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公开(公告)号：US20150256680A1
公开(公告)日：2015-09-10
申请号：US14538874
申请日：2014-11-12
CPC分类号： H04L65/1069 , H04L41/0672 , H04L61/10 , H04L61/2007 , H04L65/1006 , H04L65/608 , H04L67/10 , H04L67/1034 , H04L69/40 , H04M3/53308 , H04M3/53325 , H04M7/0006 , H04M7/0024 , H04M7/0033 , H04M7/0036 , H04M7/006 , H04M7/126
摘要： The embodiments described herein recite a telephone communication system used for handling information such as messages, typically voice mail messages, and, more particularly, is directed to a system that provides distributed session initiation protocol (SIP) silos. Distributed SIP silos (DSS) is a Communications Application Platform (CAP) feature that maintains the site's call capacity even when a signaling server fails. DSS uses multiple non-redundant signaling servers to provide SIP signaling for the same set of media ports. Because there are multiple signaling servers providing signaling for the same set of ports, the failure of one signaling server only terminates the calls it was actively processing and once those calls have been cleaned up, all the available (non-suspended) ports in the configuration are available to the remaining signaling servers.
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公开(公告)号：US08886302B2
公开(公告)日：2014-11-11
申请号：US12433684
申请日：2009-04-30
申请人： Dennis M. Skelton , Jon P. Davis
发明人： Dennis M. Skelton , Jon P. Davis
IPC分类号： A61N1/08 , G06F19/00 , A61N1/36 , A61B5/11 , A61N1/372 , A61B5/00 , A61M5/172 , A61N1/365 , A61M37/00 , A61M5/142
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. In one example, the disclosure relates to a technique including delivering therapy to a patient from a medical device, wherein the therapy is delivered to the patient according to a detected posture state of the patient; and automatically adjusting at least one aspect of the therapy delivered from a medical device based at least in part on one or more of time or patient posture state behavior, wherein automatically adjusting at least one aspect of therapy comprises suspending at least one aspect of the therapy or decreasing a posture state detection frequency.
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。 在一个示例中，本公开涉及一种技术，包括从医疗装置向患者递送治疗，其中根据患者的检测到的姿势状态将治疗递送给患者; 以及至少部分地基于时间或患者姿势状态行为中的一个或多个自动地调整从医疗装置递送的治疗的至少一个方面，其中自动调整治疗的至少一个方面包括暂停治疗的至少一个方面 或降低姿势状态检测频率。
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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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35.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：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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公开(公告)号：US09026223B2
公开(公告)日：2015-05-05
申请号：US12433588
申请日：2009-04-30
CPC分类号： A61M5/14276 , A61B5/11 , A61B5/1116 , A61B5/4836 , A61B2562/0219 , A61M2005/14208 , A61M2205/17 , A61M2210/0693 , A61M2210/1053 , A61M2210/1078 , A61M2210/1089 , A61M2230/62 , A61N1/3605 , A61N1/37247
摘要： Posture-responsive therapy is delivered by the medical system based on posture state input from only one of multiple posture sensors at any given time. An example implantable medical system includes a first posture sensor and a second sensor. A processor controls therapy delivery to the patient based on at least one of a patient posture state or a patient activity level determined based on input from only one of the first or second posture sensors. In some examples, one of multiple posture sensors of an implantable posture-responsive medical system is used to automatically reorient another posture sensor (of the system), which has become disoriented. The disoriented posture sensor may be automatically reoriented for one or more posture states at a time.
摘要翻译： 姿态反应治疗由医疗系统基于在任何给定时间仅从多个姿势传感器中的一个输入的姿势状态来传送。 示例性可植入医疗系统包括第一姿态传感器和第二传感器。 处理器基于基于仅从第一或第二姿态传感器中的一个输入确定的患者姿势状态或患者活动水平中的至少一个来控制对患者的治疗递送。 在一些示例中，使用植入式姿势响应医疗系统的多个姿势传感器中的一个来自动地重新定向已经变得迷失方向的另一姿态传感器（该系统）。 错位姿态传感器可以一次自动地重新定向一个或多个姿势状态。
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