Abstract: Implantable devices and related systems utilize a single coil for both inductive telemetry at one telemetry signal frequency and recharge at another recharge energy frequency. The coil is included in a tank circuit that may have a variable reactance. During telemetry, particularly outside of a recharge period, the reactance may be set so that the tank circuit is tuned to the telemetry frequency. During recharge, the reactance is set so that the tank circuit is tuned to the recharge frequency. Furthermore, the tank circuit may have a Q that is sufficiently small that the tank circuit receives telemetry frequency signals that can be decoded by a receiver while the tank is tuned to the recharge frequency so that telemetry for recharge status purposes may be done during the recharge period without changing the tuning of the tank circuit.

Abstract: An external medical device generates a drive signal inductively coupled to an implantable coil from an external coil. A regulator module coupled to the implantable coil generates an output signal in response to the inductively coupled signal and a feedback signal correlated to an amplitude of the inductively coupled signal. A signal generator receives the output signal for generating a therapeutic electrical stimulation signal. The control module adjusts the drive signal in response to the feedback signal to control the electrical stimulation signal.

Abstract: In general, techniques, methods, systems, and devices for delivering high frequency neurostimulation to control one or more pelvic disorders are described. In one example, a method includes identifying, by a medical device configured to be at least partially implanted in a patient, an indication to inhibit bladder activity. The medical device generates, in response to identifying the indication, electrical stimulation therapy comprising first electrical stimulation pulses comprising a first frequency greater than or equal to about 500 Hertz and less than or equal to about 5,000 Hertz. Further, the medical device delivers the electrical stimulation therapy to a target nerve selected from a group consisting of: a sacral nerve, a pelvic nerve, a tibial nerve, and a pudendal nerve of the patient.

Abstract: A method of programming an implantable medical device (IMD) configured to provide electrical stimulation via a plurality of stimulation vectors during delivery of the electrical stimulation of a plurality of pulse widths to a neural target. The method may comprise comparing strength-duration curve data for the plurality of stimulation vectors to one another, the strength-duration curve data representing, for respective pulse widths and stimulation vectors, a corresponding stimulation strength that evokes a physiological response associated with the neural target. The method may comprise selecting at least one stimulation vector of the plurality of stimulation vectors based on the comparison of the strength-duration curve data for the plurality of stimulation vectors. The method may comprise programming, in response to the selection, the IMD to deliver the electrical stimulation to the neural target via the selected at least one stimulation vector.

Abstract: This disclosure relates to methods, devices, and systems for delivering and adjusting stimulation therapy. In one example, a method comprising delivering, by a stimulation electrode, electrical stimulation as a candidate therapy to a patient according to a set of candidate therapy parameters, the stimulation electrode located in proximity to the dorsal column of a patient; sensing, by a sensing electrode, an electrically evoked compound action potential (eECAP) signal in response to the delivery of the electrical stimulation; and classifying, by a processor, the sensed eECAP signal generated in response to the application of the candidate therapy relative to an eECAP baseline is disclosed.

Abstract: An external medical device generates a drive signal inductively coupled to an implantable coil from an external coil. A regulator module coupled to the implantable coil generates an output signal in response to the inductively coupled signal and a feedback signal correlated to an amplitude of the inductively coupled signal. A signal generator receives the output signal for generating a therapeutic electrical stimulation signal. The control module adjusts the drive signal in response to the feedback signal to control the electrical stimulation signal.

Abstract: An external medical device generates a drive signal inductively coupled to an implantable coil from an external coil. A regulator module coupled to the implantable coil generates an output signal in response to the inductively coupled signal and a feedback signal correlated to an amplitude of the inductively coupled signal. A signal generator receives the output signal for generating a therapeutic electrical stimulation signal. The control module adjusts the drive signal in response to the feedback signal to control the electrical stimulation signal.

Abstract: Implantable devices and related systems utilize a single coil for both inductive telemetry at one telemetry signal frequency and recharge at another recharge energy frequency. The coil is included in a tank circuit that may have a variable reactance. During telemetry, particularly outside of a recharge period, the reactance may be set so that the tank circuit is tuned to the telemetry frequency. During recharge, the reactance is set so that the tank circuit is tuned to the recharge frequency. Furthermore, the tank circuit may have a Q that is sufficiently small that the tank circuit receives telemetry frequency signals that can be decoded by a receiver while the tank is tuned to the recharge frequency so that telemetry for recharge status purposes may be done during the recharge period without changing the tuning of the tank circuit.

Abstract: External device circuitry self-tunes so that current is being driven through a coil at a resonant frequency of the tank circuit including the coil. The self-tuning nature of the driver circuitry enables adaptation within a cycle to changes in the resonant frequency such as those due to changing loads on the coil from environmental factors. The self-tuning circuitry monitors the direction of current flow in the tank circuit so that during a non-driven phase of a two-phase cycle, the circuitry detects the current naturally changing directions and then activates the driver circuitry to drive current into the tank circuit in phase with the natural direction of current flow. Unity power factor is approximated while driving the coil despite changes in resonance. Power being driven into the tank circuit may then be measured at the approximation of unity power factor to control the amount of power being applied.

