公开(公告)号：US10204706B2

公开(公告)日：2019-02-12

申请号：US12771475

申请日：2010-04-30

申请人： Jon P. Davis ,  Steven M. Goetz ,  Nathan A. Torgerson ,  Ashish Singal ,  Lynn A. Davenport ,  Rajeev M. Sahasrabudhe ,  Shyam Gokaldas ,  Joel A. Anderson ,  Leroy L. Perz ,  Scott E. Straka

发明人： Jon P. Davis ,  Steven M. Goetz ,  Nathan A. Torgerson ,  Ashish Singal ,  Lynn A. Davenport ,  Rajeev M. Sahasrabudhe ,  Shyam Gokaldas ,  Joel A. Anderson ,  Leroy L. Perz ,  Scott E. Straka

IPC分类号： A61N1/08 ,  G16H40/63 ,  G06F19/00

摘要： In one aspect, a programmer for an implantable medical device comprises a user interface that receives user input corresponding to one or more selected stimulation therapy parameters for delivering stimulation therapy to a patient with the implantable medical device and presents an energy consumption estimate of a power source based on the selected stimulation therapy parameters; and a processor that determines one or more programming options that, if selected, would alter the selected stimulation therapy parameters and reduce the energy consumption estimate. The user interface presents at least one of the programming options to reduce the energy consumption estimate to the user with an indication that user selection of one or more of the presented programming options would alter the selected stimulation therapy parameters to reduce energy consumption of the implantable medical device.

公开(公告)号：US20110106213A1

公开(公告)日：2011-05-05

申请号：US12771475

申请日：2010-04-30

申请人： Jon P. Davis ,  Steven M. Goetz ,  Nathan A. Torgerson ,  Ashish Singal ,  Lynn A. Davenport ,  Rajeev M. Sahasrabudhe ,  Shyam Gokaldas ,  Joel A. Anderson ,  Leroy L. Perz ,  Scott E. Straka

发明人： Jon P. Davis ,  Steven M. Goetz ,  Nathan A. Torgerson ,  Ashish Singal ,  Lynn A. Davenport ,  Rajeev M. Sahasrabudhe ,  Shyam Gokaldas ,  Joel A. Anderson ,  Leroy L. Perz ,  Scott E. Straka

IPC分类号： A61N1/08

CPC分类号： G16H40/63 ,  G06F19/00

摘要： In one aspect, a programmer for an implantable medical device comprises a user interface that receives user input corresponding to one or more selected stimulation therapy parameters for delivering stimulation therapy to a patient with the implantable medical device and presents an energy consumption estimate of a power source based on the selected stimulation therapy parameters; and a processor that determines one or more programming options that, if selected, would alter the selected stimulation therapy parameters and reduce the energy consumption estimate. The user interface presents at least one of the programming options to reduce the energy consumption estimate to the user with an indication that user selection of one or more of the presented programming options would alter the selected stimulation therapy parameters to reduce energy consumption of the implantable medical device.

摘要翻译： 在一个方面，一种用于可植入医疗装置的编程器包括用户接口，其接收对应于一个或多个所选择的刺激治疗参数的用户输入，以用可植入医疗装置向患者传递刺激治疗，并呈现电源的能量消耗估计 基于所选择的刺激治疗参数; 以及处理器，其确定一个或多个编程选项，如果选择的话，将改变所选择的刺激治疗参数并减少能量消耗估计。 用户界面呈现至少一个编程选项，以减少对用户的能量消耗估计，指示用户选择所呈现的编程选项中的一个或多个将改变所选择的刺激治疗参数以减少可植入医学的能量消耗 设备。

公开(公告)号：US08996123B2

公开(公告)日：2015-03-31

申请号：US12906418

申请日：2010-10-18

申请人： Steven M. Goetz ,  Jon P. Davis ,  Nathan A. Torgerson ,  Shyam Gokaldas ,  Ashish Singal ,  Rajeev M. Sahasrabudhe ,  Brent A. Huhta

发明人： Steven M. Goetz ,  Jon P. Davis ,  Nathan A. Torgerson ,  Shyam Gokaldas ,  Ashish Singal ,  Rajeev M. Sahasrabudhe ,  Brent A. Huhta

IPC分类号： A61N1/36 ,  A61N1/372 ,  A61N1/05

CPC分类号： A61N1/37247 ,  A61N1/0553

摘要： Various programming techniques are described for medical devices that deliver electrical stimulation therapy that may include mapping between discrete electrical stimulation parameters and a graphical view of the electrical stimulation representing a stimulation zone generated by the parameters. In one example, a method includes receiving, via a programmer for an electrical stimulator, user input that graphically manipulates at least one of size and a shape of a graphical representation of at least one electrical stimulation zone displayed on the programmer, and defining a program to control delivery of electrical stimulation therapy based on the user input.

