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公开(公告)号:US20090105785A1
公开(公告)日:2009-04-23
申请号:US12238025
申请日:2008-09-25
IPC分类号: A61N1/02 , A61B5/00 , A61B5/0476 , G08B21/00 , A61M31/00 , A61B5/0488
CPC分类号: A61N1/36542 , A61N1/36132 , A61N1/36135 , A61N1/37 , G06F19/00 , G06F19/3481
摘要: A therapy program is selected based on a patient state, where the patient state comprises at least one of a movement state, sleep state or speech state. In this way, therapy delivery is tailored to the patient state, which may include specific patient symptoms. The therapy program is selected from a plurality of stored therapy programs that comprise therapy programs associated with a respective one at least two of the movement, sleep, and speech states. Techniques for determining a patient state include receiving volitional patient input or detecting biosignals generated within the patient's brain. The biosignals are nonsymptomatic and may be incidental to the movement, sleep, and speech states or generated in response to volitional patient input.
摘要翻译: 基于患者状态选择治疗程序,其中患者状态包括运动状态,睡眠状态或语音状态中的至少一个。 以这种方式,治疗递送是针对患者状态而定制的,其可以包括特定的患者症状。 治疗程序选自包括与运动,睡眠和言语状态中的至少两个相关的治疗程序的多个存储的治疗程序。 用于确定患者状态的技术包括接收患者输入或检测患者大脑内生成的生物信号。 生物信号是无症状的,可能与运动,睡眠和言语状态有关,或者是响应于患者输入的意图产生的。
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公开(公告)号:US08290596B2
公开(公告)日:2012-10-16
申请号:US12238025
申请日:2008-09-25
IPC分类号: A61N1/36
CPC分类号: A61N1/36542 , A61N1/36132 , A61N1/36135 , A61N1/37 , G06F19/00 , G06F19/3481
摘要: A therapy program is selected based on a patient state, where the patient state comprises at least one of a movement state, sleep state or speech state. In this way, therapy delivery is tailored to the patient state, which may include specific patient symptoms. The therapy program is selected from a plurality of stored therapy programs that comprise therapy programs associated with a respective one at least two of the movement, sleep, and speech states. Techniques for determining a patient state include receiving volitional patient input or detecting biosignals generated within the patient's brain. The biosignals are nonsymptomatic and may be incidental to the movement, sleep, and speech states or generated in response to volitional patient input.
摘要翻译: 基于患者状态选择治疗程序,其中患者状态包括运动状态,睡眠状态或语音状态中的至少一个。 以这种方式,治疗递送是针对患者状态而定制的,其可以包括特定的患者症状。 治疗程序选自包括与运动,睡眠和言语状态中的至少两个相关的治疗程序的多个存储的治疗程序。 用于确定患者状态的技术包括接收患者输入或检测患者大脑内生成的生物信号。 生物信号是无症状的,可能与运动,睡眠和言语状态有关,或者是响应于患者输入的意图产生的。
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公开(公告)号:US20090264789A1
公开(公告)日:2009-10-22
申请号:US12431167
申请日:2009-04-28
申请人: Gregory F. Molnar , Richard T. Stone , Xuan Wei
发明人: Gregory F. Molnar , Richard T. Stone , Xuan Wei
IPC分类号: A61B5/0476 , A61M31/00 , A61N1/08 , A61B5/11 , G10L15/00
CPC分类号: A61N1/36135 , A61N1/36542 , A61N1/36585 , A61N1/37
摘要: A set of therapy parameter values is selected based on a patient state, where the patient state comprises a speech state or a mixed patient state including the speech state and at least one of a movement state or a sleep state. In this way, therapy delivery is tailored to the patient state, which may include one or more patient symptoms specific to the patient state. In some examples, a medical device determines whether the patient is in the speech state or a mixed patient state including the speech state based on a signal generated by a voice activity sensor. The voice activity sensor detects the use of the patient's voice, and may include a microphone, a vibration detector or an accelerometer.
