专利快速检索-快速检索全球专利，免费商用专利数据库-IPRDB

51. 发明授权

US09026223B2 Therapy system including multiple posture sensors 有权
标题翻译：治疗系统包括多个姿态传感器
公开(公告)号：US09026223B2
公开(公告)日：2015-05-05
申请号：US12433588
申请日：2009-04-30
申请人： Dennis M. Skelton , Jon P. Davis , Keith A. Miesel , Timothy J. Denison
发明人： Dennis M. Skelton , Jon P. Davis , Keith A. Miesel , Timothy J. Denison
IPC分类号： A61N1/00 , A61M5/142 , A61N1/36 , A61B5/11 , A61B5/00 , A61N1/372
CPC分类号： A61M5/14276 , A61B5/11 , A61B5/1116 , A61B5/4836 , A61B2562/0219 , A61M2005/14208 , A61M2205/17 , A61M2210/0693 , A61M2210/1053 , A61M2210/1078 , A61M2210/1089 , A61M2230/62 , A61N1/3605 , A61N1/37247
摘要： Posture-responsive therapy is delivered by the medical system based on posture state input from only one of multiple posture sensors at any given time. An example implantable medical system includes a first posture sensor and a second sensor. A processor controls therapy delivery to the patient based on at least one of a patient posture state or a patient activity level determined based on input from only one of the first or second posture sensors. In some examples, one of multiple posture sensors of an implantable posture-responsive medical system is used to automatically reorient another posture sensor (of the system), which has become disoriented. The disoriented posture sensor may be automatically reoriented for one or more posture states at a time.
摘要翻译：姿态反应治疗由医疗系统基于在任何给定时间仅从多个姿势传感器中的一个输入的姿势状态来传送。示例性可植入医疗系统包括第一姿态传感器和第二传感器。处理器基于基于仅从第一或第二姿态传感器中的一个输入确定的患者姿势状态或患者活动水平中的至少一个来控制对患者的治疗递送。在一些示例中，使用植入式姿势响应医疗系统的多个姿势传感器中的一个来自动地重新定向已经变得迷失方向的另一姿态传感器（该系统）。错位姿态传感器可以一次自动地重新定向一个或多个姿势状态。

52. 发明授权

US08903486B2 Closed-loop therapy adjustment 有权
标题翻译：闭环治疗调整
公开(公告)号：US08903486B2
公开(公告)日：2014-12-02
申请号：US12966827
申请日：2010-12-13
申请人： Duane L. Bourget , Keith A. Miesel
发明人： Duane L. Bourget , Keith A. Miesel
IPC分类号： A61N1/00 , A61N1/372 , A61N1/36
CPC分类号： A61N1/37247 , A61N1/36014 , A61N1/36071 , A61N1/37252
摘要： Techniques for detecting a value of a sensed patient parameter, and automatically delivering therapy to a patient according to therapy information previously associated with the detected value, are described. In exemplary embodiments, a medical device receives a therapy adjustment from the patient. In response to the adjustment, the medical device associates a sensed value of a patient parameter with therapy information determined based on the adjustment. Whenever the parameter value is subsequently detected, the medical device delivers therapy according to the associated therapy information. In this manner, the medical device may “learn” to automatically adjust therapy in the manner desired by the patient as the sensed parameter of the patient changes. Exemplary patient parameters that may be sensed for performance of the described techniques include posture, activity, heart rate, electromyography (EMG), an electroencephalogram (EEG), an electrocardiogram (ECG), temperature, respiration rate, and pH.
摘要翻译：描述了用于检测感测到的患者参数的值并根据先前与检测值相关联的治疗信息自动地向患者递送治疗的技术。在示例性实施例中，医疗设备从患者接收治疗调节。响应于调整，医疗设备将感测到的患者参数值与基于调整确定的治疗信息相关联。每当随后检测到参数值时，医疗装置根据相关联的治疗信息递送治疗。以这种方式，当患者的感测参数改变时，医疗设备可以“学习”以患者期望的方式自动调整治疗。可以感测用于执行所述技术的示例性患者参数包括姿势，活动，心率，肌电图（EMG），脑电图（EEG），心电图（ECG），温度，呼吸速率和pH。

