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    Voltage/current regulator improvements for an implantable medical device
    1.
    发明申请
    Voltage/current regulator improvements for an implantable medical device 有权
    可植入医疗器械的电压/电流调节器改进

    公开(公告)号：US20070191907A1

    公开(公告)日：2007-08-16

    申请号：US11649329

    申请日：2007-01-03

    申请人： Marc Stein ,  Nathan Torgerson ,  Robert Leinders ,  Todd Goblish ,  Todd Heathershaw ,  John Rodriguez

    发明人： Marc Stein ,  Nathan Torgerson ,  Robert Leinders ,  Todd Goblish ,  Todd Heathershaw ,  John Rodriguez

    IPC分类号： A61N1/00

    CPC分类号： A61N1/378 ,  A61N1/36153 ,  A61N1/36157 ,  A61N1/36192 ,  A61N1/37241 ,  A61N1/37252 ,  A61N1/3787

    摘要： Apparatus and method provide flexibility in generating a stimulation waveform to an electrode of an implantable medical device. The stimulation waveform comprises at least one stimulation pulse. The embodiment of the invention supports a generation of a stimulation pulse in which an amplitude and an electrical polarity of the stimulation pulse can be dynamically changed. The embodiment comprises a capacitor arrangement, a regulator and a switching array. The capacitor arrangement can be reconfigured with respect to an electrical reference through the switching array in order for the regulator to deliver the stimulation pulse to a pair of electrodes. In another embodiment, a plurality of stimulation waveforms are generated in which different stimulation waveforms are associated with different electrodes. With the embodiment, a plurality of regulators are connected and reconfigured to the capacitor arrangement in order that the different stimulation waveforms are generated by different regulators.

    摘要翻译： 装置和方法在向可植入医疗装置的电极产生刺激波形方面提供灵活性。 刺激波形包括至少一个刺激脉冲。 本发明的实施例支持产生刺激脉冲，其中可以动态地改变刺激脉冲的振幅和电极性。 该实施例包括电容器布置，调节器和开关阵列。 可以通过开关阵列相对于电参考来重新配置电容器布置，以便调节器将刺激脉冲传送到一对电极。 在另一个实施例中，产生多个刺激波形，其中不同的刺激波形与不同的电极相关联。 利用本实施例，将多个调节器连接并重新配置到电容器装置，以便不同的调节器产生不同的刺激波形。

    Independent therapy programs in an implantable medical device
    2.
    发明申请
    Independent therapy programs in an implantable medical device 有权
    可植入医疗器械中的独立治疗程序

    公开(公告)号：US20050240244A1

    公开(公告)日：2005-10-27

    申请号：US11170497

    申请日：2005-06-29

    申请人： Robert Leinders ,  Nathan Torgerson ,  Marc Stein ,  Todd Goblish ,  Todd Heathershaw ,  John Rodriguez

    发明人： Robert Leinders ,  Nathan Torgerson ,  Marc Stein ,  Todd Goblish ,  Todd Heathershaw ,  John Rodriguez

    IPC分类号： A61N1/05 ,  A61N1/34 ,  A61N1/18

    CPC分类号： A61N1/36071

    摘要： Apparatus and method for independently delivering a plurality of therapy programs in an implantable medical device. A therapy controller configures the device to generate independent pulse trains associated with a plurality of therapy programs and dynamically configures the electrodes to deliver the independent pulse trains to the patient. Once configured, the implantable medical device delivers the plurality of therapy programs to the patient wherein the therapy programs may overlap in time.

    摘要翻译： 用于在可植入医疗装置中独立地递送多个治疗程序的装置和方法。 治疗控制器配置该装置以产生与多个治疗程序相关联的独立脉冲序列，并且动态地配置电极以将独立的脉冲序列传递给患者。 一旦配置，可植入医疗装置将多个治疗程序递送到患者，其中治疗程序可能在时间上重叠。

    Antenna for an external power source for an implantable medical device, system and method
    3.
    发明申请
    Antenna for an external power source for an implantable medical device, system and method 有权
    用于可植入医疗装置的外部电源的天线，系统和方法

    公开(公告)号：US20070255349A1

    公开(公告)日：2007-11-01

    申请号：US11414151

    申请日：2006-04-28

    申请人： Nathan Torgerson ,  John Kast ,  Kevin Kelly ,  Todd Goblish

    发明人： Nathan Torgerson ,  John Kast ,  Kevin Kelly ,  Todd Goblish

    IPC分类号： A61N1/00

    CPC分类号： A61N1/37229 ,  A61N1/3787

    摘要： System, method and antenna for an external power source for an implantable medical device having therapeutic componentry and a secondary coil operatively coupled to the therapeutic componentry. A housing has a first surface adapted to be placed closest to the secondary coil of the implantable medical device. A primary coil is operatively coupled to the external power and is capable of inductively energizing the secondary coil, the primary coil being wound forming generally concentric loops having an axis. The housing has a protrusion extending from the first surface.

