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公开(公告)号：US20100010571A1
公开(公告)日：2010-01-14
申请号：US12433373
申请日：2009-04-30
Applicant: Dennis M. Skelton , Jon P. Davis , Rajeev Sahasrabudhe , Joseph J. Nolan
Inventor： Dennis M. Skelton , Jon P. Davis , Rajeev Sahasrabudhe , Joseph J. Nolan
CPC classification number: 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
Abstract: 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 delivering a first therapy to a patient via a medical device, the first therapy associated with a first posture state of the patient; receiving an indication from a user indicating that a second therapy should be delivered, the second therapy associated with a second posture state of the patient; and delivering the second therapy to the patient instead of the first therapy based on the indication.
Abstract translation: 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，包括经由医疗装置向患者递送第一疗法，所述第一疗法与患者的第一姿势状态相关联; 从用户接收指示应该传送第二疗法的指示，所述第二疗法与患者的第二姿势状态相关联; 并且基于指示将第二疗法递送给患者而不是第一疗法。
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公开(公告)号：US20100010386A1
公开(公告)日：2010-01-14
申请号：US12433673
申请日：2009-04-30
Applicant: Dennis M. Skelton , Jon P. Davis , Shyam Gokaldas , Rajeev Sahasrabudhe
Inventor： Dennis M. Skelton , Jon P. Davis , Shyam Gokaldas , Rajeev Sahasrabudhe
CPC classification number: 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
Abstract: The disclosure describes techniques for data rejection for posture state analysis. The techniques may include storing posture state data sensed by a medical device for a patient, rejecting any portion of the posture state data that was stored during a session that was shorter than a session threshold, and generating posture state output for the patient based on a portion of the posture state data that was not rejected.
Abstract translation: 本公开描述了用于姿势状态分析的数据拒绝的技术。 所述技术可以包括存储由医疗装置感测的用于患者的姿势状态数据，拒绝在比会话阈值短的会话期间存储的姿势状态数据的任何部分，以及基于 姿势状态数据的部分未被拒绝。
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公开(公告)号：US09440084B2
公开(公告)日：2016-09-13
申请号：US12433551
申请日：2009-04-30
Applicant: Jon P. Davis , Dennis M. Skelton , Shyam Gokaldas , Rajeev Sahasrabudhe
Inventor： Jon P. Davis , Dennis M. Skelton , Shyam Gokaldas , Rajeev Sahasrabudhe
CPC classification number: 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
Abstract: 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.
Abstract translation: 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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公开(公告)号：US08751011B2
公开(公告)日：2014-06-10
申请号：US12433854
申请日：2009-04-30
Applicant: Dennis M. Skelton , Jon P. Davis , Joseph J. Nolan , Rajeev Sahasrabudhe , Shyam Gokaldas
Inventor： Dennis M. Skelton , Jon P. Davis , Joseph J. Nolan , Rajeev Sahasrabudhe , Shyam Gokaldas
IPC: A61N1/00
CPC classification number: 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
Abstract: 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.
Abstract translation: 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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15.发明授权公开(公告)号：US08255060B2
公开(公告)日：2012-08-28
申请号：US11999735
申请日：2007-12-06
Applicant: Steven M. Goetz , Jeffrey T. Keacher , Rajeev Sahasrabudhe , Wende L. Dewing , Jon P. Davis , John Rondoni , Gabriela C. Miyazawa , Gary W. King
Inventor： Steven M. Goetz , Jeffrey T. Keacher , Rajeev Sahasrabudhe , Wende L. Dewing , Jon P. Davis , John Rondoni , Gabriela C. Miyazawa , Gary W. King
IPC: A61N1/372
CPC classification number: A61N1/37247 , A61N1/36185
Abstract: The disclosure is directed to a user interface with a menu that facilitates stimulation therapy programming. The user interface displays a representation of the electrical leads implanted in the patient and at least one menu with icons that the user can use to adjust the stimulation therapy. The user may drag one or more field shapes from a field shape selection menu onto the desired location relative to the electrical leads. A manipulation tool menu may also allow the user to adjust the field shapes placed on the electrical leads, which represent the stimulation region. The programmer that includes the user interface then generates electrical stimulation parameter values for the stimulator to deliver stimulation according to the field shapes or field shape groups defined/located by the user. The field shapes may represent different types of stimulation representations, such as current density, activation functions, and neuron models.
Abstract translation: 本公开针对具有促进刺激治疗编程的菜单的用户界面。 用户界面显示植入患者中的电引线的表示以及具有用户可用于调整刺激疗法的图标的至少一个菜单。 用户可以将一个或多个场形状从场形选择菜单拖到相对于电引线的期望位置上。 操作工具菜单还可以允许用户调整放置在电引线上的场形状，其代表刺激区域。 包括用户界面的程序员然后产生刺激器的电刺激参数值，以根据由用户定义/定位的场形状或场形组递送刺激。 场形状可以表示不同类型的刺激表示，例如电流密度，激活函数和神经元模型。
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Patent Agency Ranking
公开(公告)号：US20100010579A1
公开(公告)日：2010-01-14
申请号：US12433848
申请日：2009-04-30
Applicant: Dennis M. Skelton , Jon P. Davis , Shyam Gokaldas , Rajeev Sahasrabudhe
Inventor： Dennis M. Skelton , Jon P. Davis , Shyam Gokaldas , Rajeev Sahasrabudhe
CPC classification number: 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
Abstract: 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.
