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公开(公告)号:WO2022026491A1
公开(公告)日:2022-02-03
申请号:PCT/US2021/043360
申请日:2021-07-28
Applicant: MEDTRONIC, INC.
Inventor: MOLINA, Rene A. , STANSLASKI, Scott R. , JACKSON, Jadin C. , PULLIAM, Christopher L. , PANKEN, Eric J. , CASE, Michelle A. , BECKER, Abbey Beuning Holt
IPC: A61N1/36
Abstract: Devices, systems, and techniques are described for identifying stimulation parameter values based on electrical stimulation that induces dyskinesia for the patient. For example, a method may include controlling, by processing circuitry, a medical device to deliver electrical stimulation to a portion of a brain of a patient, receiving, by the processing circuitry, information representative of an electrical signal sensed from the brain after delivery of the electrical stimulation, determining, by the processing circuitry and from the information representative of the electrical signal, a peak in a spectral power of the electrical signal at a second frequency lower than a first frequency of the electrical stimulation, and responsive to determining the peak in the spectral power of the electrical signal at the second frequency, performing, by the processing circuitry, an action.
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公开(公告)号:WO2022271837A1
公开(公告)日:2022-12-29
申请号:PCT/US2022/034540
申请日:2022-06-22
Applicant: MEDTRONIC, INC.
Inventor: MOLINA, Rene A. , CASE, Michelle A. , DASSBACH, Paula A. , BECKER, Abbey B.H. , PULLIAM, Christopher L.
IPC: A61N1/05 , A61N1/36 , A61N1/0534 , A61N1/0551 , A61N1/36135 , A61N1/36182
Abstract: Implantable medical leads include rows of electrode segments where electrode segments within a given row may be a different size and/or adjacent electrode segments of adjacent rows may be of a different size. The arrangement of the electrode segments of different sizes may avoid intersections of the spaces between segments to reduce the size and/or number of blind spots that otherwise occur for delivery of stimulation signals and/or sensing of physiological signals. The electrode segments of different sizes may be of a same shape type but with different proportions.
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公开(公告)号:WO2022026493A1
公开(公告)日:2022-02-03
申请号:PCT/US2021/043362
申请日:2021-07-28
Applicant: MEDTRONIC, INC.
Inventor: MOLINA, Rene A. , STANSLASKI, Scott R. , JACKSON, Jadin C. , PULLIAM, Christopher L. , PANKEN, Eric J. , CASE, Michelle A. , BECKER, Abbey Beuning Holt
IPC: A61N1/36
Abstract: Devices, systems, and techniques are described for identifying stimulation parameter values based on electrical stimulation that induces dyskinesia for the patient. For example, a method may include controlling, by processing circuitry, a medical device to deliver electrical stimulation to a portion of a brain of a patient, receiving, by the processing circuitry, information representative of an electrical signal sensed from the brain after delivery of the electrical stimulation, determining, by the processing circuitry and from the information representative of the electrical signal, a peak in a spectral power of the electrical signal at a second frequency lower than a first frequency of the electrical stimulation, and responsive to determining the peak in the spectral power of the electrical signal at the second frequency, performing, by the processing circuitry, an action.
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公开(公告)号:WO2022047382A1
公开(公告)日:2022-03-03
申请号:PCT/US2021/048449
申请日:2021-08-31
Applicant: MEDTRONIC, INC.
Inventor: RAIKE, Robert S. , JACKSON, Jadin C. , STANSLASKI, Scott R. , PANKEN, Eric J. , PULLIAM, Christopher L. , ABRAHAM, Timothy R. , CASE, Michelle A. , DASSBACH GREEN, Paula Andrea Elma , BECKER, Abbey Beuning Holt , MOLINA, Rene A.
