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1. 发明申请

WO2006050526A1 METHODS FOR DATA RETENTION IN AN IMPLANTABLE MEDICAL DEVICE 审中-公开
标题翻译：可移植医疗器械中数据保持的方法
公开(公告)号：WO2006050526A1
公开(公告)日：2006-05-11
申请号：PCT/US2005/040194
申请日：2005-11-02
申请人： MEDTRONIC, INC. , DREW, Touby, A.
发明人： DREW, Touby, A.
IPC分类号： A61B5/00
CPC分类号： A61B5/4094 , A61B5/0006 , A61B5/0031 , A61B5/02055 , A61B5/021 , A61B5/024 , A61B5/031 , A61B5/04001 , A61B5/04012 , A61B5/0402 , A61B5/0476 , A61B5/0816 , A61B5/1118 , A61B5/165 , A61B5/4082 , A61B5/686 , A61B5/7232 , A61B5/7282 , A61N1/36132 , A61N1/36135 , A61N1/36521 , A61N1/36585 , A61N1/3702 , A61N1/37252 , A61N1/37282 , G06F17/30336 , G06F19/00 , G06F19/3418 , G16H10/60 , G16H40/63
摘要： Methods for storing data records associated with a medical monitoring event in a data structure [1600]. An implanted device [100] obtains data and stores the data in the data record in a first data structure [1601] that is age-based. Before an oldest data record is lost, the oldest data record may be stored in a second data structure [1602] that is priority index-based. The priority index may be determined by a severity level and may be further determined by associated factors. The implanted device [100] may organize, off-load, report, and/or display a plurality of data records based on an associated priority index. Additionally, the implanted device [100] may select a subset or composite of physiologic channels from the available physiologic channels based on a selection criterion.
摘要翻译：用于在数据结构中存储与医疗监视事件相关联的数据记录的方法[1600]。植入装置[100]以基于年龄的第一数据结构[1601]获得数据并将数据存储在数据记录中。在最旧的数据记录丢失之前，最早的数据记录可以存储在基于优先级索引的第二数据结构[1602]中。优先权索引可以由严重性级别确定，并且可以由相关因素进一步确定。植入装置[100]可以基于相关联的优先级索引来组织，卸载，报告和/或显示多个数据记录。另外，植入装置[100]可以基于选择标准从可用的生理通道中选择生理通道的子集或复合物。

2. 发明申请

WO2006119103A2 EVENT-BASED LEAD IMPEDANCE MONITORING 审中-公开
标题翻译：基于事件的铅阻抗监测
公开(公告)号：WO2006119103A2
公开(公告)日：2006-11-09
申请号：PCT/US2006/016434
申请日：2006-04-27
申请人： MEDTRONIC, INC. , DREW, Touby, A.
发明人： DREW, Touby, A.
IPC分类号： A61N1/36
CPC分类号： A61B5/4094 , A61B5/048 , A61B5/053 , A61N1/0529 , A61N1/36082
摘要： A medical device senses electrical activity within a patient and, in some embodiments, delivers stimulation to the patient via a plurality electrical paths, which include electrodes and associated conductors of one or more leads. The medical device determines whether a symptomatic event, such as a seizure, is detected based on the sensed electrical activity, and measures the impedance of one or more of the paths in response to the determination. If the medical device identifies a dysfunctional electrical path based on the measured impedance, the device may, as examples, disable the dysfunctional electrical path, or modify a stimulation or sensing program to not use the dysfunctional electrical path, hi this manner, the medical device may identify inaccurate symptomatic event detection and, where the device delivers a therapy in response to such detection, such as stimulation via the electrical paths, avoid inappropriate therapy delivery.
摘要翻译：医疗装置感测患者内的电活动，并且在一些实施例中，经由包括一个或多个引线的电极和相关导体的多个电路径向患者传递刺激。医疗设备基于感测到的电活动来确定是否检测到诸如癫痫发作的症状事件，并且响应于该确定测量一个或多个路径的阻抗。如果医疗设备基于测量的阻抗来识别功能不良的电路径，则该设备可以例如禁用功能障碍的电路径，或修改刺激或感测程序以不使用功能障碍的电路径。以这种方式，医疗设备可以识别不准确的症状事件检测，并且在该装置响应于这种检测（例如通过电路径的刺激）递送疗法的地方，避免不适当的治疗递送。