Abstract translation: 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：US20100010578A1
公开(公告)日：2010-01-14
申请号：US12433839
申请日：2009-04-30
Applicant: Dennis M. Skelton , Jon P. Davis , Shyam Gokaldas , Rajeev Sahasrabudhe
Inventor： Dennis M. Skelton , Jon P. Davis , Shyam Gokaldas , Rajeev Sahasrabudhe
CPC classification number: 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
Abstract: 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 implantable medical device that delivers therapy to a patient according to a set of therapy parameter values while the patient occupies a first posture state, a user interface that receives patient input associating one or more of the therapy parameter values with a second posture state different from the first posture state, and a processor that automatically defines therapy for delivery to the patient when the patient occupies the second posture state based on the associated therapy parameter values.
Abstract translation: 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。 系统可以包括可植入医疗装置，其在患者占据第一姿势状态时根据一组治疗参数值向患者递送治疗;接收患者输入的用户界面，所述患者输入将所述治疗参数值中的一个或多个与第二个 姿势状态与第一姿势状态不同的处理器，以及处理器，其基于相关联的治疗参数值，当患者占据第二姿势状态时，自动地定义用于递送给患者的治疗。
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公开(公告)号：US20100010576A1
公开(公告)日：2010-01-14
申请号：US12433530
申请日：2009-04-30
Applicant: Dennis M. Skelton , Jon P. Davis , Rajeev Sahasrabudhe , Shyam Gokaldas , Joseph J. Nolan
Inventor： Dennis M. Skelton , Jon P. Davis , Rajeev Sahasrabudhe , Shyam Gokaldas , Joseph J. Nolan
CPC classification number: 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
Abstract: 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.
Abstract translation: 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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公开(公告)号：US20100010575A1
公开(公告)日：2010-01-14
申请号：US12433325
申请日：2009-04-30
Applicant: Dennis M. Skelton , Jon P. Davis , Rajeev Sahasrabudhe , Shyam Gokaldas , Joseph J. Nolan
Inventor： Dennis M. Skelton , Jon P. Davis , Rajeev Sahasrabudhe , Shyam Gokaldas , Joseph J. Nolan
CPC classification number: 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
Abstract: 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.
Abstract translation: 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对所述患者的治疗，其中根据获得的治疗信息恢复治疗的递送。
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公开(公告)号：US20100010392A1
公开(公告)日：2010-01-14
申请号：US12433856
申请日：2009-04-30
Applicant: Dennis M. Skelton , Jon P. Davis , Rajeev Sahasrabudhe , Shyam Gokaldas , Joseph J. Nolan , Dennis Bourget , Duane Bourget , Keith A. Miesel , James Zimmerman
Inventor： Dennis M. Skelton , Jon P. Davis , Rajeev Sahasrabudhe , Shyam Gokaldas , Joseph J. Nolan , Dennis Bourget , Duane Bourget , Keith A. Miesel , James Zimmerman
CPC classification number: 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
Abstract: In general, the disclosure describes techniques for modifying therapy provided to a patient by a medical device. The techniques may be applicable to electrical stimulation therapy or other therapies. Modification of therapy may include adjustment of one or more therapy parameter values that define one or more characteristics of stimulation therapy delivered to a patient. The therapy modification may be based on activity of a patient that is detected by an IMD, such as a change in a detected posture state occupied by the patient. Different therapy modifications may be applied for different changes in detected posture state. An IMD may modify therapy based on a transition from one posture state to another posture state, and apply different modifications for different transitions. In some aspects, the modification may include a profile, such as a ramp up or ramp down in a parameter value over a period of time. The profile may be different for different posture transitions. A ramp slope may be steeper for one transition than for another transition. When a patient transitions from an upright to a lying posture state, for example, the profile may be especially abrupt. In some examples, a modification profile may define a dwell time.
Abstract translation: 通常，本公开描述了用于修改由医疗装置提供给患者的治疗的技术。 这些技术可能适用于电刺激治疗或其他疗法。 治疗的修改可以包括调整一个或多个治疗参数值，其定义递送给患者的刺激疗法的一个或多个特征。 治疗修改可以基于由IMD检测到的患者的活动，例如患者所占据的检测到的姿势状态的变化。 可以对检测到的姿势状态的不同变化应用不同的治疗修改。 IMD可以基于从一个姿势状态到另一个姿势状态的转变来修改治疗，并对不同的转变应用不同的修改。 在一些方面，修改可以包括轮廓，例如在一段时间内在参数值中的斜坡上升或下降。 对于不同的姿势转换，轮廓可能不同。 坡度斜坡对于一个过渡而言可能比另一个过渡更陡峭。 当患者从直立状态转变到躺卧状态时，例如，轮廓可能特别突然。 在一些示例中，修改简档可以定义驻留时间。
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