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1. 发明申请

WO2010005771A9 DEFINING THERAPY PARAMETER VALUES FOR POSTURE STATES 审中-公开
标题翻译：定义治疗状态的参数值
公开(公告)号：WO2010005771A9
公开(公告)日：2010-07-01
申请号：PCT/US2009048201
申请日：2009-06-23
申请人： MEDTRONIC INC , SKELTON DENNIS M , DAVIS JON P , NOLAN JOSEPH J , SAHASRABUDHE RAJEEV , GOKALDAS SHYAM
发明人： SKELTON DENNIS M , DAVIS JON P , NOLAN JOSEPH J , SAHASRABUDHE RAJEEV , GOKALDAS SHYAM
IPC分类号： A61B5/11
CPC分类号： A61N1/36135 , A61B5/1116 , A61B5/686 , A61B5/7435 , A61B2560/0219 , A61B2562/0219 , A61N1/36535 , A61N1/36542 , G06F19/3406 , G06F19/3418 , G06F19/345 , G16H40/63 , G16H50/20
摘要： The disclosure is directed towards posture-responsive therapy. To avoid interruptions in effective therapy, an implantable medical device may include a posture state module that detects the posture state of the patient and automatically adjusts therapy parameter values according to the detected posture state. A system may include a memory that stores posture state definitions, a posture state module that records a plurality of postures of a patient over a period of time, and a processor that identifies a set of the plurality of postures that fall within a posture state, and redefines a boundary of the posture state based on where the postures fall within the posture state.

2. 发明申请

WO2010005832A3 ASSOCIATING THERAPY ADJUSTMENTS WITH PATIENT POSTURE STATES 审中-公开
标题翻译：与患者心理状态相关的治疗调整
公开(公告)号：WO2010005832A3
公开(公告)日：2010-12-02
申请号：PCT/US2009049219
申请日：2009-06-30
申请人： MEDTRONIC INC , SKELTON DENNIS M , DAVIS JON P , GOKALDAS SHYAM , PANKEN ERIC J
发明人： SKELTON DENNIS M , DAVIS JON P , GOKALDAS SHYAM , PANKEN ERIC J
IPC分类号： A61N1/08 , A61N1/36
CPC分类号： A61B5/1116 , A61B5/103 , A61B5/686 , A61B2560/0219 , A61B2562/0219 , A61N1/36071 , A61N1/36139 , A61N1/36535 , A61N1/37247 , G06F19/3481 , G16H40/63
摘要： The disclosure provides a method for associating a detected therapy adjustment to a posture state and storing the association with a plurality of associations for the posture state. In a record mode, an implantable medical device is configured to store therapy adjustments for each posture state and allow a user to find efficacious therapy based upon review of the associations made during therapy. The system may determine the associations through implementation of a posture search timer and a posture stability timer. These timers allow the system to correctly associate therapy adjustments to posture states when the patient anticipates the posture change by adjusting therapy before engaging in the desired posture state. An external programmer may present a range of the therapy adjustments for each posture state to allow a user to review the therapy adjustments that have been made during the therapy.
摘要翻译：本公开提供了一种用于将检测到的治疗调节与姿势状态相关联并且存储与用于姿势状态的多个关联的关联的方法。在记录模式中，可植入医疗装置被配置为存储针对每个姿势状态的治疗调整，并且允许用户基于对治疗期间所进行的关联的检查而找到有效的治疗。系统可以通过实施姿态搜索定时器和姿势稳定性定时器来确定关联。当患者在参与所需姿势状态之前通过调整治疗来预测姿势变化时，这些计时器允许系统将治疗调整正确地与姿势状态相关联。外部程序员可以呈现针对每个姿势状态的治疗调整范围，以允许用户复查治疗过程中进行的治疗调整。

