公开(公告)号：US20240226573A9

公开(公告)日：2024-07-11

申请号：US18546765

申请日：2022-02-24

Applicant: Medtronic, Inc.

Inventor： Brooke G. Kelley ,  Juan G. Hincapie ,  Andrew J. Cleland

IPC: A61N1/36

CPC classification number: A61N1/36171 ,  A61N1/36062 ,  A61N1/36178

Abstract: Devices, systems, or methods include generating, by stimulation generation circuitry, a first train of electrical stimulation pulses at a first frequency to a first target tissue; and generating, by the stimulation generation circuitry, a second train of electrical stimulation pulses at a second frequency to a second target tissue different from the first target tissue, wherein at least some electrical stimulation pulses of the first train of electrical stimulation pulses are interleaved with at least some electrical stimulation pulses of the second tram of electrical stimulation pulses. At least the first target tissue is associated with a spinal cord of a patient, and the second target tissue is associated with at least one of a peripheral nerve or a nerve root of the patient.

公开(公告)号：US20240123235A1

公开(公告)日：2024-04-18

申请号：US18547191

申请日：2022-02-10

Applicant: Medtronic, Inc.

Inventor： David A. Dinsmoor ,  Leonid M. Litvak ,  Juan G. Hincapie

IPC: A61N1/36

CPC classification number: A61N1/36139 ,  A61N1/37235

Abstract: A system may be configured to sense local field potentials (LFPs) from electrodes placed in epidural space near the spine of a patient. The system may be configured to analyze the sensed LFPs and determine a change in a state of the patient, such as a physiological state of the patient. The system may use such analysis to update and/or suggest parameters for delivery of electrical stimulation therapy. The system may further be configured to analyze LFPs in a frequency domain by applying a wavelet transform or other transform to sensed LFPs.

公开(公告)号：US12076564B2

公开(公告)日：2024-09-03

申请号：US17215685

申请日：2021-03-29

Applicant: Medtronic, Inc.

Inventor： Sarah J. Offutt ,  Katie C. Bittner ,  Lisa M. Jungbauer Nikolas ,  Juan G. Hincapie

IPC: A61N1/36

CPC classification number: A61N1/36135 ,  A61N1/36189

Abstract: A system may receive first information relating to a patient captured during a baseline period that is prior to the patient receiving stimulation. The system may receive second information relating to the patient captured during an initial therapy assignment. The second information may include testing data generated by delivering stimulation during an implant procedure. The system may determine initial stimulation program settings based on the first information, the second information and population-informed information. The population-informed information may be related to other patients. The system may cause, during a training period, delivery of therapy based on the initial stimulation program settings.

公开(公告)号：US20240157148A1

公开(公告)日：2024-05-16

申请号：US18421192

申请日：2024-01-24

Applicant: Medtronic, Inc.

Inventor： Todd D. Zenisek ,  Touby A. Drew ,  Brian Andrew Smith ,  Juan G. Hincapie ,  Leonid M. Litvak

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

CPC classification number: A61N1/36135 ,  A61N1/0534 ,  A61N1/0551 ,  A61N1/0568 ,  A61N1/37235 ,  A61N1/36067 ,  A61N1/36082

Abstract: A system for selecting a sensitivity level for adjusting an intensity setting for therapy provided to a patient includes one or more processors and one or more processors coupled to the memory. The one or more processors are configured to receive an indication of an input to adjust an intensity setting related to the therapy provided to the patient and determine a sensitivity level for adjustment of the intensity setting based on an efficacy of the therapy provided to the patient. The one or more processors are further configured to determine an updated intensity level for the intensity setting based on the sensitivity level and the input to adjust the intensity setting and output an instruction to cause a medical device to provide the therapy at the updated intensity level.

公开(公告)号：US20240131338A1

公开(公告)日：2024-04-25

申请号：US18371893

申请日：2023-09-21

Applicant: Medtronic, Inc.

Inventor： Malgorzata Maria Straka ,  Annemarie K. Brinda ,  Juan G. Hincapie ,  Leonid M. Litvak ,  Jerel Keith Mueller ,  Joshua James Nedrud ,  Andrew Jay Cleland ,  Aleksandra Pavlovna Kharam

IPC: A61N1/36 ,  A61B5/00 ,  A61B5/0205

CPC classification number: A61N1/36078 ,  A61B5/0205 ,  A61B5/4812 ,  A61B5/7475 ,  A61N1/36114 ,  A61N1/36135

Abstract: A system is provided for informing a therapeutic procedure. In some embodiments, the system may be configured to determine specific states associated with a sleep-wake cycle of a patient. Additionally, the system may be configured to measure one or more signals with cardiac activity of the patient upon detecting the specific states of the sleep-wake cycle of the patient. Subsequently, the system may be configured to determine one or more parameters for applying an electrical signal to an anatomical element of the patient based on the one or more signals with cardiac activity. In some embodiments, the system may be configured to establish a longitudinal trend of cardiac metrics for the patient based on a plurality of signals with cardiac activity for the patient measured during the specific states of the sleep-wake cycle across a plurality of days.

