公开(公告)号：EP1996289A2

公开(公告)日：2008-12-03

申请号：EP07749093.6

申请日：2007-01-23

申请人： MEDTRONIC, INC.

发明人： NOLAN, Joseph, J. ,  BAUHAHN, Ruth, E. ,  GOETZ, Steven, M. ,  MALEKKHOSRAVI, Shahram

IPC分类号： A61N1/372

CPC分类号： A61N1/37247 ,  A61N1/36132

摘要： The disclosure describes a method and system that allows a user to manage multiple groups of stimulation programs that provide stimulation therapy. A physician may prepare a plurality of programs, arranged in groups that each focus on one area, that the patient may evaluate in an effort to determine if any programs provide efficacious therapy. Since the patient may be evaluating many groups by using a patient programmer, managing the groups may be difficult. The patient programmer may enable the patient to hide ineffective groups to minimize the number of groups available for therapy. In addition, the programmer may allow the patient to mark each group or program as effective or ineffective, to more easily manage groups and programs during stimulation therapy. In addition, the patient may unhide a group or program if the patient desires to reevaluate a formerly hidden option.

公开(公告)号：EP1996288B1

公开(公告)日：2011-10-19

申请号：EP07749092.8

申请日：2007-01-23

申请人： Medtronic, Inc.

发明人： NOLAN, Joseph, J. ,  BAUHAHN, Ruth, E. ,  GOETZ, Steven, M.

IPC分类号： A61N1/372

CPC分类号： A61N1/37252

摘要： The disclosure describes a method and system that allows a user to modify a stimulation parameter in a plurality of stimulation programs with a single adjustment. During stimulation therapy, the user, such as a patient, may desire to change a parameter of the plurality of stimulation programs. The patient may press a single button on an external programmer to make the parameter change, or global adjustment, to all of the plurality of stimulation programs. This global adjustment eliminates the need for the patient to navigate through each of the plurality of stimulation programs separately and adjust the parameter. Additionally, changing the plurality of stimulation programs may be desirable for uniform stimulation therapy between programs used by the patient. The external programmer may calculate an appropriate parameter change for each stimulation program to keep parameter ratios equal between the plurality of stimulation programs.

公开(公告)号：EP2152356A1

公开(公告)日：2010-02-17

申请号：EP08743365.2

申请日：2008-04-28

申请人： MEDTRONIC, INC.

发明人： SKELTON, Dennis, M. ,  NOLAN, Joseph, J. ,  TORGERSON, Nathan, A. ,  DEWING, Wende, L. ,  SMITH, Todd, V. ,  GOKALDAS, Shyam

IPC分类号： A61N1/08 ,  A61N1/372 ,  A61N1/36

CPC分类号： A61N1/368 ,  A61N1/056 ,  A61N1/36132 ,  A61N1/36185 ,  A61N1/3688 ,  A61N1/37235 ,  A61N1/37247

摘要： The disclosure provides techniques for parameter-directed shifting of electrical stimulation electrode combinations having substantially similar electrode patterns. An external programmer permits a user to shift electrode combinations along the length of a lead or leads. The external programmer accepts parameter- directed shift input and causes an electrical stimulator to shift electrode combinations as indicated. The external programmer may present an electrode combination as a parameter that can be adjusted or selected to shift the electrode combination along the length of a lead. An electrode combination may be presented as a value that can be incremented, decremented, or otherwise adjusted to indicate a shift in a desired direction. An external programmer that permits a patient or other user to shift electrode combinations in a manner similar to adjustments of other parameters may enable the patient to maintain or improve therapeutic efficacy.

公开(公告)号：EP2341980B1

公开(公告)日：2017-01-04

申请号：EP09790174.8

申请日：2009-07-09

申请人： Medtronic, Inc

发明人： SKELTON, Dennis, M. ,  DAVIS, Jon, P. ,  SAHASRABUDHE, Rajeev ,  GOKALDAS, Shyam ,  NOLAN, Joseph, J. ,  BOURGET, Dennis, J. ,  MIESEL, Keith, A. ,  ZIMMERMAN, James, A. ,  BOURGET, Duane, L.

