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1.发明授权Implantable medical device responsive to MRI induced capture threshold changes 有权可植入的医疗设备响应于MRI诱发的捕获阈值变化公开(公告)号：US08571661B2
公开(公告)日：2013-10-29
申请号：US12568433
申请日：2009-09-28
申请人： Scott R. Stubbs , Kevin G. Wika
发明人： Scott R. Stubbs , Kevin G. Wika
CPC分类号： A61N1/3712 , A61N1/371 , A61N1/3718 , A61N1/3943
摘要： Energy delivered from an implantable medical device to stimulate tissue within a patient's body is controlled. An electrical signal used to stimulate the tissue is changed from a first energy state to a second energy state during a magnetic resonance imaging (MRI) scan. The energy delivered is maintained at the second energy state after the MRI scan. A capture threshold of the tissue is then measured, and the energy delivered to the tissue is adjusted based on the measured capture threshold of the tissue.
摘要翻译： 从植入式医疗装置传递的能量可刺激患者身体内的组织被控制。 用于刺激组织的电信号在磁共振成像（MRI）扫描期间从第一能量状态改变到第二能量状态。 在MRI扫描后，输送的能量保持在第二能量状态。 然后测量组织的捕获阈值，并且基于所测量的组织的捕获阈值来调整输送到组织的能量。
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2.发明申请IMPLANTABLE MEDICAL DEVICE RESPONSIVE TO MRI INDUCED CAPTURE THRESHOLD CHANGES 有权针对MRI诱发电位变化的可植入医疗器械公开(公告)号：US20100087892A1
公开(公告)日：2010-04-08
申请号：US12568433
申请日：2009-09-28
申请人： Scott R. Stubbs , Kevin G. Wika
发明人： Scott R. Stubbs , Kevin G. Wika
IPC分类号： A61N1/37
CPC分类号： A61N1/3712 , A61N1/371 , A61N1/3718 , A61N1/3943
摘要： Energy delivered from an implantable medical device to stimulate tissue within a patient's body is controlled. An electrical signal used to stimulate the tissue is changed from a first energy state to a second energy state during a magnetic resonance imaging (MRI) scan. The energy delivered is maintained at the second energy state after the MRI scan. A capture threshold of the tissue is then measured, and the energy delivered to the tissue is adjusted based on the measured capture threshold of the tissue.
摘要翻译： 从植入式医疗装置传递的能量可刺激患者身体内的组织被控制。 用于刺激组织的电信号在磁共振成像（MRI）扫描期间从第一能量状态改变到第二能量状态。 在MRI扫描后，输送的能量保持在第二能量状态。 然后测量组织的捕获阈值，并且基于所测量的组织的捕获阈值来调整输送到组织的能量。
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3.发明授权System and method for providing fault resilient processing in an implantable medical device 有权用于在可植入医疗装置中提供故障弹性处理的系统和方法公开(公告)号：US08402467B2
公开(公告)日：2013-03-19
申请号：US12417702
申请日：2009-04-03
申请人： Scott R. Stubbs , Kenneth P. Hoyme
发明人： Scott R. Stubbs , Kenneth P. Hoyme
IPC分类号： G06F9/50
CPC分类号： G06F9/4881 , G06F9/5016 , G06F11/004
摘要： A system and method for providing fault resilient processing in an implantable medical device is provided. A processor and memory store are provided in an implantable medical device. Separate times on the processor are scheduled to a plurality of processes. Separate memory spaces in the memory store are managed by exclusively associating one such separate memory space with each of the processes. Data is selectively validated prior to exchange from one of the processes to another of the processes during execution in the separate processor times.
摘要翻译： 提供了一种用于在可植入医疗装置中提供故障弹性处理的系统和方法。 在可植入医疗装置中提供处理器和存储器。 处理器上的独立时间被安排到多个进程。 通过将一个这样的单独的存储空间与每个进程相关联来管理存储器存储器中的分离的存储器空间。 在单独的处理器时间内执行期间，从进程之一到另一个进程交换之前，选择性地验证数据。
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公开(公告)号：US08053740B2
公开(公告)日：2011-11-08
申请号：US13044003
申请日：2011-03-09
IPC分类号： G01T1/00
CPC分类号： A61N1/37 , A61N1/3718
摘要： An implantable medical apparatus comprises a solid state electronic circuit, an ionizing radiation exposure sensor, an ionizing radiation dose rate sensor, and a controller circuit. The ionizing radiation exposure sensor is configured to detect an exposure of the solid state electronic circuit to ionizing radiation, and generate an indication of a non-single-event-upset (non-SEU) effect to the solid state electronic circuit from the exposure to ionizing radiation, wherein the sensor comprises an accumulated ionizing radiation exposure sensor. The controller circuit is configured to blank the indication from the accumulated ionizing radiation exposure sensor when the radiation dose rate sensor indicates that flux ionizing radiation exceeds a flux ionizing radiation threshold.
