| BOSTON SCIENTIFIC NEUROMODULATION CORPORATION Patent applications |
| Patent application number | Title | Published |
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| 20120130448 | SYSTEM AND METHOD FOR DISPLAYING STIMULATION FIELD GENERATED BY ELECTRODE ARRAY - An implantable pulse generator includes a current steering capability that allows a clinician or patient to quickly determine a desired electrode stimulation pattern, including which electrodes of a group of electrodes within an electrode array should receive a stimulation current, including the amplitude, width and pulse repetition rate of such current. Movement of the selected group of electrodes is facilitated through the use of remotely generated directional signals, generated by a pointing device, such as a joystick. As movement of the selected group of electrodes occurs, current redistribution amongst the various electrode contacts takes place. The redistribution of stimulus amplitudes utilizes re-normalization of amplitudes so that the perceptual level remains fairly constant. This prevents the resulting paresthesia from falling below the perceptual threshold or above the comfort threshold. | 05-24-2012 |
| 20120123505 | IMPLANTABALE NEUROSTIMULATOR-INITIATED STATUS NOTIFICATION - A medical system comprises an implantable medical device having a power source, the implantable medical device configured for monitoring a quantity of the stored energy in the power source, generating a battery status signal based on the monitored quantity of stored energy, and for transcutaneously transmitting a communication initiation signal and the battery status signal. The medical system further comprises an external device configured for transcutaneously receiving the communication initial signal and the battery status signal from the rechargeable implantable medical device, changing from a relatively low energy consumption state to a relatively high energy consumption state in response to the received communication initiation signal, and for generating a user-discernible signal in response to the received status signal. | 05-17-2012 |
| 20120123502 | External Trial Stimulator Useable in an Implantable Neurostimulator System - An improved external trial stimulator provides neurostimulation functionality for implanted medical electrodes prior to implantation of an implantable neurostimulator. The external trial stimulator is housed in a four-part housing that provides mechanical and electrostatic discharge protection for the electronics mounted in a central frame of the housing. Connectors attached to leads from the electrodes connect to contacts that are recessed in the housing through ports that are centered for easy access. Multiple indicators provide information to users of the external trial stimulator. | 05-17-2012 |
| 20120119699 | External Charger for an Implantable Medical Device Having at Least One Moveable Charging Coil - Improved external chargers for charging an implantable medical device, and particularly useful in charging a plurality of such devices, are disclosed. Each of the various embodiments include design elements for mechanically manipulating the position of one or more charging coils within the external charger to customize the magnetic charging field as appropriate for the charger/implantable device environment. For example, a single charging coil may be moved within a housing of the external charger to direct the charging field of the coil towards the currently “coldest” implant, i.e., the implant with the lowest coupling to the external charger. The one or more charging coils may be mechanically manipulated within the external charger housing in a number of ways, including by using linear actuators, by inflatable bladders, or even by hand. | 05-17-2012 |
| 20120116476 | SYSTEM AND METHOD FOR STORING APPLICATION SPECIFIC AND LEAD CONFIGURATION INFORMATION IN NEUROSTIMULATION DEVICE - External control devices, neurostimulation systems, and programming methods. A neurostimulator includes a feature having a numerical range. Information identifying a type of the neurostimulator is transmitted to an external control device. The external control device receives the information from the neurostimulator, identifies the type of the neurostimulator based on the received information, and programs the neurostimulator in accordance with the numerical range of the feature corresponding to the identified type of the neurostimulator. | 05-10-2012 |
| 20120109257 | SYSTEM AND METHOD FOR PROVIDING FLUID REAL-TIME VISUALIZATION OF REGION OF TISSUE ACTIVATION - A system for a tissue stimulator coupled to an array of electrodes. The system comprises a user-controlled input device configured for generating control signals, and at least one processor configured for generating a plurality of stimulation parameter sets in response to the control signals that, when applied to the electrodes, will shift electrical current between electrodes to modify a region of tissue activation. The processor(s) is further configured for computing an estimate of the region of tissue activation, and for generating display signals capable of prompting a monitor to display an animated graphical representation of the computed estimate of the region of tissue activation. | 05-03-2012 |
| 20120109234 | METHOD OF STIMULATING FASTIGIUM NUCLEUS TO TREAT NEUROLOGICAL DISORDERS - A method of treating a neurological disorder comprises introducing an electrical stimulation lead within a patient's head, locating the stimulation lead within the 4 | 05-03-2012 |
| 20120109230 | Neurostimulation system and method for graphically displaying electrode stimulation values - An external control device for use with a neurostimulation system having a neurostimulation lead carrying a plurality of electrodes capable of conveying an electrical stimulation field into tissue in which the electrodes are implanted. The external control device comprises a user interface including one or more control elements and a display screen, and a processor configured for individually assigning stimulation amplitude values for selected ones of the electrodes in response to actuations of the one or more control elements and for displaying on the display screen representations of the electrodes and a plurality of first non-alphanumeric indicators of the stimulation amplitude values in graphical association with the respective representations of the selected electrodes. | 05-03-2012 |
| 20120101551 | External Controller For an Implantable Medical Device Formed Using a Sub-Assembly - An improved external controller useable with an implantable medical device is disclosed. The external controller comprises a front cover, a back cover, and a sub-assembly. The sub-assembly comprises an electronics chassis on which non-surface mount components, such as the telemetry coils and the battery, can be affixed. The sub-assembly also includes the printed circuit board for the external controller, which is integrated into the chassis and electrically coupled to the telemetry coils and the battery. Once completed, the sub-assembly can be bolted between a front cover and a back cover, such that edges of the sub-assembly comprise the edges of the external case of the external controller. | 04-26-2012 |
| 20120101537 | SYSTEM AND METHOD FOR INTRODUCING TISSUE STIMULATION LEAD INTO PATIENT USING REAL-TIME COUPLING EFFICIENCY MEASUREMENTS - A system and method for locating an implantable tissue stimulation lead within a patient. A measurement indicative of a coupling efficiency between the tissue stimulation lead and tissue at a location is taken. The location of the tissue stimulation lead relative to the tissue is tracked. Coupling efficiency information based on the measurement from the monitoring device is generated, tracking information based on the tissue stimulation lead location is generated, and the coupling efficiency information and tracking information is concurrently conveyed to the user. | 04-26-2012 |
| 20120095744 | Telemetry Optimization in an Implantable Medical Device System to Achieve Equal and Maximal Distances in Bidirectional Communications - Methods for optimizing telemetry in an implantable medical device system are disclosed, with the goal of equating and maximizing the communication distances between devices in the system, such as the external controller and the Implantable Pulse Generator (IPG). The method involves computerized simulation of maximum communication distances in both directions between the two devices while varying at least two parameters of the telemetry circuitry, such as the number of turns in the telemetry coils in the two devices. This results in a simulation output comprising a matrix in which each element comprises the bidirectional distance values. An element is determined for which the distances are equal (or nearly equal) and maximized (or nearly maximized), and the optimal values for the parameters are then chosen on that basis, with the result that the communication distance in one direction equals the communication distance in the other direction, and is maximized. | 04-19-2012 |
| 20120095529 | Architectures for an Implantable Medical Device System Having Daisy-Chained Electrode-Driver Integrated Circuits - Architectures for an implantable neurostimulator system having a plurality of electrode-driver integrated circuits (ICs) in provided. Electrodes from either or both ICs can be chosen to provide stimulation, and one of the IC acts as the master while the other acts as the slave. A parallel bus operating in accordance with a communication protocol couples the ICs, and certain functional blocks not needed in the slave are disabled. Stimulation parameters are loaded via the bus into each IC, and a stimulation enable command is issued on the bus to ensure simultaneous stimulation from the electrodes on both ICs. Clocking strategies are also disclosed to allow clocking of the master and slave ICs to be independently controlled, and to ensure that relevant internal and bus clocks used in the system are synchronized. | 04-19-2012 |
| 20120095519 | Monitoring Electrode Voltages in an Implantable Medical Device System Having Daisy-Chained Electrode-Driver Integrated Circuits - Electrode voltage monitoring circuitry for an implantable neurostimulator system having a plurality of electrode-driver integrated circuits (ICs) in provided. Electrodes from either or both ICs can be chosen to provide stimulation, and one of the IC acts as the master while the other acts as the slave. Electrodes voltages on the slave IC are routed to the master IC, and thus the master IC can monitor both electrode voltages on the slave as well as electrode voltages on the master. Such voltages can be monitored for a variety of purposes, and in particular use of such voltage is disclosed for determining the resistance between electrodes and to set a compliance voltage for stimulation. | 04-19-2012 |
| 20120092354 | External Controller for an Implantable Medical Device with Dual Microcontrollers for Improved Graphics Rendering - An improved external controller with dual microcontrollers useable with an implantable medical device is disclosed. The external controller comprises a low speed (low frequency) microcontroller and a high speed (high frequency) microcontroller. The low speed microcontroller receives telemetry data from the medical device, converts data into graphical commands, and transmits commands to the high speed microcontroller. The high speed microcontroller interprets the graphical commands, retrieves images indicative of the commands from a storage device, and renders the images onto a display screen. The high speed microcontroller may also process more complicated data sent from the low speed microcontroller, and return the results to the low speed microcontroller to allow it to form the graphics command for the high speed microcontroller to execute. | 04-19-2012 |
| 20120092031 | Sample and Hold Circuitry for Monitoring Voltages in an Implantable Neurostimulator - Sample and hold circuitry for monitoring electrodes and other voltages in an implantable neurostimulator is disclosed. The sample and hold circuitry in one embodiment contains multiplexers to selected appropriate voltages and to pass them to two storage capacitors during two different measurement phases. The capacitors are in a later stage serially connected to add the two voltages stored on the capacitors, and voltages present at the top and bottom of the serial connection are then input to a differential amplifier to compute their difference. The sample and hold circuitry is particularly useful in calculating the resistance between two electrodes, and is further particularly useful when resistance is measured using a biphasic pulse. The sample and hold circuitry is flexible, and can be used to measure other voltages of interest during biphasic or monophasic pulsing. | 04-19-2012 |
| 20120083857 | TISSUE STIMULATION SYSTEM AND METHOD WITH ANATOMY AND PHYSIOLOGY DRIVEN PROGRAMMING - An external control device for use with a tissue stimulation device and at least one tissue stimulation lead having a plurality of electrodes implanted within a patient comprises a user interface configured for allowing a user to enter first information defining a therapeutic indication and second information defining the location of the at least one tissue stimulation lead relative to an anatomical reference, at least one processor configured for analyzing the first and second information and generating a set of stimulation parameters based on the analysis, and output circuitry configured for transmitting the at least one stimulation parameter set to the tissue stimulation device. | 04-05-2012 |
| 20120078331 | SYSTEMS AND METHODS FOR MAKING AND USING ELECTRODES FOR ENHANCING STIMULATION PENETRATION OF PATIENT TISSUE - A paddle lead assembly for providing electrical stimulation of patient tissue includes a paddle body having a plurality of electrodes. At least one of the plurality of electrodes defines a removed center portion. At least one lead body is coupled to the paddle body. At least one terminal is disposed on each of the at least one lead bodies. | 03-29-2012 |
| 20120071953 | MRI-SAFE HIGH IMPEDANCE LEAD SYSTEMS - Some embodiments are directed to MRI/RF compatible medical interventional devices. A plurality of spaced apart high impedance circuit segments are configured to have a high impedance at a high range of radiofrequencies and a low impedance at a low range of frequencies. The high impedance circuit segments may comprise co-wound coiled inductors and can reduce, block or inhibit RJ-transmission along the lead system ( | 03-22-2012 |
| 20120071952 | SYSTEMS AND METHODS FOR MAKING AND USING PADDLE LEAD ASSEMBLIES FOR ELECTRICAL STIMULATION SYSTEMS - A paddle lead assembly for providing electrical stimulation of patient tissue includes a paddle body. The paddle body includes four columns of electrodes, each column including at least one electrode. The columns include two outer columns flanking two inner columns. The paddle lead assembly further includes a plurality of lead bodies coupled to the paddle body. At least one terminal is disposed on each of the plurality of lead bodies. A plurality of conductive wires couple each of the electrodes to at least one of the plurality of terminals. | 03-22-2012 |
| 20120071949 | SYSTEMS AND METHODS FOR MAKING AND USING RADIALLY-ALIGNED SEGMENTED ELECTRODES FOR LEADS OF ELECTRICAL STIMULATION SYSTEMS - An electrical stimulation lead includes a lead body insertable into a patient. Electrodes are disposed along the lead body. The electrodes include at least two sets of segmented electrodes. Each set of segmented electrodes includes a first segmented electrode and a second segmented electrode radially spaced apart from one another around a circumference of the lead body. A tab is disposed on the first segmented electrode of each set of segmented electrodes. The tabs extend into the lead body. A guide feature is disposed on the tabs. The guide features are each radially aligned with one another along the length of the lead body. Conductors extend along the length of the lead body from a proximal end to the electrodes. Each of the conductors is electrically coupled to at least one of the electrodes. At least one of the conductors extends through the radially-aligned guide features of the tabs. | 03-22-2012 |
| 20120071948 | SYSTEMS AND METHODS FOR MAKING AND USING ELECTRODE CONFIGURATIONS FOR PADDLE LEADS - A paddle lead assembly for providing electrical stimulation of patient tissue includes a paddle body having a longitudinal axis and a lateral axis transverse to the longitudinal axis. The paddle body includes a plurality of electrodes disposed into at least four columns extending parallel with the longitudinal axis. The at least four columns include two lateral columns and at least two medial columns disposed therebetween. The electrodes of the at least two medial columns are arranged into rows aligned along the transverse axis. The electrodes of the two lateral columns are each longitudinally offset from the rows of electrodes of the at least two medial columns. An array of terminals are disposed on each of at least one lead body coupled to the paddle body. A plurality of conductive wires couple each of the electrodes to at least one terminal of the terminal arrays. | 03-22-2012 |
| 20120071937 | SYSTEMS AND METHODS FOR MAKING AND USING CONNECTORS FOR ELECTRICAL STIMULATION SYSTEMS - A connector for an implantable medical device includes an elongated connector housing having a first end, a second end, a length, and an outer surface. The connector housing defines a port at the second end of the connector housing that extends along the length toward the first end. The port is configured and arranged for receiving a proximal end of lead or lead extension. Connector contacts disposed in the connector housing are configured and arranged for coupling to terminals disposed on the lead or lead extension when the lead or lead extension is received by the port. At least one window is defined along the outer surface of the connector housing. The at least one window is configured and arranged for viewing at least a portion of the lead or lead extension when the lead or lead extension is received by the port. | 03-22-2012 |
| 20120071936 | SYSTEMS AND METHODS FOR MAKING AND USING PADDLE LEADS WITH ADJUSTABLE SPACING BETWEEN ADJACENT ELECTRODES - A paddle lead assembly for providing electrical stimulation of patient tissue includes a paddle body having a proximal end, a distal end, and a longitudinal axis. A plurality of spaced-apart electrodes are disposed on the paddle body. The plurality of spaced-apart electrodes include a first electrode and a second electrode. At least one adjustable region is configured and arranged to adjust a center-to-center distance between the first electrode and the second electrode. At least one lead body is coupled to the paddle body. A plurality of terminals are disposed on the at least one lead body. A plurality of conductive wires couple each of the electrodes to at least one of the plurality of terminals. | 03-22-2012 |
| 20120046715 | USER INTERFACE FOR SEGMENTED NEUROSTIMULATION LEADS - An external control device for use with a neurostimulation system having a plurality of electrodes capable of conveying an electrical stimulation field into tissue in which the electrodes are implanted is provided. The external control device comprises a user interface having one or more control elements, a processor configured for generating stimulation parameters designed to modify the electrical stimulation field relative to one or more neurostimulation lead carrying the electrodes. The external control device further comprises output circuitry configured for transmitting the stimulation parameters to the neurostimulation system. | 02-23-2012 |
| 20120046712 | IMPLANTABLE PULSE GENERATOR HAVING CURRENT STEERING MEANS - An implantable pulse generator includes a current steering capability that allows a clinician or patient to quickly determine a desired electrode stimulation pattern, including which electrodes of a group of electrodes within an electrode array should receive a stimulation current, including the amplitude, width and pulse repetition rate of such current. Movement of the selected group of electrodes is facilitated through the use of remotely generated directional signals, generated by a pointing device, such as a joystick. As movement of the selected group of electrodes occurs, current redistribution amongst the various electrode contacts takes place. The redistribution of stimulus amplitudes utilizes re-normalization of amplitudes so that the perceptual level remains fairly constant. This prevents the resulting paresthesia from falling below the perceptual threshold or above the comfort threshold. | 02-23-2012 |
| 20120046710 | METHODS, SYSTEMS, AND DEVICES FOR DEEP BRAIN STIMULATION USING HELICAL MOVEMENT OF THE CENTROID OF STIMULATION - A method of treating a target region in the brain includes a) contacting tissue to be stimulated with a lead of a stimulation device, the stimulation device comprising a pulse generator coupled to the lead, the lead having a plurality of segmented electrodes disposed at a distal end of the lead, the stimulation device being configured and arranged to stimulate a target region using a positionable centroid of stimulation; b) providing stimulation current to at least one of the segmented electrodes of the lead to generate a centroid of stimulation at a location and stimulate tissue around the location of the centroid of stimulation; c) repositioning the centroid of stimulation to a next location along a helical path by altering the provision of stimulation current to the plurality of electrodes and stimulating tissue around the location of the repositioned centroid of stimulation; and d) repeating c) for each location along the helical path. The method may optionally include collecting data associated with each of the locations of the centroid of stimulation; and displaying at least a portion of the collected data. | 02-23-2012 |