3. 发明申请

WO2006049633A1 DIVISION APPROXIMATION FOR IMPLANTABLE MEDICAL DEVICES 审中-公开
标题翻译：可植入医疗器械的分类近似
公开(公告)号：WO2006049633A1
公开(公告)日：2006-05-11
申请号：PCT/US2004/043475
申请日：2004-12-22
申请人： MEDTRONIC, INC. , DREW, Touby, A.
发明人： DREW, Touby, A.
IPC分类号： G06F7/52
CPC分类号： G06F7/535 , G06F7/4833
摘要： Methods and devices for performing division approximation in implantable and wearable self-powered medical devices. The present invention provides rapid methods for performing an approximation of division on fixed point numbers, where the methods are easily implemented in small, low power consumption devices as may be found in implantable medical devices. One example of use is in rapidly determining the approximate ratio between foreground and background activity in seizure detection algorithms. Some methods approximate the ratio of Numerator (N) to Denominator (D) by raising 2 to the power of the difference in the number of zeros to the left of the Most Significant Set Bit (MSSB) of D vs. N. Some methods may also pad bits to the right of the approximate ratio MSSB using bits from the right of the N MSSB, and/or pre-process the smaller of D or N by rounding the value upward. Methods may be implemented in firmware and/or in discrete logic.
摘要翻译：用于在可植入和穿戴式自供电医疗设备中进行分割近似的方法和装置。本发明提供了用于执行对固定点编号的划分的近似的快速方法，其中可以在可植入的医疗装置中可以发现的小的，低功耗的装置中容易地实现这些方法。使用的一个例子是快速确定缉获检测算法中前景和背景活动之间的近似比例。一些方法通过将D与N的最高有效位（MSSB）左侧的零的数量的差异的2倍增加到2来近似分子（N）与分母（D）的比率。某些方法可以还使用来自N MSSB右侧的位从大小比MSSB右侧的位填充位，和/或通过向上舍入该值来预处理D或N中的较小者。方法可以在固件和/或离散逻辑中实现。

4. 发明申请

WO2008069829A1 INTELLIGENT DISCOVERY OF MEDICAL DEVICES BY A PROGRAMMING SYSTEM 审中-公开
标题翻译：通过编程系统智能发现医疗器械
公开(公告)号：WO2008069829A1
公开(公告)日：2008-06-12
申请号：PCT/US2007/010962
申请日：2007-05-04
申请人： MEDTRONIC, INC. , GOETZ, Steven, M. , DREW, Touby, A. , ROBERTS, Earle, T.
发明人： GOETZ, Steven, M. , DREW, Touby, A. , ROBERTS, Earle, T.
IPC分类号： G06F19/00
CPC分类号： G16H40/67 , A61N1/37288 , G06F19/00 , G06F19/3418 , G16H40/20 , G16H40/40
摘要： Techniques for automatically identifying medical devices, e.g., implantable medical device, using wireless communications in order to communicate with the medical devices are described. For instance, a programming system securely discovers a set of medical devices which have the capacity to communicate using wireless communication links. The programming system may then apply one or more search heuristics to identify a set of discovered medical devices that are likely to be a medical device with which a user desires to interact. When the user selects the desired one of the identified medical devices, the programming system launches a device interaction application associated with the desired medical device. The user may use the device interaction application to interact with the desired medical device.
摘要翻译：描述了用于使用无线通信自动识别医疗设备（例如，可植入医疗设备）以便与医疗设备进行通信的技术。例如，编程系统安全地发现一组能够使用无线通信链路进行通信的医疗设备。编程系统然后可以应用一个或多个搜索启发式来识别可能是用户期望与之交互的医疗设备的一组发现的医疗设备。当用户选择所识别的医疗设备中所需的一个时，编程系统启动与期望的医疗设备相关联的设备交互应用。用户可以使用设备交互应用来与期望的医疗设备交互。