摘要翻译： 一种可植入医疗装置，包括固态电子电路，电离辐射曝光传感器，电离辐射剂量率传感器和控制器电路。 电离辐射曝光传感器被配置为检测固态电子电路对电离辐射的曝光，并且产生对固态电子电路的非单事件不适（非SEU）效应的指示，从曝光到 电离辐射，其中所述传感器包括累积的电离辐射曝光传感器。 控制器电路被配置为当辐射剂量率传感器指示通量电离辐射超过通量电离辐射阈值时，从累积的电离辐射曝光传感器中消除指示。
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5.发明申请公开(公告)号：US20110163834A1
公开(公告)日：2011-07-07
申请号：US12977172
申请日：2010-12-23
IPC分类号： H01F17/04
CPC分类号： H01F41/00 , H01F1/344 , H01F3/02 , H01F27/245 , H01F2003/106 , Y10T29/4902
摘要： This document discusses, among other things, an inductive component that can include a core having two portions: (1) a first portion composed of a first material having a first magnetic saturation level; and (2) a second portion composed of a second material selected to provide inductance for the inductive component when an external magnetic field is greater than the first magnetic saturation level. In an example, the first portion can be composed of a material having a relatively low magnetic saturation level (e.g., a ferrite), and the second portion can be composed of a material having a relatively high magnetic saturation level (e.g., a high permeability iron alloy).
摘要翻译： 本文件尤其涉及可包括具有两部分的芯的电感元件：（1）由具有第一磁饱和电平的第一材料组成的第一部分; 和（2）由外部磁场大于第一磁饱和度的第二材料组成的第二部分，该第二材料被选择为提供电感元件的电感。 在一个示例中，第一部分可以由具有相对低的磁饱和度的材料（例如，铁氧体）组成，并且第二部分可以由具有较高磁饱和度的材料（例如，高磁导率 铁合金）。
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6.发明申请APPARATUS TO SELECTIVELY INCREASE MEDICAL DEVICE LEAD INNER CONDUCTOR INDUCTANCE 有权选择性增加医疗器械引导内导体电感的设备公开(公告)号：US20110160816A1
公开(公告)日：2011-06-30
申请号：US12905336
申请日：2010-10-15
摘要： A medical device lead includes an insulative lead body, outer and inner conductive coils, and a flexible core assembly. The outer conductive coil extends through the lead body and is coupled to a first electrode at a distal end of the outer conductive coil. The inner conductive coil extends coaxially with the outer conductive coil, is coupled to a second electrode at a distal end of the inner conductive coil, and includes a central lumen. The flexible core assembly is disposed in the central lumen and is comprised of a material that has a saturation magnetization of at least about 1.5 T and a relative permeability of greater than one. The flexible core assembly includes a positioning interface configured for manipulation of the flexible core assembly such that the flexible core assembly translates through the central lumen during insertion and extraction of the flexible core assembly.
摘要翻译： 医疗器械引线包括绝缘引线体，外部和内部导电线圈以及柔性芯组件。 外部导电线圈延伸穿过引线体并且在外部导电线圈的远端处耦合到第一电极。 与外部导电线圈同轴地延伸的内部导电线圈耦合到内部导电线圈的远端处的第二电极，并且包括中心腔。 柔性芯组件设置在中心腔中，并且由具有至少约1.5T的饱和磁化强度和大于1的相对磁导率的材料构成。 柔性芯组件包括配置用于操纵柔性芯组件的定位接口，使得柔性芯组件在插入和拔出柔性芯组件期间通过中心腔平移。
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公开(公告)号：US07908007B2
公开(公告)日：2011-03-15
申请号：US12566284
申请日：2009-09-24
IPC分类号： A61N1/00
CPC分类号： A61N1/37247 , A61N1/3622 , A61N1/37 , A61N1/3962 , G06F19/00 , G06F19/3481 , G16H40/63
摘要： A system and method of enabling detection enhancements selected from a plurality of detection enhancements. In a system having a plurality of clinical rhythms, including a first clinical rhythm, where each of the detection enhancements is associated with the clinical rhythms, the first clinical rhythm is selected. The first clinical rhythm is associated with first and second detection enhancements. When the first clinical rhythm is selected, parameters of the first and second detection enhancements are set automatically. A determination is made as to whether changes are to be made to the parameters. If so, one or more of the parameters are modified under user control.
