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公开(公告)号：US20240058600A1
公开(公告)日：2024-02-22
申请号：US18384809
申请日：2023-10-27
申请人： Medtronic, Inc.
发明人： Scott R. Stanslaski , Timothy R. Abraham , Thomas Adamski , Timothy J. Denison , Robert S. Raike
CPC分类号： A61N1/0534 , A61N1/36082 , A61B5/686 , A61N1/36132 , A61N1/36135 , A61B5/4848 , A61B5/4836 , A61B5/24 , A61B5/374 , A61B5/6868 , A61N1/36067 , A61N1/36064 , A61N1/36071 , A61N1/36139 , A61N1/37247 , A61B5/0002 , A61N1/0476
摘要： Techniques are disclosed for delivering electrical stimulation therapy to a patient. In one example, a medical system delivers electrical stimulation therapy to a tissue of the patient via electrodes. The medical system determines a first change of a first sensed signal of the patient to movement by the patient and a second change of a second sensed signal of the patient to the movement by the patient. Based on the first change and the second change, the medical system selects one of the first sensed signal and the second sensed signal of the patient for controlling the electrical stimulation therapy. The medical system adjusts a level of at least one parameter of the electrical stimulation therapy based on the selected one of the first sensed signal and the second sensed signal.
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公开(公告)号：US20240009465A1
公开(公告)日：2024-01-11
申请号：US18474952
申请日：2023-09-26
申请人： Medtronic, Inc.
CPC分类号： A61N1/37235 , A61N1/36082 , A61N1/36135 , A61N1/36175 , A61N1/3615 , A61N1/0534
摘要： Systems and methods that automatically adjust, or adapt, stimulation waveforms delivered to brain structures. Closed loop system embodiments can automatically be re-configured into a more suitable closed loop control system in response to measures of control system performance. Measures can be internal performance characteristics of the adaptive control system or external inputs provided by another subsystem. As these measures change in time, the robust adaptive system changes in response.
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公开(公告)号：US20210196948A1
公开(公告)日：2021-07-01
申请号：US17199082
申请日：2021-03-11
申请人： Medtronic, Inc.
发明人： Scott R. Stanslaski , Timothy R. Abraham , Thomas Adamski , Timothy J. Denison , Robert S. Raike , Christopher L. Pulliam
摘要： Techniques are disclosed for delivering electrical stimulation therapy to a patient. In one example, a medical system delivers electrical stimulation therapy to a tissue of the patient via electrodes. The medical system determines a first response of a first sensed signal of the patient to the electrical stimulation therapy and a second response of a second sensed signal of the patient to the electrical stimulation therapy. Based on the first response and the second response for controlling the electrical stimulation therapy, the medical system selects one of the first sensed signal and the second sensed signal of the patient. The medical system adjusts a level of at least one parameter of the electrical stimulation therapy based on the selected one of the first sensed signal and the second sensed signal.
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公开(公告)号：US20210121697A1
公开(公告)日：2021-04-29
申请号：US17062213
申请日：2020-10-02
申请人： Medtronic, Inc.
发明人： David E. Linde , Benjamin P. Isaacson , Nicholas D. Buse , Duane L. Bourget , Robert S. Raike , Jonathon E. Giftakis , Caleb C. Zarns , Thomas L. Chouinard
摘要： A medical device or system of medical devices can be configured to detect an indicator of a symptom in a patient; in response to detecting the indicator of the symptom in the patient, deliver to the patient a first stimulation therapy; and in response to determining that the indicator of the symptom has been present for more than a threshold amount of time after beginning to deliver the first stimulation therapy a second stimulation therapy different than the first stimulation therapy.
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公开(公告)号：US10960202B2
公开(公告)日：2021-03-30
申请号：US15714867
申请日：2017-09-25
申请人： Medtronic, Inc.
发明人： Scott R. Stanslaski , Timothy R. Abraham , Thomas Adamski , Timothy J. Denison , Robert S. Raike
摘要： Techniques are disclosed for delivering electrical stimulation therapy to a patient. In one example, a medical system delivers electrical stimulation therapy to a tissue of the patient via electrodes. The medical system determines a first change of a first sensed signal of the patient to movement by the patient and a second change of a second sensed signal of the patient to the movement by the patient. Based on the first change and the second change, the medical system selects one of the first sensed signal and the second sensed signal of the patient for controlling the electrical stimulation therapy. The medical system adjusts a level of at least one parameter of the electrical stimulation therapy based on the selected one of the first sensed signal and the second sensed signal.
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公开(公告)号：US20220176134A1
公开(公告)日：2022-06-09
申请号：US17541939
申请日：2021-12-03
申请人： Medtronic, Inc.
