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81. 发明授权

US08447411B2 Patient interaction with posture-responsive therapy 有权
标题翻译：患者与姿势反应疗法的相互作用
公开(公告)号：US08447411B2
公开(公告)日：2013-05-21
申请号：US12433530
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： A61N1/00
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 obtaining an operational status of a therapy group from a medical device, wherein the medical device is configured to deliver therapy to a patient according to a detected posture state of the patient; and presenting the operational status of the therapy group via an external device, wherein presenting the operational status of the therapy group comprises presenting whether the therapy group is active for delivery of therapy.
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，包括从医疗设备获得治疗组的操作状态，其中所述医疗设备被配置为根据患者的检测到的姿势状态向患者递送治疗; 以及通过外部设备呈现治疗组的操作状态，其中呈现治疗组的操作状态包括呈现治疗组是否有效用于治疗的递送。

82. 发明授权

US08280517B2 Automatic validation techniques for validating operation of medical devices 有权
标题翻译：用于验证医疗设备运行的自动验证技术
公开(公告)号：US08280517B2
公开(公告)日：2012-10-02
申请号：US12548227
申请日：2009-08-26
申请人： Dennis M. Skelton , Emmanuel R. Darne , Justin Kemp , Nicholas S. Mairs , Brian Sorenson
发明人： Dennis M. Skelton , Emmanuel R. Darne , Justin Kemp , Nicholas S. Mairs , Brian Sorenson
IPC分类号： A61N1/18
CPC分类号： A61N1/37264 , A61N1/3605 , A61N1/37247
摘要： Techniques for validating operation of a medical device are disclosed. A data collection phase utilizes a first sensor carried by a patient to record patient parameter values indicative of conditions experienced by the patient (e.g, posture states.) Therapy parameter values describing therapy adjustments requested by the patient in response to the conditions are also recorded. Associations formed between the therapy parameter values and the patient parameter values are used to develop a closed-loop algorithm for control of an IMD having a sensor similar to the first sensor. An automated device such as a robotic arm uses the recorded patient parameter values to automatically reproduce, and to subject the IMD to, conditions present during the data collection phase. Therapy delivered by the IMD while under control of the closed-loop algorithm and while being subjected to the conditions is compared to the recorded therapy parameter values e to validate IMD operation.
摘要翻译：公开了用于验证医疗装置的操作的技术。数据收集阶段利用由患者携带的第一传感器来记录指示病人经历的状况的患者参数值（例如，姿势状态）。还记录描述患者响应于条件所请求的治疗调节的治疗参数值。在治疗参数值和患者参数值之间形成的关联用于开发用于控制具有类似于第一传感器的传感器的IMD的闭环算法。诸如机器人手臂之类的自动化装置使用记录的患者参数值来自动再现数据收集阶段并使IMD受理存在的状况。将IMD在闭环算法的控制下并在受到条件的同时进行的治疗与记录的治疗参数值e进行比较以验证IMD手术。

83. 发明申请

US20120197322A1 RECHARGE COUPLING EFFICIENCY FOR PATIENT POSTURE STATE 有权
标题翻译：患者心理状态的补充联合效率
公开(公告)号：US20120197322A1
公开(公告)日：2012-08-02
申请号：US13016444
申请日：2011-01-28
申请人： Dennis M. Skelton , Jon P. Davis , Rajeev Sahasrabudhe
发明人： Dennis M. Skelton , Jon P. Davis , Rajeev Sahasrabudhe
IPC分类号： A61N1/36
CPC分类号： A61N1/3787
摘要： In general, the disclosure relates to implantable medical devices including rechargeable power sources. In one example, the disclosure relates to a device including a rechargeable power source, a recharge module configured to recharge the rechargeable power source via inductive energy transfer, a posture state sensor configured to generate posture sensor data; and a processor. The processor may be configured to determine recharge coupling efficiency during a recharge session, receive posture sensor data generated by the posture sensor during the recharge session, and associate the recharge coupling efficiency determined during the recharge session with the posture sensor data.
摘要翻译：通常，本公开涉及包括可再充电电源的可植入医疗装置。在一个示例中，本公开涉及一种包括可再充电电源的设备，配置为经由感应能量传递对可再充电电源再充电的充电模块，被配置为生成姿态传感器数据的姿势状态传感器; 和处理器。处理器可以被配置为在再充电会话期间确定再充电耦合效率，在充电会话期间接收由姿态传感器产生的姿势传感器数据，并且将再充电会话期间确定的再充电耦合效率与姿势传感器数据相关联。

