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91. 发明申请

US20140052227A1 Implantable Medical Leads and Systems that Utilize Reflection Points to Control Induced Radio Frequency Energy 有权
标题翻译：使用反射点控制诱发射频能量的植入式医疗线索和系统
公开(公告)号：US20140052227A1
公开(公告)日：2014-02-20
申请号：US13981577
申请日：2012-01-27
申请人： Carl D. Wahlstrand , Thomas B. Hoegh
发明人： Carl D. Wahlstrand , Thomas B. Hoegh
IPC分类号： A61N1/08 , A61N1/05
CPC分类号： A61N1/08 , A61N1/05 , A61N1/086
摘要： Implantable medical leads and systems utilize reflection points within the lead to control radio frequency current that has been induced onto one or more filars. The radio frequency current may be controlled by the reflection points to block at least some of the radio frequency current from reaching an electrode of the lead and to dissipate at least some of the radio frequency current as heat on the filar. Controlling the radio frequency current thereby reduces the amount that is dissipated into bodily tissue through one or more electrodes of the lead and reduces the likelihood of tissue damage. The reflection points may be created by physical changes such as to material or size in the filar and/or in insulation layers that may be present such as an inner jacket about the filar and an outer jacket formed by the body of the lead.
摘要翻译：植入式医疗引线和系统利用引线内的反射点来控制已被诱导到一个或多个丝状体上的射频电流。射频电流可以由反射点控制，以阻止射频电流中的至少一些到达引线的电极，并将至少一些射频电流作为热丝散布在丝状体上。控制射频电流从而减少通过引线的一个或多个电极消散到身体组织中的量，并减少了组织损伤的可能性。反射点可以通过物理变化产生，例如在丝状物和/或可能存在的绝缘层中的材料或尺寸，例如围绕丝状物的内护套和由引线主体形成的外护套。

92. 发明授权

US08620435B2 Combination therapy including peripheral nerve field stimulation 有权
公开(公告)号：US08620435B2
公开(公告)日：2013-12-31
申请号：US11450133
申请日：2006-06-09
申请人： Ethan A. Rooney , Carl D. Wahlstrand , Gary W. King , Thomas E. Cross, Jr. , Jeffrey S. Evanson , Kenneth T. Heruth , Paul W. Wacnik
发明人： Ethan A. Rooney , Carl D. Wahlstrand , Gary W. King , Thomas E. Cross, Jr. , Jeffrey S. Evanson , Kenneth T. Heruth , Paul W. Wacnik
IPC分类号： A61N1/34
CPC分类号： A61N1/36021 , A61M5/14 , A61M5/142 , A61M2205/054 , A61N1/0531 , A61N1/0534 , A61N1/0553 , A61N1/0558 , A61N1/36017 , A61N1/36071 , A61N1/37211 , A61N1/375
摘要： Delivery of peripheral nerve field stimulation (PNFS) in combination with one or more other therapies is described. The other therapy delivered in combination with PNFS may be, for example, a different type of neurostimulation, such as spinal cord stimulation (SCS), or a drug. PNFS and the other therapy may be delivered simultaneously, in an alternating fashion, according to a schedule, and/or selectively, e.g., in response to a request received from a patient or clinician. A combination therapy that includes PNFS may be able to more completely address complex or multifocal pain than would be possible through delivery of either PNFS or other therapies alone. Further, the combination of PNFS with one or more other therapies may reduce the likelihood that neural accommodation will impair the perceived effectiveness PNFS or the other therapies.

93. 发明授权

US08588914B2 Implantable medical device with electrodes on multiple housing surfaces 有权
标题翻译：可植入医疗设备，电极在多个外壳表面
公开(公告)号：US08588914B2
公开(公告)日：2013-11-19
申请号：US11450127
申请日：2006-06-09
申请人： Ethan A. Rooney , Carl D. Wahlstrand , Gary W. King , Thomas E. Cross, Jr. , Richard T. Stone
发明人： Ethan A. Rooney , Carl D. Wahlstrand , Gary W. King , Thomas E. Cross, Jr. , Richard T. Stone
IPC分类号： A61N1/375
CPC分类号： A61N1/375 , A61N1/0504 , A61N1/0531 , A61N1/0534 , A61N1/0553 , A61N1/36071 , A61N1/3756
摘要： An implantable medical device (IMD) with a housing and electrodes on at least two surfaces of the housing is described. The surfaces may be, for example, opposed, substantially parallel surfaces, e.g., top and bottom surfaces. Location of electrodes on multiple surfaces of the housing may allow the IMD to deliver stimulation to a variety of tissues and with a variety of current field configurations. For example, the IMD may deliver peripheral nerve field stimulation (PNFS) to one or more tissue areas via electrodes selected from one or both of the surfaces to, for example, reduce the sensation of pain in a tissue area proximate to an implantation site of the IMD without targeting a specific nerve. The IMD may be implanted between or within intra-dermal, deep dermal, or subcutaneous layers of the tissue of the patient to deliver PNFS to any one or more of these layers.
摘要翻译：描述了在壳体的至少两个表面上具有壳体和电极的可植入医疗装置（IMD）。表面可以是例如相对的基本上平行的表面，例如顶部和底部表面。电极在壳体的多个表面上的位置可以允许IMD将刺激递送到各种组织以及各种当前的现场配置。例如，IMD可以通过选自一个或两个表面的电极将外周神经区域刺激（PNFS）递送到一个或多个组织区域，以例如减少接近植入部位的组织区域中的疼痛感觉 IMD没有针对特定的神经。 IMD可以植入在患者组织的真皮内，深层皮肤或皮下层之间或内，以将PNFS递送到这些层中的任何一个或多个层。

