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    • 5. 发明申请
    • TELEMETRY LISTENING WINDOW MANAGEMENT FOR AN IMPLANTABLE MEDICAL DEVICE
    • 远程医疗窗口管理用于可植入医疗设备
    • WO2009009290A1
    • 2009-01-15
    • PCT/US2008/068079
    • 2008-06-25
    • BOSTON SCIENTIFIC NEUROMODULATION CORPORATIONPARRAMON, JordiSHI, Jess, W.
    • PARRAMON, JordiSHI, Jess, W.
    • A61N1/372A61N1/378
    • A61N1/37252A61N1/3605A61N1/37205Y10S128/903
    • An improved arbitration scheme for allowing concurrent stimulation and telemetry listening in a microstimulator is disclosed. A listening window for telemetry is permitted to proceed, and access to the microstimulator' s coil granted, during at least a portion of the inter-pulse period that follows the issuance of a stimulation pulse. This is permissible because access to the coil is not needed during the entirety of the inter-pulse period. For example, the listening window can issue during that portion of the inter-pulse period when the decoupling capacitor is discharged, but cannot issue during that portion of the inter-pulse period when the compliance voltage is being generated for the next stimulation pulse. However, because compliance voltage generation occupies only a small portion of the inter-pulse period, the technique is not substantially limited. By allowing the listening window to issue during the majority of the inter-pulse period, the listening window produces smaller gaps between the pulses, and stimulation therapy is thus brought closer to its ideal.
    • 公开了一种用于允许微型激励器中的并发刺激和遥测监听的改进的仲裁方案。 允许进行遥测的监听窗口,并且在发出刺激脉冲之后的脉冲间期间的至少一部分期间允许访问微型激励器的线圈。 这是允许的,因为在整个脉冲间期间不需要对线圈的访问。 例如,当解耦电容器放电时,在脉冲周期的该部分期间可以发出监听窗口,但是当为下一个刺激脉冲产生顺从性电压时,不能在脉冲间期间的那部分期间发出监听窗口。 然而,由于顺应性电压产生仅占脉冲周期的一小部分,所以该技术基本上不受限制。 通过允许在大多数脉冲间期间发出听音窗口,收听窗口在脉冲之间产生较小的间隙,因此刺激疗法更接近其理想。
    • 6. 发明申请
    • TECHNIQUES FOR SENSING AND ADJUSTING A COMPLIANCE VOLTAGE IN AN IMPLANTABLE STIMULATOR DEVICE
    • 用于感应和调节可植入刺激装置中的合格电压的技术
    • WO2007070727A1
    • 2007-06-21
    • PCT/US2006/060085
    • 2006-10-19
    • ADVANCED BIONICS CORPORATIONSHI, Jess, W.HE, YupingDOAN, QuePETERSON, David, K.l.
    • SHI, Jess, W.HE, YupingDOAN, QuePETERSON, David, K.l.
    • A61N1/08A61N1/36A61N1/378
    • A61N1/36125A61N1/36071A61N1/37
    • Disclosed herein are methods and circuitry for monitoring and adjusting a compliance voltage in an implantable stimulator devices to an optimal value that is sufficiently high to allow for proper circuit performance (i.e., sufficient current output), but low enough that power is not needlessly wasted via excessive voltage drops across the current output circuitry. The algorithm measures output voltages across the current source and sink circuitry during at least periods of actual stimulation when both the current sources and sinks arc operable, and adjusts the compliance voltage so as to reduce these output voltages to within guard band values preferably indicative for operation in transistor saturation. The output voltages can additionally be monitored during periods between stimulation pulses to improve the accuracy of the measurement, and is further beneficial in that such additional measurements are not perceptible to the patient.
    • 本文公开了用于监测和调整可植入式刺激器装置中的顺应性电压的方法和电路,以达到足够高以允许适当的电路性能(即,足够的电流输出)的最佳值,但是足够低以使得功率不会被无用地浪费通过 电流输出电路上的电压过大。 当电流源和吸收点两者可操作时,该算法在至少实际刺激期间测量电流源和接收电路两端的输出电压,并调整顺从电压,以便将这些输出电压降低到优选指示操作的保护带值内 晶体管饱和。 在刺激脉冲之间的周期期间可以另外监视输出电压,以提高测量的准确度,并且进一步有益的是,这种附加测量对于患者是不可察觉的。