摘要翻译: 基于患者状态选择一组治疗参数值,其中患者状态包括语音状态或包括语音状态和运动状态或睡眠状态中的至少一个的混合患者状态。 以这种方式,治疗递送适合于患者状态,其可以包括对患者状态特异的一个或多个患者症状。 在一些示例中,医疗设备基于由语音活动传感器生成的信号来确定患者是处于语音状态还是包括语音状态的混合患者状态。 语音活动传感器检测患者声音的使用,并且可以包括麦克风,振动检测器或加速度计。
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公开(公告)号:US08380314B2
公开(公告)日:2013-02-19
申请号:US11974931
申请日:2007-10-16
IPC分类号: A61N1/18
CPC分类号: A61N1/36139 , A61B5/048 , A61B5/4082 , A61B5/7475 , A61M5/14276 , A61M5/1723 , A61M2210/0693 , A61N1/36014 , A61N1/36017 , A61N1/36021 , A61N1/36025 , A61N1/3605 , A61N1/3606 , A61N1/36071 , A61N1/36082 , A61N1/37252 , G06F3/015
摘要: A patient controls the delivery of therapy through volitional inputs that are detected by a biosignal within the brain. The volitional patient input may be directed towards performing a specific physical or mental activity, such as moving a muscle or performing a mathematical calculation. In one embodiment, a biosignal detection module monitors an electroencephalogram (EEG) signal from within the brain of the patient and determines whether the EEG signal includes the biosignal. In one embodiment, the biosignal detection module analyzes one or more frequency components of the EEG signal. In this manner, the patient may adjust therapy delivery by providing a volitional input that is detected by brain signals, wherein the volitional input may not require the interaction with another device, thereby eliminating the need for an external programmer to adjust therapy delivery. Example therapies include electrical stimulation, drug delivery, and delivery of sensory cues.
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公开(公告)号:US20090192556A1
公开(公告)日:2009-07-30
申请号:US12238105
申请日:2008-09-25
CPC分类号: A61B5/4812 , A61B5/0031 , A61B5/01 , A61B5/02055 , A61B5/024 , A61B5/04014 , A61B5/04015 , A61B5/0402 , A61B5/0478 , A61B5/048 , A61B5/1116 , A61B5/1118 , A61B5/4082 , A61B5/4839 , A61M5/1723 , A61M21/02 , A61M2005/1726 , A61M2021/0072 , A61M2205/3523 , A61M2205/3553 , A61M2205/3584 , A61M2205/3592 , A61M2205/50 , A61M2205/52 , A61M2230/005 , A61M2230/04 , A61M2230/08 , A61M2230/10 , A61M2230/205 , A61M2230/30 , A61M2230/42 , A61M2230/50 , A61M2230/60 , A61M2230/63 , A61M2230/65 , A61N1/36078 , A61N1/36139 , G06F19/3481 , G16H40/63
摘要: Therapy delivery to a patient may be controlled based on a determined sleep stage of the patient. In examples, the sleep stage may be determined based on a frequency characteristic of a biosignal indicative of brain activity of the patient. A frequency characteristic may include, for example, a power level within one or more frequency bands of the biosignal, a ratio of the power level in two or more frequency bands, or a pattern in the power level of one or more frequency bands over time. A therapy program may be selected or modified based on the sleep stage determination. Therapy may be delivered during the sleep stage according to the selected or modified therapy program. In some examples, therapy delivery may be controlled after making separate determinations of a sleep stage based on the biosignal and another physiological parameter, and confirming that the sleep stage determinations are consistent.
