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51. 发明授权

US08282580B2 Data rejection for posture state analysis 有权
标题翻译：姿势状态分析的数据拒绝
公开(公告)号：US08282580B2
公开(公告)日：2012-10-09
申请号：US12433673
申请日：2009-04-30
申请人： Dennis M. Skelton , Jon P. Davis , Shyam Gokaldas , Rajeev Sahasrabudhe
发明人： Dennis M. Skelton , Jon P. Davis , Shyam Gokaldas , Rajeev Sahasrabudhe
IPC分类号： A61B5/00 , A61B5/103 , A61B5/117 , A61N1/00
CPC分类号： A61B5/1116 , A61B5/0031 , A61B5/1118 , A61B5/4815 , A61B5/6846 , A61B5/686 , A61B2560/0219 , A61N1/0551 , A61N1/36071 , A61N1/36078 , A61N1/36085 , A61N1/36107 , A61N1/36132 , A61N1/36535 , A61N1/37247 , A61N1/37282 , G06F19/00
摘要： The disclosure describes techniques for data rejection for posture state analysis. The techniques may include storing posture state data sensed by a medical device for a patient, rejecting any portion of the posture state data that was stored during a session that was shorter than a session threshold, and generating posture state output for the patient based on a portion of the posture state data that was not rejected.
摘要翻译：本公开描述了用于状态分析的数据拒绝的技术。所述技术可以包括存储由医疗装置感测的用于患者的姿势状态数据，拒绝在比会话阈值短的会话期间存储的姿势状态数据的任何部分，以及基于姿势状态数据的部分未被拒绝。

52. 发明授权

US08231555B2 Therapy system including multiple posture sensors 有权
标题翻译：治疗系统包括多个姿态传感器
公开(公告)号：US08231555B2
公开(公告)日：2012-07-31
申请号：US12433442
申请日：2009-04-30
申请人： Dennis M. Skelton , Jon P. Davis , Keith A. Miesel , Timothy J. Denison
发明人： Dennis M. Skelton , Jon P. Davis , Keith A. Miesel , Timothy J. Denison
IPC分类号： A61B5/103 , A61B5/117 , A61B1/00 , G06T15/00 , A61M31/00
CPC分类号： A61M5/14276 , A61B5/11 , A61B5/1116 , A61B5/4836 , A61B2562/0219 , A61M2005/14208 , A61M2205/17 , A61M2210/0693 , A61M2210/1053 , A61M2210/1078 , A61M2210/1089 , A61M2230/62 , A61N1/3605 , A61N1/37247
摘要： Posture-responsive therapy is delivered by the medical system based on posture state input from only one of multiple posture sensors at any given time. An example implantable medical system includes a first posture sensor and a second sensor. A processor controls therapy delivery to the patient based on at least one of a patient posture state or a patient activity level determined based on input from only one of the first or second posture sensors. In some examples, one of multiple posture sensors of an implantable posture-responsive medical system is used to automatically reorient another posture sensor (of the system), which has become disoriented. The disoriented posture sensor may be automatically reoriented for one or more posture states at a time.
摘要翻译：姿态反应治疗由医疗系统基于在任何给定时间仅从多个姿势传感器中的一个输入的姿势状态来传送。示例性可植入医疗系统包括第一姿态传感器和第二传感器。处理器基于基于仅从第一或第二姿态传感器中的一个输入确定的患者姿势状态或患者活动水平中的至少一个来控制对患者的治疗递送。在一些示例中，使用植入式姿势响应医疗系统的多个姿势传感器中的一个来自动地重新定向已经变得迷失方向的另一姿态传感器（该系统）。错位姿态传感器可以一次自动地重新定向一个或多个姿势状态。

53. 发明授权

US08219206B2 Dwell time adjustments for posture state-responsive therapy 有权
标题翻译：姿态状态响应治疗的停留时间调整
公开(公告)号：US08219206B2
公开(公告)日：2012-07-10
申请号：US12433815
申请日：2009-04-30
申请人： Dennis M. Skelton , Jon P. Davis
发明人： Dennis M. Skelton , Jon P. Davis
IPC分类号： A61N1/00
CPC分类号： A61N1/36542 , A61B5/1116 , A61B5/1118 , A61B5/686 , A61B5/7264 , A61B2562/0219 , A61N1/36535 , G06F19/00
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 during the dwell time may indicate that the dwell time is too long. Therapy adjustments made prior to the initiation of the dwell time may also indicate that the dwell time is too long. Therapy adjustments made by the patient after expiration of the dwell time 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：医疗装置检测患者姿势状态，并且基于检测到的姿势状态来调整治疗。患者姿势状态可能是短暂的。为了避免对瞬态姿势状态的响应进行调整治疗，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将导致治疗调整。为了帮助确保停留时间设置在适当的时间长度，可以分析患者治疗调整数据。停留期间进行的治疗调整可能表明停留时间过长。在停留时间开始之前进行的治疗调整也可能表明停留时间太长。患者在停留时间到期后进行的治疗调整可能表明停留时间太短。基于治疗调整数据的分析，可以将停留时间调整为适合于患者和/或姿势状态的长度。

