Abstract: Resin-coated wire is capable of moving forward inside a drug solution-containing lumen of a catheter containing a drug solution, and thereby pushing out the drug solution from a distal end of the catheter. The resin-coated wire includes a wire, and a coating made of resin coating the wire. The coating has a distal end coating and a proximal end coating. The distal end coating is formed of a first resin material and coats a first part, which is a distal end portion of the wire. The proximal end coating is formed of a second resin material and coats a second part adjacent to a proximal end side of the first part of the wire. The first resin material has a higher affinity for water than the second resin material.

Abstract: A technique is disclosed by which a lubrication retaining property (sliding durability) and flexibility can be exhibited even under severe situations. A medical device including a base layer and a surface lubricating layer formed on at least a part of the base layer, in which the surface lubricating layer contains a polymer and a polyurethane, the polymer having a carboxy group, a salt of the carboxy group, or an ester of the carboxy group, and wherein the polyurethane has an elongation percentage of 700% or more and a Young's modulus of 5.0 N/mm2 or more.

Abstract: The subject guide catheter extension/pre-dilatation system includes an outer delivery sheath, an inner member extending within the sheath, and a mechanism for engagement/disengagement of the inner member to/from the sheath. The inner member is configured with a tapered distal tip having a delivery micro-catheter and a pre-dilatation balloon member attached to the tapered distal tip in proximity to the micro-catheter. The outer delivery sheath and the inner member are modified for different engagement/disengagement mechanisms operation. The outer delivery sheath comprises one or more holes configured to reduce or eliminate myocardial ischemia risk.

Abstract: A medical device hub includes a monolithic housing defining a first fitting, a second fitting, and a mounting feature.

Abstract: An EMD drive system in one implementation comprises a robotic drive having a robotic drive longitudinal axis; a device module movable along the robotic drive longitudinal axis, the device module including a motor having a motor shaft being substantially parallel to the robotic drive longitudinal axis; and a drive train coupling the motor shaft to a driven member configured to rotate an elongated medical device about an EMD longitudinal axis.

Abstract: A medical dispensing device which includes a catheter, an applicator tip at a distal end of the catheter, the catheter and the applicator tip defining a lumen having a longitudinal axis and a distal opening, a plunger in the lumen and movable along the longitudinal axis, and a plurality of elements in the lumen proximal to the distal opening and distal to the plunger, the plurality of elements stacked along the longitudinal axis for dispersement of one element at a time through the distal opening via a force applied by the plunger.

Abstract: A stabilized coronary sinus catheter system having a proximal section and a distal section with a memory shape portion, and a tip, distal of the memory shape portion. A handle having a body, a tip deflection actuator, a memory shape portion deployment actuator, and an axis. The tip is in line with the axis and the tip deflection actuator is at a first position. The tip is deflected out of alignment with the axis when the tip deflection actuator is at a second position. A third position is a delivery configuration where the memory shape portion and the tip are in line with the axis. The memory shape portion deployment actuator is at a first location. A deployed configuration allows the memory shape portion to form a predetermined shape conforming to the shape of the coronary sinus when the memory shape portion deployment actuator is at a second location.

Abstract: A pull wire assembly for a steerable medical device can include wire lock and a wire. The wire lock includes a spool body having first and ends and first and second rims respectively around the first and second ends. A through-hole extends diametrically through the spool body. The wire enters through a distal end of the through-hole, emerges through a proximal end of the through-hole, wraps around an exterior of the spool body, re-enters into the distal end of the through-hole, and re-emerges through the proximal end of the through-hole. The wire may make multiple such passes. The wire may also be tensioned to at least partially embed into the surface of the spool body.