5. 发明申请

WO2007130219A1 PEAK DATA RETENTION OF SIGNAL DATA IN AN IMPLANTABLE MEDICAL DEVICE 审中-公开
标题翻译：信号数据在可移植医疗设备中的峰值数据保持
公开(公告)号：WO2007130219A1
公开(公告)日：2007-11-15
申请号：PCT/US2007/006431
申请日：2007-03-15
申请人： MEDTRONIC, INC. , DREW, Touby, A.
发明人： DREW, Touby, A.
IPC分类号： G06K9/00 , G01D1/12 , A61B5/00 , A61N1/00 , A61N2/00
CPC分类号： A61B5/02055 , A61B5/4094 , A61B5/7232 , A61N1/08 , A61N1/3601 , A61N1/36082
摘要： Methods and apparatus for storing data records associated with an extreme value are disclosed. Signal data is stored in a first buffer of a set of buffers. If a local extreme value for the first buffer exceeds a global extreme value, signal data is stored in a second buffer of the set of buffers. This process is repeated, wrapping around and overwriting buffers until the signal data in a current buffer does not have a local extreme value that exceeds the global extreme value. When this happens, signal data may be stored in a subsequent buffer and if a local extreme value of the subsequent buffer does not exceed the global extreme value, further signal data may be stored in the subsequent buffer in a circular manner until either an instantaneous extreme value exceeds the global extreme value or the recording period ends. In an embodiment, the extreme value may be a peak value.
摘要翻译：公开了存储与极值相关联的数据记录的方法和装置。信号数据存储在一组缓冲器的第一缓冲器中。如果第一缓冲区的本地极值超过全局极值，则信号数据被存储在该组缓冲器的第二缓冲器中。重复此过程，环绕并重写缓冲区，直到当前缓冲区中的信号数据不具有超过全局极值的局部极值。当这种情况发生时，信号数据可以存储在随后的缓冲器中，并且如果后续缓冲器的局部极值不超过全局极值，则可以以循环的方式将另外的信号数据存储在随后的缓冲器中，直到瞬时极限值超过全局极值或记录周期结束。在一个实施例中，极值可以是峰值。

6. 发明申请

WO2006050360A1 TECHNIQUES FOR USER-ACTIVATED DATA RETENTION IN AN IMPLANTABLE MEDICAL DEVICE 审中-公开
标题翻译：用于在可移植医疗设备中用户激活数据保持的技术
公开(公告)号：WO2006050360A1
公开(公告)日：2006-05-11
申请号：PCT/US2005/039478
申请日：2005-11-02
申请人： MEDTRONIC, INC. , DREW, Touby, A.
发明人： DREW, Touby, A.
IPC分类号： A61B5/04 , A61B5/00
CPC分类号： A61B5/4094 , A61B5/0006 , A61B5/0031 , A61B5/02055 , A61B5/021 , A61B5/024 , A61B5/031 , A61B5/04001 , A61B5/04012 , A61B5/0402 , A61B5/0476 , A61B5/0816 , A61B5/1118 , A61B5/165 , A61B5/4082 , A61B5/686 , A61B5/7232 , A61B5/7282 , A61N1/36132 , A61N1/36135 , A61N1/36521 , A61N1/36585 , A61N1/3702 , A61N1/37252 , A61N1/37282 , G06F17/30336 , G06F19/00 , G06F19/3418 , G16H10/60 , G16H40/63
摘要： Apparatus for storing data records associated with a medical monitoring event in a data structure [1600]. Upon indication by a patient of a possible manifestation of a neurological event, the implanted device [100] obtains and stores data in the data record in a first data structure [1601] that is age-based. Before an oldest data record is lost, the oldest data record may be stored in a second data structure [1602] that is priority index-based. The priority index may be determined by a severity level and may be further determined by associated factors. The implanted device [100] may organize, off-load, report, and/or display a plurality of data records based on an associated priority index. Additionally, the implanted device [100] may select a subset or composite of physiologic channels from the available physiologic channels based on a selection criterion.
摘要翻译：用于存储与数据结构中的医疗监视事件相关联的数据记录的装置[1600]。在由患者指示神经系统事件的可能表现时，植入装置[100]以基于年龄的第一数据结构[1601]获得并存储在数据记录中的数据。在最旧的数据记录丢失之前，最早的数据记录可以存储在基于优先级索引的第二数据结构[1602]中。优先权索引可以由严重性级别确定，并且可以由相关因素进一步确定。植入装置[100]可以基于相关联的优先级索引来组织，卸载，报告和/或显示多个数据记录。另外，植入装置[100]可以基于选择标准从可用的生理通道中选择生理通道的子集或复合物。

