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公开(公告)号：US08315710B2
公开(公告)日：2012-11-20
申请号：US12433750
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： A61N1/365
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 provides a method for associating a detected therapy adjustment to a posture state and storing the association with a plurality of associations for the posture state. In a record mode, an implantable medical device is configured to store therapy adjustments for each posture state and allow a user to find efficacious therapy based upon review of the associations made during therapy. The system may determine the associations through implementation of a posture search timer and a posture stability timer. These timers allow the system to correctly associate therapy adjustments to posture states when the patient anticipates the posture change by adjusting therapy before engaging in the desired posture state. An external programmer may present a range of the therapy adjustments for each posture state to allow a user to review the therapy adjustments that have been made during the therapy.
摘要翻译： 本公开提供了一种用于将检测到的治疗调节与姿势状态相关联并且存储与用于姿势状态的多个关联的关联的方法。 在记录模式中，可植入医疗装置被配置为存储针对每个姿势状态的治疗调整，并且允许用户基于对治疗期间所进行的关联的检查而找到有效的治疗。 系统可以通过实施姿态搜索定时器和姿势稳定性定时器来确定关联。 当患者在参与所需姿势状态之前通过调整治疗来预测姿势变化时，这些计时器允许系统将治疗调整正确地与姿势状态相关联。 外部程序员可以呈现针对每个姿势状态的治疗调整范围，以允许用户复查治疗过程中进行的治疗调整。
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公开(公告)号：US20120277638A1
公开(公告)日：2012-11-01
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： A61B5/11
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：US08231556B2
公开(公告)日：2012-07-31
申请号：US12433749
申请日：2009-04-30
申请人： Dennis M. Skelton , Jon P. Davis , Dennis Bourget
发明人： Dennis M. Skelton , Jon P. Davis , Dennis Bourget
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：US20100280440A1
公开(公告)日：2010-11-04
申请号：US12433599
申请日：2009-04-30
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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55.发明申请公开(公告)号：US20100010574A1
公开(公告)日：2010-01-14
申请号：US12433858
申请日：2009-04-30
申请人： Dennis M. Skelton , Jon P. Davis
发明人： Dennis M. Skelton , Jon P. Davis
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 posture state module that records a current posture of a patient, a user interface that receives a therapy adjustment, a processor that associates a posture that the posture state module recorded when the user interface received the therapy adjustment with the therapy adjustment, determines whether the posture falls within a defined posture state, compares the therapy adjustment to therapy information associated with the defined posture state, and updates the set of posture state definitions based on the determination and comparison.
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：姿势状态模块，其记录患者的当前姿势;接收治疗调整的用户界面;处理器，其将当所述用户界面接收到所述治疗调整时记录的姿势状态模块与所述治疗调整 确定姿势是否落入规定的姿势状态，将治疗调整与与所定义的姿势状态相关联的治疗信息进行比较，并且基于判定和比较来更新姿势状态集合。
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公开(公告)号：US20100010572A1
公开(公告)日：2010-01-14
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
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：US20100010391A1
公开(公告)日：2010-01-14
申请号：US12433855
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： A61B5/11
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 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.
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。 系统可以包括存储姿势状态定义的存储器，在一段时间内记录患者的多个姿态的姿势状态模块以及识别落入姿势状态的多个姿势的集合的处理器， 并且基于姿势落入姿势状态的位置重新定义姿势状态的边界。
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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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59.发明授权公开(公告)号：US08326420B2
公开(公告)日：2012-12-04
申请号：US12433808
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： A61N1/00
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 associating therapy adjustments with posture states using stability timers. The techniques may include detecting a patient adjustment to electrical stimulation therapy delivered to the patient, sensing a posture state of the patient, and associating the detected adjustment with the sensed posture state if the sensed posture state is sensed within a first period following the detection of the adjustment and if the sensed posture state does not change during a second period following the sensing of the sensed posture state.
摘要翻译： 本公开描述了使用稳定性定时器将治疗调节与姿势状态相关联的技术。 该技术可以包括检测患者对递送给患者的电刺激治疗的调整，感测患者的姿势状态，以及如果在检测到的姿势状态之后的第一时间段内感测到的姿势状态，则将检测到的调节与感测到的姿势状态相关联 所述调整以及在检测到的姿势状态之后的第二时段期间感测到的姿势状态不改变。
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公开(公告)号：US20100280500A1
公开(公告)日：2010-11-04
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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