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111. 发明申请

US20110125215A1 MEDICAL ELECTRICAL STIMULATION WITH IMPLANTABLE SIMULATED CASE ELECTRODE 有权
标题翻译：具有可植入模拟电极电极的医用电刺激
公开(公告)号：US20110125215A1
公开(公告)日：2011-05-26
申请号：US12829108
申请日：2010-07-01
申请人： Steven M. Goetz , Nathan A. Torgerson
发明人： Steven M. Goetz , Nathan A. Torgerson
IPC分类号： A61N1/375
CPC分类号： A61N1/3605 , A61N1/0534 , A61N1/0553 , A61N1/36017 , A61N1/36025 , A61N1/37247
摘要： This disclosure describes delivery of omnipolar electrical stimulation with an external electrical stimulator. Omnipolar electrical stimulation may involve stimulation with an electrode carried on the housing of an implantable medical device (IMD) while substantially simultaneously delivering stimulation via one or more implanted electrodes having the same polarity as the electrode on the housing. An external medical device (EMD) may simulate the IMD housing electrode with an electrode separate from the electrodes carried on leads implanted near target tissue. This electrode may be an external electrode carried on the external housing of the EMD or an external patch electrode. Alternatively, the electrode may be an implantable electrode coupled to the EMD. The conductivity of the external or implantable electrode may also be optimized to approximate the conductivity of the IMD housing electrode. This electrode coupled to the EMD may be utilized during trial stimulation or chronic, external, stimulation.
摘要翻译：本公开描述了用外部电刺激器递送全极电刺激。全极性电刺激可涉及利用携带在可植入医疗装置（IMD）的壳体上的电极进行刺激，同时通过一个或多个与壳体上的电极极性相同的注入电极输送刺激。外部医疗设备（EMD）可以模拟IMD外壳电极，其中电极与植入靶组织附近的导线上携带的电极分开。该电极可以是承载在EMD的外壳上的外部电极或外部贴片电极。或者，电极可以是耦合到EMD的可植入电极。外部或可植入电极的导电性也可以被优化以接近IMD外壳电极的导电性。耦合到EMD的该电极可以在试验刺激或慢性，外部刺激期间使用。

112. 发明申请

US20110106213A1 USER INTERFACE FOR OPTIMIZING ENERGY MANAGEMENT IN A NEUROSTIMULATION SYSTEM 审中-公开
标题翻译：用于在神经系统中优化能量管理的用户界面
公开(公告)号：US20110106213A1
公开(公告)日：2011-05-05
申请号：US12771475
申请日：2010-04-30
申请人： Jon P. Davis , Steven M. Goetz , Nathan A. Torgerson , Ashish Singal , Lynn A. Davenport , Rajeev M. Sahasrabudhe , Shyam Gokaldas , Joel A. Anderson , Leroy L. Perz , Scott E. Straka
发明人： Jon P. Davis , Steven M. Goetz , Nathan A. Torgerson , Ashish Singal , Lynn A. Davenport , Rajeev M. Sahasrabudhe , Shyam Gokaldas , Joel A. Anderson , Leroy L. Perz , Scott E. Straka
IPC分类号： A61N1/08
CPC分类号： G16H40/63 , G06F19/00
摘要： In one aspect, a programmer for an implantable medical device comprises a user interface that receives user input corresponding to one or more selected stimulation therapy parameters for delivering stimulation therapy to a patient with the implantable medical device and presents an energy consumption estimate of a power source based on the selected stimulation therapy parameters; and a processor that determines one or more programming options that, if selected, would alter the selected stimulation therapy parameters and reduce the energy consumption estimate. The user interface presents at least one of the programming options to reduce the energy consumption estimate to the user with an indication that user selection of one or more of the presented programming options would alter the selected stimulation therapy parameters to reduce energy consumption of the implantable medical device.
摘要翻译：在一个方面，一种用于可植入医疗装置的编程器包括用户接口，其接收对应于一个或多个所选择的刺激治疗参数的用户输入，以用可植入医疗装置向患者传递刺激治疗，并呈现电源的能量消耗估计基于所选择的刺激治疗参数; 以及处理器，其确定一个或多个编程选项，如果选择的话，将改变所选择的刺激治疗参数并减少能量消耗估计。用户界面呈现至少一个编程选项，以减少对用户的能量消耗估计，指示用户选择所呈现的编程选项中的一个或多个将改变所选择的刺激治疗参数以减少可植入医学的能量消耗设备。

