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    • 5. 发明申请
    • STIMULUS REGIMENS FOR CARDIOVASCULAR REFLEX CONTROL
    • 用于心脏反射控制的刺激方案
    • WO2005097256A3
    • 2006-11-23
    • PCT/US2005011501
    • 2005-04-04
    • CVRX INCROSSING MARTIN AKIEVAL ROBERT SSERDAR DAVID JPERSSON BRUCE J
    • ROSSING MARTIN AKIEVAL ROBERT SSERDAR DAVID JPERSSON BRUCE J
    • A61N1/36A61F2/82A61N1/05A61N1/08A61N1/18A61N1/32A61N1/365
    • A61N1/36114A61N1/0551A61N1/0558A61N1/36007A61N1/36117A61N1/3627A61N1/36514
    • Baroreflex activation is achieved by providing suitable control signals to a baroreflex activation device. A method comprises establishing a therapy interval (possibly on the order of minutes to hours, or possibly of indefinite duration), within the therapy interval, establishing a plurality of dose intervals, and generating an electrical output signal. The electrical output signal has a time dependence such that the average electrical power applied to the baroreflex activation device differs between first and second portions of at least some dose intervals. Another method comprises establishing a series of therapy interval portions, during at least some therapy intervals, establishing a plurality of burst intervals (perhaps having durations commensurate with an interval between heartbeats), and generating an electrical output signal. The electrical output signal has a time dependence such that the average electrical power applied to the baroreflex activation device differs between first and second portions of the therapy intervals and also differs between first and second portions of at least some burst intervals.
    • 通过向压力反射激活装置提供合适的控制信号来实现巴罗反射激活。 一种方法包括在治疗间隔内建立治疗间隔(可能在数分钟到数小时,或者可能是不确定的持续时间),建立多个剂量间隔,以及产生电输出信号。 电输出信号具有时间依赖性,使得施加到压力反射激活装置的平均电功率在至少一些剂量间隔的第一和第二部分之间不同。 另一种方法包括在至少一些治疗间隔期间建立一系列治疗间隔部分,建立多个突发间隔(可能具有与心跳之间的间隔相当的持续时间),以及产生电输出信号。 电输出信号具有时间依赖性,使得施加到压力反射激活装置的平均电功率在治疗间隔的第一和第二部分之间不同,并且在至少一些突发间隔的第一和第二部分之间也不同。
    • 6. 发明申请
    • EXTERNAL BAROREFLEX ACTIVATION
    • 外部起搏器激活
    • WO2005084389A3
    • 2006-11-16
    • PCT/US2005007237
    • 2005-03-02
    • CVRX INCKIEVAL ROBERT SROSSING MARTIN A
    • KIEVAL ROBERT SROSSING MARTIN A
    • A61N1/04A61N1/05A61N1/36
    • A61N1/36017A61N1/0556A61N1/36114
    • Methods and systems for external baroreflex activation allow a physician to characterize a patient's response to baroreflex activation prior to providing baroreflex activation therapy. Methods generally include applying a baroreflex activation stimulus to a patient, measuring one or more physiological parameters of the patient, and determining the extent to which the baroreflex activation causes a baroreflex response. Multiple stimuli of different intensities and/or from different locations may be compared. Systems include one or more external baroreflex activation devices (130) and one or more physiological parameter measuring devices (140). Optionally, a system may also include one or more fully or partially implantable devices for providing baroreflex activation therapy.
