Patent application number | Description | Published |
20080269839 | Dosing Limitation for an Implantable Medical Device - A method for limiting patient-initiated electrical signal therapy provided by an implantable medical device (IMD) to a cranial nerve of a patient. At least one electrical signal therapy limit selected from the group consisting of a maximum number of patient-initiated signals to provide a therapeutic electrical signal per a time period, a maximum dose of the therapeutic electrical signal per a time period, a maximum duration of the therapeutic electrical signal per a time period, a maximum rate of change of the number of patient-initiated signals to provide a therapeutic electrical signal per a time period, a maximum rate of change of the dose of the therapeutic electrical signal per a time period, and a maximum rate of change of the duration of the electrical signal therapy per a time period is specified. A patient-initiated signal to begin a therapeutic electrical signal is received. Whether or not said electrical signal therapy limit is exceeded by said step of detecting a patient-initiated signal is determined. An action in response to said step of determining whether or not said limit is exceeded is performed, said action selected from the group consisting of providing a first electrical signal therapy to said cranial nerve, providing a second, reduced electrical signal therapy to said cranial nerve, providing a third, enhanced electrical signal therapy to said cranial nerve, inhibiting an electrical signal therapy to said cranial nerve, providing a background electrical signal to said cranial nerve, and inhibiting a background electrical signal to said cranial nerve. | 10-30-2008 |
20090036950 | TRAINED AND ADAPTIVE RESPONSE IN A NEUROSTIMULATOR - A method sensing at least two physiological parameters and, for each of the at least two physiological parameters, generating a first series of signals representative of the physiological parameter sensed over a first time period, storing each of said first series of signals as a time sequence data stream, and determining when a physiological event has occurred in a patient. The method further comprises analyzing each of said time sequence data streams for a predetermined time interval preceding the occurrence of a physiological event to determine at least one marker as a predictor of the event, and again sensing the physiological parameters. Furthermore, the method comprises generating a second series of signals representative of the physiological parameter sensed, analyzing each of the second series of signals to determine whether the marker is present, and stimulating a cranial nerve when the marker is present in the second series of signals. | 02-05-2009 |
20090112292 | DYNAMIC LEAD CONDITION DETECTION FOR AN IMPLANTABLE MEDICAL DEVICE - The present invention provides for a method, apparatus, and system for performing a dynamic detection of a lead condition associated with a lead assembly in an implantable medical device for providing a controlled current therapeutic electrical signal to a cranial nerve. A pulsed therapeutic electrical signal is provided to a portion of a patient's body. A multiplicity of feedback signals is provided. Each the signal in the multiplicity comprises a voltage signal associated with the lead assembly for a pulse in the pulsed therapeutic electrical signal. For each the feedback signal, a determination is made as to whether the voltage signal is below a predetermined threshold to create a multiplicity of voltage signal comparison results. A determination is made as to whether or not a lead condition problem exists based upon the multiplicity of voltage signal comparison results. | 04-30-2009 |
20090125079 | ALTERNATIVE OPERATION MODE FOR AN IMPLANTABLE MEDICAL DEVICE BASED UPON LEAD CONDITION - The present invention provides for a method, apparatus, and system for determining an adverse operational condition associated with a lead assembly in an implantable medical device used for providing a therapeutic electrical signal to a cranial nerve. A first impedance associated with the lead assembly configured to provide the therapeutic electrical signal to a cranial nerve is detected. A determination is made as to whether the first impedance is outside a first predetermined range of values. A second impedance is detected. The detection of the second impedance is performed within a predetermined period of time from the time of the detection of the first impedance. A determination is made as to whether the second impedance is outside a second predetermined range of values. A determination that a lead condition problem exists is made in response to a determination that the first is outside the first predetermined range of values and second impedance is outside the second predetermined range of values. The implantable medical device is prevented from providing the therapeutic electrical signal to the cranial nerve in response to determining that the lead condition problem exists. | 05-14-2009 |