53. 发明授权

US08801668B2 Detecting empty medical pump reservoir 有权
标题翻译：检测空的医用泵水箱
公开(公告)号：US08801668B2
公开(公告)日：2014-08-12
申请号：US13553270
申请日：2012-07-19
申请人： Irfan Z. Ali , Keith A. Miesel , Scott L. Kalpin , Scott A. Sarkinen
发明人： Irfan Z. Ali , Keith A. Miesel , Scott L. Kalpin , Scott A. Sarkinen
IPC分类号： A61M5/168
CPC分类号： A61M5/14276 , A61B5/1116 , A61M5/14212 , A61M5/172 , A61M2205/18 , A61M2205/3317 , A61M2205/50
摘要： A medical device system comprises a reservoir configured to store a therapeutic fluid and a medical pump configured to deliver the therapeutic fluid from the reservoir to a patient. The system also comprises a sensor that can detect a characteristic associated with the pump and a processor to determine if the characteristic detected indicates the reservoir is empty or near empty. The characteristic may comprise a characteristic of a noise made by an actuator within the pump at the end of a pump stroke.
摘要翻译：医疗设备系统包括被配置为存储治疗流体的储存器和被配置为将治疗流体从储存器输送到患者的医用泵。该系统还包括可以检测与泵相关联的特征的传感器和处理器，以确定检测到的特征是否指示储存器为空或接近空。该特征可以包括在泵冲程结束时由泵内的致动器产生的噪声的特性。

54. 发明授权

US08744587B2 Collecting gait information for evaluation and control of therapy 有权
标题翻译：收集步态评估和治疗控制信息
公开(公告)号：US08744587B2
公开(公告)日：2014-06-03
申请号：US11691423
申请日：2007-03-26
申请人： Keith A. Miesel , Kenneth T. Heruth , Gregory F. Molnar
发明人： Keith A. Miesel , Kenneth T. Heruth , Gregory F. Molnar
IPC分类号： A61N1/05 , A61N1/37
CPC分类号： A61B5/4836 , A61B5/0022 , A61B5/0031 , A61B5/031 , A61B5/0488 , A61B5/1038 , A61B5/112 , A61B5/1123 , A61B5/4082 , A61B5/4094 , A61B5/7246 , A61B5/7275 , A61B5/7282 , A61B5/7405 , A61B5/742 , A61B5/7455 , A61B2562/0219 , A61M5/1723 , A61N1/36003 , A61N1/36067 , A61N1/36082 , A61N1/3615 , G06F19/00
摘要： A medical device delivers a therapy to a patient. The medical device or another device may periodically determine an activity level or gait parameter of the patient, and associate each determined level or parameter with a current therapy parameter set. A value of at least one activity metric is determined for each of a plurality of therapy parameter sets based on the activity levels or parameters associated with that therapy parameter set. Whether the patient is currently experiencing or anticipated to experience gait freeze caused by their neurological disorder, such as Parkinson's disease, may also be determined. Gait freeze events may be associated with current therapy parameters and used to determine activity metric values. In some examples, the activity metric associated with certain therapy parameters may be presented to a user.
摘要翻译：医疗设备向患者传递治疗。医疗装置或另一装置可以周期性地确定患者的活动水平或步态参数，并将每个确定的水平或参数与当前治疗参数组相关联。基于与该治疗参数组相关联的活动水平或参数，确定多个治疗参数组中的每一个的至少一个活动度量的值。患者目前是否经历或预期会经历由神经障碍引起的步态冻结，如帕金森病，也可能被确定。步态冻结事件可能与当前治疗参数相关联，并用于确定活动度量值。在一些示例中，可以向用户呈现与某些治疗参数相关联的活动度量。

55. 发明授权

US08725244B2 Determination of sleep quality for neurological disorders 有权
标题翻译：确定神经系统疾病的睡眠质量
公开(公告)号：US08725244B2
公开(公告)日：2014-05-13
申请号：US11591286
申请日：2006-10-31
申请人： Keith A. Miesel , Kenneth T. Heruth , Jonathan C. Werder , Steve R. LaPorte , Nina M. Graves
发明人： Keith A. Miesel , Kenneth T. Heruth , Jonathan C. Werder , Steve R. LaPorte , Nina M. Graves
IPC分类号： A61B5/04
CPC分类号： A61N1/36135 , A61B3/113 , A61B5/0031 , A61B5/0205 , A61B5/0476 , A61B5/0816 , A61B5/1116 , A61B5/1118 , A61B5/145 , A61B5/4815 , A61B5/4818 , A61B5/6814 , A61B5/6823 , A61B5/6825 , A61B5/686 , A61B2562/0219 , A61M5/14276 , A61M5/1723 , A61N1/36025 , A61N1/36064 , A61N1/36067 , A61N1/36071 , A61N1/36082 , A61N1/36521 , A61N1/36542 , A61N1/36557 , A61N1/37247
摘要： A device determines values for one or more metrics that indicate the quality of a patient's sleep based on sensed physiological parameter values. Sleep efficiency, sleep latency, and time spent in deeper sleep states are example sleep quality metrics for which values may be determined. The sleep quality metric values may be used, for example, to evaluate the effectiveness of a therapy delivered to the patient by a medical device. In some embodiments, determined sleep quality metric values are automatically associated with the therapy parameter sets according to which the medical device delivered the therapy when the physiological parameter values were sensed, and used to evaluate the effectiveness of the various therapy parameter sets. The medical device may deliver the therapy to treat a non-respiratory neurological disorder, such as epilepsy, a movement disorder, or a psychological disorder. The therapy may be, for example, deep brain stimulation (DBS) therapy.
摘要翻译：设备基于感测到的生理参数值来确定指示患者睡眠质量的一个或多个度量的值。睡眠效率，睡眠延迟和在更深的睡眠状态中花费的时间是可以确定值的示例性睡眠质量度量。例如，可以使用睡眠质量度量值来评估由医疗装置递送给患者的治疗的有效性。在一些实施例中，确定的睡眠质量量度值与治疗参数组自动相关联，当感测到生理参数值时医疗设备根据该参数设置递送治疗，并且用于评估各种治疗参数组的有效性。医疗装置可以递送治疗以治疗非呼吸神经障碍，例如癫痫，运动障碍或心理障碍。治疗可以是例如深部脑刺激（DBS）治疗。

