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1. WO2010006090 - MODIFICATION PROFILES FOR POSTURE-RESPONSIVE THERAPY

Publication Number WO/2010/006090
Publication Date 14.01.2010
International Application No. PCT/US2009/049991
International Filing Date 09.07.2009
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
A61N 1/365 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
362Heart stimulators
365controlled by a physiological parameter, e.g. by heart potential
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)
  • SKELTON, Dennis, M. [US]/[US] (UsOnly)
  • DAVIS, Jon, P. [US]/[US] (UsOnly)
  • SAHASRABUDHE, Rajeev [IN]/[US] (UsOnly)
  • GOKALDAS, Shyam [IN]/[US] (UsOnly)
  • NOLAN, Joseph, J. [US]/[US] (UsOnly)
  • BOURGET, Dennis, J. [US]/[US] (UsOnly)
  • MIESEL, Keith, A. [US]/[US] (UsOnly)
  • ZIMMERMAN, James, A. [US]/[US] (UsOnly)
  • BOURGET, Duane, L. [US]/[US] (UsOnly)
Inventors
  • SKELTON, Dennis, M.
  • DAVIS, Jon, P.
  • SAHASRABUDHE, Rajeev
  • GOKALDAS, Shyam
  • NOLAN, Joseph, J.
  • BOURGET, Dennis, J.
  • MIESEL, Keith, A.
  • ZIMMERMAN, James, A.
  • BOURGET, Duane, L.
Agents
  • MCMAHON, Beth, L.
Priority Data
12/433,85630.04.2009US
61/080,07011.07.2008US
Publication Language English (EN)
Filing Language English (EN)
Designated States
Title
(EN) MODIFICATION PROFILES FOR POSTURE-RESPONSIVE THERAPY
(FR) PROFILS DE MODIFICATION POUR UNE THÉRAPIE SENSIBLE À LA POSTURE
Abstract
(EN)
Disclosed are techniques for modifying electrical stimulation or another type of therapy provided to a patient by a medical device. 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 state transitions.
(FR)
L'invention porte sur des techniques de modification par stimulation électrique ou autre type de thérapie apportée à un patient par un dispositif médical. La modification d'une thérapie peut comprendre l'ajustement d'une ou de plusieurs valeurs de paramètre de thérapie qui définissent une ou plusieurs caractéristiques de thérapie de stimulation administrée à un patient. La modification de thérapie peut être faite sur la base de l'activité d'un patient qui est détectée par un dispositif médical implantable (IMD), telle qu'un changement d'état de posture, ainsi détecté, adopté par le patient. Différentes modifications de thérapie peuvent être appliquées pour différents changements d'état de posture détecté. Un IMD peut modifier une thérapie sur la base d’une transition d'un état de posture à un autre état de posture, et peut appliquer différentes modifications pour différentes transitions. Sous certains aspects, la modification peut comprendre un profil, tel qu'une augmentation ou une diminution d'une valeur de paramètre sur une période de temps. Le profil peut être différent pour des transitions d'état de posture différentes.
Also published as
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