摘要翻译： 描述用于提供电刺激治疗的医疗装置的各种编程技术，其可以包括离散电刺激参数之间的映射和表示由参数产生的刺激区域的电刺激的图形视图。 在一个示例中，一种方法包括经由用于电刺激器的程序员接收图形地操纵在程序员上显示的至少一个电刺激区域的图形表示的尺寸和形状中的至少一个的用户输入，并且定义程序 以控制基于用户输入的电刺激治疗的递送。

公开(公告)号：US20110093030A1

公开(公告)日：2011-04-21

申请号：US12906418

申请日：2010-10-18

申请人： Steven M. Goetz ,  Jon P. Davis ,  Nathan A. Torgerson ,  Shyam Gokaldas ,  Ashish Singal ,  Rajeev M. Sahasrabudhe ,  Brent A. Huhta

发明人： Steven M. Goetz ,  Jon P. Davis ,  Nathan A. Torgerson ,  Shyam Gokaldas ,  Ashish Singal ,  Rajeev M. Sahasrabudhe ,  Brent A. Huhta

IPC分类号： A61N1/36

CPC分类号： A61N1/37247 ,  A61N1/0553

摘要： Various programming techniques are described for medical devices that deliver electrical stimulation therapy that may include mapping between discrete electrical stimulation parameters and a graphical view of the electrical stimulation representing a stimulation zone generated by the parameters. In one example, a method includes receiving, via a programmer for an electrical stimulator, user input that graphically manipulates at least one of size and a shape of a graphical representation of at least one electrical stimulation zone displayed on the programmer, and defining a program to control delivery of electrical stimulation therapy based on the user input.

摘要翻译： 描述了用于提供电刺激治疗的医疗装置的各种编程技术，其可以包括离散电刺激参数之间的映射和表示由参数产生的刺激区域的电刺激的图形视图。 在一个示例中，一种方法包括经由用于电刺激器的程序员接收图形地操纵在程序员上显示的至少一个电刺激区域的图形表示的尺寸和形状中的至少一个的用户输入，并且定义程序 以控制基于用户输入的电刺激治疗的递送。

公开(公告)号：US09149210B2

公开(公告)日：2015-10-06

申请号：US12769391

申请日：2010-04-28

申请人： Rajeev M. Sahasrabudhe ,  Lynn Davenport ,  Jon P. Davis ,  Wende L. Dewing ,  Elizabeth A. Fehrmann ,  Steven Goetz ,  Shyam Gokaldas ,  Eric J. Panken

发明人： Rajeev M. Sahasrabudhe ,  Lynn Davenport ,  Jon P. Davis ,  Wende L. Dewing ,  Elizabeth A. Fehrmann ,  Steven Goetz ,  Shyam Gokaldas ,  Eric J. Panken

IPC分类号： A61B5/11 ,  A61B5/00 ,  A61N1/36 ,  A61B5/021 ,  A61B5/024 ,  A61B5/0476 ,  A61B5/0488 ,  A61B5/145 ,  A61N1/365 ,  A61N1/372 ,  G06F19/00

CPC分类号： A61B5/4839 ,  A61B5/021 ,  A61B5/024 ,  A61B5/0476 ,  A61B5/0488 ,  A61B5/1116 ,  A61B5/1118 ,  A61B5/14532 ,  A61B5/686 ,  A61B5/7264 ,  A61B5/7282 ,  A61B5/742 ,  A61B5/7475 ,  A61B2560/0223 ,  A61B2560/0475 ,  A61N1/36071 ,  A61N1/36535 ,  A61N1/37247 ,  G06F19/00 ,  G06F19/324 ,  G16H50/20

摘要： Techniques relate to operating a medical device by classifying a detected posture state of a patient. This classification may be performed by comparing the detected posture state to posture state definitions available within the system. Each definition may be described in terms of a parameter (e.g., vector) indicative of a direction in three-dimensional space. The posture state definitions may be calibrated by automatically estimating values for these parameters, thereby eliminating the need for the patient to assume each posture state during the calibration process to capture actual parameter values. According to another aspect, the estimated parameter values may be updated as the patient assumes various postures during a daily routine. For instance, estimated vectors initially used to calibrate the posture state definitions may be changed over time to more closely represent posture states the patient actually assumes, and to further adapt to changes in a patient's condition.

