公开(公告)号：US08666506B2

公开(公告)日：2014-03-04

申请号：US11810941

申请日：2007-06-07

申请人： Gary W. King ,  Steven M. Goetz ,  Kevin K. Tidemand ,  Wilbert A. Wesselink ,  Gabriela C. Miyazawa ,  Jordan J. Greenberg

发明人： Gary W. King ,  Steven M. Goetz ,  Kevin K. Tidemand ,  Wilbert A. Wesselink ,  Gabriela C. Miyazawa ,  Jordan J. Greenberg

IPC分类号： A61N1/05

CPC分类号： A61N1/37247 ,  A61N1/0529 ,  A61N1/0534 ,  A61N1/0553 ,  A61N1/36185 ,  G06F19/00 ,  G06F19/3481 ,  G16H40/63

摘要： Techniques for selecting electrode combinations for stimulation therapy are described. The techniques include selecting one or more electrode combinations based on information associating a plurality of electrode combinations with at least one value of a therapy metric. The therapy metric comprises a quantifiable result of delivery of stimulation, and may be generated computer modeling of delivery of stimulation via the electrode combinations. In one embodiment, a clinician may deliver stimulation via a baseline electrode combination, receive patient feedback to the baseline electrode combination, select a therapy metric based on the patient feedback, and select additional electrode combinations based on the selected therapy metric and the information associating the electrode combinations with therapy metric values. In another embodiment, the clinician may select a therapy metric prior to providing a test stimulation and select additional electrode combinations based on the selected therapy metric and the information associating electrode combinations with metric values.

摘要翻译： 描述了用于选择用于刺激治疗的电极组合的技术。 所述技术包括基于将多个电极组合与治疗度量的至少一个值相关联的信息来选择一个或多个电极组合。 治疗指标包括刺激递送的可量化结果，并且可以产生经由电极组合递送刺激的计算机建模。 在一个实施例中，临床医生可以经由基线电极组合递送刺激，将患者反馈接收到基线电极组合，基于患者反馈选择治疗度量，并且基于所选择的治疗度量选择附加电极组合，并且将关于 电极组合与治疗度量值。 在另一个实施例中，临床医生可以在提供测试刺激之前选择治疗度量，并且基于所选择的治疗度量和将电极组合与度量值相关联的信息来选择附加电极组合。

公开(公告)号：US20080004675A1

公开(公告)日：2008-01-03

申请号：US11810967

申请日：2007-06-07

申请人： Gary W. King ,  Kevin K. Tidemand ,  Wilbert A. Wesselink ,  Gabriela C. Miyazawa ,  Jordan J. Greenberg

发明人： Gary W. King ,  Kevin K. Tidemand ,  Wilbert A. Wesselink ,  Gabriela C. Miyazawa ,  Jordan J. Greenberg

IPC分类号： A61N1/05

CPC分类号： A61N1/37247 ,  A61N1/0529 ,  A61N1/0534 ,  A61N1/0553 ,  A61N1/36185 ,  G06F19/00 ,  G06F19/3481 ,  G16H40/63

摘要： Techniques for selecting electrode combinations for stimulation therapy include delivering stimulation via each of at least two electrode combination classes during a therapy evaluation period. A first one of the classes comprises one or more electrode combinations that include electrodes within one or two columns of an implantable array of electrodes. The array may include at least three electrode columns. A second one of the classes comprises one or more electrode combinations that include electrodes within at least three electrode columns of the implantable array of electrodes. A preferred one of the electrode combination classes for a patient, and/or a number of leads to implant within the patient, may by selected based on feedback collected from the patient during the therapy evaluation period.

摘要翻译： 用于选择用于刺激治疗的电极组合的技术包括在治疗评价期间通过至少两个电极组合类别中的每一个递送刺激。 这些类别中的第一个包括一个或多个电极组合，其包括在可植入的电极阵列的一列或两列内的电极。 阵列可以包括至少三个电极柱。 第二类包括一个或多个电极组合，其包括在可植入电极阵列的至少三个电极列内的电极。 可以通过基于在治疗评估期间从患者收集的反馈来选择用于患者的电极组合类别中的优选的一个，和/或患者内的植入物的数量。

公开(公告)号：US08744597B2

公开(公告)日：2014-06-03

申请号：US11810967

申请日：2007-06-07

申请人： Gary W. King ,  Kevin K. Tidemand ,  Wilbert A. Wesselink ,  Gabriela C. Miyazawa ,  Jordan J. Greenberg

发明人： Gary W. King ,  Kevin K. Tidemand ,  Wilbert A. Wesselink ,  Gabriela C. Miyazawa ,  Jordan J. Greenberg

