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公开(公告)号:US20250135213A1
公开(公告)日:2025-05-01
申请号:US19007095
申请日:2024-12-31
Applicant: Medtronic, Inc.
Inventor: Steven T. Deininger , Jerel K. Mueller , Todd V. Smith , Jeffrey Clayton , Thomas M. Hillebrand , Phillip C. Falkner , Jenna N. George , Sarah J. Offutt
Abstract: A leadless neurostimulation device having a header unit including at least one primary electrode having a contact surface that defines an external surface of the leadless neurostimulation device, a housing including a secondary electrode positioned on the same side of the leadless neurostimulation device as the at least one primary electrode, and a anchor device including at least one suture point for securing the leadless neurostimulation device to patient tissue or at least one protrusion nub configured to create mechanical resistance that impedes relative movement between wherein the leadless neurostimulation device and the patient tissue when implanted, where the at least one primary electrode and the secondary electrode are configured to transmit an electrical stimulation signal therebetween to provide electrical stimulation therapy to a target nerve of a patient.
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公开(公告)号:US12274878B2
公开(公告)日:2025-04-15
申请号:US17453611
申请日:2021-11-04
Applicant: Medtronic, Inc.
Inventor: Sarah J. Offutt , Nicholas Reid Singer , Katie C. Bittner
Abstract: A medical system for treating incontinence includes an implantable medical device (IMD) implantable proximate to a tibial nerve of a patient comprising therapy delivery circuitry configured to provide electrical stimulation therapy proximate the tibial nerve of the patient for treating incontinence, and processing circuitry configured to: during an implant period, determine a set of stimulation parameters to control the therapy delivery circuitry, during an induction period after the implant period, initiate electrical stimulation therapy according to the set of stimulation parameters, during a first maintenance period, determine an adjustment to the set of stimulation parameters as first maintenance period stimulation parameters to reduce the electrical stimulation therapy from the induction period, and during a second maintenance period, determine an adjustment to the set of stimulation parameters as second maintenance period stimulation parameters to reduce the electrical stimulation therapy from the first maintenance period.
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公开(公告)号:US20220096846A1
公开(公告)日:2022-03-31
申请号:US17485303
申请日:2021-09-24
Applicant: Medtronic, Inc.
Inventor: Steven T. Deininger , Jerel K. Mueller , Todd V. Smith , Jeffrey Clayton , Thomas M. Hillebrand , Phillip C. Falkner , Jenna N. George , Sarah J. Offutt
Abstract: A leadless neurostimulation device having a header unit including at least one primary electrode having a contact surface that defines an external surface of the leadless neurostimulation device, a housing including a secondary electrode positioned on the same side of the leadless neurostimulation device as the at least one primary electrode, and a anchor device including at least one suture point for securing the leadless neurostimulation device to patient tissue or at least one protrusion nub configured to create mechanical resistance that impedes relative movement between wherein the leadless neurostimulation device and the patient tissue when implanted, where the at least one primary electrode and the secondary electrode are configured to transmit an electrical stimulation signal therebetween to provide electrical stimulation therapy to a target nerve of a patient.
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公开(公告)号:US20240198094A1
公开(公告)日:2024-06-20
申请号:US18593703
申请日:2024-03-01
Applicant: Medtronic, Inc.
Inventor: Sarah J. Offutt , Juan G. Hincapie , Jerel K. Mueller , Robert T. Sandgren , Katie Bittner
CPC classification number: A61N1/0558 , A61N1/36062 , A61N1/37211 , A61N1/37518
Abstract: Examples of implantable medical leads or implantable medical systems with implantable medical leads to be anchored to a sacrum are disclosed. The implantable medical leads include a lead body having a distal portion. A fixation mechanism is coupled to the distal portion. An electrode array is mechanically coupled to the fixation mechanism. In one example, the electrode array is directly coupled to the fixation mechanism. The electrode array is electrically coupled to the lead body and configured to generate a stimulation field. The fixation mechanism is configured to anchor the implantable medical lead to a sacrum and effect the stimulation field in a foramen of the sacrum.
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公开(公告)号:US20220331586A1
公开(公告)日:2022-10-20
申请号:US17658984
申请日:2022-04-12
Applicant: Medtronic, Inc.
