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    • 1. 发明授权
    • Weight loss method and device
    • 减肥方法和装置
    • US07835796B2
    • 2010-11-16
    • US11118452
    • 2005-04-29
    • Steven E. MaschinoSteven M. ParnisScott A. Armstrong
    • Steven E. MaschinoSteven M. ParnisScott A. Armstrong
    • A61N1/00
    • A61N1/36007A61F5/0003
    • A method and apparatus for treatment of an eating disorder includes electrically, mechanically and/or pharmaceutically/chemically stimulating a of the vagus nerve of the lower esophagus, cardia, esophageal/cardia junction, cardia/fundus junction or upper stomach so as to induce afferent action potentials on the vagus nerve. The device may be noninvasively adjusted after implantation to provide increased or decreased restriction on the patient's gastrointestinal tract. Each stimulus may be administered as a series of programmed pulses of defined amplitude, duration and period, to evoke a responsive signal to the brain by the target nerve, effective for producing a temporary feeling of satiety in the person. An implantable stimulus generator may be operatively coupled to a nerve electrode, pressure device or chemical outlet to apply a defined signal to a selected nerve branch. The implantable stimulus generator is programmable to allow clinician programming of defined signal parameters effective to treat the eating disorder of the patient. Methods are also provided to identify electrodes nearest to a branch of the vagus nerve to apply an electrical stimulation signal with improved efficiency.
    • 用于治疗进食障碍的方法和装置包括电,机械和/或药学/化学刺激下食道,贲门,食管/贲门交界处,贲门/眼底结或上胃的迷走神经,以诱导传入 迷走神经的动作电位。 该装置可以在植入之后进行非侵入性调节,以对患者的胃肠道提供增加或减少的限制。 每个刺激可以作为一系列定义的幅度,持续时间和周期的编程脉冲施用,以引起目标神经对脑的响应信号,有效地在人体中产生暂时的饱腹感。 可植入刺激发生器可以可操作地耦合到神经电极,压力装置或化学品出口以将所定义的信号施加到所选择的神经分支。 可植入刺激发生器是可编程的,以允许临床医生对限定的信号参数进行编程,以有效地治疗患者的进食障碍。 还提供了用于识别最靠近迷走神经分支的电极以提高效率的电刺激信号的方法。
    • 2. 发明授权
    • Identification of electrodes for nerve stimulation in the treatment of eating disorders
    • 鉴别用于治疗进食障碍的神经刺激电极
    • US07310557B2
    • 2007-12-18
    • US11118861
    • 2005-04-29
    • Steven E. MaschinoSteven M. ParnisScott A. Armstrong
    • Steven E. MaschinoSteven M. ParnisScott A. Armstrong
    • A61N1/00
    • A61F5/0026A61F5/005A61N1/36007A61N1/36082A61N1/36185A61N1/3686
    • A method and apparatus for treatment of an eating disorder includes electrically, mechanically and/or pharmaceutically/chemically stimulating a of the vagus nerve of the lower esophagus, cardia, esophageal/cardia junction, cardia/fundus junction or upper stomach so as to induce afferent action potentials on the vagus nerve. The device may be noninvasively adjusted after implantation to provide increased or decreased restriction on the patient's gastrointestinal tract. Each stimulus may be administered as a series of programmed pulses of defined amplitude, duration and period, to evoke a responsive signal to the brain by the target nerve, effective for producing a temporary feeling of satiety in the person. An implantable stimulus generator may be operatively coupled to a nerve electrode, pressure device or chemical outlet to apply a defined signal to a selected nerve branch. The implantable stimulus generator is programmable to allow clinician programming of defined signal parameters effective to treat the eating disorder of the patient. Methods are also provided to identify electrodes nearest to a branch of the vagus nerve to apply an electrical stimulation signal with improved efficiency.
    • 用于治疗进食障碍的方法和装置包括电,机械和/或药学/化学刺激下食道,贲门,食管/贲门交界处,贲门/眼底结或上胃的迷走神经,以诱导传入 迷走神经的动作电位。 该装置可以在植入之后进行非侵入性调节,以对患者的胃肠道提供增加或减少的限制。 每个刺激可以作为一系列定义的幅度,持续时间和周期的编程脉冲施用,以引起目标神经对脑的响应信号,有效地在人体中产生暂时的饱腹感。 可植入刺激发生器可以可操作地耦合到神经电极,压力装置或化学品出口以将所定义的信号施加到所选择的神经分支。 可植入刺激发生器是可编程的,以允许临床医生对限定的信号参数进行编程,以有效地治疗患者的进食障碍。 还提供了用于识别最靠近迷走神经分支的电极以提高效率的电刺激信号的方法。
    • 3. 发明授权
    • Noninvasively adjustable gastric band
    • 非侵入性可调节胃带
    • US07899540B2
    • 2011-03-01
    • US11118980
    • 2005-04-29
    • Steven E. MaschinoSteven M. ParnisScott A. Armstrong
    • Steven E. MaschinoSteven M. ParnisScott A. Armstrong
    • A61N1/36
    • A61F5/0026A61F5/005A61N1/36007
    • A method and apparatus for treatment of an eating disorder includes electrically stimulating the vagus nerve of the lower esophagus, cardia, esophageal/cardia junction, cardia/fundus junction or upper stomach so as to induce afferent action potentials on the vagus nerve. A device comprising a gastric band including stimulation electrodes may be noninvasively adjusted after implantation to provide increased or decreased restriction on the patient's gastrointestinal tract. Each stimulus may be administered as a series of programmed pulses of defined amplitude, duration and period, to evoke a responsive signal to the brain by the target nerve, effective for producing a temporary feeling of satiety in the person. A programmable implantable stimulus generator may be operatively coupled to a nerve electrode. Methods are also provided to identify electrodes nearest to a branch of the vagus nerve to apply an electrical stimulation signal with improved efficiency.
