BR112018075776A8 - Neuroestimulador com assistência à titulação - Google Patents

Neuroestimulador com assistência à titulação

Info

Publication number
BR112018075776A8
BR112018075776A8 BR112018075776A BR112018075776A BR112018075776A8 BR 112018075776 A8 BR112018075776 A8 BR 112018075776A8 BR 112018075776 A BR112018075776 A BR 112018075776A BR 112018075776 A BR112018075776 A BR 112018075776A BR 112018075776 A8 BR112018075776 A8 BR 112018075776A8
Authority
BR
Brazil
Prior art keywords
titration
electrical signal
parameters
neurostimulator
assistance
Prior art date
Application number
BR112018075776A
Other languages
English (en)
Other versions
BR112018075776A2 (pt
Inventor
Stubbs Scott
Libbus Imad
Mazar Scott
H Kenknight Bruce
Amurthur Badri
Original Assignee
Livanova Usa Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Livanova Usa Inc filed Critical Livanova Usa Inc
Publication of BR112018075776A2 publication Critical patent/BR112018075776A2/pt
Publication of BR112018075776A8 publication Critical patent/BR112018075776A8/pt

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/3606—Implantable neurostimulators for stimulating central or peripheral nerve system adapted for a particular treatment
    • A61N1/36114—Cardiac control, e.g. by vagal stimulation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/36053—Implantable neurostimulators for stimulating central or peripheral nerve system adapted for vagal stimulation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/36128—Control systems
    • A61N1/36135—Control systems using physiological parameters
    • A61N1/36139—Control systems using physiological parameters with automatic adjustment

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Public Health (AREA)
  • Neurology (AREA)
  • Neurosurgery (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biophysics (AREA)
  • Physiology (AREA)
  • Electrotherapy Devices (AREA)
  • Saccharide Compounds (AREA)
  • Measuring Or Testing Involving Enzymes Or Micro-Organisms (AREA)
  • Investigating Or Analysing Biological Materials (AREA)

Abstract

Método de titulação de neuroestimulação. O método inclui a definição de parâmetros de titulação para um sinal elétrico proporcionado por um dispositivo médico implantável, iniciando a titulação com os parâmetros de titulação e um perfil de agressividade, realizando a titulação para aumentar pelo menos um de uma amplitude vigente, uma frequência, uma largura de pulso ou um ciclo de trabalho do sinal elétrico até que um limite seja atingido ou um efeito colateral seja detectado, pausando a titulação enquanto aguarda os comandos do paciente ou do cuidador e retomando a titulação em resposta ao recebimento da autorização de um dispositivo externo.
BR112018075776A 2016-06-13 2017-06-12 Neuroestimulador com assistência à titulação BR112018075776A8 (pt)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US15/181,177 US10124170B2 (en) 2016-06-13 2016-06-13 Neurostimulator with titration assist
US15/181,177 2016-06-13
PCT/US2017/036990 WO2017218400A1 (en) 2016-06-13 2017-06-12 Neurostimulator with titration assist

Publications (2)

Publication Number Publication Date
BR112018075776A2 BR112018075776A2 (pt) 2019-03-26
BR112018075776A8 true BR112018075776A8 (pt) 2023-03-07

Family

ID=60572193

Family Applications (1)

Application Number Title Priority Date Filing Date
BR112018075776A BR112018075776A8 (pt) 2016-06-13 2017-06-12 Neuroestimulador com assistência à titulação

Country Status (9)

Country Link
US (4) US10124170B2 (pt)
EP (1) EP3468456A4 (pt)
JP (1) JP7175267B2 (pt)
CN (1) CN109922712A (pt)
AU (1) AU2017284180B2 (pt)
BR (1) BR112018075776A8 (pt)
CA (1) CA3027375C (pt)
IL (1) IL263583B2 (pt)
WO (1) WO2017218400A1 (pt)

Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11167142B2 (en) * 2017-09-14 2021-11-09 Livanova Usa, Inc. Customizable titration for an implantable neurostimulator
EP3755419B1 (en) * 2018-07-03 2023-04-26 Boston Scientific Neuromodulation Corporation Spinal cord stimulation system modelling relationships between stimulation parameters for automatic customization of sub-perception therapy
US11612753B2 (en) * 2018-08-02 2023-03-28 Biotronik Se & Co. Kg Remote follow-up of neurostimulation system