56. 发明授权

US08447401B2 Collecting posture information to evaluate therapy 有权
公开(公告)号：US08447401B2
公开(公告)日：2013-05-21
申请号：US12856255
申请日：2010-08-13
申请人： Keith A. Miesel , Kenneth T. Heruth
发明人： Keith A. Miesel , Kenneth T. Heruth
IPC分类号： A61N1/36
CPC分类号： A61B5/4848 , A61B5/103 , A61B5/1116 , A61B5/4082 , A61B5/6825 , A61B5/686 , A61M5/14276 , A61N1/0531 , A61N1/0534 , A61N1/36071 , A61N1/36082 , A61N1/36514 , A61N1/36521 , A61N1/36535 , A61N1/36542 , A61N1/36557 , A61N1/37235
摘要： A medical device delivers a therapy to a patient. Posture events are identified, e.g., a posture of the patient is periodically determined and/or posture transitions by the patient are identified, and each determined posture event is associated with a current therapy parameter set. A value of at least one posture metric is determined for each of a plurality of therapy parameter sets based on the posture events associated with that therapy parameter set. A list of the therapy parameter sets is presented to a user, such as a clinician, for evaluation of the relative efficacy of the therapy parameter sets. The list may be ordered according to the one or more posture metric values to aid in evaluation of the therapy parameter sets. Where values are determined for a plurality of posture metrics, the list may be ordered according to the one of the posture metrics selected by the user.

57. 发明授权

US08317770B2 Systems and methods of identifying catheter malfunctions using pressure sensing 有权
标题翻译：使用压力感测识别导管故障的系统和方法
公开(公告)号：US08317770B2
公开(公告)日：2012-11-27
申请号：US11731355
申请日：2007-03-30
申请人： Keith A. Miesel , Eric J. Panken
发明人： Keith A. Miesel , Eric J. Panken
IPC分类号： A61M31/00 , A61M37/00
CPC分类号： A61M5/16859 , A61M5/14276 , A61M2205/14 , A61M2205/15
摘要： Methods and systems for determining whether a catheter malfunction is present in a catheter by analyzing changes in the pressure of fluids being pumped through the delivery lumen of the catheter. The pressure changes that may be monitored may include, e.g., the peak pressure within the catheter and/or the pressure decay profile. The catheter malfunctions that may be determined using the methods and systems of the invention may include, e.g., leaks, blockages, the presence of gas bubbles, etc.
摘要翻译：通过分析通过导管的输送腔泵送的流体的压力变化来确定导管故障是否存在于导管中的方法和系统。可以监测的压力变化可以包括例如导管内的峰值压力和/或压力衰减曲线。可以使用本发明的方法和系统确定的导管故障可以包括例如泄漏，堵塞，气泡的存在等