113. 发明申请

US20100222846A1 REMOTELY- REQUESTED INTEGRITY DIAGNOSTICS 有权
标题翻译：远程请求的完整性诊断
公开(公告)号：US20100222846A1
公开(公告)日：2010-09-02
申请号：US12738056
申请日：2008-09-29
申请人： Steven M. Goetz
发明人： Steven M. Goetz
IPC分类号： A61N1/08
CPC分类号： G06F19/3418 , A61N2001/083 , G06F19/00 , G16H40/63
摘要： In general, the invention is directed toward techniques for remotely monitoring the integrity of a medical device and its components. A remote networking device communicates with a medical device, e.g., an implantable medical device, via a network. The remote networking device sends a request for an integrity measurement to the medical device via the network, a remote network that requests a medical device to perform an integrity measurement. In response to the request, the medical device performs the requested integrity measurement. The medical device may transmit a result of the integrity measurement, e.g., a measured value, back to the remote networking device via the network.
摘要翻译：通常，本发明涉及用于远程监测医疗装置及其部件的完整性的技术。远程网络设备经由网络与医疗设备（例如可植入医疗设备）进行通信。远程网络设备经由网络向远程网络发送对完整性测量的请求，远程网络请求医疗设备执行完整性测量。响应于该请求，医疗设备执行所请求的完整性测量。医疗设备可以经由网络将完整性测量的结果（例如，测量值）发送回远程网络设备。

114. 发明授权

US07747330B2 Global parameter adjustment for multiple stimulation programs 有权
标题翻译：多个刺激程序的全局参数调整
公开(公告)号：US07747330B2
公开(公告)日：2010-06-29
申请号：US11372354
申请日：2006-03-09
申请人： Joseph J. Nolan , Ruth E. Bauhahn , Steven M. Goetz
发明人： Joseph J. Nolan , Ruth E. Bauhahn , Steven M. Goetz
IPC分类号： A61N1/36
CPC分类号： A61N1/37252
摘要： A user may modify a stimulation parameter in a plurality of stimulation programs with a single adjustment. During stimulation therapy, the user, such as a patient, may desire to change a parameter of the plurality of stimulation programs. The patient may press a single button on an external programmer to make the parameter change, or global adjustment, to all of the plurality of stimulation programs. This global adjustment eliminates the need for the patient to navigate through each of the plurality of stimulation programs separately and adjust the parameter. Additionally, changing the plurality of stimulation programs may be desirable for uniform stimulation therapy between programs used by the patient. The external programmer may calculate an appropriate parameter change for each stimulation program to keep parameter ratios equal between the plurality of stimulation programs.
摘要翻译：用户可以通过单次调整来修改多个刺激程序中的刺激参数。在刺激治疗期间，诸如患者的使用者可能希望改变多个刺激程序的参数。患者可以按压外部编程器上的单个按钮使参数改变或全局调整到所有多个刺激程序。这种全局调整消除了患者需要单独导航多个刺激程序中的每一个并调整参数。此外，改变多个刺激程序对于患者使用的程序之间的均匀刺激治疗可能是期望的。外部编程器可以计算每个刺激程序的适当参数变化，以保持多个刺激程序之间的参数比率相等。

