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11.发明申请公开(公告)号：US20090018617A1
公开(公告)日：2009-01-15
申请号：US12110843
申请日：2008-04-28
申请人： Dennis M. Skelton , Joseph J. Nolan , Nathan A. Torgerson , Wende L. Dewing , Todd V. Smith , Shyam Gokaldas
发明人： Dennis M. Skelton , Joseph J. Nolan , Nathan A. Torgerson , Wende L. Dewing , Todd V. Smith , Shyam Gokaldas
IPC分类号： 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.
摘要翻译： 本公开提供了具有基本相似的电极图案的电刺激电极组合的参数定向移位的技术。 外部编程器允许用户沿着引线或引线的长度移动电极组合。 外部编程器接受参数导向的移位输入，并使电刺激器按指示移动电极组合。 外部编程器可以提供电极组合作为可以被调整或选择以使电极组合沿导线的长度移动的参数。 可以将电极组合呈现为可以递增，递减或以其他方式调整以指示期望方向的偏移的值。 允许患者或其他用户以与其他参数的调整相似的方式移位电极组合的外部程序员可以使患者维持或改善治疗功效。
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公开(公告)号：US08515550B2
公开(公告)日：2013-08-20
申请号：US12433848
申请日：2009-04-30
IPC分类号： A61N1/00
CPC分类号： A61N1/36135 , A61B5/1116 , A61B5/686 , A61B5/7435 , A61B2560/0219 , A61B2562/0219 , A61N1/36535 , A61N1/36542 , G06F19/00 , 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 an external programmer comprising a user interface that receives user input defining therapy parameter values for delivery of therapy to a patient, and user input associating one or more of the therapy parameter values with a plurality of posture states based on user input, a processor that automatically defines therapy parameter values for delivery of therapy to a patient when the patient occupies the posture states based on the association, and an implantable medical device that delivers the therapy to the patient in response to detection of the posture states.
摘要翻译： 本公开涉及姿势响应疗法。 为了避免有效治疗中断，可植入医疗装置可以包括检测患者的姿势状态的姿势状态模块，并且根据检测到的姿势状态自动调整治疗参数值。 系统可以包括外部编程器，其包括用户接口，用户接口定义用于向患者传递治疗的治疗参数值的用户输入，以及基于用户输入将治疗参数值中的一个或多个与多个姿势状态相关联的用户输入， 处理器，当处于基于关联的患者占据姿势状态时，自动地定义用于将治疗递送到患者的治疗参数值;以及可植入医疗装置，其响应于姿势状态的检测将治疗递送给患者。
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公开(公告)号：US08447411B2
公开(公告)日：2013-05-21
申请号：US12433530
申请日：2009-04-30
IPC分类号： A61N1/00
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 obtaining an operational status of a therapy group from a medical device, wherein the medical device is configured to deliver therapy to a patient according to a detected posture state of the patient; and presenting the operational status of the therapy group via an external device, wherein presenting the operational status of the therapy group comprises presenting whether the therapy group is active for delivery of therapy.
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，包括从医疗设备获得治疗组的操作状态，其中所述医疗设备被配置为根据患者的检测到的姿势状态向患者递送治疗; 以及通过外部设备呈现治疗组的操作状态，其中呈现治疗组的操作状态包括呈现治疗组是否有效用于治疗的递送。
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14.发明授权Objectification of posture state-responsive therapy based on patient therapy adjustments 有权基于患者治疗调整的姿势状态响应治疗的目标公开(公告)号：US08209028B2
公开(公告)日：2012-06-26
申请号：US12433651
申请日：2009-04-30
IPC分类号： A61N1/08
CPC分类号： A61B5/1116 , A61B5/0031 , A61B5/1118 , A61B5/4815 , A61B5/6846 , A61B5/686 , A61B2560/0219 , A61N1/0551 , A61N1/36071 , A61N1/36078 , A61N1/36085 , A61N1/36107 , A61N1/36132 , A61N1/36535 , A61N1/37247 , A61N1/37282 , G06F19/00
摘要： The disclosure describes techniques for objectification of posture state-responsive therapy based on patient therapy adjustments. The techniques may include sensing posture states of a patient, delivering posture-state responsive electrical stimulation therapy to the patient based on the sensed posture states, receiving patient adjustments to the electrical stimulation therapy delivered to the patient, determining a number of the patient adjustments received over a time interval, and presenting a representation of the number of the patient adjustments received over the time interval to a user.