Abstract: A pull wire assembly for a steerable medical device can include wire lock and a wire. The wire lock includes a spool body having first and ends and first and second rims respectively around the first and second ends. A through-hole extends diametrically through the spool body. The wire enters through a distal end of the through-hole, emerges through a proximal end of the through-hole, wraps around an exterior of the spool body, re-enters into the distal end of the through-hole, and re-emerges through the proximal end of the through-hole. The wire may make multiple such passes. The wire may also be tensioned to at least partially embed into the surface of the spool body.

Abstract: A medical device includes: an elongated tube having a wall defining a lumen for the elongated tube, wherein the wall of the elongated tube comprises a first opening; and a first actuating element coupled directly or indirectly to the wall of the elongated tube; wherein at least a part of the first actuating element and the first opening of the wall are located at a same longitudinal position with respect to a longitudinal axis of the elongated tube; and wherein the first actuating element is configured to change size to induce stress and/or displacement at the wall of the elongated tube to cause the elongated tube to bend.

Abstract: A catheter assembly is disclosed, which includes a catheter; a catheter hub fixed to a base end portion of the catheter; an inner needle having a needlepoint, inserted into the catheter; a needle hub coupled to the inner needle; a needle support portion configured to support the inner needle through the catheter on a leading end side beyond the catheter hub, the needle support portion having a pair of support arms openable and closeable in a different direction to an axis of the inner needle; a restraining portion capable of restraining the pair of support arms in a closed state and releasing a restraint of the pair of support arms; and wherein the restraining portion is movable with respect to the pair of support arms by a movement of the catheter hub relative to the inner needle, which releases the restraint with respect to the pair of support arms.

Abstract: The present disclosure relates to guidewire devices having shapeable tips and effective torquability. A guidewire device includes a core having a proximal section and a tapered distal section. A tube structure is coupled to the core such that the tapered distal section of the core extends into and distally beyond the tube structure. The portion of the core extending distally beyond the tube forms a shapeable tip. One or more coils also extend distally beyond the tube. The tip is configured to reduce the tendency of resilient forces from the tube structure to disrupt a customized shape of the tip.

Abstract: Medical devices including a balloon-actuated sheath are provided. The medical devices include a tubular body, a tooltip, a balloon, and a tubular sheath translatably coupled to the balloon. Medical devices including a balloon-actuated distal cap are provided. The medical devices include a tubular body, a tooltip, a balloon, and a distal cap translatably coupled to the balloon. When air is pushed into one end of the medical device, the balloon may inflate, translating the tubular sheath or distal cap along a longitudinal axis from a retracted position to an extended position. When in the extended position, the tubular sheath at least partially surrounds the tooltip. When in the extended position, the distal cap at least partially opens fluid communication between the tooltip and the environment.

Abstract: A balloon has an inflatable portion that forms a tube shape extending in an extending direction in an inflated state, a distal end connecting portion provided to an end portion of the inflatable portion on one side thereof, and a proximal end connecting portion provided to an end portion of the inflatable portion on the other side thereof. At least the inflatable portion includes a plurality of first portions that forms wings in the deflated state and a plurality of second portions that is adjacent to the plurality of first portions in a circumferential direction centered on the center axis. In the process of changing shape from the inflated state to the deflated state, the plurality of second portions moves towards the center axis in advance of the plurality of first portions and thereby forms, in the inflatable portion, indentations recessed toward the center axis.

Abstract: A balloon body for a catheter includes a balloon and a plurality of hard members. The balloon includes a plurality of rigid portions has at least a joining portion provided with each of the plurality of hard members. The plurality of flexible portions is arranged between the plurality of rigid portions in a circumferential direction. In a cross section, at least a portion of each portion protruding outward with respect to the balloon, of the plurality of hard members provided on the balloon in the deflated state, is arranged in a virtual closed region. The virtual closed region is formed when an end portion in the circumferential direction of each of the plurality of rigid portions is joined to an end portion in the circumferential direction of another rigid portion adjacent in the circumferential direction.

