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1. 发明申请

WO2010126935A2 VERIFICATION THAT A PATIENT WITH AN IMPLANTABLE MEDICAL SYSTEM CAN UNDERGO A MAGNETIC RESONANCE IMAGING SCAN 审中-公开
标题翻译：具有可植入医疗系统的患者可以进行磁共振成像扫描的验证
公开(公告)号：WO2010126935A2
公开(公告)日：2010-11-04
申请号：PCT/US2010032661
申请日：2010-04-28
申请人： MEDTRONIC INC , GOETZ STEVEN M , MALEKKHOSRAVI SHAHRAM , SMITH TODD V , MALEKKHOSRAVI KRISTIN J , DIXON JEFFREY R
发明人： GOETZ STEVEN M , MALEKKHOSRAVI SHAHRAM , SMITH TODD V , MALEKKHOSRAVI KRISTIN J , DIXON JEFFREY R
IPC分类号： A61B5/055
CPC分类号： A61B5/055 , A61B5/0031 , A61B2560/0271 , A61N1/086 , A61N1/3718 , A61N1/37247 , G06Q50/22 , G16H40/63
摘要： Verification that an implantable medical system within a patient is MRI safe is provided. Several verifications may be performed such as verifying that the device and leads are of an MRI safe type, that the leads have adequate electrical integrity, that the device has entered an MRI safe mode, that the lead routing and device placement are MRI safe, and that the MRI settings of the MRI machine are safe for the implantable medical system. The result of these verifications may lead to a conclusion that the implantable medical system of interest is or is not MRI safe for a given MRI scan. An indication of this result may be output such as via a display so that an MRI technician can have some assurance as to whether to conduct the MRI scan.
摘要翻译：提供患者内的可植入医疗系统是MRI安全的验证。可以执行若干验证，例如验证该装置和引线是否具有MRI安全型，引线具有足够的电气完整性，该装置已进入MRI安全模式，引导布线和装置放置是MRI安全的，以及 MRI机器的MRI设置对于可植入医疗系统是安全的。这些验证的结果可能得出结论，对于给定的MRI扫描，感兴趣的可植入医疗系统是或不是MRI安全的。可以通过显示器输出该结果的指示，使得MRI技术人员能够对是否进行MRI扫描具有一定的保证。

2. 发明申请

WO2007102945A2 MANAGEMENT OF MULTIPLE STIMULATION PROGRAM GROUPS 审中-公开
标题翻译：多刺激程序组管理
公开(公告)号：WO2007102945A2
公开(公告)日：2007-09-13
申请号：PCT/US2007001768
申请日：2007-01-23
申请人： MEDTRONIC INC , NOLAN JOSEPH J , BAUHAHN RUTH E , GOETZ STEVEN M , MALEKKHOSRAVI SHAHRAM
发明人： NOLAN JOSEPH J , BAUHAHN RUTH E , GOETZ STEVEN M , MALEKKHOSRAVI SHAHRAM
CPC分类号： A61N1/37247 , A61N1/36132
摘要： The disclosure describes a method and system that allows a user to manage multiple groups of stimulation programs that provide stimulation therapy. A physician may prepare a plurality of programs, arranged in groups that each focus on one area, that the patient may evaluate in an effort to determine if any programs provide efficacious therapy. Since the patient may be evaluating many groups by using a patient programmer, managing the groups may be difficult. The patient programmer may enable the patient to hide ineffective groups to minimize the number of groups available for therapy. In addition, the programmer may allow the patient to mark each group or program as effective or ineffective, to more easily manage groups and programs during stimulation therapy. In addition, the patient may unhide a group or program if the patient desires to reevaluate a formerly hidden option.
摘要翻译：本公开描述了允许用户管理提供刺激疗法的多组刺激程序的方法和系统。医生可以准备多个节目，每组节目分组，每个节目都集中在一个区域上，患者可以评估，以确定是否有任何节目提供有效的治疗。由于患者可能通过使用患者程序员评估许多组，因此管理组可能是困难的。患者程序员可以使患者隐藏无效组以使可用于治疗的组的数量最小化。此外，程序员可以允许患者将每个组或程序标记为有效或无效，以便在刺激治疗期间更容易地管理组和程序。此外，如果患者希望重新评估以前隐藏的选项，患者可以取消隐藏组或程序。