| 20120041518 | NEUROSTIMULATION SYSTEM AND METHOD WITH GRAPHICALLY MANIPULATABLE STIMULATION TARGET - An external control device for use with a neurostimulation device having a plurality of electrodes carried by at least one neurostimulation lead. The external control device comprises a display screen configured for displaying at least one object relative to a graphical representation of the neurostimulation lead(s). The object(s) represents an abstraction of a stimulation target. The external control device further comprises detection circuitry configured for detecting an actuation event that includes placing at least one pointing element in proximity to the object(s). The external control device further comprises processing circuitry configured for manipulating the object(s) on the display screen in response to the detection of the actuation event, thereby modifying the stimulation target abstraction, and for generating a set of stimulation parameters that emulates the modified stimulation target abstraction. The external control device further comprises output circuitry configured for transmitting the set of stimulation parameters to the neurostimulation device. | 02-16-2012 |
| 20120041511 | METHOD FOR SELECTIVELY PERFORMING LOCAL AND RADIAL PERIPHERAL STIMULATION - A control system for use with a neurostimulator comprises a user interface for receiving an input from a user and a controller. The user interface has a first control and a second control. The controller is configured for, in response to actuating the first control, operating the neurostimulation control system in a PNFS programming mode, and for, in response to actuating the second control, operating the neurostimulation control system in a PNS programming mode. A method of providing therapy to a patient comprises initially conveying pulsed electrical current at a pulse width into a peripheral tissue region of the patient to create a side effect via stimulation of one of a nerve ending and neural axon, and subsequently conveying pulsed electrical current at an adjusted pulse width into the peripheral tissue region to create a therapeutic effect via stimulation of the other one of the nerve ending and neural axon. | 02-16-2012 |
| 20120041497 | LEAD CONNECTOR FOR AN IMPLANTABLE ELECTRIC STIMULATION SYSTEM AND METHODS OF MAKING AND USING - A lead-connection system includes a lead and a connector. The lead includes a distal end, a proximal end, a plurality of electrodes disposed at the distal end, a plurality of terminals disposed at the proximal end, and a plurality of conductor wires electrically coupling each of the plurality of electrodes to a different one of the plurality of terminals. The connector defines a port for receiving the proximal end of the lead and a plurality of connector contacts. The number of connector contacts is greater than the number of terminals disposed on the proximal end of the lead. When the connector receives the proximal end of the lead, each of the terminals disposed on the proximal end of the lead makes electrical contact with at least one of the connector contacts of the connector and no two terminals make electrical contact with a same one of the connector contacts. | 02-16-2012 |
| 20120029596 | SYSTEMS AND METHODS FOR MAKING AND USING ELECTRICAL STIMULATION SYSTEMS HAVING MULTI-LEAD-ELEMENT LEAD BODIES - A lead for providing electrical stimulation of patient tissue includes a distal lead element, at least two proximal lead elements, and a junction coupling the distal lead element to each of the at least two proximal lead elements. The distal lead element includes a plurality of electrodes and a plurality of conductive wires coupled to the plurality of electrodes and extending along a longitudinal axis of the distal lead element. Each of the at least two proximal lead elements includes a plurality of terminals and a plurality of conductive wires coupled to the plurality of terminals and extending along a longitudinal axis of the proximal lead element. The junction includes a circuit arrangement electrically coupling each of the conductive wires of the distal lead element to at least one of the conductive wires of at least one of the at least two proximal lead elements. | 02-02-2012 |
| 20120019201 | SMART CHARGER ALIGNMENT INDICATOR - Electrical energy is transmitted to charge the implanted medical device, and an electrical parameter (e.g., a steady-state voltage) indicating a rate at which the implanted medical device is charged by the electrical energy is detected. A threshold (e.g., by modifying a stored threshold value) at which the charge strength indicator generates a user-discernible signal is adjusted based on the detected electrical parameter. | 01-26-2012 |
| 20120016452 | HIGH-RESOLUTION CONNECTOR FOR A NEUROSTIMULATION LEAD - An implantable connector comprises an electrically insulative housing including an outer wall, an interior cavity surrounded by the outer wall, a port through which the lead body portion can be introduced into the interior cavity, and a pair of first apertures disposed through the outer wall on a first side of the housing. The connector further comprises an electrical spring clip contact mounted to the housing. The contact includes a common portion and a pair of legs extending from opposite ends of the common portion. The legs respectively extend through the first apertures into the interior cavity, such that the legs firmly engage the electrical terminal therebetween when the lead body portion is introduced into the interior cavity. | 01-19-2012 |
| 20120016448 | ENERGY EFFICIENT HIGH FREQUENCY NERVE BLOCKING TECHNIQUE - A neurostimulation system and method of blocking a neural axon. Time-varying electrical energy is conveyed to a blocking site on the neural axon for an initial phase. The conveyed electrical energy has an amplitude and frequency during the initial phase sufficient to block action potentials from propagating along the neural axon from a location proximal to the blocking site to a location distal to the blocking site. The time-varying electrical energy is conveyed to the blocking site on the neural axon for a subsequent phase contiguous with the initial phase. The conveyed electrical energy has a decreased amplitude and a frequency during the subsequent phase sufficient to maintain blocking of the action potentials along the neural axon from the location proximal to the blocking site to the location distal to the blocking site. | 01-19-2012 |
| 20120016447 | SYSTEM AND METHOD FOR ESTIMATING LEAD CONFIGURATION FROM NEIGHBORING RELATIONSHIP BETWEEN ELECTRODES - A method and neurostimulation control system for programming electrodes disposed adjacent tissue of a patient. A fixed spatial grid of electrode positions is generated. One of the electrodes is designated as a reference electrode to be currently examined, and assigned to one of the electrode grid positions. One or more previously unassigned ones of the electrodes neighboring the reference electrode are assigned respectively to one or more of the electrode grid positions immediately surrounding the electrode grid position to which the reference electrode is assigned. The electrodes are programmed based on the assignment of the electrodes to the electrode grid positions. | 01-19-2012 |
| 20120016445 | SYSTEM AND METHOD FOR ESTIMATING CLUSTERING OF ELECTRODES IN NEUROSTIMULATION SYSTEM - A method and neurostimulation control system for programming electrodes disposed adjacent tissue of a patient. The electrodes are initially assigned to a plurality of electrode subsets to be evaluated. A pair of immediately neighboring ones of the electrode subsets is determined, and merged into a new electrode subset that includes all electrodes in the pair of immediately neighboring electrode subsets. The new electrode subset is included within the plurality of electrode subsets to be evaluated, while the pair of immediately neighboring electrode subsets is excluded from the plurality of electrode sets to be evaluated. These steps are repeated until all the electrode subsets have been merged into a single electrode subset. A clustering relationship of the electrodes is identified, and the electrodes are programmed based on the identified clustering relationship of the electrodes. | 01-19-2012 |
| 20120016378 | SYSTEMS AND METHODS FOR RADIAL STEERING OF ELECTRODE ARRAYS - A device for brain stimulation includes a lead having a longitudinal surface, a proximal end and a distal end. A plurality of electrodes are disposed along the longitudinal surface of the lead near the distal end of the lead. At least one marker is disposed on the longitudinal surface of the lead. The at least one marker is configured and arranged to identify a relative position of the plurality of electrodes. | 01-19-2012 |
| 20120016336 | TREATMENT OF MOOD AND/OR ANXIETY DISORDERS BY ELECTRICAL BRAIN STIMULATION AND/OR DRUG INFUSION - A system and method for introducing one or more stimulating drugs and/or applying electrical stimulation to the brain to treat mood and/or anxiety disorders uses an implantable system control unit (SCU), specifically an implantable signal/pulse generator (IPG) or microstimulator with one or more electrodes in the case of electrical stimulation, and an implantable pump with one or more catheters in the case of drug infusion. In cases requiring both electrical and drug stimulation, one or more SCUs are used. Alternatively and preferably, when needed, an SCU provides both electrical stimulation and one or more stimulating drugs. In a preferred embodiment, the system is capable of open- and closed-loop operation. In closed-loop operation, at least one SCU includes a sensor, and the sensed condition is used to adjust stimulation parameters. | 01-19-2012 |
| 20120014580 | PROGRAMMING INTERFACE FOR SPINAL CORD NEUROMODULATION - A tool for assisting in the planning or performing of electrical neuromodulation of a patient's spinal cord. The tool may have various functions and capabilities, including calculating a volume of activation, registering an electrode(s) shown in a radiologic image, constructing functional images of the patient's spinal anatomy, targeting of neuromodulation, finding a functional midline between multiple electrodes, determining the three-dimensional position of multiple electrodes, and/or accommodating for electrode migration. In certain embodiments, the tool can be embodied as computer software or a computer system. | 01-19-2012 |
| 20120012630 | CHARGER BELT - Electrical energy is transcutaneously transmitted from an external charger to an implanted medical device, wherein the external charger includes a charger head that is positioned on the patient to align with the implanted medical device for efficient charging. To secure the charger head in alignment with the implanted medical device, a belt with a buckle is provided for securing the charger head. The belt is adjustable in length by sliding end portions of the belt through a buckle and joining respective fabrics on the belt. The position of the buckle can also be adjusted for ease of patient use. Additional features of the belt provide for heat management to improve patient comfort and an additional strap to further adjust the length of the belt. | 01-19-2012 |
| 20120004709 | Charging System for an Implantable Medical Device Employing Magnetic and Electric Fields - A base station for passively recharging a battery in an implant without patient involvement is disclosed. The base station can be hand held or may comprise equipment configured to be placed at a fixed location, such as under a bed, on or next to a wall, etc. The base station can generate electric and magnetic fields (E-field and B-field) that couple with an antenna and a receiving coil within the implant to generate a charging current for charging the implant's battery. No handling or manipulation on part of the patient is necessary; the implant battery is passively charged whenever the patient is within range of either the magnetic or electric charging fields generated by base station. Charging using the B-field occurs when the IPG is at a relatively short distance from the base station, while charging using the E-field occurs at longer distances. Back telemetry from the implant can inform the base station whether B-field or E-field charging is indicated, and is preferred if possible for its ability to transfer higher amounts of power to the implant. | 01-05-2012 |
| 20120004708 | Implantable Medical Device and Charging System Employing Electric Fields - An implantable medical device and external base station system are disclosed. The external base station can provide a passive electric field to power the implant, or to charge its battery. The base station may also power or charge using magnetic fields under certain circumstances. The Implantable medical device may comprise an implantable neurostimulator having a number of electrode leads extending from its body. One or more of the electrode leads can comprise the antenna for receiving the electric field from the base station, and resonance in that antenna can be rectified to provide the power for recharging the battery. Although the E-field provided by the base station does not provide as much power for recharging as does other traditional charging techniques (such as those using magnetic fields), it can occur passively and over longer distances to allow the patent's implant to be recharged when in relative proximity to the base station. | 01-05-2012 |
| 20120004707 | USE OF STIMULATION PULSE SHAPE TO CONTROL NEURAL RECRUITMENT ORDER AND CLINICAL EFFECT - A method, electrical tissue stimulation system, and programmer for providing therapy to a patient are provided. Electrodes are placed adjacent tissue (e.g., spinal cord tissue) of the patient, electrical stimulation energy is delivered from the electrodes to the tissue in accordance with a defined waveform, and a pulse shape of the defined waveform is modified, thereby changing the characteristics of the electrical stimulation energy delivered from the electrode(s) to the tissue. The pulse shape may be modified by selecting one of a plurality of different pulse shape types or by adjusting a time constant of the pulse shape. | 01-05-2012 |
| 20110319967 | SYSTEM AND METHOD FOR COMPUTATIONALLY DETERMINING MIGRATION OF NEUROSTIMULATION LEADS - A tissue stimulation system and computer software and method of monitoring a neurostimulation lead having a plurality of electrodes implanted within a patient (e.g., adjacent the spinal cord) is provided. Neurostimulation lead models are provided, each of which includes estimated electrical parameter data (e.g., electrical field potential data) corresponding to a predetermined position of the neurostimulation lead. Electrical energy is transmitted to or from the electrodes, and electrical parameter data (e.g., electrical field potential data) is measured in response to the transmitted electrical energy. The measured electrical parameter data is compared with the estimated electrical parameter data of each of the neurostimulation lead models, and a position of the neurostimulation lead is determined based on the comparison. | 12-29-2011 |
| 20110313500 | ELECTRODE ARRAY HAVING EMBEDDED ELECTRODES AND METHODS OF MAKING THE SAME - A method of manufacturing a device for brain stimulation includes forming a lead body having a distal end section and coupling at least one pre-electrode to the distal end section of the lead body. The pre-electrode defines a divider with a plurality of partitioning arms, and has a plurality of fixing lumens. A portion of the pre-electrode aligned with the portioning arms is removed to divide the pre-electrode into a plurality of segmented electrodes. Each of the plurality of segmented electrodes defines at least one of the plurality of fixing lumens at least partially disposed through the segmented electrode. A material is introduced through the at least one fixing lumen to couple the plurality of segmented electrodes to the lead body. | 12-22-2011 |
| 20110313490 | Method for Controlling Telemetry in an Implantable Medical Device Based on Power Source Capacity - An implantable microstimulator configured for implantation beneath a patient's skin for tissue stimulation to prevent and/or treat various disorders, uses a self-contained power source. Periodic or occasional replenishment of the power source is accomplished, for example, by inductive coupling with an external device. A bidirectional telemetry link allows the microstimulator to provide information regarding the system's status, including the power source's charge level, and stimulation parameter states. Processing circuitry automatically controls the applied stimulation pulses to match a set of programmed stimulation parameters established for a particular patient. The microstimulator preferably has a cylindrical hermetically sealed case having a length no greater than about 27 mm and a diameter no greater than about 3.3 mm. A reference electrode is located on one end of the case and an active electrode is located on the other end. The case is externally coated on selected areas with conductive and non-conductive materials. | 12-22-2011 |
| 20110295340 | Multiple Telemetry and/or Charging Coil Configurations for an Implantable Medical Device System - Embodiments of an improved implantable medical device system for orientation-independent telemetry to and from the device are disclosed. The system includes an external controller which produces an electromagnetic field to induce a current in a coil in the implantable medical device and vise versa. In a preferred embodiment, the external controller comprises three orthogonal coils, each of which is potentially activated to generate or receive the electromagnetic field. Algorithms are disclosed to allow for the choice of one or more of the coils best suited for telemetry based on the chosen coil's orientation with respect to the telemetry coil in the implantable medical device. Because all three of the orthogonal coils are potentially activated if necessary, the result is that at least one of the coils will be in a proper orientation with respect to the coil in the implantable medical device, thereby improving telemetry efficiency. The disclosed techniques may be used to improve induction-based powering or charging of the device as well. | 12-01-2011 |
| 20110295330 | ANCHORING UNITS FOR LEADS OF IMPLANTABLE ELECTRIC STIMULATION SYSTEMS AND METHODS OF MAKING AND USING - A nerve stimulation lead has a distal end, a proximal end, and a longitudinal length. The nerve stimulation lead includes a plurality of electrodes disposed at the distal end, a plurality of terminals disposed at the proximal end, and a plurality of conductive wires electrically coupling the plurality of electrodes electrically to the plurality of terminals. The nerve stimulation lead also includes at least one anchoring unit disposed on the nerve stimulation lead. The at least one anchoring unit is configured and arranged for anchoring the nerve stimulation lead against a bony structure. | 12-01-2011 |
| 20110288619 | SYSTEM FOR PERMANENT ELECTRODE PLACEMENT UTILIZING MICROELECTRODE RECORDING METHODS - A lead stimulation/recording system is provided, which is a combination of a permanent DBS stimulating lead and a recording microelectrode. The DBS lead has a lumen extending from the proximal to the distal end of the lead, the lumen having an opening on each end of the lead. The microelectrode is configured and dimensioned to be insertable into the DBS lead from either the distal or proximal opening of the DBS lead, thereby permitting the microelectrode to be placed before, concurrently with, or after placement of the DBS lead. In addition, the system may be used with known microelectrode recording systems and methods of inserting the electrodes, such as the five-at-a-time method, the dual-microdrive method, or the single microdrive method. | 11-24-2011 |
| 20110288618 | NEUROSTIMULATION LEAD ANCHORS - In accordance with the present inventions, anchoring devices for a lead (e.g., a neurostimulation lead) placed on solid tissue (e.g., fascia) and methods of anchoring the lead relative to the tissue are provided. Such methods may include inserting the lead into an epidural space and coupling the lead to a neurostimulation. | 11-24-2011 |
| 20110282414 | SYSTEM AND METHOD FOR DEFINING NEUROSTIMULATION LEAD CONFIGURATIONS - A method and external control device for operating a plurality of electrode leads implanted within the tissue of a patient. A virtual electrode leads in a reference lead configuration are displayed. One of the virtual electrode leads is selected. The selected virtual electrode lead is dragged, and the displace virtual electrode lead is dropped, thereby displaying the virtual electrode leads in a new lead configuration. | 11-17-2011 |
