WO2023149987A1 - Commande d'un dispositif médical à l'aide d'une valeur représentative - Google Patents

Commande d'un dispositif médical à l'aide d'une valeur représentative Download PDF

Info

Publication number
WO2023149987A1
WO2023149987A1 PCT/US2022/081713 US2022081713W WO2023149987A1 WO 2023149987 A1 WO2023149987 A1 WO 2023149987A1 US 2022081713 W US2022081713 W US 2022081713W WO 2023149987 A1 WO2023149987 A1 WO 2023149987A1
Authority
WO
WIPO (PCT)
Prior art keywords
patient
value
processing circuitry
stimulation
values
Prior art date
Application number
PCT/US2022/081713
Other languages
English (en)
Inventor
Todd D. Zenisek
Juan G. Hincapie
Andrew J. Cleland
Leonid M. Litvak
Andrew L. Schmeling
Original Assignee
Medtronic, 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
Priority claimed from US18/066,083 external-priority patent/US20230241395A1/en
Application filed by Medtronic, Inc. filed Critical Medtronic, Inc.
Publication of WO2023149987A1 publication Critical patent/WO2023149987A1/fr

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
    • 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
    • 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
    • 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

Abstract

Un système selon la présente invention comprend un circuit de télémétrie conçu pour une communication entre un dispositif médical et un dispositif externe associé au dispositif médical et à un circuit de traitement. Le circuit de traitement est conçu pour recevoir une indication d'une pluralité d'entrées d'utilisateur, chaque entrée d'utilisateur de la pluralité d'entrées d'utilisateur indiquant une valeur respective d'une pluralité de valeurs pour un paramètre de stimulation qui définit au moins partiellement une thérapie administrée au patient dans un état de posture d'une pluralité d'états de posture. Le circuit de traitement est en outre conçu pour déterminer une valeur représentative pour le paramètre de stimulation sur la base de la pluralité de valeurs pour le paramètre de stimulation qui définit au moins partiellement une thérapie administrée au patient dans l'état de posture. Le circuit de traitement est en outre conçu pour commander le dispositif médical afin qu'il administre la thérapie en fonction de la valeur représentative.
PCT/US2022/081713 2022-02-02 2022-12-15 Commande d'un dispositif médical à l'aide d'une valeur représentative WO2023149987A1 (fr)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US202263267433P 2022-02-02 2022-02-02
US63/267,433 2022-02-02
US18/066,083 2022-12-14
US18/066,083 US20230241395A1 (en) 2022-02-02 2022-12-14 Control of medical device using representative value

Publications (1)

Publication Number Publication Date
WO2023149987A1 true WO2023149987A1 (fr) 2023-08-10

Family

ID=85150919

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2022/081713 WO2023149987A1 (fr) 2022-02-02 2022-12-15 Commande d'un dispositif médical à l'aide d'une valeur représentative

Country Status (1)

Country Link
WO (1) WO2023149987A1 (fr)

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20140236257A1 (en) * 2011-05-13 2014-08-21 Saluda Medical Pty. Ltd. Method and apparatus for controlling a neural stimulus
US20160303376A1 (en) * 2015-04-14 2016-10-20 Medtronic, Inc. Controlling electrical stimulation based on evoked compound muscle action potential
US20200001087A1 (en) * 2014-09-23 2020-01-02 Boston Scientific Neuromodulation Corporation Neuromodulation calibration based on health-related parameter
US20200171313A1 (en) * 2016-09-16 2020-06-04 Medtronic, Inc. Dorsal spinal column characterization with evoked potentials

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20140236257A1 (en) * 2011-05-13 2014-08-21 Saluda Medical Pty. Ltd. Method and apparatus for controlling a neural stimulus
US20200001087A1 (en) * 2014-09-23 2020-01-02 Boston Scientific Neuromodulation Corporation Neuromodulation calibration based on health-related parameter
US20160303376A1 (en) * 2015-04-14 2016-10-20 Medtronic, Inc. Controlling electrical stimulation based on evoked compound muscle action potential
US20200171313A1 (en) * 2016-09-16 2020-06-04 Medtronic, Inc. Dorsal spinal column characterization with evoked potentials

Similar Documents

Publication Publication Date Title
US11071863B2 (en) Controlling electrical stimulation therapy
US11439825B2 (en) Determining posture state from ECAPs
US11179567B2 (en) Hysteresis compensation for detection of ECAPs
US20210121698A1 (en) Sub-threshold stimulation based on ecap detection
US20220218996A1 (en) Hybrid control policy for ecap-servoed neuromodulation
US20220401737A1 (en) Latency compensation for detection of ecaps
WO2023017406A1 (fr) Thérapie de lésion de la moelle épinière basée sur des potentiels d'action de composés évoqués
US20230241395A1 (en) Control of medical device using representative value
WO2023149987A1 (fr) Commande d'un dispositif médical à l'aide d'une valeur représentative
US11904170B2 (en) Patient-learned control of medical device
US20240157148A1 (en) Patient-learned control of medical device
US20220266029A1 (en) Neurostimulation using time-interleaved cascade of bipolar electrode combinations
US20220266028A1 (en) Electric stimulation system
US20230181914A1 (en) Stimulation cycling adjustments based on user input
US20240131344A1 (en) Parameter selection for electrical stimulation therapy
US20230364426A1 (en) Neuromodulation therapy optimization using sleep and activity derived measures
US20220265209A1 (en) Medical device using spectral activity processing
US20240108878A1 (en) Controlling electrode potentials
EP4281174A1 (fr) Commande d'un dispositif médical apprise par un patient
EP4255558A1 (fr) Programmation de dispositif médical
EP4297855A1 (fr) Titrage et programmation de neurostimulation basés sur une rétroaction de patient
AU2021420682A1 (en) Hybrid control policy for ecap-servoed neuromodulation
EP4297857A1 (fr) Neurostimulation utilisant une cascade entrelacée dans le temps de combinaisons d'électrodes bipolaires
CN116917002A (zh) 使用双极电极组合的时间交错级联进行神经刺激

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 22850943

Country of ref document: EP

Kind code of ref document: A1