摘要： Systems and methods that automatically adjust, or adapt, stimulation waveforms delivered to brain structures. Closed loop system embodiments can automatically be reconfigured into a more suitable closed loop control system in response to measures of control system performance. Measures can be internal performance characteristics of the adaptive control system or external inputs provided by another subsystem. As these measures change in time, the robust adaptive system changes in response.
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公开(公告)号：US20220062640A1
公开(公告)日：2022-03-03
申请号：US17462676
申请日：2021-08-31
申请人： Medtronic, Inc.
发明人： Robert S. Raike , Jadin C. Jackson , Scott R. Stanslaski , Eric J. Panken , Christopher L. Pulliam , Timothy R. Abraham , Michelle A. Case , Paula Andrea Elma Dassbach Green , Abbey Beuning Holt Becker , Rene A. Molina
摘要： Devices, systems, and techniques for identifying electrodes closest to a target region of tissue are described. In one example, a device includes sensing circuitry configured to sense electrical signals from a plurality of electrode combinations. Processing circuitry identifies a first electrode combination of a first subset of electrode combinations. Each electrode combination of the first subset of electrode combination includes electrodes located at different axial positions along a length of the medical lead. The processing circuitry identifies a second electrode combination of a second subset of electrode combinations. Each electrode combination of the second subset of electrode combinations includes electrodes located at a same axial position and different circumferential positions around a perimeter of the medical lead. The processing circuitry then determines a third electrode combination and controls delivery of electrical stimulation via the third electrode combination.
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公开(公告)号：US11077305B2
公开(公告)日：2021-08-03
申请号：US15699873
申请日：2017-09-08
申请人： MEDTRONIC, INC.
发明人： Jonathon E. Giftakis , Timothy J. Denison , Paul H. Stypulkowski , Scott R. Stanslaski , Robert S. Raike , Mae Eng , David E. Linde , Thomas Adamski
摘要： In some examples of selecting a target therapy delivery site for treating a patient condition, a relatively high frequency electrical stimulation signal is delivered to at least two areas within a first region (e.g., an anterior nucleus of the thalamus) of a brain of a patient, and changes in brain activity (e.g., as indicated by bioelectrical brain signals) within a second region (e.g., a hippocampus) of the brain of the patient in response to the delivered stimulation are determined. The target therapy delivery site, an electrode combination, or both, may be selected based on the changes in brain activity.
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公开(公告)号：US10953222B2
公开(公告)日：2021-03-23
申请号：US15714888
申请日：2017-09-25
申请人： Medtronic, Inc.
发明人： Scott R. Stanslaski , Timothy R. Abraham , Thomas Adamski , Timothy J. Denison , Robert S. Raike , Christopher Pulliam
摘要： Techniques are disclosed for delivering electrical stimulation therapy to a patient. In one example, a medical system delivers electrical stimulation therapy to a tissue of the patient via electrodes. The medical system determines a first response of a first sensed signal of the patient to the electrical stimulation therapy and a second response of a second sensed signal of the patient to the electrical stimulation therapy. Based on the first response and the second response for controlling the electrical stimulation therapy, the medical system selects one of the first sensed signal and the second sensed signal of the patient. The medical system adjusts a level of at least one parameter of the electrical stimulation therapy based on the selected one of the first sensed signal and the second sensed signal.
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公开(公告)号：US20180085586A1
公开(公告)日：2018-03-29
申请号：US15714888
申请日：2017-09-25
申请人： Medtronic, Inc.
发明人： Scott R. Stanslaski , Timothy R. Abraham , Thomas Adamski , Timothy J. Denison , Robert S. Raike , Christopher Pulliam
CPC分类号： A61N1/0534 , A61B5/0002 , A61B5/04001 , A61B5/4836 , A61B5/4848 , A61B5/686 , A61B5/6868 , A61N1/0476 , A61N1/36014 , A61N1/36064 , A61N1/36067 , A61N1/36071 , A61N1/36082 , A61N1/36096 , A61N1/36132 , A61N1/36135 , A61N1/36139 , A61N1/37247
摘要： Techniques are disclosed for delivering electrical stimulation therapy to a patient. In one example, a medical system delivers electrical stimulation therapy to a tissue of the patient via electrodes. The medical system determines a first response of a first sensed signal of the patient to the electrical stimulation therapy and a second response of a second sensed signal of the patient to the electrical stimulation therapy. Based on the first response and the second response for controlling the electrical stimulation therapy, the medical system selects one of the first sensed signal and the second sensed signal of the patient. The medical system adjusts a level of at least one parameter of the electrical stimulation therapy based on the selected one of the first sensed signal and the second sensed signal.
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