JP2007502670A5 - - Google Patents

Download PDF

Info

Publication number
JP2007502670A5
JP2007502670A5 JP2006524027A JP2006524027A JP2007502670A5 JP 2007502670 A5 JP2007502670 A5 JP 2007502670A5 JP 2006524027 A JP2006524027 A JP 2006524027A JP 2006524027 A JP2006524027 A JP 2006524027A JP 2007502670 A5 JP2007502670 A5 JP 2007502670A5
Authority
JP
Japan
Prior art keywords
treatment
control system
medical device
therapy
adapt
Prior art date
Legal status (The legal status 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 status listed.)
Granted
Application number
JP2006524027A
Other languages
Japanese (ja)
Other versions
JP4750032B2 (en
JP2007502670A (en
Filing date
Publication date
Priority claimed from US10/643,006 external-priority patent/US8192376B2/en
Priority claimed from US10/643,016 external-priority patent/US7396333B2/en
Priority claimed from US10/643,154 external-priority patent/US7680537B2/en
Priority claimed from US10/643,203 external-priority patent/US7720541B2/en
Priority claimed from US10/642,998 external-priority patent/US8002553B2/en
Priority claimed from US10/798,794 external-priority patent/US7336996B2/en
Priority claimed from US10/824,776 external-priority patent/US7510531B2/en
Priority claimed from US10/920,675 external-priority patent/US8606356B2/en
Priority claimed from US10/920,568 external-priority patent/US20050080348A1/en
Priority claimed from US10/920,569 external-priority patent/US7572225B2/en
Priority claimed from US10/920,549 external-priority patent/US20050107838A1/en
Application filed filed Critical
Priority claimed from PCT/US2004/026883 external-priority patent/WO2005018737A1/en
Publication of JP2007502670A publication Critical patent/JP2007502670A/en
Publication of JP2007502670A5 publication Critical patent/JP2007502670A5/ja
Publication of JP4750032B2 publication Critical patent/JP4750032B2/en
Application granted granted Critical
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Claims (19)

