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1. WO2010005774 - PROGRAMMING POSTURE RESPONSIVE THERAPY

Publication Number WO/2010/005774
Publication Date 14.01.2010
International Application No. PCT/US2009/048228
International Filing Date 23.06.2009
IPC
A61N 1/36 2006.01
AHUMAN NECESSITIES
61MEDICAL OR VETERINARY SCIENCE; HYGIENE
NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
1Electrotherapy; Circuits therefor
18Applying electric currents by contact electrodes
32alternating or intermittent currents
36for stimulation, e.g. heart pace-makers
CPC
A61B 2562/0219
AHUMAN NECESSITIES
61MEDICAL OR VETERINARY SCIENCE; HYGIENE
BDIAGNOSIS; SURGERY; IDENTIFICATION
2562Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
02Details of sensors specially adapted for in-vivo measurements
0219Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
A61B 5/1116
AHUMAN NECESSITIES
61MEDICAL OR VETERINARY SCIENCE; HYGIENE
BDIAGNOSIS; SURGERY; IDENTIFICATION
5Detecting, measuring or recording for diagnostic purposes
103Detecting, measuring or recording devices for testing the shape, pattern, ; colour,; size or movement of the body or parts thereof, for diagnostic purposes
11Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
1116Determining posture transitions
A61B 5/1118
AHUMAN NECESSITIES
61MEDICAL OR VETERINARY SCIENCE; HYGIENE
BDIAGNOSIS; SURGERY; IDENTIFICATION
5Detecting, measuring or recording for diagnostic purposes
103Detecting, measuring or recording devices for testing the shape, pattern, ; colour,; size or movement of the body or parts thereof, for diagnostic purposes
11Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
1118Determining activity level
A61N 1/36071
AHUMAN NECESSITIES
61MEDICAL OR VETERINARY SCIENCE; HYGIENE
NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
1Electrotherapy; Circuits therefor
18Applying electric currents by contact electrodes
32alternating or intermittent currents
36for stimulation
3605Implantable neurostimulators for stimulating central or peripheral nerve system
3606adapted for a particular treatment
36071Pain
A61N 1/36132
AHUMAN NECESSITIES
61MEDICAL OR VETERINARY SCIENCE; HYGIENE
NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
1Electrotherapy; Circuits therefor
18Applying electric currents by contact electrodes
32alternating or intermittent currents
36for stimulation
3605Implantable neurostimulators for stimulating central or peripheral nerve system
36128Control systems
36132using patient feedback
A61N 1/36135
AHUMAN NECESSITIES
61MEDICAL OR VETERINARY SCIENCE; HYGIENE
NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
1Electrotherapy; Circuits therefor
18Applying electric currents by contact electrodes
32alternating or intermittent currents
36for stimulation
3605Implantable neurostimulators for stimulating central or peripheral nerve system
36128Control systems
36135using physiological parameters
Applicants
  • MEDTRONIC, INC. [US]/[US] (AllExceptUS)
  • DAVIS, Jon, P. [US]/[US] (UsOnly)
  • SKELTON, Dennis, M. [US]/[US] (UsOnly)
  • GOKALDAS, Shyam [IN]/[US] (UsOnly)
  • SAHASRABUDHE, Rajeev [IN]/[US] (UsOnly)
Inventors
  • DAVIS, Jon, P.
  • SKELTON, Dennis, M.
  • GOKALDAS, Shyam
  • SAHASRABUDHE, Rajeev
Agents
  • MCMAHON, Beth, L.
Priority Data
12/433,55130.04.2009US
61/080,07011.07.2008US
Publication Language English (EN)
Filing Language English (EN)
Designated States
Title
(EN) PROGRAMMING POSTURE RESPONSIVE THERAPY
(FR) PROGRAMMATION DE THÉRAPIE SENSIBLE À LA POSTURE
Abstract
(EN)
A programming session for an implantable medical device that includes a posture responsive therapy mode includes at least two phases. In a first phase, a first set of therapy parameter values are modified while the posture responsive therapy mode is deactivated. In the posture responsive therapy mode, the medical device automatically selects one or more therapy parameter values that define therapy delivered to a patient based on a detected posture state. In a second phase, the posture responsive therapy mode is activated and a second set of therapy parameter values are adjusted after observing a patient response to the posture responsive therapy delivered with the first set of therapy parameter values selected during the first phase. The second set of therapy parameter values may, for example, define the patient posture states or the modification profiles with which the medical device adjusts therapy upon detecting a posture state transition.
(FR)
L'invention porte sur une session de programmation destinée à un dispositif médical implantable qui comprend un mode de thérapie sensible à la posture qui comprend au moins deux phases. Dans une première phase, on modifie un premier ensemble de valeurs de paramètre de thérapie tandis qu'on désactive le mode de thérapie sensible à la posture. Dans le mode de thérapie sensible à la posture, le dispositif médical sélectionne automatiquement une ou plusieurs valeurs de paramètre de thérapie qui définissent une thérapie administrée à un patient en se basant sur l'état de posture détecté. Dans une seconde phase, on active le mode de thérapie sensible à la posture et on ajuste un second ensemble de valeurs de paramètre de thérapie après observation d'une réponse du patient à la thérapie sensible à la posture administrée avec le premier ensemble de valeurs de paramètre de thérapie sélectionnées durant la première phase. Le second ensemble de valeurs de paramètre de thérapie peut, par exemple, définir les états de posture de patient ou les profils de modification à l'aide desquels le dispositif médical ajuste la thérapie lors de la détection d'une transition d'état de posture.
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