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1.发明授权公开(公告)号：US08065013B2
公开(公告)日：2011-11-22
申请号：US11746405
申请日：2007-05-09
申请人： Kerry Bradley , James R. Thacker , Carla M. Woods , John D. King
发明人： Kerry Bradley , James R. Thacker , Carla M. Woods , John D. King
IPC分类号： A61N1/34
CPC分类号： A61N1/36071 , A61N1/0551 , Y10S128/92
摘要： A method of transitioning stimulation energy (e.g., electrical stimulation pulses) between a plurality of electrodes implanted within a patient is provided. The method comprises selecting a plurality of stimulation output values (e.g., electrical current amplitude values) for each of the electrodes. The method further comprises selecting a plurality of different modification values for at least one of the electrodes, respectively multiplying the stimulation output values and the modification values to determine modified stimulation output values for the electrode(s), which may optionally be stored in a steering table, and incrementally transitioning the stimulation energy to or from the electrode(s) in accordance with the modified stimulation output values. The modified stimulation output values are stored in a steering table. The modification values may be selected in a manner that maintains paresthesia when transitioning the stimulation energy between the electrodes.
摘要翻译： 提供了在植入患者体内的多个电极之间转换刺激能量（例如，电刺激脉冲）的方法。 该方法包括为每个电极选择多个刺激输出值（例如，电流振幅值）。 该方法还包括为至少一个电极选择多个不同的修改值，分别乘以刺激输出值和修改值，以确定电极的修改的刺激输出值，其可以可选地存储在转向 表，并且根据修改的刺激输出值逐渐地将刺激能量转移到电极或从电极移动。 经修改的刺激输出值存储在转向表中。 可以以在电极之间转换刺激能量时保持感觉异常的方式来选择修饰值。
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2.发明授权公开(公告)号：US07881805B2
公开(公告)日：2011-02-01
申请号：US11026859
申请日：2004-12-30
申请人： Kerry Bradley , James R. Thacker , Carla M. Woods , John D. King
发明人： Kerry Bradley , James R. Thacker , Carla M. Woods , John D. King
IPC分类号： A61N1/04
CPC分类号： A61N1/36071 , A61N1/0551 , Y10S128/92
摘要： A method for transitioning electrical energy in steps between electrodes implanted within a patient to stimulate tissue (e.g., spinal cord tissue) is provided. The method comprises determining a maximum comfortable step size, determining a minimum step size, selecting one or more step sizes between the maximum comfortable step size and the minimize step size, and transitioning the electrical energy between the electrodes using the selected one or more step sizes.
摘要翻译： 提供了一种用于在植入患者体内的电极之间跨步电能以刺激组织（例如脊髓组织）的方法。 该方法包括确定最大舒适步长，确定最小步长，选择最大舒适步长和最小化步长之间的一个或多个步长，以及使用所选择的一个或多个步长来转换电极之间的电能 。
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公开(公告)号：US09687653B2
公开(公告)日：2017-06-27
申请号：US13538022
申请日：2012-06-29
申请人： Carla M. Woods , James R. Thacker , David K. Peterson , Holly A. Segel , Susan E. Ford , Margaret E. Theriot , Kerry Bradley
发明人： Carla M. Woods , James R. Thacker , David K. Peterson , Holly A. Segel , Susan E. Ford , Margaret E. Theriot , Kerry Bradley
CPC分类号： A61N1/36071 , A61N1/08 , A61N1/36185 , A61N1/37241 , A61N1/37247
摘要： A programming system for selecting an electrode configuration for use in a medical electrical stimulator coupled to an electrode array. A programmer is configured for providing a set of electrode configurations for the electrode array, automatically testing a first portion of the set of electrode configurations in a first order, allowing the selection of one or more of the tested electrode configurations, determining whether a suitable number of electrode configurations from among the first portion have been selected within a predefined interval, and automatically testing a second portion of the set of electrode configurations in a second order if the suitable number of electrode configurations from among the first portion are not selected within the predefined interval. The programmer may further allow the selection of the tested electrode configurations, and adjusting parameters during the testing, wherein the adjusting is controllably shared in parallel between a clinician and a patient.
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公开(公告)号：US08233991B2
公开(公告)日：2012-07-31
申请号：US11105643
申请日：2005-04-13
申请人： Carla M. Woods , James R. Thacker , David K. Peterson , Holly A. Segel , Susan E. Ford , Margaret E. Theriot , Kerry Bradley
发明人： Carla M. Woods , James R. Thacker , David K. Peterson , Holly A. Segel , Susan E. Ford , Margaret E. Theriot , Kerry Bradley
IPC分类号： A61N1/04
CPC分类号： A61N1/36071 , A61N1/08 , A61N1/36185 , A61N1/37241 , A61N1/37247
摘要： Methods for selecting Spinal Cord Stimulation (SCS), or other medical electrical stimulator, electrode configurations from a set of electrode configurations are provided. Each electrode configuration represents a polarity or a polarity percentage of the electrodes of an electrode array. The selected electrode configurations may be used in a medical electrical stimulator. Such methods of selecting electrode configurations results in a more efficient programming and use of the stimulation system.