Abstract: A volume indicator for a syringe can include an indicator body configured to removably clip onto a syringe body and a window portion extending through a thickness of the indicator body. The volume indicator can include inflation indicia corresponding to a range of expanded diameters for a prosthetic heart valve. The volume indicator can include one or more first engagement elements that correspond to one or more second engagement elements on a syringe.

Abstract: System and methods for draining an abscess with a catheter. The system includes a catheter and a stiffener. The catheter has a first lumen and a second lumen. The stiffener is sized to fit inside the first lumen. The stiffener defines a channel sized to fit the second lumen such that a distal end of the stiffener can pass into and through the first lumen of the catheter with the second lumen positioned in the channel of the stiffener while the stiffener slides through the first lumen.

Abstract: Methods and devices that prevent stasis in the LAA by either increasing the flow through the LAA or by closing off or sealing the LAA. Increasing the flow is accomplished through shunts, flow diverters, agitators, or by increasing the size of the ostium. Closing off the LAA is accomplished using seals or by cinching the LAA.

Abstract: A surgical device for cerebral herniation including a structure adapted to cover the skullcap, the structure including a first portion to provide the structure with its shape a second portion to be in contact with the cerebral parenchyma, and a plurality of tubular canals forming a lattice that subdivides the surgical device in areas corresponding to respective areas of the cerebral surface, a plurality of sensors attached to the second portion of the structure and in contact with the cerebral parenchyma, the sensors monitoring one or more parameters of the brain, an outflow system including at least one drainage catheter and a connection to an aspiration system, the outflow system positioned along the perimeter of the structure to convey waste liquids or blood outside, and the plurality of tubular canals include a plurality of administration canals, the tubular canals including an inlet extremity and an outlet extremity.

Abstract: Medication administration methods are provided for treating cardiovascular disease. A method may include administering a baseline dosage of the medication to a patient. A flow diverting apparatus may be implanted into a vessel of the patient such that blood pressure to the patient's kidneys is increased. The flow diverting apparatus is structured to partially occlude blood flow through the vessel when implanted thereby increasing upstream blood pressure. Subsequent to implanting the flow diverting apparatus, the medication dosage may be increased above, or decreased below, the baseline dosage. The dosage may be increased if the medication is a beta-blocker, an angiotensin-receptor Mocker, an angiotensin receptor enzyme inhibitor, a chymase inhibitor, a combination of an angiotensin receptor enzyme inhibitor and an angiotensin-receptor blocker, or a combination of an angiotensin receptor blocker and a neprilysin-inhibitor. The dosage may be decreased if the medication is a diuretic.

Abstract: Described herein are encapsulation devices that include an inner layer, an outer layer, a cell containment layer positioned between the inner and outer layer, and structural elements disposed within the cell containment layer to separate the inner and outer layers by a separation distance. The structural elements define reservoir spaces for the retention of a biological moiety (such as cells) therein. The structural elements maintain a separation distance both under external compressive forces and under internal expansive forces, such as undergoing a geometric change in the encapsulation device or during crushing and subsequent expansion of the cell encapsulation device. In some embodiments, a reinforcing layer is positioned between the inner layer and the cell containment layer. In addition, the encapsulation device may include at least one configuration element. Methods of placing encapsulation devices in a body conduit intra-luminally, extra-luminally, and via an open surgical procedure are also disclosed.

Abstract: A bandage device having a flexible body with a plurality of fluid reservoirs thereon each containing a liquid topical treatment therein. Mixing areas located between the respective fluid reservoirs on the bandage provide for mixing and formation of liquid mixtures of the respective liquid topical treatments flowing thereto from the respective fluid reservoirs located adjacent thereto. The liquid mixtures from the mixing areas when absorbed through the skin of a wearer of the bandage yield an enhanced synergistic effect exceeding that of the individual fluids such medications or essential oils.

Abstract: In a first aspect, the present disclosure relates to a facial mask comprising a carrier material and a thermoresponsive material configured to release water above a threshold temperature and absorb water below a threshold temperature, wherein the facial mask exhibits a thermal conductivity of at least 0.1 W/mK at 20° C., when the facial mask is saturated with water.