| 20110276111 | External Charger with Customizable Magnetic Charging Field - Improved external chargers for charging an implantable medical device, and particularly useful in charging a plurality of such devices, are disclosed. Each of the various embodiments include a plurality of field customization coils for customizing the magnetic charging field generated by the external charger such that the magnetic charging field is not radially symmetric. For example, one embodiment includes a primary coil with a plurality of field customization coils distributed radially with respect to the coil. The generated magnetic charging field can be rendered radially asymmetric by selectively activating or disabling the field customization coils in response to data quantifying the coupling between the various implants and the field customization coils in the charger. If there is a relatively high coupling between a particular implant and a particular customization coil for example, that customization coil can be activated to counter the magnetic charging field at that location, while still maintaining a relatively high magnetic charging field at the location of other implants that may have lower couplings. | 11-10-2011 |
| 20110276110 | Power Circuitry for an Implantable Medical Device Using a DC-DC Converter - Improved power circuitry for charging a battery in an implantable medical device is disclosed. The improved power circuitry uses a DC-DC converter positioned between the rectifier and the battery in the implant to be charged, and operates to boost the voltage produced by the rectifier to a higher compliance voltage used to charge the battery. Because the rectifier can now produce a smaller DC voltage, the AC voltage preceding the rectifier (the coil voltage), can also be lessened. Lowering the coil voltage reduces the amount of heat generated by the coil, which reduces the overall heat generated by the implant during receipt of a magnetic charging field from an external charger during a charging session, which improves patient safety. Additionally, a reduced coil voltage means that the external charger can reduce the intensity of the magnetic charging field, which also reduces heat generated in the external charger during the charging session. | 11-10-2011 |
| 20110257710 | METHOD AND APPARATUS FOR ALERTING A USER OF NEUROSTIMULATION LEAD MIGRATION - A neurostimulation system comprises an implantable neurostimulation lead, an implantable neurostimulator configured for delivering stimulation energy to the lead, an indicator configured for outputting a user-discernible alert signal indicating that the lead has migrated from a baseline position, memory configured for storing a threshold value, and a processor configured for determining a magnitude at which the lead has migrated from the baseline position, comparing the determined magnitude to the threshold value, and prompting the indicator to output the alert signal based on the comparison. A method of alerting a user to the migration of a neurostimulation lead implanted within the user comprises determining a magnitude at which an implanted neurostimulation lead has migrated from a baseline position, comparing the determined magnitude to a threshold value, and outputting a user-discernible alert signal indicating that the implanted lead has migrated based on the comparison. | 10-20-2011 |
| 20110257709 | METHOD AND APPARATUS FOR MODIFYING NEUROSTIMULATION LINEAR LEAD SHAPE TO CORRECT LEAD MIGRATION - A neurostimulation system comprises an implantable neurostimulation lead, an implantable neurostimulator configured for delivering stimulation energy to the implantable neurostimulation lead, an actuating device configured for modifying a linear shape of the lead after it has migrated from a baseline position, memory configured for storing a threshold value, and a processor configured for determining a magnitude at which the lead has migrated from the baseline position, comparing the determined magnitude to the threshold value, and prompting the actuating device to modify the linear shape of the lead based on the comparison. A method of correcting the migration of a neurostimulation lead implanted within the patient comprises determining a magnitude at which the implanted lead has migrated from a baseline position, comparing the determined magnitude to a threshold value, and modifying the linear shape of the lead based on the comparison. | 10-20-2011 |
| 20110257707 | NEUROSTIMULATION SYSTEM AND METHOD WITH ADJUSTABLE PROGRAMMING RATE - Neurostimulation systems, control systems, and methods for providing therapy to a patient are provided. Electrical stimulation energy is delivered to a tissue region in accordance with different stimulation parameter sets. The delivered electrical stimulation energy is incrementally transitioned through a first series of the different stimulation parameter sets at a user-defined rate in response to a single user actuation of a control mechanism. The user-defined rate is adjusted, and the delivered electrical stimulation energy is incrementally transitioned through a second series of the different stimulation parameter sets at the adjusted rate in response to a single user actuation of the control mechanism. | 10-20-2011 |
| 20110251653 | IMPLANTABLE ELECTRODES CONTAINING POLYOXOMETALATE ANIONS AND METHODS OF MANUFACTURE AND USE - An implantable device includes at least one electrode comprising a conductive base and polyoxometalate anions disposed on or within the conductive base; and at least one conductor attached to the at least one electrode for conducting electrical energy to the at least one electrode. | 10-13-2011 |
| 20110245903 | DIRECTIONAL LEAD ASSEMBLY - Leads having directional electrodes thereon. Also provided are leads having directional electrodes as well as retention ledges to secure the electrodes to the leads. Also provided are leads with directional electrodes where all the electrodes have the same surface area. Methods of manufacturing leads and methods of treating conditions and selectively stimulating regions of the nervous system are also provided. | 10-06-2011 |
| 20110238135 | Method for a Controlled Shutdown of an Implantable Medical Device - An improved implantable pulse generator (IPG) containing graceful shutdown circuitry is disclosed. A magnet sensor senses the presence of an emergency shutdown magnet. Output of the magnet sensor is conditioned by a signal conditioning circuit. Output of the signal conditioning circuit is delayed by a delay element before being fed to a power cut-off switch, which cuts-off power to the IPG circuitry. An interrupt signal is routed from before the delay element to the IPG processor as an indicator of imminent shutdown. The processor launches shutdown routine that carries out shutdown operations such as logging the emergency shutdown event, saving and closing open files, saving data from volatile memory to non-volatile memory, etc., before the power cut-off switch is activated upon elapsing of delay provided by the delay element. The magnet sensor, signal conditioning circuit, and delay element are powered separately from the rest of the circuitry of the IPG. | 09-29-2011 |
| 20110238129 | HELICAL RADIAL SPACING OF CONTACTS ON A CYLINDRICAL LEAD - A device for brain stimulation includes a lead having a longitudinal surface, a proximal end and a distal end; and a plurality of electrodes disposed along the longitudinal surface of the lead near the distal end of the lead. The plurality of electrodes includes at least four segmented electrodes having exposed surfaces where each exposed surface has a center point. The center points of the at least four segmented electrodes are disposed on a substantially helical path about the longitudinal surface of the lead. | 09-29-2011 |
| 20110238035 | TREATMENT OF OBESITY AND/OR TYPE II DIABETES BY STIMULATION OF THE PITUITARY GLAND - Methods of treating obesity and/or type II diabetes include applying at least one stimulus to the pituitary gland of a patient with an implanted stimulator in accordance with one or more stimulation parameters. The at least one stimulus is configured to treat obesity and/or type II diabetes. Systems for treating obesity and/or type II diabetes include a stimulator configured to apply at least one stimulus to the pituitary gland of a patient in accordance with one or more stimulation parameters. The at least one stimulus is configured to treat obesity and/or type II diabetes. | 09-29-2011 |
| 20110234155 | Inductive Charger with Magnetic Shielding - To recharge an implanted medical device, an external device, typically in the form of an inductive charger, is placed over the implant to provide for transcutaneous energy transfer. The external charging device can be powered by a rechargeable battery. Since the battery is in close proximity to the charge coil, the large magnetic field produced by the charge coil induces eddy currents that flow on the battery's metallic case, often resulting in undesirable heating of the battery and reduced efficiency of the charger. This disclosure provides a means of shielding the battery from the magnetic field to reduce eddy current heating, thereby increasing efficiency. In one embodiment, the magnetic shield consists of one or more thin ferrite plates. The use of a ferrite shield allows the battery to be placed directly over the charge coil as opposed to outside the extent of the charge coil. | 09-29-2011 |
| 20110230893 | SYSTEMS AND METHODS FOR MAKING AND USING ELECTRICAL STIMULATION SYSTEMS HAVING MULTI-LEAD-ELEMENT LEAD BODIES - A lead for providing electrical stimulation of patient tissue includes a distal lead element and three proximal lead elements. The distal lead element includes at least twenty electrodes and defines a stylet lumen and a plurality of conductive wire lumens having triangular transverse cross-sectional shapes. Each of the three proximal lead elements includes a plurality of terminals and defines a plurality of conductive wire lumens. Each of the conductive wire lumens has a round transverse cross-sectional shape. A junction couples the distal lead element to the proximal lead elements. Conductive wires couple each of the electrodes of the distal lead element to at least one of the terminals of at least one of the proximal lead elements. The conductive wire lumens disposed on the distal lead element are configured and arranged to receive a plurality of the conductive wires. | 09-22-2011 |
| 20110224744 | ELECTRODE CONTACT CONFIGURATIONS FOR CUFF LEADS - A stimulation system is disclosed that may include a stimulator unit coupled to electrode contacts on a cuff. In one embodiment, the cuff may be placed at least partially around a nerve. The stimulation system may include at least two electrode contacts disposed on the cuff such that a distance between the at least two electrode contacts various along a length of the electrode contacts. In another embodiment, a plurality of electrode contacts are disposed on the cuff such that distances between at least one electrode contact within the plurality of electrode contacts and each electrode contact immediately adjacent to the at least one electrode contact are different. The stimulator unit may also be implantable. | 09-15-2011 |
| 20110224681 | SYSTEM AND METHOD FOR MAKING AND USING A SPLITABLE LEAD INTRODUCER FOR AN IMPLANTABLE ELECTRICAL STIMULATION SYSTEM - A lead introducer includes a split-release insertion needle configured and arranged for insertion into an epidural space of a patient. The split-release insertion needle has a proximal end, a distal end, and a longitudinal axis. The split-release insertion needle includes a plurality of body elements that laterally mate along the longitudinal axis of the split-release insertion needle. When the plurality of body elements are mated, the plurality of body elements define a lumen along the longitudinal axis of the split-release insertion needle. The lumen is configured and arranged to receive a distal end of a neurostimulation lead. A removable retaining member is disposed over at least a portion of each of the plurality of body elements. The plurality of body elements are configured and arranged to at least partially separate from one another when the retaining member is removed from the plurality of body elements. | 09-15-2011 |
| 20110224680 | SYSTEM AND METHOD FOR MAKING AND USING A LEAD INTRODUCER FOR AN IMPLANTABLE ELECTRICAL STIMULATION SYSTEM - A lead introducer includes a multi-piece insertion needle insertable into a splitable member. The multi-piece insertion needle includes an outer insertion needle that defines an open channel that extends along substantially entirely a length of the outer insertion needle and an inner insertion needle configured and arranged for insertion into the open channel of the outer insertion needle. The splitable member includes at least two pull-apart tabs and at least one weakened region extending along at least a portion of a length of the splitable member from between the at least two pull-apart tabs. The at least one weakened region is configured and arranged for separating when the at least two pull-apart tabs are pulled apart. | 09-15-2011 |
| 20110218549 | SYSTEMS AND METHODS FOR MAKING AND USING A TRIAL STIMULATION SYSTEM HAVING AN ELECTRICAL CONNECTOR DISPOSED ON A TRIAL STIMULATION LEAD - A trial stimulation lead assembly for providing electrical stimulation of patient tissue during a trial stimulation includes a trial stimulation lead for insertion into a patient. The trial stimulation lead includes an elongated lead body having a length and a longitudinal axis. A plurality of electrodes are disposed at a distal end of the lead body. An electrical connector is disposed at a proximal end of the lead body. The electrical connector includes an outer case and a contact array disposed along the outer case. The contact array extends transversely to the longitudinal axis of the lead body. A plurality of electrical conductors extend along the length of the lead body and couple each of the plurality of electrodes to at least one of the plurality of contacts. A lumen extends along at least a portion of the length of the lead body. | 09-08-2011 |
| 20110218422 | ELECTRICAL LEAD FOR AN ELECTRONIC DEVICE SUCH AS AN IMPLANTABLE DEVICE - A lead for an electronic device which resists the induction of a current from an electromagnetic field external to said lead includes one or more pairs of adjacent segments of electrical wire, each of the pairs including a first segment of electrical wire and a second segment of electrical wire. The lead also includes one or more shielded RF chokes, wherein each of the shielded RF chokes is provided between the first segment of electrical wire and the second segment of electrical wire of a respective one of the one or more pairs of adjacent segments. Also, an implantable device that includes a generator for generating one or more electrical pulse and a lead as described for delivering the pulses to tissue within a patient's body. A method for making the described implantable device is also provided. | 09-08-2011 |
| 20110208281 | RESORBABLE ANCHOR ARRANGEMENTS FOR IMPLANTABLE DEVICES AND METHODS OF MAKING AND USING - An implantable device includes a device body and at least one anchoring unit configured and arranged for anchoring the device body in a patient upon implantation. The anchoring unit includes a resorbable material that resorbs into the patient over a period of time after implantation. | 08-25-2011 |
| 20110208269 | Battery Protection and Zero-Volt Battery Recovery System for an Implantable Medical Device - Circuitry useable to protect and reliably charge a rechargeable battery, even from a zero-volt state, is disclosed, and is particularly useful when employed in an implantable medical device. The circuit includes two charging paths, a first path for trickle charging the battery at a relatively low current when the battery voltage is below a threshold, and a second path for charging the battery at relatively higher currents that the battery voltage is above a certain threshold. A passive diode is used in the first trickle-charging path which allows trickle charging even when the battery voltage is too low for reliable gating, while a gateable switch (preferably a PMOS transistor) is used in the second higher-current charging path when the voltage is higher and the switch can therefore be gated more reliably. A second diode between the two paths ensures no leakage to the substrate through the gateable switch during trickle charging. The load couples to the battery through the switch, and preferably through a second switch specifically used for decoupling the load. | 08-25-2011 |
| 20110191828 | AUTHORIZATION AND TRACKING OF MODIFICATIONS TO MEDICAL DEVICES - A system and method for authorizing and tracking a modification to a medical device are provided. The modification may be an installation of software or firmware, an upgrade of software or firmware, an enablement of a feature, and/or a disablement of a feature. The system includes a server for generating and transmitting an authorization key before the modification can be performed. The system also includes a device for generating a confirmation key and transmitting the confirmation key to the server after the modification has been performed. The server is configured for updating a database with information regarding the modification performed on the medical device. In this manner, the system avoids performing unauthorized modifications to a medical device and efficiently traces authorized modifications made to the medical device. | 08-04-2011 |
| 20110190847 | NEURAL STIMULATION SYSTEM PROVIDING AUTO ADJUSTMENT OF STIMULUS OUTPUT AS A FUNCTION OF SENSED IMPEDANCE - A neural stimulation system automatically corrects or adjusts the stimulus magnitude (stimulation energy) in order to maintain a comfortable and effective stimulation therapy. Because the changes in impedance associated with the electrode-tissue interface can indicate obstruction of current flow and positional lead displacement, lead impedance can indicate the quantity of electrical stimulation energy that should be delivered to the target neural tissue to provide corrective adjustment. Hence, a change in impedance or morphology of an impedance curve may be used in a feedback loop to indicate that the stimulation energy needs to be adjusted and the system can effectively auto correct the magnitude of stimulation energy to maintain a desired therapeutic effect. | 08-04-2011 |
| 20110178576 | Pressure-Sensitive External Charger for an Implantable Medical Device - An improved external charger for an implantable medical device is disclosed in which charging is at least partially controlled based on a sensed pressure impingent on its case, which pressure is indicative of the pressure between the external charger and a patient's tissue. The improved external charger includes pressure detection circuitry coupled to one or more pressure sensors for controlling the external device in accordance with the sensed impingent pressure. The sensed pressure can be used to control charging, for example, by suspending charging, by adjusting a maximum set point temperature for the external charger based on the measured pressure, or by issuing an alert via a suitable user interface. By so controlling the external charger on the basis of the measured pressure, the external charger is less likely to create potentially problematic or uncomfortable conditions for the user. | 07-21-2011 |
| 20110178573 | TORQUE LOCK ANCHOR AND METHODS AND DEVICES USING THE ANCHOR - A lead anchor includes a body defining a lead lumen having a first opening and a second opening through which a lead can pass. The body further defines a transverse lumen that intersects the lead lumen. An exterior member is disposed around at least a portion of the body. The exterior member is formed of a biocompatible material. A fastener anchors the lead to the body through the transverse lumen by deforming a portion of the lead. The transverse lumen is configured and arranged to receive the fastener. At least at least two suture tabs extend from the exterior member and are configured and arranged for receiving a suture to suture the lead anchor to patient tissue. | 07-21-2011 |
| 20110172751 | SYSTEMS AND METHODS FOR MAKING AND USING BENDABLE PADDLES WITH IMPLANTABLE ELECTRICAL STIMULATION SYSTEMS - An implantable paddle lead includes a paddle body coupled to a distal end of an elongated lead body. A plurality of contacts are disposed on a front surface of the paddle body. At least one manually bendable shape-retaining member is interconnected with the paddle body. The at least one shape-retaining member is formed from a deformable material that is stiff enough to maintain a given shape for at least one day. The at least one bendable shape-retaining member is interconnected with the paddle body such that bending the at least one shape-retaining member causes a corresponding bend of at least a portion of the paddle body in proximity to the at least one shape-retaining member. | 07-14-2011 |
| 20110172742 | SMART CHARGER ALIGNMENT INDICATOR - Electrical energy is transmitted to charge the implanted medical device, and an electrical parameter (e.g., a steady-state voltage) indicating a rate at which the implanted medical device is charged by the electrical energy is detected. A threshold (e.g., by modifying a stored threshold value) at which the charge strength indicator generates a user-discernible signal is adjusted based on the detected electrical parameter. | 07-14-2011 |
| 20110172739 | IMPLANTABLE STIMULATOR - An implantable stimulator includes a tube assembly that is configured to house a number of components that are configured to apply at least one stimulus to at least one stimulation site within a patient. The tube assembly has a shape that allows the stimulator to be implanted within said patient in a pre-determined orientation. Exemplary methods of stimulating a stimulation site within a patient include applying an electrical stimulation current to a stimulation site via one or more electrodes extending along one or more sides of a stimulator. The stimulator has a shape allowing the stimulator to be implanted within the patient in a pre-determined orientation. | 07-14-2011 |
