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    • 1. 发明申请
    • SYMMETRICAL PHYSIOLOGICAL SIGNAL SENSING WITH A MEDICAL DEVICE
    • 与医疗设备的对称生理信号感知
    • WO2012030436A3
    • 2013-04-04
    • PCT/US2011043965
    • 2011-07-14
    • MEDTRONIC INCMOLNAR GABRIELA CSTANSLASKI SCOTT R
    • MOLNAR GABRIELA CSTANSLASKI SCOTT R
    • A61N1/05H03F3/45
    • A61N1/0534A61N1/0553A61N1/36125
    • A physiological signal of a patient is sensed with sense electrodes symmetrically arranged relative to a stimulation electrode. In some examples, a member includes a plurality of relatively small electrodes that are configured to function as both sense and stimulation electrodes. One or more of the electrodes may be selected as stimulation electrodes and two or more different electrodes of the member may be selected as sense electrodes that are symmetrically arranged relative to the one or more selected stimulation electrodes. In some examples, a member includes a plurality of levels of segmented sense electrodes and a plurality of levels of stimulation electrodes. The levels of sense electrodes are arranged such that each level of stimulation electrodes is adjacent at least two levels of sense electrodes symmetrically arranged relative to the level of stimulation electrodes.
    • 用相对于刺激电极对称布置的感测电极感测患者的生理信号。 在一些示例中,构件包括被配置为用作感测电极和刺激电极的多个相对较小的电极。 可以选择一个或多个电极作为刺激电极,并且可以选择构件的两个或更多个不同的电极作为相对于一个或多个所选择的刺激电极对称布置的感测电极。 在一些示例中,构件包括多个级别的分段感测电极和多个级别的刺激电极。 感测电极的电平被布置成使得每个级别的刺激电极相邻于相对于刺激电极的水平对称布置的至少两个感测电极级。
    • 2. 发明申请
    • SYMMETRICAL PHYSIOLOGICAL SIGNAL SENSING WITH A MEDICAL DEVICE
    • 医疗器械的对称生理信号检测
    • WO2012030436A2
    • 2012-03-08
    • PCT/US2011/043965
    • 2011-07-14
    • MEDTRONIC, INC.MOLNAR, Gabriela C.STANSLASKI, Scott R.
    • MOLNAR, Gabriela C.STANSLASKI, Scott R.
    • A61N1/05A61B5/04
    • A61N1/0534A61N1/0553A61N1/36125
    • A physiological signal of a patient is sensed with sense electrodes symmetrically arranged relative to a stimulation electrode. In some examples, a member includes a plurality of relatively small electrodes that are configured to function as both sense and stimulation electrodes. One or more of the electrodes may be selected as stimulation electrodes and two or more different electrodes of the member may be selected as sense electrodes that are symmetrically arranged relative to the one or more selected stimulation electrodes. In some examples, a member includes a plurality of levels of segmented sense electrodes and a plurality of levels of stimulation electrodes. The levels of sense electrodes are arranged such that each level of stimulation electrodes is adjacent at least two levels of sense electrodes symmetrically arranged relative to the level of stimulation electrodes.
    • 利用相对于刺激电极对称布置的感测电极来感测患者的生理信号。 在一些示例中,构件包括配置成充当感测电极和刺激电极两者的多个相对较小的电极。 可以选择一个或多个电极作为刺激电极,并且可以选择该构件的两个或更多个不同的电极作为相对于一个或多个选择的刺激电极对称地布置的感测电极。 在一些示例中,构件包括多个级别的分段感测电极和多个级别的刺激电极。 感测电极的水平被布置为使得每个刺激电极水平相邻于相对于刺激电极的水平对称地布置的至少两个水平的感测电极。
    • 3. 发明申请
    • STIMULATION ELECTRODE SELECTION
    • 刺激电极选择
    • WO2011136870A1
    • 2011-11-03
    • PCT/US2011/027060
    • 2011-03-03
    • MEDTRONIC, INC.MOLNAR, Gabriela C.GOETZ, Steven M.CSAVOY, Andrew N.
    • MOLNAR, Gabriela C.GOETZ, Steven M.CSAVOY, Andrew N.
    • A61N1/36
    • A61N1/36185A61N1/0529A61N1/08A61N1/37247
    • One or more stimulation electrodes may be selected based on a bioelectrical signal sensed in a brain of a patient with a sense electrode combination that comprises at least one electrode and a physiological model that indicates one or more anatomical structures of the brain of the patient that are proximate the implanted at least one electrode. In some examples, the bioelectrical brain signal indicates which electrodes are located closest to a target tissue site. The physiological model can be generated based on a location of implanted at least one electrode within a patient and patient anatomy data, which can, for example, indicate one or more characteristics of patient tissue proximate to the implanted at least one electrode. In some example, the physiological model includes a therapy field model that represents a region of the tissue of the patient to which therapy is delivered via a selected set of electrodes.
    • 可以基于在具有感测电极组合的患者的脑中感测的生物电信号来选择一个或多个刺激电极,所述感测电极组合包括至少一个电极和生理模型,其指示患者的脑的一个或多个解剖结构 邻近植入的至少一个电极。 在一些实例中,生物电脑信号指示哪个电极位于最靠近目标组织部位。 可以基于在患者内植入至少一个电极的位置和患者解剖数据来生成生理模型,其可以例如指示邻近植入的至少一个电极的患者组织的一个或多个特征。 在一些示例中,生理模型包括治疗场模型,其表示通过所选择的一组电极递送治疗的患者的组织区域。
    • 5. 发明申请
    • STIMULATION ELECTRODE SELECTION
    • 刺激电极选择
    • WO2011084341A1
    • 2011-07-14
    • PCT/US2010/059624
    • 2010-12-09
    • MEDTRONIC, INC.MOLNAR, Gabriela, C.WU, Jianping
    • MOLNAR, Gabriela, C.WU, Jianping
    • A61B5/048A61N1/36
    • A61B5/048A61B5/4082A61N1/0534A61N1/36139A61N1/36171A61N1/36185
    • Bioelectrical signals may be sensed within a brain of a patient with a plurality of sense electrode combinations. A stimulation electrode combination for delivering stimulation to the patient to manage a patient condition can be selected based on a frequency domain characteristic of the sensed bioelectrical signals. In some examples, a stimulation electrode combination is selected based on a determination of which of the sense electrodes are located closest to a target tissue site, as indicated by the one or more sense electrodes that sensed a bioelectrical brain signal with a relatively highest value of the frequency domain characteristic. In some examples, determining which of the sense electrodes are located closest to the target tissue site may include executing an algorithm using relative values of the frequency domain characteristic.
    • 可以在具有多个感测电极组合的患者的脑内感测生物电信号。 可以基于感测的生物电信号的频域特性来选择用于将刺激递送到患者以管理患者状况的刺激电极组合。 在一些示例中,基于确定哪个感测电极位于最靠近目标组织位置的位置来选择刺激电极组合,如感测出具有相对较高值的生物电脑信号的一个或多个感测电极所示 频域特性。 在一些示例中,确定哪个感测电极位于最靠近目标组织位置的位置可以包括使用频域特性的相对值来执行算法。