    摘要翻译： 用于具有治疗组件的可植入医疗装置的外部电源的系统，方法和天线以及可操作地耦合到治疗组件的次级线圈。 壳体具有适于放置成最接近可植入医疗装置的次级线圈的第一表面。 初级线圈可操作地耦合到外部电源并且能够感应地激励次级线圈，初级线圈被卷绕成大体上具有轴的同心环。 壳体具有从第一表面延伸的突起。

    Generation of therapy programs and program groups
    4.
    发明申请
    Generation of therapy programs and program groups 有权
    生成治疗方案和方案组

    公开(公告)号：US20070123953A1

    公开(公告)日：2007-05-31

    申请号：US11698655

    申请日：2007-01-26

    申请人： Michael Lee ,  Steven Goetz ,  Nathan Torgerson

    发明人： Michael Lee ,  Steven Goetz ,  Nathan Torgerson

    IPC分类号： A61N1/32

    CPC分类号： A61N1/37247 ,  A61N1/36082 ,  A61N1/36185 ,  Y10S128/903

    摘要： A programmer allows a clinician to identify desirable combinations of electrodes from within an electrode set implanted in a patient that enable delivery of desirable neurostimulation therapy by an implantable medical device. The clinician may create neurostimulation therapy programs that include identified desirable electrode combinations. In some embodiments, the clinician may use the programmer to select a program, such as a program identified during a neurostimulation programming session, and direct the programmer to replicate the selected program. The programmer may change one or more parameters of the selected program, such as pulse amplitude or duty cycle, when generating the copy of the selected program. In some embodiments, the programmer may associate each of a plurality of programs identified during a neurostimulation therapy programming session with one or more program categories, and may automatically generate program groups that include two or more of the programs based on the program categories.

    摘要翻译： 程序员允许临床医生从植入患者体内的电极组中识别电极的期望组合，从而能够通过可植入医疗装置递送所需的神经刺激疗法。 临床医生可以产生神经刺激治疗程序，其包括所识别的期望的电极组合。 在一些实施例中，临床医生可以使用编程器来选择程序，诸如在神经刺激编程会话期间识别的程序，并指示程序员复制所选择的程序。 当生成所选程序的副本时，编程器可以改变所选程序的一个或多个参数，例如脉冲幅度或占空比。 在一些实施例中，程序员可以将在神经刺激治疗程序设计会话期间识别的多个程序中的每一个与一个或多个程序类别相关联，并且可以基于程序类别自动生成包括两个或更多程序的程序组。

    Device site stimulation for notification
    5.
    发明申请
    Device site stimulation for notification 有权
    设备现场刺激通知

    公开(公告)号：US20070255339A1

    公开(公告)日：2007-11-01

    申请号：US11414533

    申请日：2006-04-28

    申请人： Nathan Torgerson

    发明人： Nathan Torgerson

    IPC分类号： A61N1/00

    CPC分类号： A61N1/0534 ,  A61N1/0529 ,  A61N1/0551 ,  A61N1/3605 ,  A61N1/36114 ,  A61N1/36185

    摘要： The disclosure is directed to techniques for delivering electrical stimulation for patient notification. An implantable medical device (IMD) may deliver patient notification stimulation via one or more device site electrodes, e.g., electrodes located proximate to an implant site for the IMD, configured as cathodes. Anodes for delivery the patient notification stimulation may be located in an electrode array that is provided by one or more leads and located distally from the implant site, e.g., an electrode array located at one or more target sites for delivery of stimulation therapy. In some embodiments, the IMD may inhibit the patient notification stimulation for a period in response to input from the patient, and then resume the stimulation at the end of the period. In this manner, the notification stimulation may be “snoozed” like an alarm clock. When the stimulation resumes, it may be different, e.g., more urgent, then prior to inhibition.

