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1. 发明申请

US20110056076A1 MEDICAL LEAD WITH SEGMENTED ELECTRODE 有权
标题翻译：医用铅带有电极
公开(公告)号：US20110056076A1
公开(公告)日：2011-03-10
申请号：US12948592
申请日：2010-11-17
申请人： Michael Hegland , Richard T. Stone
发明人： Michael Hegland , Richard T. Stone
IPC分类号： H01R43/16
CPC分类号： A61N1/0551 , A61B5/0422 , A61B2562/125 , B29C45/14639 , B29L2031/753 , Y10T29/49117 , Y10T29/49151 , Y10T29/49169 , Y10T29/49176 , Y10T29/49181 , Y10T29/49204 , Y10T29/4922
摘要： A method of manufacturing a segmented electrode assembly. An electrically conducting tube is coupled to an electrically insulating material. The tube is generally cylindrical and hollow and defines one or more gaps at a first axial position. The tube also includes one or more bridges located at a second axial position. The method includes removing at least a portion of the bridge resulting in a segmented electrode assembly having at least one segment. A number embodiments of making a tube are also provided. In another embodiment a method of manufacturing a medical lead using a segmented electrode assembly is provided.
摘要翻译：一种制造分段电极组件的方法。导电管耦合到电绝缘材料。管通常为圆柱形且中空并且在第一轴向位置限定一个或多个间隙。管还包括位于第二轴向位置的一个或多个桥。该方法包括去除桥的至少一部分，产生具有至少一个段的分段电极组件。还提供了制造管的多个实施例。在另一个实施例中，提供了使用分段电极组件制造医疗引线的方法。

2. 发明授权

US08903504B2 Shielded implantable medical lead with reduced torsional stiffness 有权
标题翻译：屏蔽植入式医用导线，扭转刚度降低
公开(公告)号：US08903504B2
公开(公告)日：2014-12-02
申请号：US13265077
申请日：2010-04-28
申请人： Michael Hegland , Gary W. Salminen , Richard T. Stone , Spencer M. Bondhus
发明人： Michael Hegland , Gary W. Salminen , Richard T. Stone , Spencer M. Bondhus
IPC分类号： A61N1/36 , A61N1/05 , A61N1/37 , A61B19/00 , A61N1/375 , A61N1/08
CPC分类号： A61N1/08 , A61B90/39 , A61B2090/3966 , A61N1/05 , A61N1/0551 , A61N1/086 , A61N1/3718 , A61N1/3752 , A61N2001/058 , A61N2001/0582 , A61N2001/086 , Y10T29/49016 , Y10T29/49117 , Y10T29/4921 , Y10T29/49227 , Y10T29/49826
摘要： Shields within implantable leads increase the torsional stiffness of the leads. The torsional stiffness may be reduced by cutting the shield axially to break the circumferential mechanical continuity of the shield. The circumferential shielding continuity of the shield may be re-established to preserve the shielding effect in various manners. The shield may overlap onto itself to close the slot created by the cut. A shield patch may be placed across the slot created by the cut. The shield may be located between two insulation layers of the lead. The shield may be cut and then the slot closed prior to application of the outer insulation layer. The outer insulation layer may then be added over the shield. The outer insulation layer may be compliant so that once covered, the circumferential mechanical continuity of the shield remains broken.
摘要翻译：可植入引线内的护盾增加引线的扭转刚度。可以通过轴向切割屏蔽来破坏屏蔽件的周向机械连续性来减小扭转刚度。可以重新建立屏蔽件的圆周屏蔽连续性，以各种方式保持屏蔽效果。屏蔽可能会重叠在自身上，以关闭由切割创建的槽。屏蔽贴片可以放置在由切口产生的狭槽上。屏蔽可以位于引线的两个绝缘层之间。屏蔽可以被切割，然后在施加外绝缘层之前关闭槽。然后可以将外部绝缘层添加到屏蔽上。外绝缘层可以是柔性的，使得一旦被覆盖，屏蔽层的周向机械连续性保持断裂。

