Apparatus, system, and method for targeted placement of a percutaneous electrode

    公开(公告)号:US11135424B2

    公开(公告)日:2021-10-05

    申请号:US14320898

    申请日:2014-07-01

    Abstract: In various examples, an apparatus is configured for targeted placement of a lead body within a patient. The lead body includes at least one distal electrode. The apparatus includes a needle including a lumen sized to accommodate the lead body within the lumen. A stylet is insertable within the needle, wherein at least one of the needle and the stylet includes at least one imageable marker corresponding in size, shape, and location to the at least one distal electrode of the lead body. The at least one imageable marker is configured to allow a user to determine placement within the patient of the at least one distal electrode of the lead body prior to implantation of the lead body within the patient.

    Neurostimulator configured to sense evoked potentials in peripheral nerves
    3.
    发明授权
    Neurostimulator configured to sense evoked potentials in peripheral nerves 有权
    配置成感测外周神经中的诱发电位的神经刺激器

    公开(公告)号:US09248279B2

    公开(公告)日:2016-02-02

    申请号:US14322716

    申请日:2014-07-02

    Abstract: A method of providing stimulation therapy to a patient includes performing first and second calibration processes in first and second patient posture states, respectively. The first and second calibration processes respectively associates a sensation experienced by a patient, in the respective patient posture states, with first and second amounts of an evoked potential, respectively, and also with first and second values of a stimulation parameter to achieve the first and second amounts of evoked potential, respectively. Thereafter, a current patient posture state is detected. If the current patient posture state is detected as the first patient posture state, stimulation therapy is applied to the patient using the first value of the stimulation parameter as an initial value. If the current patient posture state is detected as the second patient posture state, stimulation therapy is applied to the patient using the second value of the stimulation parameter as the initial value.

    Abstract translation: 向患者提供刺激治疗的方法包括分别在第一和第二患者姿势状态下执行第一和第二校准过程。 第一和第二校准过程分别将患者经历的各种患者姿势状态中的感觉分别与诱发电位的第一和第二量相关联,以及刺激参数的第一和第二值以实现第一和第 第二量诱发电位。 此后,检测当前的患者姿势状态。 如果当前患者姿势状态被检测为第一患者姿势状态,则使用刺激参数的第一值作为初始值对患者施加刺激治疗。 如果当前患者姿势状态被检测为第二患者姿势状态,则使用刺激参数的第二值作为初始值对患者施加刺激治疗。

    SYSTEM AND METHOD FOR SELECTIVE AND MAINTAINED ACTIVATION OF SENSORY PERIPHERAL NERVE FIBERS
    4.
    发明申请
    SYSTEM AND METHOD FOR SELECTIVE AND MAINTAINED ACTIVATION OF SENSORY PERIPHERAL NERVE FIBERS 有权
    感觉性外周神经纤维的选择性和维持性激活的系统和方法

    公开(公告)号:US20150012068A1

    公开(公告)日:2015-01-08

    申请号:US14321914

    申请日:2014-07-02

    Abstract: A method of establishing a stimulation treatment protocol includes delivering electrical stimulation to a nerve site of the patient. The electrical stimulation is delivered using a stimulation configuration with respect to one or more of the following: activation of a subset of a plurality of electrodes on a lead, electrode polarity for the activated electrodes, stimulation pulse width, and stimulation pulse amplitude. An action potential evoked from the nerve site in response to the electrical stimulation is measured. The action potential includes a sensory fiber contribution and a motor fiber contribution. Both the sensory fiber contribution and the motor fiber contribution are measured. The delivering and the measuring are repeated for a plurality of cycles. Each cycle is performed using a different stimulation configuration. The stimulation configuration that offers a greatest sensory fiber contribution relative to the motor fiber contribution is recommended as a candidate for optimized stimulation configuration.

    Abstract translation: 建立刺激治疗方案的方法包括将电刺激递送到患者的神经部位。 使用关于以下中的一个或多个的刺激配置来递送电刺激:激活引线上的多个电极的子集,激活电极的电极极性,刺激脉冲宽度和刺激脉冲幅度。 测量响应于电刺激从神经部位诱发的动作电位。 动作电位包括感官纤维的贡献和运动纤维的贡献。 测量感官纤维的贡献和运动纤维的贡献。 交付和测量重复多个周期。 每个循环使用不同的刺激配置进行。 作为优化刺激配置的候选者,推荐提供相对于马达纤维贡献的最大感官纤维贡献的刺激配置。

    SYSTEMS AND METHODS FOR REDUCING POWER CONSUMPTION IN AN IMPLANTABLE MEDICAL DEVICE

    公开(公告)号:US20170246451A1

    公开(公告)日:2017-08-31

    申请号:US15594841

    申请日:2017-05-15

    Abstract: A medical device includes telemetry circuitry configured to receive programming instructions. The medical device also includes stimulation circuitry configured to generate a plurality of electrical pulses in response to the programming instructions to provide an electrical stimulation therapy for a patient. The stimulation circuitry includes a voltage converter, a multiplexor, and a stimulation driver. At least one of the voltage converter, the multiplexer, or the stimulation driver is selectively enabled and disabled during or between the electrical pulses to reduce power consumption of the medical device.

    Paddle lead maximizing lateral target points across a peripheral nerve
    10.
    发明授权
    Paddle lead maximizing lateral target points across a peripheral nerve 有权
    桨头通过周围神经使横向目标点最大化

    公开(公告)号:US09295832B2

    公开(公告)日:2016-03-29

    申请号:US14322455

    申请日:2014-07-02

    Abstract: The present disclosure involves a medical system. The medical system an implantable lead configured to deliver an electrical stimulation therapy for a patient. The lead includes an elongate lead body that is configured to be coupled to a pulse generator that generates electrical stimulations pulses as part of the electrical stimulation therapy. The lead also includes a paddle coupled to the lead body. The paddle contains a plurality of electrodes that are each configured to deliver the electrical stimulation pulses to the patient. The plurality of electrodes is arranged into at least three columns that each include a respective subset of the electrodes. The plurality of electrodes each includes a unique centerline, wherein the centerlines extend in directions transverse to the columns.

    Abstract translation: 本公开涉及医疗系统。 该医疗系统是可植入引线,其被配置为递送针对患者的电刺激疗法。 引线包括细长引线体,其被配置为耦合到脉冲发生器,其产生作为电刺激治疗的一部分的电刺激脉冲。 引线还包括耦合到引线主体的桨。 桨包含多个电极,每个电极被配置为将电刺激脉冲递送给患者。 多个电极布置成至少三个列,每个列包括电极的相应子集。 多个电极各自包括唯一的中心线,其中中心线在横向于列的方向上延伸。

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