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8.发明授权Apparatus for actively monitoring device for lead fixation in implantable tissue stimulators 有权用于在可植入组织刺激器中主动监测铅固定装置的装置公开(公告)号：US07047075B2
公开(公告)日：2006-05-16
申请号：US10417565
申请日：2003-04-17
申请人： Scott R. Stubbs
发明人： Scott R. Stubbs
IPC分类号： A61N1/375
摘要： To provide a positive indication that a medical lead terminal is properly secured within the longitudinal bore in the header of an implantable medical device there is provided a force sensor (strain gauge) positioned within the device's lead receiving bore and cooperating with the lock mechanism to provide an indication of the amount of force being exerted on the lead terminal to retain it in place. The force sensor provides an output signal through the device's feedthrough wires to the electronic circuit contained within a hermetically sealed housing and is compared by a microprocessor to preprogrammed values. The results of the comparison may then be telemetered to an external programmer device for analysis by a physician.
摘要翻译： 为了提供医疗引线端子适当地固定在可植入医疗装置的头部中的纵向孔内的肯定指示，设置有力传感器（应变计），其位于装置的引线接收孔内并与锁定机构协作以提供 指示施加在引线端子上以将其保持在适当位置的力的量。 力传感器通过装置的馈通线将输出信号提供给包含在密封壳体内的电子电路，并通过微处理器与预编程值进行比较。 然后可以将比较的结果遥测到外部编程器装置以供医生分析。
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公开(公告)号：US08855766B2
公开(公告)日：2014-10-07
申请号：US13286408
申请日：2011-11-01
CPC分类号： A61N1/3987 , A61N1/37247 , A61N1/37252 , A61N1/3925
摘要： A system and method of enabling detection enhancements selected from a plurality of detection enhancements. In a system having a plurality of clinical rhythms, including a first clinical rhythm, where each of the detection enhancements is associated with the clinical rhythms, the first clinical rhythm is selected. The first clinical rhythm is associated with first and second detection enhancements. When the first clinical rhythm is selected, parameters of the first and second detection enhancements are set automatically. A determination is made as to whether changes are to be made to the parameters. If so, one or more of the parameters are modified under user control.
摘要翻译： 一种启用从多个检测增强中选择的检测增强的系统和方法。 在具有多个临床节律的系统中，包括第一临床节律，其中每个检测增强与临床节律相关联，选择第一临床节律。 第一种临床节律与第一和第二检测增强有关。 当选择第一临床节律时，自动设置第一和第二检测增强的参数。 确定是否对参数进行改变。 如果是这样，则在用户控制下修改一个或多个参数。
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公开(公告)号：US08649862B2
公开(公告)日：2014-02-11
申请号：US13166297
申请日：2011-06-22
申请人： Jacob M. Ludwig , William J. Linder , Douglas J. Brandner , Nicholas J. Stessman , Douglas Michael Hannan , Scott R. Stubbs , Jeffrey E. Stahmann , Arthur Foster
发明人： Jacob M. Ludwig , William J. Linder , Douglas J. Brandner , Nicholas J. Stessman , Douglas Michael Hannan , Scott R. Stubbs , Jeffrey E. Stahmann , Arthur Foster
IPC分类号： A61N1/39
CPC分类号： A61N1/3931 , A61N1/025 , A61N1/3706 , A61N1/3937 , A61N1/3962 , A61N2001/083
摘要： A medical device can include a therapy circuit configured to provide a specified electrostimulation therapy to a tissue site, the specified electrostimulation therapy including a scheduled completion, the therapy circuit including a protection circuit configured to adjust specification of the electrostimulation therapy being provided so as to provide an adjusted electrostimulation therapy before the scheduled completion. The medical device can include a monitoring circuit comprising a comparator. The monitoring circuit can be configured to trigger the protection circuit to inhibit the therapy circuit when the therapy circuit output parameter exceeds the specified threshold as indicated by the comparator.
摘要翻译： 医疗设备可以包括治疗电路，其被配置为向组织部位提供特定的电刺激治疗，所述指定的电刺激治疗包括计划完成，所述治疗电路包括保护电路，该保护电路被配置为调整提供的电刺激治疗的规格， 在计划完成之前进行调整的电刺激治疗。 医疗装置可以包括包括比较器的监视电路。 当比较器所指示的治疗电路输出参数超过指定的阈值时，监视电路可被配置为触发保护电路来抑制治疗电路。
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