摘要翻译： 技术涉及通过对检测到的患者的姿势状态进行分类来操作医疗装置。 可以通过将检测到的姿势状态与系统内可用的姿势状态定义进行比较来执行该分类。 可以根据指示三维空间中的方向的参数（例如，矢量）来描述每个定义。 可以通过自动估计这些参数的值来校准姿势状态定义，从而消除了在校准过程期间患者承担每个姿势状态以捕获实际参数值的需要。 根据另一方面，当患者在日常例行程序中呈现各种姿势时，可以更新所估计的参数值。 例如，最初用于校准姿势状态定义的估计矢量可以随着时间而改变以更加紧密地表示患者实际假定的姿势状态，并进一步适应患者状况的变化。

公开(公告)号：US08758274B2

公开(公告)日：2014-06-24

申请号：US12769431

申请日：2010-04-28

申请人： Rajeev M. Sahasrabudhe ,  Lynn Davenport ,  Jon P. Davis ,  Wende L. Dewing ,  Elizabeth A. Fehrmann ,  Steven Goetz ,  Shyam Gokaldas ,  Eric J. Panken

发明人： Rajeev M. Sahasrabudhe ,  Lynn Davenport ,  Jon P. Davis ,  Wende L. Dewing ,  Elizabeth A. Fehrmann ,  Steven Goetz ,  Shyam Gokaldas ,  Eric J. Panken

IPC分类号： A61B5/00

CPC分类号： A61B5/4839 ,  A61B5/021 ,  A61B5/024 ,  A61B5/0476 ,  A61B5/0488 ,  A61B5/1116 ,  A61B5/1118 ,  A61B5/14532 ,  A61B5/686 ,  A61B5/7264 ,  A61B5/7282 ,  A61B5/742 ,  A61B5/7475 ,  A61B2560/0223 ,  A61B2560/0475 ,  A61N1/36071 ,  A61N1/36535 ,  A61N1/37247 ,  G06F19/00 ,  G06F19/324 ,  G16H50/20

摘要： Techniques relate to operating a medical device by classifying a detected posture state of a patient. This classification may be performed by comparing the detected posture state of the patient to posture state definitions available within the system. Each definition may be described in terms of a parameter (e.g., vector) indicative of a direction in three-dimensional space. The posture state definitions may be calibrated by automatically estimating values for these parameters, thereby eliminating the need for the patient to assume each posture state during the calibration process to capture actual parameter values. According to another aspect, the estimated parameter values may be updated as the patient assumes various postures during a daily routine. For instance, estimated vectors initially used to calibrate the posture state definitions may be changed over time to more closely represent posture states the patient actually assumes, and to further adapt to changes in a patient's condition.

摘要翻译： 技术涉及通过对检测到的患者的姿势状态进行分类来操作医疗装置。 可以通过将检测到的患者的姿势状态与系统内可用的姿势状态定义进行比较来执行该分类。 可以根据指示三维空间中的方向的参数（例如，矢量）来描述每个定义。 可以通过自动估计这些参数的值来校准姿势状态定义，从而消除了在校准过程期间患者承担每个姿势状态以捕获实际参数值的需要。 根据另一方面，当患者在日常例行程序中呈现各种姿势时，可以更新所估计的参数值。 例如，最初用于校准姿势状态定义的估计矢量可以随着时间而改变以更加紧密地表示患者实际假定的姿势状态，并进一步适应患者状况的变化。

公开(公告)号：US20110172927A1

公开(公告)日：2011-07-14

申请号：US12769431

申请日：2010-04-28

申请人： Rajeev M. Sahasrabudhe ,  Lynn Davenport ,  Jon P. Davis ,  Wende L. Dewing ,  Elizabeth A. Fehrmann ,  Steven Goetz ,  Shyam Gokaldas ,  Eric J. Panken

发明人： Rajeev M. Sahasrabudhe ,  Lynn Davenport ,  Jon P. Davis ,  Wende L. Dewing ,  Elizabeth A. Fehrmann ,  Steven Goetz ,  Shyam Gokaldas ,  Eric J. Panken

