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1. 发明申请

WO2012102767A1 MEDICAL DEVICE RECHARGE SYSTEMS USING A CONTROLLER IN WIRELESS COMMUNICATION WITH A SEPARATE RECHARGE DEVICE 审中-公开
标题翻译：使用无线通信中的控制器与单独的充电装置的医疗装置充电系统
公开(公告)号：WO2012102767A1
公开(公告)日：2012-08-02
申请号：PCT/US2011/054002
申请日：2011-09-29
申请人： MEDTRONIC, INC. , OLSON, David P , TORGERSON, Nathan A.
发明人： OLSON, David P , TORGERSON, Nathan A.
IPC分类号： A61N1/378
CPC分类号： A61N1/3787
摘要： Medical device recharging systems include a controller and a separate recharge device that communicate wirelessly together to provide recharging to an implantable medical device. Either the controller or the recharge device may also communicate wirelessly with the implantable medical device to obtain recharge status and other information. There may be multiple recharge devices present within communication range of the controller, and the controller may determine which recharge device to activate depending upon proximity of each recharge device to the implantable medical device. The controller may allow the recharge device that is active at any given time to change so that the patient having the implantable medical device can move about in the area where the recharge devices are located while recharging continues.
摘要翻译：医疗装置再充电系统包括一个控制器和一个单独的再充电装置，它们以无线方式通信在一起以向可植入医疗装置提供再充电。控制器或充电设备也可以与可植入医疗设备进行无线通信，以获得充电状态和其他信息。在控制器的通信范围内可能存在多个充电设备，并且控制器可以根据每个再充电设备与可植入医疗设备的接近度来确定要激活的再充电设备。控制器可以允许在任何给定时间处于活动状态的再充电设备改变，使得具有可植入医疗设备的患者可以在充电设备所在的区域中移动，同时继续充电。

2. 发明申请

WO2011087547A1 PROXIMITY BASED SELECTION OF AN IMPLANTABLE MEDICAL DEVICE FOR FAR FIELD COMMUNICATION 审中-公开
标题翻译：近场通信用可植入医疗装置的选择
公开(公告)号：WO2011087547A1
公开(公告)日：2011-07-21
申请号：PCT/US2010/054286
申请日：2010-10-27
申请人： MEDTRONIC, INC. , ROBERTS, Earle T. , VILLALTA, Donald L. , SLACK, David S. , ALI, Irfan Z. , RAGHAVENDRAN, Sudheendhar , TORGERSON, Nathan A. , SIPPLE, Garrett R.
发明人： ROBERTS, Earle T. , VILLALTA, Donald L. , SLACK, David S. , ALI, Irfan Z. , RAGHAVENDRAN, Sudheendhar , TORGERSON, Nathan A. , SIPPLE, Garrett R.
IPC分类号： A61N1/372 , H04L29/06 , H04L29/08 , H04L9/08
CPC分类号： H04W4/80 , A61N1/37217 , A61N1/37252 , A61N1/37282 , H04L9/3271 , H04L63/0492 , H04L63/18 , H04L67/12 , H04L2209/805 , H04L2209/88 , H04W8/005 , H04W12/06 , H04W88/06
摘要： Devices and systems provide for proximity based selection of an implantable medical device for far field communication with an external device. By using a proximity communication that is limited to the IMD of interest during the selection process, the external device can eliminate those IMDs that are in range of far field communications but are able to receive the proximity communication. Thus, information may be shared via a proximity communication that is validated via a far field communication, or shared via a far field communication as a challenge and then validated via a proximity communication. The proximity communication may be used to initially limit the number of devices that respond to a discovery request and then subsequently used to select the intended implantable medical device as well as automatically select the appropriate therapy application corresponding to the selected IMD.
摘要翻译：设备和系统提供了用于与外部设备进行远场通信的植入式医疗设备的基于邻近度的选择。通过在选择过程期间使用限于感兴趣的IMD的邻近通信，外部设备可以消除处于远场通信范围但能够接收邻近通信的那些IMD。因此，信息可以经由经由远场通信验证或经由远场通信共享的邻近通信作为挑战来共享，然后经由邻近通信验证。近距离通信可用于初始限制响应于发现请求的设备的数量，然后随后用于选择预期的可植入医疗设备以及自动选择对应于所选IMD的适当治疗应用。