IPC分类号： A61N1/36 ,  A61N1/365 ,  A61N1/372 ,  A61B5/11 ,  G06F19/00

CPC分类号： A61N1/37247 ,  A61B5/1116 ,  A61B5/1118 ,  A61B2562/0219 ,  A61N1/36071 ,  A61N1/36132 ,  A61N1/36135 ,  A61N1/36542 ,  G06F19/00 ,  G06F19/3418 ,  G06F19/3481 ,  G16H20/10 ,  G16H40/63 ,  G16H50/20 ,  G16H80/00

摘要： A programming session for an implantable medical device that includes a posture responsive therapy mode includes at least two phases. In a first phase, a first set of therapy parameter values are modified while the posture responsive therapy mode is deactivated. In the posture responsive therapy mode, the medical device automatically selects one or more therapy parameter values that define therapy delivered to a patient based on a detected posture state. In a second phase, the posture responsive therapy mode is activated and a second set of therapy parameter values are adjusted after observing a patient response to the posture responsive therapy delivered with the first set of therapy parameter values selected during the first phase. The second set of therapy parameter values may, for example, define the patient posture states or the modification profiles with which the medical device adjusts therapy upon detecting a posture state transition.

摘要翻译： 包括姿势响应治疗模式的可植入医疗装置的程序会话包括至少两个阶段。 在第一阶段中，在停止姿势响应治疗模式的同时修改第一组治疗参数值。 在姿势响应治疗模式中，医疗装置基于检测到的姿势状态自动选择一个或多个治疗参数值，所述一个或多个治疗参数值定义传递给患者的治疗。 在第二阶段中，激活姿势响应治疗模式，并且在观察患者对在第一阶段期间选​​择的第一组治疗参数值递送的姿势响应治疗的响应之后，调整第二组治疗参数值。 例如，第二组治疗参数值可以定义患者姿势状态或修改简档，医疗装置在检测到姿势状态转换时通过该修改配置来调整治疗。

公开(公告)号：EP2341980A1

公开(公告)日：2011-07-13

申请号：EP09790174.8

申请日：2009-07-09

申请人： Medtronic, Inc

发明人： SKELTON, Dennis, M. ,  DAVIS, Jon, P. ,  SAHASRABUDHE, Rajeev ,  GOKALDAS, Shyam ,  NOLAN, Joseph, J. ,  BOURGET, Dennis, J. ,  MIESEL, Keith, A. ,  ZIMMERMAN, James, A. ,  BOURGET, Duane, L.

IPC分类号： A61N1/36 ,  A61N1/365

CPC分类号： A61N1/37247 ,  A61B5/1116 ,  A61B5/1118 ,  A61B2562/0219 ,  A61N1/36071 ,  A61N1/36132 ,  A61N1/36135 ,  A61N1/36542 ,  G06F19/00 ,  G06F19/3418 ,  G06F19/3481 ,  G16H20/10 ,  G16H40/63 ,  G16H50/20 ,  G16H80/00

摘要： A programming session for an implantable medical device that includes a posture responsive therapy mode includes at least two phases. In a first phase, a first set of therapy parameter values are modified while the posture responsive therapy mode is deactivated. In the posture responsive therapy mode, the medical device automatically selects one or more therapy parameter values that define therapy delivered to a patient based on a detected posture state. In a second phase, the posture responsive therapy mode is activated and a second set of therapy parameter values are adjusted after observing a patient response to the posture responsive therapy delivered with the first set of therapy parameter values selected during the first phase. The second set of therapy parameter values may, for example, define the patient posture states or the modification profiles with which the medical device adjusts therapy upon detecting a posture state transition.

公开(公告)号：EP1996289B1

公开(公告)日：2014-04-23

申请号：EP07749093.6

申请日：2007-01-23

申请人： Medtronic, Inc.

发明人： NOLAN, Joseph, J. ,  BAUHAHN, Ruth, E. ,  GOETZ, Steven, M. ,  MALEKKHOSRAVI, Shahram

IPC分类号： A61N1/372

CPC分类号： A61N1/37247 ,  A61N1/36132

公开(公告)号：EP2317920A2

公开(公告)日：2011-05-11

申请号：EP09736512.6

申请日：2009-06-23

申请人： Medtronic, Inc

发明人： SKELTON, Dennis, M. ,  DAVIS, Jon, P. ,  NOLAN, Joseph, J. ,  SAHASRABUDHE, Rajeev ,  GOKALDAS, Shyam

IPC分类号： A61B5/11

CPC分类号： A61N1/36135 ,  A61B5/1116 ,  A61B5/686 ,  A61B5/7435 ,  A61B2560/0219 ,  A61B2562/0219 ,  A61N1/36535 ,  A61N1/36542 ,  A61N1/37247 ,  G06F19/3418 ,  G16H10/60 ,  G16H40/63 ,  G16H40/67 ,  G16H50/20

摘要： The disclosure is directed towards posture-responsive therapy. To avoid interruptions in effective therapy, an implantable medical device may include a posture state module that detects the posture state of the patient and automatically adjusts therapy parameter values according to the detected posture state. A system may include a memory that stores posture state definitions, a posture state module that records a plurality of postures of a patient over a period of time, and a processor that identifies a set of the plurality of postures that fall within a posture state, and redefines a boundary of the posture state based on where the postures fall within the posture state.