3. 发明申请

US20120053664A1 SHIELDED IMPLANTABLE MEDICAL LEAD WITH REDUCED TORSIONAL STIFFNESS 有权
标题翻译：具有降低扭转力的SHIELDED可植入式医疗引线
公开(公告)号：US20120053664A1
公开(公告)日：2012-03-01
申请号：US13265077
申请日：2010-04-28
申请人： Michael Hegland , Gary W. Salminen , Richard T. Stone , Spencer M. Bondhus
发明人： Michael Hegland , Gary W. Salminen , Richard T. Stone , Spencer M. Bondhus
IPC分类号： A61N1/00 , B23P11/00
CPC分类号： A61N1/08 , A61B90/39 , A61B2090/3966 , A61N1/05 , A61N1/0551 , A61N1/086 , A61N1/3718 , A61N1/3752 , A61N2001/058 , A61N2001/0582 , A61N2001/086 , Y10T29/49016 , Y10T29/49117 , Y10T29/4921 , Y10T29/49227 , Y10T29/49826
摘要： Shields within implantable leads increase the torsional stiffness of the leads. The torsional stiffness may be reduced by cutting the shield axially to break the circumferential mechanical continuity of the shield. The circumferential shielding continuity of the shield may be re-established to preserve the shielding effect in various manners. The shield may overlap onto itself to close the slot created by the cut. A shield patch may be placed across the slot created by the cut. The shield may be located between two insulation layers of the lead. The shield may be cut and then the slot closed prior to application of the outer insulation layer. The outer insulation layer may then be added over the shield. The outer insulation layer may be compliant so that once covered, the circumferential mechanical continuity of the shield remains broken.
摘要翻译：可植入引线内的护盾增加引线的扭转刚度。可以通过轴向切割屏蔽来破坏屏蔽件的圆周机械连续性来减小扭转刚度。可以重新建立屏蔽件的圆周屏蔽连续性，以各种方式保持屏蔽效果。屏蔽可能会重叠在自身上，以关闭由切割创建的槽。屏蔽贴片可以放置在由切口产生的狭槽上。屏蔽可以位于引线的两个绝缘层之间。屏蔽可以被切割，然后在施加外绝缘层之前关闭槽。然后可以将外部绝缘层添加到屏蔽上。外绝缘层可以是柔性的，使得一旦被覆盖，屏蔽层的周向机械连续性保持断裂。

4. 发明授权

US07761985B2 Method of manufacturing a medical lead 有权
标题翻译：医用铅的制造方法
公开(公告)号：US07761985B2
公开(公告)日：2010-07-27
申请号：US11343752
申请日：2006-01-31
申请人： Michael Hegland , Richard T. Stone
发明人： Michael Hegland , Richard T. Stone
IPC分类号： H01R43/16
CPC分类号： A61N1/0551 , A61B5/0422 , A61B2562/125 , B29C45/14639 , B29L2031/753 , Y10T29/49117 , Y10T29/49151 , Y10T29/49169 , Y10T29/49176 , Y10T29/49181 , Y10T29/49204 , Y10T29/4922
摘要： A method of manufacturing a segmented electrode assembly. An electrically conducting tube is coupled to an electrically insulating material. The tube is generally cylindrical and hollow and defines one or more gaps at a first axial position. The tube also includes one or more bridges located at a second axial position. The method includes removing at least a portion of the bridge resulting in a segmented electrode assembly having at least one segment. A number embodiments of making a tube are also provided. In another embodiment a method of manufacturing a medical lead using a segmented electrode assembly is provided.
摘要翻译：一种制造分段电极组件的方法。导电管耦合到电绝缘材料。管通常为圆柱形且中空并且在第一轴向位置限定一个或多个间隙。管还包括位于第二轴向位置的一个或多个桥。该方法包括去除桥的至少一部分，产生具有至少一个段的分段电极组件。还提供了制造管的多个实施例。在另一个实施例中，提供了使用分段电极组件制造医疗引线的方法。

5. 发明授权

US08739403B2 Method of manufacturing a medical lead 有权
标题翻译：医用铅的制造方法
公开(公告)号：US08739403B2
公开(公告)日：2014-06-03
申请号：US12948592
申请日：2010-11-17
申请人： Michael Hegland , Richard T. Stone
发明人： Michael Hegland , Richard T. Stone
IPC分类号： H01R43/00
CPC分类号： A61N1/0551 , A61B5/0422 , A61B2562/125 , B29C45/14639 , B29L2031/753 , Y10T29/49117 , Y10T29/49151 , Y10T29/49169 , Y10T29/49176 , Y10T29/49181 , Y10T29/49204 , Y10T29/4922
摘要： A method of manufacturing a segmented electrode assembly. An electrically conducting tube is coupled to an electrically insulating material. The tube is generally cylindrical and hollow and defines one or more gaps at a first axial position. The tube also includes one or more bridges located at a second axial position. The method includes removing at least a portion of the bridge resulting in a segmented electrode assembly having at least one segment. A number embodiments of making a tube are also provided. In another embodiment a method of manufacturing a medical lead using a segmented electrode assembly is provided.
摘要翻译：一种制造分段电极组件的方法。导电管耦合到电绝缘材料。管通常为圆柱形且中空并且在第一轴向位置限定一个或多个间隙。管还包括位于第二轴向位置的一个或多个桥。该方法包括去除桥的至少一部分，产生具有至少一个段的分段电极组件。还提供了制造管的多个实施例。在另一个实施例中，提供了使用分段电极组件制造医疗引线的方法。

