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1. 发明申请

WO2011049729A1 PROGRAMMING TECHNIQUES FOR STIMULATION WITH UTILIZATION OF CASE ELECTRODE 审中-公开
标题翻译：用于刺激病例电极的编程技术
公开(公告)号：WO2011049729A1
公开(公告)日：2011-04-28
申请号：PCT/US2010/051067
申请日：2010-10-01
申请人： MEDTRONIC, INC. , TORGERSON, Nathan, A. , GOETZ, Steven, M.
发明人： TORGERSON, Nathan, A. , GOETZ, Steven, M.
IPC分类号： A61N1/05 , A61N1/372
CPC分类号： A61N1/0531 , A61N1/0534 , A61N1/0551 , A61N1/0553 , A61N1/37247
摘要： This disclosure describes techniques that support delivering electrical stimulation via an electrode on a housing of an implantable medical device (IMD) while substantially simultaneously delivering electrical stimulation via one or more electrodes, having the same polarity as the electrode on the housing, on one or more leads engaged to the IMD. The stimulation may be constant current-based or constant voltage-based stimulation in the form of pulses or continuous waveforms. Delivery of stimulation via both a housing anode and one or more lead anodes, for example, may allow a user to control current paths between the housing electrode and the lead electrode(s) in a relative manner to achieve different electric or stimulation field shapes.
摘要翻译：本公开描述了支持通过可植入医疗装置（IMD）的壳体上的电极传送电刺激的技术，同时基本上同时通过一个或多个电极（其具有与壳体上的电极相同的极性）在一个或多个领导从事IMD。刺激可以是以脉冲或连续波形的形式的恒定的基于电流或恒定电压的刺激。例如，通过壳体阳极和一个或多个引线阳极传送刺激可允许用户以相对的方式控制外壳电极和引线电极之间的电流路径，以实现不同的电场或刺激场的形状。

2. 发明申请

WO2009137120A1 PROGRAMMING TECHNIQUES FOR PERIPHERAL NERVE FILED STIMULATION 审中-公开
标题翻译：外周神经刺激的编程技术
公开(公告)号：WO2009137120A1
公开(公告)日：2009-11-12
申请号：PCT/US2009/031983
申请日：2009-01-26
申请人： MEDTRONIC, INC. , KING, Gary, W. , GOETZ, Steven, M. , HOUCHINS, Andrew, H. , KEACHER, Jeffrey, T. , GREENBERG, Jordan, J.
发明人： KING, Gary, W. , GOETZ, Steven, M. , HOUCHINS, Andrew, H. , KEACHER, Jeffrey, T. , GREENBERG, Jordan, J.
IPC分类号： A61N1/36
CPC分类号： A61N1/0553 , A61N1/36021 , A61N1/36071 , A61N1/36185 , A61N1/37247
摘要： Peripheral nerve field stimulation (PNFS) delivered by a medical device to a patient may be programmed by specifying one or more characteristics of a stimulation field generated by the IMD to provide the PNFS. The characteristics of the stimulation field may include, for example, a direction of stimulation within the field, a breadth of the stimulation field, a focus of stimulation within the stimulation field, a depth of the stimulation field relative to a reference point, such as the epidermis of the patient, or a nerve fiber diameter selection.
摘要翻译：可以通过指定由IMD生成的刺激场的一个或多个特征来提供PNFS来将编程由医疗装置传送到患者的外周神经场刺激（PNFS）。刺激场的特征可以包括例如场内的刺激方向，刺激场的宽度，刺激区域内的刺激焦点，刺激场相对于参考点的深度，例如患者的表皮，或神经纤维直径选择。

3. 发明申请

WO2009055202A1 REMOTE TITRATION OF THERAPY DELIVERED BY AN IMPLANTABLE MEDICAL DEVICE 审中-公开
标题翻译：远程治疗由可植入医疗器械提供的治疗
公开(公告)号：WO2009055202A1
公开(公告)日：2009-04-30
申请号：PCT/US2008/078099
申请日：2008-09-29
申请人： MEDTRONIC, INC. , GOETZ, Steven, M.
发明人： GOETZ, Steven, M.
IPC分类号： A61N1/372
CPC分类号： A61N1/37252 , A61B5/0031 , A61M5/1723 , A61N1/36007 , A61N1/36071 , A61N1/37282 , G06F19/00
摘要： Techniques for remotely titrating a therapy delivered using an implantable medical device system are disclosed. An implantable medical device delivers therapy according to a first program. The system collects patient data relating to at least one of an efficacy of, or side effects resulting from, the delivered therapy, and transmits the patient data to a remote network device. A clinician may then analyze the patient data and determine if changes to the therapy are warranted. The clinician may then transmit a programming change, e.g., modification to the first program or a new, second program, to the implantable medical device system, and the implantable medical device may deliver therapy according to the changed programming. The process of receiving patient data and modifying the therapy programming may be repeated multiple times until the therapy is adequately titrated, e.g., until the patient data indicates adequate efficacy and/or acceptable side effects.
摘要翻译：公开了用于远程滴定使用可植入医疗装置系统递送的治疗的技术。可植入医疗装置根据第一程序递送治疗。系统收集与递送的治疗产生的功效或副作用中的至少一个相关的患者数据，并将患者数据发送到远程网络设备。然后，临床医师可以分析患者数据并确定是否需要对治疗进行改变。临床医师然后可以将编程改变例如对第一程序或新的第二程序的修改发送到可植入医疗设备系统，并且可植入医疗设备可以根据改变的程序传递治疗。接收患者数据和修改治疗程序的过程可以重复多次，直到治疗被充分滴定，例如，直到患者数据表明足够的功效和/或可接受的副作用。