3. 发明申请

WO2011049729A1 PROGRAMMING TECHNIQUES FOR STIMULATION WITH UTILIZATION OF CASE ELECTRODE 审中-公开
标题翻译：用于刺激病例电极的编程技术
公开(公告)号：WO2011049729A1
公开(公告)日：2011-04-28
申请号：PCT/US2010/051067
申请日：2010-10-01
申请人： MEDTRONIC, INC. , TORGERSON, Nathan, A. , GOETZ, Steven, M.
发明人： TORGERSON, Nathan, A. , GOETZ, Steven, M.
IPC分类号： A61N1/05 , A61N1/372
CPC分类号： A61N1/0531 , A61N1/0534 , A61N1/0551 , A61N1/0553 , A61N1/37247
摘要： This disclosure describes techniques that support delivering electrical stimulation via an electrode on a housing of an implantable medical device (IMD) while substantially simultaneously delivering electrical stimulation via one or more electrodes, having the same polarity as the electrode on the housing, on one or more leads engaged to the IMD. The stimulation may be constant current-based or constant voltage-based stimulation in the form of pulses or continuous waveforms. Delivery of stimulation via both a housing anode and one or more lead anodes, for example, may allow a user to control current paths between the housing electrode and the lead electrode(s) in a relative manner to achieve different electric or stimulation field shapes.
摘要翻译：本公开描述了支持通过可植入医疗装置（IMD）的壳体上的电极传送电刺激的技术，同时基本上同时通过一个或多个电极（其具有与壳体上的电极相同的极性）在一个或多个领导从事IMD。刺激可以是以脉冲或连续波形的形式的恒定的基于电流或恒定电压的刺激。例如，通过壳体阳极和一个或多个引线阳极传送刺激可允许用户以相对的方式控制外壳电极和引线电极之间的电流路径，以实现不同的电场或刺激场的形状。

4. 发明申请

WO2010051062A1 DETERMINATION OF STIMULATION OUTPUT CAPABILITIES THROUGHOUT POWER SOURCE VOLTAGE RANGE 审中-公开
标题翻译：通过电源电压范围确定刺激输出能力
公开(公告)号：WO2010051062A1
公开(公告)日：2010-05-06
申请号：PCT/US2009/041544
申请日：2009-04-23
申请人： MEDTRONIC, INC. , TORGERSON, Nathan, A.
发明人： TORGERSON, Nathan, A.
IPC分类号： A61N1/378 , G01R31/36
CPC分类号： G01R31/3693 , A61N1/0531 , A61N1/0534 , A61N1/36082 , A61N1/37258 , A61N1/378
摘要： Techniques for determining whether a medical device will be able to deliver stimulation according to a particular program throughout a useable voltage range of a power source of the medical device are described. According to some examples, the medical device configures a DC to DC converter of the medical device in a specified output configuration and delivers electrical stimulation from the medical device according to a program while at the specified output configuration. Whether the medical device will be able to deliver stimulation according to the program when the power source is at a power source voltage level lower than a present voltage level used during therapy delivery is determined based on a value of a voltage drop across a regulator module determined while delivering the electrical stimulation according to the program. The determination for a program may be performed, as an example, when the program is created or modified.
摘要翻译：描述了用于确定医疗设备是否能够根据特定程序在医疗设备的电源的可用电压范围内递送刺激的技术。根据一些示例，医疗设备以指定的输出配置配置医疗设备的DC-DC转换器，并且在指定的输出配置下，根据程序从医疗设备传送电刺激。基于在确定的调节器模块上的电压降的值来确定当电源处于低于治疗期间使用的当前电压电平的电源电压电平时，医疗装置是否能够根据程序传送刺激同时根据程序传递电刺激。作为示例，可以执行程序的确定，当创建或修改程序时。