115. 发明申请

US20100010581A1 METHOD FOR CLOCK MANAGEMENT FOR AN IMPLANTABLE MEDICAL DEVICE 有权
标题翻译：可植入医疗器械的时钟管理方法
公开(公告)号：US20100010581A1
公开(公告)日：2010-01-14
申请号：US12501611
申请日：2009-07-13
申请人： Steven M. Goetz , Jiaying Shen , Emem D. Akpan
发明人： Steven M. Goetz , Jiaying Shen , Emem D. Akpan
IPC分类号： A61N1/08
CPC分类号： A61N1/37 , A61M5/14276 , A61M2005/14208 , A61M2205/3507 , A61N1/025 , A61N1/37247 , A61N1/37258 , A61N1/37264 , G16H20/17 , G16H40/63
摘要： An implantable medical device is capable of delivering the therapeutic output to the 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 select an amount of the therapeutic output to be delivered to the patient in at least one of the series of discrete timer intervals. However, the therapeutic output deliver to the patient is dependant upon the clock time to which the infusion device. In certain situations the infusion device clock time may have inaccuracies that grow over time. The clock time can be reset by the infusion programmer but a method must be in place to determine and account for resetting the infusion device clock time that controls when the therapy will be delivered.
摘要翻译：可植入医疗装置能够将治疗输出递送给患者。可由医学专业人员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在一系列离散定时器间隔中的至少一个中选择要传送给患者的治疗输出量的接口。然而，输送给患者的治疗输出取决于输液装置的时钟时间。在某些情况下，输液装置时钟时间可能会随时间而增长。时钟时间可以由输液程序员复位，但是必须有一种方法来确定和解决控制何时进行治疗的输液设备时钟时间。

116. 发明申请

US20090270947A1 CONFIGURING STIMULATION THERAPY USING STIMULATION INTENSITY 有权
标题翻译：使用刺激强度配置刺激治疗
公开(公告)号：US20090270947A1
公开(公告)日：2009-10-29
申请号：US12111822
申请日：2008-04-29
申请人： Richard T. Stone , Steven M. Goetz , Gregory F. Molnar , Gabriela C. Miyazawa , Martin T. Gerber
发明人： Richard T. Stone , Steven M. Goetz , Gregory F. Molnar , Gabriela C. Miyazawa , Martin T. Gerber
IPC分类号： A61N1/08
CPC分类号： A61N1/0534 , A61N1/0551 , A61N1/36082 , A61N1/37247
摘要： Techniques for configuring electrical stimulation therapy utilizing one or more stimulation intensity values are described. In one example, a method includes receiving a stimulation intensity value that corresponds to an equal intensity function; determining a pulse width value and a pulse amplitude value based on the equal intensity function; and controlling delivery of electrical stimulation pulses with the determined pulse width value and amplitude value to a patient. A stimulation intensity value may correspond to a plurality of paired pulse width and amplitude values having substantially the same intensity. For example, the plurality of paired pulse width and amplitude values may activate a substantially equal volume of tissue when a stimulation pulse with the paired values is delivered.
摘要翻译：描述了利用一个或多个刺激强度值来配置电刺激治疗的技术。在一个示例中，一种方法包括接收对应于等强度函数的刺激强度值; 基于等强度函数确定脉冲宽度值和脉冲振幅值; 并且以确定的脉冲宽度值和振幅值来控制对电刺激脉冲的传递给患者。刺激强度值可以对应于具有基本上相同强度的多个成对的脉冲宽度和幅度值。例如，当递送具有成对值的刺激脉冲时，多个成对的脉冲宽度和振幅值可以激活基本上相等体积的组织。