94. 发明授权

US08452415B2 Electrical and activation field models for programming a stimulation lead with complex electrode array geometry 有权
标题翻译：用于通过复杂电极阵列几何编程刺激引线的电和激活场模型
公开(公告)号：US08452415B2
公开(公告)日：2013-05-28
申请号：US11591187
申请日：2006-10-31
申请人： Steven M. Goetz , Richard T. Stone , Warren W. Ball , Carl D. Wahlstrand
发明人： Steven M. Goetz , Richard T. Stone , Warren W. Ball , Carl D. Wahlstrand
IPC分类号： A61N1/08
CPC分类号： A61N1/0529 , A61N1/0531 , A61N1/0534 , A61N1/0553 , A61N1/36071 , A61N1/36082 , A61N1/36185 , A61N1/37247
摘要： The disclosure is directed to programming implantable stimulators to deliver stimulation energy via one or more implantable leads having complex electrode array geometries. A programmer is configured to generate an electrical field model from selected stimulation parameters and patient anatomy data. The electrical field model indicates how the electrical field propagation would occur in the patient during therapy. In addition, the programmer may be configured to generate an activation field model from the electrical field model and a neuron model. The activation field indicates which neurons within the electrical field will be activated during the therapy. Either of these field models may be presented to the user via a user interface that also displays a representation of the lead implanted within the patient. The user interface may allow the user to adjust the stimulation therapy by manipulating displayed field or activation model representations.
摘要翻译：本公开涉及编程可植入刺激器以通过具有复杂电极阵列几何形状的一个或多个可植入引线输送刺激能量。编程器被配置为从所选择的刺激参数和患者解剖数据生成电场模型。电场模型指示治疗期间患者的电场传播如何发生。此外，程序员可以被配置为从电场模型和神经元模型生成激活场模型。激活区域指示在治疗期间电场内的哪些神经元将被激活。这些现场模型中的任一个可以经由还显示植入患者体内的引线的表示的用户界面呈现给用户。用户界面可以允许用户通过操纵显示的场或激活模型表示来调整刺激疗法。

95. 发明申请

US20120316619A1 PROGRAMMING INTERFACE FOR STIMULATION THERAPY 有权
标题翻译：用于刺激治疗的编程接口
公开(公告)号：US20120316619A1
公开(公告)日：2012-12-13
申请号：US13592918
申请日：2012-08-23
申请人： Steven M. Goetz , Richard T. Stone , Warren W. Ball , Carl D. Wahlstrand
发明人： Steven M. Goetz , Richard T. Stone , Warren W. Ball , Carl D. Wahlstrand
IPC分类号： A61N1/36
CPC分类号： A61N1/0534 , A61N1/36071 , A61N1/36157 , A61N1/36185 , A61N1/37247
摘要： The disclosure is directed to programming implantable stimulators to deliver stimulation energy via one or more implantable leads having complex electrode array geometries. The disclosure also contemplates guided programming to select electrode combinations and parameter values to support efficacy. The techniques may be applied to a programming interface associated with a clinician programmer, a patient programmer, or both. A user interface permits a user to view electrodes from different perspectives relative to the lead. For example, the user interface provides a side view of a lead and a cross-sectional view of the lead. The user interface may include an axial control medium to select and/or view electrodes at different axial positions along the length of a lead, and a rotational control medium to select and/or view electrodes at different angular positions around a circumference of the lead.
摘要翻译：本公开涉及编程可植入刺激器以通过具有复杂电极阵列几何形状的一个或多个可植入引线输送刺激能量。本公开还考虑了引导编程以选择电极组合和参数值以支持功效。这些技术可以应用于与临床医生程序员，患者程序员或两者相关联的编程接口。用户界面允许用户从相对于铅的不同角度来观察电极。例如，用户界面提供引线的侧视图和引线的横截面图。用户界面可以包括轴向控制介质，用于选择和/或查看沿引线长度的不同轴向位置处的电极;以及旋转控制介质，用于选择和/或查看围绕引线圆周的不同角位置处的电极。