5. 发明申请

WO2009129480A2 PSYCHIATRIC DISORDER THERAPY CONTROL 审中-公开
标题翻译：心理障碍治疗控制
公开(公告)号：WO2009129480A2
公开(公告)日：2009-10-22
申请号：PCT/US2009/040991
申请日：2009-04-17
申请人： MEDTRONIC, INC. , RISE, Mark, T. , GIFTAKIS, Jonathon, E. , STYPULKOWSKI, Paul, H. , DENISON, Timothy, J. , TORGERSON, Nathan, A.
发明人： RISE, Mark, T. , GIFTAKIS, Jonathon, E. , STYPULKOWSKI, Paul, H. , DENISON, Timothy, J. , TORGERSON, Nathan, A.
IPC分类号： A61N1/36
CPC分类号： A61N1/36082 , A61B5/01 , A61B5/0488 , A61B5/08 , A61B5/0816 , A61B5/165 , A61B5/441 , A61B5/4836 , A61B5/7275 , G06F19/00 , G16H20/70 , G16H40/63
摘要： A therapy system for managing a psychiatric disorder of the patient may be controlled based on a patient mood state. Therapy may be delivered to a patient according to a therapy program, and a physiological parameter of the patient may be monitored during or after therapy delivery. The patient mood state may be determined based on the monitored physiological parameter, and the therapy delivery may be controlled based on the determined mood state. In some embodiments, the therapy delivery is stopped prior to determining the patient mood state and the therapy delivery is restarted upon detecting a negative mood state. In other embodiments, therapy delivery is delivered until a positive mood state is detected, at which point the therapy delivery may be stopped.
摘要翻译：可以基于患者情绪状态来控制用于管理患者精神障碍的治疗系统。治疗可以根据治疗程序递送到患者，并且可以在治疗递送期间或之后监测患者的生理参数。可以基于所监测的生理参数来确定患者情绪状态，并且可以基于所确定的情绪状态来控制治疗递送。在一些实施例中，在确定患者情绪状态之前停止治疗递送，并且在检测到负情绪状态时重新开始治疗递送。在其它实施方案中，递送治疗递送直到检测到正状态，此时可以停止治疗递送。

6. 发明申请

WO2008076646A1 METHOD AND APPARATUS FOR ASSISTING DEGLUTITION 审中-公开
标题翻译：用于辅助降解的方法和装置
公开(公告)号：WO2008076646A1
公开(公告)日：2008-06-26
申请号：PCT/US2007/086574
申请日：2007-12-06
申请人： MEDTRONIC XOMED, INC. , TESTERMAN, Roy L , DAVIS, Jon P. , TORGERSON, Nathan A. , JAGLER, Robyn L. , HISSONG, James B
发明人： TESTERMAN, Roy L , DAVIS, Jon P. , TORGERSON, Nathan A. , JAGLER, Robyn L. , HISSONG, James B
IPC分类号： A61N1/36 , A61N1/05
CPC分类号： A61N1/36007 , A61N1/04 , A61N1/0504 , A61N1/0526 , A61N1/0556 , A61N1/36017 , A61N1/36085
摘要： Artificially stimulated deglutition methods and systems including providing a portable system born by a user for controlling a component of a complete swallowing act without substantial aspiration. The system includes a controller, a signal generator, and a subcutaneously positioned electrode array with at least one electrode. The electrode array is subcutaneously positioned and is operated to stimulate a single deglutition muscle where the single deglutition muscle is the only deglutition muscle directly artificially stimulated via the electrode array during the complete swallowing act. Systems and methods of nerve stimulation and selective nerve stimulation are also provided to artificially stimulate deglutition.
摘要翻译：人为刺激的吞咽方法和系统，包括提供由用户产生的便携式系统，用于控制完全吞咽作用的组分而没有实质的吸入。该系统包括控制器，信号发生器和具有至少一个电极的皮下定位的电极阵列。电极阵列被皮下定位并且被操作以刺激单一的消除肌肉，其中单个消除肌肉是完全吞咽期间直接通过电极阵列人造刺激的唯一的消除肌肉。还提供神经刺激和选择性神经刺激的系统和方法以人为刺激吞咽。