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：US20220230743A1

公开(公告)日：2022-07-21

申请号：US17546926

申请日：2021-12-09

Applicant: Medtronic, Inc.

Inventor： Todd D. Zenisek ,  Touby A. Drew ,  Brian Andrew Smith ,  Juan G. Hincapie ,  Leonid M. Litvak ,  Zane K. Thimmesch-Gill

IPC: G16H40/67 ,  H04W4/20 ,  G06F21/62 ,  G06N20/00

Abstract: A device comprising memory and processing circuitry coupled to the memory. The processing circuitry is configured to receive patient information for a medical device associated with the patient and select a communication mode for the patient based on the patient information. The processing circuitry is further configured to cause an output of the indication of the patient information using the selected communication mode.

公开(公告)号：US20220230742A1

公开(公告)日：2022-07-21

申请号：US17546848

申请日：2021-12-09

Applicant: Medtronic, Inc.

Inventor： Todd D. Zenisek ,  Touby A. Drew ,  Brian Andrew Smith ,  Juan G. Hincapie ,  Leonid M. Litvak ,  Zane K. Thimmesch-Gill

IPC: G16H40/67 ,  G16H10/60 ,  G16H50/70 ,  G16H20/30 ,  G16H20/17 ,  G16H40/40 ,  G05B23/02

Abstract: A system for prioritizing patient information associated with one or more patients of a plurality of patients receiving treatment via respective devices of a plurality of medical devices, the system comprising memory and one or more processors coupled to the memory. The one or more processors are configured to receive patient information from each medical device of the plurality of medical devices and select the patient information from a subset of the plurality of medical devices based on one or more importance attributes associated with the patient information. The one or more processors are further configured to prioritize the selected patient information to generate a list of one or more prioritized patients of the plurality of patients and cause an output of an indication of the patient information for the one or more prioritized patients.

公开(公告)号：US20240293676A1

公开(公告)日：2024-09-05

申请号：US18270810

申请日：2022-01-07

Applicant: Medtronic, Inc.

Inventor： Leonid M. Litvak ,  David A. Dinsmoor ,  Juan G. Hincapie ,  Jeffery M. Kramer ,  Jerel K. Mueller ,  Joshua J. Nedrud ,  Malgorzata M. Straka

IPC: A61N1/36

CPC classification number: A61N1/36139 ,  A61N1/36146

Abstract: Systems, devices, and techniques are described for analyzing evoked compound action potential (ECAP) signals to determine an estimated neural threshold of a patient. In one example, a method includes controlling, by processing circuitry, delivery of a plurality of stimulation pulses to a patient, wherein each stimulation pulse of the plurality of stimulation pulses is at least partially defined by a different respective value of a stimulation parameter; receiving, by the processing circuitry, ECAP signal information, wherein the ECAP signal information comprises ECAP signals sensed by sensing circuitry and elicited by the plurality of stimulation pulses; determining, by the processing circuitry and based on the ECAP signal information, ECAP characteristic values for each of the ECAP signals elicited by the plurality' of stimulation pulses; and determining, by the processing circuitry and based on the ECAP characteristic values, an estimated neural threshold of the patient.

公开(公告)号：US20240226579A9

公开(公告)日：2024-07-11

申请号：US18373841

申请日：2023-09-27

Applicant: Medtronic, Inc.

Inventor： Malgorzata Maria Straka ,  Annemarie K. Brinda ,  Juan G. Hincapie ,  Leonid M. Litvak ,  Jerel Keith Mueller ,  Joshua James Nedrud ,  Andrew Jay Cleland ,  Aleksandra Pavlovna Kharam ,  David A. Dinsmoor

IPC: A61N1/372 ,  A61N1/365

CPC classification number: A61N1/37252 ,  A61N1/36585

Abstract: A system is provided for identifying and reducing noise in a therapeutic procedure. For example, the system may be configured to measure one or more signals with cardiac activity. The system may be configured to then identify one or more sources of noise that are distorting the one or more signals with cardiac activity and may reduce the one or more sources of noise from the one or more signals with cardiac activity. Subsequently, the system may be configured to determine one or more aggregate cardiac-derived metrics and/or save processed cardiac data based on the one or more signals with cardiac activity with the one or more sources of noise reduced. Additionally, the system may be configured to determine one or more parameters for applying an electrical signal to an anatomical element of a patient based on the one or more aggregate cardiac-derived metrics and/or saved processed cardiac data.