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公开(公告)号：US08755901B2
公开(公告)日：2014-06-17
申请号：US12433839
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 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.
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：US08175720B2
公开(公告)日：2012-05-08
申请号：US12433599
申请日：2009-04-30
IPC分类号： A61N1/365
CPC分类号： A61N1/37247 , A61B5/1116 , A61B5/1118 , A61B5/7475 , A61N1/36132 , A61N1/36535
摘要： Patient efficacy inputs are received over a period of time during which posture-responsive therapy is delivered to the patient while the patient occupies a plurality of posture states. The patient inputs are correlated with the times at which the inputs were received, a sensed posture state of the patient, and a therapy program defining therapy delivery at each of the times the posture state was sensed. Posture-responsive therapy is adjusted based on the historical posture-responsive therapy information correlating the patient input, patient input time, sensed posture state, and therapy program.
摘要翻译： 患者功效输入在一段时间内被接收，在患者占据多个姿势状态期间，将姿势响应疗法传送给患者。 患者输入与接收输入的时间，患者的感测姿势状态以及在感测到姿势状态的每一个时刻界定治疗传递的治疗程序相关联。 基于与患者输入，患者输入时间，感测到的姿势状态和治疗程序相关的历史姿势响应治疗信息来调整姿势响应疗法。
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33.发明申请OBJECTIFICATION OF POSTURE STATE-RESPONSIVE THERAPY BASED ON PATIENT THERAPY ADJUSTMENTS 有权基于患者治疗调整的症状状态疗法的对象公开(公告)号：US20100010586A1
公开(公告)日：2010-01-14
申请号：US12433651
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 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：US20100010580A1
公开(公告)日：2010-01-14
申请号：US12433854
申请日：2009-04-30
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：US20100010571A1
公开(公告)日：2010-01-14
申请号：US12433373
申请日：2009-04-30
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 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.
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
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 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.
摘要翻译： 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：US09560990B2
公开(公告)日：2017-02-07
申请号：US13544222
申请日：2012-07-09
申请人： Dennis M. Skelton , Jon P. Davis , Dennis Bourget
发明人： Dennis M. Skelton , Jon P. Davis , Dennis Bourget
IPC分类号： A61B5/00 , A61M25/00 , A61M25/09 , A61B5/05 , A61B5/11 , A61N1/372 , A61N1/05 , A61N1/36 , A61N1/365
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 relates to a method and system for obtaining baseline patient information. In some examples, a method may include acquiring first patient data, wherein the first patient data comprises at least one of first posture state data indicative of a plurality of posture states of a patient during a first time period or first therapy adjustment data indicative of a plurality of patient therapy adjustments made during the first time period; generating baseline patient information based at least in part on the first patient data; and comparing the baseline patient information to patient information generated based on second patient data. Therapy is not delivered to the patient according to a detected posture state of the patient during the first time period, and therapy is delivered to the patient according to the detected posture state of the patient during the second time period.
摘要翻译： 本公开涉及一种用于获得基线患者信息的方法和系统。 在一些示例中，方法可以包括获取第一患者数据，其中第一患者数据包括指示患者在第一时间段期间的多个姿势状态的第一姿势状态数据或指示患者的第一治疗调整数据中的至少一个 在第一时期进行多次病人治疗调整; 至少部分地基于所述第一患者数据生成基线患者信息; 以及将基线患者信息与基于第二患者数据生成的患者信息进行比较。 根据在第一时间段期间患者的检测到的姿势状态，不向患者传递治疗，并且根据在第二时间段期间检测到的患者的姿势状态将治疗递送给患者。
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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
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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公开(公告)号：US09327070B2
公开(公告)日：2016-05-03
申请号：US12433501
申请日：2009-04-30
CPC分类号： A61M5/14276 , A61B5/11 , A61B5/1116 , A61B5/7475 , A61B2562/0219 , A61M2005/14208 , A61M2210/0693 , A61M2210/1053 , A61M2210/1078 , A61M2230/62 , A61N1/36071 , A61N1/36139 , A61N1/37247
摘要： This disclosure describes techniques implemented by a medical device, such as an implantable medical device (IMD). The IMD may be configured to detect a posture state of a patient, and deliver posture-responsive therapy. In particular, the IMD not only detects the posture state of a patient, but also detects timing associated with the detected posture state, such as the time of day, the day of the week, or a specific time of day associated with a specific day. In this way, the posture-responsive therapy delivered by the IMD may be dependent not only on the posture state of the patient, but also on the timing associated with the posture state. The same posture state, therefore, may result in different types of therapy to the patient if the same posture occurs at different times of the day.
摘要翻译： 本公开描述了由诸如可植入医疗装置（IMD）的医疗装置实现的技术。 IMD可以被配置为检测患者的姿势状态，并且提供姿势响应治疗。 特别地，IMD不仅检测患者的姿势状态，而且检测与检测到的姿势状态相关联的定时，例如一天中的时间，一周中的一天或与特定日期相关联的特定时间 。 以这种方式，由IMD递送的姿势响应治疗不仅取决于患者的姿势状态，而且还取决于与姿势状态相关的时间。 因此，如果在一天的不同时间发生相同的姿势，那么相同的姿势状态可能导致对患者的不同类型的治疗。
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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
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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