JP2019501730A - 埋込み可能なデバイスのプログラミング管理 - Google Patents
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- A—HUMAN NECESSITIES
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- 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
- A61N1/36062—Spinal stimulation
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- 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
- A61N1/372—Arrangements in connection with the implantation of stimulators
- A61N1/37211—Means for communicating with stimulators
- A61N1/37235—Aspects of the external programmer
- A61N1/37247—User interfaces, e.g. input or presentation means
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- 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
- A61N1/36071—Pain
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- 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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- 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
- A61N1/36189—Control systems using modulation techniques
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- 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
- A61N1/36189—Control systems using modulation techniques
- A61N1/36192—Amplitude modulation
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- 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
- A61N1/36189—Control systems using modulation techniques
- A61N1/36196—Frequency modulation
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- 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
- A61N1/372—Arrangements in connection with the implantation of stimulators
- A61N1/37211—Means for communicating with stimulators
- A61N1/37235—Aspects of the external programmer
- A61N1/37241—Aspects of the external programmer providing test stimulations
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- 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
- A61N1/372—Arrangements in connection with the implantation of stimulators
- A61N1/37211—Means for communicating with stimulators
- A61N1/37252—Details of algorithms or data aspects of communication system, e.g. handshaking, transmitting specific data or segmenting data
- A61N1/37264—Changing the program; Upgrading firmware
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- 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
- A61N1/372—Arrangements in connection with the implantation of stimulators
- A61N1/37211—Means for communicating with stimulators
- A61N1/37252—Details of algorithms or data aspects of communication system, e.g. handshaking, transmitting specific data or segmenting data
- A61N1/37282—Details of algorithms or data aspects of communication system, e.g. handshaking, transmitting specific data or segmenting data characterised by communication with experts in remote locations using a network
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/40—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
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- H—ELECTRICITY
- H04—ELECTRIC COMMUNICATION TECHNIQUE
- H04W—WIRELESS COMMUNICATION NETWORKS
- H04W4/00—Services specially adapted for wireless communication networks; Facilities therefor
- H04W4/60—Subscription-based services using application servers or record carriers, e.g. SIM application toolkits
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- H—ELECTRICITY
- H04—ELECTRIC COMMUNICATION TECHNIQUE
- H04W—WIRELESS COMMUNICATION NETWORKS
- H04W4/00—Services specially adapted for wireless communication networks; Facilities therefor
- H04W4/80—Services using short range communication, e.g. near-field communication [NFC], radio-frequency identification [RFID] or low energy communication