96. 发明授权

US08295936B2 Implantable neurostimulator device 失效
标题翻译：植入式神经刺激装置
公开(公告)号：US08295936B2
公开(公告)日：2012-10-23
申请号：US12476023
申请日：2009-06-01
申请人： Carl D. Wahlstrand , Robert M. Skime
发明人： Carl D. Wahlstrand , Robert M. Skime
IPC分类号： A61N1/375
CPC分类号： A61N1/0504 , A61N1/0456 , A61N1/0476 , A61N1/0492 , A61N1/0502 , A61N1/36071 , A61N1/3756
摘要： The disclosure describes an implantable neurostimulator device for delivery of neurostimulation to treat head, neck, or facial pain or tension, including pain or tension caused by occipital neuralgia. The device may be a neurostimulation device having a miniaturized housing with a low profile that permits subcutaneous implantation at a stimulation site directly adjacent a neuralgic region at the back of the neck of a patient. For example, the device may be subcutaneously implanted at the back of the neck of a patient to relieve symptoms of occipital neuralgia.
摘要翻译：本公开描述了用于递送神经刺激以治疗头部，颈部或面部疼痛或张力的可植入神经刺激器装置，包括由枕骨神经痛引起的疼痛或张力。该装置可以是具有小型化的壳体的神经刺激装置，其具有允许在紧邻患者颈部后方的神经痛区域的刺激部位皮下植入。例如，该装置可以皮下植入患者颈部的后部以减轻枕骨神经痛的症状。

97. 发明申请

US20120209352A1 IMPLANTABLE MEDICAL DEVICE 有权
标题翻译：可植入医疗器械
公开(公告)号：US20120209352A1
公开(公告)日：2012-08-16
申请号：US13398588
申请日：2012-02-16
申请人： John Kast , Carl D. Wahlstrand , Mark J. Conroy , Erik R. Scott
发明人： John Kast , Carl D. Wahlstrand , Mark J. Conroy , Erik R. Scott
IPC分类号： A61N1/375 , A61N1/378
CPC分类号： G01R33/56572 , A61B5/055 , A61B34/10 , A61N1/05 , A61N1/0529 , A61N1/0551 , A61N1/08 , A61N1/086 , A61N1/3605 , A61N1/36125 , A61N1/3718 , A61N1/375 , A61N1/3758 , A61N1/378 , G01R33/3875 , H01M2/0217 , H01M2/026 , H01M2/0275 , H01M2/0285 , H01M2/0404 , H01M2/1066 , H01M2/22 , H01M2/263 , H01M2/30 , H01M10/0431 , H01M10/052 , H01M10/0525 , H01M10/0587 , H01M2220/30 , Y10T29/49 , Y10T29/49002
摘要： An implantable medical device includes a housing having a coating selectively provided on only a portion of the housing and a plurality of electronic components provided within an interior space defined by the housing. A first of the electronic components is a charging or telemetry coil and a second of the electronic components is a circuit board. The coating is provided on the housing in a first region near a component of the circuit board and is not provided on the housing in a second region near the charging or telemetry coil. The coating has a magnetic permeability suitable to and is provided in an amount effective to reduce MRI image distortion caused by the component of the circuit board.
摘要翻译：可植入医疗装置包括壳体，其具有仅选择性地设置在壳体的一部分上的涂层和设置在由壳体限定的内部空间内的多个电子部件。电子部件中的第一个是充电或遥测线圈，并且第二电子部件是电路板。涂层在靠近电路板的部件的第一区域中设置在壳体上，并且在充电或遥测线圈附近的第二区域中不设置在壳体上。该涂层具有适于和提供有效降低由电路板的部件引起的MRI图像失真的量的磁导率。