Abstract: Microneedle applicator having an application face (C11) provided with a fluid product outlet (C110) and with several microneedles (C111), a motor (M1) for making the microneedles (C111) vibrate, a reservoir (C13) connected to the fluid product outlet (C110), an actuation member (I11) for conveying the fluid product from the reservoir (C13) to the outlet (C110), and three distinct modules (M, C1, I1) axially connected to one another, namely, a motor module (M) housing the motor (M1), a cartridge module (C1) housing the reservoir (C13) and forming the application face (C11), and an intermediate module (I1) connected to the motor module (M) and to the cartridge module (C1). The intermediate module (I1; I2; I3) has the actuation member (I11) and transmission mechanism (I15) for transmitting the vibrations generated by the motor (M1) to the microneedles (C111).

Abstract: Disclosed are adaptor devices configured for attaching an indicator, such as a light source, to an infusion line to aid a user in identifying the infusion line, matching different sections of an infusion line as belonging to the same infusion line, distinguishing the infusion line from other infusion lines, and/or sensing of various parameters of the medical line. The adaptor device includes a receiving surface and one or more sets of laterally opposing grip elements projecting from the receiving surface. The grip elements are configured to accommodate medical lines of variable size.

Abstract: A delivery sheath to catheter coupler includes a cylindrical shaft and a coupling member. The cylindrical shaft extends along an axis and is configured for longitudinal alignment with an insertion port of a catheter delivery sheath. The cylindrical shaft includes a proximal end, a distal end, and a lumen extending from the proximal end to the distal end along the axis. The lumen is sized to receive an end effector of a catheter. The coupling member is attached to the cylindrical shaft and is configured for selective securement to the catheter delivery sheath. The coupling member is configured to align the axis of the lumen with a longitudinal axis of the insertion port when the coupling member is selectively secured to the catheter delivery sheath.

Abstract: Valve components positioned in fluid connector assemblies, including universal fluid connector assemblies, are shown. A valve component is designed to open or close based on fluid pressure from a medical fluid applied to the valve component. Normally, when no force is acting on the valve component, the valve component is in an open position and portions of the valve components are spaced apart by a threshold force, thus forming a valve chamber. However, in an exemplary embodiment, when an applied force by the medical fluid is at least at the threshold force, the portions of the valve component contact each other and the valve component transitions to a closed position, thereby preventing the medical fluid from passing through the valve component, and accordingly, preventing the medical fluid from passing through the fluid connector assembly.

Abstract: A system for reducing twisting of medical tubing includes a spinning component and a tubing connector. The spinning component includes a first fluid channel and a protrusion, and the tubing connector includes a second fluid channel, male mating portion, and a sheath. Accordingly, the spinning component is configured to couple to the tubing connector such that the first fluid channel and the second fluid channel together form a unified fluid channel, the first fluid channel encompasses the male mating portion, the protrusion is positioned within a recess of the sheath, and the spinning component is rotatable relative to and independently of the tubing connector.

Abstract: The invention relates to an intravascular blood pump. The blood pump comprises a pump section having a proximal portion with a blood flow inlet and a distal portion with a blood flow outlet and an impeller for causing blood to flow into the blood flow inlet and towards the blood flow outlet. The blood pump further comprises at least one filter connected to the proximal portion of the pump section and arranged with respect to the blood flow inlet so as to filter the blood before it enters the blood flow inlet. The filter may comprise an expandable mesh structure made of a shape-memory material.

Abstract: Ventricular assist devices configured to be placed in a ventricle of a heart are described. In one embodiment, a ventricular assist device may include a pumping pouch. The pumping pouch may have an opening. The pumping pouch may be flexible, and may define an internal volume configured to fill with blood in through the opening. The ventricular assist device may also include a contraction element coupled to the contraction pouch. The contraction element may be capable of squeezing at least a portion of the pumping pouch to force at least a portion of the blood out through the opening. The ventricular assist device may also include a frame coupled to the pumping pouch. The frame may be configured to be coupled to a wall of the heart.

