Advanced Neuromodulation Systems, Inc.

Medtronic, Inc.

Cyberonics, Inc.

Amei Technologies, Inc.

Electro-biology, Inc.

Neomedics, Inc.

Anthony J Varrichio

Benjamin A Tranchina

John H Erickson

John C Tepper

Arthur A Pilla

Ike C Thacker

Gregg Turi

Brian Bruce Lee

Louis E Halperin

Henry Stanislaw

Mark A Bettin

William C Brosche

Keith Alan Miesel

James Kevin Carney

George J Klein

Glenn M Roline

Dwight H Warkentin

Kenneth M Riff

Keith A Ufford

James R Svensk

Brian A Pethica

Timothy Patrick

Beth A Hassler

James M Devine

Reese F Terry, Jr

Greg Turi

Disclosed are systems and methods which provide voltage conversion in increments less than integer multiples of a power supply (e.g., battery) voltage. A representative embodiment provides power supply voltage multipliers in a binary ladder distribution to provide a desired number of output voltage steps using a relatively uncomplicated circuit design. By using different sources in various combinations and/or by 'stacking' different sources in various ways, the voltage multiplier circuit may be used to provide desired voltages. In order to minimize the number of components used in a voltage converter of an embodiment, a capacitive voltage converter circuit uses one or more storage capacitors in place of pump capacitors in a voltage generation cycle. Also, certain embodiments do not operate to generate an output voltage until the time that voltage is needed.

Pulse generator having an efficient fractional voltage converter and method of use

To avoid charge accumulation on capacitive connections to implanted electrodes during delivery of stimulation pulses, stimulation pulses are followed by active discharge pulses having opposite polarity of the stimulation pulses. The active discharge pulses preferably have at least one pulse attribute magnitude (e.g., duration, voltage, and/or current) different than a corresponding stimulation pulse and are preferably programmable. Approximately the same total net current flow is delivered during active discharge pulses as during the stimulation pulses, but in the opposite direction and optionally at a lower amplitude. In addition, by reducing the driving voltage and a variable load within the electrical path for delivery of the pulses, power dissipation during active discharge is preferably reduced.

Active discharge systems and methods

In one embodiment, an implantable pulse generator comprises: pulse generating circuitry for generating pulses and delivering the pulses to outputs of the implantable pulse generator; a controller; wherein the pulse generating circuitry comprises a voltage multiplier for multiplying a battery voltage, the voltage multiplier including multiple outputs, wherein a first output of the multiple outputs provides a voltage that is programmably selectable from a plurality of voltages including non-integer multiples of the battery voltage, wherein a second output of the multiple outputs provides a voltage that is a fixed multiple of the battery voltage; wherein the controller controls the pulse generator circuitry to generate a first pulse for stimulation of the patient using a first output of the multiple outputs and controls the pulse generator circuitry to generate a second pulse to discharge output capacitors of residual charge from the first pulse using a second output of the multiple outputs.

Implantable pulse generator comprising fractional voltage converter

Fractional voltage converter

In one embodiment, an implantable medical device comprises: a rechargeable battery for powering the implantable medical device; an antenna for receiving RF power; and circuitry for charging the rechargeable battery using power received via the antenna, wherein the circuitry for charging comprises control circuitry that causes the circuitry for charging to recharge the rechargeable battery using multiple current levels applied in succession, and wherein the circuitry for charging switches from at least one of the current levels to another current level when a charging voltage of the rechargeable battery reaches a threshold value that is varied by the control circuitry over a lifespan of the rechargeable battery.

Systems and methods for use in pulse generation

A device and method for generating electrical stimulation. The implantable device includes a programmable switching device or array that receives at least one pulse generator output coupled through at least one coupling capacitor. The switching device selectively connects at least one pulse generator output to a plurality of electrode terminals via at least one coupling capacitor. Electrical stimulation signals may be applied directly from the electrode terminals, or are applied through a lead or lead extension having corresponding electrodes electrically connected to the electrode terminals.

Programmable switching device for implantable device

Categories are established for use in physiological monitoring devices and these categories are prioritized such that data indicative of a critical event self-triggers a communication to an external receiver for the purpose of re-transmitting the critical data for use by a clinician. The categories can be established by the clinician and, if desired, the precise monitored data parameters can be assigned to specific categories. Far-field transmission can be used to send certain stored data to an external receiver, provision is made for externally charging the device batteries.