公开(公告)号：EP1871463A1

公开(公告)日：2008-01-02

申请号：EP06749689.3

申请日：2006-04-10

申请人： MEDTRONIC, INC.

发明人： GOETZ, Steven, M. ,  HOUCHINS, Andrew, H. ,  KEACHER, Jeffrey, T. ,  KING, Gary, W. ,  HERUTH, Kenneth, T. ,  TESTERMAN, Roy, L. ,  LEE, Michael, T. ,  TORGERSON, Nathan, A. ,  NOLAN, Joseph, J.

IPC分类号： A61N1/34 ,  A61N1/36

CPC分类号： A61N1/36071 ,  A61N1/36185

摘要： The disclosure is directed to techniques for shifting between two electrode combinations. An amplitude of a first electrode combination is incrementally decreased while an amplitude of a second, or subsequent, electrode combination is concurrently incrementally increased. Alternatively, an amplitude of the first electrode combination is maintained at a target amplitude level while the amplitude of the second electrode combination is incrementally increased. The stimulation pulses of the electrode combinations are delivered to the patient interleaved in time. In this manner, the invention provides for a smooth, gradual shift from a first electrode combination to a second electrode combination, allowing the patient to maintain a continual perception of stimulation. The shifting techniques described herein may be used during programming to shift between different electrode combinations to find an efficacious electrode combination. Additionally, the techniques may be used for shifting between different electrode combinations associated with different stimulation programs or program sets.

公开(公告)号：EP2317920B1

公开(公告)日：2019-12-25

申请号：EP09736512.6

申请日：2009-06-23

申请人： Medtronic, Inc

发明人： SKELTON, Dennis, M. ,  DAVIS, Jon, P. ,  NOLAN, Joseph, J. ,  SAHASRABUDHE, Rajeev ,  GOKALDAS, Shyam

IPC分类号： A61N1/372

公开(公告)号：EP2313843A1

公开(公告)日：2011-04-27

申请号：EP09789899.3

申请日：2009-06-23

申请人： Medtronic, Inc

发明人： SKELTON, Dennis, M. ,  DAVIS, Jon, P. ,  SAHASRABUDHE, Rajeev, M. ,  GOKALDAS, Shyam ,  NOLAN, Joseph, J.

IPC分类号： G06F19/00

CPC分类号： A61N1/36132 ,  A61B5/1116 ,  A61B5/1118 ,  A61B5/686 ,  A61B5/743 ,  A61B2560/0219 ,  A61B2562/0219 ,  A61M5/14276 ,  A61M5/1723 ,  A61M37/00 ,  A61M2205/054 ,  A61M2230/62 ,  A61N1/36071 ,  A61N1/36135 ,  A61N1/36535 ,  A61N1/37247 ,  G06F19/00 ,  G06F19/3418 ,  G06F19/3481 ,  G16H40/63

摘要： In general, the disclosure relates to the delivery of therapy according to a detected posture state of a patient. The disclosure contemplates a variety of techniques for managing therapy delivered to a patent, including patient and clinician interaction with a medical device configured to deliver therapy according to posture state. In one example, the disclosure relates to a technique including receiving an indication from an external device to resume delivery of therapy to a patient that was previously turned off, wherein the therapy that was previously turned off comprises therapy delivered to the patient according to a detected posture state of the patient; obtaining therapy information defining the therapy; and resuming the delivery of therapy to the patient in response to the receipt of the indication, wherein the delivery of therapy is resumed according to the obtained therapy information.

摘要翻译： 通常，本公开涉及根据检测到的患者的姿势状态的治疗的递送。 本公开考虑了用于管理递送到专利的治疗的各种技术，包括患者和临床医生与被配置为根据姿势状态递送治疗的医疗装置的相互作用。 在一个示例中，本公开涉及一种技术，包括从外部设备接收指示以恢复对先前关闭的患者的治疗的传递，其中先前关闭的治疗包括根据检测到的递送给患者的治疗 患者的姿势状态; 获得定义治疗的治疗信息; 以及响应于所述指示的接收而恢复给予所述患者的治疗，其中根据获得的治疗信息恢复治疗的递送。