3. 发明申请

WO2010005828A3 DWELL TIME ADJUSTMENTS FOR POSTURE STATE-RESPONSIVE THERAPY 审中-公开
标题翻译：停留时间调整以进行姿态状态响应治疗
公开(公告)号：WO2010005828A3
公开(公告)日：2010-05-27
申请号：PCT/US2009049184
申请日：2009-06-30
申请人： MEDTRONIC INC , SKELTON DENNIS M , DAVIS JON P
发明人： SKELTON DENNIS M , DAVIS JON P
IPC分类号： A61N1/365 , A61N1/372
CPC分类号： A61N1/36542 , A61B5/1116 , A61B5/1118 , A61B5/686 , A61B5/7264 , A61B2562/0219 , A61N1/36535
摘要： A medical device detects a patient posture state and adjusts therapy based on the detected posture state. A patient posture state may be transient. To avoid adjusting therapy in response to transient posture states, a dwell time may be imposed. Using the dwell time, only those posture states that are assumed by a patient for a minimum length of time will result in therapy adjustment. To help ensure that the dwell time is set to an appropriate length of time, patient therapy adjustment data may be analyzed. Therapy adjustments made prior to, or during, the initiation of the dwell time may indicate that the dwell time is too long. Other therapy adjustments may indicate that the dwell time is too short. Based on analysis of the therapy adjustment data, the dwell time can be adjusted to a length that is appropriate for the patient and/or posture state.
摘要翻译：医疗设备检测患者姿势状态并基于检测到的姿势状态调整治疗。患者的姿势状态可能是暂时的。为了避免针对瞬态姿势状态调整疗法，可以施加停留时间。使用停留时间，只有患者假定的最短时间长度的姿势状态才会导致治疗调整。为了确保将停留时间设置为适当的时间长度，可以分析患者治疗调整数据。在开始停留时间之前或期间进行疗法调整可能表明停留时间过长。其他治疗调整可能表明停留时间太短。基于对治疗调整数据的分析，可将停留时间调整到适合患者和/或姿势状态的长度。

4. 发明申请

WO2010005809A3 POSTURE STATE RESPONSIVE THERAPY DELIVERY USING DWELL TIMES 审中-公开
标题翻译：使用DWELL时间的心理状态的治疗方法
公开(公告)号：WO2010005809A3
公开(公告)日：2010-05-27
申请号：PCT/US2009048852
申请日：2009-06-26
申请人： MEDTRONIC INC , SKELTON DENNIS M , DAVIS JON P , PANKEN ERIC J
发明人： SKELTON DENNIS M , DAVIS JON P , PANKEN ERIC J
IPC分类号： A61N1/365 , A61N1/372
CPC分类号： A61N1/36542 , A61B5/1116 , A61B5/1118 , A61B5/686 , A61B5/7264 , A61B2562/0219 , A61N1/36535
摘要： Techniques related to classifying a posture state of a living body are disclosed. One aspect relates to sensing at least one signal indicative of a posture state of a living body. Posture state detection logic classifies the living body as being in a posture state based on the at least one signal, wherein this classification may take into account at least one of posture and activity state of the living body. The posture state detection logic further determines whether the living body is classified in the posture state for at least a predetermined period of time. Response logic is described that initiates a response as a result of the body being classified in the posture state only after the living body has maintained the classified posture state for at least the predetermined period of time. This response may involve a change in therapy delivered to the living body.
摘要翻译：公开了对活体姿势状态进行分类的技术。一个方面涉及感测指示生物体的姿势状态的至少一个信号。姿势状态检测逻辑基于至少一个信号将生物体分为处于姿势状态，其中该分类可以考虑活体的姿势和活动状态中的至少一个。姿势状态检测逻辑进一步确定生物体是否至少在预定时间段内分类为姿势状态。描述了响应逻辑，其仅在生物体至少在预定时间段内保持分类姿势状态之后，作为身体被分类为姿势状态的结果而发起响应。这种反应可能涉及向生物体递送的治疗方法的改变。

5. 发明申请

WO2010005802A3 POSTURE STATE CLASSIFICATION FOR A MEDICAL DEVICE 审中-公开
标题翻译：医疗器械的姿态分类
公开(公告)号：WO2010005802A3
公开(公告)日：2010-05-27
申请号：PCT/US2009048686
申请日：2009-06-25
申请人： MEDTRONIC INC , PANKEN ERIC J , SKELTON DENNIS M
发明人： PANKEN ERIC J , SKELTON DENNIS M
IPC分类号： A61B5/11
CPC分类号： A61N1/36542 , A61B5/1116 , A61B5/1118 , A61B5/686 , A61B5/7264 , A61B2562/0219 , A61N1/36535
摘要： One embodiment relates to a medical device including a sensor to provide signals indicative of a detected posture state of a patient. A memory stores one or more defined vectors, each defined vector being associated with a tolerance describing a relationship with the defined vector. A processor determines a respective similarity between the detected vector and each of one or more of the defined vectors and classifies a posture state of the patient based on whether any similarity has a relationship to the respective defined vector that is described by the associated tolerance. In one embodiment, the similarity is determined without regard to a coordinate system of the patient. Another embodiment relates to determining the similarity based on at least one of an inner product, a length of the defined posture vector and a length of the detected vector.
摘要翻译：一个实施例涉及一种医疗装置，其包括用于提供指示患者的检测到的姿势状态的信号的传感器。存储器存储一个或多个定义的矢量，每个定义的矢量与描述与定义的矢量的关系的容差相关联。处理器确定检测到的矢量与一个或多个定义的矢量中的每一个之间的相应相似性，并且基于任何相似性是否与由相关容差描述的相应定义矢量有关系来对患者的姿势状态进行分类。在一个实施例中，不考虑患者的坐标系来确定相似性。另一个实施例涉及基于内积，所定义的姿势向量的长度和检测到的向量的长度中的至少一个来确定相似性。

