公开(公告)号：US20060241722A1

公开(公告)日：2006-10-26

申请号：US11115789

申请日：2005-04-26

申请人： James Thacker ,  Carla Woods ,  Sridhar Kothandaraman ,  John King ,  Kerry Bradley

发明人： James Thacker ,  Carla Woods ,  Sridhar Kothandaraman ,  John King ,  Kerry Bradley

IPC分类号： A61N1/34

CPC分类号： G06F19/3481 ,  A61N1/36071 ,  G06F19/00 ,  G16H40/63

摘要： A tissue stimulation system is provided that evaluates and/or scores stimulation sets based on both patient feedback and frequency of use. Stimulation sets and any associated scores and/or usage may be stored in a retrievable database. Upon subsequent stimulation sessions, a patient may select stimulation sets that have a high score and/or usage in order to effectively meet therapeutic objectives. Methods of determining patient satisfaction, which involve evaluating patient pain before and after stimulation pulses are applied, are also provided herein.

摘要翻译： 提供组织刺激系统，其基于患者反馈和使用频率来评估和/或评估刺激组。 刺激集和任何相关的分数和/或使用可以存储在可检索的数据库中。 在随后的刺激会话中，患者可以选择具有高得分和/或使用的刺激组，以便有效地满足治疗目标。 本文还提供了确定患者满意度的方法，其涉及在刺激脉冲之前和之后评估患者疼痛。

公开(公告)号：US20060241721A1

公开(公告)日：2006-10-26

申请号：US11115752

申请日：2005-04-26

申请人： Sridhar Kothandaraman ,  John King ,  Carla Woods

发明人： Sridhar Kothandaraman ,  John King ,  Carla Woods

IPC分类号： A61N1/32

CPC分类号： A61N1/36071 ,  G06F19/00 ,  G16H40/63

摘要： Tissue stimulation systems, such as spinal cord stimulation systems, include a pulse generator to generate pulses at various amplitude, duration, and frequency through one or more electrodes. A visual depiction of both a pulse and an electrode configuration is thus provided herein. These depictions may be used in a stimulation display interface to readily convey stimulation parameter information to a user, wherein the interface is used in a stimulation session.

摘要翻译： 组织刺激系统，例如脊髓刺激系统，包括脉冲发生器，以通过一个或多个电极产生各种振幅，持续时间和频率的脉冲。 因此在此提供了脉冲和电极配置的视觉描绘。 这些描绘可以用在刺激显示界面中以便将刺激参数信息传达给用户，其中该界面用于刺激会话。

公开(公告)号：US20070156207A1

公开(公告)日：2007-07-05

申请号：US11324811

申请日：2006-01-04

申请人： Sridhar Kothandaraman ,  Kerry Bradley

发明人： Sridhar Kothandaraman ,  Kerry Bradley

IPC分类号： A61N1/36

CPC分类号： A61N1/36071

摘要： Tissue stimulation systems generally include a pulse generating device for generating electrical stimulation pulses, at least one implanted lead including at least one electrode for delivering the electrical stimulation pulses generated by the pulse generating device, and a programmer capable of communicating with the pulse generating device. In tissue stimulation systems, two or more electrical stimulation combinations may be delivered to a patient simultaneously through a reduced number of channels. Systems and methods described herein may combine the two or more stimulation combinations into a reduced number of new stimulation combinations for delivery of the stimulation combinations over a reduced number of channels.

摘要翻译： 组织刺激系统通常包括用于产生电刺激脉冲的脉冲产生装置，至少一个注入导线，包括至少一个用于传递由脉冲发生装置产生的电刺激脉冲的电极，以及能够与脉冲发生装置通信的编程器。 在组织刺激系统中，可以通过减少数量的通道将两个或多个电刺激组合同时传送给患者。 本文描述的系统和方法可以将两个或更多个刺激组合组合成减少数量的新刺激组合，以在减少数量的通道上递送刺激组合。

公开(公告)号：US20100121409A1

公开(公告)日：2010-05-13

申请号：US12614942

申请日：2009-11-09

申请人： Sridhar Kothandaraman ,  Carla Mann Woods ,  Kerry Bradley ,  James R. Thacker ,  Sivakumar Karnati

发明人： Sridhar Kothandaraman ,  Carla Mann Woods ,  Kerry Bradley ,  James R. Thacker ,  Sivakumar Karnati

