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    METHODS AND APPARATUS FOR USING SENSORS WITH A DEEP BRAIN STIMULATION SYSTEM
    1.
    发明申请
    METHODS AND APPARATUS FOR USING SENSORS WITH A DEEP BRAIN STIMULATION SYSTEM 有权
    使用传感器与深层脑刺激系统的方法和装置

    公开(公告)号：US20110137372A1

    公开(公告)日：2011-06-09

    申请号：US12959890

    申请日：2010-12-03

    申请人： James Makous ,  Brett Schleicher ,  Rafael Carbunaru ,  Kristen Jaax ,  Andrew DiGiore

    发明人： James Makous ,  Brett Schleicher ,  Rafael Carbunaru ,  Kristen Jaax ,  Andrew DiGiore

    IPC分类号： A61N1/36

    CPC分类号： A61N1/36139 ,  A61N1/0534

    摘要： 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.

    摘要翻译： 提供了一种用于将刺激应用于患者内的目标刺激部位同时避免刺激的不期望的眼睛运动副作用的系统和方法。 该方法包括确定由内部或外部电极感测的眼睛运动是否是所传送的电刺激的副作用。 如果眼睛运动是副作用，则刺激的电流分布被修改以便将电刺激的轨迹从患者的一个组织区域引导到患者的另一不同组织区域，从而减轻眼睛运动侧 效果。 例如，电刺激的轨迹可以被转向离开眼动神经。 DBS治疗的眼睛运动副作用可能包括盖开口的不适，仅有一只眼球的向下运动和内收，和/或两只眼球的连续偏差。

    METHOD AND APPARATUS TO ENHANCE COMMUNICATION IN THE OPERATING ROOM
    2.
    发明申请
    METHOD AND APPARATUS TO ENHANCE COMMUNICATION IN THE OPERATING ROOM 失效
    提高操作室通信的方法和装置

    公开(公告)号：US20110019858A1

    公开(公告)日：2011-01-27

    申请号：US12506938

    申请日：2009-07-21

    申请人： Todd K. Whitehurst ,  Rafael Carbunaru ,  Kristen Jaax ,  James Makous ,  Courtney Lane ,  Mark Pierre ,  Cliff Brainard ,  Charles Tilden Hagan, IV

    发明人： Todd K. Whitehurst ,  Rafael Carbunaru ,  Kristen Jaax ,  James Makous ,  Courtney Lane ,  Mark Pierre ,  Cliff Brainard ,  Charles Tilden Hagan, IV

    IPC分类号： H04R11/04

    CPC分类号： H04R1/028 ,  H04R1/14 ,  H04R2201/023

    摘要： 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).

    摘要翻译： 为患者提供通信系统，其特征在于具有用于接收患者面部的开口的缓冲垫。 垫子包括用于从患者接收听觉信号的麦克风和用于向患者传递可听信号的一个或多个扬声器。 麦克风和扬声器与衬垫集成，以避免干扰患者的舒适度。 在一个实施例中，可听信号经由通信端口传递给患者和从患者传送。 在另一个实施例中，系统包括显示装置，因此患者可以在装置上观察患者身体的部分，然后通过麦克风和扬声器与系统操作者通信。

    Optimal electrode contact polarity configurations for implantable stimulation systems
    3.
    发明申请
    Optimal electrode contact polarity configurations for implantable stimulation systems 审中-公开
    可植入刺激系统的最佳电极接触极性配置

    公开(公告)号：US20070049988A1

    公开(公告)日：2007-03-01

    申请号：US11322788

    申请日：2005-12-30

    申请人： Rafael Carbunaru ,  Kristen Jaax ,  Todd Whitehurst ,  James Makous

    发明人： Rafael Carbunaru ,  Kristen Jaax ,  Todd Whitehurst ,  James Makous

    IPC分类号： A61N1/00

    CPC分类号： A61N1/375 ,  A61N1/3605 ,  A61N1/37205 ,  A61N1/3756

    摘要： Systems for treating a patient with a medical condition include a lead having an array of electrode contacts each being programmable to have either a first polarity or a second polarity and a programming device configured to test a multiplicity of different electrode contact polarity configurations in which a programmed polarity of one or more of the electrode contacts is varied. Methods of using an implantable stimulator system include implanting a lead having an array of programmable electrode contacts disposed thereon in communication with a stimulation site, testing a multiplicity of different electrode contact polarity configurations in which a programmed polarity of one or more of the electrode contacts is varied, selecting an optimal electrode contact polarity configuration out of the multiplicity of different electrode contact polarity configurations, and applying the stimulation current via the optimal electrode contact polarity configuration to the stimulation site in accordance with one or more stimulation parameters.