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

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.

7. 发明申请

WO2008054438A1 CONTROLLER AND SYSTEM FOR OBTAINING PRESCRIPTIVE ANALYSIS OF FUNCTIONALITY OF IMPLANTABLE MEDICAL DEVICE LEADS 审中-公开
标题翻译：控制器和系统，用于获取可植入医疗器械引线功能的预设分析
公开(公告)号：WO2008054438A1
公开(公告)日：2008-05-08
申请号：PCT/US2007/001727
申请日：2007-01-23
申请人： MEDTRONIC, INC. , GOETZ, Steven, M. , SMITH, Todd, V. , TORGERSON, Nathan, A. , BALL, Warren, W.
发明人： GOETZ, Steven, M. , SMITH, Todd, V. , TORGERSON, Nathan, A. , BALL, Warren, W.
IPC分类号： A61N1/08
CPC分类号： A61N1/37247 , A61N1/0551 , A61N1/36185
摘要： Controller and system for an implantable medical device having a plurality of electrodes, the implantable medical device capable of delivering therapeutic stimulation to a patient, comprising a control module, a user interface operatively coupled to the control module, the user interface providing control of the control module by a medical professional or other user, and an electrode interface operatively coupled between the plurality of electrodes and the control module. The control module uses the electrode interface to obtain a plurality of measurements of impedance values for a plurality of selected pairs of individual ones of the plurality of electrodes. The control module determines a prescriptive analysis using the plurality of measurements of impedance values of the selected pairs of individual ones of the plurality of electrodes comparative to a range, and the user interface displays the prescriptive analysis.
摘要翻译：用于具有多个电极的可植入医疗装置的控制器和系统，所述可植入医疗装置能够向患者递送治疗刺激，所述可植入医疗装置包括控制模块，可操作地耦合到所述控制模块的所述用户界面，所述用户界面提供所述控制的控制医疗专业人员或其他用户的模块，以及可操作地耦合在所述多个电极和所述控制模块之间的电极接口。所述控制模块使用所述电极接口来获得所述多个电极中的多个所选择的对中的多个所选对的多个测量值。所述控制模块使用与所述多个电极中所选择的所述多个电极对中的所选择的一对电极的阻抗值的多个测量值相对于一个范围来确定规定性分析，并且所述用户界面显示所述规定性分析。

8. 发明申请

WO2007117347A1 RULE-BASED STIMULATION PROGRAM SEARCH 审中-公开
标题翻译：基于规则的刺激程序搜索
公开(公告)号：WO2007117347A1
公开(公告)日：2007-10-18
申请号：PCT/US2007/002274
申请日：2007-01-26
申请人： MEDTRONIC, INC. , GOETZ, Steven, M. , JOHNSON, Donald, R. , HOUCHINS, Andrew, H. , KEACHER, Jeffrey, T. , STONE, Theodore, J. , HERUTH, Kenneth, T. , KING, Gary, W. , TESTERMAN, Roy, L.
发明人： GOETZ, Steven, M. , JOHNSON, Donald, R. , HOUCHINS, Andrew, H. , KEACHER, Jeffrey, T. , STONE, Theodore, J. , HERUTH, Kenneth, T. , KING, Gary, W. , TESTERMAN, Roy, L.
IPC分类号： G06F19/00
CPC分类号： A61N1/37264 , A61N1/36071 , A61N1/36132 , A61N1/36185 , A61N1/37247 , G06F19/00 , G16H40/63 , G16H50/20
摘要： Techniques that involve application of one or more rules to a "parent" program to generate a plurality of different "child" programs are described. Each of the rules may define a respective electrode configuration modification, and each child program may be a variation of the parent based on a modification of the electrode configuration of the parent according to one of the rules. The systems or devices may generate further generations of child programs from a previous generation child program using the same one or more rules. The child programs may be provided to a user, so that the user may test the efficacy of the new programs, assisting the user in identifying desirable programs. The child programs may be relatively minor variations of the parent program, and the user may "fine tune" a generally desirable parent program by testing the child programs.
摘要翻译：描述涉及将一个或多个规则应用于“父”程序以生成多个不同的“子”程序的技术。每个规则可以限定相应的电极配置修改，并且每个子程序可以是基于根据规则之一的父母的电极配置的修改的父母的变体。系统或设备可以使用相同的一个或多个规则从上一代子程序生成更多代的子程序。子程序可以被提供给用户，使得用户可以测试新程序的功效，帮助用户识别期望的程序。子程序可能是父程序的相对小的变化，并且用户可以通过测试子程序来“微调”通常期望的父程序。