Abstract: A blood pump is disclosed herein, that may include one or more struts configured to be coupled to a catheter, the strut(s) defining a housing having a blood inlet and a blood outlet, and having an inner surface and an outer surface opposite the inner surface. The blood pump may include an inner coating disposed on the inner surface at the blood inlet and extending axially towards the blood outlet, and may include an outflow tube coupled to the outer surface, the outflow tube surrounding the blood outlet and surrounding at least a first portion of the inner coating, and extending axially beyond the blood outlet. The blood pump may include an impeller disposed within the housing, the impeller including at least one blade. Preferably, the inner coating has an axial length configured to surround 20% or less of the total length of the impeller.

Abstract: A multi-channel optical pressure sensor is provided. The multi-channel optical pressure sensor includes at least one LED configured to generate light having a first spectrum and a second spectrum, a plurality of sensors including a first sensor coupled to the at least one LED via at least one first optical fiber and a second sensor coupled to the at least one LED via at least one second optical fiber, and a detector module coupled to first sensor and the second sensor. The detector module comprises at least one lens and an image sensor configured to sense light received from the at least one lens. The multi-channel optical pressure sensor further includes at least one hardware processor configured to determine based, at least in part, on the light sensed by the image sensor, a first pressure measured at the first sensor and a second pressure measured at the second sensor.

Abstract: An example of a system for programming neurostimulation according to a stimulation configuration may include stimulation configuration circuitry, volume definition circuitry, stimulation effect circuitry, and recording circuitry. The stimulation configuration circuitry may be configured to determine the stimulation configuration. The volume definition circuitry may be configured to determine stimulation field model(s) (SFM(s)) each representing a volume of tissue activated by the neurostimulation. The stimulation effect circuitry may be configured to determine a stimulation effect type for each tagging point specified for the SFM(s) and to tag the SFM(s) at each tagging point with the stimulation effect type determined for that tagging point. The stimulation effect type for each tagging point is a type of stimulation resulting from the neurostimulation as measured at that tagging point.

Abstract: An implantable cardiac defibrillator (ICD) system includes an ICD implanted subcutaneously in a patient, a defibrillation lead having a proximal portion coupled to the ICD and a distal portion having a defibrillation electrode configured to deliver a defibrillation or cardioversion shock to a heart of the patient, and a pacing lead that includes a distal portion having one or more electrodes and a proximal portion coupled to the ICD. The distal portion of the pacing lead is implanted at least partially along a posterior side of a sternum of the patient within the anterior mediastinum. The ICD is configured to provide pacing pulses to the heart of the patient via the pacing lead and provide defibrillation shocks to the patient via the defibrillation lead. As such, the implantable cardiac system provides pacing from the substernal space for an extravascular ICD system.

Abstract: The present application relates to a new stimulation design which can be utilized to treat neurological conditions. The stimulation system produces a burst mode stimulation which alters the neuronal activity of the predetermined site, thereby treating the neurological condition or disorder. The burst stimulus comprises a plurality of groups of spike pulses having a maximum inter-spike interval of 100 milliseconds. The burst stimulus is separated by a substantially quiescent period of time between the plurality of groups of spike pulses. This inter-group interval may comprise a minimum of 5 seconds.

Abstract: A device, including a housing of a medical device configured to be implanted in a human recipient, the housing having at least one opening on one side of the housing, and a linear feedthrough assembly, wherein the linear feedthrough assembly closes the opening, the housing has a length, a width, and a height, wherein the height is the smallest dimension, and the opening is located in at least about the center of at least one of the length or the width, and the opening faces a direction normal to a plane established by the length and the width.