IPC分类号： A61N1/08

CPC分类号： A61N1/37247 ,  A61N1/36071 ,  A61N1/36157 ,  A61N1/36185 ,  A61N1/37264

摘要： A method, computer medium, and system for programming a control device are provided. The control device is configured for controlling electrical stimulation energy provided to a plurality of electrode leads that are physically implanted within a patient in a side-by-side lead configuration. Electrical energy is conveying from the electrode leads to create a stimulation region within the patient. The stimulation region is automatically shifted along the electrode leads (e.g., by selecting and using at least one navigation table) in accordance with an electrical current shifting pattern that is based on a stagger of the side-by-side lead configuration. At least one stimulation parameter set is selected based on the effectiveness of the shifted stimulation region, and the control device is programmed with the selected stimulation parameter set(s).

摘要翻译： 提供了一种用于编程控制装置的方法，计算机介质和系统。 控制装置被配置为用于控制提供给以并排引线配置物理地植入患者体内的多个电极引线的电刺激能量。 电能从电极引线输送以在患者体内产生刺激区域。 刺激区域沿着电极引线自动移位（例如，通过选择和使用至少一个导航表），该电流移动模式是基于并排引线配置的交错。 基于移位的刺激区域的有效性来选择至少一个刺激参数集合，并且使用所选择的刺激参数集编程控制装置。

公开(公告)号：US07657317B2

公开(公告)日：2010-02-02

申请号：US11115789

申请日：2005-04-26

申请人： James R. Thacker ,  Carla M. Woods ,  Sridhar Kothandaraman ,  John D. H. King ,  Kerry Bradley

发明人： James R. Thacker ,  Carla M. Woods ,  Sridhar Kothandaraman ,  John D. H. King ,  Kerry Bradley

IPC分类号： A61N1/36

CPC分类号： G06F19/3481 ,  A61N1/36071 ,  G06F19/00 ,  G16H40/63

摘要： A tissue stimulation system is provided that evaluates and/or scores stimulation sets based on both patient feedback and frequency of use. Stimulation sets and any associated scores and/or usage may be stored in a retrievable database. Upon subsequent stimulation sessions, a patient may select stimulation sets that have a high score and/or usage in order to effectively meet therapeutic objectives. Methods of determining patient satisfaction, which involve evaluating patient pain before and after stimulation pulses are applied, are also provided herein.

摘要翻译： 提供组织刺激系统，其基于患者反馈和使用频率来评估和/或评估刺激组。 刺激集和任何相关的分数和/或使用可以存储在可检索的数据库中。 在随后的刺激会话中，患者可以选择具有高得分和/或使用的刺激组，以便有效地满足治疗目标。 本文还提供了确定患者满意度的方法，其涉及在刺激脉冲之前和之后评估患者疼痛。

公开(公告)号：US09950172B2

公开(公告)日：2018-04-24

申请号：US13470326

申请日：2012-05-13

申请人： Michael A. Moffitt ,  Sridhar Kothandaraman ,  David K. L. Peterson

发明人： Michael A. Moffitt ,  Sridhar Kothandaraman ,  David K. L. Peterson

IPC分类号： A61N1/00 ,  A61N1/36 ,  A61N1/372

CPC分类号： A61N1/36142 ,  A61N1/36185 ,  A61N1/37241

摘要： A neurostimulation system for management of stimulation safety limits. The system determines a tissue charge injection metric at each electrode, compares the metric to the hard stop charge limit, and prevents the neurostimulator from delivering stimulation energy to the tissue region in accordance based on the comparison. The hard stop limit may be user-programmable or may be automatically modified in response to detection of electrode characteristics. The system may quantitatively notify a user of a value of the injected charge injected into the tissue. The electrodes may be organized into different sets, in which case, the system may directly control tissue charge independently at each of the electrode sets. If current steering is provided, the system may displace the electrical stimulation energy along the tissue region in one direction, while preventing the charge injection value at each of the electrodes from meeting or exceeding the hard stop charge limit.