    • 用于外部压力反射激活的方法和系统允许医师在提供压力反射激活治疗之前表征患者对压力反射激活的反应。 方法通常包括将压力反射激活刺激应用于患者,测量患者的一个或多个生理参数,以及确定压力反射激活导致压力反射反应的程度。 可以比较不同强度和/或不同位置的多种刺激。 系统包括一个或多个外部压力反射激活装置(130)和一个或多个生理参数测量装置(140)。 任选地,系统还可以包括用于提供压力反射激活治疗的一个或多个完全或部分可植入装置。
    • 8. 发明申请
    • ELECTRODE STRUCTURES HAVING ANTI-INFLAMMATORY PROPERTIES AND METHODS OF USE
    • 具有抗炎功能的电极结构和使用方法
    • WO2007114860A8
    • 2008-08-07
    • PCT/US2006061256
    • 2006-11-27
    • CVRX INCROSSING MARTIN AKIEVAL ROBERT SCOLE MARY L
    • ROSSING MARTIN AKIEVAL ROBERT SCOLE MARY L
    • A61B5/04
    • A61N1/05A61N1/0558A61N1/056A61N1/306
    • Electrode structures for implantation include an electrode, an elastic backing attached to the electrode, and a sequestered drug on the backing or the electrode which is released to control and/or limit the growth of scar tissue. The elastic backing includes a tissue contacting side which contacts a tissue structure, and an exposed side away from the tissue contacting side. The electrode structure can be used to activate baroreceptors, and the backing is elastic and can stretch and retract with the tissue structure, for example the carotid sinus. The electrode and the sequestered drug can be positioned on the tissue contacting side so the drug is released near the electrode. The backing can be made from an insulating material and limit diffusion of the drug toward the exposed side, permitting scar tissue to grow near the exposed side to maintain positioning of the electrode.
    • 用于植入的电极结构包括电极,附着到电极的弹性背衬和背衬或电极上的螯合药物,其被释放以控制和/或限制瘢痕组织的生长。 弹性背衬包括接触组织结构的组织接触侧和远离组织接触侧的暴露侧。 电极结构可用于激活压力感受器,并且背衬是弹性的并且可以与组织结构例如颈动脉窦一起伸展和缩回。 电极和螯合药物可以定位在组织接触侧,因此药物在电极附近释放。 背衬可以由绝缘材料制成并且限制药物朝向暴露侧的扩散,允许瘢痕组织在暴露侧附近生长以保持电极的定位。
    • 10. 发明申请
    • ELECTRODE STRUCTURES HAVING ANTI-INFLAMMATORY PROPERTIES AND METHODS OF USE
    • 具有抗炎功能的电极结构和使用方法
    • WO2007114860A3
    • 2009-04-09
    • PCT/US2006061256
    • 2006-11-27
    • CVRX INCROSSING MARTIN AKIEVAL ROBERT SCOLE MARY L
    • ROSSING MARTIN AKIEVAL ROBERT SCOLE MARY L
    • A61B5/04
    • A61N1/05A61N1/0558A61N1/056A61N1/306
    • Electrode structures for implantation include an electrode, an elastic backing attached to the electrode, and a sequestered drug on the backing or the electrode which is released to control and/or limit the growth of scar tissue. The elastic backing includes a tissue contacting side which contacts a tissue structure, and an exposed side away from the tissue contacting side. The electrode structure can be used to activate baroreceptors, and the backing is elastic and can stretch and retract with the tissue structure, for example the carotid sinus. The electrode and the sequestered drug can be positioned on the tissue contacting side so the drug is released near the electrode. The backing can be made from an insulating material and limit diffusion of the drug toward the exposed side, permitting scar tissue to grow near the exposed side to maintain positioning of the electrode.
    • 用于植入的电极结构包括电极,附着到电极的弹性背衬和背衬或电极上的螯合药物,其被释放以控制和/或限制瘢痕组织的生长。 弹性背衬包括接触组织结构的组织接触侧和远离组织接触侧的暴露侧。 电极结构可用于激活压力感受器,并且背衬是弹性的并且可以与组织结构例如颈动脉窦一起伸展和缩回。 电极和螯合药物可以定位在组织接触侧,因此药物在电极附近释放。 背衬可以由绝缘材料制成并且限制药物朝向暴露侧的扩散,允许瘢痕组织在暴露侧附近生长以保持电极的定位。