公开(公告)号：US12168131B2

公开(公告)日：2024-12-17

申请号：US18482657

申请日：2023-10-06

Applicant: Medtronic, Inc.

Inventor： David A. Dinsmoor ,  Christopher L. Pulliam ,  Hank T. Bink ,  Kristin N. Hageman

IPC: A61N1/36 ,  A61B5/11 ,  A61N1/02 ,  A61N1/372

Abstract: Devices, systems, and techniques are described for selecting an evoked compound action potential (ECAP) growth curve based on a posture of a patient. The ECAP growth curve defines a relationship between a parameter defining delivery of stimulation pulses delivered to the patient and a parameter of an ECAP signal of a nerve of a patient elicited by a stimulation pulse. In one example, a medical device detects a posture of a patient and selects an ECAP growth curve corresponding to the detected posture. The medical device selects, based on the ECAP growth curve corresponding to the detected posture and a characteristic of a detected ECAP signal, a value for a parameter for defining delivery of the stimulation pulses to the patient and controls delivery of the stimulation pulses according to the selected value for the parameter.

公开(公告)号：US12011595B2

公开(公告)日：2024-06-18

申请号：US17100455

申请日：2020-11-20

Applicant: Medtronic, Inc.

Inventor： Christopher L. Pulliam ,  David A. Dinsmoor ,  Hank Bink ,  Kristin N. Hageman

IPC: A61N1/36

CPC classification number: A61N1/36062 ,  A61N1/36139 ,  A61N1/36153 ,  A61N1/36192

Abstract: Systems, devices, and techniques for adjusting electrical stimulation based on a posture state of a patient are described. For example, processing circuitry is configured to control delivery of a first informed stimulation pulse defined by at least a first value of an informed stimulation parameter, control delivery of a control stimulation pulse to a patient, the control stimulation pulse defined by at least a first value of a control stimulation parameter, determine a characteristic value of the ECAP signal elicited from the control stimulation pulse, receive, from a sensor, a posture state signal representing a posture state of the patient, and adjust, based on the characteristic value of the ECAP signal and the posture state signal, the first value of the informed stimulation parameter to a second value of the informed stimulation parameter.

公开(公告)号：US11944819B2

公开(公告)日：2024-04-02

申请号：US16924990

申请日：2020-07-09

Applicant: Medtronic, Inc.

Inventor： Robert A. Corey ,  Kristin N. Hageman ,  David A. Dinsmoor ,  Hank Bink ,  Christopher L. Pulliam ,  Thomas Adamski

IPC: A61N1/36 ,  A61N1/02 ,  A61N1/05 ,  A61N1/365 ,  A61N1/39

CPC classification number: A61N1/36139 ,  A61N1/025 ,  A61N1/0534 ,  A61N1/365 ,  A61N1/3956

Abstract: Systems, devices, and techniques are described for analyzing evoked compound action potentials (ECAP) signals to assess the effect of a delivered electrical stimulation signal. In one example, a system includes a stimulation generator configured to deliver a stimulation pulse to a patient, sensing circuitry configured to sense an evoked compound action potential (ECAP) signal evoked from the stimulation pulse, and processing circuitry. The processing circuitry may be configured to determine a maximum value of a derivative of the ECAP signal, determine a minimum value of the derivative of the ECAP signal, determine, based on the maximum value of the derivative and the minimum value of the derivative, a characteristic value of the ECAP signal, and determine, based on the characteristic value of the ECAP signal, at least one parameter value at least partially defining electrical stimulation therapy to be delivered to the patient.

公开(公告)号：US20240075286A1

公开(公告)日：2024-03-07

申请号：US18260910

申请日：2022-02-18

Applicant: Medtronic, Inc.

Inventor： David A. Dinsmoor ,  Juan G. Hincapie

IPC: A61N1/36 ,  A61N1/04 ,  A61N1/08

CPC classification number: A61N1/3603 ,  A61N1/0476 ,  A61N1/08 ,  A61N1/36139 ,  A61N2001/083

Abstract: An example medical device includes processing circuitry configured to determine an electrode impedance value for each of one or more electrodes of a lead coupled to the medical device, identify one or more of the electrodes having electrode impedance values that are greater than electrode impedance values of other electrodes of the lead, from the identified one or more electrodes, determine a recommendation of electrodes to use for sensing a signal, and output information indicative of the recommendation.

公开(公告)号：US20240050753A1

公开(公告)日：2024-02-15

申请号：US18495396

申请日：2023-10-26

Applicant: Medtronic, Inc.

Inventor： David A. Dinsmoor ,  Christopher L. Pulliam ,  Hank T. Bink ,  Kristin N. Hageman

IPC: A61N1/36 ,  A61B5/11 ,  A61N1/02

CPC classification number: A61N1/36135 ,  A61B5/1116 ,  A61N1/025 ,  A61N1/36125 ,  A61N1/36031 ,  A61N1/36139 ,  A61N1/37247

Abstract: Systems, devices, and techniques are described for adjusting electrical stimulation based on detected ECAPs. In one example, a medical device includes processing circuitry configured to control stimulation circuitry to deliver a first electrical stimulation pulse and sensing circuitry to detect, after delivery of the first electrical stimulation pulse, an ECAP signal. The processing circuitry may be configured to determine a characteristic value of the ECAP signal, determine an ECAP differential value that indicates whether the characteristic value of the ECAP signal is one of greater than a selected ECAP characteristic value or less than the selected ECAP characteristic value, determine, based on the ECAP differential value, a gain value, determine, based on the gain value, a parameter value that at least partially defines a second electrical stimulation pulse, and control the stimulation circuitry to deliver the second electrical stimulation pulse according to the parameter value.