Abstract: Implantable devices and related systems utilize a single coil for both inductive telemetry at one telemetry signal frequency and recharge at another recharge energy frequency. The coil is included in a tank circuit that may have a variable reactance. During telemetry, particularly outside of a recharge period, the reactance may be set so that the tank circuit is tuned to the telemetry frequency. During recharge, the reactance is set so that the tank circuit is tuned to the recharge frequency. Furthermore, the tank circuit may have a Q that is sufficiently small that the tank circuit receives telemetry frequency signals that can be decoded by a receiver while the tank is tuned to the recharge frequency so that telemetry for recharge status purposes may be done during the recharge period without changing the tuning of the tank circuit.

Abstract: Techniques, devices, and systems for isolating, by isolation circuitry connected to a power source, a voltage from the power source, receiving, by sensing circuitry, the isolated voltage, receiving, by the sensing circuitry, a reference voltage from an implantable reference electrode via a reference node, and sensing, by the sensing circuitry, the biomedical signal with two or more implantable sensing electrodes using the isolated voltage with respect to the reference voltage.

Abstract: Various embodiments of a minimally invasive implantable medical device (IMD) system are described. In one embodiment, the implantable medical device system includes an external device for transmitting a communication signal and an implantable device for receiving the communication signal by inductive coupling. The implantable device is configured to harvest power from the inductively coupled communication signal and power a signal generator from the harvested power to generate a therapeutic electrical stimulation signal.

Abstract: This disclosure relates to methods, devices, and systems for delivering and adjusting stimulation therapy. In one example, a system may include a stimulation generator configured to delivery electrical stimulation therapy to tissue of a patient in accordance with a stimulation therapy program. The stimulation therapy program may include a set of stimulation therapy parameters. The system may include at least one sensor configured to detect a signal including an evoked compound muscle action potential (eCMAP) in response to the application of stimulation according to the stimulation therapy program. The system may also include a processor configured to adjust one or more or the stimulation therapy parameters based on the detected signal that includes the eCMAP.

Abstract: A system for locating a target tissue site is described. The system includes a locating guide that frames an area of interest upon placement over skin of a patient, an electrode patch defining an aperture and including two or more electrodes for placement within the area of interest, and a medical imaging device that indicates a location of a target tissue site within the patient based on electrical signals generated by one or more of the electrodes. A clinician may guide an introducer needle into the aperture for implanting a medical lead proximate to the target tissue site.

Abstract: A system and method for potentiating or eliciting an erotic sensation in a body using electrostimulation includes a controller for producing an electrical stimulation signal and at least two electrodes. The electrodes are adapted for placement on a body surface, for which at least one of the electrodes is used to potentiate or elicit an erotic sensation in the body when conveying the electrical stimulation signal from the controller. The electrical stimulation signal is provided in an amount and manner incorporating a plurality of high frequency pre-pulses prior to, and of narrower pulse width than, a primary pulse in the electrostimulation signal that is adapted to optimize the erotic sensation by limiting both concomitant adverse sensation and habituation at the locus of electrostimulation. The method further increases and decreases the stimulation amplitude responsive to open circuit, short circuit, and target settings.

Abstract: A system including a stimulation generator configured to delivery external stimulation to control or alleviate urinary or fecal incontinence. The system may also include sense electrodes configured to sense the presence of wetness. The system may provide closed loop therapy based on the presence of wetness.

Abstract: Implantable devices and related systems utilize a single coil for both inductive telemetry at one telemetry signal frequency and recharge at another recharge energy frequency. The coil is included in a tank circuit that may have a variable reactance. During telemetry, particularly outside of a recharge period, the reactance may be set so that the tank circuit is tuned to the telemetry frequency. During recharge, the reactance is set so that the tank circuit is tuned to the recharge frequency. Furthermore, the tank circuit may have a Q that is sufficiently small that the tank circuit receives telemetry frequency signals that can be decoded by a receiver while the tank is tuned to the recharge frequency so that telemetry for recharge status purposes may be done during the recharge period without changing the tuning of the tank circuit.

Abstract: Implantable devices and related systems utilize a single coil for both inductive telemetry at one telemetry signal frequency and recharge at another recharge energy frequency. The coil is included in a tank circuit that may have a variable reactance. During telemetry, particularly outside of a recharge period, the reactance may be set so that the tank circuit is tuned to the telemetry frequency. During recharge, the reactance is set so that the tank circuit is tuned to the recharge frequency. Furthermore, the tank circuit may have a Q that is sufficiently small that the tank circuit receives telemetry frequency signals that can be decoded by a receiver while the tank is tuned to the recharge frequency so that telemetry for recharge status purposes may be done during the recharge period without changing the tuning of the tank circuit.

Abstract: Implantable devices and related systems utilize power management features in conjunction with a recharge circuit that includes a coil and capacitance. The reactance such as the capacitance and/or inductance may be variable such that in the event of an overcharge condition, the reactance may be varied to change the resonant frequency of the circuit of the coil from the recharge frequency to another frequency to reduce the power being received. Other power management features may additionally or alternatively be employed. For instance, the device may send an uplink telemetry signal to an external device to request that recharge power be decreased. The device may switch additional resistance into the circuit of the coil to reduce the Q of the circuit. As another example, the device may clamp the circuit of the coil to ground.

Abstract: Implantable devices and related systems utilize coils or coil portions of a coil for inductive telemetry at one frequency and recharge at another frequency. The coils or coil portions are included in one or more tank circuits that share at least one node between the coils or coil portions. The recharge application may be provided with variations for aspects including power management and rectification. The telemetry application may be provided with variations for aspects including receiver connectivity for the downlink and coil driving for the uplink.