3. 发明申请

WO2008070145A2 USER INTERFACE WITH TOOLBAR FOR PROGRAMMING ELECTRICAL STIMULATION THERAPY 审中-公开
标题翻译：用户界面与工具栏编程电刺激治疗
公开(公告)号：WO2008070145A2
公开(公告)日：2008-06-12
申请号：PCT/US2007024977
申请日：2007-12-06
申请人： MEDTRONIC INC , GOETZ STEVEN M , KEACHER JEFFREY T , SAHASRABUDHE RAJEEV , DEWING WENDE L , DAVIS JON P , RONDONI JOHN , MIYAZAWA GABRIELA C , KING GARY W
发明人： GOETZ STEVEN M , KEACHER JEFFREY T , SAHASRABUDHE RAJEEV , DEWING WENDE L , DAVIS JON P , RONDONI JOHN , MIYAZAWA GABRIELA C , KING GARY W
IPC分类号： A61N1/00
CPC分类号： A61N1/37247 , A61N1/36185
摘要： The disclosure is directed to a user interface with a menu that facilitates stimulation therapy programming. The user interface displays a representation of the electrical leads implanted in the patient and at least one menu with icons that the user can use to adjust the stimulation therapy. The user may drag one or more field shapes from a field shape selection menu onto the desired location relative to the electrical leads. A manipulation tool menu may also allow the user to adjust the field shapes placed on the electrical leads, which represent the stimulation region. The programmer that includes the user interface then generates electrical stimulation parameter values for the stimulator to deliver stimulation according to the field shapes or field shape groups defined/located by the user. The field shapes may represent different types of stimulation representations, such as current density, activation functions, and neuron models.
摘要翻译：本公开涉及具有促进刺激治疗编程的菜单的用户界面。用户界面显示植入患者体内的电导线的表示，以及至少一个带有图标的菜单，用户可以使用这些菜单来调整刺激治疗。用户可以将一个或多个场形状从场形状选择菜单拖动到相对于电导线的期望位置。操纵工具菜单还可以允许用户调整放置在代表刺激区域的电导线上的场形状。包括用户界面的编程器然后生成用于刺激器的电刺激参数值，以根据用户定义/定位的场形状或场形状组来递送刺激。场形状可以表示不同类型的刺激表示，诸如电流密度，激活函数和神经元模型。

4. 发明申请

WO2008069897A2 MEDICAL DEVICE PROGRAMMING SAFETY 审中-公开
标题翻译：医疗设备程序安全
公开(公告)号：WO2008069897A2
公开(公告)日：2008-06-12
申请号：PCT/US2007023817
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
CPC分类号： G06F19/3481 , G06F19/3418
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.
摘要翻译：描述了使用诸如通用个人计算机之类的通用硬件来提高医疗设备编程的安全性的技术。在一些实施例中，系统包括包含应用模块的中间计算设备。来自应用模块的信息（诸如用于可植入医疗设备（IMD）的指令）可以经由与中间计算设备分离的用户输入终端呈现给用户。用户可以与用户输入终端交互以从应用模块中选择指令，并且中间计算设备可以将选择的指令传送给IMD。在一些实施例中，中间计算设备包括网络服务器，并且用户输入终端包括被配置为访问网络服务器的网络浏览器。在其他实施例中，中间计算设备包括客户端服务器并且用户输入终端包括客户端。

