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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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公开(公告)号：US20100010587A1
公开(公告)日：2010-01-14
申请号：US12433725
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： 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 guided programming for posture state-responsive therapy. The guided programming may include receiving therapy adjustment information that includes therapy adjustments made by a patient to at least one parameter of one or more stimulation therapy programs for one or more patient posture states, generating one or more suggested therapy parameters for one or more of the stimulation therapy programs based on the therapy adjustment information, presenting the suggested therapy parameters to a user.
摘要翻译： 本公开描述了用于姿势状态响应治疗的指导性编程。 引导式编程可以包括接收治疗调整信息，其包括由患者对一个或多个患者姿势状态的一个或多个刺激治疗程序的至少一个参数进行的治疗调整，为一个或多个患者姿势状态产生一个或多个建议的治疗参数 基于治疗调整信息的刺激治疗程序，向用户呈现建议的治疗参数。
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公开(公告)号：US20100010579A1
公开(公告)日：2010-01-14
申请号：US12433848
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：US20100010578A1
公开(公告)日：2010-01-14
申请号：US12433839
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 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：US20100010576A1
公开(公告)日：2010-01-14
申请号：US12433530
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 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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公开(公告)号：US20100010575A1
公开(公告)日：2010-01-14
申请号：US12433325
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 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.
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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67.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：US20100010392A1
公开(公告)日：2010-01-14
申请号：US12433856
申请日：2009-04-30
申请人： Dennis M. Skelton , Jon P. Davis , Rajeev Sahasrabudhe , Shyam Gokaldas , Joseph J. Nolan , Dennis Bourget , Duane Bourget , Keith A. Miesel , James Zimmerman
发明人： Dennis M. Skelton , Jon P. Davis , Rajeev Sahasrabudhe , Shyam Gokaldas , Joseph J. Nolan , Dennis Bourget , Duane Bourget , Keith A. Miesel , James Zimmerman
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： 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.
摘要翻译： 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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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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