| 20110172679 | METHOD OF IMPLANTING MICRODEVICE WITH EXTENDED LEAD AND REMOTE ELECTRODE - An implantable microdevice includes at least one electrode detachably connected to electronic circuitry housed in an hermetically-sealed micro housing. The micro housing has a length no more than about 10 mm. In one embodiment, the electrode is located at a distal end of an electrode lead, and a proximal end of the electrode lead is removably inserted into a connector that forms part of the micro housing. | 07-14-2011 |
| 20110166546 | METHODS AND SYSTEMS FOR STIMULATING A MOTOR CORTEX OF THE BRAIN TO TREAT A MEDICAL CONDITION - Methods of treating a medical condition include applying at least one stimulus to a motor cortex within a brain of a patient with an implanted system control unit in accordance with one or more stimulation parameters. Systems for treating a medical condition include a system control unit implanted within the patient that is configured to apply at least one stimulus to a motor cortex within a brain of a patient in accordance with one or more stimulation parameters. | 07-07-2011 |
| 20110160810 | SYSTEM AND METHOD FOR INDEPENDENTLY OPERATING MULTIPLE NEUROSTIMULATION CHANNELS - A multi-channel neurostimulation system comprises a plurality of electrical terminals configured for being respectively coupled to a plurality of electrodes, stimulation output circuitry including electrical source circuitry of the same polarity configured for generating a plurality of pulsed electrical waveforms in a plurality of timing channels, and control circuitry configured for instructing the stimulation output circuitry to serially couple the electrical source circuitry to different sets of the electrodes when pulses of the respective pulsed electrical waveforms do not temporally overlap each other, and for instructing the stimulation output circuitry to couple the electrical source circuitry to a union of the different electrode sets when pulses of the respective pulsed electrical waveforms temporally overlap each other. | 06-30-2011 |
| 20110160797 | METHODS TO CONCURRENTLY STIMULATE DIFFERENT BRAIN TARGETS - A method for treating a patient having a dysfunction using a stimulation lead within the brain of a patient is provided. The stimulation lead carries a plurality of electrodes adjacent to a plurality of brain regions. Pulsed electrical waveforms having different sets of stimulation parameters are generated and then concurrently delivered to the plurality of electrodes, thereby concurrently stimulating the plurality of brain regions to treat the dysfunction. | 06-30-2011 |
| 20110160796 | AUTOMATIC EVALUATION TECHNIQUE FOR DEEP BRAIN STIMULATION PROGRAMMING - Neurostimulation systems and methods for providing therapy to a patient suffering from a symptom of a disease that latently responds to electrical stimulation therapy are provided. First electrical stimulation energy is conveyed to or from a tissue region of the patient in accordance with a first set of stimulation parameters, thereby affecting the symptom. A predetermined period of time estimated for the symptom to resolve in response to electrical stimulation therapy is allowed to elapse. Second electrical stimulation energy is conveyed to or from the tissue region in accordance with a second set of stimulation parameters different from the first set of stimulation parameters. | 06-30-2011 |
| 20110152988 | CAVERNOUS NERVE STIMULATION VIA UNIDIRECTIONAL PROPAGATION OF ACTION POTENTIALS - Methods of using unidirectionally propagating action potentials (UPAPs) for cavernous nerve stimulation and for certain disorders are provided. Stimulators capable of creating such UPAPs include, but are not limited to, miniature implantable stimulators (i.e., microstimulators), possibly with programmably configurable electrodes. | 06-23-2011 |
| 20110137378 | Telemetry System for Use With Microstimulator - An implantable microstimulator configured to be implanted beneath a patient's skin for tissue stimulation employs a bi-directional RF telemetry link for allowing data-containing signals to be sent to and from the implantable microstimulator from at least two external devices. Further, a separate electromagnetic inductive telemetry link allows data containing signals to be sent to the implantable microstimulator from at least one of the two external devices. The RF bidirectional telemetry link allows the microstimulator to inform the patient or clinician regarding the status of the microstimulator device, including the charge level of a power source, and stimulation parameter states. The microstimulator has a cylindrical hermetically sealed case having a length no greater than about 27 mm and a diameter no greater than about 3.3 mm. A reference electrode is located on one end of the case and an active electrode is located on the other end of the case. | 06-09-2011 |
| 20110137372 | METHODS AND APPARATUS FOR USING SENSORS WITH A DEEP BRAIN STIMULATION SYSTEM - A system and method for applying stimulation to a target stimulation site within a patient, while avoiding undesirable eye movement side effects of the stimulation, are provided. The method includes determining whether eye movement, sensed by internal or external electrodes, is a side effect of a conveyed electrical stimulus. If the eye movement is a side effect, the electrical current distribution of the stimulus is modified in order to steer a locus of the electrical stimulus from one tissue region of the patient to another different tissue region of the patient, thereby mitigating the eye movement side effects. For example, the locus of the electrical stimulus may be steered away from the oculomotor nerve. Eye movement side effects of DBS treatment may include apraxia of lid opening, downward movement and adduction of only one eyeball, and/or continuous deviation of both eyeballs. | 06-09-2011 |
| 20110130818 | ELECTRODE ARRAY HAVING CONCENTRIC SPLIT RING ELECTRODES AND METHODS OF MAKING THE SAME - A device for brain stimulation includes a lead body having a longitudinal surface and a distal end. The device further includes at least one ring array. The at least one ring array includes a plurality of split ring electrodes disposed on the distal end of the lead body. Each of the plurality of split ring electrodes includes a stimulating portion and a base portion coupled to the stimulating portion. The split ring electrodes of the at least one ring array are arranged about the circumference of the lead body. At least a portion of the base portion of at least one of the plurality of split ring electrodes is disposed below, and insulated from, at least a portion of the stimulating portion of another of the plurality of split electrodes. | 06-02-2011 |
| 20110130817 | ELECTRODE ARRAY HAVING A RAIL SYSTEM AND METHODS OF MANUFACTURING THE SAME - A device for brain stimulation includes a lead having a longitudinal surface and a distal end. The lead includes a longitudinal rail disposed within the distal end of the lead. The longitudinal rail includes at least two prongs, each prong being configured and arranged to receive at least one segmented electrode. The lead further includes a plurality of segmented electrodes disposed along the longitudinal surface of the lead near the distal end of the lead. Each of the plurality of segmented electrodes is coupled to one of the at least two prongs of the rail. | 06-02-2011 |
| 20110130816 | ELECTRODE ARRAY WITH ELECTRODES HAVING CUTOUT PORTIONS AND METHODS OF MAKING THE SAME - A lead for brain stimulation includes a lead body having a distal end. At least one cable extends within the lead body, each cable comprising at least one conductor. The lead further includes a plurality of electrodes coupled to the at least one cable. Each of the plurality of electrodes defines a cutout portion that receives and attaches to a one of the at least one cable. | 06-02-2011 |
| 20110130803 | ELECTRODE ARRAY HAVING CONCENTRIC WINDOWED CYLINDER ELECTRODES AND METHODS OF MAKING THE SAME - A device for brain stimulation includes a lead body having a distal end section and at least one inner conductive cylinder with at least one inner window cut out from the inner cylinder. The inner cylinder is disposed at the distal end section of the lead body. The device also includes an outer conductive cylinder with at least one outer window cut out from the outer cylinder. The outer cylinder is secured to and disposed concentric to the inner cylinder with a portion of each of the at least one inner cylinder aligned with the at least one outer window of the outer cylinder. The device further includes an insulator configured and arranged to electrically insulate each of the at least one inner cylinder and the outer cylinder. | 06-02-2011 |
| 20110125224 | NEUROSTIMULATION SYSTEM AND METHOD FOR COMBINING CURRENT USING RECONFIGURABLE CURRENT SOURCES - A neurostimulation system and method of providing therapy to a patient implanted with a plurality of electrodes using a plurality of electrical sources is provided. One of the electrical sources is reconfigured from a second polarity to a first polarity. A first electrical current is generated with the one electrical source when configured in the first polarity. A second electrical current is generated with another one of the electrical sources. At least a portion of the first electrical current and at least a portion of the second electrical current is combined in one of an additive manner and a subtractive manner to produce a first combined electrical current. The first combined electrical current is conveyed to or from one or more of the electrodes. | 05-26-2011 |
| 20110125223 | NEUROSTIMULATION SYSTEM AND METHOD FOR COMPOUNDING CURRENT TO MINIMIZE CURRENT SOURCES - A neurostimulation system and method of providing therapy to a patient implanted with a plurality of electrodes using a plurality of electrical sources is provided. A source-electrode coupling configuration is determined from the electrical sources and electrodes. Electrical current is respectively conveyed between active ones of the plurality of electrical sources and active subsets of the plurality of electrodes in accordance with the determined source-electrode coupling configuration. The total number of the electrodes in the active electrode subsets is greater than the total number of the active electrical sources. | 05-26-2011 |
| 20110118815 | ELECTRODE ARRAY ASSEMBLY AND METHOD OF MAKING SAME - A lead assembly and a method of making a lead are provided. The method of making a multi-contact lead assembly comprises placing monofilament placed in the void spaces not occupied by the plurality of conductor wires and, in one embodiment, thermally fusing the monofilament to the like material spacer by applying heat just below the melting temperature of the monofilament and spacer material. Alternatively, the monofilament and spacer may be of different materials and heat is applied to cause at least one material to thermally reflow or melt. The conductive contacts may be located at either the distal end and/or proximal end of the lead. Oversized spacers may be used in order to provide extra material to fill voids during the thermal fusion/reflow process. | 05-19-2011 |
| 20110118797 | Multi-Electrode Implantable Stimulator Device with a Single Current Path Decoupling Capacitor - Disclosed herein are circuits and methods for a multi-electrode implantable stimulator device incorporating one decoupling capacitor in the current path established via at least one cathode electrode and at least one anode electrode. In one embodiment, the decoupling capacitor may be hard-wired to a dedicated anode on the device. The cathodes are selectively activatable via stimulation switches. In another embodiment, any of the electrodes on the devices can be selectively activatable as an anode or cathode. In this embodiment, the decoupling capacitor is placed into the current path via selectable anode and cathode stimulation switches. Regardless of the implementation, the techniques allow for the benefits of capacitive decoupling without the need to associate decoupling capacitors with every electrode on the multi-electrode device, which saves space in the body of the device. Although of particular benefit when applied to microstimulators, the disclosed technique can be used with space-saving benefits in any stimulator device. | 05-19-2011 |
| 20110112612 | Using the Case of an Implantable Medical Device to Broaden Communication Bandwidth - An improved implantable pulse generator (IPG) containing improved telemetry circuitry is disclosed. The IPG includes a telemetry coil within the conductive IPG case, not in the non-conductive header as is typical, which simplifies IPG design. The improved resonant circuit of which the coil is a part does not include a discrete tuning resistor with the coil, which tuning resistor was traditionally used to increase communication bandwidth of the coil to render it suitable for FSK telemetry. In lieu of the tuning resistor, the coil is intentionally inductively coupled to the case by positioning the coil a certain distance away from the case. Such coupling decreases the effective inductance and increases the effective series resistance in the improved resonant circuit, both of which increase the communication bandwidth. As such, suitable FSK telemetry can be achieved, even though the improved resonant circuit without the case would not on its own have suitable bandwidth. | 05-12-2011 |
| 20110112611 | External Controller/Charger System for an Implantable Medical Device Capable of Automatically Providing Data Telemetry Through a Charging Coil During a Charging Session - An improved external controller/charger system for an implantable medical device is described herein, in which the external controller/charger system provides automatic switching between telemetry and charging without any manual intervention by the patient. The external controller/charger system includes an external controller which houses a telemetry coil and an external charging coil coupled to the external controller. Normally, a charging session is carried out using the external charging coil, and a telemetry session is carried out using the telemetry coil. However, when a patient requests to carry out telemetry during a charging session, the external charging coil is used instead of the internal telemetry coil. Specifically, in one embodiment, the external controller/charger system automatically decouples the external charging coil from the charging circuitry and couples it to the telemetry circuitry. The device and the implantable medical device then carry out the desired telemetry via the external charging coil. After a predetermined time, or after the telemetry session is complete, the external controller/charger system automatically decouples the external coil from the telemetry circuitry and recouples it to the charging circuitry. | 05-12-2011 |
| 20110112610 | Minimizing Interference Between Charging and Telemetry Coils in an Implantable Medical Device - An improved implantable pulse generator (IPG) containing improved telemetry circuitry is disclosed. The IPG includes charging and telemetry coils within the IPG case, which increases their mutual inductance and potential to interfere with each other; particularly problematic is interference to the telemetry coil caused by the charging coil. To combat this, improved telemetry circuitry includes decoupling circuitry for decoupling the charging coil during periods of telemetry between the IPG and an external controller. Such decoupling circuitry can comprise use of pre-existing LSK circuitry during telemetry, or new discrete circuitry dedicated to decoupling. The decoupling circuitry is designed to prevent or at least reduce induced current flowing through the charging coil during data telemetry. The decoupling circuitry can be controlled by the microcontroller in the IPG, or can automatically decouple the charging coil at appropriate times to mitigate an induced current without instruction from the microcontroller. | 05-12-2011 |
| 20110112609 | AUTOMATIC LEAD IDENTIFICATION USING ELECTRIC FIELD FINGERPRINTING - A method, programmer for a neurostimulator, and neurostimulation kit are provided. The kit comprises a neurostimulator, and a plurality of elongated lead bodies configured for being coupled to the neurostimulator, each having a plurality of proximal contacts and a plurality of distal electrodes respectively electrically coupled to the proximal contacts, wherein an in-line connectivity between the electrodes and proximal contacts carried by the different lead bodies differs from each other. Electrical energy is conveyed between the electrodes of the selected lead body and the tissue, an electrical fingerprint is measured at the proximal contacts of the selected lead body in response to the conveyed electrical energy, and the selected lead body is identified based on the measured electrical fingerprint. These steps can be performed by the programmer. | 05-12-2011 |
| 20110106215 | SYSTEM AND METHOD FOR MAPPING ARBITRARY ELECTRIC FIELDS TO PRE-EXISTING LEAD ELECTRODES - A method and system for stimulating tissue using a plurality of electrodes is provided. Desired electrical parameter (e.g., field potential) values are determined at a plurality of spatial points. A plurality of constituent current sources is selected at the locations of the electrodes. The relative strengths of the constituent current sources that, when combined, result in estimated electrical parameter (e.g., field potential)|values at the spatial points that best matches the desired electrical parameter values at the spatial points are determined. The polarity and percentage of electrical current to be associated with each of the electrodes is selected based on the determined strengths of the constituent current sources. Electrical current is conveyed through the plurality of electrodes in accordance with the selected electrical current magnitudes to stimulate the tissue. | 05-05-2011 |
| 20110106214 | CHARGE RECOVERY BI-PHASIC CONTROL FOR TISSUE STIMULATION - A method and external control device for providing therapy to a patient using first and second electrodes implanted within the patient is provided. A train of electrical multi-phasic pulses is generated. A first electrical current is sourced from the second electrode and at least a portion of the first electrical current is sunk to the first electrode during a stimulation phase of each multi-phasic pulse, thereby therapeutically stimulating a first tissue region adjacent the first electrode. A second electrical current is sourced from the first electrode and at least a portion of the second electrical current is sunk to the second electrode during a charge recovery phase of each multi-phasic pulse, thereby recovering at least a portion of the charge that had been injected into the patient during the stimulation phase of each multi-phasic pulse, and therapeutically stimulating a second tissue region adjacent the second electrode. | 05-05-2011 |
| 20110093048 | External Charger for a Medical Implantable Device Using Field Inducing Coils to Improve Coupling - By incorporating magnetic field-inducing position determination coils (PDCs) in an external charger, it is possible to determine the position of an implantable device by actively inducing magnetic fields using the PDCs and sensing the reflected magnetic field from the implant. In one embodiment, the PDCs are driven by an AC power source with a frequency equal to the charging coil. In another embodiment, the PDCs are driven by an AC power source at a frequency different from that of the charging coil. By comparing the relative reflected magnetic field strengths at each of the PDCs, the position of the implant relative to the external charger can be determined. Audio and/or visual feedback can then be communicated to the patient to allow the patient to improve the alignment of the charger. | 04-21-2011 |
| 20110093045 | SYSTEM AND METHOD FOR ESTIMATING VOLUME OF ACTIVATION IN TISSUE - A system for a neurostimulation device comprises at least one processor configured for estimating at a plurality of spatial points a respective plurality of electrical field vectors resulting from a stimulation lead operating in accordance with the set of stimulation parameters, determining an amplitude of each electrical field vector and an angle between each electrical field vector and a vector aligned with an axis of the stimulation lead, and estimating a tissue of volume activation about the stimulation lead based on the determined amplitude and angle of each electrical field vector. | 04-21-2011 |
| 20110093044 | SYSTEM AND METHOD FOR MODELING ELECTRODE MORPHOLOGIES - A system for a neurostimulation device comprises a user input device configured for receiving an electrode morphology having at least one electrode, memory storing at least one basis electrode model, and at least one processor configured for modeling at least one electrode by recalling the at least one basis electrode model from the memory, and using the recalled at least one basis electrode model multiple times to construct a model of the at least one electrode. | 04-21-2011 |