84. 发明申请

US20120179071A1 ASSOCIATING THERAPY ADJUSTMENTS WITH POSTURE STATES USING A STABILITY TIMER 有权
标题翻译：使用稳定性定时器与姿态相关的治疗调整
公开(公告)号：US20120179071A1
公开(公告)日：2012-07-12
申请号：US13428890
申请日：2012-03-23
申请人： Dennis M. Skelton
发明人： Dennis M. Skelton
IPC分类号： A61B5/11 , A61N1/36
CPC分类号： A61N1/37264 , A61B5/103 , A61B5/1116 , A61B5/686 , A61B5/743 , A61B5/744 , A61B2560/0219 , A61B2562/0219 , A61N1/3605 , A61N1/36071 , A61N1/36535 , A61N1/37247 , G06F19/00 , G06F19/3481 , G16H40/63
摘要： The disclosure describes techniques for associating therapy adjustments with posture states using a timer. The techniques may include detecting a patient adjustment to electrical stimulation therapy delivered to the patient, sensing a posture state of the patient, and associating the detected adjustment with the sensed posture state if the sensed posture state is sensed within a first period following the detection of the adjustment and if the sensed posture state does not change during a second period following the sensing of the sensed posture state.
摘要翻译：本公开描述了使用定时器将治疗调整与姿势状态相关联的技术。该技术可以包括检测患者对递送给患者的电刺激治疗的调整，感测患者的姿势状态，以及如果在检测到的姿势状态之后的第一时间段内感测到的姿势状态，则将检测到的调节与感测到的姿势状态相关联所述调整以及在检测到的姿势状态之后的第二时段期间感测到的姿势状态不改变。

85. 发明授权

US08209028B2 Objectification of posture state-responsive therapy based on patient therapy adjustments 有权
标题翻译：基于患者治疗调整的姿势状态响应治疗的目标
公开(公告)号：US08209028B2
公开(公告)日：2012-06-26
申请号：US12433651
申请日：2009-04-30
申请人： Dennis M. Skelton , Jon P. Davis , Rajeev Sahasrabudhe , Shyam Gokaldas
发明人： Dennis M. Skelton , Jon P. Davis , Rajeev Sahasrabudhe , Shyam Gokaldas
IPC分类号： A61N1/08
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 objectification of posture state-responsive therapy based on patient therapy adjustments. The techniques may include sensing posture states of a patient, delivering posture-state responsive electrical stimulation therapy to the patient based on the sensed posture states, receiving patient adjustments to the electrical stimulation therapy delivered to the patient, determining a number of the patient adjustments received over a time interval, and presenting a representation of the number of the patient adjustments received over the time interval to a user.
摘要翻译：本公开描述了基于患者治疗调整的姿态状态响应治疗的客观化技术。所述技术可以包括感测患者的姿势状态，基于感测到的姿势状态向患者传送姿势状态响应电刺激疗法，接收患者对递送给患者的电刺激治疗的调整，确定接收到的患者调整数并且在时间间隔内呈现在时间间隔内接收的患者调整次数的表示给用户。

