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    Symmetrical physiological signal sensing with a medical device
    1.
    发明授权
    Symmetrical physiological signal sensing with a medical device 有权

    公开(公告)号：US09789302B2

    公开(公告)日：2017-10-17

    申请号：US12873964

    申请日：2010-09-01

    申请人： Gabriela C. Molnar ,  Scott R. Stanslaski

    发明人： Gabriela C. Molnar ,  Scott R. Stanslaski

    IPC分类号： A61N1/36 ,  A61N1/02 ,  A61B5/04 ,  A61B5/0428 ,  A61N1/05 ,  A61B5/00

    CPC分类号： A61N1/025 ,  A61B5/04004 ,  A61B5/0428 ,  A61B5/7217 ,  A61N1/0534 ,  A61N1/3605

    摘要： A physiological signal of a patient is sensed with sense electrodes symmetrically arranged relative to a stimulation electrode. In some examples, a member includes a plurality of relatively small electrodes that are configured to function as both sense and stimulation electrodes. One or more of the electrodes may be selected as stimulation electrodes and two or more different electrodes of the member may be selected as sense electrodes that are symmetrically arranged relative to the one or more selected stimulation electrodes. In some examples, a member includes a plurality of levels of segmented sense electrodes and a plurality of levels of stimulation electrodes. The levels of sense electrodes are arranged such that each level of stimulation electrodes is adjacent at least two levels of sense electrodes symmetrically arranged relative to the level of stimulation electrodes.

    SYMMETRICAL PHYSIOLOGICAL SIGNAL SENSING WITH A MEDICAL DEVICE
    2.
    发明申请
    SYMMETRICAL PHYSIOLOGICAL SIGNAL SENSING WITH A MEDICAL DEVICE 有权

    公开(公告)号：US20120053659A1

    公开(公告)日：2012-03-01

    申请号：US12873964

    申请日：2010-09-01

    申请人： Gabriela C. Molnar ,  Scott R. Stanslaski

    发明人： Gabriela C. Molnar ,  Scott R. Stanslaski

    IPC分类号： A61N1/36

    CPC分类号： A61N1/025 ,  A61B5/04004 ,  A61B5/0428 ,  A61B5/7217 ,  A61N1/0534 ,  A61N1/3605

    摘要： A physiological signal of a patient is sensed with sense electrodes symmetrically arranged relative to a stimulation electrode. In some examples, a member includes a plurality of relatively small electrodes that are configured to function as both sense and stimulation electrodes. One or more of the electrodes may be selected as stimulation electrodes and two or more different electrodes of the member may be selected as sense electrodes that are symmetrically arranged relative to the one or more selected stimulation electrodes. In some examples, a member includes a plurality of levels of segmented sense electrodes and a plurality of levels of stimulation electrodes. The levels of sense electrodes are arranged such that each level of stimulation electrodes is adjacent at least two levels of sense electrodes symmetrically arranged relative to the level of stimulation electrodes.

    Symmetrical physiological signal sensing with a medical device
    3.
    发明授权
    Symmetrical physiological signal sensing with a medical device 有权
    用医疗器械对称生理信号感应

    公开(公告)号：US08798764B2

    公开(公告)日：2014-08-05

    申请号：US12873954

    申请日：2010-09-01

    申请人： Gabriela C. Molnar ,  Scott R. Stanslaski

    发明人： Gabriela C. Molnar ,  Scott R. Stanslaski

    IPC分类号： A61N1/36

    CPC分类号： A61N1/0534 ,  A61N1/0553 ,  A61N1/36125

    摘要： A physiological signal of a patient is sensed with sense electrodes symmetrically arranged relative to a stimulation electrode. In some examples, a member includes a plurality of relatively small electrodes that are configured to function as both sense and stimulation electrodes. One or more of the electrodes may be selected as stimulation electrodes and two or more different electrodes of the member may be selected as sense electrodes that are symmetrically arranged relative to the one or more selected stimulation electrodes. In some examples, a member includes a plurality of levels of segmented sense electrodes and a plurality of levels of stimulation electrodes. The levels of sense electrodes are arranged such that each level of stimulation electrodes is adjacent at least two levels of sense electrodes symmetrically arranged relative to the level of stimulation electrodes.

    摘要翻译： 用相对于刺激电极对称布置的感测电极感测患者的生理信号。 在一些示例中，构件包括被配置为用作感测电极和刺激电极的多个相对较小的电极。 可以选择一个或多个电极作为刺激电极，并且可以选择构件的两个或更多个不同的电极作为相对于一个或多个所选择的刺激电极对称布置的感测电极。 在一些示例中，构件包括多个级别的分段感测电极和多个级别的刺激电极。 感测电极的电平被布置成使得每个级别的刺激电极相邻于相对于刺激电极的水平对称布置的至少两个感测电极级。

    Stimulation electrode selection
    6.
    发明授权
    Stimulation electrode selection 有权

    公开(公告)号：US08538513B2

    公开(公告)日：2013-09-17

    申请号：US12639678

    申请日：2009-12-16

    申请人： Gabriela C. Molnar ,  Jianping Wu

    发明人： Gabriela C. Molnar ,  Jianping Wu

    IPC分类号： A61B5/04

    CPC分类号： A61B5/048 ,  A61B5/4082 ,  A61N1/0534 ,  A61N1/36139 ,  A61N1/36171 ,  A61N1/36185

    摘要： Bioelectrical signals may be sensed within a brain of a patient with a plurality of sense electrode combinations. A stimulation electrode combination for delivering stimulation to the patient to manage a patient condition can be selected based on a frequency domain characteristic of the sensed bioelectrical signals. In some examples, a stimulation electrode combination is selected based on a determination of which of the sense electrodes are located closest to a target tissue site, as indicated by the one or more sense electrodes that sensed a bioelectrical brain signal with a relatively highest value of the frequency domain characteristic. In some examples, determining which of the sense electrodes are located closest to the target tissue site may include executing an algorithm using relative values of the frequency domain characteristic.