| 20110087307 | Efficient External Charger for an Implantable Medical Device Optimized for Fast Charging and Constrained by an Implant Power Dissipation Limit - An improved external charger for a battery in an implantable medical device (implant), and technique for charging the battery using such improved external charger, is disclosed. In one example, simulation data is used to model the power dissipation of the charging circuitry in the implant at varying levels of implant power. A power dissipation limit is chosen to constrain the charging circuitry from producing an inordinate amount of heat to the tissue surrounding the implant, and duty cycles are determined for the various levels of input intensities to ensure that the power limit is not exceeded. A maximum simulated average battery current determines the optimal (i.e., quickest) battery charging current, and at least an optimal value for a parameter indicative of that current, for example, the voltage across the battery charging circuitry, is determined and stored in the external charger. During charging, the actual value for that parameter is reported from the implant to the external charger, which in turn adjusts the intensity and/or duty cycle of the magnetic charging field consistent with the simulation to ensure that charging is as fast as possible, while still not exceeding the power dissipation limit. | 04-14-2011 |
| 20110078900 | METHODS FOR MAKING LEADS WITH RADIALLY-ALIGNED SEGMENTED ELECTRODES FOR ELECTRICAL STIMULATION SYSTEMS - A method of making a stimulation lead includes attaching multiple segmented electrodes to a carrier. Each of the segmented electrodes has a curved form extending over an arc in the range of 10 to 345 degrees. The method further includes attaching conductors to the segmented electrodes; forming the carrier into a cylinder with segmented electrodes disposed within the cylinder; molding a lead body around the segmented electrodes disposed on the carrier; and removing at least a portion of the carrier to separate the segmented electrodes. | 04-07-2011 |
| 20110077721 | IMPLANTABLE MICROSTIMULATORS AND METHODS FOR UNIDIRECTIONAL PROPAGATION OF ACTION POTENTIALS - Miniature implantable stimulators (i.e., microstimulators) are capable of producing unidirectionally propagating action potentials (UPAPs). The methods and configurations described may, for instance, arrest action potentials traveling in one direction, arrest action potentials of small diameters nerve fibers, arrest action potentials of large diameter nerve fibers. These methods and systems may limit side effects of bidirectional and/or less targeted stimulation. | 03-31-2011 |
| 20110071597 | External Charger Usable with an Implantable Medical Device Having a Programmable or Time-Varying Temperature Set Point - An improved external charger for charging the battery within or providing power to an implantable medical device is disclosed. The improved external charger includes circuitry for detecting the temperature of the external charger and for controlling charging to prevent exceeding a maximum temperature. The external charger in some embodiments includes a user interface for allowing a patient to set the external charger's maximum temperature. The user interface can be used to select either constant maximum temperatures, or can allow the user to choose from a number of stored charging programs, which programs can control the maximum temperature to vary over time. Alternatively, a charging program in the external charger can vary the maximum temperature set point automatically. By controlling the maximum temperature of the external charger during charging in these manners, the time needed to charge can be minimized while still ensuring a temperature that is comfortable for that patient. | 03-24-2011 |
| 20110066197 | METHODS AND SYSTEMS FOR FACILITATING STIMULATION OF ONE OR MORE STIMULATION SITES - Methods of facilitating stimulation of a stimulation site within a patient include implanting a distal portion of a first stimulating member such that the distal portion of the first stimulating member is in communication with a first stimulation site located within a patient, securing the distal portion of the first stimulating member at a first securing site with a first securing device positioned proximal to the first stimulation site, forming a first loop of at least 360 degrees with a portion of the first stimulating member proximal to the first securing device, securing the first loop with a second securing device at a second securing site having a position that is greater than or equal to substantially 180 degrees but less than or equal to substantially 315 degrees along the first loop from the first securing site, and positioning the second securing device and a stimulator to be coupled to a proximal end of the first stimulating member to maintain a curve in the first stimulating member of at least 45 degrees between the second securing device and the stimulator. | 03-17-2011 |
| 20110060387 | NEURAL STIMULATION SYSTEM PROVIDING AUTO ADJUSTMENT OF STIMULUS OUTPUT AS A FUNCTION OF SENSED IMPEDANCE - A neural stimulation system automatically corrects or adjusts the stimulus magnitude (stimulation energy) in order to maintain a comfortable and effective stimulation therapy. Because the changes in impedance associated with the electrode-tissue interface can indicate obstruction of current flow and positional lead displacement, lead impedance can indicate the quantity of electrical stimulation energy that should be delivered to the target neural tissue to provide corrective adjustment. Hence, a change in impedance or morphology of an impedance curve may be used in a feedback loop to indicate that the stimulation energy needs to be adjusted and the system can effectively auto correct the magnitude of stimulation energy to maintain a desired therapeutic effect. | 03-10-2011 |
| 20110060386 | SYSTEM AND METHOD FOR DISPLAYING STIMULATION FIELD GENERATED BY ELECTRODE ARRAY - An implantable pulse generator includes a current steering capability that allows a clinician or patient to quickly determine a desired electrode stimulation pattern, including which electrodes of a group of electrodes within an electrode array should receive a stimulation current, including the amplitude, width and pulse repetition rate of such current. Movement of the selected group of electrodes is facilitated through the use of remotely generated directional signals, generated by a pointing device, such as a joystick. As movement of the selected group of electrodes occurs, current redistribution amongst the various electrode contacts takes place. The redistribution of stimulus amplitudes utilizes re-normalization of amplitudes so that the perceptual level remains fairly constant. This prevents the resulting paresthesia from falling below the perceptual threshold or above the comfort threshold. | 03-10-2011 |
| 20110060382 | STIMULATION OF A STIMULATION SITE WITHIN THE NECK OR HEAD - Methods of applying a stimulus to a stimulation site within the neck or head of a patient include implanting a distal portion of one or more leads adjacent to the stimulation site, forming a loop with a proximal portion of the one or more leads, and securing the distal and proximal portions of the one or more leads to one or more securing sites with one or more securing devices. The distal portion of the one or more leads includes a number of electrodes disposed thereon that are configured to deliver the stimulus to the stimulation site. Systems for applying a stimulus to a stimulation site within the neck or head of a patient include one or more leads having a number of electrodes disposed on a distal portion thereof and one or more securing devices configured to secure the one or more leads to one or more securing sites. The distal portion of the one or more leads is implanted adjacent to the stimulation site and the electrodes are configured to deliver the stimulus to the stimulation site. The proximal portion of the one or more leads is formed in a loop. | 03-10-2011 |
| 20110054570 | METHODS TO AVOID FREQUENCY LOCKING IN A MULTI-CHANNEL NEUROSTIMULATION SYSTEM USING A GREATEST COMMON DIVISOR RULE - A method and external control device for preventing frequency locking in a multi-channel neurostimulation system and external control device is provided. A plurality of pulsed electrical waveforms is provided. Each of the pulsed electrical waveforms has a period and a pulse width. The greatest common divisor of the periods of the pulsed electrical waveforms is computed, and the sum of the pulse widths of the pulsed electrical waveforms is computed. A plurality of timing channels in the neurostimulation system is allowed to be programmed with the pulsed electrical waveforms if the greatest common divisor is equal to or greater than the sum. | 03-03-2011 |
| 20110054568 | METHODS TO AVOID FREQUENCY LOCKING IN A MULTI-CHANNEL NEUROSTIMULATION SYSTEM USING PULSE PLACEMENT - A method and neurostimulation system for treating a patient are provided. A plurality of pulsed electrical waveforms are respectively delivered within a plurality of timing channels of the neurostimulation system, thereby treating the patient. Sets of stimulation pulses within the electrical waveforms that will potentially overlap temporally are predicted. Each of the potentially overlapping pulse sets is substituted with a replacement stimulation pulse, such that each replacement stimulation pulse is delivered within at least one of the respective timing channels, thereby preventing temporal overlap between the stimulation pulses of the respective electrical waveforms while preventing frequency locking between the timing channels. | 03-03-2011 |
| 20110054567 | METHODS TO AVOID FREQUENCY LOCKING IN A MULTI-CHANNEL NEUROSTIMULATION SYSTEM USING PULSE SHIFTING - A method and neurostimulation system for treating a patient are provided. A plurality of pulsed electrical waveforms are respectively delivered within a plurality of timing channels of the neurostimulation system, thereby treating the patient. Sets of stimulation pulses within the pulsed electrical waveforms that will potentially overlap temporally are predicted. Stimulation pulses in the respective pulsed electrical waveforms are temporally shifted in a manner that prevents overlap of the potentially overlapping pulse sets while preventing frequency locking between the timing channels. | 03-03-2011 |
| 20110054551 | METHOD AND APPARATUS FOR DETERMINING RELATIVE POSITIONING BETWEEN NEUROSTIMULATION LEADS - A method and neurostimulation control system for operating two leads disposed adjacent tissue of a patient are provided. A plurality of cross-lead electrical parameters are measured to generate a measured electrical profile of the electrode leads. A plurality of cross-lead electrical parameters are estimated to generate a first reference electrical profile for the electrode leads in a first known staggered configuration. The first reference electrical profile is spatially shifted to generate a second reference electrical profile for the electrode leads in a second known staggered configuration. The measured electrical profile is compared to the first and second reference electrical profiles, and a longitudinal stagger between the electrode leads is quantified based on the comparison. | 03-03-2011 |
| 20110054518 | BURR HOLE SEALING DEVICE FOR PREVENTING BRAIN SHIFT - A burr hole sealing device for preventing brain shift during a stimulation lead implantation procedure is provided. The device includes a suction cup ring and a self-sealing membrane positioned within the aperture of the ring. The sealing device is attached adjacent to a burr hole and over a dura layer that is exposed in the bottom of the burr hole. The stimulation lead is disposed through the burr hole, through the membrane, through the dura layer and into brain tissue. The membrane is configured to allow the lead to pass therethrough while maintaining a tight seal around the diameter of the lead, thereby hindering leakage of cerebrospinal fluid out of the cranial cavity and maintaining a substantially fixed intracranial pressure. In one embodiment, the sealing device includes a syringe for adding fluid to, or removing fluid from, the cranial cavity in response to a detected change in intracranial pressure. | 03-03-2011 |
| 20110046706 | SYSTEMS AND METHODS FOR DISPOSING ONE OR MORE LAYERS OF MATERIAL BETWEEN LEAD CONDUCTOR SEGMENTS OF ELECTRICAL STIMULATION SYSTEMS - An implantable lead includes a lead body having a plurality of electrodes disposed on a distal end, a plurality of terminals disposed on a proximal end, and a plurality of conductors, each conductor electrically coupling at least one of the electrodes to at least one of the terminals. At least one of the conductors includes at least one unit having a multi-layer region of overlapping conductor segments. The unit including a first conductor segment extending from a beginning point to a first position, a second conductor segment extending from the first position to a second position, and a third conductor segment extending from the second position to an endpoint. The first position is between the second position and the endpoint. The second position is between the beginning point and the first position. An interlayer material is disposed between the overlapping conductor segments of the at least one multi-layer region. | 02-24-2011 |
| 20110046700 | SYSTEMS AND METHODS FOR ALTERING ONE OR MORE RF-RESPONSE PROPERTIES OF ELECTRICAL STIMULATION SYSTEMS - An implantable lead includes a lead body and at least one safety element. The lead body has a distal end and a proximal end. The lead body defines at least one lumen extending along at least a portion of the lead body. The lead body includes a plurality of electrodes disposed on the distal end of the lead body, a plurality of terminals disposed on the proximal end of the lead body, and a plurality of conductors disposed in the lead body, each conductor electrically coupling at least one of the electrodes to at least one of the terminals. The at least one safety element is disposed along at least a portion of the lead body and is configured and arranged to reduce damage to patient tissue adjacent to the plurality of electrodes due to heating, induced electrical signals, or both when the lead is exposed to radio frequency irradiation. | 02-24-2011 |
| 20110034978 | SYSTEMS AND METHODS FOR COUPLING COILED CONDUCTORS TO CONDUCTIVE CONTACTS OF AN ELECTRICAL STIMULATION SYSTEM - An implantable lead includes an elongated member. A plurality of electrodes are disposed on a distal end of the elongated member. A plurality of terminals are disposed on a proximal end of the elongated member. Each of a plurality of conductors electrically couples at least one of the electrodes to at least one of the terminals. The plurality of conductors are disposed in the elongated member in a coiled configuration and have an end portion. Each of a plurality of constraining elements is disposed over at least one of the plurality of conductors such that the underlying at least one of the plurality of conductors is maintained in the coiled configuration. At least one of the plurality of electrodes or terminals is disposed over the constraining element and electrically coupled to at least one of the plurality of conductors. | 02-10-2011 |
| 20110034970 | NEUROSTIMULATION LEAD AND SYSTEM AND METHODS OF MAKING AND USING - A lead includes an outer tube body, an inner tube body, conductors, and electrodes. A portion of the inner tube body may be disposed in the outer tube body lumen. The conductors are optionally partially disposed within the inner tube body lumen, wherein a distal end of each conductor extends beyond a distal end of the inner tube body. Each electrode is optionally coupled to a conductor. The outer tube body may be slideable over the inner tube body between a first position in which the conductors and electrodes are disposed in the outer tube body lumen and a second position in which the outer tube body is partially retracted to expose the conductors and electrodes. The lead is optionally configured and arranged such that at least a portion of the inner tube body remains disposed in the outer tube body lumen after completion of implantation of the lead. | 02-10-2011 |
| 20110031698 | HERMETIC SEAL - A seal design provides positive compression to produce a hermetic seal around a feedthrough pin in a hermetically sealed device, including an implantable medical device. One embodiment of the seal design uses a plurality of “micro-flanges” placed along the length of a feedthrough pin, which micro-flanges grabs and compresses the insulator material to form a hermetic seal. Because the seal design produces positive compression of the insulator, the seal is relatively insensitive to changes in temperature and to differences in thermal expansion coefficients (“TCEs”) between the metal feedthrough and the insulator. It is therefore possible to use a wider variety of materials for the insulator and the feedthrough with the described sealing design, while achieving a superior hermetic seal. | 02-10-2011 |
| 20110029052 | LEAD SPLITTER FOR AN ELECTRICAL STIMULATION SYSTEM AND SYSTEMS AND METHODS FOR MAKING AND USING - A splitter for an electrical stimulation system includes a junction having a proximal end and a distal end. An elongated proximal member extends from the proximal end of the junction. The proximal member includes a plurality of terminals disposed on a proximal end of the proximal member. A plurality of elongated distal members extend from the distal end of the junction. Each distal member includes a connector disposed on a distal end of the distal member. The connector is configured and arranged for receiving a lead or lead extension. One of the distal members is longitudinally aligned with the proximal member and at least another one of the distal members is longitudinally offset from the proximal member. A plurality of conductors couple the terminals of the proximal member to the connectors of the distal members. | 02-03-2011 |
| 20110029042 | LEAD ASSEMBLIES WITH ONE OR MORE SWITCHING NETWORKS - Exemplary lead assemblies include a lead body having a plurality of conductor wires embedded therein, a plurality of electrode contacts at least partially disposed on an outer surface of the lead body, and a plurality of switching networks each configured to control an operation of one or more of the plurality of electrode contacts. | 02-03-2011 |
| 20110022141 | SPRING PASSIVE LEAD ANCHOR AND METHODS AND DEVICES USING THE ANCHOR - A lead anchor includes a body defining at least one first portion of a lead lumen, the body having a first opening and a second opening. An obstructing member is disposed within the body. The obstructing member defines a second portion of the lead lumen. A spring is disposed in the body and configured and arranged to operate on the obstructing member so that the second portion of the lead lumen is coterminous with the at least one first portion of the lead lumen and forms a continuous lead path when the spring is compressed and the second portion of the lead lumen is offset from the at least one first portion of the lead lumen when the spring is not compressed. | 01-27-2011 |
| 20110022122 | SYSTEM AND METHOD FOR COMPUTATIONALLY DETERMINING MIGRATION OF NEUROSTIMULATION LEADS - A tissue stimulation system and computer software and method of monitoring a neurostimulation lead having a plurality of electrodes implanted within a patient (e.g., adjacent the spinal cord) is provided. Neurostimulation lead models are provided, each of which includes estimated electrical parameter data (e.g., electrical field potential data) corresponding to a predetermined position of the neurostimulation lead. Electrical energy is transmitted to or from the electrodes, and electrical parameter data (e.g., electrical field potential data) is measured in response to the transmitted electrical energy. The measured electrical parameter data is compared with the estimated electrical parameter data of each of the neurostimulation lead models, and a position of the neurostimulation lead is determined based on the comparison. | 01-27-2011 |
| 20110022101 | SYSTEMS AND METHODS FOR ANCHORING LEADS OF ELECTRICAL STIMULATION SYSTEMS IN AND AROUND BONY STRUCTURES - A lead assembly includes a nerve stimulation lead and at least one anchoring unit. The nerve stimulation lead includes electrodes disposed at a distal end that are electrically coupled to terminals disposed at the proximal end by a plurality of conductive wires. The at least one anchoring unit includes at least one elongated member and at least one fastener. The at least one elongated member extends along at least a portion of the nerve stimulation lead with a distal end of the at least one elongated member extending outwards from the nerve stimulation lead in proximity to the distal end of the nerve stimulation lead. The at least one fastener is attached to the distal end of the at least one elongated member and is configured and arranged for anchoring the at least one elongated member against a bony structure or against soft tissue abutting a bony structure. | 01-27-2011 |
| 20110022100 | MULTI-PORT MODULAR CONNECTOR FOR IMPLANTABLE ELECTRICAL STIMULATION SYSTEMS AND METHODS OF MAKING AND USING - A connector for an electrical stimulation system includes an assembly of individual contact modules arranged along a common axis. Each contact module includes a body having a seat and at least two insertion apertures. An aperture contact is associated with each of the insertion apertures and is configured and arranged to electrically couple to a terminal of an elongated member when the elongated member is inserted into the associated insertion aperture. A seal plate is disposed in each seat of an associated one of the contact modules such that the seal plate is sandwiched between adjacent contact modules. Each seal plate is configured and arranged to electrically isolate the aperture contacts of the associated contact module from the aperture contacts of the other contact modules. | 01-27-2011 |