IPC分类号： G06F19/00

CPC分类号： A61B5/4839 ,  A61B5/021 ,  A61B5/024 ,  A61B5/0476 ,  A61B5/0488 ,  A61B5/1116 ,  A61B5/1118 ,  A61B5/14532 ,  A61B5/686 ,  A61B5/7264 ,  A61B5/7282 ,  A61B5/742 ,  A61B5/7475 ,  A61B2560/0223 ,  A61B2560/0475 ,  A61N1/36071 ,  A61N1/36535 ,  A61N1/37247 ,  G06F19/00 ,  G06F19/324 ,  G16H50/20

摘要： Techniques relate to operating a medical device by classifying a detected posture state of a patient. This classification may be performed by comparing the detected posture state of the patient to posture state definitions available within the system. Each definition may be described in terms of a parameter (e.g., vector) indicative of a direction in three-dimensional space. The posture state definitions may be calibrated by automatically estimating values for these parameters, thereby eliminating the need for the patient to assume each posture state during the calibration process to capture actual parameter values. According to another aspect, the estimated parameter values may be updated as the patient assumes various postures during a daily routine. For instance, estimated vectors initially used to calibrate the posture state definitions may be changed over time to more closely represent posture states the patient actually assumes, and to further adapt to changes in a patient's condition.

摘要翻译： 技术涉及通过对检测到的患者的姿势状态进行分类来操作医疗装置。 可以通过将检测到的患者的姿势状态与系统内可用的姿势状态定义进行比较来执行该分类。 可以根据指示三维空间中的方向的参数（例如，矢量）来描述每个定义。 可以通过自动估计这些参数的值来校准姿势状态定义，从而消除了在校准过程期间患者承担每个姿势状态以捕获实际参数值的需要。 根据另一方面，当患者在日常例行程序中呈现各种姿势时，可以更新所估计的参数值。 例如，最初用于校准姿势状态定义的估计矢量可以随着时间而改变以更加紧密地表示患者实际假定的姿势状态，并进一步适应患者状况的变化。

公开(公告)号：US20110172562A1

公开(公告)日：2011-07-14

申请号：US12769391

申请日：2010-04-28

申请人： Rajeev M. Sahasrabudhe ,  Lynn Davenport ,  Jon P. Davis ,  Wende L. Dewing ,  Elizabeth A. Fehrmann ,  Steven Goetz ,  Shyam Gokaldas ,  Eric J. Panken

发明人： Rajeev M. Sahasrabudhe ,  Lynn Davenport ,  Jon P. Davis ,  Wende L. Dewing ,  Elizabeth A. Fehrmann ,  Steven Goetz ,  Shyam Gokaldas ,  Eric J. Panken

IPC分类号： A61B5/103

CPC分类号： A61B5/4839 ,  A61B5/021 ,  A61B5/024 ,  A61B5/0476 ,  A61B5/0488 ,  A61B5/1116 ,  A61B5/1118 ,  A61B5/14532 ,  A61B5/686 ,  A61B5/7264 ,  A61B5/7282 ,  A61B5/742 ,  A61B5/7475 ,  A61B2560/0223 ,  A61B2560/0475 ,  A61N1/36071 ,  A61N1/36535 ,  A61N1/37247 ,  G06F19/00 ,  G06F19/324 ,  G16H50/20

摘要： Techniques relate to operating a medical device by classifying a detected posture state of a patient. This classification may be performed by comparing the detected posture state of the patient to posture state definitions available within the system. Each definition may be described in terms of a parameter (e.g., vector) indicative of a direction in three-dimensional space. The posture state definitions may be calibrated by automatically estimating values for these parameters, thereby eliminating the need for the patient to assume each posture state during the calibration process to capture actual parameter values. According to another aspect, the estimated parameter values may be updated as the patient assumes various postures during a daily routine. For instance, estimated vectors initially used to calibrate the posture state definitions may be changed over time to more closely represent posture states the patient actually assumes, and to further adapt to changes in a patient's condition.

