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1. 发明授权

US08473074B2 Lead identification system 有权
标题翻译：领导识别系统
公开(公告)号：US08473074B2
公开(公告)日：2013-06-25
申请号：US13222330
申请日：2011-08-31
申请人： Richard North , Scott Drees , John Swoyer , Lawrence Kane , Jesse Geroy , Shahn Sage , Elliot Bridgeman , James Finley , Terry Daglow
发明人： Richard North , Scott Drees , John Swoyer , Lawrence Kane , Jesse Geroy , Shahn Sage , Elliot Bridgeman , James Finley , Terry Daglow
IPC分类号： A61N1/05
CPC分类号： A61N1/3605 , A61B17/3401 , A61B90/90 , A61B90/92 , A61N1/0551
摘要： A lead identification system for tracking a plurality of neurostimulation leads during implantation in a patient, and a method of using the same. The lead identification system includes a plurality of lead indicators each adapted to attach to one of a plurality of epidural needles to identify the leads. At least one clip adapted to releasably attach to proximal ends of the leads is provided with corresponding lead indicators. The trial cable for conducting trial stimulation includes connectors with corresponding lead indicators. A plurality of lead indicator stylets are provided for insertion into lumens at the proximal ends of the leads. The pulse generator also has connectors with corresponding lead indicators. The various lead indicators permit a surgeon to track a particular lead to the corresponding connectors on the pulse generator.
摘要翻译：用于在植入患者期间跟踪多个神经刺激引线的引线识别系统及其使用方法。引线识别系统包括多个引线指示器，每个引线指示器适于附接到多个硬膜外针中的一个以识别引线。适于可释放地附接到引线的近端的至少一个夹子设置有相应的引线指示器。用于进行试验刺激的试验电缆包括具有相应引线指示器的连接器。提供多个引导指示器样式用于在引线的近端处插入腔内。脉冲发生器还具有相应引线指示器的连接器。各种引导指示器允许外科医生跟踪特定引线到脉冲发生器上的相应连接器。

2. 发明申请

US20070060991A1 ELECTRICAL STIMULATION LEAD, SYSTEM, AND METHOD 有权
标题翻译：电刺激，系统和方法
公开(公告)号：US20070060991A1
公开(公告)日：2007-03-15
申请号：US11279712
申请日：2006-04-13
申请人： Richard North , Terry Daglow , Stephen Goldman
发明人： Richard North , Terry Daglow , Stephen Goldman
IPC分类号： A61N1/05
CPC分类号： A61N1/0553 , A61N1/08 , A61N1/36071
摘要： In one embodiment, a paddle lead comprises: a plurality of stimulating electrode contacts disposed, the plurality of stimulation electrode contacts being adapted to allow the stimulation paddle to flex transversely about a longitudinal axis; wherein the plurality of stimulation electrode contacts are arranged in at least first, second, and third rows that are disposed perpendicular to a longitudinal axis of the paddle; the first and third rows respectively having multiple electrode contacts electrically coupled to different conductors of the lead to enable the multiple electrode contacts of the first and third rows to function in independent cathode states, anode states, or high-impedance states; the second row being disposed between the first and third rows, the second row having multiple electrode contacts each electrically coupled to a common conductor to cause the multiple electrode contacts of the second row to function in a common cathode state, anode state, or high-impedance state.
摘要翻译：在一个实施例中，桨引线包括：多个刺激电极触点，所述多个刺激电极触点适于允许刺激桨相对于纵向轴线横向弯曲; 其中所述多个刺激电极触点布置在垂直于所述桨的纵向轴线设置的至少第一，第二和第三行中; 所述第一和第三行分别具有电耦合到所述引线的不同导体的多个电极接触，以使得所述第一和第三行的多个电极接触能够在独立的阴极状态，阳极状态或高阻抗状态下起作用; 第二排布置在第一和第三行之间，第二行具有多个电极接触件，每个电极接触部分电耦合到公共导体，以使第二行的多个电极接触在公共阴极状态，阳极状态或高压状态下起作用，阻抗状态。

