公开(公告)号：US08160328B2

公开(公告)日：2012-04-17

申请号：US12359247

申请日：2009-01-23

申请人： Steven M. Goetz ,  Wende L. Dewing ,  Andrew Ng

发明人： Steven M. Goetz ,  Wende L. Dewing ,  Andrew Ng

IPC分类号： G06K9/00

CPC分类号： A61N1/37264 ,  A61N1/0551 ,  A61N1/36185 ,  A61N1/37247 ,  G06F19/00 ,  G06T7/0012 ,  G06T7/73 ,  G06T2207/10116 ,  G06T2207/30052 ,  G06T2207/30196

摘要： In general, the disclosure is related to characterization of implanted electrical stimulation electrode arrays using post-implant imaging. The electrode arrays may be carried by implanted leads. Characterization of implanted electrode arrays may include identification of the type or types of leads implanted within a patient and/or determination of positions of the implanted leads or electrodes carried by the leads relative to one another or relative to anatomical structures within the patient. In addition, the disclosure relates to techniques for specifying or modifying patient therapy parameters based on the characterization of the implanted electrode arrays.

摘要翻译： 通常，本公开涉及使用植入后成像的植入电刺激电极阵列的表征。 电极阵列可以由注入引线携带。 植入电极阵列的表征可以包括识别植入在患者体内的引线的类型或类型，和/或确定由导线相对于彼此或相对于患者内的解剖结构承载的植入引线或电极的位置。 此外，本公开涉及基于植入的电极阵列的表征来指定或修改患者治疗参数的技术。

公开(公告)号：US20090196471A1

公开(公告)日：2009-08-06

申请号：US12359247

申请日：2009-01-23

申请人： Steven M. Goetz ,  Wende L. Dewing ,  Andrew Ng

发明人： Steven M. Goetz ,  Wende L. Dewing ,  Andrew Ng

IPC分类号： G06K9/00 ,  A61N1/02 ,  A61B5/00

CPC分类号： A61N1/37264 ,  A61N1/0551 ,  A61N1/36185 ,  A61N1/37247 ,  G06F19/00 ,  G06T7/0012 ,  G06T7/73 ,  G06T2207/10116 ,  G06T2207/30052 ,  G06T2207/30196

摘要： In general, the disclosure is related to characterization of implanted electrical stimulation electrode arrays using post-implant imaging. The electrode arrays may be carried by implanted leads. Characterization of implanted electrode arrays may include identification of the type or types of leads implanted within a patient and/or determination of positions of the implanted leads or electrodes carried by the leads relative to one another or relative to anatomical structures within the patient. In addition, the disclosure relates to techniques for specifying or modifying patient therapy parameters based on the characterization of the implanted electrode arrays.

摘要翻译： 通常，本公开涉及使用植入后成像的植入电刺激电极阵列的表征。 电极阵列可以由注入引线携带。 植入电极阵列的表征可以包括识别植入在患者体内的引线的类型或类型，和/或确定由导线相对于彼此或相对于患者内的解剖结构承载的植入引线或电极的位置。 此外，本公开涉及基于植入的电极阵列的表征来指定或修改患者治疗参数的技术。

公开(公告)号：US08798759B2

公开(公告)日：2014-08-05

申请号：US11999722

申请日：2007-12-06

申请人： Steven M. Goetz ,  Jeffrey T. Keacher ,  Rajeev Sahasrabudhe ,  Wende L. Dewing ,  Jon P. Davis ,  John Rondoni ,  Gabriela C. Miyazawa ,  Gary W. King

发明人： Steven M. Goetz ,  Jeffrey T. Keacher ,  Rajeev Sahasrabudhe ,  Wende L. Dewing ,  Jon P. Davis ,  John Rondoni ,  Gabriela C. Miyazawa ,  Gary W. King

IPC分类号： A61N1/00

CPC分类号： A61N1/37247 ,  A61N1/36185

摘要： The disclosure is directed to a user interface with a menu that facilitates stimulation therapy programming. The user interface displays a representation of the electrical leads implanted in the patient and at least one menu with icons that the user can use to adjust the stimulation therapy. The user may drag one or more field shapes from a field shape selection menu onto the desired location relative to the electrical leads. A manipulation tool menu may also allow the user to adjust the field shapes placed on the electrical leads, which represent the stimulation region. The programmer that includes the user interface then generates electrical stimulation parameter values for the stimulator to deliver stimulation according to the field shapes or field shape groups defined/located by the user. The field shapes may represent different types of stimulation representations, such as current density, activation functions, and neuron models.