| 20110019858 | METHOD AND APPARATUS TO ENHANCE COMMUNICATION IN THE OPERATING ROOM - A communication system is provided for a patient featuring a cushion with an opening for receiving the face of the patient. The cushion includes a microphone for receiving audible signals from the patient and one or more speakers for delivering audible signals to the patient. The microphone and speaker(s) are integrated with the cushion to avoid interfering with the comfort of the patient. In one embodiment, the audible signals are delivered to and from the patient via a communication port. In another embodiment, the system includes a display device, so the patient may view parts of the patient's body on the device and then communicate with system operators through the microphone and speaker(s). | 01-27-2011 |
| 20110015705 | Architectures for an Implantable Medical Device System - An improved architecture for an implantable medical device such as an implantable pulse generator (IPG) is disclosed. In one embodiment, the various functional blocks for the IPG are incorporated into a signal integrated circuit (IC). Each of the functional blocks communicate with each other, and with other off-chip devices if necessary, via a centralized bus governed by a communication protocol. To communicate with the bus and to adhere to the protocol, each circuit block includes bus interface circuitry adherent with that protocol. Because each block complies with the protocol, any given block can easily be modified or upgraded without affecting the design of the other blocks, facilitating debugging and upgrading of the IPG circuitry. Moreover, because the centralized bus can be taken off the integrated circuit, extra circuitry can easily be added off chip to modify or add functionality to the IPG without the need for a major redesign of the main IPG IC. | 01-20-2011 |
| 20110009933 | PIGGY-BACK PERCUTANEOUS LEAD INSERTION KIT - A kit includes a coupling member and an insertion needle. The coupling member defines at least one lumen extending through the coupling member that is configured and arranged to receive a portion of one or more lead bodies. The insertion needle includes a tubular member that defines a lumen that is optionally configured and arranged to receive a portion of two or more lead bodies that are coupled by a coupling member. A method of implanting a lead comprises coupling together a portion of two or more leads using a coupling member, disposing at least a portion of the two or more leads coupled by the coupling member into a tubular member of an insertion needle, inserting at least the distal end of the tubular member into a tissue of a patient, and advancing the two or more leads coupled by the coupling member distally through the tubular member and into the tissue. | 01-13-2011 |
| 20110009932 | SYSTEMS AND METHODS OF MAKING AND USING SUPPORT ELEMENTS FOR ELONGATED MEMBERS OF IMPLANTABLE ELECTRIC STIMULATION SYSTEMS - An implantable lead includes a lead body. A plurality of conductors are disposed within the lead body and electrically couple at least one electrode to at least one terminal. At least one of the conductors includes a plurality of units. Each of the units includes a first conductor segment extending along the lead body from a beginning point to a first position, a second conductor segment extending from the first position to a second position, and a third conductor segment extending along the elongated member from the second position to an endpoint. The conductor segments are arranged so as to form alternating single-coil regions and multi-coil regions. At least one support element is disposed along at least a portion of at least one of the single-coil regions and is configured and arranged to increase the stiffness of the at least one of the single-coil regions. | 01-13-2011 |
| 20110009923 | SYSTEM AND METHOD FOR REDUCING EXCITABILITY OF DORSAL ROOT FIBER BY INTRODUCING STOCHASTIC BACKGROUND NOISE - A method and neurostimulator for providing therapy to a patient is provided. In one technique, electrical background energy is conveyed to a first tissue region of the patient in accordance with stochastic parameter, thereby modulating the excitability of the first tissue region, and electrical stimulation energy is conveyed to the first tissue region when its excitability is modulated. In one example, the stimulation energy may be conveyed to a second tissue region of the patient, thereby therapeutically stimulating the second tissue region. In this case, the excitability of the first tissue region is decreased, thereby reducing any adverse effect that the conveyed stimulation energy has on the first tissue region. As another example, the conveyed stimulation energy stimulates the first tissue region, in which case, the excitability of the first tissue region may be increased, thereby enhancing the stimulation of the first tissue region by the conveyed stimulation energy. | 01-13-2011 |
| 20110009920 | SKULL-MOUNTED ELECTRICAL STIMULATION SYSTEM AND METHOD FOR TREATING PATIENTS - A system and method for applying electrical stimulation or drug infusion to nervous tissue of a patient to treat epilepsy, movement disorders, and other indications uses at least one implantable system control unit (SCU) ( | 01-13-2011 |
| 20110009919 | METHOD TO ENHANCE AFFERENT AND EFFERENT TRANSMISSION USING NOISE RESONANCE - Methods of providing therapy to a patient are provided. In one method, the patient has a neuron to which a sub-threshold biological electrical stimulus is applied. The method comprises applying electrical noise energy to the neuron, wherein resonance between the biological electrical stimulus and the electrical noise energy is created, such that an action potential is propagated along the axon of the neuron. In another method, the patient has a neuron to which a supra-threshold biological electrical stimulus is applied. This method comprises applying supra-threshold electrical noise energy to the neuron, thereby preventing an action potential from being propagated along the axon of the neuron. Still another method comprises applying an electrical stimulus to a neuron, and applying supra-threshold electrical noise energy to the neuron, thereby preventing or reversing any neurological accommodation of the neuron that may occur in response to the electrical stimulus. | 01-13-2011 |
| 20110005829 | METHOD FOR FABRICATING A NEUROSTIMULATION LEAD CONTACT ARRAY - A lead includes a lead body defining a lumen extending through the lead body; a conductor disposed in the lumen; a slit extending from an exterior of the lead body through at least a portion of the lead body to the lumen; and a contact strip. A portion of the contact strip is optionally disposed in the slit and is in contact with a portion of the conductor. A second portion of the contact strip is optionally wrapped around the lead body. A method of making a lead includes disposing one or more conductors in a lumen of a lead body; forming a slit from an exterior of the lead body to the lumen to access a portion of at least one conductor disposed in the lumen; coupling a flat contact strip to the portion of the conductor, and wrapping the contact strip around the lead body. | 01-13-2011 |
| 20110005069 | SYSTEMS AND LEADS WITH A RADIALLY SEGMENTED ELECTRODE ARRAY AND METHODS OF MANUFACTURE - A method of making a lead for a stimulation device includes forming at least one pre-electrode in the shape of a ring, the at least one pre-electrode comprises at least two thin-walled portions separated by at least two thick-walled portions; disposing the at least one pre-electrode near a distal end of a lead body; joining at least one conductor to each thick-walled portion of the at least one pre-electrode; and grinding the lead body and the at least one pre-electrode to remove the thin-walled portions of the at least one pre-electrode to form segmented electrodes from the thick-walled portions of the at least one pre-electrode. | 01-13-2011 |
| 20110004278 | External Charger for a Medical Implantable Device Using Field Sensing Coils to Improve Coupling - By incorporating magnetic field sensing coils in an external charger, it is possible to determine the position of an implantable device by sensing the reflected magnetic field from the implant. In one embodiment, two or more field sensing coils are arranged to sense the reflected magnetic field. By comparing the relative reflected magnetic field strengths of the sensing coils, the position of the implant relative to the external charger can be determined. Audio and/or visual feedback can then be communicated to the patient to allow the patient to improve the alignment of the charger. | 01-06-2011 |
| 20110004275 | External Device for an Implantable Medical System Having Accessible Contraindication Information - Disclosed is a remote controller for an implantable medical device having stored contraindication information, which includes information which a patient or clinician might wish to review when assessing the compatibility of a given therapeutic or diagnostic technique or activity with the patient's implant. The stored contraindication information is available through a display of the remote controller or via a wired, wireless, or portable drive connection with an external device. By storing contraindication information with the implant's remote controller, patient and clinician can more easily determine the safety of a particular therapeutic or diagnostic technique or physical activity with the patient's implant, perhaps without the need to contact the manufacturer's service representative. | 01-06-2011 |
| 20110004267 | DEVICES AND METHODS FOR BRAIN STIMULATION - A device for brain stimulation that includes a lead having a longitudinal surface; at least one stimulation electrode disposed along the longitudinal surface of the lead; and at least one recording electrode, separate from the at least one stimulation electrode, disposed along the longitudinal surface of the lead. | 01-06-2011 |
| 20100331934 | MULTI-ELEMENT CONTACT ASSEMBLIES FOR ELECTRICAL STIMULATION SYSTEMS AND SYSTEMS AND METHODS OF MAKING AND USING - An implantable lead includes a lead body having a plurality of electrodes disposed on a distal end of the lead body, a plurality of terminals disposed on a proximal end of the lead body, and a plurality of conductors disposed along the lead body such that each conductor electrically couples at least one of the electrodes to at least one of the terminals. At least one of the electrodes or terminals includes a multi-element contact assembly. The multi-element contact assembly includes at least one conductive inner element and at least one conductive outer element disposed over the inner element. At least one of the plurality of conductors is electrically coupled to one of the multi-element contact assemblies such that the conductor is positioned against the at least one inner element. The at least one outer element includes a region that is in contact with the at least one inner element. | 12-30-2010 |
| 20100331933 | MICROSTIMULATOR WITH FLAP ELECTRODES - An implantable microstimulator includes an elongate casing, a flap coupled directly to the casing, and electrodes attached to the flap such that the electrodes extend laterally relative to the longitudinal axis of the casing. The electrodes are coupled to active circuitry that is housed within the casing. Due to the lateral arrangement of the electrodes relative to the casing, effective operation of the microstimulator may still occur even after the microstimulator migrates away from the target stimulation site. Since there are not any leads associated with the microstimulator, the entire microstimulator, including the electrodes and the casing, is implanted adjacent to the target stimulation site. The electrodes may be configured for mono-polar or multi-polar stimulation. In one example, the microstimulator includes an insulative coating on the casing and the coating and the flap are contiguous. | 12-30-2010 |
| 20100331926 | REVERSING RECRUITMENT ORDER BY ANODE INTENSIFICATION - A method of providing therapy to a patient using a plurality of electrodes is provided. The electrodes are located adjacent a target neural tissue region having a first nerve fiber of a relatively small diameter and a second nerve fiber of a relatively large diameter. The method comprises sourcing electrical current from a local anode into the target neural tissue region. The method further comprises therapeutically sinking a first portion of the electrical current from the target neural tissue region into a local cathode. The method further comprises sinking a second portion of the electrical current into a cathode remote from the target neural tissue region. The ratio of the sourced electrical current over the first sunk electrical current portion has a value that allows the first nerve fiber to be recruited by the electrical current while preventing the second nerve fiber from being recruited by the electrical current. | 12-30-2010 |
| 20100331925 | SYSTEM AND METHOD FOR PERFORMING PERCUTANEOUS NERVE FIELD STIMULATION WITH CONCURRENT ANODE INTENSIFIED SPINAL CORD STIMULATION - A method of providing therapy to a patient comprising sinking first electrical current into at least a first one of a plurality of electrodes adjacent the spinal cord tissue, thereby providing therapy to a first region of the patient. The method further comprises sinking second electrical current into at least one electrode adjacent peripheral tissue remote from the spinal cord tissue, thereby providing therapy to a second region of the patient. The method further comprises sourcing at least a portion of the first electrical current and at least a portion of the second electrical current into at least a second one of the plurality of electrodes. | 12-30-2010 |
| 20100331923 | SYMMETRICAL OUTPUT NEUROSTIMULATION DEVICE - A method and system of providing therapy to a patient using electrodes implanted adjacent tissue. The method comprises regulating a first voltage at an anode of the electrodes relative to the tissue, regulating a second voltage at a cathode of the electrodes relative to the tissue, and conveying electrical stimulation energy between the anode at the first voltage and the cathode at the second voltage, thereby stimulating the neural tissue. The system comprises a grounding electrode configured for being placed in contact with the tissue, electrical terminals configured for being respectively coupled to the electrodes, a first regulator configured for being electrically coupled between an anode of the electrodes and the grounding electrode, a second regulator configured for being electrically coupled between an anode of the electrodes and the grounding electrode, and control circuitry configured for controlling the regulators to convey electrical stimulation energy between the anode and cathode. | 12-30-2010 |
| 20100331922 | SYSTEM AND METHOD FOR COMPENSATING FOR SHIFTING OF NEUROSTIMULATION LEADS IN A PATIENT - A method for determining a change in position of a neurostimulation lead relative to a stimulation target tissue of a patient is provided. The method comprises implanting a first proximity sensor on a surface of the patient, implanting a second proximity sensor on the surface of the patient, measuring a change in a distance between the first and second proximity sensors, and inferring the change in position of the lead relative to the stimulation target tissue from the measured change in distance. The method further comprises inferring an increase in a distance between the lead and the stimulation target tissue when the distance between the first and second proximity sensors increases. The method also comprises conveying electrical stimulation energy to therapeutically stimulate the stimulation target tissue, and modulating a stimulation parameter in response to the measured change in distance. | 12-30-2010 |
| 20100331920 | MOLDABLE CHARGER WITH SHAPE-SENSING MEANS FOR AN IMPLANTABLE PULSE GENERATOR - Electrical energy is transcutaneously transmitted from an external charger to an implanted medical device. The external charger includes a charging head that is selectively shapeable to conform to the surface of a patient to enhance charge efficiency and patient comfort. An alternating current charging coil is housed in the charging head and configured for transcutaneously transmitting electrical energy to the implanted medical device. The shape of the coil is changeable as the charging head is shaped, and at least one sensor determines changes in the shape of the charging coil and causes the charge of the coil to be adjusted based on the coil shape. | 12-30-2010 |
| 20100331919 | MOLDABLE CHARGER HAVING HINGED SECTIONS FOR CHARGING AN IMPLANTABLE PULSE GENERATOR - Electrical energy is transcutaneously transmitted from an external charger to an implanted medical device. The external charger includes a charging head comprising a plurality of pivotable hinged sections for selectively shaping the charging head to conform to a surface of a patient. The external charger further includes an alternating current (AC) charging coil housed in the charging head for transcutaneously transmitting electrical energy to the implanted medical device. The charging head may also include one or more sensors for determining the shape of a charging coil in the charging head, which cause the charge of the coil to be adjusted based on the coil shape. | 12-30-2010 |
| 20100331918 | MOLDABLE CHARGER WITH CURABLE MATERIAL FOR CHARGING AN IMPLANTABLE PULSE GENERATOR - Electrical energy is transcutaneously transmitted from an external charger to an implanted medical device. The external charger includes a charging head comprising a flexible material that is selectively shaped to conform to the surface of a patient to enhance charge efficiency and patient comfort. The flexible material is curable to become inflexible and embody a fixed shape and may comprise, for example, a thermoplastic for being re-shaped and re-cured multiple times, or a thermoset plastic that maintains a permanent shape and cannot be re-cured to form another shape. The charging head may also include one or more sensors for determining the shape of a charging coil in the charging head, which cause the charge of the coil to be adjusted based on the coil shape. | 12-30-2010 |
| 20100331917 | MOLDABLE CHARGER WITH SUPPORT MEMBERS FOR CHARGING AN IMPLANTABLE PULSE GENERATOR - Electrical energy is transcutaneously transmitted from an external charger to an implanted medical device. The external charger includes a charging head that is selectively shaped to conform to the surface of a patient to enhance charge efficiency and patient comfort. The charging head has a plurality of malleable support members extending through the charging head for affixing the flexible charging head in the selected shape, while the flexible charging head conforms to the surface of the patient. The charging head may also include one or more sensors for determining the shape of a charging coil in the charging head, which cause the charge of the coil to be adjusted based on the coil shape. | 12-30-2010 |
| 20100331916 | METHOD AND DEVICE FOR ACQUIRING PHYSIOLOGICAL DATA DURING TISSUE STIMULATION PROCEDURE - A method and system of providing therapy to a patient implanted with an array of electrodes is provided. A train of electrical stimulation pulses is conveyed within a stimulation timing channel between a group of the electrodes to stimulate neural tissue, thereby providing continuous therapy to the patient. Electrical parameter is sensed within a sensing timing channel using at least one of the electrodes, wherein the first stimulation timing channel and sensing timing channel are coordinated, such that the electrical parameter is sensed during the conveyance of the pulse train within time slots that do not temporally overlap any active phase of the stimulation pulses. | 12-30-2010 |
| 20100331807 | TREATMENT OF MOVEMENT DISORDERS BY BRAIN STIMULATION - Systems for treating a movement disorder include a system control unit configured to be implanted at least partially within a patient and to generate at least one stimulus in accordance with one or more stimulation parameters adjusted to treat the movement disorder. The systems further include a programmable memory unit in communication with the system control unit and programmed to store the one or more stimulation parameters to at least partially define the stimulus such that the stimulus is configured to treat the movement disorder. A means for applying the stimulus to one or more stimulation sites within the patient is operably connected to the system control unit. | 12-30-2010 |
| 20100326701 | SYSTEMS AND METHODS FOR REMOVING INSULATION DISPOSED OVER CONDUCTORS OF IMPLANTABLE ELECTRIC STIMULATION SYSTEMS - A method for forming a lead or lead extension includes forming an arrangement of elongated conductors. Each of the conductors extends from a proximal end of the arrangement to a distal end of the arrangement. Each of the conductors includes a layer of insulation disposed over a conductive core. A conductor-separating element is disposed over either the proximal end or the distal end of the arrangement. The conductor-separating element includes a plurality of ablation windows defined in a body. An end of at least one of the elongated conductors is radially extended over a portion of the conductor-separating element such that a portion of the at least one elongated conductor extends across at least one of the ablation windows. Insulation from the portion of the at least one conductor extending across the ablation window is ablated to expose a portion of the conductive core of the elongated conductor. | 12-30-2010 |