摘要翻译： 提供了从一组电极配置中选择脊髓刺激（SCS）或其他医疗电刺激器电极配置的方法。 每个电极配置表示电极阵列的电极的极性或极性百分比。 所选择的电极配置可以用在医疗电刺激器中。 这种选择电极配置的方法导致更有效的编程和使用刺激系统。
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公开(公告)号：US20130006325A1
公开(公告)日：2013-01-03
申请号：US13538022
申请日：2012-06-29
申请人： Carla M. Woods , James R. Thacker , David K. Peterson , Holly A. Segel , Susan E. Ford , Margaret E. Theriot , Kerry Bradley
发明人： Carla M. Woods , James R. Thacker , David K. Peterson , Holly A. Segel , Susan E. Ford , Margaret E. Theriot , Kerry Bradley
IPC分类号： A61N1/36
CPC分类号： A61N1/36071 , A61N1/08 , A61N1/36185 , A61N1/37241 , A61N1/37247
摘要： A programming system for selecting an electrode configuration for use in a medical electrical stimulator coupled to an electrode array. A programmer is configured for providing a set of electrode configurations for the electrode array, automatically testing a first portion of the set of electrode configurations in a first order, allowing the selection of one or more of the tested electrode configurations, determining whether a suitable number of electrode configurations from among the first portion have been selected within a predefined interval, and automatically testing a second portion of the set of electrode configurations in a second order if the suitable number of electrode configurations from among the first portion are not selected within the predefined interval. The programmer may further allow the selection of the tested electrode configurations, and adjusting parameters during the testing, wherein the adjusting is controllably shared in parallel between a clinician and a patient.
摘要翻译： 一种用于选择用于耦合到电极阵列的医用电刺激器中的电极配置的编程系统。 编程器被配置为提供用于电极阵列的一组电极配置，以一级自动测试该组电极配置的第一部分，允许选择一个或多个测试电极配置，确定是否合适数量 已经在预定义的间隔内选择了第一部分中的电极配置，并且如果来自第一部分中的适当数量的电极配置未被选择在预定义的范围内，则以二次自动测试该组电极配置的第二部分 间隔。 编程者可以进一步允许选择所测试的电极配置，并且在测试期间调整参数，其中调整在临床医生和患者之间可并行共享。
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公开(公告)号：US07657317B2
公开(公告)日：2010-02-02
申请号：US11115789
申请日：2005-04-26
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。
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7.发明授权公开(公告)号：US07483746B2
公开(公告)日：2009-01-27
申请号：US11295783
申请日：2005-12-06
IPC分类号： A61N1/00
CPC分类号： A61N1/36007 , A61N1/05
摘要： Systems for treating an obese patient include one or more sensors configured to sense one or more physical parameters of the patient and one or more implanted stimulators configured to apply a stimulus to the stomach in response to the sensed parameters. Methods of treating an obese patient include sensing one or more physical parameters of the patient and applying a stimulus to the stomach with one or more implanted stimulators in response to the sensed parameters.
摘要翻译： 用于治疗肥胖患者的系统包括被配置为感测患者的一个或多个物理参数的一个或多个传感器和被配置为响应于所感测的参数向胃施加刺激的一个或多个植入的刺激器。 治疗肥胖患者的方法包括感测患者的一个或多个物理参数，并响应于所感测的参数，用一个或多个注入的刺激器向胃施加刺激。
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8.发明授权公开(公告)号：US08095219B2
公开(公告)日：2012-01-10
申请号：US12359138
申请日：2009-01-23
IPC分类号： A61N1/00
CPC分类号： A61N1/36007 , A61N1/05
摘要： A neurostimulation kit and a method of treating a patient are provided. The kit comprises a stimulation backing that includes a flat, electrically insulative, body having a pair of opposing first and second planar surfaces, and an electrode affixed to the first surface of the insulative body. The stimulation backing is implanted within a patient and affixed therein to place the electrode into contact with a tissue surface. The kit comprises a neurostimulator including a housing and stimulation circuitry contained within the housing. The neurostimulator is implanted within the patient by affixing the housing to the second surface of the insulative body, such that the stimulation circuitry is electrically coupled to the electrode.
摘要翻译： 提供神经刺激试剂盒和治疗患者的方法。 该套件包括刺激衬垫，其包括具有一对相对的第一和第二平坦表面的平坦的电绝缘体，以及固定到绝缘体的第一表面的电极。 将刺激背衬植入患者体内并固定在其中以使电极与组织表面接触。 该套件包括神经刺激器，其包括容纳在壳体内的壳体和刺激电路。 神经刺激器通过将外壳固定到绝缘体的第二表面而植入患者体内，使得刺激电路电耦合到电极。
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公开(公告)号：US07979119B2
公开(公告)日：2011-07-12
申请号：US11115752
申请日：2005-04-26
IPC分类号： A61N1/00
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。
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10.发明申请公开(公告)号：US20090192565A1
公开(公告)日：2009-07-30
申请号：US12359138
申请日：2009-01-23
CPC分类号： A61N1/36007 , A61N1/05
摘要： A neurostimulation kit and a method of treating a patient are provided. The kit comprises a stimulation backing that includes a flat, electrically insulative, body having a pair of opposing first and second planar surfaces, and an electrode affixed to the first surface of the insulative body. The stimulation backing is implanted within a patient and affixed therein to place the electrode into contact with a tissue surface. The kit comprises a neurostimulator including a housing and stimulation circuitry contained within the housing. The neurostimulator is implanted within the patient by affixing the housing to the second surface of the insulative body, such that the stimulation circuitry is electrically coupled to the electrode.
摘要翻译： 提供神经刺激试剂盒和治疗患者的方法。 该套件包括刺激衬垫，其包括具有一对相对的第一和第二平坦表面的平坦的电绝缘体，以及固定到绝缘体的第一表面的电极。 将刺激背衬植入患者体内并固定在其中以使电极与组织表面接触。 该套件包括神经刺激器，其包括容纳在壳体内的壳体和刺激电路。 神经刺激器通过将外壳固定到绝缘体的第二表面而植入患者体内，使得刺激电路电耦合到电极。
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