the user. The user selects the best tested program to use for chronic stimulation therapy. Additionally, the patient may utilize the guided programming technique for continued therapy optimization.

Abstract translation: 示例技术涉及基于具体的患者反馈产生测试刺激程序，以指导用于刺激治疗的编程过程。 患者通过列出和/或评估特定类型的效应（包括阳性和不良反应）以及每种效应的位置来描述测试刺激的积极影响和不利影响。 以这种方式，编程设备，即编程器，使用反馈来产生后续的测试刺激程序。 首先，测试具有单极电极配置的程序，但是程序员可以产生双极电极配置来测试患者是否对单极电极组合进行评估。 在对刺激程序进行测试和评估后，程序员将根据反馈对测试程序进行排序，并将测试的程序呈现给用户。 用户选择用于慢性刺激治疗的最佳测试程序。 此外，患者可以利用引导编程技术进行持续的治疗优化。

公开(公告)号：US08452415B2

公开(公告)日：2013-05-28

申请号：US11591187

申请日：2006-10-31

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

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

IPC: A61N1/08

CPC classification number: A61N1/0529 ,  A61N1/0531 ,  A61N1/0534 ,  A61N1/0553 ,  A61N1/36071 ,  A61N1/36082 ,  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. A programmer is configured to generate an electrical field model from selected stimulation parameters and patient anatomy data. The electrical field model indicates how the electrical field propagation would occur in the patient during therapy. In addition, the programmer may be configured to generate an activation field model from the electrical field model and a neuron model. The activation field indicates which neurons within the electrical field will be activated during the therapy. Either of these field models may be presented to the user via a user interface that also displays a representation of the lead implanted within the patient. The user interface may allow the user to adjust the stimulation therapy by manipulating displayed field or activation model representations.

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。 编程器被配置为从所选择的刺激参数和患者解剖数据生成电场模型。 电场模型指示治疗期间患者的电场传播如何发生。 此外，程序员可以被配置为从电场模型和神经元模型生成激活场模型。 激活区域指示在治疗期间电场内的哪些神经元将被激活。 这些现场模型中的任一个可以经由还显示植入患者体内的引线的表示的用户界面呈现给用户。 用户界面可以允许用户通过操纵显示的场或激活模型表示来调整刺激疗法。

公开(公告)号：US08364272B2

公开(公告)日：2013-01-29

申请号：US12771880

申请日：2010-04-30

Applicant: Steven M. Goetz

Inventor： Steven M. Goetz

IPC: A61N1/00

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.

Abstract translation: 编程系统允许用户通过指定期望的治疗结果来编程由医疗装置递送的治疗的治疗参数值。 在一个示例中，编程系统向用户呈现与患者状况相关联的脑网络的模型。 该模型可以是与患者状况相关联的脑的解剖结构网络的图形表示，并且可以指示解剖结构之间的功能关系。 使用该模型，用户可以定义与病症相关联的期望的治疗结果，并且调整刺激对解剖结构的兴奋性和/或抑制作用。 系统可以基于用户输入来确定递送给患者的治疗的治疗参数值。

公开(公告)号：US20120316619A1

公开(公告)日：2012-12-13

申请号：US13592918

申请日：2012-08-23

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

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

IPC: A61N1/36

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：US20120265271A1

公开(公告)日：2012-10-18

申请号：US13086991

申请日：2011-04-14

Applicant: Steven M. Goetz

Inventor： Steven M. Goetz

IPC: A61N1/36 ,  G06T17/00

CPC classification number: A61N1/37247 ,  A61B34/20 ,  A61B2034/2065 ,  A61B2090/374 ,  A61B2090/3762 ,  A61M25/0105 ,  A61M2025/0166 ,  A61N1/36128 ,  A61N1/37235 ,  A61N1/37252 ,  A61N1/37264 ,  G06T17/00 ,  G06T17/20 ,  G06T19/00 ,  G06T2210/41

Abstract: In one example, a device includes a telemetry module configured to retrieve graphics processing data from a device that is not configured to perform a rendering process using the graphics processing data and that is associated with delivering therapy to a therapy target of a patient, and a control unit configured to apply the graphics processing data while performing the rendering process to generate an image of an anatomical feature of the patient, wherein the anatomical feature comprises the therapy target for an implantable medical device, and to cause a display unit of a user interface to display the image, wherein the image of the anatomical feature is specific to the patient. The graphics processing data may include a list of vertices or a transform to be applied to a non-patient-specific anatomical atlas. The data may also include a location of a therapy element of the implantable medical device.

Abstract translation: 在一个示例中，设备包括遥测模块，该遥测模块被配置为从未被配置为使用图形处理数据执行渲染处理并且与向患者的治疗目标传递治疗相关联的设备检索图形处理数据，以及 所述控制单元被配置为在执行所述绘制过程的同时施加所述图形处理数据以产生所述患者的解剖特征的图像，其中所述解剖特征包括用于可植入医疗装置的治疗目标，并且使用户界面的显示单元 以显示图像，其中解剖特征的图像对于患者是特定的。 图形处理数据可以包括要应用于非患者特异性解剖图谱的顶点列表或变换列表。 数据还可以包括可植入医疗装置的治疗元件的位置。