摘要翻译: 可以基于患者的确定的睡眠阶段来控制对患者的治疗递送。 在实施例中,睡眠阶段可以基于指示患者的大脑活动的生物信号的频率特性来确定。 频率特性可以包括例如生物信号的一个或多个频带内的功率电平,两个或更多个频带中的功率电平的比率,或者一个或多个频带的功率电平中的模式随时间的变化 。 可以基于睡眠阶段确定来选择或修改治疗程序。 根据所选择或修改的治疗方案,治疗可以在睡眠阶段期间递送。 在一些实例中,可以在基于生物信号和另一生理参数进行睡眠阶段的单独测定以及确认睡眠阶段确定是一致的之后控制治疗递送。
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公开(公告)号:US09072870B2
公开(公告)日:2015-07-07
申请号:US12238105
申请日:2008-09-25
CPC分类号: A61B5/4812 , A61B5/0031 , A61B5/01 , A61B5/02055 , A61B5/024 , A61B5/04014 , A61B5/04015 , A61B5/0402 , A61B5/0478 , A61B5/048 , A61B5/1116 , A61B5/1118 , A61B5/4082 , A61B5/4839 , A61M5/1723 , A61M21/02 , A61M2005/1726 , A61M2021/0072 , A61M2205/3523 , A61M2205/3553 , A61M2205/3584 , A61M2205/3592 , A61M2205/50 , A61M2205/52 , A61M2230/005 , A61M2230/04 , A61M2230/08 , A61M2230/10 , A61M2230/205 , A61M2230/30 , A61M2230/42 , A61M2230/50 , A61M2230/60 , A61M2230/63 , A61M2230/65 , A61N1/36078 , A61N1/36139 , G06F19/3481 , G16H40/63
摘要: Therapy delivery to a patient may be controlled based on a determined sleep stage of the patient. In examples, the sleep stage may be determined based on a frequency characteristic of a biosignal indicative of brain activity of the patient. A frequency characteristic may include, for example, a power level within one or more frequency bands of the biosignal, a ratio of the power level in two or more frequency bands, or a pattern in the power level of one or more frequency bands over time. A therapy program may be selected or modified based on the sleep stage determination. Therapy may be delivered during the sleep stage according to the selected or modified therapy program. In some examples, therapy delivery may be controlled after making separate determinations of a sleep stage based on the biosignal and another physiological parameter, and confirming that the sleep stage determinations are consistent.
摘要翻译: 可以基于患者的确定的睡眠阶段来控制对患者的治疗递送。 在实施例中,睡眠阶段可以基于指示患者的大脑活动的生物信号的频率特性来确定。 频率特性可以包括例如生物信号的一个或多个频带内的功率电平,两个或更多个频带中的功率电平的比率,或者一个或多个频带的功率电平中的模式随时间的变化 。 可以基于睡眠阶段确定来选择或修改治疗程序。 根据所选择或修改的治疗方案,治疗可以在睡眠阶段期间递送。 在一些实例中,可以在基于生物信号和另一生理参数进行睡眠阶段的单独测定以及确认睡眠阶段确定是一致的之后控制治疗递送。
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公开(公告)号:US08554325B2
公开(公告)日:2013-10-08
申请号:US13345397
申请日:2012-01-06
申请人: Gregory F. Molnar , Steven S. Gill , Keith A. Miesel , Mark S. Lent , Timothy J. Denison , Eric J. Panken , Carl D. Wahlstrand , Jonathan C. Werder
发明人: Gregory F. Molnar , Steven S. Gill , Keith A. Miesel , Mark S. Lent , Timothy J. Denison , Eric J. Panken , Carl D. Wahlstrand , Jonathan C. Werder
IPC分类号: A61N1/18
CPC分类号: A61B5/04014 , A61B5/0006 , A61B5/4082 , A61B5/6814 , A61N1/36003 , A61N1/36014 , A61N1/36025 , A61N1/36067 , A61N1/36082
摘要: A movement state of a patient is detected based on brain signals, such as an electroencephalogram (EEG) signal. In some examples, a brain signal within a dorsal-lateral prefrontal cortex of a brain of the patient indicative of prospective movement of the patient may be sensed in order to detect the movement state. The movement state may include the brain state that indicates the patient is intending on initiating movement, initiating movement, attempting to initiate movement or is actually moving. In some examples, upon detecting the movement state, a movement disorder therapy is delivered to the patient. In some examples, the therapy delivery is deactivated upon detecting the patient is no longer in a movement state or that the patient has successfully initiated movement. In addition, in some examples, the movement state detected based on the brain signals may be confirmed based on a signal from a motion sensor.
