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    • 11. 发明授权
    • Method for maintaining environmental conditions for a medical device
    • 维护医疗器械的环境条件的方法
    • US06293962B1
    • 2001-09-25
    • US08706487
    • 1996-09-04
    • Jon M. Bishay
    • Jon M. Bishay
    • A61N102
    • G05D23/1912A61B50/30A61B2050/001A61B2050/0014A61B2050/0016A61B2050/105B01L7/00
    • This invention relates to a method for maintaining an electrotherapy device wherein the air temperature of the electrotherapy device environment is monitored and then adjusted based on the results of the monitoring step. The method may be accomplished by using an environmental carrying case. Additionally it is contemplated that air of the environment may be circulated to produce an ambient temperature. Monitoring the temperature may accomplished by using a thermostat or a temperature sensitive switch. In a preferred embodiment, a cooling means is activated when the temperature reaches a threshold temperature between 25° C. and 50° C., more preferably 43° C. The cooling means may be a fan. In a preferred embodiment, a heating means is activated when the temperature reaches a threshold temperature between −10° C. and 20° C., more preferably 0° C. The heating means may be heat strips.
    • 本发明涉及一种维持电疗装置的方法,其中监测电疗装置环境的空气温度,然后根据监测步骤的结果进行调整。 该方法可以通过使用环境携带箱来实现。 此外,预期环境的空气可以循环以产生环境温度。 通过使用恒温器或温度敏感开关可以监控温度。 在优选实施例中,当温度达到25℃至50℃,更优选43℃的阈值温度时,冷却装置被激活。冷却装置可以是风扇。 在优选实施例中,当温度达到-10℃至20℃,更优选0℃的阈值温度时,加热装置被激活。加热装置可以是加热条。
    • 13. 发明授权
    • Implantable device programmer
    • 可植入器件编程器
    • US06622048B1
    • 2003-09-16
    • US09718648
    • 2000-11-21
    • Carla M. MannPaul M. Meadows
    • Carla M. MannPaul M. Meadows
    • A61N102
    • A61N1/37247A61N1/36071A61N1/36185
    • A patient and/or a clinician may program an implant device, e.g., an implanted spinal cord stimulator (SCS), through the use of a programming computer, or clinician programmer, linked with the implant device so that the paresthesia resulting from an applied electrical stimulus pattern is adjusted or programmed so as to match the area of perceived pain or other need. Data is initially stored in the computer that relates to known information regarding the anatomical relationships between the spine and the body. The body is divided into dermatomes and/or subdivisions of dermatomes, and a representation of the body, including its dermatomes and/or subdivisions of dermatomes are displayed on the screen (or other display device) associated with the computer. The patient moves a cursor over the regions of the body displayed on the computer screen to select the region of pain, or a region of paresthesia, by a click of a mouse or the press of a button. The patient may select as many dermatomes or body segments/regions/subdivisions as necessary to communicate the area of pain or paresthesia to the computer. The computer uses the patient-provided information, as well as the pre-programmed data therein, to quickly zero in on an electrode combination and appropriate stimulus parameters that create a match (or as close of a match as is possible) between the pain region and the paresthesia region.
    • 患者和/或临床医生可以通过使用与植入装置连接的编程计算机或临床医师编程器来编程植入装置,例如植入的脊髓刺激器(SCS),使得由施加的电气产生的感觉异常 刺激模式被调整或编程,以便匹配感觉到的疼痛或其他需要的面积。 数据最初存储在计算机中,其涉及关于脊柱和身体之间的解剖关系的已知信息。 身体分为皮肌和(或)皮肌的细分,并且与计算机相关联的屏幕(或其他显示装置)上显示身体的表示,包括其皮肌和/或皮肤细分。 患者将光标移动到计算机屏幕上显示的身体区域上,通过点击鼠标或按下按钮来选择疼痛区域或感觉异常区域。 患者可根据需要选择尽可能多的皮肤或身体部位/区域/细分,将疼痛或感觉异常区域传达给计算机。 计算机使用患者提供的信息以及其中的预先编程的数据来快速地将电极组合置零,并且在疼痛区域之间产生匹配(或尽可能接近匹配)的合适的刺激参数 和感觉异常区域。
    • 15. 发明授权
    • Transcutaneous transmission pouch
    • 经皮传输袋
    • US06275737B1
    • 2001-08-14
    • US09338701
    • 1999-06-23
    • Carla M. Mann
    • Carla M. Mann
    • A61N102
    • A61N1/08A61N1/37235A61N1/3787
    • A transcutaneous transmission pouch provides a pocket on a flexible substrate adherable to a user's skin. The flexible substrate is adhered to the user's skin closest to the location where an implantable device is implanted. An antenna coil, including associated electrical circuitry needed to transmit power and data signals to the implantable device from an external power/control source, are removably inserted into the pocket of the flexible substrate in order to hold the antenna coil in an aligned position with the implantable device during a power or data signal transfer.