3. 发明申请

US20050119714A1 Neurostimulation therapy manipulation 有权
标题翻译：神经刺激治疗操作
公开(公告)号：US20050119714A1
公开(公告)日：2005-06-02
申请号：US10696781
申请日：2003-10-29
申请人： Jeffrey Sieracki , Richard North
发明人： Jeffrey Sieracki , Richard North
IPC分类号： A61N1/05 , A61N1/08 , A61N1/34 , A61N1/372 , A61N1/18
CPC分类号： A61N1/37247 , A61N1/08 , A61N1/36071
摘要： A user, such as a clinician or the patient, uses a control device to manipulate at least one neurostimulation parameter. A mapping system uses a calibrated map to map the directional output of the control device to values of at least one stimulation parameter to allow the user to intuitively control the value of the parameter. In some embodiments, where a stimulation device is used to deliver spinal cord stimulation (SCS) therapy for example, the user manipulates a parameter to effect the location and/or strength of paresthesia experienced by the patient. In exemplary embodiments, the parameter values are combinations of electrodes, and the mapping system selects electrode combinations based on the output of the control device such that a direction of movement of paresthesia experienced by the patient corresponds to a direction of manipulation of a directional controller of the control device. The mapping system may calibrate the map based on patient paresthesia information received from a user.
摘要翻译：诸如临床医生或患者的使用者使用控制装置来操纵至少一种神经刺激参数。映射系统使用经校准的映射将控制设备的方向输出映射到至少一个刺激参数的值，以允许用户直观地控制参数的值。在一些实施方案中，例如，当使用刺激装置递送脊髓刺激（SCS）治疗时，用户操纵参数以影响患者经历的感觉异常的位置和/或强度。在示例性实施例中，参数值是电极的组合，并且映射系统基于控制装置的输出来选择电极组合，使得患者经历的感觉异常的移动方向对应于方向控制器的操纵方向控制装置。映射系统可以基于从用户接收的患者感觉异常信息来校准地图。

4. 发明申请

US20070265678A1 NEUROSTIMULATION THERAPY MANIPULATION 有权
标题翻译：神经细胞治疗手术
公开(公告)号：US20070265678A1
公开(公告)日：2007-11-15
申请号：US11735140
申请日：2007-04-13
申请人： Jeffrey Sieracki , Richard North
发明人： Jeffrey Sieracki , Richard North
IPC分类号： A61N1/05
CPC分类号： A61N1/37247 , A61N1/36071
摘要： A user, such as a clinician or the patient, uses a control device to manipulate at least one neurostimulation parameter. A mapping system uses a calibrated map to map the directional output of the control device to values of at least one stimulation parameter to allow the user to intuitively control the value of the parameter. In some embodiments, where a stimulation device is used to deliver spinal cord stimulation (SCS) therapy for example, the user manipulates a parameter to effect the location and/or strength of paresthesia experienced by the patient. In exemplary embodiments, the parameter values are combinations of electrodes, and the mapping system selects electrode combinations based on the output of the control device such that a direction of movement of paresthesia experienced by the patient corresponds to a direction of manipulation of a directional controller of the control device. The mapping system may calibrate the map based on patient paresthesia information received from a user.
摘要翻译：诸如临床医生或患者的使用者使用控制装置来操纵至少一种神经刺激参数。映射系统使用经校准的映射将控制设备的方向输出映射到至少一个刺激参数的值，以允许用户直观地控制参数的值。在一些实施方案中，例如，当使用刺激装置递送脊髓刺激（SCS）治疗时，用户操纵参数以影响患者经历的感觉异常的位置和/或强度。在示例性实施例中，参数值是电极的组合，并且映射系统基于控制装置的输出来选择电极组合，使得患者经历的感觉异常的移动方向对应于方向控制器的操纵方向控制装置。映射系统可以基于从用户接收的患者感觉异常信息来校准地图。

5. 发明申请

US20070123956A1 Distributed system for neurostimulation therapy programming 有权
标题翻译：用于神经刺激治疗程序的分布式系统
公开(公告)号：US20070123956A1
公开(公告)日：2007-05-31
申请号：US11698342
申请日：2007-01-26
申请人： Jeffrey Sieracki , Kim Fowler , Richard North
发明人： Jeffrey Sieracki , Kim Fowler , Richard North
IPC分类号： A61N1/32
CPC分类号： A61N1/37282 , A61N1/08 , A61N1/32 , A61N1/36071
摘要： A distributed system comprises a programming device and a remotely located server. During a programming session, the programming device transmits programs and rating information associated with the programs to the server. The server presents the rating information to a clinician to assist the clinician in selecting from among programs tested during the programming session. The programming device may also transmit patient information and device configuration information to the server for storage with selected programs and rating information within a database as part of a patient record. Programs and information received from a plurality of programming devices and for a plurality of patients may be stored in the database and analyzed by the server to provide responses to user queries made by clinicians via programming devices.
摘要翻译：分布式系统包括编程设备和远程定位的服务器。在编程会话期间，编程设备将与程序相关联的程序和评级信息发送到服务器。服务器向临床医生呈现评级信息，以帮助临床医生从编程期间测试的程序中进行选择。编程设备还可以将患者信息和设备配置信息发送到服务器，以存储所选择的节目和数据库内的评分信息作为患者记录的一部分。从多个编程设备和多个患者接收到的程序和信息可以被存储在数据库中并被服务器分析，以便通过编程设备提供对由临床医生进行的用户查询的响应。