摘要翻译： 本公开针对具有促进刺激治疗编程的菜单的用户界面。 用户界面显示植入患者中的电引线的表示以及具有用户可用于调整刺激疗法的图标的至少一个菜单。 用户可以将一个或多个场形状从场形选择菜单拖到相对于电引线的期望位置上。 操作工具菜单还可以允许用户调整放置在电引线上的场形状，其代表刺激区域。 包括用户界面的程序员然后产生刺激器的电刺激参数值，以根据由用户定义/定位的场形状或场形组递送刺激。 场形状可以表示不同类型的刺激表示，例如电流密度，激活函数和神经元模型。

公开(公告)号：US08010203B2

公开(公告)日：2011-08-30

申请号：US11690655

申请日：2007-03-23

申请人： Delight D. DeMulling ,  Debbie A. McConnell ,  Steven M. Goetz ,  Cari C. Herman ,  Wende L. Dewing

发明人： Delight D. DeMulling ,  Debbie A. McConnell ,  Steven M. Goetz ,  Cari C. Herman ,  Wende L. Dewing

IPC分类号： A61N1/08

CPC分类号： A61N1/372 ,  A61N1/36003 ,  A61N1/36071 ,  A61N1/36082 ,  A61N1/36185 ,  A61N1/3688 ,  A61N1/37241 ,  A61N1/37247 ,  A61N1/37252 ,  A61N1/37264

摘要： Techniques that involve generating test stimulation programs based upon specific patient feedback to guide the programming process for stimulation therapy are described. The patient describes positive effects and adverse effects of the test stimulation by listing and/or rating specific types of effects, both positive and adverse, and the location of each effect. In this manner, a programming device, i.e. a programmer, uses the feedback to generate subsequent test stimulation programs. Initially, programs with unipolar electrode configurations are tested, but the programmer may generate bipolar electrode configurations to test if the patient rates the unipolar electrode combinations poorly. After the stimulation programs are tested and rated, the programmer sorts the tested programs based upon the feedback and presents the tested programs to the user. The user selects the best tested program to use for chronic stimulation therapy. Additionally, the patient may utilize the guided programming technique for continued therapy optimization.

摘要翻译： 描述了基于特定患者反馈产生测试刺激程序以指导刺激治疗的编程过程的技术。 患者通过列出和/或评估特定类型的效应（包括阳性和不良反应）以及每种效应的位置来描述测试刺激的积极影响和不利影响。 以这种方式，编程设备，即编程器，使用反馈来产生后续的测试刺激程序。 首先，测试具有单极电极配置的程序，但是程序员可以产生双极电极配置来测试患者是否对单极电极组合进行评估。 在对刺激程序进行测试和评估后，程序员将根据反馈对测试程序进行排序，并将测试的程序呈现给用户。 用户选择用于慢性刺激治疗的最佳测试程序。 此外，患者可以利用引导编程技术进行持续的治疗优化。

公开(公告)号：US20080154340A1

公开(公告)日：2008-06-26

申请号：US11999735

申请日：2007-12-06

申请人： Steven M. Goetz ,  Jeffrey T. Keacher ,  Rajeev Sahasrabudhe ,  Wende L. Dewing ,  Jon P. Davis ,  John Rondoni ,  Gabriela C. Miyazawa ,  Gary W. King

发明人： Steven M. Goetz ,  Jeffrey T. Keacher ,  Rajeev Sahasrabudhe ,  Wende L. Dewing ,  Jon P. Davis ,  John Rondoni ,  Gabriela C. Miyazawa ,  Gary W. King

IPC分类号： A61N1/08 ,  G06F3/048

CPC分类号： A61N1/37247 ,  A61N1/36185

摘要： The disclosure is directed to a user interface with a menu that facilitates stimulation therapy programming. The user interface displays a representation of the electrical leads implanted in the patient and at least one menu with icons that the user can use to adjust the stimulation therapy. The user may drag one or more field shapes from a field shape selection menu onto the desired location relative to the electrical leads. A manipulation tool menu may also allow the user to adjust the field shapes placed on the electrical leads, which represent the stimulation region. The programmer that includes the user interface then generates electrical stimulation parameter values for the stimulator to deliver stimulation according to the field shapes or field shape groups defined/located by the user. The field shapes may represent different types of stimulation representations, such as current density, activation functions, and neuron models.