6. 发明授权

US08000808B2 Medical lead with segmented electrode 有权
标题翻译：带分段电极的医用引线
公开(公告)号：US08000808B2
公开(公告)日：2011-08-16
申请号：US11343667
申请日：2006-01-31
申请人： Michael Hegland , Richard T. Stone
发明人： Michael Hegland , Richard T. Stone
IPC分类号： A61N1/00 , A61B5/04
CPC分类号： A61N1/0551 , A61B5/0422 , A61B2562/125 , B29C45/14639 , B29L2031/753 , Y10T29/49117 , Y10T29/49151 , Y10T29/49169 , Y10T29/49176 , Y10T29/49181 , Y10T29/49204 , Y10T29/4922
摘要： A medical lead having a conductor assembly and a segmented electrode assembly. The segmented electrode assembly includes a conductive segment electrically coupled to a conductor of the conductor assembly. A passageway is positioned between an inner surface and outer surface of the conductive segment. An electrically insulating material extends through the first passageway and into a gap adjacent the conductive segment. A segmented electrode assembly is also provided. The segmented electrode assembly includes a conductive segment having a passageway between an inner surface and outer surface of the conductive segment. An electrically insulating material extends through the passageway and into a gap adjacent the conductive segment.
摘要翻译：具有导体组件和分段电极组件的医用引线。分段电极组件包括电连接到导体组件的导体的导电部分。通道位于导电段的内表面和外表面之间。电绝缘材料延伸穿过第一通道并且延伸到与导电段相邻的间隙中。还提供了分段电极组件。分段电极组件包括具有在导电段的内表面和外表面之间的通路的导电段。电绝缘材料延伸穿过通道并延伸到与导电段相邻的间隙中。

7. 发明授权

US09216286B2 Shielded implantable medical lead with guarded termination 有权
标题翻译：屏蔽植入式医用导线，带有防护端接
公开(公告)号：US09216286B2
公开(公告)日：2015-12-22
申请号：US13265098
申请日：2010-04-28
申请人： Richard T. Stone , Mark J. Conroy , Wanzhan Liu , Gary W. Salminen
发明人： Richard T. Stone , Mark J. Conroy , Wanzhan Liu , Gary W. Salminen
IPC分类号： A61N1/00 , A61N1/08 , A61N1/05 , A61N1/37 , A61N1/375 , A61M25/01 , A61B19/00
CPC分类号： A61N1/08 , A61B90/39 , A61B2090/3966 , A61N1/05 , A61N1/0551 , A61N1/086 , A61N1/3718 , A61N1/3752 , A61N2001/058 , A61N2001/0582 , A61N2001/086 , Y10T29/49016 , Y10T29/49117 , Y10T29/4921 , Y10T29/49227 , Y10T29/49826
摘要： Implantable medical leads include a shield that is guarded at a termination by having a first portion and second portion of the shield, where the first portion is between a termination of the shield at the second portion and an inner insulation layer surrounding the filars. The first portion may reduce the coupling of RF energy from the termination of the shield at the second portion to the filars. The first and second portions may be part of a continuous shield, where the first and second portions are separated by an inversion of the shield. The first and second portions may instead be separate pieces. The first portion may be noninverted residing between the termination at the second portion and inner layers, or the first portion may be inverted to create first and second sub-portions. The shield termination at the second portion is between the first and second sub-portions.
摘要翻译：可植入医疗引线包括通过具有屏蔽件的第一部分和第二部分在端子处被保护的屏蔽件，其中第一部分位于第二部分处的屏蔽件的终端和围绕线圈的内部绝缘层之间。第一部分可以减少RF能量从第二部分处的屏蔽端接到丝状体的耦合。第一和第二部分可以是连续屏蔽的一部分，其中第一和第二部分被屏蔽的反转分开。第一和第二部分可以是分开的部分。第一部分可以位于第二部分的终端和内层之间，或者第一部分可以被倒置以产生第一和第二子部分。第二部分处的屏蔽终端位于第一和第二子部分之间。

8. 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。

9. 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。

10. 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。

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