医療用装置であって、
患者の状態を検出するよう構成された検出器システムと、
前記検出器システムに結合され、前記検出された患者の状態の1つまたは複数に基づいて不規則な呼吸を検出する不規則呼吸の検出システムと、
前記検出器システムと前記不規則呼吸の検出システムに結合され、心臓電気治療を適合化して不規則呼吸を処置するよう構成された治療制御システムと、
前記治療制御システムに結合され、前記適合化された治療を前記患者に送達するよう構成された治療送達システムとを含み、
前記検出器システム、前記治療制御システム、及び前記治療送達システムのうちの少なくとも1つは、移植可能な構成要素を含むことを特徴とする医療用装置。
A medical device,
A detector system configured to detect a patient condition;
An irregular respiration detection system coupled to the detector system for detecting irregular respiration based on one or more of the detected patient conditions;
A therapy control system coupled to the detector system and the irregular breath detection system and configured to adapt cardiac electrical therapy to treat irregular breaths;
A treatment delivery system coupled to the treatment control system and configured to deliver the adapted treatment to the patient;
At least one of the detector system, the therapy control system, and the therapy delivery system includes an implantable component.
前記検出器システムが、患者外部センサーと患者装置のうちの少なくとも一つを含むことを特徴とする請求項1に記載の医療用装置。  The medical device of claim 1, wherein the detector system includes at least one of a patient external sensor and a patient device. 前記治療制御システムが、治療の患者への衝撃を低減するように治療を適合化するように構成されていることを特徴とする請求項1に記載の医療用装置。  The medical device of claim 1, wherein the treatment control system is configured to adapt a treatment to reduce the impact of the treatment on the patient. 前記治療制御システムが、患者の快適さに基づいて治療を適合化するように構成されていることを特徴とする請求項1に記載の医療用装置。  The medical device of claim 1, wherein the treatment control system is configured to adapt a treatment based on patient comfort. 前記治療制御システムが、睡眠の質に基づいて治療を適合化するように構成されていることを特徴とする請求項1に記載の医療用装置。  The medical device of claim 1, wherein the treatment control system is configured to adapt a treatment based on sleep quality. 前記治療制御システムが、呼吸の質に基づいて治療を適合化するように構成されていることを特徴とする請求項1に記載の医療用装置。  The medical device of claim 1, wherein the treatment control system is configured to adapt a treatment based on the quality of breathing. 前記治療制御システムが、治療効率を増強するように治療を適合化するように構成されていることを特徴とする請求項1に記載の医療用装置。  The medical device of claim 1, wherein the treatment control system is configured to adapt a treatment to enhance treatment efficiency. 前記治療制御システムが、心拍の不規則さを治療する治療と不規則な呼吸の治療との相互作用を低減するように治療を適合化するように構成されていることを特徴とする請求項1に記載の医療用装置。  2. The therapy control system is configured to adapt a therapy to reduce the interaction between a therapy for treating irregular heartbeats and a therapy for irregular breathing. The medical device according to 1. 前記治療制御システムが、最初の治療が患者への治療の衝撃を低減しない場合に、より攻撃的でない治療を適合化するように構成されていることを特徴とする請求項1に記載の医療用装置。  The medical treatment of claim 1, wherein the treatment control system is configured to adapt a less aggressive treatment if the initial treatment does not reduce the impact of the treatment on the patient. apparatus. 前記治療制御システムが、心臓ペーシング措置を修正することで治療を適合化するように構成されていることを特徴とする請求項1に記載の医療用装置。  The medical device of claim 1, wherein the treatment control system is configured to adapt a treatment by modifying a cardiac pacing procedure. 前記治療制御システムが、心臓ペーシング速度を調整することで治療を適合化するように構成されていることを特徴とする請求項1に記載の医療用装置。  The medical device of claim 1, wherein the treatment control system is configured to adapt a treatment by adjusting a cardiac pacing rate. 前記治療制御システムが、心臓ペーシングモードを調整することで治療を適合化するように構成されていることを特徴とする請求項1に記載の医療用装置。  The medical device of claim 1, wherein the treatment control system is configured to adapt a treatment by adjusting a cardiac pacing mode. 前記治療制御システムが、心臓ペーシング部位を調整することで治療を適合化するように構成されていることを特徴とする請求項1に記載の医療用装置。  The medical device of claim 1, wherein the treatment control system is configured to adapt a treatment by adjusting a cardiac pacing site. 前記検出器システム、前記治療制御システム、及び前記治療送達システムのうちの少なくとも1つは、移植不可能な経胸腔心臓シミュレーション装置のハウジング内に配置されることを特徴とする請求項1に記載の医療用装置。  The at least one of the detector system, the therapy control system, and the therapy delivery system is disposed within a non-implantable transthoracic heart simulation device housing. Medical device. 前記患者の状態には非生理学的な状態が含まれることを特徴とする請求項1に記載の医療用装置。  The medical apparatus according to claim 1, wherein the patient condition includes a non-physiological condition. 睡眠の段階を検出するように構成された睡眠段階検出器を更に含み、  A sleep stage detector configured to detect a sleep stage;
前記治療制御システムが睡眠の段階に基づいた睡眠段階に応じた治療を制御することを特徴とする請求項1に記載の医療用装置。  The medical device according to claim 1, wherein the treatment control system controls treatment according to a sleep stage based on a sleep stage.
前記適合化された治療が、両室ペーシング治療を含むことを特徴とする請求項1に記載の医療用装置。  The medical device according to claim 1, wherein the adapted therapy comprises a bichamber pacing therapy. 前記適合化された治療が、非興奮性の心臓電気刺激治療を含むことを特徴とする請求項1に記載の医療用装置。  The medical device of claim 1, wherein the adapted therapy comprises a non-excitatory cardiac electrical stimulation therapy. 前記治療制御システムが、患者の状態に基づいて第1の治療から第2の治療へ切り替えるように構成されていることを特徴とする請求項1に記載の医療用装置。  The medical apparatus according to claim 1, wherein the treatment control system is configured to switch from the first treatment to the second treatment based on a condition of the patient.
JP2006524027A 2003-08-18 2004-08-18 Medical device Expired - Fee Related JP4750032B2 (en)

Applications Claiming Priority (25)