7. 发明申请

WO2011085240A1 USER INTERFACE THAT DISPLAYS MEDICAL THERAPY AND POSTURE DATA 审中-公开
标题翻译：用户界面显示医疗和姿势数据
公开(公告)号：WO2011085240A1
公开(公告)日：2011-07-14
申请号：PCT/US2011/020568
申请日：2011-01-07
申请人： MEDTRONIC, INC. , DREW, Touby, A.
发明人： DREW, Touby, A.
IPC分类号： A61N1/365 , A61B5/11 , G06F19/00 , A61B19/00 , A61N1/08
CPC分类号： A61B5/1116 , A61B5/061 , A61B5/1118 , A61B5/4824 , A61B5/686 , A61B2560/0219 , A61B2562/0219 , A61N1/36071 , A61N1/37247 , G06F19/00 , G06F19/3481 , G16H40/63
摘要： The disclosure relates to a system that displays posture state information, physiological conditions of a patient on an avatar or other graphical representation of a human body, and therapy parameter information to facilitate the programming of therapy that is delivered to a patient. In some examples, the system may include an implantable medical device (IMD) that delivers therapy to a patient and incorporates a posture state module that detects a posture state engaged by the patient to determine the therapy delivered to the patient. An external programming device may communicate with the IMD, e.g., in real-time, to display the posture state of the patient as well as therapy parameters and physiological conditions associated with the posture state of the patient. The external programming device may receive adjustment input from the clinician to adjust one or more therapy parameters for therapy delivered to a patient in a specific posture state. In some examples, the external programming device may retrieve therapy information from the IMD to allow the clinician to review and play back previously stored therapy information on a temporal basis.
摘要翻译：本公开涉及一种系统，其显示姿势状态信息，患者在化身上的生理条件或人体的其他图形表示，以及治疗参数信息，以便于编程传递给患者的治疗。在一些示例中，系统可以包括将治疗递送给患者的可植入医疗装置（IMD），并且包括检测由患者接合的姿势状态以确定递送给患者的治疗的姿势状态模块。外部程序设备可以例如实时地与IMD通信，以显示患者的姿势状态以及与患者的姿势状态相关联的治疗参数和生理状态。外部编程装置可以接收来自临床医生的调整输入，以调整用于在特定姿势状态下递送给患者的治疗的一个或多个治疗参数。在一些示例中，外部编程设备可以从IMD获取治疗信息，以允许临床医生在时间基础上审查和回放先前存储的治疗信息。

8. 发明申请

WO2010085565A2 DISPLAY OF SUPPLEMENTAL BOLUS IN RELATION TO PROGRAMMED DOSE 审中-公开
标题翻译：显示与编程剂量相关的补充胶
公开(公告)号：WO2010085565A2
公开(公告)日：2010-07-29
申请号：PCT/US2010/021659
申请日：2010-01-21
申请人： MEDTRONIC, INC. , ALME, Sarah, B. , DREW, Touby, A. , BEALL, Lance
发明人： ALME, Sarah, B. , DREW, Touby, A. , BEALL, Lance
IPC分类号： G06F19/00
CPC分类号： G06F19/3468 , A61B34/25 , A61M5/14276 , G06F19/00
摘要： Techniques are described for displaying a representation of a therapeutic bolus and a representation of programmed doses of a therapy schedule for an implantable fluid delivery device with a programmer device. In one example, a device includes a user interface to present a graphical representation of doses of fluid to be delivered to a patient via an implantable fluid delivery device and a processor that controls the user interface to simultaneously present a first graphical representation of a supplemental bolus to be delivered by the implantable fluid delivery device and a second graphical representation of programmed doses of a therapy schedule of the implantable fluid delivery device, wherein at least a portion of the programmed doses of the therapy schedule follows delivery of the supplemental bolus by the implantable fluid delivery device. A user of the device may determine whether the representations indicate an excessive dosage risk to the patient.
摘要翻译：描述了用于显示治疗性大剂量的表征的技术以及用于具有编程器装置的可植入流体递送装置的治疗计划的程序剂量的表示。在一个示例中，设备包括用户界面，用于呈现待经由可植入流体输送装置递送至患者的流体的剂量的图形表示，以及控制用户界面以同时呈现补充弹丸的第一图形表示的处理器由可植入流体递送装置递送，以及编程剂量的可植入流体输送装置的治疗计划的第二图形表示，其中治疗计划的程序剂量的至少一部分随后通过可植入的药物递送流体输送装置。设备的用户可以确定表示是否表示对患者的过度剂量风险。