20090192564 | Changeable electrode polarity stimulation by an implantable medical device - We disclose a method of treating a medical condition in a patient using an implantable medical device including coupling at least a first electrode and a second electrode to a cranial nerve of the patient, providing a programmable electrical signal generator coupled to the first electrode and the second electrode, generating a first electrical signal with the electrical signal generator, applying the first electrical signal to the electrodes, wherein the first electrode is a cathode and the second electrode is an anode, reversing the polarity of the first electrode and the second electrode, yielding a configuration wherein the first electrode is an anode and the second electrode is a cathode, generating a second electrical signal with the electrical signal generator, applying the second electrical signal to the electrodes, reversing the polarity of the first electrode and the second electrode, yielding a configuration wherein the first electrode is a cathode and the second electrode is an anode, generating a third electrical signal with the electrical signal generator, and applying the third electrical signal to the electrodes. Each of the electrical signals can independently contain one or more pulses or one or more bursts. The number of pulses need not be equal between any two of the electrical signals. | 07-30-2009 |
20090192567 | Method, Apparatus and System for Bipolar Charge Utilization During Stimulation by an Implantable Medical Device - We disclose a method, apparatus, and system of treating a medical condition in a patient using an implantable medical device. A first electrode is coupled to a first portion of a cranial nerve of the patient. A second electrode is coupled to a second portion of the cranial nerve of the patient. A first electrical signal is provided to the first and second electrodes. The first electrical signal is provided in a first polarity configuration in which the first electrode functions as an anode and the second electrode functions as a cathode. Upon termination of the first electrical signal, the anode and cathode each comprise a first accumulated energy. A second electrical signal is provided to the first and second electrodes, in which the second electrical signal includes at least a portion of the first accumulated energy. | 07-30-2009 |
20090270959 | LEAD CONDITION ASSESSMENT FOR AN IMPLANTABLE MEDICAL DEVICE - A method, system, and apparatus for performing a lead condition assessment and/or a lead orientation determination associated with an implantable medical device (IMD). A first impedance is determined. The first impedance relates to the impedance relative to a first electrode and a portion of the IMD. A second impedance is determined. The second impedance relates to the impedance relative to a second electrode and the portion of the IMD. The first impedance is compared with the second impedance to determine an impedance difference. A determination is made whether the impedance difference is outside a predetermined tolerance range. Furthermore, artifact measured during impedance measurements or test pulses may be compared to assess lead orientation. An indication of a lead condition error is provided in response to determining that the impedance difference is outside the predetermined tolerance range. | 10-29-2009 |
20100198313 | POWER SUPPLY MONITORING FOR AN IMPLANTABLE DEVICE - A method and an apparatus for determining a time period remaining in a useful life of an energy storage device in an implantable medical device. The method may include measuring a voltage of the energy storage device to produce a measured voltage, and comparing the measured voltage to a transition voltage. While the measured voltage is greater than or equal to the transition voltage, the time period remaining in the energy storage device's useful life is approximated based upon a function of charge depleted. While the measured voltage is less than the transition voltage, the time period remaining in the energy storage device's useful life is approximated based upon a higher order polynomial function of the measured voltage. The transition voltage corresponds to a predetermined point on a energy storage device voltage depletion curve representing the voltage across the energy storage device over time. | 08-05-2010 |
20100268495 | POWER SUPPLY MONITORING FOR AN IMPLANTABLE DEVICE - A method and an apparatus for projecting an end of service (EOS) and/or an elective replacement indication (ERI) of a component in an implantable device is provided. The method comprises measuring the measured voltage of the energy storage device, and determining whether the measured voltage is less than a transition voltage. When the measured voltage is less than the transition voltage, determining a time period remaining until an end of service of the energy storage device is based upon a function of the measured voltage. When the measured voltage is greater than or equal to the transition voltage, determining a time period remaining until an end of service of the energy storage device is based upon a function of the total charge depleted. The transition voltage is a voltage associated with the transition point of non-linearity in the battery voltage depletion curve. | 10-21-2010 |
20100274302 | POWER SUPPLY MONITORING FOR AN IMPLANTABLE DEVICE - A method and an apparatus for projecting an end of service (EOS) and/or an elective replacement indication (ERI) of a component in an implantable device and for determining an impedance experienced by a lead associated with the implantable device. An active charge depletion of an implantable device is determined. An inactive charge depletion of the implantable device is determined. A time period until an end of service (EOS) and/or elective replacement indication (ERI) of a power supply associated with the IMD based upon the active charge depletion, the inactive charge depletion, and the initial and final (EOS) battery charges, is determined. Furthermore, to determine the impedance described above, a substantially constant current signal is provided through a first terminal and a second terminal of the lead. A voltage across the first and second terminals is measured. An impedance across the first and second terminals is determined based upon the constant current signal and the measured voltage. | 10-28-2010 |
