Abstract: A system and method for locating and guiding a peripheral nerve evaluation (PNE) lead. The system comprising an X-ray system to capture images of the patient. The images are processed by the system and are provided to a user to utilize a measurement device for inserting a needle for placing leads for the PNE procedure.

Abstract: An MRI detection system for an AIMD. The detection system includes utilizing monitoring or detecting a signal from a magnetic field sensitive element. The magnetic field sensitive element may include at least one of an inductor within the IPG, a reed switch, and Hall sensor. The magnetic field sensitive element may assist the AIMD in detecting an MRI to trigger an MRI safe mode in order to prevent adverse effects when an MRI scan is performed.

Abstract: An implantable neurostimulator for delivering one or more stimulation pulses to a target region within a patient's body. The implantable neurostimulator including a housing and an energy storage feature. There is also a lead coupled to the hermetic housing and a plurality of electrodes located proximate to a distal end of the lead. The neurostimulator includes stimulation circuitry that includes an adjustable resistance element. A voltage of the electric signal derived from the energy storage feature and a resistance of the adjustable resistance element are both adjusted based on a measurement of a value indicative of a tissue impedance of the target region to provide a desired value of a stimulation current for the one or more stimulation pulses.

Abstract: A system for providing neurostimulation to a patient includes a pulse generator having a housing. An implantable neurostimulation lead is configured to connect with the pulse generator and the pulse generator is configured to generate a plurality of electrical impulses for delivering a neurostimulation treatment to the patient through the lead when the lead is implanted at a target location. The lead includes one or more conductors extending from a proximal end of the lead to one or more neurostimulation electrodes disposed at or near a distal end of the lead. The lead includes an energy absorber including carbon nanotube material and extending substantially along the length of the one or more conductors.

Abstract: Systems and methods for providing a trial neurostimulation to a patient for assessing suitability of a permanently implanted neurostimulation are provided herein. In one aspect, a trial neurostimulation system includes an EPG affixation device that secures the EPG to the patient when connected to a lead extending through a percutaneous incision to a target tissue location, while allowing for ready removal of the EPG for charging or bathing. In another aspect, the system includes an EPG provided with a multi-purpose connector receptacle through which the EPG can deliver neurostimulation therapy to an implanted lead or the EPG can be charged. In yet another aspect, the EPG can include a multi-purpose connector receptacle that is alternatingly connectable with a plurality of differing connector to facilitate differing types of therapies with one or more neurostimulation devices, ground patches or various other devices, such as charging or testing devices.

Abstract: Devices, systems, and methods for coupling with an implantable neurostimulator for delivering one or more electrical pulses to a target region within a patient's body are disclosed herein. A device, such as a charger, can include: a power source for storing electrical energy; a resonant circuit that can have a plurality of selectable natural frequencies; a driver coupled to the power source and the resonant circuit; and a processor coupled to the resonant circuit to control the natural frequency of the resonant circuit. The processor can determine the natural frequency of the implantable neurostimulator, and can control the resonant circuit according to the determined natural frequency of the neurostimulator.

Abstract: Devices, systems and methods for improved alignment of a charging device for an implanted medical device are disclosed herein. The system can include a charging device that outputs one or more charge parameters during charging to an external user device that outputs an alignment indicator to facilitate fine-tuned alignment of the external charging device. The indicator can be a dynamically updated while adjusting alignment of the charging device. The indicator can includes any of a visual, audio, or haptic output. The user device can be a clinician programmer, patient remote, or a patient's personal computing device. The functionality of the indicator can be incorporated into the charging device itself or distributed across multiple devices to allow fine-tuning of alignment remotely. The alignment feature can be included in a device of a clinical specialist or field technician for troubleshooting alignment problems experienced by some patients.

Abstract: A system and method for locating and guiding a peripheral nerve evaluation (PNE) lead. The system comprising an X-ray system to capture images of the patient. The images are processed by the system and are provided to a user to utilize a measurement device for inserting a needle for placing leads for the PNE procedure.

Abstract: A charging device for an implantable pulse generator, the device including a charging coil and a controller. The controller being configured to track a net expended thermal energy of the charging device and modulate a charging duty cycle of the charging device to limit the heat generated by the charging device based on the net expended thermal energy. The charging device is configured to charge the implantable based on the modulated charging duty cycle by providing a voltage to the charging coil.

Abstract: Devices and methods for providing neurostimulation to a patient, particularly in trial systems assessing suitability of a permanently implanted neurostimulation, are provided herein. In one aspect, a trial neurostimulation lead includes a coiled conductor coupled to a proximal contact connector having a retention flange that withstands tensile force from tension in the lead so as to maintain the electrical connection during a trial period. In another aspect, a trial neurostimulation system includes a lead extension that includes a regression stopper between the implanted distal connector and proximal lead disposed outside the body to prevent regression of the lead through a secondary incision, thereby preventing infection and facilitating explant of the system. Methods of assembling and utilizing such leads and systems are detailed herein.

Abstract: A system for determining an estimate of a battery capacity for the battery of an implantable device that is used over a period of time. The system includes an external device having a processor that is configured to communicate with the implantable device. During the initial phase, the processor is configured to determine the estimate of the battery capacity using battery energy consumption data and a battery capacity at the beginning of use. During the latter phase, the processor is configured to determine the estimate of the battery capacity based on the battery voltage. The system may include an intermediate stage and, during the intermediate phase, the processor is configured to determine the estimate of the battery capacity based on the battery energy consumption data and the battery voltage.

Abstract: A training system for a neurostimulation system that may be used to simulate a neurostimulator programming session and/or lead placement. The system may include a training device that may be coupled to a neurostimulator programmer and may include an interface to allow user interaction and/or display information relevant to the stimulation. The trainer device may include circuitry for simulating a neurostimulator such as an IPG or EPG, and may include circuitry for simulating impedance associated with lead placement.

Abstract: A system and method for locating and guiding a peripheral nerve evaluation (PNE) lead. The system comprising an X-ray system to capture images of the patient. The images are processed by the system and are provided to a user to utilize a measurement device for inserting a needle for placing leads for the PNE procedure.

Abstract: Devices, systems and methods for improving alignment of a charging device with an implanted medical device are disclosed herein. The system can include an external charging device that communicates one or more charge parameters during charging to a user device having an alignment feature that is embodied in a software application that displays a real-time charging efficiency indicator based on the charge parameters. This alignment feature allows determination of an optimal position by observing charging efficiency while moving the charging device during charging. The application and device may be configured for use by a specialist, such as a field technician or representative of the device provider, to aid the patient. The system can further include a charging device configured for use with the application and having additional charging functionality. The alignment feature may be included for training and/or troubleshooting charging alignment problems experienced by certain patients.

Abstract: Methods, devices and systems facilitating remote programming of an implanted neurostimulation system. Establishing communication between an implanted pulse generator (IPG) and a remote programming device associated with a remote support entity through one or more intermediary devices, which can utilize various communication protocols, such as Bluetooth (BT), MedRadio (MR), cellular, WiFi, or any combination thereof. The intermediary devices include a patient device, which can communicate directly with Bluetooth-enabled IPGs and a remote programming device, or can utilize additional intermediary devices such as a patient remote or adapter accessory to facilitate communication with existing non-BT enabled IPGs. The patient device and remote device can further include a software framework to facilitate communication between the IPG and the remote support entity, as well as collecting subjective/objective patient information.