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    • 23. 发明申请
    • SYSTEM FOR ABATING NEURAL STIMULATION SIDE EFFECTS
    • 用于消除神经刺激侧面效应的系统
    • US20120123494A1
    • 2012-05-17
    • US13356380
    • 2012-01-23
    • Imad LibbusJulio C. Spinelli
    • Imad LibbusJulio C. Spinelli
    • A61N1/365A61N1/36
    • A61N1/36132A61B5/02028A61B5/0205A61B5/08A61B5/4035A61B5/4047A61N1/3601A61N1/36114
    • Various system embodiments comprise a neural stimulation delivery system adapted to deliver a neural stimulation signal for use in delivering a neural stimulation therapy, a side effect detector, and a controller. The controller is adapted to control the neural stimulation delivery system, receive a signal indicative of detected side effect, determine whether the detected side enact is attributable to delivered neural stimulation therapy, and automatically titrate the neural stimulation therapy to abate the side effect. In various embodiments, the side effect detector includes a cough detector. In various embodiments, the controller is adapted to independently adjusting at least one stimulation parameter for at least one phase in the biphasic waveform as part of a process to titrate the neural stimulation therapy. Other aspects and embodiments are provided herein.
    • 各种系统实施例包括适于递送用于递送神经刺激疗法的神经刺激信号的神经刺激递送系统,副作用检测器和控制器。 控制器适于控制神经刺激递送系统,接收指示检测到的副作用的信号,确定检测到的侧发生是否归因于递送的神经刺激治疗,并且自动滴定神经刺激疗法以减轻副作用。 在各种实施例中,副作用检测器包括咳嗽检测器。 在各种实施例中,控制器适于独立地调整两相波形中的至少一个相位的至少一个刺激参数,作为滴定神经刺激疗法的过程的一部分。 本文提供了其它方面和实施例。
    • 24. 发明授权
    • System for abating neural stimulation side effects
    • 减轻神经刺激副作用的系统
    • US08103341B2
    • 2012-01-24
    • US11467264
    • 2006-08-25
    • Imad LibbusJulio C. Spinelli
    • Imad LibbusJulio C. Spinelli
    • A61N1/00
    • A61N1/36132A61B5/02028A61B5/0205A61B5/08A61B5/4035A61B5/4047A61N1/3601A61N1/36114
    • Various system embodiments comprise a neural stimulation delivery system adapted to deliver a neural stimulation signal for use in delivering a neural stimulation therapy, a side effect detector, and a controller. The controller is adapted to control the neural stimulation delivery system, receive a signal indicative of detected side effect, determine whether the detected side effect is attributable to delivered neural stimulation therapy, and automatically titrate the neural stimulation therapy to abate the side effect. In various embodiments, the side effect detector includes a cough detector. In various embodiments, the controller is adapted to independently adjusting at least one stimulation parameter for at least one phase in the biphasic waveform as part of a process to titrate the neural stimulation therapy. Other aspects and embodiments are provided herein.
    • 各种系统实施例包括适于递送用于递送神经刺激疗法的神经刺激信号的神经刺激递送系统,副作用检测器和控制器。 控制器适于控制神经刺激递送系统,接收指示检测到的副作用的信号,确定检测到的副作用是否归因于递送的神经刺激治疗,并且自动滴定神经刺激疗法以减轻副作用。 在各种实施例中,副作用检测器包括咳嗽检测器。 在各种实施例中,控制器适于独立地调整两相波形中的至少一个相位的至少一个刺激参数,作为滴定神经刺激疗法的过程的一部分。 本文提供了其它方面和实施例。
    • 27. 发明授权
    • Baroreflex stimulation to treat acute myocardial infarction
    • Baroreflex刺激治疗急性心肌梗死
    • US08805501B2
    • 2014-08-12
    • US13357932
    • 2012-01-25
    • Imad Libbus
    • Imad Libbus
    • A61N1/365
    • A61N1/3627A61N1/36117A61N1/36564
    • An aspect of the present subject relates to an implantable medical system. An embodiment of the system includes a baroreflex stimulator, a myocardial infarction detector, and a controller. The baroreflex stimulator applies a baroreflex stimulation signal through an electrode. The myocardial infarction detector detects an event indicative of myocardial infarction, The controller is connected to the baroreflex stimulator and to the myocardial infarction detector, and is adapted to apply a baroreflex therapy in response to a detected event indicative of myocardial infarction. Other aspects are provided herein.
    • 本发明的一个方面涉及可植入医疗系统。 系统的一个实施例包括压力反射刺激器,心肌梗死检测器和控制器。 压力反射刺激器通过电极施加压力反射刺激信号。 心肌梗死检测器检测到指示心肌梗死的事件。控制器连接到压力反射刺激器和心肌梗塞检测器,并且适于对检测到的指示心肌梗塞的事件应用压力反射治疗。 本文提供了其他方面。
    • 29. 发明授权
    • Vagus nerve neurostimulator with multiple patient-selectable modes for treating chronic cardiac dysfunction
    • 迷走神经神经刺激器具有多种患者可选择的治疗慢性心脏功能障碍的模式
    • US08571654B2
    • 2013-10-29
    • US13352244
    • 2012-01-17
    • Imad LibbusBadri AmurthurBruce H. KenKnight
    • Imad LibbusBadri AmurthurBruce H. KenKnight
    • A61N1/365
    • A61N1/0551A61N1/36053A61N1/36114A61N1/3727
    • A vagus nerve neurostimulator system with multiple patient-selectable modes for treating chronic cardiac dysfunction is provided. An implantable neurostimulator includes a pulse generator coupled to a therapy lead terminated by a pair of helical electrodes positioned over a cervical vagus nerve. The pulse generator is configured to deliver through the helical electrodes continuously-cycling, intermittent and periodic electrical stimulation that is parametrically defined to bi-directionally propagate through nerve fibers in the cervical vagus nerve. The implantable neurostimulator includes a magnetic switch configured to switch the pulse generator between a plurality of operating modes that are each separately selectable in response to a unique and remotely-applied magnetic signal. An external controller includes patient-actuatable controls configured to enable selection of one of the operating modes of the pulse generator. The external controller includes an electromagnetic transmitter configured to output the magnetic signal uniquely associated with the operating mode as selected with the controls.
    • 提供了一种具有多种患者可选择的用于治疗慢性心脏功能障碍的模式的迷走神经神经刺激器系统。 可植入的神经刺激器包括一个脉冲发生器,该脉冲发生器耦合到由位于颈部迷走神经上的一对螺旋电极终止的治疗引线。 脉冲发生器被配置为通过螺旋电极连续循环,间歇和周期性电刺激传递,其被参数限定以通过颈部迷走神经中的神经纤维双向传播。 可植入神经刺激器包括磁开关,其被配置为在多个操作模式之间切换脉冲发生器,所述多个操作模式可以响应于独特的和远程施加的磁信号而分别可选择。 外部控制器包括被配置为能够选择脉冲发生器的一个操作模式的患者致动控制。 外部控制器包括电磁发射机,其被配置为输出与通过控制选择的操作模式唯一相关联的磁信号。