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公开(公告)号：US20090082641A1
公开(公告)日：2009-03-26
申请号：US12236316
申请日：2008-09-23
IPC分类号： A61B5/00
CPC分类号： G06F19/3456 , A61N1/36082 , A61N1/36132 , A61N1/37247 , A61N1/37258 , G06F19/00 , G06F19/3481 , G16H40/63
摘要： An indication that a patient event occurred may be used to evaluate the efficacy of at least one therapy program and/or adjust therapy delivery to the patient. In some examples, the patient event indication includes patient input that may be received via an event indication button of a programming device. In addition to or instead of the patient input, the patient event indication may be generated based on a physiological parameter of the patient. In some examples, therapy delivery may be adjusted by adjusting at least one therapy parameter value, switching therapy programs or therapy program groups or restarting a therapy cycle of a medical device. The patient input via an event indication button may also help evaluate whether a therapy system is useful for the patient.
摘要翻译： 发生患者事件的指示可用于评估至少一个治疗程序的功效和/或调整对患者的治疗递送。 在一些示例中，患者事件指示包括可经由编程设备的事件指示按钮接收的患者输入。 除了或代替患者输入之外，可以基于患者的生理参数生成患者事件指示。 在一些实例中，可以通过调整至少一个治疗参数值，切换治疗程序或治疗程序组或重新启动医疗装置的治疗周期来调整治疗递送。 通过事件指示按钮的患者输入也可以帮助评估治疗系统是否对患者有用。
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公开(公告)号：US20090083070A1
公开(公告)日：2009-03-26
申请号：US12236260
申请日：2008-09-23
申请人： Jonathon E. Giftakis , Peter J. Kovach , Warren W. Ball , Jonathan C. Werder , Nina M. Graves , David C. Ullestad , Sarah B. Alme
发明人： Jonathon E. Giftakis , Peter J. Kovach , Warren W. Ball , Jonathan C. Werder , Nina M. Graves , David C. Ullestad , Sarah B. Alme
IPC分类号： G06Q50/00
摘要： An indication that a patient event occurred may be used to evaluate the efficacy of at least one therapy program and/or adjust therapy delivery to the patient. In some examples, the patient event indication includes patient input that may be received via an event indication button of a programming device. In some examples, therapy delivery may be adjusted by adjusting at least one therapy parameter value, switching therapy programs or therapy program groups or restarting a therapy cycle of a medical device.
摘要翻译： 发生患者事件的指示可用于评估至少一个治疗程序的功效和/或调整对患者的治疗递送。 在一些示例中，患者事件指示包括可经由编程设备的事件指示按钮接收的患者输入。 在一些实例中，可以通过调整至少一个治疗参数值，切换治疗程序或治疗程序组或重新启动医疗装置的治疗周期来调整治疗递送。
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公开(公告)号：US10561845B2
公开(公告)日：2020-02-18
申请号：US12236260
申请日：2008-09-23
申请人： Jonathon E. Giftakis , Peter J. Kovach , Warren W. Ball , Jonathan C. Werder , Nina M. Graves , David C. Ullestad , Sarah B. Alme
发明人： Jonathon E. Giftakis , Peter J. Kovach , Warren W. Ball , Jonathan C. Werder , Nina M. Graves , David C. Ullestad , Sarah B. Alme
摘要： An indication that a patient event occurred may be used to evaluate the efficacy of at least one therapy program and/or adjust therapy delivery to the patient. In some examples, the patient event indication includes patient input that may be received via an event indication button of a programming device. In some examples, therapy delivery may be adjusted by adjusting at least one therapy parameter value, switching therapy programs or therapy program groups or restarting a therapy cycle of a medical device.
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公开(公告)号：US09529972B2
公开(公告)日：2016-12-27
申请号：US12236316
申请日：2008-09-23
CPC分类号： G06F19/3456 , A61N1/36082 , A61N1/36132 , A61N1/37247 , A61N1/37258 , G06F19/00 , G06F19/3481 , G16H40/63
摘要： An indication that a patient event occurred may be used to evaluate the efficacy of at least one therapy program and/or adjust therapy delivery to the patient. In some examples, the patient event indication includes patient input that may be received via an event indication button of a programming device. In addition to or instead of the patient input, the patient event indication may be generated based on a physiological parameter of the patient. In some examples, therapy delivery may be adjusted by adjusting at least one therapy parameter value, switching therapy programs or therapy program groups or restarting a therapy cycle of a medical device. The patient input via an event indication button may also help evaluate whether a therapy system is useful for the patient.