117. 发明申请

US20090198306A1 AUTOMATED PROGRAMMING OF ELECTRICAL STIMULATION ELECTRODES USING POST-IMPLANT IMAGING 有权
标题翻译：使用后植入图像自动编程电刺激电极
公开(公告)号：US20090198306A1
公开(公告)日：2009-08-06
申请号：US12359261
申请日：2009-01-23
申请人： Steven M. Goetz , Wende L. Dewing
发明人： Steven M. Goetz , Wende L. Dewing
IPC分类号： A61N1/00 , A61B5/05
CPC分类号： A61N1/37264 , A61N1/0551 , A61N1/36185 , A61N1/37247 , G06F19/00 , G06T7/0012 , G06T7/73 , G06T2207/10116 , G06T2207/30052 , G06T2207/30196
摘要： In general, the disclosure is related to characterization of implanted electrical stimulation electrode arrays using post-implant imaging. The electrode arrays may be carried by implanted leads. Characterization of implanted electrode arrays may include identification of the type or types of leads implanted within a patient and/or determination of positions of the implanted leads or electrodes carried by the leads relative to one another or relative to anatomical structures within the patient. In addition, the disclosure relates to techniques for specifying or modifying patient therapy parameters based on the characterization of the implanted electrode arrays.
摘要翻译：通常，本公开涉及使用植入后成像的植入电刺激电极阵列的表征。电极阵列可以由注入引线携带。植入电极阵列的表征可以包括识别植入在患者体内的引线的类型或类型，和/或确定由导线相对于彼此或相对于患者内的解剖结构承载的植入引线或电极的位置。此外，本公开涉及基于植入的电极阵列的表征来指定或修改患者治疗参数的技术。

118. 发明授权

US07548786B2 Library for management of neurostimulation therapy programs 有权
标题翻译：神经刺激治疗方案管理图书馆
公开(公告)号：US07548786B2
公开(公告)日：2009-06-16
申请号：US10406041
申请日：2003-04-02
申请人： Michael T. Lee , Daniel K. Vinup , Steven M. Goetz
发明人： Michael T. Lee , Daniel K. Vinup , Steven M. Goetz
IPC分类号： A61N1/18
CPC分类号： A61N1/36071 , A61N1/08 , A61N1/37247
摘要： An implantable medical device delivers neurostimulation therapy to a patient according to a parameter set. A parameter set may consist of a number of programs that are delivered substantially simultaneously. When programming the implantable medical device for the patient, a clinician programmer may maintain a session log for the patient that includes a listing of programs delivered to the patient and rating information provided by a clinician and the patient for programs of the list. The listing may be ordered according to the rating information in order to facilitate the selection of programs for a parameter set. A program library that may include particularly effective programs organized according to a directory structure may be stored in a memory. One or both of the implantable medical device and a patient programmer may store usage information that provides an objective assessment of therapy use by the patient, and allows a clinician to later improve the therapy based on the usage information.
摘要翻译：植入式医疗装置根据参数组向患者传递神经刺激疗法。参数集可以包括大量同时传送的多个节目。当编程用于患者的可植入医疗装置时，临床医生程序员可以维护患者的会话日志，其包括递送给患者的程序的列表以及由临床医生和患者提供的用于该列表的程序的评估信息。可以根据评级信息对列表进行排序，以便于选择参数集的程序。可以包括根据目录结构组织的特别有效的程序的程序库可以存储在存储器中。可植入医疗装置和患者编程器中的一个或两个可以存储提供患者的治疗使用的客观评估的使用信息，并且允许临床医生随后基于使用信息来改进治疗。

119. 发明申请

US20080140160A1 Intelligent discovery of medical devices by a programming system 有权
标题翻译：通过编程系统智能发现医疗设备
公开(公告)号：US20080140160A1
公开(公告)日：2008-06-12
申请号：US11800423
申请日：2007-05-04
申请人： Steven M. Goetz , Touby A. Drew , Earle T. Roberts
发明人： Steven M. Goetz , Touby A. Drew , Earle T. Roberts
IPC分类号： A61N1/00
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。

120. 发明申请

US20070203545A1 User interface with 3D environment for configuring stimulation therapy 有权
标题翻译：用户界面与3D环境配置刺激疗法
公开(公告)号：US20070203545A1
公开(公告)日：2007-08-30
申请号：US11591281
申请日：2006-10-31
申请人： Richard T. Stone , Warren W. Ball , Carl D. Wahlstrand , Steven M. Goetz , Lynn M. Otten
发明人： Richard T. Stone , Warren W. Ball , Carl D. Wahlstrand , Steven M. Goetz , Lynn M. Otten
IPC分类号： A61N1/00
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，并且系统产生必需的刺激参数。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。

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