Abstract: A computer-implemented method to determine locations of transducers to apply tumor treating fields to a target tissue of a subject's body, the method comprising: obtaining a three-dimensional model of at least a portion of the subject's body; and identifying a first location on the three-dimensional model to place a first transducer, wherein the first transducer has a first surface to be located facing the subject's body, wherein the first transducer has at least one electrode element adapted to provide tumor treating fields, wherein when viewed from a direction perpendicular to the first surface of the first transducer, an area of the at least one electrode element of the first transducer ranges from approximately 150 cm2 to approximately 265 cm2.

Abstract: A functional electrical stimulation (FES) device includes electrodes arranged to apply functional electrical stimulation to a body part of the user. FES stimulation is performed by: receiving values of a set of user metrics for the user; receiving a target position of the body part represented as values for a set of body part position measurements; determining a user-specific energization pattern for producing the target position based on the received target position and the received values of the set of user metrics for the user; and energizing the electrodes of the FES device in accordance with the determined user-specific energization pattern. The determination may utilize an FES calibration database with records having fields containing: values of the set of user metrics for reference users; energization patterns; and values of the set of body part position metrics for positions assumed by the body part in response to applying the energization patterns.

Abstract: A technique for neurostimulation therapy is disclosed, particularly for patients suffering from Restless Legs Syndrome (RLS) or Periodic Limb Movement Disorder (PLMD). The technique can involve initiating a high-frequency electrostimulation signal during a specific time period associated with the patient's transition from sleep to wakefulness. The signal can be delivered to a target location on the patient at a frequency ranging from 500 Hz to 15,000 Hz and can be controlled toward parameters below the threshold that would wake the patient, while effectively mitigating the symptoms of RLS or PLMD.

Abstract: A system includes at least one electrode configured for transcutaneous stimulation of a pudendal nerve or surrounding perianal tissue or both. The at least one electrode is coupled to a substrate that includes a rectal portion and a buttocks support portion. The rectal portion includes a fecal blocking element. A control module is coupled to the at least one electrode, and includes a microprocessor for controlling operational parameters of the system.

Abstract: In some examples, a system includes processing circuitry configured to receive a first set of information, the first set of information comprising information of actual therapy delivered to a patient over a plurality of instances of therapy delivery. The processing circuitry may determine, based upon the first set of information, a therapy usage pattern. The processing circuitry may determine a modification to a programmed therapy schedule based on the therapy usage pattern. The processing circuitry may generate for output the modification to the programmed therapy schedule.

Abstract: The invention relates to an electrostimulation appliance for stimulating one or more nerves and/or muscles of a living being with electrical signals, having the following features: a) the electrostimulation appliance has at least one signal output device through which electrical stimulation signals can be fed into at least one nerve and/or one muscle, b) the electrostimulation appliance has at least one control device which is configured to activate the at least one signal output device in such a way that the stimulation signals output by the at least one signal output device are able to generate muscle contractions in the living being, by which the respiration of the living being can be influenced in a targeted manner.

Abstract: A technique for neurostimulation therapy is disclosed, particularly for patients suffering from Restless Legs Syndrome (RLS) or Periodic Limb Movement Disorder (PLMD). The technique can involve initiating a high-frequency electrostimulation signal during a specific time period associated with the patient's transition from sleep to wakefulness. The signal can be delivered to a target location on the patient at a frequency ranging from 500 Hz to 15,000 Hz and can be controlled toward parameters below the threshold that would wake the patient, while effectively mitigating the symptoms of RLS or PLMD.

Abstract: A transducer array, tumor treating field system, and method are herein disclosed. The transducer array comprises a first electrode, a second electrode, a temperature sensing circuit, and a lead. The temperature sensing circuit comprises a first thermistor adjacent to the first electrode, the first thermistor being a first variable resistor whose resistance varies with temperature and an RC circuit coupled in series with the first thermistor, the RC circuit comprising a second thermistor adjacent to the second electrode, and a capacitor in parallel with the second thermistor, the second thermistor being a second variable resistor whose resistance varies with temperature. The lead configured to carry an electrical signal to the first electrode and the second electrode, the lead further having a first sensor wire electrically coupled to the first thermistor and a second sensor wire electrically coupled to the RC circuit opposite the first thermistor.

