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    • 3. 发明申请
    • Methods and Devices for Stimulation of an Organ with the Use of a Transectionally Placed Guide Wire
    • 用于刺激使用横向放置的导丝的器官的方法和装置
    • US20090018606A1
    • 2009-01-15
    • US12236395
    • 2008-09-23
    • Kurt D. SparksCharles R. BrynelsenMir A. Imran
    • Kurt D. SparksCharles R. BrynelsenMir A. Imran
    • A61N1/05
    • A61N1/0509A61N1/0517A61N1/36007
    • Devices, systems and methods are provided for electrical stimulation of a body organ, particularly within the gastrointestinal tract. In preferred embodiments, the stomach is the organ within the gastrointestinal tract which is targeted for such stimulation. A guide wire or other delivery device is positioned within the body so as to transect the stomach wall. Devices and systems are then advanced over the guide wire for attachment to the stomach wall. The guide wire may be placed by endoscopic, open, laparoscopic or a modified percutaneous approach. In a modified percutaneous approach, the stomach is accessed without the use of general anesthesia by advancing a needle through the abdomen, transecting the stomach wall with the needle and advancing the guide wire through the needle. In some embodiments, particularly for use in obese patients, the modified percutaneous approach includes advancing a trocar through the tissue of the patient toward the outer surface of the organ and advancing the needle through the trocar prior to transecting the wall with the needle.
    • 设备,系统和方法用于电刺激身体器官,特别是在胃肠道内。 在优选的实施方案中,胃是针对这种刺激的胃肠道内的器官。 引导线或其他输送装置定位在体内以便横切胃壁。 然后,装置和系统在引导线上前进以附接到胃壁。 导丝可以通过内窥镜,开放式,腹腔镜或经修改的经皮方法来放置。 在改进的经皮途径中,通过使针穿过腹部,用针切开胃壁并使引导线穿过针而进入胃而不使用全身麻醉。 在一些实施方案中,特别是用于肥胖患者中,经修改的经皮方法包括使套针针穿过患者的组织朝向器官的外表面,并且在用针横切壁之前使针穿过套针针。
    • 4. 发明授权
    • Method and devices for stimulation of an organ with the use of a transectionally placed guide wire
    • 使用横向放置的导丝刺激器官的方法和装置
    • US07509175B2
    • 2009-03-24
    • US11830419
    • 2007-07-30
    • Kurt D. SparksCharles R. BrynelsenMir A. Imran
    • Kurt D. SparksCharles R. BrynelsenMir A. Imran
    • A61N1/05
    • A61N1/0558A61F5/0026A61N1/36007
    • Devices, systems and methods are provided for electrical stimulation of a body organ, particularly within the gastrointestinal tract. In preferred embodiments, the stomach is the organ within the gastrointestinal tract which is targeted for such stimulation. A guide wire or other delivery device is positioned within the body so as to transect the stomach wall. Devices and systems are then advanced over the guide wire for attachment to the stomach wall. The guide wire may be placed by endoscopic, open, laparoscopic or a modified percutaneous approach. In a modified percutaneous approach, the stomach is accessed without the use of general anesthesia by advancing a needle through the abdomen, transecting the stomach wall with the needle and advancing the guide wire through the needle. In some embodiments, particularly for use in obese patients, the modified percutaneous approach includes advancing a trocar through the tissue of the patient toward the outer surface of the organ and advancing the needle through the trocar prior to transecting the wall with the needle.
    • 设备,系统和方法用于电刺激身体器官,特别是在胃肠道内。 在优选的实施方案中,胃是针对这种刺激的胃肠道内的器官。 引导线或其他输送装置定位在体内以便横切胃壁。 然后,装置和系统在引导线上前进以附接到胃壁。 导丝可以通过内窥镜,开放式,腹腔镜或经修改的经皮方法来放置。 在改进的经皮途径中,通过使针穿过腹部,用针切开胃壁并使引导线穿过针而进入胃而不使用全身麻醉。 在一些实施方案中,特别是用于肥胖患者中,经修改的经皮方法包括使套针针穿过患者的组织朝向器官的外表面,并且在用针横切壁之前使针穿过套针针。
    • 9. 发明授权
    • Resetting ERI/POR/PIR/indicators in implantable medical devices
    • 在植入式医疗设备中重置ERI / POR / PIR /指示器
    • US6154675A
    • 2000-11-28
    • US179773
    • 1998-10-27
    • Carleen J. JuranJames W. BusackerMichael B. SheltonCharles R. BrynelsenThomas P. EderyJohn D. Wahlstrand
    • Carleen J. JuranJames W. BusackerMichael B. SheltonCharles R. BrynelsenThomas P. EderyJohn D. Wahlstrand
    • A61N1/37A61N1/362A61N1/378
    • A61N1/3708
    • An automatic, body-implantable medical device having at least two modes of operation is disclosed. The device is provided with circuitry for automatically detecting when the device has been implanted in a patient, so that the device can automatically switch from a first mode to a second mode of operation upon implantation. In one embodiment, the first mode is a power conserving mode in which one or more non-essential sub-systems of the device are disabled. Prior to detection of implant, at least two conditions of the device known to reflect whether the device has been implanted are monitored. After implant has been detected, situations in which power to the device is disrupted and then restored will cause the device to enter a predefined "power-on-reset" mode of operation. Prior to detection of implant, however, such conditions do not result in the device entering the power-on-reset mode, or this mode is reset. An Elective Replacement Indicator mode is also used which is based on measured impedance against a target battery impedance. When the measured battery impedance reaches the target level, the voltage of the battery that precipitates an ERI condition is modified.
    • 公开了具有至少两种操作模式的自动植入式医疗装置。 该装置设置有用于自动检测装置何时植入患者的电路,使得装置可以在植入时自动地从第一模式切换到第二模式。 在一个实施例中,第一模式是功率节省模式,其中该设备的一个或多个非必要子系统被禁用。 在检测植入物之前,监测已知反映装置是否植入的装置的至少两个条件。 在检测到植入物之后,设备电源中断然后恢复的情况将导致设备进入预定义的“上电复位”操作模式。 然而,在检测到植入物之前,这种条件不会导致器件进入上电复位模式,或者该模式被复位。 还使用选择性替换指示器模式,其基于针对目标电池阻抗的测量阻抗。 当测得的电池阻抗达到目标水平时,会改变引起ERI条件的电池电压。