摘要翻译： 本公开描述了基于患者治疗调整的姿态状态响应治疗的客观化技术。 所述技术可以包括感测患者的姿势状态，基于感测到的姿势状态向患者传送姿势状态响应电刺激疗法，接收患者对递送给患者的电刺激治疗的调整，确定接收到的患者调整数 并且在时间间隔内呈现在时间间隔内接收的患者调整次数的表示给用户。
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公开(公告)号：US20100010585A1
公开(公告)日：2010-01-14
申请号：US12433551
申请日：2009-04-30
IPC分类号： A61N1/36
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编程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定义治疗被传递给患者的治疗参数值。 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。 第二组治疗参数值可以例如定义患者姿势状态或修改简档，医疗装置在检测姿势状态转换时通过该修改简档来调整治疗。
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16.发明申请公开(公告)号：US20100010389A1
公开(公告)日：2010-01-14
申请号：US12433785
申请日：2009-04-30
CPC分类号： A61B5/1116 , A61B5/0031 , A61B5/1118 , A61B5/4815 , A61B5/6846 , A61B5/686 , A61B2560/0219 , A61N1/0551 , A61N1/36071 , A61N1/36078 , A61N1/36085 , A61N1/36107 , A61N1/36132 , A61N1/36535 , A61N1/37247 , A61N1/37282 , G06F19/00
摘要： The disclosure describes techniques for generation of proportional posture information over multiple time intervals. The techniques may include obtaining posture state data sensed by a medical device for a patient during delivery of therapy by the medical device, determining durations for which the patient occupied each of a plurality of posture states based on the posture state data, generating proportional posture information for a plurality of different time intervals based on the durations, wherein the proportional posture information for each of the time intervals indicates proportional amounts of the respective time interval in which the patient occupied the posture states, and presenting the proportional posture information to a user via a user interface.
摘要翻译： 本公开描述了用于在多个时间间隔上生成比例姿势信息的技术。 这些技术可以包括在由医疗装置进行治疗的过程中获得由医疗装置感测到的姿势状态数据，基于姿势状态数据确定患者占据多个姿势状态的持续时间，生成比例姿势信息 对于基于持续时间的多个不同的时间间隔，其中，用于每个时间间隔的比例姿势信息指示患者占据姿势状态的各个时间间隔的成比例的量，并且向用户通过比例姿势信息 用户界面。
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公开(公告)号：US09050471B2
公开(公告)日：2015-06-09
申请号：US12433103
申请日：2009-04-30
CPC分类号： A61M5/1723 , A61B5/11 , A61B5/6846 , A61B5/7445 , A61B5/7475 , A61B2562/0219 , A61M2205/502 , A61M2230/005 , A61M2230/62 , A61N1/36071 , A61N1/36132 , A61N1/36135 , A61N1/36139 , A61N1/36535 , A61N1/37247 , G06F19/00 , G06F19/3418 , G16H40/63 , G16H50/20
摘要： The disclosure provides a system that displays a posture state indication to a user. A posture state indication represents the current posture state of the patient, which may be a combination of patient posture and activity. As a patient changes posture and activity throughout a daily routine, a posture state detector may generate a posture state value that may be used to categorize the patient's posture or posture and activity level as one of multiple posture states used to adjust therapy. The posture state may be associated with one of multiple posture state indications that may be presented to the patient. The posture state indication shows the patient the posture state currently detected by the posture state detector. The posture state indication may help the patient to effectively monitor therapy changes due to automatic, semi-automatic or patient-directed therapy adjustments made as a function of posture state.