公开(公告)号：US08862240B2

公开(公告)日：2014-10-14

申请号：US12359261

申请日：2009-01-23

申请人： Steven M. Goetz ,  Wende L. Dewing

发明人： Steven M. Goetz ,  Wende L. Dewing

IPC分类号： A61N1/00 ,  G06T7/00 ,  A61N1/36 ,  A61N1/05 ,  A61N1/372

CPC分类号： A61N1/37264 ,  A61N1/0551 ,  A61N1/36185 ,  A61N1/37247 ,  G06F19/00 ,  G06T7/0012 ,  G06T7/73 ,  G06T2207/10116 ,  G06T2207/30052 ,  G06T2207/30196

摘要： In general, the disclosure is related to characterization of implanted electrical stimulation electrode arrays using post-implant imaging. The electrode arrays may be carried by implanted leads. Characterization of implanted electrode arrays may include identification of the type or types of leads implanted within a patient and/or determination of positions of the implanted leads or electrodes carried by the leads relative to one another or relative to anatomical structures within the patient. In addition, the disclosure relates to techniques for specifying or modifying patient therapy parameters based on the characterization of the implanted electrode arrays.

摘要翻译： 通常，本公开涉及使用植入后成像的植入电刺激电极阵列的表征。 电极阵列可以由注入引线携带。 植入电极阵列的表征可以包括识别植入在患者体内的引线的类型或类型，和/或确定由导线相对于彼此或相对于患者内的解剖结构承载的植入引线或电极的位置。 此外，本公开涉及基于植入的电极阵列的表征来指定或修改患者治疗参数的技术。

公开(公告)号：US08527059B2

公开(公告)日：2013-09-03

申请号：US13220113

申请日：2011-08-29

申请人： Delight D. DeMulling ,  Debbie A. McConnell ,  Steven M. Goetz ,  Cari Herman ,  Wende L. Dewing

发明人： Delight D. DeMulling ,  Debbie A. McConnell ,  Steven M. Goetz ,  Cari Herman ,  Wende L. Dewing

IPC分类号： A61N1/372

CPC分类号： A61N1/372 ,  A61N1/36003 ,  A61N1/36071 ,  A61N1/36082 ,  A61N1/36185 ,  A61N1/3688 ,  A61N1/37241 ,  A61N1/37247 ,  A61N1/37252 ,  A61N1/37264

摘要： Example techniques involve generating test stimulation programs based upon specific patient feedback to guide the programming process for stimulation therapy. The patient describes positive effects and adverse effects of the test stimulation by listing and/or rating specific types of effects, both positive and adverse, and the location of each effect. In this manner, a programming device, i.e. a programmer, uses the feedback to generate subsequent test stimulation programs. Initially, programs with unipolar electrode configurations are tested, but the programmer may generate bipolar electrode configurations to test if the patient rates the unipolar electrode combinations poorly. After the stimulation programs are tested and rated, the programmer sorts the tested programs based upon the feedback and presents the tested programs to the user. The user selects the best tested program to use for chronic stimulation therapy. Additionally, the patient may utilize the guided programming technique for continued therapy optimization.

摘要翻译： 示例技术涉及基于具体的患者反馈产生测试刺激程序，以指导用于刺激治疗的编程过程。 患者通过列出和/或评估特定类型的效应（包括阳性和不良反应）以及每种效应的位置来描述测试刺激的积极影响和不利影响。 以这种方式，编程设备，即编程器，使用反馈来产生后续的测试刺激程序。 首先，测试具有单极电极配置的程序，但是程序员可以产生双极电极配置来测试患者是否对单极电极组合进行评估。 在对刺激程序进行测试和评估后，程序员将根据反馈对测试程序进行排序，并将测试的程序呈现给用户。 用户选择用于慢性刺激治疗的最佳测试程序。 此外，患者可以利用引导编程技术进行持续的治疗优化。

公开(公告)号：US20110313485A1

公开(公告)日：2011-12-22

申请号：US13220113

申请日：2011-08-29

申请人： Delight D. DeMulling ,  Debbie A. McConnell ,  Steven M. Goetz ,  Cari C. Herman ,  Wende L. Dewing

发明人： Delight D. DeMulling ,  Debbie A. McConnell ,  Steven M. Goetz ,  Cari C. Herman ,  Wende L. Dewing

IPC分类号： A61N1/372

CPC分类号： A61N1/372 ,  A61N1/36003 ,  A61N1/36071 ,  A61N1/36082 ,  A61N1/36185 ,  A61N1/3688 ,  A61N1/37241 ,  A61N1/37247 ,  A61N1/37252 ,  A61N1/37264

摘要： Techniques that involve generating test stimulation programs based upon specific patient feedback to guide the programming process for stimulation therapy are described. The patient describes positive effects and adverse effects of the test stimulation by listing and/or rating specific types of effects, both positive and adverse, and the location of each effect. In this manner, a programming device, i.e. a programmer, uses the feedback to generate subsequent test stimulation programs. Initially, programs with unipolar electrode configurations are tested, but the programmer may generate bipolar electrode configurations to test if the patient rates the unipolar electrode combinations poorly. After the stimulation programs are tested and rated, the programmer sorts the tested programs based upon the feedback and presents the tested programs to the user. The user selects the best tested program to use for chronic stimulation therapy. Additionally, the patient may utilize the guided programming technique for continued therapy optimization.