7. 发明申请

WO2008054438A1 CONTROLLER AND SYSTEM FOR OBTAINING PRESCRIPTIVE ANALYSIS OF FUNCTIONALITY OF IMPLANTABLE MEDICAL DEVICE LEADS 审中-公开
标题翻译：控制器和系统，用于获取可植入医疗器械引线功能的预设分析
公开(公告)号：WO2008054438A1
公开(公告)日：2008-05-08
申请号：PCT/US2007/001727
申请日：2007-01-23
申请人： MEDTRONIC, INC. , GOETZ, Steven, M. , SMITH, Todd, V. , TORGERSON, Nathan, A. , BALL, Warren, W.
发明人： GOETZ, Steven, M. , SMITH, Todd, V. , TORGERSON, Nathan, A. , BALL, Warren, W.
IPC分类号： A61N1/08
CPC分类号： A61N1/37247 , A61N1/0551 , A61N1/36185
摘要： Controller and system for an implantable medical device having a plurality of electrodes, the implantable medical device capable of delivering therapeutic stimulation to a patient, comprising a control module, a user interface operatively coupled to the control module, the user interface providing control of the control module by a medical professional or other user, and an electrode interface operatively coupled between the plurality of electrodes and the control module. The control module uses the electrode interface to obtain a plurality of measurements of impedance values for a plurality of selected pairs of individual ones of the plurality of electrodes. The control module determines a prescriptive analysis using the plurality of measurements of impedance values of the selected pairs of individual ones of the plurality of electrodes comparative to a range, and the user interface displays the prescriptive analysis.
摘要翻译：用于具有多个电极的可植入医疗装置的控制器和系统，所述可植入医疗装置能够向患者递送治疗刺激，所述可植入医疗装置包括控制模块，可操作地耦合到所述控制模块的所述用户界面，所述用户界面提供所述控制的控制医疗专业人员或其他用户的模块，以及可操作地耦合在所述多个电极和所述控制模块之间的电极接口。所述控制模块使用所述电极接口来获得所述多个电极中的多个所选择的对中的多个所选对的多个测量值。所述控制模块使用与所述多个电极中所选择的所述多个电极对中的所选择的一对电极的阻抗值的多个测量值相对于一个范围来确定规定性分析，并且所述用户界面显示所述规定性分析。

8. 发明申请

WO2008054437A1 EXTENDED SHELF LIFE STORABLE IMPLANTABLE MEDICAL DEVICE ASSEMBLY, SHIPPING CONTAINER AND METHOD 审中-公开
标题翻译：延长的存储寿命可移植医疗器械组件，运输集装箱和方法
公开(公告)号：WO2008054437A1
公开(公告)日：2008-05-08
申请号：PCT/US2007/001712
申请日：2007-01-23
申请人： MEDTRONIC, INC. , DAVIS, Timothy, J. , HELFINSTINE, Alan, R. , MORGAN, Boysie, R. , OLSON, David, P. , SMITH, Todd, V. , TORGERSON, Nathan, A. , PERZ, Leroy
发明人： DAVIS, Timothy, J. , HELFINSTINE, Alan, R. , MORGAN, Boysie, R. , OLSON, David, P. , SMITH, Todd, V. , TORGERSON, Nathan, A. , PERZ, Leroy
IPC分类号： A61N1/378
CPC分类号： A61N1/3787 , A61N2001/37294
摘要： Storable implantable medical device assembly and container for an implantable device having a charging sub-assembly. The implantable medical device has therapeutic componentry and a rechargeable power source operatively coupled to the therapeutic componentry. The charging sub-assembly having an electro-chemical power source, such as a battery, and a charging circuit operatively coupled to the electro-chemical power source. The implantable medical device and the charging sub-assembly are co-located within the container. The charging circuit of the charging sub-assembly is operatively coupled to the chargeable power source within the container to charge the rechargeable power source while the implantable medical device remains in the container. The charging sub-assembly may use inductive coupling to charge the implantable device mimicking implantable device charging following implantation.
摘要翻译：用于具有充电子组件的可植入装置的可存储的植入式医疗装置组件和容器。可植入医疗装置具有治疗性组件和可操作地耦合到治疗组件的可再充电电源。具有诸如电池的电化学电源的充电子组件和可操作地耦合到电化学电源的充电电路。可植入医疗装置和充电子组件共同位于容器内。充电子组件的充电电路可操作地耦合到容器内的可充电电源，以在可植入医疗装置保留在容器中时对可再充电电源充电。充电子组件可以使用电感耦合来对植入后模拟可植入装置充电的可植入装置进行充电。

