Cyberonics, Inc.

Intermedics Inc.

Sulzer Intermedics, Inc.

Everheart Systems Inc.

Other

Corvion, Inc.

Randolph K Armstrong

Scott A Armstrong

Timothy L Scott

Greg S Aber

Dana Michael Inman

Douglas Jason Cook

Neil H Akkerman

Steven E Maschino

D Michael Inman

Joseph W Vandegriff

Timothy J Cox

Albert W Guzman

Huan D Nguyen

Douglas J Cook

D Curtis Deno

Albert A Rodriguez

Eliot L Ostrow

Dat H Truong

Denise R Brown

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.

Cardiac support systems and methods for chronic use

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.

Wireless power system

A method, system, and apparatus for providing a stimulation signal comprising a variable ramping portion using an implantable medical device (IMD). The first electrical comprises a first ramping portion. The first ramping portion comprises a first parameter and having a first value. The first electrical signal is applied to a target location of the patient's body. A second electrical signal comprising a second ramping portion is generated. The second ramping portion comprises the first parameter having a second value that is different from the first value. The second electrical signal is applied to a target location of the patient's body.

Variable output ramping for an implantable medical device

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. 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. If the first impedance is outside the first range and the second impedance is outside the second range, the implantable medical device is prevented from providing the therapeutic electrical signal.

Alternative operation mode for an implantable medical device based upon lead condition

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.

Implantable wireless power system

A method, apparatus, and system for perform dynamic detection of a lead condition associated with a lead assembly in an implantable medical device that provides 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.

Dynamic lead condition detection for an implantable medical device

A method, system, and apparatus for providing a stimulation signal comprising a variable ramping portion using an implantable medical device (IMD). The first electrical comprises a first ramping portion. The first ramping portion comprises a first parameter selected from the group consisting of an amplitude, a rate of change of the amplitude, a time period of a rate of change of the amplitude, a pulse width, a rate of change of the pulse width, a time period of a rate of change of the pulse width, a frequency, a rate of change of the frequency, a time period of a rate of change of the frequency, and a duration of a time period of the ramping portion, the first parameter having a first value. The first electrical signal is applied to a target location of the patient's body. A second electrical signal comprising a second ramping portion is generated. The second ramping portion comprises the first parameter having a second value that is different from the first value. The second electrical signal is applied to a target location of the patient's body.

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.

Implantable medical device having multiple electrode/sensor capability and stimulation based on sensed intrinsic activity

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.

Changeable electrode polarity stimulation by an implantable medical 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.

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.

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.

Method and apparatus for integrating implantable medical device data

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.

Growing community of inventors

Houston, TX, United States of America

Randolph K Armstrong