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- H—ELECTRICITY
- H04—ELECTRIC COMMUNICATION TECHNIQUE
- H04W—WIRELESS COMMUNICATION NETWORKS
- H04W84/00—Network topologies
- H04W84/02—Hierarchically pre-organised networks, e.g. paging networks, cellular networks, WLAN [Wireless Local Area Network] or WLL [Wireless Local Loop]
- H04W84/04—Large scale networks; Deep hierarchical networks
- H04W84/042—Public Land Mobile systems, e.g. cellular systems
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- H—ELECTRICITY
- H04—ELECTRIC COMMUNICATION TECHNIQUE
- H04W—WIRELESS COMMUNICATION NETWORKS
- H04W84/00—Network topologies
- H04W84/02—Hierarchically pre-organised networks, e.g. paging networks, cellular networks, WLAN [Wireless Local Area Network] or WLL [Wireless Local Loop]
- H04W84/10—Small scale networks; Flat hierarchical networks
- H04W84/12—WLAN [Wireless Local Area Networks]
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Abstract
Description
本出願は、2016年1月12日出願の米国仮特許出願第62/277,753号の「35 U.S.C.§119(e)」の下での優先権の利益を主張するものであり、引用によってその全体を本明細書に組込む。
多くの患者のために、神経刺激治療は、慢性疼痛を管理するための有効なオプションである。慢性疼痛は希にしか静的な状態にない。その代わりに、疼痛は、一般的に患者の身体の様々な部分を移動し、その影響を様々な程度で変化させる。従って、患者の疼痛が変化すると、疼痛を遮断するか又は紛らわすのに最も有効な神経刺激プログラミングも変化する。一般的に、患者の刺激プログラミングは、臨床医又は技師によって実施される。患者が技術に馴染み深くなり、技術が進歩するときに、患者は、自分が知覚する疼痛に従って刺激プログラミングを調節するのにより良い立場を取ることができる。
Claims (15)
- システムであって、
プロセッササブシステムと、メモリデバイスと、を有し、
前記メモリデバイスは、命令を含み、前記命令が前記プロセッササブシステムによって実行されるとき、前記命令により、前記プロセッササブシステムは、
ユーザデバイス上で実行されるアプリケーションにおいて、前記アプリケーションを修正する要求を受信し、
前記要求を、承認のために管理ユーザデバイスに送信し、
前記要求に対する応答を前記管理ユーザデバイスから受信し、
前記管理ユーザデバイスからの応答を受信するのに応答して、前記アプリケーションの機能性を修正する、システム。 - 前記アプリケーションを修正する要求は、前記アプリケーションに新しい特徴を追加する要求を含む、請求項1に記載のシステム。
- 前記管理ユーザデバイスからの応答は、前記管理ユーザデバイスを使用する医師によって提供される、請求項1に記載のシステム。
- 前記命令により、前記プロセッササブシステムは、更に、
前記要求に対する応答を受信した後、アプリケーション倉庫と接続して、異なるバージョンのアプリケーションを取得し、
前記アプリケーションの機能性を修正することは、前記アプリケーションの代わりに、前記アプリケーションの異なるバージョンをインストールすることを含む、請求項1に記載のシステム。 - 前記管理ユーザデバイスからの応答を受信するのに応答して、アプリケーションの機能性を修正することは、新しい特徴を前記アプリケーション内で有効にすることを含む、請求項1に記載のシステム。
- 前記アプリケーションを修正する前記要求は、埋込み可能なパルス発生器の刺激パラメータを修正する要求を含む、請求項1に記載のシステム。
- 前記承認を受信するのに応答して前記アプリケーションの機能性を修正することは、刺激パラメータを用いて前記埋込み可能パルス発生器をプログラムミングするように前記アプリケーションを更新することを含む、請求項6に記載のシステム。
- 前記刺激パラメータを修正する要求を含む前記アプリケーションを修正する要求は、評価期間の後に行われる、請求項6に記載のシステム。
- 前記評価期間に、様々な刺激パラメータを系統的に試験するために、技師との相談が行われる、請求項8に記載のシステム。
- 前記要求に対する応答は、変更付き承認であり、
前記命令により、前記プロセッササブシステムは、更に、更なる評価のために、前記変更付き承認に基づいて刺激パラメータを調節する、請求項6に記載のシステム。 - 前記命令により、前記プロセッササブシステムは、更に、前記刺激パラメータの調節の後、承認のために前記要求を再送信する、請求項10に記載のシステム。
- 前記要求に対する応答は、前記要求の否認であり、
前記命令により、前記プロセッササブシステムは、更に、前記要求が否認された理由を含む通知を前記ユーザデバイス上に呈示する、請求項1に記載のシステム。 - 前記ユーザデバイスは、スマートフォンを含む、請求項1に記載のシステム。
- 機械可読媒体であって、
命令を含み、前記命令が機械によって実行されるとき、前記命令により、前記機械は、請求項1〜13のいずれか1項に記載の作業を実行する、機械可読媒体。 - 請求項1〜13のいずれか1項に記載の作業を実行する方法。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201662277753P | 2016-01-12 | 2016-01-12 | |
US62/277,753 | 2016-01-12 | ||
PCT/US2017/012987 WO2017123613A1 (en) | 2016-01-12 | 2017-01-11 | Implantable device programming management |
Publications (1)
Publication Number | Publication Date |
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JP2019501730A true JP2019501730A (ja) | 2019-01-24 |
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2018536385A Pending JP2019501730A (ja) | 2016-01-12 | 2017-01-11 | 埋込み可能なデバイスのプログラミング管理 |
Country Status (6)
Country | Link |
---|---|
US (2) | US10974053B2 (ja) |
EP (1) | EP3402566B1 (ja) |
JP (1) | JP2019501730A (ja) |
CN (2) | CN114082104A (ja) |
AU (1) | AU2017206728B2 (ja) |
WO (1) | WO2017123613A1 (ja) |
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