98. 发明授权

US08244367B2 Closed loop long range recharging 有权
标题翻译：闭环长距离充电
公开(公告)号：US08244367B2
公开(公告)日：2012-08-14
申请号：US12256811
申请日：2008-10-23
申请人： Carl D. Wahlstrand , John E. Kast , Timothy J. Denison , John J. Grevious , Todd A. Kallmyer
发明人： Carl D. Wahlstrand , John E. Kast , Timothy J. Denison , John J. Grevious , Todd A. Kallmyer
IPC分类号： A61N1/00 , A61B5/00
CPC分类号： A61N1/3787
摘要： A charging system for an implantable medical device having a secondary coil. The charging system includes an external power source having at least one primary coil, a modulation, circuit operatively coupled to the primary coil and capable of driving it in a manner characterized by a charging parameter, and a sensor in communication with the modulation circuit and capable of sensing a condition indicating a need to adjust the charging parameter during a charging process. The parameter may be varied so that data sensed by the sensor meets a threshold requirement, which may be based on a patient preference, a government regulation, a recommendation promulgated by a health authority and/or a requirement associated with another device carried by the patient. In one embodiment, the regulation dictates maximum magnetic field exposure, and a field limiting circuit is employed to adjust the charging process.
摘要翻译：一种具有次级线圈的可植入医疗装置的充电系统。充电系统包括外部电源，该外部电源具有至少一个初级线圈，可操作地耦合到初级线圈并且能够以特征在于充电参数的方式驱动它的调制电路，以及与调制电路通信并具有能力的传感器感测在充电过程中指示需要调整充电参数的条件。该参数可以变化，使得由传感器感测的数据满足阈值要求，其可以基于患者偏好，政府法规，卫生当局颁布的建议和/或与患者携带的另一装置相关联的要求。在一个实施例中，调节规定了最大磁场曝光，并且采用场限制电路来调节充电过程。

99. 发明申请

US20120083867A1 HUB FOR IMPLANTABLE MEDICAL LEADS 有权
标题翻译：用于可植入医疗领域的HUB
公开(公告)号：US20120083867A1
公开(公告)日：2012-04-05
申请号：US13376141
申请日：2010-06-21
申请人： Carl D. Wahlstrand , Dale F. Seeley , Gabriela C. Molnar , Lisa M. Johanek
发明人： Carl D. Wahlstrand , Dale F. Seeley , Gabriela C. Molnar , Lisa M. Johanek
IPC分类号： A61N1/05
CPC分类号： H04L12/189 , A61N1/3752 , H01R13/5224 , H01R24/58 , H01R31/02 , H01R2107/00 , H01R2201/12 , H04L51/38 , H04W72/005 , H04W72/1273 , H04W72/1289
摘要： A hub (200) includes a first lead receptacle having a plurality of contacts (280) for electrically coupling a lead to an implantable electrical device. The hub further contains a second lead receptacle having a plurality of contacts for electrically coupling a lead to the implantable electrical device. At least one of the plurality of contacts of the first receptacle is a contact of the second receptacle. Such a configuration may allow for the overall size of the hub to be reduced relative to a hub where each discrete contact of the hub corresponds to a discrete contact or electrical channel of the implantable electrical device.
摘要翻译：轮毂（200）包括具有用于将引线电耦合到可植入电气装置的多个触点（280）的第一引线插座。轮毂还包括具有用于将引线电耦合到可植入电气装置的多个触点的第二引线插座。第一容器的多个触点中的至少一个是第二插座的触点。这种构造可以允许毂的总体尺寸相对于轮毂减小，其中毂的每个离散接触对应于可植入电气设备的离散接触或电通道。

100. 发明申请

US20120078268A1 ARCUATE INTRODUCER 有权
标题翻译： ARCUATE简介
公开(公告)号：US20120078268A1
公开(公告)日：2012-03-29
申请号：US13376104
申请日：2010-06-21
申请人： Carl D. Wahlstrand , John E. Kast , Gabriela C. Molnar , Glenna L. Case , Lisa M. Johanek , Phillip C. Falkner
发明人： Carl D. Wahlstrand , John E. Kast , Gabriela C. Molnar , Glenna L. Case , Lisa M. Johanek , Phillip C. Falkner
IPC分类号： A61B19/00
CPC分类号： A61B17/3468 , A61M25/0041 , A61M25/01 , A61M25/0105 , A61N1/05 , A61N1/0504
摘要： An introducer for a medical lead, the introducer having an arcuate component for creating an arcuate path in a patient. When used to percutaneously implant a medical device such as a medical lead with electrodes, the implanted lead has an arcuate configuration. The implanted lead can be used to at least partially encircle or bracket a region of chronic pain and provide therapeutic electrical signals to the region.
摘要翻译：一种用于医用引线的引导器，所述导引器具有用于在患者体内产生弧形路径的弓形部件。当用于经皮植入诸如具有电极的医用引线的医疗装置时，植入的引线具有弓形构造。植入的引线可用于至少部分地环绕或支撑慢性疼痛区域，并向该区域提供治疗电信号。

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