公开(公告)号：US11730949B2

公开(公告)日：2023-08-22

申请号：US16947949

申请日：2020-08-25

Applicant: Medtronic, Inc.

Inventor： Erik R. Scott ,  John E. Kast ,  Xuan K. Wei ,  Todd V. Smith ,  Joel A. Anderson ,  Forrest C. M. Pape ,  Duane L. Bourget ,  Timothy J. Denison ,  David A. Dinsmoor ,  Randy S. Roles ,  Stephen J. Roddy

IPC: A61N1/05 ,  A61B17/00 ,  A61N1/02 ,  A61N1/372 ,  A61N1/375 ,  A61N1/36 ,  A61N1/378

CPC classification number: A61N1/02 ,  A61B17/00234 ,  A61N1/05 ,  A61N1/0551 ,  A61N1/3605 ,  A61N1/36007 ,  A61N1/36057 ,  A61N1/36067 ,  A61N1/36071 ,  A61N1/36139 ,  A61N1/3727 ,  A61N1/3754 ,  A61N1/3756 ,  A61N1/3787 ,  A61N1/37205 ,  A61N1/37223 ,  A61N1/37235 ,  A61N1/37247 ,  A61N1/36021 ,  A61N1/36053 ,  A61N1/37211 ,  A61N1/37518 ,  F04C2270/0421

Abstract: A neuromodulation therapy is delivered via at least one electrode implanted subcutaneously and superficially to a fascia layer superficial to a nerve of a patient. In one example, an implantable medical device is deployed along a superficial surface of a deep fascia tissue layer superficial to a nerve of a patient. Electrical stimulation energy is delivered to the nerve through the deep fascia tissue layer via implantable medical device electrodes.

公开(公告)号：US11672978B2

公开(公告)日：2023-06-13

申请号：US17396430

申请日：2021-08-06

Applicant: Medtronic, Inc.

Inventor： Xin Su ,  David A. Dinsmoor

IPC: A61N1/36 ,  A61N1/05 ,  A61B5/20

CPC classification number: A61N1/36007 ,  A61N1/36139 ,  A61N1/36175 ,  A61B5/202 ,  A61N1/0514 ,  A61N1/0553 ,  A61N1/3606 ,  A61N1/36031 ,  A61N1/36171

Abstract: In some examples, a method including determining a chronaxie of evoked threshold motor responses from electrical stimulation delivered to a sacral nerve of a patient; and delivering, based on the determined chronaxie, electrical stimulation therapy, configured to treat a patient condition, to the sacral nerve having a pulse width at or near the identified chronaxie, wherein the delivered electrical stimulation is configured to inhibit contraction of at least one a bladder or bowel of the patient.

公开(公告)号：US20230149723A1

公开(公告)日：2023-05-18

申请号：US18049971

申请日：2022-10-26

Applicant: Medtronic, Inc.

Inventor： Andrew L. Schmeling ,  David A. Dinsmoor ,  Hank T. Bink ,  Kristin N. Hageman ,  Rebecca A. Miron ,  Christopher J. Edwards ,  David W. Simons ,  Nikita Tandon ,  Reid K. Bornhoft

IPC: A61N1/372 ,  A61N1/36 ,  G16H20/30

CPC classification number: A61N1/37247 ,  A61N1/36135 ,  G16H20/30

Abstract: This disclosure is directed to devices, systems, and techniques for controlling electrical stimulation. In some examples, a computing device includes a therapy-management application configured to assist a user to: capture a representative evoked compound action potential (ECAP) signal from a patient based; apply one or more filters to the representative ECAP signal to select one or more parameters of the representative ECAP signal; and control electrical stimulation therapy based at least in part on the one or more parameters.

公开(公告)号：US11559258B2

公开(公告)日：2023-01-24

申请号：US16862732

申请日：2020-04-30

Applicant: Medtronic, Inc.

Inventor： David A. Dinsmoor ,  Jiashu Li

IPC: A61N1/36 ,  A61B5/00 ,  A61B5/24

Abstract: A lead body is operable to be implanted proximate a target nerve tissue of a patient. A sensing electrode is configured to sense biopotentials over a first partial circumference of the lead body. A stimulation electrode is configured to deliver stimulation energy over a second partial circumference of the lead body. A signal generator is electrically coupled to the stimulation electrode and a sensing circuit is coupled to the sensing electrode. A processor is operable to apply a stimulation signal to the stimulation electrode via the signal generator and, via the sensing circuit, sense an evoked response to the stimulation signal that propagates along a neural pathway.

公开(公告)号：US11202912B2

公开(公告)日：2021-12-21

申请号：US16721528

申请日：2019-12-19

Applicant: Medtronic, Inc.

Inventor： David A. Dinsmoor ,  Christopher L. Pulliam ,  Hank Bink ,  Kristin N. Hageman

IPC: A61N1/36 ,  A61N1/372 ,  A61B5/11 ,  A61N1/02

Abstract: Devices, systems, and techniques are described for selecting an evoked compound action potential (ECAP) growth curve based on a posture of a patient. The ECAP growth curve defines a relationship between a parameter defining delivery of stimulation pulses delivered to the patient and a parameter of an ECAP signal of a nerve of a patient elicited by a stimulation pulse. In one example, a medical device detects a posture of a patient and selects an ECAP growth curve corresponding to the detected posture. The medical device selects, based on the ECAP growth curve corresponding to the detected posture and a characteristic of a detected ECAP signal, a value for a parameter for defining delivery of the stimulation pulses to the patient and controls delivery of the stimulation pulses according to the selected value for the parameter.