9. 发明申请

WO2006110206A1 SHIFTING BETWEEN ELECTRODE COMBINATIONS IN ELECTRICAL STIMULATION DEVICE 审中-公开
标题翻译：电刺激装置中电极组合之间的移位
公开(公告)号：WO2006110206A1
公开(公告)日：2006-10-19
申请号：PCT/US2006/004861
申请日：2006-02-10
申请人： MEDTRONIC, INC. , GOETZ, Steven, M. , HOUCHINS, Andrew, H. , KEACHER, Jeffrey, T. , KING, Gary, W. , HERUTH, Kenneth, T. , TESTERMAN, Roy, L. , LEE, Michael, T. , TORGERSON, Nathan, A. , NOLAN, Joseph, J.
发明人： GOETZ, Steven, M. , HOUCHINS, Andrew, H. , KEACHER, Jeffrey, T. , KING, Gary, W. , HERUTH, Kenneth, T. , TESTERMAN, Roy, L. , LEE, Michael, T. , TORGERSON, Nathan, A. , NOLAN, Joseph, J.
IPC分类号： A61N1/34
CPC分类号： A61N1/36185 , A61N1/36071
摘要： In general, the invention is directed to techniques for shifting between two electrode combinations. An amplitude of a first electrode combination is incrementally decreased while an amplitude of a second, or subsequent, electrode combination is concurrently incrementally increased. The stimulation pulses of the first and second electrode combinations are delivered to the patient interleaved in time. In this manner, the invention provides for a smooth, gradual shift from a first electrode combination to a second electrode combination, thereby allowing the patient to maintain a continual perception of stimulation. The shifting techniques described herein may be used during programming to shift between different electrode combinations to find the most efficacious electrode combination. Additionally, the techniques may be used for shifting between different electrode combinations associated with different stimulation programs or program sets.
摘要翻译：通常，本发明涉及用于在两个电极组合之间移位的技术。第一电极组合的振幅逐渐减小，而第二或随后的电极组合的振幅同时递增地增加。第一和第二电极组合的刺激脉冲在时间上交付给患者。以这种方式，本发明提供了从第一电极组合到第二电极组合的平滑的逐渐变化，从而允许患者保持对刺激的连续感知。在编程期间可以使用本文描述的移位技术来在不同的电极组合之间移动以找到最有效的电极组合。另外，这些技术可用于在与不同刺激程序或程序集相关联的不同电极组合之间进行移位。

10. 发明申请

WO2011087553A1 PROXIMITY BASED SELECTION OF AN IMPLANTABLE MEDICAL DEVICE FOR FAR FIELD COMMUNICATION 审中-公开
标题翻译：基于临时选择用于野外通信的可植入医疗设备
公开(公告)号：WO2011087553A1
公开(公告)日：2011-07-21
申请号：PCT/US2010/055555
申请日：2010-11-05
申请人： MEDTRONIC, INC. , ROBERTS, Earle T. , VILLALTA, Donald L. , SLACK, David S. , ALI, Irfan Z. , RAGHAVENDRAN, Sudheendhar , TORGERSON, Nathan A. , SIPPLE, Garrett R.
发明人： ROBERTS, Earle T. , VILLALTA, Donald L. , SLACK, David S. , ALI, Irfan Z. , RAGHAVENDRAN, Sudheendhar , TORGERSON, Nathan A. , SIPPLE, Garrett R.
IPC分类号： A61N1/372 , H04L9/08
CPC分类号： A61N1/37252 , H04L9/3271 , H04L2209/805 , H04L2209/88
摘要： Devices and systems provide for proximity based selection of an implantable medical device for far field communication with an external device. By using a proximity communication that is limited to the IMD of interest during the selection process, the external device can eliminate those IMDs that are in range of far field communications but are able to receive the proximity communication. Thus, information may be shared via a proximity communication that is validated via a far field communication, or shared via a far field communication as a challenge and then validated via a proximity communication. The proximity communication may be used to initially limit the number of devices that respond to a discovery request and then subsequently used to select the intended implantable medical device as well as automatically select the appropriate therapy application corresponding to the selected IMD.
摘要翻译：设备和系统提供用于与外部设备进行远场通信的可植入医疗设备的基于邻近度的选择。通过在选择过程中使用限于感兴趣的IMD的邻近通信，外部设备可以消除处于远场通信范围但能够接收邻近通信的那些IMD。因此，信息可以通过经由远场通信验证的邻近通信共享，或者经由远场通信作为挑战共享，然后经由邻近通信来验证。邻近通信可以用于初始限制响应于发现请求的设备的数量，然后随后用于选择预期的可植入医疗设备，并且自动选择与所选择的IMD相对应的适当的治疗应用。

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