Saluda Medical Pty Limited

Peter Scott Vallack Single

Dean Michael Karantonis

John Louis Parker

James Hamilton Wah

Kai Huang

James Hamilton Laird

James Hamilton Laird-Wah

Phil Stallard

Samuel Nicholas Gilbert

Matthew Marlon Williams

Jonathan Brereton Scott

Daniel John Parker

Steven Owen McCabe

Mohammadjavad Sadeghi

A neural stimulus comprises at least three stimulus components, each comprising at least one of a temporal stimulus phase and a spatial stimulus pole. A first stimulus component delivers a first charge which is unequal to a third charge delivered by a third stimulus component, and the first charge and third charge are selected so as to give rise to reduced artefact at recording electrodes. In turn this may be exploited to independently control a correlation delay of a vector detector and an artefact vector to be non-parallel or orthogonal.

Neural stimulation for reduced artefact

Measuring a neural response to a stimulus comprises applying an electrical stimulus, then imposing a delay during which the stimulus electrodes are open circuited. During the delay, a neural response signal present at sense electrodes is measured with a measurement amplifier, while ensuring that an impedance between the sense electrodes is sufficiently large that a voltage arising on the sense electrode tissue interface in response to the stimulus is constrained to a level which permits assessment of the neural response voltage seen at the sense electrode. For example the input impedance to the measurement amplifier (ZIN) can be, where ZC is the sense electrode(s) constant phase element impedance, Vs1−Vs2 is the differential voltage arising on the sense electrode tissue interface, and VE is the neural response voltage seen at the sense electrode.

Neural measurement

A method for controlling electrical conditions of tissue in relation to a current stimulus. A first current produced by a first current source is delivered to the tissue via a current injection electrode. A second current drawn by a second current source is extracted from the tissue via a current extraction electrode. The second current source is matched with the first current source so as to balance the first current and the second current. A ground electrode which is proximal to the current injection electrode and the current extraction electrode is grounded, to provide a ground path for any mismatch current between the first current and second current. A response of the tissue to the current stimulus is measured via at least one measurement electrode.

Method and system for controlling electrical conditions of tissue II

Disclosed is a method of adapting the operation of an implantable device for delivering neurostimulation therapy to a patient. The method comprises: delivering the neurostimulation therapy to electrically excitable tissue of the patient according to at least one therapy parameter; measuring a physiological characteristic of the patient; adjusting the at least one therapy parameter according to a schedule of adjustment and the measured physiological characteristic; and repeating the delivering, measuring, and adjusting.

Adaptation of neurostimulation therapy to age-related physiological changes

A method for measuring a neural response to a stimulus. Measurement circuitry is settled prior to a stimulus, by connecting a sense electrode to the measurement circuitry to allow the measurement circuitry to settle towards a bio-electrically defined steady state. Charge is recovered on stimulus electrodes by short circuiting the stimulus electrodes to each other. An electrical stimulus is then applied from the stimulus electrodes to neural tissue, while keeping the sense electrode disconnected from the measurement circuitry. After the stimulus, a delay is imposed during which the stimulus electrodes are open circuited and the sense electrode is disconnected from the measurement circuitry and from the stimulus electrodes. After the delay, a neural response signal present at the sense electrode is measured by connecting the sense electrode to the measurement circuitry.

Method and apparatus for measurement of neural response

A method () of manufacturing a lead for an implantable medical device. The method includes: depositing () a base layer () of biocompatible, electrically non-conductive material; depositing () one or more complementary layers () of biocompatible, electrically non-conductive material to the base layer (), wherein the base layer () and complementary layer () form at least one slot (); and depositing () biocompatible, electrically conductive material () into the slot (). There is also disclosed a lead for an implantable medical device and an apparatus () to manufacture the lead.

Printed lead

A method of controlling a neural stimulus by use of feedback. The neural stimulus is applied to a neural pathway in order to give rise to an evoked action potential on the neural pathway. The stimulus is defined by at least one stimulus parameter. A neural compound action potential response evoked by the stimulus is measured. From the measured evoked response a feedback variable is derived. A feedback loop is completed by using the feedback variable to control the at least one stimulus parameter value. The feedback loop adaptively compensates for changes in a gain of the feedback loop caused by electrode movement relative to the neural pathway.

Method and device for feedback control of neural stimulation

A method for processing a neural measurement obtained in the presence of artifact, in order to detect whether a neural response is present in the neural measurement. A neural measurement is obtained from one or more sense electrodes. The neural measurement is correlated against a filter template, the filter template comprising at least three half cycles of an alternating waveform, amplitude modulated by a window. From an output of the correlating, it is determined whether a neural response is present in the neural measurement.

Method and device for detecting a neural response in a neural measurement

An implantable device for estimating neural recruitment arising from a stimulus, has a plurality of electrodes. A stimulus source provides stimuli to be delivered from the electrodes to neural tissue. Measurement circuitry obtains a measurement of a neural signal sensed at the electrodes. A control unit is configured to control application of a selected stimulus to neural tissue using the stimulus electrodes; and after the selected neural stimulus, apply a probe stimulus having a short pulse width. A remnant neural response evoked by the probe stimulus is measured; and the control unit estimates from the remnant neural response a neural recruitment caused by the selected neural stimulus.

Method and apparatus for estimating neural recruitment

An implantable device for controlling electrical conditions of body tissue. A feedback sense electrode and a compensation electrode are positioned proximal to the tissue to make electrical contact with the tissue. A feedback amplifier is referenced to ground, and takes as an input a feedback signal from the feedback sense electrode. The output of the feedback amplifier is connected to the compensation electrode. The feedback amplifier thus drives the neural tissue via the compensation electrode in a feedback arrangement which seeks to drive the feedback signal to ground, or other desired electrical value.

Method and system for controlling electrical conditions of tissue

A lead () for an active implantable medical device comprising: an elongated, biocompatible, electrically non-conductive body (); a plurality of electrically conductive filaments () inside the elongated body () to electrically connect electrical connectors () to corresponding electrodes (); and at least one elongated decoy conductor () inside the elongated body () to electromagnetically couple with the plurality of electrically conductive filaments (), wherein the at least one decoy conductor () has a higher electrical resistance than the plurality of electrical conductive filaments () to dissipate energy from currents induced by radio frequencies.

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Artarmon, Australia

Peter Scott Vallack Single