5. 发明申请

WO2011085206A2 PROGRAMMING THERAPY DELIVERED BY IMPLANTABLE MEDICAL DEVICE 审中-公开
标题翻译：可植入医疗器械提供的编程治疗
公开(公告)号：WO2011085206A2
公开(公告)日：2011-07-14
申请号：PCT/US2011020526
申请日：2011-01-07
申请人： MEDTRONIC INC , DAVIS JON P , GOETZ STEVEN M , TORGERSON NATHAN A , DEWING WENDE L , SINGAL ASHISH , DAVENPORT LYNN A , SAHASRABUDHE RAJEEV M
发明人： DAVIS JON P , GOETZ STEVEN M , TORGERSON NATHAN A , DEWING WENDE L , SINGAL ASHISH , DAVENPORT LYNN A , SAHASRABUDHE RAJEEV M
IPC分类号： A61N1/36
CPC分类号： A61N1/36185 , A61N1/36071 , A61N1/37247 , A61N1/37264 , G06F19/3418 , G16H40/63
摘要： This disclosure describes techniques for programming stimulation therapy programs according to therapy targets (e.g., symptoms or areas of pain) in a patient to which they are applied. Several programs can be programmed for each therapy target, stored on an implantable medical device, and retrieved later by a programmer to modify, edit, delete, create, and/or select a therapy program for each of the therapy targets. Each therapy target is independent from the other therapy targets, and a user can select or change a program under one therapy target without affecting programs under the other therapy targets. During programming, a user can specify parameters for each program applicable to only that program, and can specify parameters for each therapy target applicable to every program associated with that therapy target. The organization of programs into slots and the selection of a program in each slot may be manual or automated.
摘要翻译：本公开描述了根据其所应用的患者的治疗目标（例如，疼痛的症状或区域）来编程刺激治疗程序的技术。可以为每个治疗目标编程几个程序，存储在可植入医疗装置上，并且稍后由程序员检索以修改，编辑，删除，创建和/或选择每个治疗目标的治疗程序。每个治疗目标独立于其他治疗目标，用户可以在一个治疗目标下选择或改变程序，而不影响其他治疗目标下的程序。在编程期间，用户可以为仅适用于该程序的每个程序指定参数，并且可以指定适用于与该治疗目标相关联的每个程序的每个治疗目标的参数。将程序组织到插槽中并在每个插槽中选择一个程序可能是手动或自动化的。

6. 发明申请

WO2008070140A3 USER INTERFACE WITH TOOLBAR FOR PROGRAMMING ELECTRICAL STIMULATION THERAPY 审中-公开
标题翻译：用于工具的用户界面编程电刺激治疗
公开(公告)号：WO2008070140A3
公开(公告)日：2008-11-20
申请号：PCT/US2007024962
申请日：2007-12-06
申请人： MEDTRONIC INC , GOETZ STEVEN M , KEACHER JEFFREY T , SAHASRABUDHE RAJEEV , DEWING WENDE L , DAVIS JON P , RONDONI JOHN , MIYAZAWA GABRIELA C , KING GARY W
发明人： GOETZ STEVEN M , KEACHER JEFFREY T , SAHASRABUDHE RAJEEV , DEWING WENDE L , DAVIS JON P , RONDONI JOHN , MIYAZAWA GABRIELA C , KING GARY W
IPC分类号： A61N1/372 , A61N1/08
CPC分类号： A61N1/37247 , A61N1/36185
摘要： The disclosure is directed to a user interface with a menu that facilitates stimulation therapy programming. The user interface displays a representation of the electrical leads implanted in the patient and at least one menu with icons that the user can use to adjust the stimulation therapy. The user may drag one or more field shapes from a field shape selection menu onto the desired location relative to the electrical leads. A manipulation tool menu may also allow the user to adjust the field shapes placed on the electrical leads, which represent the stimulation region. The programmer that includes the user interface then generates electrical stimulation parameter values for the stimulator to deliver stimulation according to the field shapes or field shape groups defined/located by the user. The field shapes may represent different types of stimulation representations, such as current density, activation functions, and neuron models.
摘要翻译：本公开针对具有促进刺激治疗编程的菜单的用户界面。用户界面显示植入患者中的电引线的表示以及具有用户可用于调整刺激疗法的图标的至少一个菜单。用户可以将一个或多个场形状从场形选择菜单拖到相对于电引线的期望位置上。操作工具菜单还可以允许用户调整放置在电引线上的场形状，其代表刺激区域。包括用户界面的程序员然后产生刺激器的电刺激参数值，以根据由用户定义/定位的场形状或场形组递送刺激。场形状可以表示不同类型的刺激表示，例如电流密度，激活函数和神经元模型。