6. 发明申请

US20050177206A1 Implantable neurostimulator programming with battery longevity indication 有权
标题翻译：植入式神经刺激器编程与电池寿命指示
公开(公告)号：US20050177206A1
公开(公告)日：2005-08-11
申请号：US10696501
申请日：2003-10-29
申请人： Richard North , Jeffrey Sieracki , David Brigham
发明人： Richard North , Jeffrey Sieracki , David Brigham
IPC分类号： A61N1/08 , A61N1/36 , A61N1/37 , A61N1/372
CPC分类号： A61N1/37241 , A61N1/36146 , A61N1/3708
摘要： A programming device used to program an implantable neurostimulator (INS) presents battery longevity information to a user to assist the user in selecting a program for the INS. The programming device directs the INS to deliver neurostimulation therapy according to a plurality of programs during a programming session. Each of the programs includes parameters that define the neurostimulation delivered according to that program. For example, each program may include as parameters a voltage or current pulse amplitude, a pulse width, a pulse rate, and a duty cycle. The program may also identify as parameters the electrodes selected from a set coupled to the INS and their polarities, e.g., anode or cathode, for delivery of neurostimulation according to that program. The programming device estimates battery drain rates for each of the programs tested during the programming session based on the parameters for that program, and presents battery longevity information to a user based on the estimated battery drain rates.
摘要翻译：用于编程可植入神经刺激器（INS）的编程设备向用户呈现电池寿命信息，以帮助用户选择用于INS的程序。编程设备在编程会话期间引导INS根据多个程序传递神经刺激疗法。每个程序包括定义根据该程序提供的神经刺激的参数。例如，每个程序可以包括电压或电流脉冲幅度，脉冲宽度，脉冲速率和占空比作为参数。该程序还可以鉴定从耦合到INS的组和它们的极性（例如阳极或阴极）中选择的电极的参数，以根据该程序递送神经刺激。编程设备基于该程序的参数来估计在编程会话期间测试的每个程序的电池耗尽速率，并且基于估计的电池耗尽速率向用户呈现电池寿命信息。

7. 发明申请

US20100171423A1 OUTPUT WINDOW 有权
标题翻译：输出窗口
公开(公告)号：US20100171423A1
公开(公告)日：2010-07-08
申请号：US12650104
申请日：2009-12-30
申请人： Michael J. Duffield , Richard North
发明人： Michael J. Duffield , Richard North
IPC分类号： H01J25/34 , H01P3/00 , H05K13/00
CPC分类号： H01J23/36 , H01J25/34 , H01P1/08 , Y10T29/49 , Y10T29/49002
摘要： An output window for a vacuum electron device comprises an output waveguide, an intermediate layer of dielectric material joined to the interior of the output waveguide with a vacuum-tight seal, and upper and lower layers of dielectric material spaced apart from the intermediate layer and arranged above and below, respectively, the intermediate layer in a vertical orientation of the output waveguide. The upper and lower layers including openings. Supports extend inwardly into the output waveguide and support the upper and lower layers. Pillars extend through the openings in the lower layer and support the intermediate layer. The openings in the upper and lower layers permit a venting of a region between the upper layer and the intermediate layer and a region between the lower layer and the intermediate layer during the sealing of the intermediate layer while the intermediate layer is supported by the pillars.
摘要翻译：用于真空电子器件的输出窗口包括输出波导，与绝缘密封连接到输出波导内部的电介质材料的中间层以及与中间层间隔开的介电材料的上层和下层，分别在输出波导的垂直取向上的中间层。上层和下层包括开口。支撑件向内延伸到输出波导中并支撑上层和下层。支柱延伸穿过下层的开口并支撑中间层。在中间层的密封期间，上层和下层的开口允许在上层和中间层之间的区域的排气以及下层和中间层之间的区域，而中间层由柱支撑。

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