摘要翻译： 发生患者事件的指示可用于评估至少一个治疗程序的功效和/或调整对患者的治疗递送。 在一些示例中，患者事件指示包括可经由编程设备的事件指示按钮接收的患者输入。 除了或代替患者输入之外，可以基于患者的生理参数来生成患者事件指示。 在一些实例中，可以通过调整至少一个治疗参数值，切换治疗程序或治疗程序组或重新启动医疗装置的治疗周期来调整治疗递送。 通过事件指示按钮的患者输入也可以帮助评估治疗系统是否对患者有用。
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公开(公告)号：US10369353B2
公开(公告)日：2019-08-06
申请号：US12359037
申请日：2009-01-23
申请人： Jonathon E. Giftakis , Nina M. Graves , Jonathan C. Werder , Eric J. Panken , Timothy J. Denison , Keith A. Miesel , Michele H. Herzog
发明人： Jonathon E. Giftakis , Nina M. Graves , Jonathan C. Werder , Eric J. Panken , Timothy J. Denison , Keith A. Miesel , Michele H. Herzog
摘要： Intracranial pressure of a patient may be monitored in order to evaluate a seizure disorder. In some examples, trends in the intracranial pressure over time may be monitored, e.g., to detect changes to the patient's condition. In addition, in some examples, a seizure metric may be generated for a detected seizure based on sensed intracranial pressures. The seizure metric may indicate, for example, an average, median, or highest relative intracranial pressure value observed during a seizure, a percent change from a baseline value during the seizure, or the time for the intracranial pressure to return to a baseline state after the occurrence of a seizure. In addition to or instead of intracranial pressure, patient motion or posture may be monitored in order to assess the patient's seizure disorder. For example, a seizure type or severity may be determined based on patient motion sensed during a seizure.
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公开(公告)号：US10111613B2
公开(公告)日：2018-10-30
申请号：US11264846
申请日：2005-11-02
IPC分类号： A61B5/00 , A61B5/04 , A61N1/372 , G06F19/00 , G06F17/30 , A61B5/0205 , A61B5/0402 , A61B5/0476 , A61B5/11 , A61B5/16 , G16H10/60 , A61N1/36 , A61N1/365 , A61N1/37 , A61B5/021 , A61B5/024 , A61B5/03 , A61B5/08 , G16H40/63
摘要： Methods for storing data records associated with a medical monitoring event in a data structure. An implanted device obtains data and stores the data in the data record in a first data structure that is age-based. Before an oldest data record is lost, the oldest data record may be stored in a second data structure that is priority index-based. The priority index may be determined by a severity level and may be further determined by associated factors. The implanted device may organize, off-load, report, and/or display a plurality of data records based on an associated priority index. Additionally, the implanted device may select a subset or composite of physiologic channels from the available physiologic channels based on a selection criterion.
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公开(公告)号：US10201305B2
公开(公告)日：2019-02-12
申请号：US11264887
申请日：2005-11-02
IPC分类号： A61B5/04 , A61B5/00 , A61N1/372 , G06F19/00 , G06F17/30 , A61B5/0205 , A61B5/0402 , A61B5/0476 , A61B5/11 , A61B5/16 , G16H10/60 , A61N1/36 , A61N1/365 , A61N1/37 , A61B5/021 , A61B5/024 , A61B5/03 , A61B5/08 , G16H40/63
摘要： An apparatus for storing data records associated with a medical monitoring event in a data structure. An implanted device obtains data and stores the data in the data record in a first data structure that is age-based. Before an oldest data record is lost, the oldest data record may be stored in a second data structure that is priority index-based. The priority index may be determined by a severity level and may be further determined by associated factors. The implanted device may organize, off-load, report, and/or display a plurality of data records based on an associated priority index. Additionally, the implanted device may select a subset or composite of physiologic channels from the available physiologic channels based on a selection criterion.
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8.发明授权Implantable medical device for treating neurological conditions including ECG sensing 有权用于治疗包括心电图感觉在内的神经病症的植入式医疗装置公开(公告)号：US09014804B2
公开(公告)日：2015-04-21
申请号：US13158099
申请日：2011-06-10
CPC分类号： A61N1/375 , A61N1/36082 , A61N1/36114 , A61N1/36585 , A61N1/37 , A61N1/3756
摘要： An implantable medical device such as an implantable pulse generator that includes EEG sensing for monitoring and treating neurological conditions, and leadless ECG sensing for monitoring cardiac signals. The device includes a connector block with provisions for cardiac leads which may be used/enabled when needed. If significant co-morbid cardiac events are observed in patients via the leadless ECG monitoring, then cardiac leads may be subsequently connected for therapeutic use.