7. 发明申请

WO2012141817A3 IMPLANTABLE MEDICAL DEVICES STORING GRAPHICS PROCESSING DATA 审中-公开
标题翻译：可植入医疗设备存储图形处理数据
公开(公告)号：WO2012141817A3
公开(公告)日：2013-01-17
申请号：PCT/US2012027494
申请日：2012-03-02
申请人： MEDTRONIC INC , GOETZ STEVEN M
发明人： GOETZ STEVEN M
IPC分类号： G06T17/00
CPC分类号： A61N1/37247 , A61B34/20 , A61B2034/2065 , A61B2090/374 , A61B2090/3762 , A61M25/0105 , A61M2025/0166 , A61N1/36128 , A61N1/37235 , A61N1/37252 , A61N1/37264 , G06T17/00 , G06T17/20 , G06T19/00 , G06T2210/41
摘要： In one example, a device includes a telemetry module configured to retrieve graphics processing data from a device that is not configured to perform a rendering process using the graphics processing data and that is associated with delivering therapy to a therapy target of a patient, and a control unit configured to apply the graphics processing data while performing the rendering process to generate an image of an anatomical feature of the patient, wherein the anatomical feature comprises the therapy target for an implantable medical device (IMD), and to cause a display unit of a user interface to display the image, wherein the image of the anatomical feature is specific to the patient. The graphics processing data may include a list of vertices or a transform to be applied to a non-patient-specific anatomical atlas. The data may also include a location of a therapy element of the IMD.
摘要翻译：在一个示例中，设备包括遥测模块，该遥测模块被配置为从未被配置为使用图形处理数据执行呈现处理并且与向患者的治疗目标传递治疗相关联的设备检索图形处理数据，以及控制单元，被配置为在执行所述绘制过程时应用所述图形处理数据以生成所述患者的解剖特征的图像，其中所述解剖特征包括用于可植入医疗装置（IMD）的治疗目标，并且使所述显示单元用于显示图像的用户界面，其中解剖特征的图像是患者特有的。图形处理数据可以包括要应用于非患者特异性解剖图谱的顶点列表或变换列表。数据还可以包括IMD的治疗元件的位置。

8. 发明申请

WO2008069913A2 MEDICAL DEVICE PROGRAMMING SAFETY 审中-公开
标题翻译：医疗设备编程安全
公开(公告)号：WO2008069913A2
公开(公告)日：2008-06-12
申请号：PCT/US2007024096
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
CPC分类号： G06F19/3481 , G06F19/3418
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.
摘要翻译：描述用于增加使用通用硬件（例如通用个人计算机）的医疗设备编程安全性的技术。一些实施例包括由通用硬件服务的看门狗模块，监视来自通用硬件的编程指令的调解器模块和/或可由用户激活的安全模式输入。在一些实施例中，系统包括可植入医疗装置，中间装置，经由中间装置与可植入医疗装置通信的计算装置。中间装置可以提供上述任何一种或多种安全措施。在一些实施例中，中间设备是专用硬件，并且关键编程功能由中间设备而不是通用硬件提供。在一些实施例中，可植入医疗装置提供一个或多个上述安全特征，而不是单独的中间装置。