9. 发明申请

WO2007097872A1 USER INTERFACE WITH 3D ENVIRONMENT FOR CONFIGURING STIMULATION THERAPY 审中-公开
标题翻译：用户界面与三维环境配置刺激治疗
公开(公告)号：WO2007097872A1
公开(公告)日：2007-08-30
申请号：PCT/US2007/002048
申请日：2007-01-24
申请人： MEDTRONIC, Inc. , STONE, Richard, T. , BALL, Warren, W. , WAHLSTRAND, Carl, D. , GOETZ, Steven, M. , OTTEN, Lynn, M.
发明人： STONE, Richard, T. , BALL, Warren, W. , WAHLSTRAND, Carl, D. , GOETZ, Steven, M. , OTTEN, Lynn, M.
IPC分类号： A61N1/372
CPC分类号： A61N1/37247 , A61N1/0529 , A61N1/0531 , A61N1/0534 , A61N1/0553 , A61N1/3605 , A61N1/3606 , A61N1/36082 , A61N1/36125 , A61N1/36146 , A61N1/36153 , A61N1/36157 , A61N1/36192 , G06F3/04815 , G06F3/04817 , G06F3/0482 , G06F19/00 , G06F19/321 , G06F19/325 , G16H50/50
摘要： The disclosure describes a method and system that allows a user to configure electrical stimulation therapy by defining a three-dimensional (3D) stimulation field. After a stimulation lead is implanted in a patient, a clinician manipulates the 3D stimulation field in a 3D environment to encompass desired anatomical regions of the patient. In this manner, the clinician determines which anatomical regions to stimulate, and the system generates the necessary stimulation parameters. In some cases, a lead icon representing the implanted lead is displayed to show the clinician where the lead is relative to the 3D anatomical regions of the patient.
摘要翻译：本公开描述了允许用户通过定义三维（3D）刺激场来配置电刺激治疗的方法和系统。在将刺激引线植入患者体内之后，临床医生操纵3D环境中的3D刺激场以包围病人的所需解剖区域。以这种方式，临床医生确定要刺激的解剖区域，并且系统产生必要的刺激参数。在一些情况下，显示代表植入引线的引线图标，以显示临床医生铅的相对于患者的3D解剖区域。

10. 发明申请

WO2006119097A1 TELEMETRY HEAD PROGRAMMER FOR IMPLANTABLE MEDICAL DEVICE AND SYSTEM AND METHOD 审中-公开
标题翻译：用于可植入医疗器械的电子头部编程器及系统及方法
公开(公告)号：WO2006119097A1
公开(公告)日：2006-11-09
申请号：PCT/US2006/016412
申请日：2006-04-28
申请人： MEDTRONIC, INC. , GOETZ, Steven, M. , BOURGET, Duane
发明人： GOETZ, Steven, M. , BOURGET, Duane
IPC分类号： A61N1/372
CPC分类号： A61N1/37264 , A61N1/37211 , A61N1/37235 , A61N1/37247
摘要： System, telemetry head and method for programming an implantable medical device adapted to provide a therapeutic output to a patient, the implantable medical device being programmable through a telemetry interface. A telemetry head is adapted for transcutaneous communication with the implantable medical device through the telemetry interface when the telemetry head is positioned with respect to the implantable medical device. A computing device has computing processing power and a user interface linked with the telemetry head. The computing device processes the computing instructions associated with the implantable medical device. The computing device supplies the user interface based, at least in part, on the computing instructions associated with the implantable medical device. The telemetry head receives programming instructions from the computing device and provides the programming instructions to the implantable medical device using the transcutaneous telemetry interface.
摘要翻译：系统，遥测头和用于编程适于向患者提供治疗输出的可植入医疗装置的方法，所述可植入医疗装置可通过遥测接口进行编程。当遥测头相对于可植入医疗装置定位时，遥测头适于通过遥测接口与可植入医疗装置的经皮通信。计算设备具有与遥测头相连的计算处理能力和用户界面。计算设备处理与可植入医疗设备相关联的计算指令。所述计算设备至少部分地基于与所述可植入医疗设备相关联的计算指令来提供所述用户界面。遥测头从计算设备接收编程指令，并使用经皮遥测接口将编程指令提供给可植入医疗设备。

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