IPC分类号： A61N1/05

CPC分类号： A61N1/37247 ,  A61N1/0529 ,  A61N1/0534 ,  A61N1/0553 ,  A61N1/36185 ,  G06F19/00 ,  G06F19/3481 ,  G16H40/63

摘要： Techniques for selecting electrode combinations for stimulation therapy include delivering stimulation via each of at least two electrode combination classes during a therapy evaluation period. A first one of the classes comprises one or more electrode combinations that include electrodes within one or two columns of an implantable array of electrodes. The array may include at least three electrode columns. A second one of the classes comprises one or more electrode combinations that include electrodes within at least three electrode columns of the implantable array of electrodes. A preferred one of the electrode combination classes for a patient, and/or a number of leads to implant within the patient, may by selected based on feedback collected from the patient during the therapy evaluation period.

摘要翻译： 用于选择用于刺激治疗的电极组合的技术包括在治疗评价期间通过至少两个电极组合类别中的每一个递送刺激。 这些类别中的第一个包括一个或多个电极组合，其包括在可植入的电极阵列的一列或两列内的电极。 阵列可以包括至少三个电极柱。 第二类包括一个或多个电极组合，其包括在可植入电极阵列的至少三个电极列内的电极。 可以通过基于在治疗评估期间从患者收集的反馈来选择用于患者的电极组合类别中的优选的一个，和/或患者内的植入物的数量。

公开(公告)号：US20080046036A1

公开(公告)日：2008-02-21

申请号：US11810943

申请日：2007-06-07

申请人： Gary W. King ,  Gabriela C. Miyazawa ,  Jordan J. Greenberg ,  Steven M. Goetz

发明人： Gary W. King ,  Gabriela C. Miyazawa ,  Jordan J. Greenberg ,  Steven M. Goetz

IPC分类号： A61N1/32

CPC分类号： A61N1/37247 ,  A61N1/0529 ,  A61N1/0534 ,  A61N1/0553 ,  A61N1/36185 ,  G06F19/00 ,  G06F19/3481 ,  G16H40/63

摘要： Techniques for selecting electrode combinations for stimulation therapy include delivering stimulation via each of at least five combination groups. A first group of electrode combinations is characterized by the presence of a caudal anode. A second group of electrode combinations is characterized by the presence of a rostral anode. A third group of electrode combinations is characterized by the presence of a single anode above and a single anode below the cathode(s) of the combination. A fourth group of electrode combinations is characterized by the presence of multiple anodes above and below the cathode(s) of the combination. A fifth group of electrode combinations is characterized by the presence of transverse anodes. A sixth group of electrode combination is characterized by at least one off-center cathode. One or more preferred electrode combinations groups, and/or a number of leads to implant within the patient, may by selected based on patient feedback.

摘要翻译： 用于选择用于刺激治疗的电极组合的技术包括通过至少五个组合组中的每一个递送刺激。 第一组电极组合的特征在于尾部阳极的存在。 第二组电极组合的特征在于存在罗氏阳极。 第三组电极组合的特征在于在组合的阴极下方存在单个阳极和单个阳极。 第四组电极组合的特征在于在组合的阴极上方和下方存在多个阳极。 第五组电极组合的特征在于存在横向阳极。 第六组电极组合的特征在于至少一个偏心阴极。 可以通过基于患者反馈来选择一个或多个优选的电极组合组和/或在患者体内植入的多个引线。

公开(公告)号：US08620452B2

公开(公告)日：2013-12-31

申请号：US11810943

申请日：2007-06-07

申请人： Gary W. King ,  Gabriela C. Miyazawa ,  Jordan J. Greenberg ,  Steven M. Goetz

发明人： Gary W. King ,  Gabriela C. Miyazawa ,  Jordan J. Greenberg ,  Steven M. Goetz

IPC分类号： A61N1/05

CPC分类号： A61N1/37247 ,  A61N1/0529 ,  A61N1/0534 ,  A61N1/0553 ,  A61N1/36185 ,  G06F19/00 ,  G06F19/3481 ,  G16H40/63

摘要： Techniques for selecting electrode combinations for stimulation therapy include delivering stimulation via each of at least five combination groups. A first group of electrode combinations is characterized by the presence of a caudal anode. A second group of electrode combinations is characterized by the presence of a rostral anode. A third group of electrode combinations is characterized by the presence of a single anode above and a single anode below the cathode(s) of the combination. A fourth group of electrode combinations is characterized by the presence of multiple anodes above and below the cathode(s) of the combination. A fifth group of electrode combinations is characterized by the presence of transverse anodes. A sixth group of electrode combination is characterized by at least one off-center cathode. One or more preferred electrode combinations groups, and/or a number of leads to implant within the patient, may by selected based on patient feedback.