摘要翻译： 可植入的医疗装置，例如植入式脉冲发生器，其包括用于监测和治疗神经病症的脑电图感测，以及用于监测心脏信号的无引导心电图感测。 该装置包括具有用于心脏引线的装置的连接器块，其可以在需要时使用/启用。 如果通过无引导心电图监测在患者中观察到显着的并发心脏事件，则心脏引线可以随后连接用于治疗用途。
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9.发明授权公开(公告)号：US08108038B2
公开(公告)日：2012-01-31
申请号：US11380462
申请日：2006-04-27
IPC分类号： A61B5/0402
CPC分类号： A61B5/0402 , A61B5/0031 , A61B5/02 , A61B5/0245 , A61B5/0476 , A61B5/0816 , A61B5/1135 , A61B5/4094 , A61N1/36064 , A61N1/36082 , A61N1/3611 , A61N1/365 , A61N1/36521 , A61N1/36585 , A61N1/37288 , A61N1/3962
摘要： A medical device system that includes a brain monitoring element, cardiac monitoring element and a processor. The processor is configured to receive a brain signal from the brain monitoring element and a cardiac signal from the cardiac monitoring element. The processor is further configured to determine at least one reference point for a brain event time period by evaluation of the brain signal. The processor further identifies a first portion of the cardiac signal based on the at least one reference point of the brain event time period.
摘要翻译： 一种包括脑部监测元件，心脏监测元件和处理器的医疗装置系统。 处理器被配置为从脑监测元件接收脑信号和来自心脏监测元件的心脏信号。 处理器还被配置为通过评估脑信号来确定大脑事件时间段的至少一个参考点。 处理器还基于大脑事件时间段的至少一个参考点识别心脏信号的第一部分。
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10.发明申请SEIZURE DISORDER EVALUATION BASED ON INTRACRANIAL PRESSURE AND PATIENT MOTION 审中-公开基于内分泌压力和患者运动的癫痫病症评估公开(公告)号：US20100121214A1
公开(公告)日：2010-05-13
申请号：US12359055
申请日：2009-01-23
申请人： Jonathon E. Giftakis , Nina M. Graves , Jonathan C. Werder , Eric J. Panken , Timothy J. Denison , Keith A. Miesel , Michele H. Herzog
发明人： Jonathon E. Giftakis , Nina M. Graves , Jonathan C. Werder , Eric J. Panken , Timothy J. Denison , Keith A. Miesel , Michele H. Herzog
IPC分类号： A61B5/0476 , A61B5/03 , A61B5/11 , A61B5/053
CPC分类号： A61N1/0534 , A61B5/031 , A61B5/4094 , A61N1/36082
摘要： Intracranial pressure of a patient may be monitored in order to evaluate a seizure disorder. In some examples, trends in the intracranial pressure over time may be monitored, e.g., to detect changes to the patient's condition. In addition, in some examples, a seizure metric may be generated for a detected seizure based on sensed intracranial pressures. The seizure metric may indicate, for example, an average, median, or highest relative intracranial pressure value observed during a seizure, a percent change from a baseline value during the seizure, or the time for the intracranial pressure to return to a baseline state after the occurrence of a seizure. In addition to or instead of intracranial pressure, patient motion or posture may be monitored in order to assess the patient's seizure disorder. For example, a seizure type or severity may be determined based on patient motion sensed during a seizure.
摘要翻译： 可以监测患者的颅内压，以评估癫痫发作障碍。 在一些示例中，可以监测颅内压力随时间的趋势，例如以检测患者状况的变化。 此外，在一些示例中，可以基于感测的颅内压力产生针对检测到的发作的发作量度。 癫痫发作度数可以表示例如在癫痫发作期间观察到的平均值，中位数或最高相对颅内压值，在癫痫发作期间从基线值变化的百分比，或颅内压力回到基线状态的时间 发生癫痫发作。 除了或代替颅内压之外，可以监测患者的运动或姿势以评估患者的癫痫发作障碍。 例如，可以基于在癫痫发作期间感测到的患者运动来确定癫痫发作类型或严重程度。
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