20110213437 | CHANGEABLE ELECTRODE POLARITY STIMULATION BY AN IMPLANTABLE MEDICAL DEVICE - We disclose a method of treating a medical condition in a patient using an implantable medical device including coupling at least a first electrode and a second electrode to a cranial nerve of the patient, providing a programmable electrical signal generator coupled to the first electrode and the second electrode, generating a first electrical signal with the electrical signal generator, applying the first electrical signal to the electrodes, wherein the first electrode is a cathode and the second electrode is an anode, reversing the polarity of the first electrode and the second electrode, yielding a configuration wherein the first electrode is an anode and the second electrode is a cathode, generating a second electrical signal with the electrical signal generator, applying the second electrical signal to the electrodes, reversing the polarity of the first electrode and the second electrode, yielding a configuration wherein the first electrode is a cathode and the second electrode is an anode, generating a third electrical signal with the electrical signal generator, and applying the third electrical signal to the electrodes. Each of the electrical signals can independently contain one or more pulses or one or more bursts. The number of pulses need not be equal between any two of the electrical signals. | 09-01-2011 |
20110224758 | Dosing Limitation For An Implantable Medical Device - An implantable medical device (IMD) including an input interface that operates to receive an external input and a stimulation mode controller coupled to the input interface. The stimulation mode controller operates to temporarily interrupt a normal stimulation mode of the IMD in response to the external input. The IMD also includes an alternative stimulation selection module coupled to the stimulation mode controller, the alternative stimulation selection module operating to determine whether to implement an alternative mode of electrical signal therapy based on the external input and a threshold. The alternative mode differs in at least one stimulation parameter from the normal stimulation mode. The stimulation mode controller further operates to implement the alternative mode of the electrical signal therapy based on the determination of the alternative stimulation selection module. | 09-15-2011 |
20120035953 | Method and Apparatus for Integrating Implantable Medical Device Data - Methods and systems for constructing a comprehensive history for an IMD are disclosed. The method includes interrogating an implantable medical device (IMD) with an interrogating external programmer device (EPD), and comparing a unique signature associated with the interrogating EPD to a stored signature, associated with a particular programmer device that most immediately previously programmed the IMD, in memory of the IMD. If the unique signature of the interrogating programmer device is not the same as the stored signature, the method includes recording the stored signature in the interrogating EPD. The method may optionally include replacing the stored signature in the IMD memory with the unique signature of the interrogating EPD if the interrogating EPD programs the IMD. A comprehensive history for the IMD may be constructed by tracing the values in the IMD and the programmer databases. | 02-09-2012 |
20120130452 | SAFE-MODE OPERATION OF AN IMPLANTABLE MEDICAL DEVICE - An implantable medical device (IMD) may include a lead circuit including a first node configured to be coupled to a first lead that may be coupled to a first target tissue and including a second node configured to be coupled to a second lead that may be coupled to a second target tissue. The IMD may include an impedance unit that may determine at least one characteristic of coupled energy associated with the lead circuit, where the coupled energy may be produced by a source external to the IMD. The impedance unit may provide an impedance between the first node and the second node, where the impedance is selected based at least in part on a characteristic of the coupled energy. The impedance is selected to reduce the coupled energy or a negative effect associated with functionality of the IMD induced by the coupled energy. | 05-24-2012 |
20120146575 | IMPLANTABLE WIRELESS POWER SYSTEM - A wireless power system capable of transmitting power through the skin without percutaneous wires over distances ranging from a few inches to several feet includes an external transmitting coil assembly and a receiving coil assembly. The transmitting coil assembly includes an excitation coil and transmitting resonant coil which are inductively coupled to each other. The receiving coil assembly includes a receiving resonant coil and a power pick-up coil which are also inductively coupled to each other. A high frequency AC power input, such as radio frequency (RF), supplied to the excitation coil inductively causes the transmitting resonant coil to resonate resulting in a local time varying magnetic field. The transmitting and receiving resonant coils are constructed as to have closely matched or identical resonant frequencies so that the magnetic field produced by the transmitting resonant coil is able to cause the receiving resonant coil to resonate strongly also, even when the distance between the two resonant coils greatly exceeds the largest dimension of either coil. The receiving resonant coil then creates its own local time varying magnetic field which inductively produces a voltage in a power pick-up coil to provide power to an active implantable medical device or implantable rechargeable battery. | 06-14-2012 |
