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1. 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。

2. 发明申请

WO2008069897A3 MEDICAL DEVICE PROGRAMMING SAFETY 审中-公开
公开(公告)号：WO2008069897A3
公开(公告)日：2008-06-12
申请号：PCT/US2007/023817
申请日：2007-11-15
申请人： MEDTRONIC, INC. , GOETZ, Steven, M. , JOHNSON, Donald, R. , DREW, Touby, A. , HOUCHINS, Andrew, H. , KEACHER, Jeffrey, T. , STONE, Theodore, J. , ROBERTS, Earle, T.
发明人： GOETZ, Steven, M. , JOHNSON, Donald, R. , DREW, Touby, A. , HOUCHINS, Andrew, H. , KEACHER, Jeffrey, T. , STONE, Theodore, J. , ROBERTS, Earle, T.
IPC分类号： G06F19/00
摘要： Techniques for increasing the safety of medical device programming using general purpose hardware, such as a general purpose personal computer, are described. In some embodiments, a system includes an intermediate computing device comprising an applications module. Information from the applications module, such as instructions for an implantable medical device (IMD), may be presented to a user via a user input terminal that is separate from the intermediate computing device. A user may interact with the user input terminal to select an instruction from the applications module, and the intermediate computing device may transmit the selected instruction to the IMD. In some embodiments, the intermediate computing device comprises a web server and the user input terminal comprises a web browser configured to access the web server. In other embodiments, the intermediate computing device comprises a client server and the user input terminal comprises a client.

3. 发明申请

WO2008069913A3 MEDICAL DEVICE PROGRAMMING SAFETY 审中-公开
公开(公告)号：WO2008069913A3
公开(公告)日：2008-06-12
申请号：PCT/US2007/024096
申请日：2007-11-15
申请人： MEDTRONIC, INC. , GOETZ, Steven, M. , JOHNSON, Donald, R. , DREW, Touby, A. , HOUCHINS, Andrew, H. , KEACHER, Jeffrey, T. , STONE, Theodore, J. , ROBERTS, Earle, T.
发明人： GOETZ, Steven, M. , JOHNSON, Donald, R. , DREW, Touby, A. , HOUCHINS, Andrew, H. , KEACHER, Jeffrey, T. , STONE, Theodore, J. , ROBERTS, Earle, T.
IPC分类号： G06F19/00
摘要： Techniques for increasing the safety of medical device programming using general purpose hardware, such as a general purpose personal computer, are described. Some embodiments include a watchdog module that is serviced by the general purpose hardware, a mediator module that monitors programming instructions from the general purpose hardware, and/or a safe mode input that may be activated by a user. In some embodiments, a system comprises an implantable medical device, an intermediate device, a computing device that communicates with the implantable medical device via the intermediate device. The intermediate device may provide any one or more of the safety measures described above. In some embodiments, the intermediate device is dedicated hardware, and critical programming functions are provided by the intermediate device, rather than the general purpose hardware. In some embodiments, an implantable medical device provides one or more of the above-discussed safety features, rather than a separate intermediate device.

4. 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。

5. 发明申请

WO2008070033A3 OPERATING ENVIRONMENT MONITOR FOR MEDICAL DEVICE PROGRAMMING 审中-公开
公开(公告)号：WO2008070033A3
公开(公告)日：2008-06-12
申请号：PCT/US2007/024760
申请日：2007-12-03
申请人： MEDTRONIC, INC. , GOETZ, Steven, M. , DREW, Touby, A. , HOUCHINS, Andrew, H.
发明人： GOETZ, Steven, M. , DREW, Touby, A. , HOUCHINS, Andrew, H.
IPC分类号： G06F19/00
摘要： A programming system for an electronic medical device (EMD) is described. The programming system, as described in this disclosure, comprises a host computer, such as a general purpose computer in an in-clinic computer network, executing a software platform that provides an operating environment with which a user can interact to program an EMD. The software platform invokes monitoring software that ensures that the host computer satisfies criteria for safe operation of the operating environment, e.g., ensures that the host computer meets the minimum operating conditions required for reliable operation of the operating environment. In particular, the monitoring software may monitor system faults that occur during operation, as well as ensure that criteria for safe operation are satisfied prior to initiating the operating environment.

6. 发明申请

WO2010009072A1 IMPROVED INTERFACE FOR IMPLANTABLE MEDICAL DEVICE PROGRAMMING 审中-公开
标题翻译：改进的医疗设备编程接口
公开(公告)号：WO2010009072A1
公开(公告)日：2010-01-21
申请号：PCT/US2009/050457
申请日：2009-07-14
申请人： MEDTRONIC, INC. , DREW, Touby, A. , GOETZ, Steven, M. , ALME, Sarah, B. , SHEN, Jiaying , JOGLEKAR, Ajinkyar, M.
发明人： DREW, Touby, A. , GOETZ, Steven, M. , ALME, Sarah, B. , SHEN, Jiaying , JOGLEKAR, Ajinkyar, M.
IPC分类号： A61N1/372
CPC分类号： A61M5/14276 , A61M2205/505 , A61N1/3605 , A61N1/37247 , G06F19/00 , G06F19/3468 , G16H15/00 , G16H20/17
摘要： An implantable medical device is capable of delivering therapeutic output to a patient. A controller, programmable by a medical professional, is operatively coupled to the implantable medical device to, in part, program the therapeutic output to be delivered to the patient. The controller has an interface allowing the medical professional to graphically select an amount of the therapeutic output to be delivered to the patient in at least one of a series of discrete timer intervals. The graphic selection may be aided by the use of a light pen or other pointing device to sketch the infusion pattern. Computer programs using algorithms may be utilized to translate the information inputted through the light pen into an infusion program.
摘要翻译：可植入医疗装置能够向患者输送治疗输出。由医学专业人员可编程的控制器可操作地耦合到可植入医疗装置，以部分地编程要递送给患者的治疗输出。控制器具有允许医疗专业人员以一系列离散定时器间隔中的至少一个图形地选择要传送给患者的治疗输出量的界面。图形选择可以通过使用光笔或其他指示装置来辅助来描绘输注图案。可以使用使用算法的计算机程序将通过光笔输入的信息转换成输注程序。

7. 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。

8. 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。

9. 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。

10. 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。

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