摘要翻译: 基于诸如脑电图(EEG)信号的脑信号检测患者的运动状态。 在一些示例中,可以检测指示患者的预期运动的患者的脑的背侧前额叶皮层内的脑信号,以便检测运动状态。 运动状态可以包括指示患者打算启动运动,启动运动,尝试启动运动或实际运动的脑状态。 在一些示例中,在检测到运动状态时,将运动障碍治疗递送给患者。 在一些示例中,在检测到患者不再处于运动状态或患者已成功启动运动时,治疗递送被停用。 此外,在一些示例中,可以基于来自运动传感器的信号来确认基于脑信号检测到的运动状态。
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公开(公告)号:US20120108998A1
公开(公告)日:2012-05-03
申请号:US13345397
申请日:2012-01-06
申请人: Gregory F. Molnar , Steven S. Gill , Keith A. Miesel , Mark S. Lent , Timothy J. Denison , Eric J. Panken , Carl D. Wahlstrand , Jonathan C. Werder
发明人: Gregory F. Molnar , Steven S. Gill , Keith A. Miesel , Mark S. Lent , Timothy J. Denison , Eric J. Panken , Carl D. Wahlstrand , Jonathan C. Werder
IPC分类号: A61B5/0476 , A61N1/36 , A61B5/048 , A61B5/0482
CPC分类号: A61B5/04014 , A61B5/0006 , A61B5/4082 , A61B5/6814 , A61N1/36003 , A61N1/36014 , A61N1/36025 , A61N1/36067 , A61N1/36082
摘要: A movement state of a patient is detected based on brain signals, such as an electroencephalogram (EEG) signal. In some examples, a brain signal within a dorsal-lateral prefrontal cortex of a brain of the patient indicative of prospective movement of the patient may be sensed in order to detect the movement state. The movement state may include the brain state that indicates the patient is intending on initiating movement, initiating movement, attempting to initiate movement or is actually moving. In some examples, upon detecting the movement state, a movement disorder therapy is delivered to the patient. In some examples, the therapy delivery is deactivated upon detecting the patient is no longer in a movement state or that the patient has successfully initiated movement. In addition, in some examples, the movement state detected based on the brain signals may be confirmed based on a signal from a motion sensor.
摘要翻译: 基于诸如脑电图(EEG)信号的脑信号检测患者的运动状态。 在一些示例中,可以检测指示患者的预期运动的患者的脑的背侧前额叶皮层内的脑信号,以便检测运动状态。 运动状态可以包括指示患者打算启动运动,启动运动,尝试启动运动或实际运动的脑状态。 在一些示例中,在检测到运动状态时,将运动障碍治疗递送给患者。 在一些示例中,在检测到患者不再处于运动状态或患者已成功启动运动时,治疗递送被停用。 此外,在一些示例中,可以基于来自运动传感器的信号来确认基于脑信号检测到的运动状态。
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公开(公告)号:US20090099627A1
公开(公告)日:2009-04-16
申请号:US12237799
申请日:2008-09-25
申请人: Gregory F. Molnar , Steven S. Gill , Keith A. Miesel , Mark S. Lent , Timothy J. Denison , Eric J. Panken , Carl D. Wahlstrand , Jonathan C. Werder
发明人: Gregory F. Molnar , Steven S. Gill , Keith A. Miesel , Mark S. Lent , Timothy J. Denison , Eric J. Panken , Carl D. Wahlstrand , Jonathan C. Werder
IPC分类号: A61N1/36 , A61B5/0476 , A61M37/00
CPC分类号: A61B5/04014 , A61B5/0006 , A61B5/4082 , A61B5/6814 , A61N1/36003 , A61N1/36014 , A61N1/36025 , A61N1/36067 , A61N1/36082
摘要: A movement state of a patient is detected based on brain signals, such as an electroencephalogram (EEG) signal. In some examples, a brain signal within a dorsal-lateral prefrontal cortex of a brain of the patient indicative of prospective movement of the patient may be sensed in order to detect the movement state. The movement state may include the brain state that indicates the patient is intending on initiating movement, initiating movement, attempting to initiate movement or is actually moving. In some examples, upon detecting the movement state, a movement disorder therapy is delivered to the patient. In some examples, the therapy delivery is deactivated upon detecting the patient is no longer in a movement state or that the patient has successfully initiated movement. In addition, in some examples, the movement state detected based on the brain signals may be confirmed based on a signal from a motion sensor.