    摘要翻译： 用于治疗患有医疗状况的患者的系统包括具有每个可编程为具有第一极性或第二极性的电极接触阵列的引线和被配置为测试多个不同电极接触极性配置的编程设备，其中编程 一个或多个电极触点的极性是变化的。 使用可植入刺激器系统的方法包括植入具有与刺激部位连通的可编程电极触点阵列的引线，测试多个不同的电极接触极性配置，其中一个或多个电极触点的编程极性为 根据一个或多个刺激参数，通过不同电极接触极性配置的多重性选择最佳电极接触极性配置，并通过最佳电极接触极性配置将刺激电流施加到刺激部位。

    Methods and apparatus for using sensors with a deep brain stimulation system
    4.
    发明授权
    Methods and apparatus for using sensors with a deep brain stimulation system 有权
    使用具有深脑刺激系统的传感器的方法和装置

    公开(公告)号：US08670833B2

    公开(公告)日：2014-03-11

    申请号：US12959890

    申请日：2010-12-03

    申请人： James Makous ,  Brett Schleicher ,  Rafael Carbunaru ,  Kristen Jaax ,  Andrew DiGiore

    发明人： James Makous ,  Brett Schleicher ,  Rafael Carbunaru ,  Kristen Jaax ,  Andrew DiGiore

    IPC分类号： A61N1/00

    CPC分类号： A61N1/36139 ,  A61N1/0534

    摘要： 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.

    摘要翻译： 提供了一种用于将刺激应用于患者内的目标刺激部位同时避免刺激的不期望的眼睛运动副作用的系统和方法。 该方法包括确定由内部或外部电极感测的眼睛运动是否是所传送的电刺激的副作用。 如果眼睛运动是副作用，则刺激的电流分布被修改以便将电刺激的轨迹从患者的一个组织区域引导到患者的另一不同组织区域，从而减轻眼睛运动侧 效果。 例如，电刺激的轨迹可以被转向离开眼动神经。 DBS治疗的眼睛运动副作用可能包括盖开口的不适，仅有一只眼球的向下运动和内收，和/或两只眼球的连续偏差。

    Treatment devices with delivery-activated inflatable members, and associated systems and methods for treating the spinal cord and other tissues
    5.
    发明授权
    Treatment devices with delivery-activated inflatable members, and associated systems and methods for treating the spinal cord and other tissues 有权
    具有递送活化的充气构件的治疗装置，以及用于治疗脊髓和其他组织的相关系统和方法

    公开(公告)号：US08326439B2

    公开(公告)日：2012-12-04

    申请号：US12104230

    申请日：2008-04-16

    申请人： C. Lance Boling ,  James Makous

    发明人： C. Lance Boling ,  James Makous

    IPC分类号： A61N1/04 ,  A61N1/375

    CPC分类号： A61N1/05 ,  A61N1/0558

    摘要： The present application includes treatment systems having delivery-activated inflatable members, and associated systems and methods for treating the spinal cord and other tissues. A treatment system in accordance with one embodiment includes a lead body having an opening, an inner surface position around the opening, and an inflatable member carried by the lead body, with at least one of the inflatable member and the lead body including a frangible portion accessible from the opening. The inflatable member can have an expandable interior volume bounded at least in part by the frangible portion. The system can further include a delivery device received in the opening of the lead body and positioned to open a passage through the frangible portions between the interior volume of the inflatable member and the opening of the lead body when the delivery device is removed from the opening of the lead body.