摘要翻译： 本公开提供了向用户显示姿势状态指示的系统。 姿势状态指示表示患者的当前姿势状态，其可以是患者姿势和活动的组合。 作为患者在整个日常程序中改变姿势和活动，姿势状态检测器可以生成姿势状态值，其可以将患者的姿势或姿势和活动水平分类为用于调整治疗的多个姿势状态之一。 姿势状态可以与可以呈现给患者的多个姿势状态指示中的一个相关联。 姿势状态指示显示患者姿势状态检测器当前检测到的姿势状态。 姿势状态指示可以帮助患者有效地监测由于作为姿势状态的函数而进行的自动，半自动或患者导向的治疗调节的治疗变化。
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18.发明授权公开(公告)号：US08249718B2
公开(公告)日：2012-08-21
申请号：US12433803
申请日：2009-04-30
申请人： Dennis M. Skelton , Jon P. Davis , Shyam Gokaldas
发明人： Dennis M. Skelton , Jon P. Davis , Shyam Gokaldas
IPC分类号： A61N1/365
CPC分类号： A61B5/1116 , A61B5/103 , A61B5/686 , A61B2560/0219 , A61B2562/0219 , A61N1/36071 , A61N1/36139 , A61N1/36535 , A61N1/37247 , G06F19/00 , G06F19/3481 , G16H40/63
摘要： The disclosure describes techniques for programming posture state-responsive therapy with nominal therapy parameters. The techniques may include presenting therapy adjustment information to a user via a user interface, wherein the therapy adjustment information includes one or more therapy adjustments made by a patient to at least one stimulation parameter of one or more stimulation therapy programs for one or more patient posture states, receiving input from the user that selects one or more nominal therapy parameters for each of the therapy programs and for each of the posture states based on the therapy adjustment information, and setting the selected nominal therapy parameters for each of the therapy programs and posture states for use in delivering stimulation therapy to the patient.
摘要翻译： 本公开描述了用标称治疗参数来编程姿势状态响应治疗的技术。 所述技术可以包括经由用户界面向用户呈现治疗调整信息，其中所述治疗调整信息包括由患者对一个或多个患者姿势的一个或多个刺激治疗程序的至少一个刺激参数进行的一项或多项治疗调整 状态，接收来自用户的输入，其基于治疗调节信息为每个治疗程序和每个姿势状态选择一个或多个标称治疗参数，并且为每个治疗程序和姿势设置所选择的名义治疗参数 用于向患者递送刺激疗法的状态。
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公开(公告)号：US20100010577A1
公开(公告)日：2010-01-14
申请号：US12433827
申请日：2009-04-30
申请人： Dennis M. Skelton , Jon P. Davis , Shyam Gokaldas
发明人： Dennis M. Skelton , Jon P. Davis , Shyam Gokaldas
CPC分类号： A61N1/36135 , A61B5/1116 , A61B5/686 , A61B5/7435 , A61B2560/0219 , A61B2562/0219 , A61N1/36535 , A61N1/36542 , G06F19/00 , 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 user interface that receives user input linking a plurality of posture states of a patient, and selecting a set of therapy parameter values for delivery of therapy to the patient for each of a linked posture states, a processor that defines the therapy to be delivered to the patient for each of the linked posture states based on the selection, and an implantable medical device that delivers the therapy to the patient for each of the linked posture states based on the selection.
摘要翻译： 本公开涉及姿势响应疗法。 为了避免有效治疗中断，可植入医疗装置可以包括检测患者的姿势状态的姿势状态模块，并且根据检测到的姿势状态自动调整治疗参数值。 系统可以包括用户界面，其接收连接患者的多个姿势状态的用户输入，以及选择一组治疗参数值，以针对每个联系的姿势状态向病人递送治疗，定义治疗的处理器 基于所述选择将每个所述连接姿势状态递送到所述患者;以及可植入医疗装置，其基于所述选择将所述治疗递送给所述连接姿势状态中的每一个。
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公开(公告)号：US09956412B2
公开(公告)日：2018-05-01
申请号：US12433827
申请日：2009-04-30
申请人： Dennis M. Skelton , Jon P. Davis , Shyam Gokaldas
发明人： Dennis M. Skelton , Jon P. Davis , Shyam Gokaldas
CPC分类号： A61N1/36135 , A61B5/1116 , A61B5/686 , A61B5/7435 , A61B2560/0219 , A61B2562/0219 , A61N1/36535 , A61N1/36542 , G06F19/00 , 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 user interface that receives user input linking a plurality of posture states of a patient, and selecting a set of therapy parameter values for delivery of therapy to the patient for each of a linked posture states, a processor that defines the therapy to be delivered to the patient for each of the linked posture states based on the selection, and an implantable medical device that delivers the therapy to the patient for each of the linked posture states based on the selection.
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