    • 用于治疗进食障碍的方法和装置包括电刺激下食道,贲门,食管/贲门交界处,贲门/眼底结或上胃的迷走神经,以诱导迷走神经的传入动作电位。 包括刺激电极的胃带的装置可以在植入后进行非侵入性调整,以对患者的胃肠道提供增加或减少的限制。 每个刺激可以作为一系列定义的幅度,持续时间和周期的编程脉冲施用,以引起目标神经对脑的响应信号,有效地在人体中产生暂时的饱腹感。 可编程植入式刺激发生器可以可操作地耦合到神经电极。 还提供了用于识别最靠近迷走神经分支的电极以提高效率的电刺激信号的方法。
    • 6. 发明授权
    • Safe-mode operation of an implantable medical device
    • 可植入医疗器械的安全模式操作
    • US08437853B2
    • 2013-05-07
    • US13359720
    • 2012-01-27
    • Dana Michael InmanRandolph K. ArmstrongScott A. Armstrong
    • Dana Michael InmanRandolph K. ArmstrongScott A. Armstrong
    • A61N1/36
    • A61N1/36082A61N1/36114A61N1/36142A61N1/36146A61N1/3718
    • An implantable medical device (IMD) may include a lead circuit including a first node configured to be coupled to a first lead that may be coupled to a first target tissue and including a second node configured to be coupled to a second lead that may be coupled to a second target tissue. The IMD may include an impedance unit that may determine at least one characteristic of coupled energy associated with the lead circuit, where the coupled energy may be produced by a source external to the IMD. The impedance unit may provide an impedance between the first node and the second node, where the impedance is selected based at least in part on a characteristic of the coupled energy. The impedance is selected to reduce the coupled energy or a negative effect associated with functionality of the IMD induced by the coupled energy.
    • 可植入医疗装置(IMD)可以包括引线电路,其包括被配置为耦合到第一引线的第一节点,第一引线可以耦合到第一目标组织,并且包括被配置为耦合到第二引线的第二节点, 到第二靶组织。 IMD可以包括阻抗单元,其可以确定与引线电路相关联的耦合能量的至少一个特性,其中耦合能量可以由IMD外部的源产生。 阻抗单元可以在第一节点和第二节点之间提供阻抗,其中至少部分地基于耦合能量的特性来选择阻抗。 选择阻抗以减少耦合能量或与由耦合能量引起的IMD的功能相关联的负面影响。
    • 9. 发明授权
    • Power supply monitoring for an implantable device
    • 可植入设备的电源监控
    • US07711426B2
    • 2010-05-04
    • US11588798
    • 2006-10-27
    • Randolph K. ArmstrongScott A. ArmstrongD. Michael InmanTimothy L. Scott
    • Randolph K. ArmstrongScott A. ArmstrongD. Michael InmanTimothy L. Scott
    • A61N1/00
    • A61N1/08A61N1/3708A61N1/378
    • A method and an apparatus for determining a time period remaining in a useful life of an energy storage device in an implantable medical device. The method may include measuring a voltage of the energy storage device to produce a measured voltage, and comparing the measured voltage to a transition voltage. While the measured voltage is greater than or equal to the transition voltage, the time period remaining in the energy storage device's useful life is approximated based upon a function of charge depleted. While the measured voltage is less than the transition voltage, the time period remaining in the energy storage device's useful life is approximated based upon a higher order polynomial function of the measured voltage. The transition voltage corresponds to a predetermined point on a energy storage device voltage depletion curve representing the voltage across the energy storage device over time.
    • 一种用于确定可植入医疗装置中的能量存储装置的使用寿命中剩余的时间段的方法和装置。 该方法可以包括测量能量存储装置的电压以产生测量的电压,并将测量的电压与转换电压进行比较。 当测量的电压大于或等于转换电压时,能量存储器件的使用寿命中剩余的时间段基于电荷耗尽的函数近似。 当测量的电压小于转换电压时,能量存储器件的使用寿命中剩余的时间段基于所测量的电压的较高阶多项式函数近似。 转换电压对应于表示能量存储装置上的电压随时间的电压耗尽曲线上的预定点。