Application Number Priority Date Filing Date Title
US10/643,006 2003-08-18
US10/643,203 US7720541B2 (en) 2003-08-18 2003-08-18 Adaptive therapy for disordered breathing
US10/642,998 US8002553B2 (en) 2003-08-18 2003-08-18 Sleep quality data collection and evaluation
US10/643,006 US8192376B2 (en) 2003-08-18 2003-08-18 Sleep state classification
US10/643,154 US7680537B2 (en) 2003-08-18 2003-08-18 Therapy triggered by prediction of disordered breathing
US10/643,203 2003-08-18
US10/643,016 2003-08-18
US10/643,154 2003-08-18
US10/642,998 2003-08-18
US10/643,016 US7396333B2 (en) 2003-08-18 2003-08-18 Prediction of disordered breathing
US50422903P 2003-09-18 2003-09-18
US60/504,229 2003-09-18
US10/798,794 US7336996B2 (en) 2003-09-18 2004-03-11 Rate regularization of cardiac pacing for disordered breathing therapy
US10/798,794 2004-03-11
US10/824,776 2004-04-15
US10/824,776 US7510531B2 (en) 2003-09-18 2004-04-15 System and method for discrimination of central and obstructive disordered breathing events
US10/920,675 US8606356B2 (en) 2003-09-18 2004-08-17 Autonomic arousal detection system and method
US10/920,549 2004-08-17
US10/920,568 2004-08-17
US10/920,675 2004-08-17
US10/920,568 US20050080348A1 (en) 2003-09-18 2004-08-17 Medical event logbook system and method
US10/920,569 US7572225B2 (en) 2003-09-18 2004-08-17 Sleep logbook
US10/920,549 US20050107838A1 (en) 2003-09-18 2004-08-17 Subcutaneous cardiac rhythm management with disordered breathing detection and treatment
US10/920,569 2004-08-17
PCT/US2004/026883 WO2005018737A1 (en) 2003-08-18 2004-08-18 Disordered breathing management systems and methods

Publications (3)

Publication Number Publication Date
JP2007502670A JP2007502670A (en) 2007-02-15
JP2007502670A5 true JP2007502670A5 (en) 2007-10-11
JP4750032B2 JP4750032B2 (en) 2011-08-17

Family

ID=44597246

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2006524027A Expired - Fee Related JP4750032B2 (en) 2003-08-18 2004-08-18 Medical device

Country Status (2)

Country Link
JP (1) JP4750032B2 (en)
AT (1) ATE529156T1 (en)

Families Citing this family (24)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7680534B2 (en) 2005-02-28 2010-03-16 Cardiac Pacemakers, Inc. Implantable cardiac device with dyspnea measurement
US7766840B2 (en) * 2005-12-01 2010-08-03 Cardiac Pacemakers, Inc. Method and system for heart failure status evaluation based on a disordered breathing index
CA2654095C (en) 2006-06-01 2015-12-22 Biancamed Ltd. Apparatus, system, and method for monitoring physiological signs
US8052611B2 (en) 2007-03-14 2011-11-08 Cardiac Pacemakers, Inc. Method and apparatus for management of heart failure hospitalization
US9943234B2 (en) * 2007-04-17 2018-04-17 Cardiac Pacemakers, Inc. Using respiration distress manifestations for heart failure detection
US8135471B2 (en) 2007-08-28 2012-03-13 Cardiac Pacemakers, Inc. Method and apparatus for inspiratory muscle stimulation using implantable device
US9079033B2 (en) * 2008-01-22 2015-07-14 Cardiac Pacemakers, Inc. Respiration as a trigger for therapy optimization
CN102438515A (en) * 2008-11-14 2012-05-02 索尔克生物学研究所 Methods of identifying sleep and waking patterns and uses
WO2010059839A2 (en) * 2008-11-19 2010-05-27 Inspire Medical Systems, Inc. Method of treating sleep disordered breathing
US9526429B2 (en) 2009-02-06 2016-12-27 Resmed Sensor Technologies Limited Apparatus, system and method for chronic disease monitoring
US20110009753A1 (en) * 2009-07-10 2011-01-13 Yi Zhang Respiration Rate Trending for Detecting Early Onset of Worsening Heart Failure
FR2970872B1 (en) * 2011-02-02 2014-04-11 Air Liquide DEVICE FOR MEASURING THE OBSERVANCE OF TREATMENT OF THREE DIMENSIONAL ACCELEROMETER OXYGEN THERAPY
JP6013048B2 (en) * 2012-06-28 2016-10-25 フクダ電子株式会社 Biological information analyzer
CA2941698A1 (en) 2014-03-06 2015-09-11 Respiratory Motion, Inc. Methods and devices for displaying trend and variability in a physiological dataset
JP6600126B2 (en) * 2014-03-25 2019-10-30 フクダ電子株式会社 Biological signal processing apparatus and control method thereof
CN108697379A (en) * 2016-01-07 2018-10-23 全球动力股份有限公司 For assessing dormant system and method
WO2017132726A1 (en) * 2016-02-02 2017-08-10 Resmed Limited Methods and apparatus for treating respiratory disorders
WO2018115216A1 (en) 2016-12-23 2018-06-28 Koninklijke Philips N.V. Pressure support device and method of determining changes in a patient circuit
US11406323B2 (en) * 2017-07-10 2022-08-09 Koninklijke Philips N.V. Method and system for monitoring sleep quality
JP7180601B2 (en) * 2017-08-10 2022-11-30 コニカミノルタ株式会社 SLEEP STATE DETECTION DEVICE AND METHOD, AND MONITORED PERSON MONITORING SUPPORT SYSTEM
JP7455815B2 (en) * 2018-09-17 2024-03-26 マイカーディオ エルエルシー System and method for analyzing sleep disordered breathing events
JP7471437B2 (en) 2020-02-26 2024-04-19 ノバレスプ テクノロジーズ インコーポレイテッド Method and apparatus for determining and/or predicting sleep and respiratory behavior for airway pressure management - Patents.com
WO2022070038A1 (en) * 2020-09-30 2022-04-07 ResMed Pty Ltd Systems and methods for therapy cessation diagnoses
US20220211322A1 (en) * 2021-01-06 2022-07-07 Medtronic, Inc. Detection of changes in patient health based on sleep activity