    摘要翻译： 本公开涉及用于递送用于患者通知的电刺激的技术。 可植入医疗装置（IMD）可以经由一个或多个装置位置电极（例如位于IMD的植入部位附近的电极）来配置患者通知刺激，该电极配置为阴极。 用于递送患者通知刺激的阳极可以位于由一个或多个引线提供并且位于远离植入位置的电极阵列中，例如位于一个或多个靶位点处的用于递送刺激治疗的电极阵列。 在一些实施例中，IMD可以响应于来自患者的输入而抑制患者通知刺激一段时间，然后在该期间结束时恢复刺激。 以这种方式，通知刺激可以像闹钟一样“延后”。 当刺激恢复时，它可能是不同的，例如更紧迫，然后在抑制之前。

    Medical device telemetry arbitration system using time of response
    6.
    发明申请
    Medical device telemetry arbitration system using time of response 审中-公开
    医疗器械遥测仲裁系统采用时间响应

    公开(公告)号：US20060020304A1

    公开(公告)日：2006-01-26

    申请号：US11184718

    申请日：2005-07-19

    申请人： Nathan Torgerson ,  Christopher Arnett ,  Steven Nelson ,  Allen Almendinger

    发明人： Nathan Torgerson ,  Christopher Arnett ,  Steven Nelson ,  Allen Almendinger

    IPC分类号： A61N1/08

    CPC分类号： A61N1/37252

    摘要： A medical system and method of establishing communication between a plurality of implantable medical devices and an external device. An identification command is sent transcutaneously to at least one of the plurality of implantable medical devices. The plurality of implantable medical devices respond to the identification command with an uplink response in one of a plurality of uplink time slots. The external device receives the uplink response from each of at least one of the plurality of implanted medical devices. The external device establishes transcutaneous communication to a selected one of the plurality of implanted medical devices based, at least in part, upon an order in time of which the plurality of implanted medical devices respond with the uplink response.

    摘要翻译： 一种在多个可植入医疗设备和外部设备之间建立通信的医疗系统和方法。 识别命令经皮发送到多个可植入医疗装置中的至少一个。 多个可植入医疗装置在多个上行链路时隙之一中以上行链路响应来响应该识别命令。 外部设备从多个植入医疗设备中的至少一个植入医疗设备中的每一个接收上行链路响应。 至少部分地，至少部分地基于多个植入的医疗装置响应上行链路响应的时间顺序，外部设备建立到多个植入医疗设备中的所选择的一个的经皮通信。

    Shifting between electrode combinations in electrical stimulation device
    7.
    发明申请
    Shifting between electrode combinations in electrical stimulation device 审中-公开
    在电刺激装置中的电极组合之间移动

    公开(公告)号：US20060229687A1

    公开(公告)日：2006-10-12

    申请号：US11352389

    申请日：2006-02-10

    申请人： Steven Goetz ,  Andrew Houchins ,  Jeffrey Keacher ,  Gary King ,  Kenneth Heruth ,  Roy Testerman ,  Michael Lee ,  Nathan Torgerson ,  Joseph Nolan

    发明人： Steven Goetz ,  Andrew Houchins ,  Jeffrey Keacher ,  Gary King ,  Kenneth Heruth ,  Roy Testerman ,  Michael Lee ,  Nathan Torgerson ,  Joseph Nolan

    IPC分类号： A61N1/18

    CPC分类号： A61N1/36185 ,  A61N1/36071

    摘要： In general, the invention is directed to techniques for shifting between two electrode combinations. An amplitude of a first electrode combination is incrementally decreased while an amplitude of a second, or subsequent, electrode combination is concurrently incrementally increased. The stimulation pulses of the first and second electrode combinations are delivered to the patient interleaved in time. In this manner, the invention provides for a smooth, gradual shift from a first electrode combination to a second electrode combination, thereby allowing the patient to maintain a continual perception of stimulation. The shifting techniques described herein may be used during programming to shift between different electrode combinations to find the most efficacious electrode combination. Additionally, the techniques may be used for shifting between different electrode combinations associated with different stimulation programs or program sets.

    摘要翻译： 通常，本发明涉及用于在两个电极组合之间移动的技术。 第一电极组合的振幅逐渐减小，而第二或随后的电极组合的振幅同时递增地增加。 第一和第二电极组合的刺激脉冲在时间上交付给患者。 以这种方式，本发明提供了从第一电极组合到第二电极组合的平滑的逐渐变化，从而允许患者保持对刺激的连续感知。 在编程期间可以使用本文描述的移位技术来在不同的电极组合之间移动以找到最有效的电极组合。 另外，这些技术可用于在与不同刺激程序或程序集相关联的不同电极组合之间进行移位。