    • 经皮传递袋在柔性基底上提供一个可贴附于使用者皮肤的口袋。 柔性基底粘附到最靠近植入装置的位置处的使用者皮肤。 包括从外部功率/控制源将功率和数据信号传输到可植入装置所需的相关联的电路的天线线圈可移除地插入到柔性基板的槽中,以便将天线线圈保持在与 在电力或数据信号传输期间的可植入装置。
    • 18. 发明授权
    • Envelope-based amplitude mapping for cochlear implant stimulus
    • 用于耳蜗植入物刺激的基于包络的幅度映射
    • US06728578B1
    • 2004-04-27
    • US09866096
    • 2001-05-25
    • Andrew W. Voelkel
    • Andrew W. Voelkel
    • A61N102
    • A61N1/36036
    • An envelope based amplitude mapping achieves the signal compression required to provide a natural sound level without the high processor loading or waveform alteration. In a preferred embodiment, the output of a family of parallel bandpass filters is processed by an envelope detector, followed by decimation. The resulting reduced data rate envelope is log mapped to produce a scaling factor for the original high data rate bandpass filter output sequence. The resulting scaled signal determines the current level for stimulation of the cochlea for each frequency band, which stimulation achieves a log mapping of the sound amplitude effect similar to natural hearing, while reducing processor load, and preserving waveform shape.
    • 基于包络的幅度映射实现了在没有高处理器负载或波形变化的情况下提供自然声级所需的信号压缩。 在优选实施例中,并联带通滤波器系列的输出由包络检测器处理,随后抽取。 所得到的降低的数据速率包络被对数映射以产生用于原始高数据速率带通滤波器输出序列的缩放因子。 所得到的缩放信号确定用于刺激每个频带的耳蜗的电流水平,该刺激实现与自然听觉相似的声音振幅效应的对数映射,同时减少处理器负载并保持波形形状。
    • 19. 发明授权
    • Multimodal neurostimulator and process of using it
    • 多模式神经刺激器及其使用过程
    • US06466822B1
    • 2002-10-15
    • US09543450
    • 2000-04-05
    • Benjamin D. Pless
    • Benjamin D. Pless
    • A61N102
    • A61N1/36064
    • This is directed to an implantable multimodal neurostimulator having improved efficacy in treating epilepsy and other neurological disorders and to processes of using that neurostimulator. The neurostimulator itself generally has two modes of electrical stimulation: the first involves delivering a non-responsive electrical stimulation signal which is applied to the central nervous system to reduce the likelihood of a seizure or other undesirable neurological even from occurring, and a second mode that involves delivering electrical stimulation signal or signals when epileptiform waveforms are impending or extant. The responsive electrical stimulation signal or signals are intended to terminate epileptiform activity, e.g., to desynchronize abnormally synchronous brain electrical activity. Alternatively, the second mode may be used to deliver sensory stimulation, e.g., a scalp or sound stimulation, to the patient rather than deliver electrical stimulation to the patient. Finally, the implanted neurostimulator may be used by a physician to induce epileptiform activity and then verify the effectiveness of the parameters of the first and second neurostimulation signal or signals.
    • 这涉及具有改进的治疗癫痫和其他神经障碍的功效的植入式多模式神经刺激器以及使用该神经刺激器的过程。 神经刺激器本身通常具有两种电刺激模式:第一种方式是递送一个非反应性电刺激信号,该刺激信号被施加到中枢神经系统以减少甚至发生癫痫发作或其它不希望的神经系统的可能性,以及第二模式 涉及当癫痫样波形即将到来或现存时传送电刺激信号或信号。 响应性电刺激信号或信号旨在终止癫痫样活动,例如使异常同步脑电活动失步。 或者,第二模式可以用于向患者传递感觉刺激,例如头皮或声音刺激,而不是向患者递送电刺激。 最后,植入的神经刺激器可被医师使用以诱导癫痫样活性,然后验证第一和第二神经刺激信号或信号的参数的有效性。
    • 20. 发明授权
    • Pulse generator header lead introducer tool
    • 脉冲发生器头引导器工具
    • US06445954B1
    • 2002-09-03
    • US09542964
    • 2000-04-04
    • Arthur L. OliveRonald W. Heil, Jr.
    • Arthur L. OliveRonald W. Heil, Jr.
    • A61N102
    • A61N1/056A61N2001/0578
    • A cardiac lead introducing apparatus, the cardiac lead introducing apparatus having a sleeve with a peripheral surface, a first end and a second end, where the sleeve includes an opening extending from the first end to the second end and adapted to hold at least a portion of a cardiac lead. The cardiac lead introducing apparatus further includes a first slit extending from the peripheral surface to the opening and from the first end to the second end which permits the sleeve to separate so the cardiac lead can pass through the cardiac lead introducing apparatus without any longitudinal motion of the device with respect to the cardiac lead. In one embodiment, the diameter of the opening is smaller than the outer diameter of the cardiac lead which permits the cardiac lead to be held static within the introducing apparatus as the lead connector of the cardiac lead is inserted into the socket of an implantable pulse generator connector block.
    • 一种心脏引导引入装置,所述心脏引导引入装置具有带有外周表面的套筒,第一端和第二端,其中所述套筒包括从所述第一端延伸到所述第二端的开口,并且适于保持至少一部分 的心脏铅。 所述心脏引导引入装置还包括从所述外周表面延伸到所述开口并从所述第一端延伸至所述第二端的第一狭缝,所述第一狭缝允许所述套筒分离,使得所述心脏引线可以穿过所述心脏引线引入装置,而不进行任何纵向运动 该装置相对于心脏引线。 在一个实施例中,开口的直径小于心脏引线的外径,其允许心脏引线在引入装置内保持静止,因为心脏引线的引线连接器插入到可植入脉冲发生器的插座中 连接器块。