Abstract: Provided is an electrostimulation device that outputs an electrical signal, the electrical signal obtained by repeatedly outputting a fifth electrical signal comprising a first electrical signal whose amplitude in a first time becomes larger from a first amplitude, a second electrical signal whose amplitude in a second time is maintained to a second amplitude, a third electrical signal whose amplitude in a third time becomes smaller to a third amplitude, and a fourth electrical signal whose amplitude in a fourth time is maintained to a fourth amplitude; and the first electrical signal output in a sixth time, that is obtained by repeatedly outputting an eighth electrical signal comprising a sixth electrical signal having a first frequency, the sixth electrical signal that is off in a seventh time, wherein the first frequency is controlled via first frequency control of changing from a second frequency to a third frequency.

Abstract: Restless Leg Syndrome (RLS) or Periodic Limb Movement Disorder (PLMD) can be treated using high frequency (HF) electrostimulation. This can include selecting or receiving a subject presenting with RLS or PLMD. At least one electrostimulation electrode can be located at a location associated with at least one of, or at least one branch of, a sural nerve, a peroneal nerve, or a femoral nerve. HF electrostimulation can be delivered to the subject, which can include delivering subsensory, subthreshold, AC electrostimulation at a frequency that exceeds 500 Hz and is less than 15,000 Hz to the location to help reduce or alleviate the one or more symptoms associated with RLS or PLMD. A charge-balanced controlled-current HF electrostimulation waveform can be used.

Abstract: A system and method for the automatic stimulation of a vagus nerve for post-stroke rehabilitation is disclosed. The system includes an application subsystem having an electrode positioned to stimulate the vagus nerve and coupled to a user outside of a surgical setting. The system also includes a waveform generator communicatively coupled to the electrode, and a triggering subsystem including a receiver configured to detect the presence of a tag. The triggering subsystem is communicatively coupled to waveform generator and is configured to automatically trigger the stimulation of the vagus nerve upon detecting the presence of the tag. The tag is located proximate a rehabilitation context such that the tag is detected when the user is using the rehabilitation context, resulting in the vagus nerve of the user being automatically stimulated by the electrode in response to the user's post-stroke rehabilitation training.

Abstract: A method and system for integrating stimulation therapy, patient management, and external patient monitoring.

Abstract: An example system includes electrodes configured to deliver the electrical stimulation to a patient, and a device comprising processing circuitry configured to determine, for a patient, a loading dose of electric stimulation. The processing circuitry is also configured to cause electrical stimulation circuitry' to deliver, during a first time period, the loading dose to the patient, receive patient feedback representing a response of the patient to the loading dose, determine, based on patient feedback, a maintenance dose of electrical stimulation, and cause the electrical stimulation circuitry to deliver, and during a second time period that is after the first time period, a maintenance dose of electrical stimulation. Delivering the maintenance dose of electrical stimulation consumes less power than delivering the loading dose of electrical stimulation.

Abstract: An examples of a system for delivering neurostimulation to a patient may include a stimulation output circuit configured to deliver the neurostimulation, a sensing circuit configured to sense a neural signal indicative of neural responses to the neurostimulation, and stimulation control circuit. The stimulation control circuit may be configured to control the delivery of the neurostimulation using a plurality of stimulation parameters and may be configured to detect morphological features of the neural responses, to produce a neural response parameter using the detected morphological features, to detect a change in the sensed neural signal, to analyze the produced neural response parameter for attributing the detected change to one of a neural activation change in the patient or a body movement of the patient, and to control a dynamically controlled stimulation parameter of the plurality of stimulation parameters using the sensed neural signal and an outcome of the analysis.