摘要翻译： 描述了基于特定患者反馈产生测试刺激程序以指导刺激治疗的编程过程的技术。 患者通过列出和/或评估特定类型的效应（包括阳性和不良反应）以及每种效应的位置来描述测试刺激的积极影响和不利影响。 以这种方式，编程设备，即编程器，使用反馈来产生后续的测试刺激程序。 首先，测试具有单极电极配置的程序，但是程序员可以产生双极电极配置来测试患者是否对单极电极组合进行评估。 在对刺激程序进行测试和评估后，程序员将根据反馈对测试程序进行排序，并将测试的程序呈现给用户。 用户选择用于慢性刺激治疗的最佳测试程序。 此外，患者可以利用引导编程技术进行持续的治疗优化。

公开(公告)号：US08255060B2

公开(公告)日：2012-08-28

申请号：US11999735

申请日：2007-12-06

申请人： Steven M. Goetz ,  Jeffrey T. Keacher ,  Rajeev Sahasrabudhe ,  Wende L. Dewing ,  Jon P. Davis ,  John Rondoni ,  Gabriela C. Miyazawa ,  Gary W. King

发明人： Steven M. Goetz ,  Jeffrey T. Keacher ,  Rajeev Sahasrabudhe ,  Wende L. Dewing ,  Jon P. Davis ,  John Rondoni ,  Gabriela C. Miyazawa ,  Gary W. King

IPC分类号： A61N1/372

CPC分类号： A61N1/37247 ,  A61N1/36185

摘要： The disclosure is directed to a user interface with a menu that facilitates stimulation therapy programming. The user interface displays a representation of the electrical leads implanted in the patient and at least one menu with icons that the user can use to adjust the stimulation therapy. The user may drag one or more field shapes from a field shape selection menu onto the desired location relative to the electrical leads. A manipulation tool menu may also allow the user to adjust the field shapes placed on the electrical leads, which represent the stimulation region. The programmer that includes the user interface then generates electrical stimulation parameter values for the stimulator to deliver stimulation according to the field shapes or field shape groups defined/located by the user. The field shapes may represent different types of stimulation representations, such as current density, activation functions, and neuron models.

摘要翻译： 本公开针对具有促进刺激治疗编程的菜单的用户界面。 用户界面显示植入患者中的电引线的表示以及具有用户可用于调整刺激疗法的图标的至少一个菜单。 用户可以将一个或多个场形状从场形选择菜单拖到相对于电引线的期望位置上。 操作工具菜单还可以允许用户调整放置在电引线上的场形状，其代表刺激区域。 包括用户界面的程序员然后产生刺激器的电刺激参数值，以根据由用户定义/定位的场形状或场形组递送刺激。 场形状可以表示不同类型的刺激表示，例如电流密度，激活函数和神经元模型。

公开(公告)号：US09937342B2

公开(公告)日：2018-04-10

申请号：US12110906

申请日：2008-04-28

申请人： Dennis M. Skelton ,  Joseph J. Nolan ,  Nathan A. Torgerson ,  Wende L. Dewing ,  Todd V. Smith ,  Shyam Gokaldas ,  Steven M. Goetz ,  Andrew H. Houchins ,  Jeffrey T. Keacher

发明人： Dennis M. Skelton ,  Joseph J. Nolan ,  Nathan A. Torgerson ,  Wende L. Dewing ,  Todd V. Smith ,  Shyam Gokaldas ,  Steven M. Goetz ,  Andrew H. Houchins ,  Jeffrey T. Keacher

IPC分类号： A61N1/05 ,  A61N1/372

CPC分类号： A61N1/0553 ,  A61N1/0531 ,  A61N1/0534 ,  A61N1/37247

摘要： The disclosure provides techniques for parameter-directed shifting of electrical stimulation electrode combinations. An external programmer permits a user to shift electrode combinations, e.g., along the length of a lead or leads. The external programmer accepts shift input and causes an electrical stimulator to shift electrode combinations as indicated by the input. Different sets of electrodes may have different electrode counts. For example, an array of electrodes carried by one lead may have a greater number of electrodes than an array of electrodes carried on another lead. The disclosure provides techniques for shifting electrode combinations among leads with different electrode counts. For example, an external programmer may execute shifts in a series of shift operations, where the number of shift operations along the length of a lead having a greater electrode count is greater than the number of shift steps along the length of a lead having a lesser electrode count.