WO2010005809A3 - Administration d’un traitement sensible à l’état postural utilisant des temps de maintien - Google Patents
Administration d’un traitement sensible à l’état postural utilisant des temps de maintien Download PDFInfo
- Publication number
- WO2010005809A3 WO2010005809A3 PCT/US2009/048852 US2009048852W WO2010005809A3 WO 2010005809 A3 WO2010005809 A3 WO 2010005809A3 US 2009048852 W US2009048852 W US 2009048852W WO 2010005809 A3 WO2010005809 A3 WO 2010005809A3
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- posture state
- living body
- posture
- classified
- response
- Prior art date
Links
- 238000002560 therapeutic procedure Methods 0.000 title abstract 2
- 238000001514 detection method Methods 0.000 abstract 2
- 238000000034 method Methods 0.000 abstract 1
Classifications
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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
- A61N1/362—Heart stimulators
- A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
- A61N1/36514—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure
- A61N1/36542—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure controlled by body motion, e.g. acceleration
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
- A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
- A61B5/1116—Determining posture transitions
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
- A61B5/7235—Details of waveform analysis
- A61B5/7264—Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems
-
- 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
- A61N1/36062—Spinal 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
-
- 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
-
- 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
- A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
- A61N1/39—Heart defibrillators
- A61N1/3925—Monitoring; Protecting
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
- A61B2562/02—Details of sensors specially adapted for in-vivo measurements
- A61B2562/0219—Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
- A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
- A61B5/1118—Determining activity level
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
- A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
- A61B5/686—Permanently implanted devices, e.g. pacemakers, other stimulators, biochips
-
- 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
- A61N1/362—Heart stimulators
- A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
- A61N1/36514—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure
- A61N1/36535—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure controlled by body position or posture
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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
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- General Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- Heart & Thoracic Surgery (AREA)
- Cardiology (AREA)
- Biophysics (AREA)
- Physiology (AREA)
- Physics & Mathematics (AREA)
- Radiology & Medical Imaging (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Pathology (AREA)
- Artificial Intelligence (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Neurology (AREA)
- Fuzzy Systems (AREA)
- Psychiatry (AREA)
- Computer Vision & Pattern Recognition (AREA)
- Mathematical Physics (AREA)
- Evolutionary Computation (AREA)
- Dentistry (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Hematology (AREA)
- Signal Processing (AREA)
- Neurosurgery (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Human Computer Interaction (AREA)
- Electrotherapy Devices (AREA)
- Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
- Apparatus For Radiation Diagnosis (AREA)
- Radiation-Therapy Devices (AREA)
- Information Retrieval, Db Structures And Fs Structures Therefor (AREA)
- Endoscopes (AREA)
Abstract
La présente invention concerne des techniques liées à la classification d’un état postural d’un corps vivant. Un aspect de l’invention concerne la détection d’au moins un signal indicateur d’un état postural d’un corps vivant. Une logique de détection d’état postural classe le corps vivant comme étant dans un état postural sur la base du ou des signaux, cette classification pouvant prendre en compte au moins un élément parmi la posture et l’état d’activité du corps vivant. La logique de détection d’état postural détermine en outre si le corps vivant est classé dans l’état postural pendant au moins une période de temps prédéterminée. L’invention concerne également une logique de réponse qui initie une réponse à la suite de la classification d’un corps dans l’état postural uniquement après que le corps vivant ait conservé l’état postural classé pendant au moins une période de temps prédéterminée. Cette réponse peut impliquer une modification du traitement administré au corps vivant.
Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP09789961.1A EP2307092B1 (fr) | 2008-07-11 | 2009-06-26 | Administration d un traitement sensible à l état postural utilisant des temps de maintien |
CN200980127621.3A CN102089032B (zh) | 2008-07-11 | 2009-06-26 | 使用停留时间的姿势状态响应式治疗提供模块 |
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US8004908P | 2008-07-11 | 2008-07-11 | |
US61/080,049 | 2008-07-11 | ||
US12/433,017 US9776008B2 (en) | 2008-07-11 | 2009-04-30 | Posture state responsive therapy delivery using dwell times |
US12/433,017 | 2009-04-30 |
Publications (2)
Publication Number | Publication Date |
---|---|
WO2010005809A2 WO2010005809A2 (fr) | 2010-01-14 |
WO2010005809A3 true WO2010005809A3 (fr) | 2010-05-27 |
Family
ID=41505797
Family Applications (6)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2009/048676 WO2010005800A2 (fr) | 2008-07-11 | 2009-06-25 | Détection d’un état postural à l’aide de paramètres de commande du système pouvant être sélectionnés |
PCT/US2009/048686 WO2010005802A2 (fr) | 2008-07-11 | 2009-06-25 | Classification d'états posturaux pour dispositif médical |
PCT/US2009/048852 WO2010005809A2 (fr) | 2008-07-11 | 2009-06-26 | Administration d’un traitement sensible à l’état postural utilisant des temps de maintien |
PCT/US2009/049071 WO2010005822A2 (fr) | 2008-07-11 | 2009-06-29 | Classification d'états posturaux mixtes et administration de traitement |
PCT/US2009/048995 WO2010005816A2 (fr) | 2008-07-11 | 2009-06-29 | Classification d’état postural pour dispositif médical |
PCT/US2009/049184 WO2010005828A2 (fr) | 2008-07-11 | 2009-06-30 | Ajustements du temps de maintien pour traitement sensible à l'état postural |
Family Applications Before (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2009/048676 WO2010005800A2 (fr) | 2008-07-11 | 2009-06-25 | Détection d’un état postural à l’aide de paramètres de commande du système pouvant être sélectionnés |
PCT/US2009/048686 WO2010005802A2 (fr) | 2008-07-11 | 2009-06-25 | Classification d'états posturaux pour dispositif médical |
Family Applications After (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2009/049071 WO2010005822A2 (fr) | 2008-07-11 | 2009-06-29 | Classification d'états posturaux mixtes et administration de traitement |
PCT/US2009/048995 WO2010005816A2 (fr) | 2008-07-11 | 2009-06-29 | Classification d’état postural pour dispositif médical |
PCT/US2009/049184 WO2010005828A2 (fr) | 2008-07-11 | 2009-06-30 | Ajustements du temps de maintien pour traitement sensible à l'état postural |
Country Status (4)
Country | Link |
---|---|
US (9) | US9545518B2 (fr) |
EP (5) | EP2313004B1 (fr) |
CN (2) | CN102089032B (fr) |
WO (6) | WO2010005800A2 (fr) |
Families Citing this family (189)
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