86. 发明申请

US20100076525A1 AUTOMATIC VALIDATION TECHNIQUES FOR VALIDATING OPERATION OF MEDICAL DEVICES 有权
标题翻译：用于验证医疗器械操作的自动验证技术
公开(公告)号：US20100076525A1
公开(公告)日：2010-03-25
申请号：US12548227
申请日：2009-08-26
申请人： Dennis M. Skelton , Emmanuel R. Darne , Justin A. Kemp , Nicholas S. Mairs , Brian Sorenson
发明人： Dennis M. Skelton , Emmanuel R. Darne , Justin A. Kemp , Nicholas S. Mairs , Brian Sorenson
IPC分类号： A61N1/08
CPC分类号： A61N1/37264 , A61N1/3605 , A61N1/37247
摘要： Techniques for validating operation of a medical device are disclosed. A data collection phase utilizes a first sensor carried by a patient to record patient parameter values indicative of conditions experienced by the patient (e.g, posture states.) Therapy parameter values describing therapy adjustments requested by the patient in response to the conditions are also recorded. Associations formed between the therapy parameter values and the patient parameter values are used to develop a closed-loop algorithm for control of an IMD having a sensor similar to the first sensor. An automated device such as a robotic arm uses the recorded patient parameter values to automatically reproduce, and to subject the IMD to, conditions present during the data collection phase. Therapy delivered by the IMD while under control of the closed-loop algorithm and while being subjected to the conditions is compared to the recorded therapy parameter values e to validate IMD operation.
摘要翻译：公开了用于验证医疗装置的操作的技术。数据收集阶段利用由患者携带的第一传感器来记录指示病人经历的状况的患者参数值（例如，姿势状态）。还记录描述患者响应于条件所请求的治疗调节的治疗参数值。在治疗参数值和患者参数值之间形成的关联用于开发用于控制具有类似于第一传感器的传感器的IMD的闭环算法。诸如机器人手臂之类的自动化装置使用记录的患者参数值来自动再现数据收集阶段并使IMD受理存在的状况。将IMD在闭环算法的控制下并在受到条件的同时进行的治疗与记录的治疗参数值e进行比较以验证IMD手术。

87. 发明申请

US20100010590A1 ASSOCIATING THERAPY ADJUSTMENTS WITH POSTURE STATES USING STABILITY TIMERS 有权
标题翻译：使用稳定性定时器与治疗状态相关的治疗调整
公开(公告)号：US20100010590A1
公开(公告)日：2010-01-14
申请号：US12433808
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： A61N1/08 , A61N1/36
CPC分类号： A61B5/1116 , A61B5/103 , A61B5/686 , A61B2560/0219 , A61B2562/0219 , A61N1/36071 , A61N1/36139 , A61N1/36535 , A61N1/37247 , G06F19/00 , G06F19/3481 , G16H40/63
摘要： The disclosure describes techniques for associating therapy adjustments with posture states using statiblity timers. The techniques may include detecting a patient adjustment to electrical stimulation therapy delivered to the patient, sensing a posture state of the patient, and associating the detected adjustment with the sensed posture state if the sensed posture state is sensed within a first period following the detection of the adjustment and if the sensed posture state does not change during a second period following the sensing of the sensed posture state.
摘要翻译：本公开描述了使用统计计时器将治疗调整与姿势状态相关联的技术。该技术可以包括检测患者对递送给患者的电刺激治疗的调整，感测患者的姿势状态，以及如果在检测到的姿势状态之后的第一时间段内感测到的姿势状态，则将检测到的调节与感测到的姿势状态相关联所述调整以及在检测到的姿势状态之后的第二时段期间感测到的姿势状态不改变。