Physiologic event monitoring device having robust internal control

A low power (and lower cost) implementation for amplifier used in delivering a stimulation pulse is provided according to embodiments through use of a pre-charge period for each pulse. For example, a voltage at a variable output terminal of a digital-to-analog converter is increased on the leading edge of PULSE and INVERTCLK signals to result in an output of an operational amplifier increasing to a predetermined voltage prior to output of a stimulation pulse, according to an embodiment. A shunt path may be implemented to shunt current away from a load during the pre-charge period.

Systems and methods for precharging circuitry for pulse generation

Embodiments provide a capacitive voltage multiplier for efficiently producing multiples, including fractional multiples, of a power supply voltage use high, medium and low voltage field effect transistors for switching terminals of various capacitors into and out of connection with power supply or ground voltages in charge mode and with an output or other capacitor terminals for series connection in pump mode. A single non-overlapping clock is level-shifted up to the maximum voltage level required for switching to produce a desired output, then level shifted back down to lower levels with delay added as necessary according to embodiments.

Method of efficiently performing fractional voltage conversion and system comprising efficient fractional voltage converter circuitry

A minimally invasive implant, means for insertion, and description of how to most efficiently use it are described n several embodiments. This implant preferably has a segmented looping memory for storing triggered physiologic events. Preferred events for setting autotriggers to record physiologic signals occurring during events include arrhythmias and syncopal events. Preferably the device can function without a microprocessor. An outside device or other patient activated manual trigger is included. Auto triggers and manually set triggers may be of different sizes. The preferred physiologic events are ECG signals. Electrode spacing can be critical. Additional sensors may be provided to the device. Preferred communications with the device is through telemetry such as is used for pacemakers and other implanted devices.

Minimally invasive implantable device for monitoring physiologic events

A hand-held programmer/monitor (500) for programming and monitoring an implantable tissue growth stimulator (10) is provided. The stimulator (10) includes circuitry (46) for implementing selected operations in response to a down-link signal transmitted by the programmer/monitor (500). The stimulator (10) also includes circuitry (14) for transmitting up-link signals to the programmer/monitor (500). The programmer/monitor (500) includes a control circuit (518) for generating the down-link signal. The control circuit (518) also processes the up-link signal to monitor the status of the implantable tissue growth stimulator (10). The programmer/monitor (500) also includes a transmit/receive circuit (514) for transmitting the down-link signal to and for receiving the up-link signal from the implantable tissue growth stimulator (10). The transmit/receive circuit (514) also couples the up-link signal to the control circuit (518).

Implantable growth tissue stimulator and method of operation

An endocardial lead for implantation in a right heart chamber for responding to blood pressure and temperature and providing modulated pressure and temperature related signals to an implanted or external hemodynamic monitor and/or cardiac pacemaker or pacemaker/cardioverter/defibrillator. The lead has a sensor module formed in its distal end and is coupled to a monitor that powers a sensor circuit in the sensor module. The sensor module is formed with a pickoff capacitor that changes capacitance with pressure changes and a reference capacitor that is relatively insensitive to pressure changes. The sensor circuit provides charge current that changes with temperature variation at the implant site, alternately charges and discharges the two capacitors, and provides timing pulses having distinguishable parameters at the end of each charge cycle that are transmitted to the demodulator. The demodulator detects and synchronizes the timing pulses and derives pressure and temperature analog voltage values representative of the intervals between the timing pulses which are digitized and stored in the monitor. The monitor may also be coupled with other sensors for measuring and storing related patient body parameters, e.g. blood gas, EGM, and patient activity.

Implantable capacitive absolute pressure and temperature sensor

A hand-held programmer/monitor (500) for programming and monitoring an implantable tissue growth stimulator (10) is provided. The stimulator (10) includes circuitry (46) for implementing selected operations in response to a down-link signal transmitted by the programmer/monitor (500). The stimulator (10) also includes circuitry (46) for transmitting up-link signals to the programmer/monitor (500). The programmer/monitor (500) includes a control circuit (518) for generating the down-link signal. The control circuit (518) also processes the up-link signal to monitor the status of the implantable tissue growth stimulator (10). The programmer/monitor (500) also includes a transmit/receive circuit (514) for transmitting the down-link signal to and for receiving the up-link signal from the implantable tissue growth stimulator (10). The transmit/receive circuit (514) also couples the up-link signal to the control circuit (518).

Growing community of inventors

Plano, TX, United States of America

Anthony J Varrichio