54. 发明授权

US08200340B2 Guided programming for posture-state responsive therapy 有权
标题翻译：针对姿势状态反应治疗的指导性编程
公开(公告)号：US08200340B2
公开(公告)日：2012-06-12
申请号：US12433725
申请日：2009-04-30
申请人： Dennis M. Skelton , Jon P. Davis , Shyam Gokaldas
发明人： Dennis M. Skelton , Jon P. Davis , Shyam Gokaldas
IPC分类号： A61N1/36
CPC分类号： A61B5/1116 , A61B5/103 , A61B5/686 , A61B2560/0219 , A61B2562/0219 , A61N1/36071 , A61N1/36139 , A61N1/36535 , A61N1/37247 , G06F19/00 , G06F19/3481 , G16H40/63
摘要： The disclosure describes guided programming for posture state-responsive therapy. The guided programming may include receiving therapy adjustment information that includes therapy adjustments made by a patient to at least one parameter of one or more stimulation therapy programs for one or more patient posture states, generating one or more suggested therapy parameters for one or more of the stimulation therapy programs based on the therapy adjustment information, presenting the suggested therapy parameters to a user.
摘要翻译：本公开描述了用于姿势状态响应治疗的指导性编程。引导式编程可以包括接收治疗调整信息，其包括由患者对一个或多个患者姿势状态的一个或多个刺激治疗程序的至少一个参数进行的治疗调整，为一个或多个患者姿势状态产生一个或多个建议的治疗参数基于治疗调整信息的刺激治疗程序，向用户呈现建议的治疗参数。

55. 发明授权

US08150531B2 Associating therapy adjustments with patient posture states 有权
标题翻译：将治疗调整与患者姿势状态相关联
公开(公告)号：US08150531B2
公开(公告)日：2012-04-03
申请号：US12433520
申请日：2009-04-30
申请人： Dennis M. Skelton
发明人： Dennis M. Skelton
IPC分类号： A61N1/08
CPC分类号： A61B5/1116 , A61B5/103 , A61B5/686 , A61B2560/0219 , A61B2562/0219 , A61N1/36071 , A61N1/36139 , A61N1/36535 , A61N1/37247 , G06F19/00 , G06F19/3481 , G16H40/63
摘要： A therapy adjustment received from a patient is associated with a sensed patient posture state. Thereafter, a stability indication can be associated with the sensed posture state to indicate that a therapy adjustment specific to the sensed posture state was received and implemented. In addition, therapy parameter values associated with related patient posture states are updated based on the therapy adjustment. In some examples, only the related posture states that are not associated with respective stability indications are updated based on the therapy adjustment. The absence of a stability indication indicates that the patient has not inputted a therapy adjustment specific to the respective related posture state. As a result, the therapy parameter values associated with the related posture states that are not associated with stability indications may float until the patient adjusts the therapy parameter value associated with the respective related posture state.
摘要翻译：从患者接收的治疗调节与感测到的患者姿势状态相关联。此后，稳定性指示可以与感测到的姿势状态相关联，以指示接收并实现对所感测到的姿势状态特有的治疗调节。此外，基于治疗调整来更新与相关患者姿势状态相关联的治疗参数值。在一些示例中，仅基于治疗调整更新与相应的稳定性指示不相关的相关姿势状态。不存在稳定性指示，表示患者没有输入针对各自的相关姿势状态的治疗调整。结果，与稳定性指示不相关的相关姿势状态相关联的治疗参数值可以浮动，直到患者调整与各个相关姿势状态相关联的治疗参数值。

56. 发明申请

US20100280578A1 THERAPY SYSTEM INCLUDING MULTIPLE POSTURE SENSORS 有权
公开(公告)号：US20100280578A1
公开(公告)日：2010-11-04
申请号：US12433588
申请日：2009-04-30
申请人： Dennis M. Skelton , Jon P. Davis , Keith A. Miesel , Timothy J. Denison
发明人： Dennis M. Skelton , Jon P. Davis , Keith A. Miesel , Timothy J. Denison
IPC分类号： A61N1/36 , A61B5/11 , A61M37/00
CPC分类号： A61M5/14276 , A61B5/11 , A61B5/1116 , A61B5/4836 , A61B2562/0219 , A61M2005/14208 , A61M2205/17 , A61M2210/0693 , A61M2210/1053 , A61M2210/1078 , A61M2210/1089 , A61M2230/62 , A61N1/3605 , A61N1/37247
摘要： Posture-responsive therapy is delivered by the medical system based on posture state input from only one of multiple posture sensors at any given time. An example implantable medical system includes a first posture sensor and a second sensor. A processor controls therapy delivery to the patient based on at least one of a patient posture state or a patient activity level determined based on input from only one of the first or second posture sensors. In some examples, one of multiple posture sensors of an implantable posture-responsive medical system is used to automatically reorient another posture sensor (of the system), which has become disoriented. The disoriented posture sensor may be automatically reoriented for one or more posture states at a time.