Family Cites Families (30)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7403820B2 (en) 1998-08-05 2008-07-22 Neurovista Corporation Closed-loop feedback-driven neuromodulation
US7263405B2 (en) 2003-08-27 2007-08-28 Neuro And Cardiac Technologies Llc System and method for providing electrical pulses to the vagus nerve(s) to provide therapy for obesity, eating disorders, neurological and neuropsychiatric disorders with a stimulator, comprising bi-directional communication and network capabilities
US20060116557A1 (en) 2004-11-30 2006-06-01 Alere Medical Incorporated Methods and systems for evaluating patient data
US8406876B2 (en) * 2005-04-05 2013-03-26 Cardiac Pacemakers, Inc. Closed loop neural stimulation synchronized to cardiac cycles
US8103341B2 (en) * 2006-08-25 2012-01-24 Cardiac Pacemakers, Inc. System for abating neural stimulation side effects
US9913982B2 (en) 2011-01-28 2018-03-13 Cyberonics, Inc. Obstructive sleep apnea treatment devices, systems and methods
US8768718B2 (en) 2006-12-27 2014-07-01 Cardiac Pacemakers, Inc. Between-patient comparisons for risk stratification of future heart failure decompensation
US11305121B2 (en) * 2013-03-15 2022-04-19 Flint Hills Scientific, Llc. Programmable autotitrating of electrical parameters of implantable medical device
US8886302B2 (en) * 2008-07-11 2014-11-11 Medtronic, Inc. Adjustment of posture-responsive therapy
US20100168820A1 (en) 2008-12-02 2010-07-01 Leptos Biomedical Inc. Automatic threshold assesment utilizing patient feedback
CA3051810A1 (en) 2009-02-10 2010-08-19 Nevro Corporation Systems and methods for delivering neural therapy correlated with patient status
US20110120470A1 (en) 2009-11-23 2011-05-26 Healthcare Clinical Consultants, Inc. Dba Theronyx Treatment protocol template generation and branching logic system
US9357949B2 (en) 2010-01-08 2016-06-07 Medtronic, Inc. User interface that displays medical therapy and posture data
EP2569049B1 (en) 2010-05-11 2018-08-29 Cardiac Pacemakers, Inc. Implantable medical device with means for automatically restoring an interrupted therapy
AU2011338749B2 (en) * 2010-12-07 2014-10-23 Cardiac Pacemakers, Inc. Systems and methods for increasing stimulation dose
US10542887B2 (en) 2011-04-01 2020-01-28 Medtronic, Inc. Heart failure monitoring
US8918191B2 (en) 2011-12-07 2014-12-23 Cyberonics, Inc. Implantable device for providing electrical stimulation of cervical vagus nerves for treatment of chronic cardiac dysfunction with bounded titration
US8571654B2 (en) 2012-01-17 2013-10-29 Cyberonics, Inc. Vagus nerve neurostimulator with multiple patient-selectable modes for treating chronic cardiac dysfunction
US8700150B2 (en) * 2012-01-17 2014-04-15 Cyberonics, Inc. Implantable neurostimulator for providing electrical stimulation of cervical vagus nerves for treatment of chronic cardiac dysfunction with bounded titration
WO2013176758A1 (en) 2012-05-22 2013-11-28 Intouch Technologies, Inc. Clinical workflows utilizing autonomous and semi-autonomous telemedicine devices
US20140046690A1 (en) 2012-08-09 2014-02-13 Medtronic, Inc. Management and distribution of patient information
JP6410369B2 (ja) * 2013-06-29 2018-10-24 セレヴァスト メディカル インク．Ｃｅｒｅｖａｓｔ Ｍｅｄｉｃａｌ Ｉｎｃ． 認知状態を修正又は誘発する経皮電気刺激装置
WO2015145424A1 (en) 2014-03-23 2015-10-01 Doc@Home Ltd A system for conducting a remote physical examination
US10971264B1 (en) 2014-05-21 2021-04-06 Intrado Corporation Patient tracking and dynamic updating of patient profile
US9737716B2 (en) 2014-08-12 2017-08-22 Cyberonics, Inc. Vagus nerve and carotid baroreceptor stimulation system
US9533153B2 (en) * 2014-08-12 2017-01-03 Cyberonics, Inc. Neurostimulation titration process
US9504832B2 (en) * 2014-11-12 2016-11-29 Cyberonics, Inc. Neurostimulation titration process via adaptive parametric modification
US20160239778A1 (en) 2015-02-18 2016-08-18 FlowOne Lean Consulting, LLC Systems and methods of managing healthcare provider workflow
CN108025132B (zh) 2015-08-14 2021-10-08 巴克斯特国际公司 医疗设备数据集成装置和方法
WO2017030961A1 (en) 2015-08-14 2017-02-23 Roche Diabetes Care, Inc. Diabetes management system with alert status interface and patient prioritization

Also Published As

Publication number Publication date
US11745015B2 (en) 2023-09-05
JP2019517374A (ja) 2019-06-24
AU2017284180A1 (en) 2019-01-03
JP7175267B2 (ja) 2022-11-18
CN109922712A (zh) 2019-06-21
WO2017218400A1 (en) 2017-12-21
US20170354823A1 (en) 2017-12-14
EP3468456A1 (en) 2019-04-17
CA3027375A1 (en) 2017-12-21
US20190076656A1 (en) 2019-03-14
US20220105347A1 (en) 2022-04-07
IL263583B1 (en) 2023-06-01
US10124170B2 (en) 2018-11-13
US20230398358A1 (en) 2023-12-14
EP3468456A4 (en) 2020-02-26
BR112018075776A2 (pt) 2019-03-26
IL263583B2 (en) 2023-10-01
AU2017284180B2 (en) 2021-09-16
US11147972B2 (en) 2021-10-19
IL263583A (en) 2019-01-31
CA3027375C (en) 2023-07-18

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Legal Events

Date Code Title Description
B350 Update of information on the portal [chapter 15.35 patent gazette]
B06W Patent application suspended after preliminary examination (for patents with searches from other patent authorities) chapter 6.23 patent gazette]
B15K Others concerning applications: alteration of classification

Free format text: AS CLASSIFICACOES ANTERIORES ERAM: A61B 5/00 , A61B 5/08 , A61N 1/00 , A61N 1/05 , A61N 1/08 , A61N 1/18 , A61N 1/32

Ipc: A61N 1/36 (2006.01)

B11B Dismissal acc. art. 36, par 1 of ipl - no reply within 90 days to fullfil the necessary requirements