9. 发明申请

WO2008005153A3 SELECTING ELECTRODE COMBINATIONS FOR STIMULATION THERAPY 审中-公开
标题翻译：选择用于刺激治疗的电极组合
公开(公告)号：WO2008005153A3
公开(公告)日：2008-04-10
申请号：PCT/US2007013631
申请日：2007-06-07
申请人： MEDTRONIC INC , KING GARY W , GOETZ STEVEN M , TIDEMAND KEVIN K , WESSELINK WIBERT A , MIYAZAWA GABRIELA C , GREENBERG JORDAN J
发明人： KING GARY W , GOETZ STEVEN M , TIDEMAND KEVIN K , WESSELINK WIBERT A , MIYAZAWA GABRIELA C , GREENBERG JORDAN J
IPC分类号： A61N1/00 , G06F19/00
CPC分类号： A61N1/37247 , A61N1/0529 , A61N1/0534 , A61N1/0553 , A61N1/36185 , G06F19/3481 , G16H40/63
摘要： Techniques for selecting electrode combinations for stimulation therapy are described. The techniques include selecting one or more electrode combinations based on information associating a plurality of electrode combinations with at least one value of a therapy metric. The therapy metric comprises a quantifiable result of delivery of stimulation, and may be generated computer modeling of delivery of stimulation via the electrode combinations. In one embodiment, a clinician may deliver stimulation via a baseline electrode combination, receive patient feedback to the baseline electrode combination, select a therapy metric based on the patient feedback, and select additional electrode combinations based on the selected therapy metric and the information associating the electrode combinations with therapy metric values. In another embodiment, the clinician may select a therapy metric prior to providing a test stimulation and select additional electrode combinations based on the selected therapy metric and the information associating electrode combinations with metric values.
摘要翻译：描述了用于选择用于刺激治疗的电极组合的技术。这些技术包括基于将多个电极组合与治疗度量的至少一个值相关联的信息来选择一个或多个电极组合。治疗指标包括刺激递送的可量化结果，并且可以产生经由电极组合递送刺激的计算机建模。在一个实施例中，临床医生可以经由基线电极组合递送刺激，将患者反馈接收到基线电极组合，基于患者反馈选择治疗度量，并且基于所选择的治疗度量选择附加电极组合，并且将关于电极组合与治疗度量值。在另一个实施例中，临床医生可以在提供测试刺激之前选择治疗度量，并且基于所选择的治疗度量和将电极组合与度量值相关联的信息来选择附加电极组合。

10. 发明申请

WO2009055207A3 REMOTE MANAGEMENT OF THERAPY PROGRAMMING 审中-公开
标题翻译：远程管理治疗方案
公开(公告)号：WO2009055207A3
公开(公告)日：2009-07-16
申请号：PCT/US2008078134
申请日：2008-09-29
申请人： MEDTRONIC INC , GOETZ STEVEN M
发明人： GOETZ STEVEN M
IPC分类号： G06F19/00
CPC分类号： G06F19/3418 , A61B2560/0271 , A61N1/37247 , A61N1/37252 , A61N1/37264 , A61N1/37282 , G06F19/324 , G06F19/3456 , G06F19/3481 , G06Q50/24 , G16H40/63
摘要： The disclosure is directed to techniques for remote management of information relating to therapy delivered to a patient by an implantable medical device (IMD). A remote monitoring system for therapy programming includes an IMD that delivers therapy, e.g., neurostimulation, drug therapy, or both, to a patient, an external programming device associated with the IMD, such as a patient programmer, and a remote networking device that receives usage information from the external programming device. The external programming device communicates with the IMD via local, wireless communication, and the remote networking device receives usage information from the external programming device via a network. The usage information includes information that relates to use of therapy by the patient, use of features of the external programming device and the IMD, or use of navigation patterns of a user interface of the external programming device.
摘要翻译：本公开涉及用于远程管理与由植入式医疗设备（IMD）递送至患者的治疗有关的信息的技术。用于治疗编程的远程监视系统包括向患者传递治疗（例如神经刺激，药物治疗或两者）的IMD，与IMD相关联的外部编程设备（诸如患者程序员）以及远程联网设备，其接收来自外部编程设备的使用信息。外部编程设备通过本地无线通信与IMD通信，并且远程联网设备通过网络从外部编程设备接收使用信息。使用信息包括涉及患者对治疗的使用，外部编程设备和IMD的特征的使用，或外部编程设备的用户界面的导航模式的使用的信息。

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