57. 发明申请

US20100280417A1 THERAPY SYSTEM INCLUDING MULTIPLE POSTURE SENSORS 有权
标题翻译：包括多个姿势传感器的治疗系统
公开(公告)号：US20100280417A1
公开(公告)日：2010-11-04
申请号：US12433442
申请日：2009-04-30
申请人： Dennis M. Skelton , Jon P. Davis , Keith A. Miesel , Timothy J. Denison
发明人： Dennis M. Skelton , Jon P. Davis , Keith A. Miesel , Timothy J. Denison
IPC分类号： A61B5/11 , A61N1/36 , A61M37/00
CPC分类号： A61M5/14276 , A61B5/11 , A61B5/1116 , A61B5/4836 , A61B2562/0219 , A61M2005/14208 , A61M2205/17 , A61M2210/0693 , A61M2210/1053 , A61M2210/1078 , A61M2210/1089 , A61M2230/62 , A61N1/3605 , A61N1/37247
摘要： Posture-responsive therapy is delivered by the medical system based on posture state input from only one of multiple posture sensors at any given time. An example implantable medical system includes a first posture sensor and a second sensor. A processor controls therapy delivery to the patient based on at least one of a patient posture state or a patient activity level determined based on input from only one of the first or second posture sensors. In some examples, one of multiple posture sensors of an implantable posture-responsive medical system is used to automatically reorient another posture sensor (of the system), which has become disoriented. The disoriented posture sensor may be automatically reoriented for one or more posture states at a time.
摘要翻译：姿态反应治疗由医疗系统基于在任何给定时间仅从多个姿势传感器中的一个输入的姿势状态来传送。示例性可植入医疗系统包括第一姿态传感器和第二传感器。处理器基于基于仅从第一或第二姿态传感器中的一个输入确定的患者姿势状态或患者活动水平中的至少一个来控制对患者的治疗递送。在一些示例中，使用植入式姿势响应医疗系统的多个姿势传感器中的一个来自动地重新定向已经变得迷失方向的另一姿态传感器（该系统）。错位姿态传感器可以一次自动地重新定向一个或多个姿势状态。

58. 发明申请

US20100121415A1 PATIENT INTERACTION WITH POSTURE-RESPONSIVE THERAPY 有权
标题翻译：患者与感冒治疗相互作用
公开(公告)号：US20100121415A1
公开(公告)日：2010-05-13
申请号：US12433558
申请日：2009-04-30
申请人： Dennis M. Skelton , Jon P. Davis , Rajeev Sahasrabudhe , Shyam Gokaldas , Joseph J. Nolan
发明人： Dennis M. Skelton , Jon P. Davis , Rajeev Sahasrabudhe , Shyam Gokaldas , Joseph J. Nolan
IPC分类号： A61N1/08 , A61N1/36
CPC分类号： A61N1/36132 , A61B5/1116 , A61B5/1118 , A61B5/686 , A61B5/743 , A61B2560/0219 , A61B2562/0219 , A61M5/14276 , A61M5/1723 , A61M37/00 , A61M2205/054 , A61M2230/62 , A61N1/36071 , A61N1/36135 , A61N1/36535 , A61N1/37247 , G06F19/00 , G06F19/3418 , G06F19/3481 , G16H40/63
摘要： In general, the disclosure relates to the delivery of therapy according to a detected posture state of a patient. The disclosure contemplates a variety of techniques for managing therapy delivered to a patent, including patient and clinician interaction with a medical device configured to deliver therapy according to posture state. In one example, the disclosure relates to a technique including receiving an indication from a user indicating that at least one aspect of therapy delivered to a patient from a medical device should be suspended, wherein the at least one aspect of the therapy is delivered from the medical device to the patient according to a detected posture state of the patient; and suspending the at least one aspect of the therapy delivered from the medical device in response to receipt of the indication.
摘要翻译：通常，本公开涉及根据检测到的患者的姿势状态的治疗的递送。本公开考虑了用于管理递送到专利的治疗的各种技术，包括患者和临床医生与被配置为根据姿势状态递送治疗的医疗装置的相互作用。在一个示例中，本公开涉及一种技术，包括从用户接收指示从医疗装置递送到患者的治疗的至少一个方面应该被暂停的指示，其中治疗的至少一个方面从根据患者的检测到的姿势状态向患者提供医疗装置; 以及响应于所述指示的接收，暂停从所述医疗装置递送的治疗的至少一个方面。