    Electrode arrangements for medical lead
    7.
    发明授权
    Electrode arrangements for medical lead 有权
    医用铅电极装置

    公开(公告)号：US08509920B2

    公开(公告)日：2013-08-13

    申请号：US13376133

    申请日：2010-06-21

    申请人： Carl D. Wahlstrand ,  Dale F. Seeley ,  Gabriela C. Molnar

    发明人： Carl D. Wahlstrand ,  Dale F. Seeley ,  Gabriela C. Molnar

    IPC分类号： A61N1/04

    CPC分类号： A61N1/0551 ,  A61N1/0556

    摘要： An implantable medical lead includes a lead body having a proximal portion having a longitudinal axis and an arcuate distal body portion extending in the direction of the longitudinal axis. The arcuate distal body portion has a concave surface. The lead includes a plurality of elongate electrodes disposed at the arcuate distal end portion of the lead body along the concave surface. The electrodes extend substantially parallel to the longitudinal axis of the lead body.

    摘要翻译： 可植入医疗引线包括具有纵向轴线的近端部分和沿着纵向轴线方向延伸的弓形远侧主体部分的引线主体。 弓形的远侧主体部分具有凹面。 引线包括沿着凹面设置在引线主体的弓形远端部分处的多个细长电极。 电极基本上平行于引线主体的纵向轴线延伸。

    Medical device configuration based on sensed brain signals
    8.
    发明授权
    Medical device configuration based on sensed brain signals 有权
    基于感觉到的大脑信号的医疗设备配置

    公开(公告)号：US08185207B2

    公开(公告)日：2012-05-22

    申请号：US13167754

    申请日：2011-06-24

    申请人： Gabriela C. Molnar ,  Gregory F. Molnar

    发明人： Gabriela C. Molnar ,  Gregory F. Molnar

    IPC分类号： A61N1/00

    CPC分类号： A61N1/36071 ,  A61B5/048 ,  A61B5/7257

    摘要： The invention is directed to techniques and systems in which external brain monitoring is used to facilitate implantation and configuration of an implantable medical device. The techniques may create an open loop or closed loop system in which brain signals quantify the efficacy of electrical logical stimulation (or drug therapy via an implantable drug pump) at locations outside of the brain. The techniques may be used to improve placement of leads and electrodes during an implantation procedure, and/or to select or adjust stimulation parameters either during the implantation procedure or possibly following implantation of an implantable medical device. The described techniques have applications for the alleviation of pain, but may find other applications where EEG signals can quantify the efficacy of treatment via an implantable medical device.

    摘要翻译： 本发明涉及使用外部脑部监测来促进可植入医疗装置的植入和构造的技术和系统。 这些技术可以产生开环或闭环系统，其中脑信号定量在脑外部位置的电逻辑刺激（或通过可植入药物泵的药物治疗）的功效。 这些技术可以用于在植入过程期间改善引线和电极的放置，和/或在植入过程期间或可能在植入可植入医疗器械之后选择或调整刺激参数。 所描述的技术具有减轻疼痛的应用，但是可以找到其他应用，其中EEG信号可以通过可植入医疗装置量化治疗的功效。

    HUB FOR IMPLANTABLE MEDICAL LEADS
    9.
    发明申请
    HUB FOR IMPLANTABLE MEDICAL LEADS 有权
    用于可植入医疗领域的HUB

    公开(公告)号：US20120083867A1

    公开(公告)日：2012-04-05

    申请号：US13376141

    申请日：2010-06-21

    申请人： Carl D. Wahlstrand ,  Dale F. Seeley ,  Gabriela C. Molnar ,  Lisa M. Johanek

    发明人： Carl D. Wahlstrand ,  Dale F. Seeley ,  Gabriela C. Molnar ,  Lisa M. Johanek

    IPC分类号： A61N1/05

    CPC分类号： H04L12/189 ,  A61N1/3752 ,  H01R13/5224 ,  H01R24/58 ,  H01R31/02 ,  H01R2107/00 ,  H01R2201/12 ,  H04L51/38 ,  H04W72/005 ,  H04W72/1273 ,  H04W72/1289

    摘要： A hub (200) includes a first lead receptacle having a plurality of contacts (280) for electrically coupling a lead to an implantable electrical device. The hub further contains a second lead receptacle having a plurality of contacts for electrically coupling a lead to the implantable electrical device. At least one of the plurality of contacts of the first receptacle is a contact of the second receptacle. Such a configuration may allow for the overall size of the hub to be reduced relative to a hub where each discrete contact of the hub corresponds to a discrete contact or electrical channel of the implantable electrical device.

    摘要翻译： 轮毂（200）包括具有用于将引线电耦合到可植入电气装置的多个触点（280）的第一引线插座。 轮毂还包括具有用于将引线电耦合到可植入电气装置的多个触点的第二引线插座。 第一容器的多个触点中的至少一个是第二插座的触点。 这种构造可以允许毂的总体尺寸相对于轮毂减小，其中毂的每个离散接触对应于可植入电气设备的离散接触或电通道。