摘要翻译： 技术涉及通过对检测到的患者的姿势状态进行分类来操作医疗装置。 可以通过将检测到的患者的姿势状态与系统内可用的姿势状态定义进行比较来执行该分类。 可以根据指示三维空间中的方向的参数（例如，矢量）来描述每个定义。 可以通过自动估计这些参数的值来校准姿势状态定义，从而消除了在校准过程期间患者承担每个姿势状态以捕获实际参数值的需要。 根据另一方面，当患者在日常例行程序中呈现各种姿势时，可以更新所估计的参数值。 例如，最初用于校准姿势状态定义的估计矢量可以随着时间而改变以更加紧密地表示患者实际假定的姿势状态，并进一步适应患者状况的变化。

公开(公告)号：US09937342B2

公开(公告)日：2018-04-10

申请号：US12110906

申请日：2008-04-28

申请人： Dennis M. Skelton ,  Joseph J. Nolan ,  Nathan A. Torgerson ,  Wende L. Dewing ,  Todd V. Smith ,  Shyam Gokaldas ,  Steven M. Goetz ,  Andrew H. Houchins ,  Jeffrey T. Keacher

发明人： Dennis M. Skelton ,  Joseph J. Nolan ,  Nathan A. Torgerson ,  Wende L. Dewing ,  Todd V. Smith ,  Shyam Gokaldas ,  Steven M. Goetz ,  Andrew H. Houchins ,  Jeffrey T. Keacher

IPC分类号： A61N1/05 ,  A61N1/372

CPC分类号： A61N1/0553 ,  A61N1/0531 ,  A61N1/0534 ,  A61N1/37247

摘要： The disclosure provides techniques for parameter-directed shifting of electrical stimulation electrode combinations. An external programmer permits a user to shift electrode combinations, e.g., along the length of a lead or leads. The external programmer accepts shift input and causes an electrical stimulator to shift electrode combinations as indicated by the input. Different sets of electrodes may have different electrode counts. For example, an array of electrodes carried by one lead may have a greater number of electrodes than an array of electrodes carried on another lead. The disclosure provides techniques for shifting electrode combinations among leads with different electrode counts. For example, an external programmer may execute shifts in a series of shift operations, where the number of shift operations along the length of a lead having a greater electrode count is greater than the number of shift steps along the length of a lead having a lesser electrode count.

公开(公告)号：US20090018619A1

公开(公告)日：2009-01-15

申请号：US12110906

申请日：2008-04-28

申请人： Dennis M. Skelton ,  Joseph J. Nolan ,  Nathan A. Torgerson ,  Wende L. Dewing ,  Todd V. Smith ,  Shyam Gokaldas ,  Steven M. Goetz ,  Andrew H. Houchins ,  Jeffrey T. Keacher

发明人： Dennis M. Skelton ,  Joseph J. Nolan ,  Nathan A. Torgerson ,  Wende L. Dewing ,  Todd V. Smith ,  Shyam Gokaldas ,  Steven M. Goetz ,  Andrew H. Houchins ,  Jeffrey T. Keacher

IPC分类号： A61N1/08

CPC分类号： A61N1/0553 ,  A61N1/0531 ,  A61N1/0534 ,  A61N1/37247

摘要： The disclosure provides techniques for parameter-directed shifting of electrical stimulation electrode combinations. An external programmer permits a user to shift electrode combinations, e.g., along the length of a lead or leads. The external programmer accepts shift input and causes an electrical stimulator to shift electrode combinations as indicated by the input. Different sets of electrodes may have different electrode counts. For example, an array of electrodes carried by one lead may have a greater number of electrodes than an array of electrodes carried on another lead. The disclosure provides techniques for shifting electrode combinations among leads with different electrode counts. For example, an external programmer may execute shifts in a series of shift operations, where the number of shift operations along the length of a lead having a greater electrode count is greater than the number of shift steps along the length of a lead having a lesser electrode count.

摘要翻译： 本公开提供了用于电刺激电极组合的参数定向移位的技术。 外部编程器允许用户移动电极组合，例如沿引线或引线的长度。 外部编程器接受移位输入，并使电刺激器按照输入指示移位电极组合。 不同的电极组可以具有不同的电极计数。 例如，由一个引线携带的电极阵列可以具有比在另一引线上承载的电极阵列更多的电极数量。 本公开提供了用于在具有不同电极数的引线之间移动电极组合的技术。 例如，外部编程器可以执行一系列移位操作中的移位，其中沿着具有较大电极计数的引线的长度的移位操作的数量大于沿着具有更小的引线的长度的移位步骤的数量 电极数。