| 20100324630 | SPATIALLY SELECTIVE NERVE STIMULATION IN HIGH-FREQUENCY NERVE CONDUCTION BLOCK AND RECRUITMENT - A method of providing therapy to a patient using at least one electrode is provided. The patient has a neural tissue region that is relatively close to the at least one electrode, and a neural tissue region that is relatively far from the at least one electrode. The method comprises conveying time-varying electrical energy from the electrode(s) into the relatively close and far neural tissue regions, wherein the electrical energy has a frequency and amplitude that blocks stimulation of the relatively close neural tissue region, while stimulating the relatively far neural tissue region. | 12-23-2010 |
| 20100318159 | MINIATURE REMOTE CONTROLLER FOR IMPLANTABLE MEDICAL DEVICE - A miniature remote controller for an implantable medical device provides a subset of the functionality of a full-sized remote controller for the implantable medical device. The two remote controllers each have a user interface, which can be different from each other. A remote controller for an implantable medical device can have a coil for communicating with the implantable medical device, where the coil is wrapped around a coil axis parallel to a long axis of a housing of the remote controller. A user interface of the remote controller can have an indicator light to indicate success or failure of a communication with the implantable medical device and status of the implantable medical device. The housing of the remote controller can have two differently sized sections. | 12-16-2010 |
| 20100305663 | IMPLANTABLE MEDICAL DEVICE SYSTEM HAVING SHORT RANGE COMMUNICATION LINK BETWEEN AN EXTERNAL CONTROLLER AND AN EXTERNAL CHARGER - Disclosed is an improved system for providing charging information during the powering of a medical implantable device by an external changer. In the disclosed system, relevant charging information originates in the external charger, or is transmitted to the external charger from the implant during charging. The charging information is transferred from the external charger to an external controller using a short range communication link that is not orientation dependent (i.e., omni-directional), such as one employing a Bluetooth™ or Zibgee™ protocol for example. Once received, the external controller can convey the charging information to the patient or clinician, such as by displaying the charging information on the graphical user interface of the external controller. Additionally, the short range communication link between the external controller and the external charger allows the external charger to be controlled by the external controller, which adds system flexibility and convenience. | 12-02-2010 |
| 20100305662 | Techniques for Controlling Charging of Batteries in an External Charger and an Implantable Medical Device - Disclosed are charging algorithms implementable in an external charger for controlling the charging of both an external battery in the external charger and an implant battery in an implantable medical device. Because full-powered simultaneous charging of both batteries can generate excessive heat in the external charger, the various charging algorithms are designed to ensure that both batteries are ultimately charged, but in a manner considerate of heat generation. In some embodiments, the charging algorithms prevent simultaneous charging of both batteries by arbitrating which battery is given charging precedence at a given point in time. In other embodiments, the charging algorithms allow for simultaneous charging of both batteries, but with at least one of the batteries being only weakly charged at low power levels. In other embodiments, the temperature generated in the external charger is monitored and used to control the charging algorithm. In these embodiments, if a safe temperature is exceeded, then the charging algorithms change to new temperature-reducing schemes which still allow for both batteries to be ultimately charged. | 12-02-2010 |
| 20100305631 | APPARATUS AND METHOD FOR DETERMINING THE RELATIVE POSITION AND ORIENTATION OF NEUROSTIMULATION LEADS - A method for determining whether the relative position of electrodes used by a neurostimulation system has changed within a patient comprises determining the amplitude of a field potential at each of at least one of the electrodes, determining if a change in each of the determined electric field amplitudes has occurred, and analyzing the change in each of the determined electric field amplitudes to determine whether a change in the relative position of the electrodes has occurred. Another method comprises measuring a first monopolar impedance between a first electrode and a reference electrode, measuring a second monopolar impedance between second electrode and the reference electrode, measuring a bipolar impedance between the first and second electrodes, and estimating an amplitude of a field potential at the second electrode based on the first and second monopolar impedances and the bipolar impedance. | 12-02-2010 |
| 20100304626 | SYSTEMS AND METHODS FOR FORMING AN END OF AN ELONGATED MEMBER OF AN ELECTRICAL STIMULATION SYSTEM - A method for forming a lead or lead extension having an arrangement of elongated conductors disposed in a body of a lead or lead extension includes ablating a plurality of spaced-apart channels in proximity to at least one of the proximal end or the distal end of the body to expose at least part of at least one of the conductors. A C-shaped contact is disposed into each of a different one of the transverse channels. Each C-shaped contact is electrically coupled to at least one of the conductors. Each C-shaped contact is closed so that opposing ends of the C-shaped contact are adjacent to one another and aligned over one of the elongated conductors. The two opposing ends of each C-shaped contact is coupled together such that each C-shaped contact forms a continuous path around the arrangement within the transverse channel in which the C-shaped contact is disposed. | 12-02-2010 |
| 20100298910 | Chair Pad Charging and Communication System for a Battery-Powered Microstimulator - A system and method are provided for both recharging and communicating with a stimulator having a rechargeable battery, which stimulator is implanted deeply in the body, in particular where the stimulator is a microstimulator, the system includes a base station and an external device, for instance a chair pad. The chair pad may contain an antenna/charging coil and a booster coil. The antenna/charging coil can be used for charging the rechargeable battery and also for communicating with the stimulator using frequency shift keying and on-off keying. The booster coil can be used to recharge a battery depleted to zero volts. The base station connected to the chair pad may be used to power the antenna/charging coil and the booster coil. | 11-25-2010 |
| 20100293774 | Assembly for a Microstimulator - An electrode assembly includes an electrode electrically connected to a capacitor with a wire. An assembly carrier may be used to hold and secure at least the wire and capacitor during assembly. A method of assembly for attaching a wire to a capacitor and an electrode may include an assembly carrier for housing and securing the wire, capacitor, and electrode during assembly. | 11-25-2010 |
| 20100286749 | Current Generation Architecture for an Implantable Stimulator Device Having Coarse and Fine Current Control - Disclosed herein is a current generation architecture for an implantable stimulator device such as an Implantable Pulse Generator (IPG). Current source and sink circuitry are both divided into coarse and fine portions, which respectively can provide a coarse and fine current resolution to a specified electrode on the IPG. The coarse portion is distributed across all of the electrodes and so can source or sink current to any of the electrodes. The coarse portion is divided into a plurality of stages, each of which is capable via an associated switch bank of sourcing or sinking a coarse amount of current to or from any one of the electrodes on the device. The fine portion of the current generation circuit preferably includes source and sink circuitry dedicated to each of the electrode on the device, which can comprise digital-to-analog current converters (DACs). The DACs also receives the above-noted reference current, which is amplified by the DACs in fine increments by appropriate selection of fine current control signals. When the coarse and fine current control circuitry are used in tandem, ample current with a fine current resolution can be achieved at any electrode and in a space- and power-efficient manner. | 11-11-2010 |
| 20100280575 | CONTROLLING CHARGE FLOW IN THE ELECTRICAL STIMULATION OF TISSUE - Systems of techniques for controlling charge flow during the electrical stimulation of tissue. In one aspect, a method includes receiving a charge setting describing an amount of charge that is to flow during a stimulation pulse that electrically stimulates a tissue, and generating and delivering the stimulation pulse in a manner such that an amount of charge delivered to the tissue during the stimulation pulse accords with the charge setting. | 11-04-2010 |
| 20100280572 | OPEN LOOP DEEP BRAIN STIMULATION SYSTEM FOR THE TREATMENT OF PARKINSON'S DISEASE OR OTHER DISORDERS - A deep brain stimulation (DBS) system ( | 11-04-2010 |
| 20100274336 | TORQUE LOCK ANCHOR AND METHODS AND DEVICES USING THE ANCHOR - A lead anchor includes a body defining a lead lumen having a first opening and a second opening through which a lead can pass. The body further defines a transverse lumen that intersects the lead lumen. An exterior member is disposed around at least a portion of the body. The exterior member is formed of a biocompatible material. A fastener anchors the lead to the body through the transverse lumen by deforming a portion of the lead. The transverse lumen is configured and arranged to receive the fastener. At least one suture element is defined by the exterior member and is configured and arranged for receiving a suture to suture the lead anchor to patient tissue. | 10-28-2010 |
| 20100274325 | IMPLANTABLE MICROSTIMULATOR HAVING A BATTERY UNIT AND METHODS OF USE THEREFOR - An implantable microstimulator arrangement includes at least one implantable microstimulator unit; an implantable battery unit separate from the implantable microstimulator unit(s); and at least one lead coupling the microstimulator unit(s) to the battery unit. The microstimulator unit(s) are operated to treat body tissue. | 10-28-2010 |
| 20100268309 | Architectures for Multi-Electrode Implantable Stimulator Devices Having Minimal Numbers of Decoupling Capacitors - Architectures for implantable stimulators having N electrodes are disclosed. The architectures contains X current sources, or DACs. In a single anode/multiple cathode design, one of the electrodes is designated as the anode, and up to X of the electrodes can be designated as cathodes and independently controlled by one of the X DACs, allowing complex patient therapy and current steering between electrodes. The design uses at least X decoupling capacitors: X capacitors in the X cathode paths, or one in the anode path and X−1 in the X cathode paths. In a multiple anode/multiple cathode design having X DACs, a total of X−1 decoupling capacitors are needed. Because the number of DACs X can typically be much less than the total number of electrodes (N), these architectures minimize the number of decoupling capacitors which saves space, and ensures no DC current injection even during current steering. | 10-21-2010 |
| 20100268298 | DEEP BRAIN STIMULATION CURRENT STEERING WITH SPLIT ELECTRODES - A device for brain stimulation includes a lead having a longitudinal surface, a proximal end, a distal end and a lead body. The device also includes a plurality of electrodes disposed along the longitudinal surface of the lead near the distal end of the lead. The plurality of electrodes includes a first set of segmented electrodes comprising at least two segmented electrodes disposed around a circumference of the lead at a first longitudinal position along the lead; and a second set of segmented electrodes comprising at least two segmented electrodes disposed around a circumference of the lead at a second longitudinal position along the lead. The device further includes one or more conductors that electrically couple together all of the segmented electrodes of the first set of segmented electrodes. | 10-21-2010 |
| 20100262210 | Current Steering for an Implantable Stimulator Device Involving Fractionalized Stimulation Pulses - A method for configuring stimulation pulses in an implantable stimulator device having a plurality of electrodes is disclosed, which method is particularly useful in adjusting the electrodes by current steering during initialization of the device. In one aspect, a set of ideal pulses for patient therapy is determined, in which at least two of the ideal pulses are of the same polarity and are intended to be simultaneous applied to corresponding electrodes on the implantable stimulator device during an initial duration. These pulses are reconstructed into fractionalized pulses, each comprised of pulse portions. The fractionalized pulses are applied to the corresponding electrodes on the device during a final duration, but the pulse portions of the fractionalized pulses are not simultaneously applied during the final duration. | 10-14-2010 |
| 20100262209 | NEURAL STIMULATION SYSTEM PROVIDING AUTO ADJUSTMENT OF STIMULUS OUTPUT AS A FUNCTION OF SENSED IMPEDANCE - A neural stimulation system automatically corrects or adjusts the stimulus magnitude (stimulation energy) in order to maintain a comfortable and effective stimulation therapy. Because the changes in impedance associated with the electrode-tissue interface can indicate obstruction of current flow and positional lead displacement, lead impedance can indicate the quantity of electrical stimulation energy that should be delivered to the target neural tissue to provide corrective adjustment. Hence, a change in impedance or morphology of an impedance curve may be used in a feedback loop to indicate that the stimulation energy needs to be adjusted and the system can effectively auto correct the magnitude of stimulation energy to maintain a desired therapeutic effect. | 10-14-2010 |
| 20100262201 | IMPLANTABLE STIMULATOR WITH INTEGRATED PLASTIC HOUSING/METAL CONTACTS AND MANUFACTURE AND USE - An implantable stimulator system includes a plastic housing, an electronic subassembly and at least one metal contact. The plastic housing defines an interior chamber and an exterior. The electronic subassembly is disposed in the interior chamber of the plastic housing. The at least one metal contact is integrally formed with the plastic housing, coupled to the electronic subassembly, and accessible from the exterior of the housing. The plastic housing and the at least one metal contact form a sealed structure around the electronic subassembly. | 10-14-2010 |
| 20100249886 | Systems and Methods for Communicating with an Implantable Stimulator - An exemplary system for communicating with an implantable stimulator includes a coil configured to transmit a signal modulated with either on-off keying (OOK) modulation or Frequency Shift Keying (FSK) modulation. The system further includes a first telemetry receiver in the implantable stimulator configured to receive the signal in accordance with the OOK modulation and a second telemetry receiver in the implantable stimulator configured to receive the signal in accordance with the FSK modulation. | 09-30-2010 |
| 20100249885 | IMPLANTABLE MICROSTIMULATOR WITH PLASTIC HOUSING AND METHODS OF MANUFACTURE AND USE - An implantable microstimulator includes a plastic housing having a first end and a second end; an electronic subassembly disposed within the housing; a first electrode disposed at the first end of the plastic housing and in electrical communication with the electronic subassembly; and a second electrode disposed at the second end of the plastic housing and in electrical communication with the electronic subassembly. The plastic housing, first electrode, and second electrode form a hermetically sealed structure around the electronic subassembly. | 09-30-2010 |
| 20100234918 | SYSTEM AND METHOD FOR UNIFORMLY DISPLACING A REGION OF NEURAL STIMULATION - A tissue stimulation system and computer software and method of operating the system is provided. An array of electrodes is placed contact with tissue of a patient (e.g., neural tissue), and electrical current is conveyed within the electrode array, thereby creating a stimulation region in the tissue. Electrical current is shifted between cathodes of the electrode array in incremental steps over a range, thereby causing displacement of the stimulation region at substantially uniform distances over the incremental steps. The electrical current may be shifted between the cathodes in accordance with a sigmoid-like function of a position of the stimulation region. A navigation table containing a series of states and corresponding gradually and non-uniformly changing electrical current values can be accessed, in which case, the electrical current may be shifted between the cathodes by incrementing through the states of the navigation table. | 09-16-2010 |
| 20100228325 | SHORT DURATION PRE-PULSING TO REDUCE STIMULATION-EVOKED SIDE-EFFECTS - A method and neurostimulation system of providing therapy to a patient is provided. At least one electrode is place in contact with tissue of a patient. A sub-threshold, hyperpolarizing, conditioning pre-pulse (e.g., an anodic pulse) is conveyed from the electrode(s) to render a first region of the tissue (e.g., dorsal root fibers) less excitable to stimulation, and a depolarizing stimulation pulse (e.g., a cathodic pulse) is conveyed from the electrode(s) to stimulate a second different region of the tissue (e.g., dorsal column fibers). The conditioning pre-pulse has a relatively short duration (e.g., less than 200 μs). | 09-09-2010 |
| 20100228324 | Electronic Identification of External Cables for External Medical Devices - Disclosed is an improved external cable box assembly and external trial stimulator (ETS) for use with an implantable medical device. The improved external cable box assembly has memory and logic circuitry embedded in it which allows the cable box to be identified. Associated logic circuitry in the improved ETS allows the ETS to read and write characteristics—such as electronic identifiers or cable addresses—of the external cable box assemblies and to store the values of those characteristics in its memory, associating characteristic values with each of its ports. If the external cable box assemblies become unplugged from the ETS and then are reconnected to incorrect ports on the ETS, logic in the ETS will either alert the patient to swap the port locations of the external stimulation cables, or the ETS will automatically reroute the correct therapy through each port. | 09-09-2010 |
| 20100228323 | REMOTE CONTROL FOR IMPLANTABLE MEDICAL DEVICE - A system and method for modifying the parameters of an implantable medical device includes an implantable medical device that communicates with a remote control device that, in turn, communicates through the browser of a computer or any other device capable of using mark-up language protocol. The computer optionally communicates with other computers and/or devices through a network. | 09-09-2010 |
| 20100211132 | Selectable Boost Converter and Charge Pump for Compliance Voltage Generation in an Implantable Stimulator Device - Improved compliance voltage generation circuitry for a medical device is disclosed. The improved circuitry in one embodiment comprises a boost converter and a charge pump, either of which is capable of generating an appropriate compliance voltage from the voltage of the battery in the device. A telemetry enable signal indicating whether the implant's transmitter, receiver, or both, have been enabled is received. A “boost” signal from compliance voltage monitor-and-adjust logic circuitry is processed with the telemetry enable signal and its inverse to selectively enable either the charge pump or the boost converter: if the telemetry enable signal is not active, the boost converter is used to generate the compliance voltage; if the telemetry enable signal is active, the charge pump is used. Because the charge pump circuitry does not produce a magnetic field, the charge pump will not interfere with magnetically-coupled telemetry between the implant and an external controller. By contrast, the boost converter is allowed to operate during periods of no telemetry, when magnetic interference is not a concern, while obtaining the advantage of higher power efficiency. | 08-19-2010 |