20120150291 | CARDIAC SUPPORT SYSTEMS AND METHODS FOR CHRONIC USE - A high efficiency cardiac support system is suitable for chronic use in treating heart failure, wherein the system includes an implantable rotary blood pump, an implantable power module, a wireless power transfer subsystem, a patient monitor, and a programmer In a cardiac support system, the cumulative efficiencies of the components of the system are capable of providing therapeutically effective blood flow for a typical day of awake hours using the energy from a single wireless recharge of an implanted rechargeable energy source. Moreover, the implantable rechargeable energy source may be recharged during a normal sleep period of 8 hours or less. The system may provide full or partial cardiac support without the need for external wearable batteries, controllers, or cables. | 06-14-2012 |
20120221065 | LEAD CONDITION ASSESSMENT FOR AN IMPLANTABLE MEDICAL DEVICE - A method, system, and apparatus for performing a lead condition assessment and/or a lead orientation determination associated with an implantable medical device (IMD). A first impedance is determined. The first impedance relates to the impedance relative to a first electrode and a portion of the IMD. A second impedance is determined. The second impedance relates to the impedance relative to a second electrode and the portion of the IMD. The first impedance is compared with the second impedance to determine an impedance difference. A determination is made whether the impedance difference is outside a predetermined tolerance range. Furthermore, artifact measured during impedance measurements or test pulses may be compared to assess lead orientation. An indication of a lead condition error is provided in response to determining that the impedance difference is outside the predetermined tolerance range. | 08-30-2012 |
20130345493 | CARDIAC SUPPORT SYSTEMS AND METHODS FOR CHRONIC USE - A high efficiency cardiac support system is suitable for chronic use in treating heart failure, wherein the system includes an implantable rotary blood pump, an implantable power module, a wireless power transfer subsystem, a patient monitor, and a programmer. In a cardiac support system, the cumulative efficiencies of the components of the system are capable of providing therapeutically effective blood flow for a typical day of awake hours using the energy from a single wireless recharge of an implanted rechargeable energy source. Moreover, the implantable rechargeable energy source may be recharged during a normal sleep period of 8 hours or less. The system may provide full or partial cardiac support without the need for external wearable batteries, controllers, or cables. | 12-26-2013 |
20140019164 | METHOD AND APPARATUS FOR INTEGRATING IMPLANTABLE MEDICAL DEVICE DATA - Methods and systems for constructing a comprehensive history for an IMD are disclosed. The method includes interrogating an implantable medical device (IMD) with an interrogating external programmer device (EPD), and comparing a unique signature associated with the interrogating EPD to a stored signature, associated with a particular programmer device that most immediately previously programmed the IMD, in memory of the IMD. If the unique signature of the interrogating programmer device is not the same as the stored signature, the method includes recording the stored signature in the interrogating EPD. The method may optionally include replacing the stored signature in the IMD memory with the unique signature of the interrogating EPD if the interrogating EPD programs the IMD. A comprehensive history for the IMD may be constructed by tracing the values in the IMD and the programmer databases. | 01-16-2014 |
20140074188 | IMPLANTABLE MEDICAL DEVICE HAVING MULTIPLE ELECTRODE/SENSOR CAPABILITY AND STIMULATION BASED ON SENSED INTRINSIC ACTIVITY - In one embodiment, an implantable neurostimulator comprises a pulse generator that generates an electrical pulse signal to stimulate a neural structure in a patient, a stimulation lead assembly coupled to the pulse generator for delivering the electrical pulse signal to the neural structure, a plurality of sensors coupled to the pulse generator, and sensor select logic. Each sensor is individually selectable and the sensor select logic selects any two or more of the plurality of sensors for sensing a voltage difference between the selected sensors. In other embodiments, two or more physiologic parameters are sensed. In yet another embodiment, a method comprises sensing intrinsic electrical activity on a person's nerve and stimulating the nerve based on the sensed intrinsic electrical activity of the nerve. | 03-13-2014 |
20150061591 | WIRELESS POWER SYSTEM - A wireless power system capable of transmitting power through the skin over distances ranging from a few inches to several feet includes an external transmitting coil assembly and a receiving coil assembly. A transmitting resonant coil and a receiving resonant coil are constructed as to have closely matched or identical resonant frequencies so that the magnetic field produced by the transmitting resonant coil is able to cause the receiving resonant coil to resonate strongly also, even when the distance between the two resonant coils greatly exceeds the largest dimension of either coil. The receiving resonant coil then creates its own local time varying magnetic field, which inductively produces a voltage to provide power to an active implantable medical device or implantable rechargeable battery. | 03-05-2015 |