59. 发明申请

US20100010589A1 PROGRAMMING POSTURE STATE-RESPONSIVE THERAPY WITH NOMINAL THERAPY PARAMETERS 有权
标题翻译：使用标准治疗参数编写姿态 - 反应性治疗
公开(公告)号：US20100010589A1
公开(公告)日：2010-01-14
申请号：US12433803
申请日：2009-04-30
申请人： Dennis M. Skelton , Jon P. Davis , Shyam Gokaldas
发明人： Dennis M. Skelton , Jon P. Davis , Shyam Gokaldas
IPC分类号： A61N1/36
CPC分类号： A61B5/1116 , A61B5/103 , A61B5/686 , A61B2560/0219 , A61B2562/0219 , A61N1/36071 , A61N1/36139 , A61N1/36535 , A61N1/37247 , G06F19/00 , G06F19/3481 , G16H40/63
摘要： The disclosure describes techniques for programming posture state-responsive therapy with nominal therapy parameters. The techniques may include presenting therapy adjustment information to a user via a user interface, wherein the therapy adjustment information includes one or more therapy adjustments made by a patient to at least one stimulation parameter of one or more stimulation therapy programs for one or more patient posture states, receiving input from the user that selects one or more nominal therapy parameters for each of the therapy programs and for each of the posture states based on the therapy adjustment information, and setting the selected nominal therapy parameters for each of the therapy programs and posture states for use in delivering stimulation therapy to the patient.
摘要翻译：本公开描述了用标称治疗参数来编程姿势状态响应治疗的技术。所述技术可以包括经由用户界面向用户呈现治疗调整信息，其中所述治疗调整信息包括由患者对一个或多个患者姿势的一个或多个刺激治疗程序的至少一个刺激参数进行的一项或多项治疗调整状态，接收来自用户的输入，其基于治疗调节信息为每个治疗程序和每个姿势状态选择一个或多个标称治疗参数，并且为每个治疗程序和姿势设置所选择的名义治疗参数用于向患者递送刺激疗法的状态。

60. 发明申请

US20100010584A1 POSTURE STATE DISPLAY ON MEDICAL DEVICE USER INTERFACE 有权
标题翻译：医疗器械用户界面上的状态显示
公开(公告)号：US20100010584A1
公开(公告)日：2010-01-14
申请号：US12433103
申请日：2009-04-30
申请人： Dennis M. Skelton , Jon P. Davis , Rajeev Sahasrabudhe , Shyam Gokaldas , Joseph J. Nolan
发明人： Dennis M. Skelton , Jon P. Davis , Rajeev Sahasrabudhe , Shyam Gokaldas , Joseph J. Nolan
IPC分类号： A61N1/08 , A61N1/36
CPC分类号： A61M5/1723 , A61B5/11 , A61B5/6846 , A61B5/7445 , A61B5/7475 , A61B2562/0219 , A61M2205/502 , A61M2230/005 , A61M2230/62 , A61N1/36071 , A61N1/36132 , A61N1/36135 , A61N1/36139 , A61N1/36535 , A61N1/37247 , G06F19/00 , G06F19/3418 , G16H40/63 , G16H50/20
摘要： The disclosure provides a system that displays a posture state indication to a user. A posture state indication represents the current posture state of the patient, which may be a combination of patient posture and activity. As a patient changes posture and activity throughout a daily routine, a posture state detector may generate a posture state value that may be used to categorize the patient's posture or posture and activity level as one of multiple posture states used to adjust therapy. The posture state may be associated with one of multiple posture state indications that may be presented to the patient. The posture state indication shows the patient the posture state currently detected by the posture state detector. The posture state indication may help the patient to effectively monitor therapy changes due to automatic, semi-automatic or patient-directed therapy adjustments made as a function of posture state.
摘要翻译：本公开提供了向用户显示姿势状态指示的系统。姿势状态指示表示患者的当前姿势状态，其可以是患者姿势和活动的组合。作为患者在整个日常程序中改变姿势和活动，姿势状态检测器可以生成姿势状态值，其可以将患者的姿势或姿势和活动水平分类为用于调整治疗的多个姿势状态之一。姿势状态可以与可以呈现给患者的多个姿势状态指示中的一个相关联。姿势状态指示显示患者姿势状态检测器当前检测到的姿势状态。姿势状态指示可以帮助患者有效地监测由于作为姿势状态的函数而进行的自动，半自动或患者导向的治疗调节的治疗变化。

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