Abstract: Devices, systems, and techniques for identifying electrodes closest to a target region of tissue are described. In one example, a device includes sensing circuitry configured to sense electrical signals from a plurality of electrode combinations. Processing circuitry identifies a first electrode combination of a first subset of electrode combinations. Each electrode combination of the first subset of electrode combination includes electrodes located at different axial positions along a length of the medical lead. The processing circuitry identifies a second electrode combination of a second subset of electrode combinations. Each electrode combination of the second subset of electrode combinations includes electrodes located at a same axial position and different circumferential positions around a perimeter of the medical lead. The processing circuitry then determines a third electrode combination and controls delivery of electrical stimulation via the third electrode combination.
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公开(公告)号:WO2022031645A1
公开(公告)日:2022-02-10
申请号:PCT/US2021/044262
申请日:2021-08-03
Applicant: MEDTRONIC, INC.
Inventor: LI, Jiashu , DINSMOOR, David A. , BOURGET, Duane L. , HAGEMAN, Kristin N. , BINK, Hank , PULLIAM, Christopher L.
IPC: A61B5/24 , A61B5/00 , A61N1/05 , A61N1/36 , A61N1/08 , G16H40/63 , A61B5/068 , A61B5/40 , A61B5/6877 , A61B5/6886 , A61B5/746 , A61N1/0551 , A61N1/36125 , A61N1/36135 , A61N1/36139 , A61N1/36142 , A61N1/36171 , A61N1/36175 , A61N1/37235
Abstract: Systems, devices, methods, and techniques are described for using evoked compound action potential (ECAP) signals to monitor lead position and/or detect lead migration. An example system includes sensing circuitry configured to sense an ECAP signal, and processing circuitry. The processing circuity controls the sensing circuitry to detect, after delivery of an electrical stimulation pulse, a current ECAP signal, and determines one or more characteristics of the current ECAP signal. The processing circuitry also compares the one or more characteristics of the current ECAP signal to corresponding one or more characteristics of a baseline ECAP signal, and determines, based on the comparison, a migration state of the electrodes delivering the electrical stimulation pulse. Additionally, the processing circuitry outputs, based on the migration state, an alert indicative of migration of the electrodes.
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公开(公告)号:WO2022155032A1
公开(公告)日:2022-07-21
申请号:PCT/US2022/011126
申请日:2022-01-04
Applicant: MEDTRONIC, INC.
Inventor: DINSMOOR, David A. , HAGEMAN, Kristin N. , BINK, Hank , PULLIAM, Christopher L.
Abstract: Systems, devices, and techniques for adjusting electrical stimulation based on a posture state of a patient are described. For example, processing circuitry is configured to receive an input from a user adjusting an informed stimulation parameter that at least partially defines a plurality of informed pulses, determine a ratio of a first value of an informed stimulation parameter to a first value of a control stimulation parameter that at least partially defines a plurality of control pulses, change, according to the input, the first value of the informed stimulation parameter to a second value of the informed stimulation parameter, and change, based on the input and the ratio, the first value of the control stimulation parameter to a second value of the control stimulation parameter. The processing circuitry' can then control delivery of the adjusted control pulses and informed pulses.
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公开(公告)号:WO2022010677A1
公开(公告)日:2022-01-13
申请号:PCT/US2021/039319
申请日:2021-06-28
Applicant: MEDTRONIC, INC.
Inventor: COREY, Robert A. , HAGEMAN, Kristin N. , DINSMOOR, David A. , BINK, Hank , PULLIAM, Christopher L. , ADAMSKI, Thomas
Abstract: Systems, devices, and techniques are described for analyzing evoked compound action potentials (ECAP) signals to assess the effect of a delivered electrical stimulation signal. In one example, a system includes a stimulation generator configured to deliver a stimulation pulse to a patient, sensing circuitry configured to sense an evoked compound action potential (ECAP) signal evoked from the stimulation pulse, and processing circuitry. The processing circuitry may be configured to determine a maximum value of a derivative of the ECAP signal, determine a minimum value of the derivative of the ECAP signal, determine, based on the maximum value of the derivative and the minimum value of the derivative, a characteristic value of the ECAP signal, and determine, based on the characteristic value of the ECAP signal, at least one parameter value at least partially defining electrical stimulation therapy to be delivered to the patient.
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