摘要翻译： 用于选择用于刺激治疗的电极组合的技术包括通过至少五个组合组中的每一个递送刺激。 第一组电极组合的特征在于尾部阳极的存在。 第二组电极组合的特征在于存在罗氏阳极。 第三组电极组合的特征在于在组合的阴极下方存在单个阳极和单个阳极。 第四组电极组合的特征在于在组合的阴极上方和下方存在多个阳极。 第五组电极组合的特征在于存在横向阳极。 第六组电极组合的特征在于至少一个偏心阴极。 可以通过基于患者反馈来选择一个或多个优选的电极组合组和/或在患者体内植入的多个引线。

公开(公告)号：US08255060B2

公开(公告)日：2012-08-28

申请号：US11999735

申请日：2007-12-06

申请人： Steven M. Goetz ,  Jeffrey T. Keacher ,  Rajeev Sahasrabudhe ,  Wende L. Dewing ,  Jon P. Davis ,  John Rondoni ,  Gabriela C. Miyazawa ,  Gary W. King

发明人： Steven M. Goetz ,  Jeffrey T. Keacher ,  Rajeev Sahasrabudhe ,  Wende L. Dewing ,  Jon P. Davis ,  John Rondoni ,  Gabriela C. Miyazawa ,  Gary W. King

IPC分类号： A61N1/372

CPC分类号： A61N1/37247 ,  A61N1/36185

摘要： The disclosure is directed to a user interface with a menu that facilitates stimulation therapy programming. The user interface displays a representation of the electrical leads implanted in the patient and at least one menu with icons that the user can use to adjust the stimulation therapy. The user may drag one or more field shapes from a field shape selection menu onto the desired location relative to the electrical leads. A manipulation tool menu may also allow the user to adjust the field shapes placed on the electrical leads, which represent the stimulation region. The programmer that includes the user interface then generates electrical stimulation parameter values for the stimulator to deliver stimulation according to the field shapes or field shape groups defined/located by the user. The field shapes may represent different types of stimulation representations, such as current density, activation functions, and neuron models.

摘要翻译： 本公开针对具有促进刺激治疗编程的菜单的用户界面。 用户界面显示植入患者中的电引线的表示以及具有用户可用于调整刺激疗法的图标的至少一个菜单。 用户可以将一个或多个场形状从场形选择菜单拖到相对于电引线的期望位置上。 操作工具菜单还可以允许用户调整放置在电引线上的场形状，其代表刺激区域。 包括用户界面的程序员然后产生刺激器的电刺激参数值，以根据由用户定义/定位的场形状或场形组递送刺激。 场形状可以表示不同类型的刺激表示，例如电流密度，激活函数和神经元模型。

公开(公告)号：US08798759B2

公开(公告)日：2014-08-05

申请号：US11999722

申请日：2007-12-06

申请人： Steven M. Goetz ,  Jeffrey T. Keacher ,  Rajeev Sahasrabudhe ,  Wende L. Dewing ,  Jon P. Davis ,  John Rondoni ,  Gabriela C. Miyazawa ,  Gary W. King

发明人： Steven M. Goetz ,  Jeffrey T. Keacher ,  Rajeev Sahasrabudhe ,  Wende L. Dewing ,  Jon P. Davis ,  John Rondoni ,  Gabriela C. Miyazawa ,  Gary W. King

IPC分类号： A61N1/00

CPC分类号： A61N1/37247 ,  A61N1/36185

摘要： The disclosure is directed to a user interface with a menu that facilitates stimulation therapy programming. The user interface displays a representation of the electrical leads implanted in the patient and at least one menu with icons that the user can use to adjust the stimulation therapy. The user may drag one or more field shapes from a field shape selection menu onto the desired location relative to the electrical leads. A manipulation tool menu may also allow the user to adjust the field shapes placed on the electrical leads, which represent the stimulation region. The programmer that includes the user interface then generates electrical stimulation parameter values for the stimulator to deliver stimulation according to the field shapes or field shape groups defined/located by the user. The field shapes may represent different types of stimulation representations, such as current density, activation functions, and neuron models.