6. 发明申请

WO2010005816A3 POSTURE STATE CLASSIFICATION FOR A MEDICAL DEVICE 审中-公开
标题翻译：医疗器械的姿态分类
公开(公告)号：WO2010005816A3
公开(公告)日：2010-05-27
申请号：PCT/US2009048995
申请日：2009-06-29
申请人： MEDTRONIC INC , PANKEN ERIC J , SKELTON DENNIS M
发明人： PANKEN ERIC J , SKELTON DENNIS M
IPC分类号： A61B5/11
CPC分类号： A61N1/36542 , A61B5/1116 , A61B5/1118 , A61B5/686 , A61B5/7264 , A61B2562/0219 , A61N1/36535
摘要： Techniques for posture classification of a patient in a coordinate system of a sensor. According to one aspect, a defined vector is obtained from a sensor disposed in a substantially fixed manner relative to the patient. The defined vector is described in a coordinate system of the sensor and without regard to an orientation in which the sensor is disposed in relation to the patient. A detected vector is obtained from the sensor that is described using the coordinate system of the sensor. The detected vector and the defined vector to are used to classify the posture state of the patient without regard to the orientation in which the sensor is disposed in relation to the patient. A response may be initiated by a medical device, which may include adjusting therapy delivery.
摘要翻译：在传感器的坐标系中对患者进行姿态分类的技术。根据一个方面，从相对于患者以基本上固定的方式布置的传感器获得定义的矢量。所定义的矢量在传感器的坐标系中进行描述，并且不考虑传感器相对于患者布置的方向。检测到的矢量是从使用传感器的坐标系描述的传感器获得的。检测到的矢量和定义的矢量用于分类患者的姿势状态，而不考虑传感器相对于患者布置的方向。响应可以由医疗设备发起，该医疗设备可以包括调整治疗递送。

7. 发明申请

WO2010005800A3 POSTURE STATE DETECTION USING SELECTABLE SYSTEM CONTROL PARAMETERS 审中-公开
标题翻译：姿态检测采用可选系统控制参数
公开(公告)号：WO2010005800A3
公开(公告)日：2010-05-27
申请号：PCT/US2009048676
申请日：2009-06-25
申请人： MEDTRONIC INC , PANKEN ERIC J , SKELTON DENNIS M
发明人： PANKEN ERIC J , SKELTON DENNIS M
IPC分类号： A61B5/11
CPC分类号： A61N1/36542 , A61B5/1116 , A61B5/1118 , A61B5/686 , A61B5/7264 , A61B2562/0219 , A61N1/36535
摘要： Techniques for detecting and classifying a posture state of a patient are disclosed, wherein a posture state includes at least one of a posture and/or an activity state related to motion. In one embodiment, one or more signals indicative of at least one of posture and activity state of the patient may be sensed by a sensor. Control logic may be provided to process the one or more sensed signals in a selectable manner. This selectable manner may be based on current posture state data describing a posture state in which the patient has previously been classified. Alternatively or additionally, this current posture state data may describe a posture state transition previously undergone by the patient. The one or more signals that are so processed may then be used to classify a posture state of the patient.
摘要翻译：公开了用于检测和分类患者的姿势状态的技术，其中姿势状态包括与运动有关的姿势和/或活动状态中的至少一个。在一个实施例中，可以由传感器感测指示患者的姿势和活动状态中的至少一个的一个或多个信号。可以提供控制逻辑以便以可选方式处理一个或多个感测信号。该可选择的方式可以基于描述患者先前已被分类的姿势状态的当前姿势状态数据。可选地或另外地，该当前姿势状态数据可以描述患者先前经历的姿势状态转变。然后可以使用如此处理的一个或多个信号来分类患者的姿势状态。

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