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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: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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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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公开(公告)号:US09717846B2
公开(公告)日:2017-08-01
申请号:US13561706
申请日:2012-07-30
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.
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公开(公告)号:US20120296236A1
公开(公告)日:2012-11-22
申请号:US13561706
申请日:2012-07-30
IPC分类号: A61B5/11
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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公开(公告)号:US08231555B2
公开(公告)日:2012-07-31
申请号:US12433442
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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公开(公告)号:US20100280578A1
公开(公告)日:2010-11-04
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.
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公开(公告)号:US20100280417A1
公开(公告)日:2010-11-04
申请号:US12433442
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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公开(公告)号:US09333350B2
公开(公告)日:2016-05-10
申请号:US12425903
申请日:2009-04-17
申请人: Mark T. Rise , Jonathon E. Giftakis , Paul H. Stypulkowski , Timothy J. Denison , Nathan A. Torgerson
发明人: Mark T. Rise , Jonathon E. Giftakis , Paul H. Stypulkowski , Timothy J. Denison , Nathan A. Torgerson
CPC分类号: A61N1/36082 , A61B5/01 , A61B5/0488 , A61B5/08 , A61B5/0816 , A61B5/165 , A61B5/441 , A61B5/4836 , A61B5/7275 , G06F19/00 , G16H20/70 , G16H40/63
摘要: A therapy system for managing a psychiatric disorder of the patient may be controlled based on a patient mood state. Therapy may be delivered to a patient according to a therapy program, and a physiological parameter of the patient may be monitored during or after therapy delivery. The patient mood state may be determined based on the monitored physiological parameter, and the therapy delivery may be controlled based on the determined mood state. In some embodiments, the therapy delivery is stopped prior to determining the patient mood state and the therapy delivery is restarted upon detecting a negative mood state. In other embodiments, therapy delivery is delivered until a positive mood state is detected, at which point the therapy delivery may be stopped.
摘要翻译: 可以基于患者情绪状态来控制用于管理患者精神障碍的治疗系统。 治疗可以根据治疗程序递送到患者,并且可以在治疗递送期间或之后监测患者的生理参数。 可以基于所监测的生理参数来确定患者情绪状态,并且可以基于所确定的情绪状态来控制治疗递送。 在一些实施例中,在确定患者情绪状态之前停止治疗递送,并且在检测到负情绪状态时重新开始治疗递送。 在其它实施方案中,递送治疗递送直到检测到正状态,此时可以停止治疗递送。
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10.
公开(公告)号:US09149635B2
公开(公告)日:2015-10-06
申请号:US13458109
申请日:2012-04-27
申请人: Timothy J. Denison , Robert W. Hocken, Jr. , Gabriela C. Molnar , Wesley A. Santa , Jalpa S. Shah , Larry E. Tyler
发明人: Timothy J. Denison , Robert W. Hocken, Jr. , Gabriela C. Molnar , Wesley A. Santa , Jalpa S. Shah , Larry E. Tyler
CPC分类号: A61N1/36125 , A61N1/378 , A61N1/3787
摘要: This disclosure describes techniques for generating stimulation current pulses that have differing pulse shapes in a medical device. A circuit architecture is described that is configured to charge a capacitor to an initial amount of charge, modulate the amount of charge stored in the capacitor based on a control signal, and generate a stimulation current pulse that has an amplitude based on the amount charge stored in the capacitor. The circuit architecture may be configured to generate complex pulse shapes, such as, e.g., steps, ramps, bursts, and combinations thereof.
摘要翻译: 本公开描述了用于在医疗装置中产生具有不同脉冲形状的刺激电流脉冲的技术。 描述了一种电路架构,其被配置为基于控制信号对电容器充电至初始电荷量,并且基于控制信号调制存储在电容器中的电荷量,并且产生具有基于存储的电荷量的幅度的刺激电流脉冲 在电容器中。 电路架构可以被配置为产生复数脉冲形状,例如步骤,斜坡,脉冲串及其组合。
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