| 20100204756 | External Device for Communicating with an Implantable Medical Device Having Data Telemetry and Charging Integrated in a Single Housing - An improved embodiment of an external device for an implantable medical device system is described herein, where the external device has both circuitry for charging the implantable medical device and circuitry for telemetering data to and from the medical implant contained within a single housing. The external device in one embodiment includes orthogonal radiators in which both the radiators are used for data transfer, and in which at least one of the radiators is used for power transfer. Having charging and data telemetry circuitry fully integrated within a single external device conveniences both patient and clinician. | 08-12-2010 |
| 20100179618 | Signaling Error Conditions in an Implantable Medical Device System Using Simple Charging Coil Telemetry - The disclosed techniques allow for externalizing errors from an implantable medical device using the device's charging coil, for receipt at an external charger or other external device. Transmission of errors in this manner is particularly useful when telemetry of error codes through a traditional telemetry coil in the implant is not possible, for example, because the error experienced is so fundamental as to preclude use of such traditional means. By externalizing the error via the charging coil, and though the use of robust error modulation circuitry in the implant designed to be generally insensitive to fundamental errors, the external charger can be consulted to understand the failure mode involved, and to take appropriate action. | 07-15-2010 |
| 20100161002 | Implantable Medical Device Having A Slot Antenna In Its Case - Disclosed is an improved medical implantable device having a conductive case into which a slot antenna is formed. The slot antenna preferably has a slot length which is one-half of the wavelength of the data being sent to or received from an external controller, although slot lengths smaller than these ideals values can also be used albeit with reduced efficiency. Slot lengths accommodatable by a given case can enable communications at frequencies suitable for medical telemetry. The slot is preferably filled with a hermetic dielectric material, and can be formed into different geometries, including non-linear geometries. When the slot antenna is provided in the implant's case, separate data antennas or coils are not needed, which reduces the implant's size. Additionally, the slot antenna reduces eddy current heating in the case, and promotes efficient data transfer in the near field that is not as susceptible to attenuation in the human body. | 06-24-2010 |
| 20100152818 | NON-LINEAR ELECTRODE ARRAY - A system for stimulation includes an implantable pulse generator, a lead, and conductors. The lead includes an array body disposed at a distal end of the lead and electrodes concentrically arranged on the array body. A center electrode may also be disposed on the array body. The electrodes may be arranged in more than one concentric ring. A method of using an implantable stimulator includes implanting an implantable stimulator and providing an electrical signal to at least one electrode of the implantable stimulator to stimulate a tissue. The electrical signal may be provided between diametrically opposed electrodes or between electrodes that are not diametrically opposed. If the implantable stimulator has a center electrode, the electrical signal may be provided between the center electrode and at least one concentrically arranged electrode. | 06-17-2010 |
| 20100145357 | BURR HOLE PLUG HAVING DUAL SLIDABLE CLAMPING MECHANISMS - A burr hole plug comprises a plug base configured for being mounted around a burr hole. The plug base includes an aperture through which an elongated medical device exiting the burr hole may pass. The burr hole plug further comprises a retainer configured for being mounted within the aperture of the plug base. The retainer further includes first and second slidable clamping mechanisms configured for securing the medical devices therebetween within the aperture of the plug base. A method comprises introducing the medical device through the burr hole, mounting a plug base around the burr hole, such that the medical device extends through the plug base aperture, mounting the retainer within the aperture of the plug base, and sliding the first and second clamping mechanisms secure the medical device therebetween. | 06-10-2010 |
| 20100137962 | IMPLANTABLE NEUROSTIMULATORS HAVING REDUCED POCKET STIMULATION - Neurostimulators and methods of using neurostimulators are provided. The neurostimulator is implanted within a tissue pocket of a patient, and electrical energy is conveyed from the neurostimulator to stimulate a target tissue site remote from the tissue pocket. The neurostimulator has a case with which one or more electrodes are associated. The electrical energy is returned to the electrode(s) in a manner that prevents, or at least reduces, pocket stimulation that may otherwise occur due to the return of electrical energy to the case of the neurostimulator. | 06-03-2010 |
| 20100137961 | IMPLANTABLE NEUROSTIMULATORS HAVING REDUCED POCKET STIMULATION - Neurostimulators and methods of using neurostimulators are provided. The neurostimulator is implanted within a tissue pocket of a patient, and electrical energy is conveyed from the neurostimulator to stimulate a target tissue site remote from the tissue pocket. The neurostimulator has a case with which one or more electrodes are associated. The electrical energy is returned to the electrode(s) in a manner that prevents, or at least reduces, pocket stimulation that may otherwise occur due to the return of electrical energy to the case of the neurostimulator. | 06-03-2010 |
| 20100137960 | IMPLANTABLE NEUROSTIMULATORS HAVING REDUCED POCKET STIMULATION - Neurostimulators and methods of using neurostimulators are provided. The neurostimulator is implanted within a tissue pocket of a patient, and electrical energy is conveyed from the neurostimulator to stimulate a target tissue site remote from the tissue pocket. The neurostimulator has a case with which one or more electrodes are associated. The electrical energy is returned to the electrode(s) in a manner that prevents, or at least reduces, pocket stimulation that may otherwise occur due to the return of electrical energy to the case of the neurostimulator. | 06-03-2010 |
| 20100137948 | EXTERNAL CHARGER WITH ADJUSTABLE ALIGNMENT INDICATOR - Electrical energy is transcutaneously transmitted at a plurality of different frequencies to an implanted medical device. The magnitude of the transmitted electrical energy respectively measured at the plurality of frequencies. One of the frequencies is selected based on the measured magnitude of the electrical energy (e.g., the frequency at which the measured magnitude of the electrical energy is the greatest). A depth level at which the medical device is implanted within the patient is determined based on the selected frequency. For example, the depth level may be determined to be relatively shallow if the selected frequency is relatively high, and relatively deep if the selected frequency is relative low. A charge strength threshold at which a charge strength indicator generates a user-discernible signal can then be set based on the determined depth level. | 06-03-2010 |
| 20100137944 | METHOD AND APPARATUS FOR DETERMINING RELATIVE POSITIONING BETWEEN NEUROSTIMULATION LEADS - A method and medical system for operating two leads disposed adjacent tissue of a patient are provided. A first one of a pair of electrodes respectively carried by the two leads is activated to generate an electrical field within the tissue. An electrical parameter in response to the generated electrical field is measured at a second one of the pair of electrodes. A reference electrical parameter is measured in response to the generated electrical field at a reference electrode carried by the same one of the two leads that carries the first electrode. A reference distance between the first electrode and the reference electrode is known prior to the generation of the electrical field. The ratio between the measured electrical parameter and the measured reference electrical parameter is computed, and the distance between the pair of electrodes is computed as a function of the computed ratio and the reference distance. | 06-03-2010 |
| 20100137943 | METHOD AND APPARATUS FOR IDENTIFYING MIDDLE LEAD IN A TRI-LEAD CONFIGURATION - A method and medical system for operating three electrodes electrically coupled to three proximal contacts carried by three lead bodies is provided. The electrodes are implanted adjacent tissue of a patient and include a middle electrode and a pair of electrodes flanking the middle electrode. Electrical energy is conveyed between three different pairs of the proximal contacts, thereby respectively generating three electrical fields in the tissue between three electrode pairs. A potential of each of the electrical fields is measured at the remaining electrodes via the remaining proximal contacts, respectively. The lead body associated with the middle electrode is identified based on the measured electrical field potentials. | 06-03-2010 |
| 20100125316 | Methods and Systems for Improving the Reliability of the Time Basis for Data Logged in an Implantable Medical Device - Disclosed are methods for synchronizing the time basis of logged data between an implantable medical device such as an IPG and an external device. The IPG logs various operational parameters as data and associates the same with a possibly-inaccurate IPG time stamp and a sequence number. Periodically, the external device sends accurate true time data to the IPG, which, like the operational parameter data, is logged with an IPG time stamp and a next sequence number. The IPG then orders the data sequences and timing sequences by time stamp in a combined data log, and divides that data log into regions in accordance with reset conditions apparent in the time stamp data. Slopes indicative of the relation between true time and time stamps are calculated for various regions on an intra-region or inter-region basis, which then allows for true time estimates to be calculated for the data sequences, thus providing an accurate time basis for the logged data. The true time estimates for the data sequences may then be transmitted from the IPG to an external device for interpretation. | 05-20-2010 |
| 20100125315 | IMPLANTABLE MEDICAL DEVICE THAT USES ELECTRICAL CURRENT STEERING BY MEANS OF OUTPUT IMPEDANCE MODULATION - A method and system of providing therapy to a patient implanted with an array of electrodes is provided. Electrical stimulation current is conveyed from at least two of the electrodes to at least one of the electrodes along at least two electrical paths through tissue of the patient, and the electrical stimulation current is shifted between the electrical paths by actively adjusting one or more finite resistances respectively associated with one or more of the electrical paths. | 05-20-2010 |
| 20100125314 | SYSTEM AND METHOD FOR ADJUSTING AUTOMATIC PULSE PARAMETERS TO SELECTIVELY ACTIVATE NERVE FIBERS - A method of stimulating nerve tissue, a tissue stimulation system, and an external control device are provided. The method, system, and control device causes an electrical stimulus to be applied to at least one electrode adjacent the nerve tissue of a patient. The applied electrical stimulus comprises a plurality of pulses defined by a pulse width value and an amplitude value. The pulse amplitude value is increased (e.g., manually), and the pulse width value is automatically decreased in response to increasing the pulse amplitude value in a manner that increases the intensity of the applied electrical stimulus. Alternatively, the pulse width value may be decreased (e.g., manually), and the pulse amplitude value automatically increased in response to decreasing the pulse width value in a manner that increases the intensity of the applied electrical stimulus. | 05-20-2010 |
| 20100125313 | SYSTEM AND METHOD FOR MODULATING ACTION POTENTIAL PROPAGATION DURING SPINAL CORD STIMULATION - A method and neurostimulator for providing therapy to a patient is provided. In one technique, an electrical pulsed waveform is conveyed between a caudal electrode and spinal cord tissue, thereby evoking action potentials that are orthodromically propagated along dorsal column fibers and evoking action potentials that are antidromically propagated along the DC fibers. Electrical energy is conveyed between a rostral electrode and the spinal cord tissue, thereby modulating times that the action potentials orthodromically propagated along the DC fibers arrive at the brain. In another technique, an electrical pulsed waveform is conveyed through a first electrode, thereby evoking action potentials that are propagated along a neural axon, and electrical energy is conveyed through the second electrode. The electrical energy has a frequency that is greater than a pulse rate of the electrical pulsed waveform, such that the action potentials propagated along the neural axon are blocked by the electrical energy. | 05-20-2010 |
| 20100121416 | SYSTEM AND METHOD FOR INCREASING RELATIVE INTENSITY BETWEEN CATHODES AND ANODES OF NEUROSTIMULATION SYSTEM USING PULSE SLICING - A method and neurostimulation system for providing therapy to a patient is provided. A plurality of electrodes is placed adjacent to tissue of the patient. A plurality of first electrical pulses is delivered to a first set of the electrodes, at least a second electrical pulse is delivered to a second set of the electrodes during the deliverance of each of the first electrical pulses, and at least a third electrical pulse is delivered to a third set of the electrodes during the deliverance of each of the first electrical pulses. The first electrical pulses have a first polarity, and each of the second electrical pulse(s) and third electrical pulses(s) has a second a second polarity opposite to the first polarity. The second and third electrical pulses are temporarily offset from each other. | 05-13-2010 |
| 20100114278 | DEPOSITED CONDUCTIVE LAYERS FOR LEADS OF IMPLANTABLE ELECTRIC STIMULATION SYSTEMS AND METHODS OF MAKING AND USING - An implantable lead includes an inner core substrate. A plurality of conductors that include at least one layer of at least one conductive material are deposited on the inner core substrate. A patterned insulator layer is disposed over the conductors such that at least two regions of each conductor remain exposed through the insulator. A patterned terminal layer defines a plurality of separated terminals that are deposited at a proximal end of the lead. At least one terminal is electrically coupled to each conductor via at least one of the exposed regions of the at least one conductor. A patterned electrode layer defines a plurality of separated electrodes that are deposited at a distal end of the lead. At least one electrode is electrically coupled to each conductor via at least one of the exposed regions of the at least one conductor. | 05-06-2010 |
| 20100114192 | METHODS AND SYSTEMS FOR STIMULATING A MOTOR CORTEX OF THE BRAIN TO TREAT A MEDICAL CONDITION - Methods of treating a medical condition include applying at least one stimulus to a motor cortex within a brain of a patient with an implanted system control unit in accordance with one or more stimulation parameters. Systems for treating a medical condition include a system control unit implanted within the patient that is configured to apply at least one stimulus to a motor cortex within a brain of a patient in accordance with one or more stimulation parameters. | 05-06-2010 |
| 20100106206 | METHOD TO DETECT PROPER LEAD CONNECTION IN AN IMPLANTABLE STIMULATION SYSTEM - An implantable pulse generator or external trial stimulator for coupling to a lead with a distal end and a proximal end, the lead comprising at least one terminal disposed at the proximal end. The implantable pulse generator comprises a connector for receiving the proximal end of the lead, the connector having at least one contact, and a sensor configured and arranged for detecting electrical connectivity between the implantable pulse generator or external trial stimulator and the lead, the sensor comprising at least one sensor contact, the sensor contact being configured and arranged for electrically coupling to a terminal of the lead and at least one of the contacts of the connector when the lead is fully inserted in the connector and thereby detecting electrical connectivity between the implantable pulse generator or external trial stimulator and the lead. | 04-29-2010 |
| 20100106204 | SYSTEMS AND METHODS FOR DETECTING A LOSS OF ELECTRICAL CONNECTIVITY BETWEEN COMPONENTS OF IMPLANTABLE MEDICAL LEAD SYSTEMS - A connection monitoring system for an implantable medical lead system includes an implantable lead, a first trial system cable, an external trial system, and a sensor. The lead has a distal end and at least one proximal end. The lead includes a plurality of terminals disposed at each proximal end. The first trial system cable has a distal end and at least one proximal end. The distal end of the first trial system cable is configured and arranged to electrically couple with the lead. The external trial system is configured and arranged to electrically couple with the first trial system cable. The sensor is electrically coupled to the external trial system. The sensor is configured and arranged for detecting a loss of electrical connectivity between the external trial system and the lead when the lead becomes electrically decoupled from the external trial system. | 04-29-2010 |
| 20100094387 | ELECTRODE DESIGN FOR LEADS OF IMPLANTABLE ELECTRIC STIMULATION SYSTEMS AND METHODS OF MAKING AND USING - A lead includes a lead body with a distal end and a proximal end. A plurality of terminals are disposed at the proximal end of the lead body. A plurality of electrodes are disposed at the distal end of the lead body. Each electrode includes an electrode body and at least one anchoring member. The at least one anchoring member couples to the electrode body and extends into the lead body and beneath the electrode body to anchor the electrode to the lead body. A plurality of conductive wires electrically couple the plurality of electrodes to the plurality of terminals. | 04-15-2010 |
| 20100094364 | ELECTRICAL STIMULATION LEADS HAVING RF COMPATIBILITY AND METHODS OF USE AND MANUFACTURE - An implantable lead has an inner core, a plurality of coiled conductor guides, and a plurality of conductors. The inner core defines a plurality of lumens. Each coiled conductor guide defines a plurality of helical lumens. Each coiled conductor guide is disposed in a coiled arrangement over a portion of the inner core. Each of the conductors electrically couples at least one electrode to at least one terminal. At least one of the conductors includes a plurality of units. Each unit includes a first conductor segment extending along the inner core from a beginning point to a first position, a coiled conductor segment disposed at least partially in one of the lumens of the coiled conductor guides and extending from the first position to the second position, and a second conductor segment extending along the inner core from the second position to an endpoint. | 04-15-2010 |
| 20100076535 | LEADS WITH NON-CIRCULAR-SHAPED DISTAL ENDS FOR BRAIN STIMULATION SYSTEMS AND METHODS OF MAKING AND USING - A lead is configured and arranged for brain stimulation. The lead includes a proximal end and a distal end. The proximal end includes a plurality of terminals disposed at the proximal end. The distal end has a non-circular transverse cross-sectional shape and includes a plurality of electrodes disposed at the distal end. A plurality of conductive wires electrically couple at least one of the plurality of electrodes to at least one of the plurality of terminals. | 03-25-2010 |
| 20100076508 | ELECTRICAL STIMULATION LEADS HAVING RF COMPATIBILITY AND METHODS OF USE AND MANUFACTURE - A neurostimulation lead or lead extension includes a lead body having a proximal end and a distal end. A plurality of first contacts are disposed on the distal end of the lead body. A plurality of second contacts are disposed on a proximal end of the lead body. A plurality of conductors extend along the lead body. Each of the plurality of conductors electrically couples at least one of the first contacts to at least one of the second contacts. At least one of the conductors includes at least one switch disposed along a length of the conductor. The at least one switch is configured and arranged to separate the conductor into a plurality of individual segments when the at least one switch is opened. | 03-25-2010 |
| 20100070012 | LEAD CONNECTION SYSTEM FOR AN IMPLANTABLE ELECTRICAL STIMULATION SYSTEM AND METHODS FOR MAKING AND USING THE SYSTEMS - A lead connection system includes a connector housing. A plurality of lead retainers disposed in the connector housing are configured and arranged to removably attach to a proximal end of one of a received plurality of leads. The plurality of lead retainers include at least one of a slidable drawer and at least one pivotable hinged panel. A plurality of connector contacts are configured and arranged for making electrical contact with one or more of the terminals of one or more of the plurality of received leads. A single connector cable has a distal end that is electrically coupled to the plurality of connector contacts and a proximal end that is configured and arranged for insertion into a trial stimulator. A cable connector is electrically coupled, via the connector contacts, to at least one terminal of each of the received plurality of leads. | 03-18-2010 |