9. 发明申请

WO2010085564A1 USER INTERFACE INDICATING FLUID LOCATION FOR AN IMPLANTABLE FLUID DELIVERY DEVICE 审中-公开
标题翻译：用户界面显示可移植流体输送装置的流体位置
公开(公告)号：WO2010085564A1
公开(公告)日：2010-07-29
申请号：PCT/US2010/021657
申请日：2010-01-21
申请人： MEDTRONIC, INC. , ALME, Sarah, B. , DREW, Touby, A. , SHEN, Jiaying
发明人： ALME, Sarah, B. , DREW, Touby, A. , SHEN, Jiaying
IPC分类号： A61M5/142
CPC分类号： A61M5/14276 , A61M2005/14288 , A61M2205/3507 , A61M2205/502 , G06F19/00 , G06F19/3468 , G09B23/285 , G16H50/50
摘要： A programmer device includes an interface that communicates with an implantable fluid delivery device and a user interface that displays a representation of a portion of the implantable fluid delivery device and displays an indication of a location of fluid within the implantable fluid delivery device during a delivery phase, e.g., a priming or bridging phase. The user interface may display a representation of progress of the delivery phase. The user interface may display the indication of the location of the fluid within internal tubing of the implantable fluid delivery device or within a catheter of the implantable fluid delivery device. The programmer device may display the representation of the progress of the delivery phase as a simulation of the delivery phase or during the actual delivery phase of the implantable fluid delivery device. A user may therefore observe a location of fluid corresponding to progress of the delivery phase.
摘要翻译：编程器装置包括与可植入流体输送装置进行通信的界面和显示可植入流体输送装置的一部分的表示的用户界面，并且在输送阶段显示流体在可植入流体输送装置内的位置的指示例如，起动或桥接阶段。用户界面可以显示递送阶段的进展的表示。用户界面可以显示流体在可植入流体输送装置的内部管道内或者在可植入流体输送装置的导管内的位置的指示。编程器装置可以将输送阶段的进展的表示作为递送阶段的模拟或在可植入流体输送装置的实际输送阶段期间显示。因此，用户可以观察对应于递送阶段的进展的流体的位置。

10. 发明申请

WO2008070069A1 PROGRAMMING A MEDICAL DEVICE WITH A GENERAL PURPOSE INSTRUMENT 审中-公开
标题翻译：编写具有一般用途仪器的医疗设备
公开(公告)号：WO2008070069A1
公开(公告)日：2008-06-12
申请号：PCT/US2007/024825
申请日：2007-12-04
申请人： MEDTRONIC, INC. , GOETZ, Steven, M. , DREW, Touby, A. , KEACHER, Jeffrey, T.
发明人： GOETZ, Steven, M. , DREW, Touby, A. , KEACHER, Jeffrey, T.
IPC分类号： A61N1/372
CPC分类号： A61N1/37235 , G06F19/00 , G16H40/63
摘要： An apparatus including a processor configured to selectively load a first operating system that controls general purpose computer functionality of the apparatus; and a second operating system different from the first operating system. The second operating system controls medical device programming functionality of the apparatus, enabling the apparatus to program a medical device including at least one implantable component.
摘要翻译：一种包括处理器的设备，其被配置为选择性地加载控制所述设备的通用计算机功能的第一操作系统; 以及与第一操作系统不同的第二操作系统。第二操作系统控制设备的医疗设备编程功能，使得设备能够对包括至少一个可植入组件的医疗设备进行编程。

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