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2780654B1 (en) * 1998-07-06 2000-12-01 Ela Medical Sa ACTIVE IMPLANTABLE MEDICAL DEVICE FOR ELECTROSTIMULATION TREATMENT OF SLEEP APNEA SYNDROME
CA2429237C (en) * 2000-11-17 2013-05-14 Medtronic, Inc. Method and apparatus for monitoring heart rate and abnormal respiration
US6641542B2 (en) * 2001-04-30 2003-11-04 Medtronic, Inc. Method and apparatus to detect and treat sleep respiratory events
WO2003063954A1 (en) * 2002-01-29 2003-08-07 Medtronic, Inc. Conditioning of coupled electromagnetic signals on a lead

Similar Documents

Publication Publication Date Title
JP2007502670A5 (en)
US7302295B2 (en) Method and apparatus for mimicking respiratory sinus arrhythmia with cardiac pacing controlled via external respiration therapy device
US8428711B2 (en) Respiratory stimulation for treating periodic breathing
JP5389650B2 (en) A system for neural stimulation using feedback by respiration
JP5231418B2 (en) System for neural stimulation during respiratory disorders
US9370657B2 (en) Device for manipulating tidal volume and breathing entrainment
US20080288015A1 (en) Diaphragm stimulation device and method for use with cardiovascular or heart patients
US9259573B2 (en) Device and method for manipulating exhalation
US10307099B2 (en) System for controlled defibrillation and ventilation
US20080288010A1 (en) Subcutaneous diaphragm stimulation device and method for use
US20080234556A1 (en) Method and apparatus for sensing respiratory activities using sensor in lymphatic system
WO2005000206A3 (en) System and method for detecting, diagnosing, and treating cardiovascular disease
JP2010537716A (en) Implantable inspiratory muscle stimulation system
EP1774449A2 (en) Method and apparatus for detecting cardiopulmonary comorbidities
US20100076518A1 (en) Systems and methods for relieving dyspnea
EP2707086B1 (en) Modifying breathing rate using a cardiac pacing device
CN108290019B (en) Method and apparatus for treating ataxic breathing
EP2709715B1 (en) Techniques for modifying breathing rate using cardiac pacing
JP2010214024A (en) Respiratory exercise support device
US20210346623A1 (en) Systems, devices and methods for modulating a respiratory drive of a patient
US20120071939A1 (en) Medical device with speaker having exterior diaphragm
WO2023230868A1 (en) Method for controlling ventilation apparatus, ventilation system and ventilation apparatus