公开(公告)号：US20110282414A1

公开(公告)日：2011-11-17

申请号：US13104826

申请日：2011-05-10

申请人： Sridhar Kothandaraman ,  Christopher Britton Gould ,  Mun Pook Lui ,  Chester Kim

发明人： Sridhar Kothandaraman ,  Christopher Britton Gould ,  Mun Pook Lui ,  Chester Kim

IPC分类号： A61N1/36 ,  G06F3/048

CPC分类号： A61N1/37247 ,  A61N1/0551 ,  A61N1/36185

摘要： A method and external control device for operating a plurality of electrode leads implanted within the tissue of a patient. A virtual electrode leads in a reference lead configuration are displayed. One of the virtual electrode leads is selected. The selected virtual electrode lead is dragged, and the displace virtual electrode lead is dropped, thereby displaying the virtual electrode leads in a new lead configuration.

摘要翻译： 一种用于操作植入患者组织内的多个电极引线的方法和外部控制装置。 显示参考引线配置的虚拟电极引线。 选择虚拟电极引线之一。 所选择的虚拟电极引线被拖动，并且位移虚拟电极引线下降，从而以新的引线配置显示虚拟电极引线。

公开(公告)号：US20110191828A1

公开(公告)日：2011-08-04

申请号：US13018855

申请日：2011-02-01

申请人： Christopher Britton Gould ,  Sridhar Kothandaraman ,  Dennis Allen Vansickle

发明人： Christopher Britton Gould ,  Sridhar Kothandaraman ,  Dennis Allen Vansickle

IPC分类号： G06F21/00

CPC分类号： G06F21/00

摘要： A system and method for authorizing and tracking a modification to a medical device are provided. The modification may be an installation of software or firmware, an upgrade of software or firmware, an enablement of a feature, and/or a disablement of a feature. The system includes a server for generating and transmitting an authorization key before the modification can be performed. The system also includes a device for generating a confirmation key and transmitting the confirmation key to the server after the modification has been performed. The server is configured for updating a database with information regarding the modification performed on the medical device. In this manner, the system avoids performing unauthorized modifications to a medical device and efficiently traces authorized modifications made to the medical device.

摘要翻译： 提供了一种用于授权和跟踪对医疗设备的修改的系统和方法。 该修改可以是软件或固件的安装，软件或固件的升级，特征的启用和/或功能的禁用。 该系统包括用于在执行修改之前生成和发送授权密钥的服务器。 该系统还包括用于在执行修改之后产生确认密钥并将确认密钥发送到服务器的设备。 服务器被配置用于使用关于在医疗设备上执行的修改的信息来更新数据库。 以这种方式，系统避免对医疗设备进行未经授权的修改，并有效地追踪对医疗设备进行的授权修改。

公开(公告)号：US20120290038A1

公开(公告)日：2012-11-15

申请号：US13470158

申请日：2012-05-11

申请人： Michael A. Moffitt ,  Sridhar Kothandaraman ,  David K.L. Peterson

发明人： Michael A. Moffitt ,  Sridhar Kothandaraman ,  David K.L. Peterson

IPC分类号： A61N1/36

CPC分类号： A61N1/36142 ,  A61N1/36185 ,  A61N1/37241

摘要： A neurostimulation system for management of stimulation safety limits. The system determines a tissue charge injection metric at each electrode, compares the metric to the hard stop charge limit, and prevents the neurostimulator from delivering stimulation energy to the tissue region in accordance based on the comparison. The hard stop limit may be user-programmable or may be automatically modified in response to detection of electrode characteristics. The system may quantitatively notify a user of a value of the injected charge injected into the tissue. The electrodes may be organized into different sets, in which case, the system may directly control tissue charge independently at each of the electrode sets. If current steering is provided, the system may displace the electrical stimulation energy along the tissue region in one direction, while preventing the charge injection value at each of the electrodes from meeting or exceeding the hard stop charge limit.

公开(公告)号：US09713721B2

公开(公告)日：2017-07-25

申请号：US13292989

申请日：2011-11-09

申请人： Sridhar Kothandaraman

发明人： Sridhar Kothandaraman

IPC分类号： A61N1/36 ,  A61N1/372 ,  G06F19/00

CPC分类号： A61N1/36185 ,  A61N1/36071 ,  A61N1/37247 ,  A61N1/37264 ,  G06F19/00 ,  G16H40/40

摘要： External control devices, neurostimulation systems, and programming methods. A neurostimulator includes a feature having a numerical range. Information identifying a type of the neurostimulator is transmitted to an external control device. The external control device receives the information from the neurostimulator, identifies the type of the neurostimulator based on the received information, and programs the neurostimulator in accordance with the numerical range of the feature corresponding to the identified type of the neurostimulator.