    摘要翻译： 本申请包括具有递送活化的可膨胀构件的治疗系统以及用于治疗脊髓和其他组织的相关系统和方法。 根据一个实施例的处理系统包括具有开口的引线主体，围绕开口的内表面位置以及由引线主体承载的可膨胀构件，所述可膨胀构件和引线主体中的至少一个包括易碎部分 从开幕可以进入。 可膨胀构件可以具有至少部分地由易碎部分界定的可膨胀内部体积。 所述系统还可包括接纳在引线主体的开口中的输送装置，并定位成当将输送装置从开口移除时打开通过可膨胀构件的内部容积和引线本体的开口之间的易碎部分的通道 的铅体。

    Method and apparatus to enhance communication in the operating room
    6.
    发明授权
    Method and apparatus to enhance communication in the operating room 失效
    加强手术室通讯的方法和装置

    公开(公告)号：US08320600B2

    公开(公告)日：2012-11-27

    申请号：US12506938

    申请日：2009-07-21

    申请人： Todd K. Whitehurst ,  Rafael Carbunaru ,  Kristen Jaax ,  James Makous ,  Courtney Lane ,  Mark Pierre ,  Cliff Brainard ,  Charles Tilden Hagan, IV

    发明人： Todd K. Whitehurst ,  Rafael Carbunaru ,  Kristen Jaax ,  James Makous ,  Courtney Lane ,  Mark Pierre ,  Cliff Brainard ,  Charles Tilden Hagan, IV

    IPC分类号： H04R11/04

    CPC分类号： H04R1/028 ,  H04R1/14 ,  H04R2201/023

    摘要： 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).

    摘要翻译： 为患者提供通信系统，其特征在于具有用于接收患者面部的开口的缓冲垫。 垫子包括用于从患者接收听觉信号的麦克风和用于向患者传递可听信号的一个或多个扬声器。 麦克风和扬声器与衬垫集成，以避免干扰患者的舒适度。 在一个实施例中，可听信号经由通信端口传递给患者和从患者传送。 在另一个实施例中，系统包括显示装置，因此患者可以在装置上观察患者身体的部分，然后通过麦克风和扬声器与系统操作者通信。

    Treatment Devices with Delivery-Activated Inflatable Members, and Associated Systems and Methods for Treating the Spinal Cord and Other Tissues
    10.
    发明申请
    Treatment Devices with Delivery-Activated Inflatable Members, and Associated Systems and Methods for Treating the Spinal Cord and Other Tissues 有权
    具有交付活化的充气成员的治疗装置，以及用于治疗脊髓和其他组织的相关系统和方法

    公开(公告)号：US20090264973A1

    公开(公告)日：2009-10-22

    申请号：US12104230

    申请日：2008-04-16

    申请人： C. Lance Boling ,  James Makous

    发明人： C. Lance Boling ,  James Makous

    IPC分类号： A61N1/05

    CPC分类号： A61N1/05 ,  A61N1/0558

    摘要： Treatment systems with delivery-activated inflatable members, and associated systems and methods for treating the spinal cord and other tissues are disclosed. A treatment system in accordance with one embodiment includes a lead body having an opening, an inner surface position around the opening, and an inflatable member carried by the lead body, with at least one of the inflatable member and the lead body including a frangible portion accessible from the opening. The inflatable member can have an expandable interior volume bounded at least in part by the frangible portion. The system can further include a delivery device received in the opening of the lead body and positioned to open a passage through the frangible portions between the interior volume of the inflatable member and the opening of the lead body when the delivery device is removed from the opening of the lead body.

    摘要翻译： 公开了具有递送活化的充气构件的治疗系统，以及用于治疗脊髓和其它组织的相关系统和方法。 根据一个实施例的处理系统包括具有开口的引线主体，围绕开口的内表面位置以及由引线主体承载的可膨胀构件，所述可膨胀构件和引线主体中的至少一个包括易碎部分 从开幕可以进入。 可膨胀构件可以具有至少部分地由易碎部分界定的可膨胀内部体积。 所述系统还可包括接纳在引线主体的开口中的输送装置，并定位成当将输送装置从开口移除时打开通过可膨胀构件的内部容积和引线本体的开口之间的易碎部分的通道 的铅体。