摘要:
A sensing electrode selection algorithm is disclosed for use with an implantable pulse generator having an electrode array. The algorithm automatically selects optimal sensing electrodes in the array to be used with a pre-determined stimulation therapy appropriate for the patient. The algorithm preferably senses stimulation artifacts using different sensing electrodes, and more specifically different sensing electrode pairs as is appropriate when differential sensing is used. The algorithm further preferably senses these stimulation artifacts with the patient placed in two or more postures. The algorithm processes the stimulation artifact features measured at the different sensing electrodes and at the different postures to automatically determine one or more sensing electrode pairs that best distinguishes the two or more postures given the prescribed stimulation therapy.
摘要:
A charging system for an Implantable Medical Device (IMD) is disclosed having a charging coil and one or more sense coils. The charging coil and one or more sense coils are preferably housed in a charging coil assembly coupled to an electronics module by a cable. The charging coil is preferably a wire winding, while the one or more sense coils are concentric with the charging coil and preferably formed in one or more traces of a circuit board. One or more voltages induced on the one or more sense coils can be used to determine whether the charging coil is (i) centered, (ii) not centered but not misaligned, or (iii) misaligned, with respect to the IMD being charged, which three conditions sequentially comprise lower coupling between the charging coil and the IMD. A charging algorithm is also disclosed that control charging dependent on these conditions.
摘要:
A charging system for an Implantable Medical Device (IMD) is disclosed. The charging system features an electronics module connected to a charging coil by a cable. The charging system can be configured with a belt or harness that holds the charging coil position to charge the IMD and also providing a user with easy access to the electronics module. Resistance in the cable between electronics module and the charging coil is minimized by using multiple, individually insulated conductors to carry AC current.
摘要:
A neurostimulation device and system are provided. At least one neurostimulation lead having a plurality of electrodes is configured for being implanted within tissue of a patient. A shunt capacitance is coupled to one of the electrodes. Time-varying electrical current is delivered to at least one of the electrodes, wherein the shunt capacitance would, without compensation, absorb charge from or inject charge into the tissue in response to time-varying changes in the delivered electrical current, thereby causing an uncompensated electrical waveform to be delivered to the tissue adjacent the one electrode, The absorbed or injected charge is at least partially compensated for, thereby causing a compensated electrical waveform to be delivered to the tissue adjacent the one electrode.
摘要:
An implantable control module for an electrical stimulation system includes a connector to couple to a lead or lead extension; an electronics housing coupled to the connector and having a first major surface, a second major surface, and at least one side surface; and an electronic subassembly disposed within the electronics housing. The electronics housing includes a first portion formed of a first conductive material and a second portion formed of a second conductive material. The second portion forms at least part of the first major surface and extends to form an adjacent region of the side surface or the second major surface. In some embodiments, the first conductive material has a resistivity that is no more than 50% of a resistivity of the second conductive material. In some embodiments, the first conductive material is titanium and the second conductive material is a titanium alloy.
摘要:
Receiver and digital demodulation circuitry for an external controller for communicating with an implantable medical device (IMD) is disclosed. A Digital Signal Processor (DSP) is used to sample received analog data transmitted from the IMD at a lower rate than would otherwise be required for the frequency components in the transmitted data by the Nyquist sampling criteria. To allow for this reduced sampling rate, the incoming data is shifted to a lower intermediate frequency using a switching circuit. The switching circuit receives a clock signal, which is preferably but not necessarily the same clock signal used by the DSP to sample the data. The switching circuit multiplies the received data with the clock signal to produce lower intermediate frequencies, which can then be adequately sampled at the DSP at the reduced sampling rate per the Nyquist sampling criteria.
摘要:
A charging system for an Implantable Medical Device (IMD) is disclosed having a charging coil and one or more sense coils preferably housed in a charging coil assembly coupled to an electronics module by a cable. The charging coil is preferably a wire winding, while the sense coils are preferably formed in one or more traces of a circuit board. One or more voltages induced on the one or more sense coils can be used to determine one or more parameters (magnitude, phase angle, resonant frequency) indicative of the position between the charging coil and the IMD, which position may include the radial offset and possibly also the depth of the charging coil relative to the IMD. Knowing the position, the power of the magnetic field produced by the charging coil can be adjusted to compensate for the position.
摘要:
An external charger for an implantable medical device (IMD) is disclosed including a three-axis magnetic field sensor at the center of a primary charging coil. The sensor first senses a magnetic charging field produced by the coil with no IMD present (vector A). The sensor then senses the field in useful operation when such field is being provided to the IMD (vector B). From these vectors, a vector C is calculated representing the magnetic field reflected from the IMD. Vector C can be used to determine a vector D, representing the position of the IMD in physical space relative to the external charger. Information comprising one or more volumes can be stored in the external charger, and compared with vector D to determine whether charger-to-IMD positioning will provide an adequate amount of power to the IMD, and/or to provide an indication of charger-to-IMD alignment.
摘要:
An implantable medical device (IMD) is disclosed having measurement circuitry for measuring one or more currents in the IMD, such as the currents drawn from various power supply voltages. Such currents are measured without disrupting normal IMD operation, and can be telemetered from the IMD for review. Switching circuitry in line with the current being measured is temporarily opened for a time period to disconnect the power supply voltage from the circuitry being powered. A voltage across a capacitance in parallel with the circuitry is measured when the switching circuitry is opened and again closed at the end of the time period, with the circuitry drawing power from the charged capacitance during this time period. The average current drawn by the power supply voltage is determined using the difference in the measured voltages, the known capacitance, and the time period between the measurements.
摘要:
An implantable medical device (IMD) is disclosed having measurement circuitry for measuring one or more currents in the IMD, such as the currents drawn from various power supply voltages. Such currents are measured without disrupting normal IMD operation, and can be telemetered from the IMD for review. Switching circuitry in line with the current being measured is temporarily opened for a time period to disconnect the power supply voltage from the circuitry being powered. A voltage across a capacitance in parallel with the circuitry is measured when the switching circuitry is opened and again closed at the end of the time period, with the circuitry drawing power from the charged capacitance during this time period. The average current drawn by the power supply voltage is determined using the difference in the measured voltages, the known capacitance, and the time period between the measurements.