88. 发明申请

US20100010585A1 PROGRAMMING POSTURE RESPONSIVE THERAPY 有权
标题翻译：编程态度的反应性治疗
公开(公告)号：US20100010585A1
公开(公告)日：2010-01-14
申请号：US12433551
申请日：2009-04-30
申请人： Jon P. Davis , Dennis M. Skelton , Shyam Gokaldas , Rajeev Sahasrabudhe
发明人： Jon P. Davis , Dennis M. Skelton , Shyam Gokaldas , Rajeev Sahasrabudhe
IPC分类号： A61N1/36
CPC分类号： A61N1/37247 , A61B5/1116 , A61B5/1118 , A61B2562/0219 , A61N1/36071 , A61N1/36132 , A61N1/36135 , A61N1/36542 , G06F19/00 , G06F19/3418 , G06F19/3481 , G16H20/10 , G16H40/63 , G16H50/20 , G16H80/00
摘要： 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.
摘要翻译：包括姿势响应治疗模式的可植入医疗装置的编程会话包括至少两个阶段。在第一阶段中，在停止姿势响应治疗模式的同时修改第一组治疗参数值。在姿势响应治疗模式中，医疗装置基于检测到的姿势状态自动选择定义治疗被传递给患者的治疗参数值。在第二阶段中，激活姿势响应治疗模式，并且在观察患者对在第一阶段期间选择的第一组治疗参数值递送的姿势响应治疗的响应之后，调整第二组治疗参数值。第二组治疗参数值可以例如定义患者姿势状态或修改简档，医疗装置在检测姿势状态转换时通过该修改简档来调整治疗。

89. 发明申请

US20100010389A1 Generation of proportional posture information over multiple time intervals 有权
标题翻译：在多个时间间隔内生成比例姿势信息
公开(公告)号：US20100010389A1
公开(公告)日：2010-01-14
申请号：US12433785
申请日：2009-04-30
申请人： Jon P. Davis , Dennis M. Skelton , Rajeev Sahasrabudhe , Shyam Gokaldas
发明人： Jon P. Davis , Dennis M. Skelton , Rajeev Sahasrabudhe , Shyam Gokaldas
IPC分类号： A61B5/103 , G06T11/20 , G06F3/048
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 generation of proportional posture information over multiple time intervals. The techniques may include obtaining posture state data sensed by a medical device for a patient during delivery of therapy by the medical device, determining durations for which the patient occupied each of a plurality of posture states based on the posture state data, generating proportional posture information for a plurality of different time intervals based on the durations, wherein the proportional posture information for each of the time intervals indicates proportional amounts of the respective time interval in which the patient occupied the posture states, and presenting the proportional posture information to a user via a user interface.
摘要翻译：本公开描述了用于在多个时间间隔上生成比例姿势信息的技术。这些技术可以包括在由医疗装置进行治疗的过程中获得由医疗装置感测到的姿势状态数据，基于姿势状态数据确定患者占据多个姿势状态的持续时间，生成比例姿势信息对于基于持续时间的多个不同的时间间隔，其中，用于每个时间间隔的比例姿势信息指示患者占据姿势状态的各个时间间隔的成比例的量，并且向用户通过比例姿势信息用户界面。

90. 发明申请

US20100010388A1 ASSOCIATING THERAPY ADJUSTMENTS WITH INTENDED PATIENT POSTURE STATES 有权
标题翻译：与患者心理状态相关的治疗调整
公开(公告)号：US20100010388A1
公开(公告)日：2010-01-14
申请号：US12433756
申请日：2009-04-30
申请人： Eric J. Panken , Dennis M. Skelton
发明人： Eric J. Panken , Dennis M. Skelton
IPC分类号： A61B5/103
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 described techniques for associating therapy adjustments with intended patient posture states. The techniques may include receiving a patient therapy adjustment to a parameter of a therapy program that defines electrical stimulation therapy delivered to the patient, identifying a posture state of the patient, and associating the patient therapy adjustment with the posture state when the patient therapy adjustment is within a range determined based on stored adjustment information for the identified posture state.
摘要翻译：本公开描述了将治疗调整与预期患者姿势状态相关联的技术。这些技术可以包括接收患者治疗调整，该治疗程序的参数限定递送给患者的电刺激治疗，识别患者的姿势状态，以及当患者治疗调整为在基于所识别的姿势状态的存储的调整信息确定的范围内。

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