摘要翻译: 基于诸如脑电图(EEG)信号的脑信号检测患者的运动状态。 在一些示例中,可以检测指示患者的预期运动的患者的脑的背侧前额叶皮层内的脑信号,以便检测运动状态。 运动状态可以包括指示患者打算启动运动,启动运动,尝试启动运动或实际运动的脑状态。 在一些示例中,在检测到运动状态时,将运动障碍治疗递送给患者。 在一些示例中,在检测到患者不再处于运动状态或患者已经成功启动运动时,治疗递送被停用。 此外,在一些示例中,可以基于来自运动传感器的信号来确认基于脑信号检测到的运动状态。
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公开(公告)号:US08121694B2
公开(公告)日:2012-02-21
申请号:US12237799
申请日:2008-09-25
申请人: Gregory F. Molnar , Steven S. Gill , Keith A. Miesel , Mark S. Lent , Timothy J. Denison , Eric J. Panken , Carl D. Wahlstrand , Jonathan C. Werder
发明人: Gregory F. Molnar , Steven S. Gill , Keith A. Miesel , Mark S. Lent , Timothy J. Denison , Eric J. Panken , Carl D. Wahlstrand , Jonathan C. Werder
IPC分类号: A61N1/18
CPC分类号: A61B5/04014 , A61B5/0006 , A61B5/4082 , A61B5/6814 , A61N1/36003 , A61N1/36014 , A61N1/36025 , A61N1/36067 , A61N1/36082
摘要: A movement state of a patient is detected based on brain signals, such as an electroencephalogram (EEG) signal. In some examples, a brain signal within a dorsal-lateral prefrontal cortex of a brain of the patient indicative of prospective movement of the patient may be sensed in order to detect the movement state. The movement state may include the brain state that indicates the patient is intending on initiating movement, initiating movement, attempting to initiate movement or is actually moving. In some examples, upon detecting the movement state, a movement disorder therapy is delivered to the patient. In some examples, the therapy delivery is deactivated upon detecting the patient is no longer in a movement state or that the patient has successfully initiated movement. In addition, in some examples, the movement state detected based on the brain signals may be confirmed based on a signal from a motion sensor.
摘要翻译: 基于诸如脑电图(EEG)信号的脑信号检测患者的运动状态。 在一些示例中,可以检测指示患者的预期运动的患者的脑的背侧前额叶皮层内的脑信号,以便检测运动状态。 运动状态可以包括指示患者打算启动运动,启动运动,尝试启动运动或实际运动的脑状态。 在一些示例中,在检测到运动状态时,将运动障碍治疗递送给患者。 在一些示例中,在检测到患者不再处于运动状态或患者已成功启动运动时,治疗递送被停用。 此外,在一些示例中,可以基于来自运动传感器的信号来确认基于脑信号检测到的运动状态。
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