Inventor: Sarah J. Offutt , Julia P. Slopsema , Katelynn M. Johnson , Lisa M. Jungbauer Nikolas , Lance Zirpel , Leonid M. Litvak , Simeng Zhang , Katie C. Bittner
Abstract: An example method includes delivering, via an electrical stimulation device, one or more electrical stimulation signals to a patient, sensing one or more stimulation-evoked signals that are evoked by stimulation of nerves or muscles of the patient due to the delivery of the one or more electrical stimulation signals, determining a quality of the one or more stimulation-evoked signals, and outputting, based on the quality of the one or more sensed stimulation-evoked signals being below a quality threshold, one or more instructions to improve the quality of one or more subsequent stimulation-evoked signals.
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公开(公告)号:US20220331584A1
公开(公告)日:2022-10-20
申请号:US17658978
申请日:2022-04-12
Applicant: Medtronic, Inc.
Inventor: Sarah J. Offutt , Katie C. Bittner , Julia P. Slopsema , Leonid M. Litvak , Lisa M. Jungbauer Nikolas , Katelynn M. Johnson , Lance Zirpel , Simeng Zhang
Abstract: A sacral lead system including a sacral lead configured to for insertion within a sacral foramen of a patient. The sacral lead supports one or more electrodes which may be configured as one or more stimulation electrodes and/or one or more sensing electrodes. The sacral lead is configured to deliver a stimulation signal to a patient using at least one stimulation electrode and sense an evoked signal produced in response to the stimulation signal using at least one sensing electrode. The sacral lead system may be configured to position the at least one stimulation electrode and/or the at least one sensing electrode within, dorsal, or ventral to the sacral foramen. The sacral lead system may include stimulation circuitry configured to generate the stimulation signal and sensing circuitry configured to receive a signal indicative of the evoked signal.
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公开(公告)号:US20210316145A1
公开(公告)日:2021-10-14
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
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.
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公开(公告)号:US11918802B2
公开(公告)日:2024-03-05
申请号:US17156856
申请日:2021-01-25
Applicant: MEDTRONIC, INC.
Inventor: Sarah J. Offutt , Juan G. Hincapie , Jerel K. Mueller , Robert T. Sandgren , Katie Bittner
CPC classification number: A61N1/0558 , A61N1/36062 , A61N1/37211 , A61N1/37518
Abstract: Examples of implantable medical leads or implantable medical systems with implantable medical leads to be anchored to a sacrum are disclosed. The implantable medical leads include a lead body having a distal portion. A fixation mechanism is coupled to the distal portion. An electrode array is mechanically coupled to the fixation mechanism. In one example, the electrode array is directly coupled to the fixation mechanism. The electrode array is electrically coupled to the lead body and configured to generate a stimulation field. The fixation mechanism is configured to anchor the implantable medical lead to a sacrum and effect the stimulation field in a foramen of the sacrum.
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公开(公告)号:US20230074492A1
公开(公告)日:2023-03-09
申请号:US17816153
申请日:2022-07-29
Applicant: Medtronic, Inc.
Inventor: Sarah J. Offutt , Julia P. Slopsema , Katelynn M. Johnson
IPC: A61N1/36
Abstract: Closed loop control of electrical stimulation therapy by measuring a neuromuscular response to determine that the electrical stimulation therapy is adequately stimulating the target nerve. In some examples, a system using the techniques of this disclosure may measure a reflex response, e.g., using electromyography (EMG), which measures muscle response or electrical activity in response to a nerve’s stimulation of the muscle. In some examples, the techniques of this disclosure may measure an H-reflex, such as an evoked motor response that occurs caused by a first afferent stimulation, through a signal synapse, and an efferent alpha-motor neuron excitation.
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公开(公告)号:US20220143403A1
公开(公告)日:2022-05-12
申请号:US17453611
申请日:2021-11-04
Applicant: Medtronic, Inc.
Inventor: Sarah J. Offutt , Nicholas Reid Singer , Katie C. Bittner
Abstract: A medical system for treating incontinence includes an implantable medical device (IMD) implantable proximate to a tibial nerve of a patient comprising therapy delivery circuitry configured to provide electrical stimulation therapy proximate the tibial nerve of the patient for treating incontinence, and processing circuitry configured to: during an implant period, determine a set of stimulation parameters to control the therapy delivery circuitry, during an induction period after the implant period, initiate electrical stimulation therapy according to the set of stimulation parameters, during a first maintenance period, determine an adjustment to the set of stimulation parameters as first maintenance period stimulation parameters to reduce the electrical stimulation therapy from the induction period, and during a second maintenance period, determine an adjustment to the set of stimulation parameters as second maintenance period stimulation parameters to reduce the electrical stimulation therapy from the first maintenance period.
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