摘要翻译： 本公开针对具有促进刺激治疗编程的菜单的用户界面。 用户界面显示植入患者中的电引线的表示以及具有用户可用于调整刺激疗法的图标的至少一个菜单。 用户可以将一个或多个场形状从场形选择菜单拖到相对于电引线的期望位置上。 操作工具菜单还可以允许用户调整放置在电引线上的场形状，其代表刺激区域。 包括用户界面的程序员然后产生刺激器的电刺激参数值，以根据由用户定义/定位的场形状或场形组递送刺激。 场形状可以表示不同类型的刺激表示，例如电流密度，激活函数和神经元模型。

公开(公告)号：US20080154340A1

公开(公告)日：2008-06-26

申请号：US11999735

申请日：2007-12-06

申请人： Steven M. Goetz ,  Jeffrey T. Keacher ,  Rajeev Sahasrabudhe ,  Wende L. Dewing ,  Jon P. Davis ,  John Rondoni ,  Gabriela C. Miyazawa ,  Gary W. King

发明人： Steven M. Goetz ,  Jeffrey T. Keacher ,  Rajeev Sahasrabudhe ,  Wende L. Dewing ,  Jon P. Davis ,  John Rondoni ,  Gabriela C. Miyazawa ,  Gary W. King

IPC分类号： A61N1/08 ,  G06F3/048

CPC分类号： A61N1/37247 ,  A61N1/36185

摘要： The disclosure is directed to a user interface with a menu that facilitates stimulation therapy programming. The user interface displays a representation of the electrical leads implanted in the patient and at least one menu with icons that the user can use to adjust the stimulation therapy. The user may drag one or more field shapes from a field shape selection menu onto the desired location relative to the electrical leads. A manipulation tool menu may also allow the user to adjust the field shapes placed on the electrical leads, which represent the stimulation region. The programmer that includes the user interface then generates electrical stimulation parameter values for the stimulator to deliver stimulation according to the field shapes or field shape groups defined/located by the user. The field shapes may represent different types of stimulation representations, such as current density, activation functions, and neuron models.

公开(公告)号：US08321808B2

公开(公告)日：2012-11-27

申请号：US11999726

申请日：2007-12-06

申请人： Steven M. Goetz ,  Jeffrey T. Keacher ,  Rajeev Sahasrabudhe ,  Wende L. Dewing ,  Jon P. Davis ,  John Rondoni ,  Gabriela C. Miyazawa ,  Gary W. King

发明人： Steven M. Goetz ,  Jeffrey T. Keacher ,  Rajeev Sahasrabudhe ,  Wende L. Dewing ,  Jon P. Davis ,  John Rondoni ,  Gabriela C. Miyazawa ,  Gary W. King

IPC分类号： G06F3/048

CPC分类号： A61N1/37247 ,  A61N1/36185

摘要： The disclosure is directed to a user interface with a menu that facilitates stimulation therapy programming. The user interface displays a representation of the electrical leads implanted in the patient and at least one menu with icons that the user can use to adjust the stimulation therapy. The user may drag one or more field shapes from a field shape selection menu onto the desired location relative to the electrical leads. A manipulation tool menu may also allow the user to adjust the field shapes placed on the electrical leads, which represent the stimulation region. The programmer that includes the user interface then generates electrical stimulation parameter values for the stimulator to deliver stimulation according to the field shapes or field shape groups defined/located by the user. The field shapes may represent different types of stimulation representations, such as current density, activation functions, and neuron models.

公开(公告)号：US20080215118A1

公开(公告)日：2008-09-04

申请号：US11999722

申请日：2007-12-06

申请人： Steven M. Goetz ,  Jeffrey T. Keacher ,  Rajeev Sahasrabudhe ,  Wende L. Dewing ,  Jon P. Davis ,  John Rondoni ,  Gabriela C. Miyazawa ,  Gary W. King

发明人： Steven M. Goetz ,  Jeffrey T. Keacher ,  Rajeev Sahasrabudhe ,  Wende L. Dewing ,  Jon P. Davis ,  John Rondoni ,  Gabriela C. Miyazawa ,  Gary W. King

IPC分类号： A61N1/08 ,  G06F3/048

CPC分类号： A61N1/37247 ,  A61N1/36185

摘要： The disclosure is directed to a user interface with a menu that facilitates stimulation therapy programming. The user interface displays a representation of the electrical leads implanted in the patient and at least one menu with icons that the user can use to adjust the stimulation therapy. The user may drag one or more field shapes from a field shape selection menu onto the desired location relative to the electrical leads. A manipulation tool menu may also allow the user to adjust the field shapes placed on the electrical leads, which represent the stimulation region. The programmer that includes the user interface then generates electrical stimulation parameter values for the stimulator to deliver stimulation according to the field shapes or field shape groups defined/located by the user. The field shapes may represent different types of stimulation representations, such as current density, activation functions, and neuron models.