58. 发明申请

US20120150258A1 COLLECTING POSTURE AND ACTIVITY INFORMATION TO EVALUATE THERAPY 有权
标题翻译：收集治疗和活动信息以评估治疗
公开(公告)号：US20120150258A1
公开(公告)日：2012-06-14
申请号：US13401348
申请日：2012-02-21
申请人： Keith A. Miesel , Kenneth T. Heruth , Gregory F. Molnar
发明人： Keith A. Miesel , Kenneth T. Heruth , Gregory F. Molnar
IPC分类号： A61N1/372
CPC分类号： A61B5/103 , A61B5/0205 , A61B5/1116 , A61B5/4082 , A61B5/4094 , A61B5/6804 , A61B5/6825 , A61B5/686 , A61N1/0529 , A61N1/0531 , A61N1/0534 , A61N1/36071 , A61N1/36082 , A61N1/36585 , A61N1/37235 , G06F19/00
摘要： A medical device, programmer, or other computing device may determine values of one or more activity and, in some embodiments, posture metrics for each therapy parameter set used by the medical device to deliver therapy. The metric values for a parameter set are determined based on signals generated by the sensors when that therapy parameter set was in use. Activity metric values may be associated with a postural category in addition to a therapy parameter set, and may indicate the duration and intensity of activity within one or more postural categories resulting from delivery of therapy according to a therapy parameter set. A posture metric for a therapy parameter set may indicate the fraction of time spent by the patient in various postures when the medical device used a therapy parameter set. The metric values may be used to evaluate the efficacy of the therapy parameter sets.
摘要翻译：医疗设备，程序员或其他计算设备可以确定一个或多个活动的值，并且在一些实施例中，确定由医疗设备用于递送治疗的每个治疗参数集的姿势度量。当参数组被使用时，基于由传感器产生的信号来确定参数集的度量值。除了治疗参数集之外，活动度量值可以与姿势类别相关联，并且可以指示根据治疗参数集合递送治疗产生的一个或多个姿势类别内的活动的持续时间和强度。用于治疗参数组的姿势度量可以指示当医疗装置使用治疗参数集时患者在各种姿势中花费的时间的分数。度量值可用于评估治疗参数组的功效。

59. 发明授权

US08190251B2 Method and apparatus for the treatment of movement disorders 有权
标题翻译：用于治疗运动障碍的方法和装置
公开(公告)号：US08190251B2
公开(公告)日：2012-05-29
申请号：US11565268
申请日：2006-11-30
申请人： Gregory F. Molnar , Gabriela C. Miyazawa , Keith A. Miesel , Jonathan C. Werder , David L. Carlson , Jonathon E. Giftakis
发明人： Gregory F. Molnar , Gabriela C. Miyazawa , Keith A. Miesel , Jonathan C. Werder , David L. Carlson , Jonathon E. Giftakis
IPC分类号： A61B5/04
CPC分类号： A61N1/36067 , A61B5/048 , A61B5/4082 , A61N1/36003
摘要： A method, apparatus, and system for treating patients suffering from movement disorders having the ability to determine one or more biomarkers indicative of a disease state. In some embodiments, the biomarker may be used as a closed-loop feedback signal to control the delivery of therapy (such as electrical stimulation or drug therapy), and which may also be used as an indication of therapy effectiveness. One embodiment uses electrodes placed in the brain to measure EEG or local field potential (LFP) signals, from which the one or more biomarkers may be determined.
摘要翻译：用于治疗患有运动障碍的患者的方法，装置和系统，其具有确定指示疾病状态的一种或多种生物标志物的能力。在一些实施方案中，生物标志物可以用作闭环反馈信号以控制治疗的递送（例如电刺激或药物治疗），并且其也可以用作治疗有效性的指示。一个实施例使用放置在脑中的电极来测量EEG或局部场电位（LFP）信号，从该信号可以确定一个或多个生物标志物。

60. 发明申请

US20120109099A1 IMPLANTABLE MEDICAL PUMP DIAGNOSTICS 有权
标题翻译：可植入医用泵诊断
公开(公告)号：US20120109099A1
公开(公告)日：2012-05-03
申请号：US12916720
申请日：2010-11-01
申请人： Charles R. Rogers , Irfan Z. Ali , Ronald L. Mezera , Keith A. Miesel , Scott A. Sarkinen , Nicholas R. Whitehead
发明人： Charles R. Rogers , Irfan Z. Ali , Ronald L. Mezera , Keith A. Miesel , Scott A. Sarkinen , Nicholas R. Whitehead
IPC分类号： A61M5/142
CPC分类号： A61M5/16809 , A61M5/14216 , A61M5/14276 , A61M2005/16863 , A61M2005/16868 , A61M2005/16872
摘要： A method of detecting a fault condition within an implantable medical pump comprises delivering therapeutic fluid using a medical pump comprising an actuation mechanism configured to be energized to provide a pump stroke, detecting a property associated with energizing the actuation mechanism, and determining whether the property associated with energizing the actuation mechanism indicates that a fault condition exists with the medical pump.
摘要翻译：检测可植入医疗泵内的故障状况的方法包括使用医用泵递送治疗流体，所述医疗泵包括致动机构，所述致动机构被配置为通电以提供泵行程，检测与致动机构通电相关联的属性，以及确定属性是否相关联通过致动机构通电，指示医疗泵存在故障状况。

你已经成功收藏专利！

检索式保存成功!

IPRDB

热门服务

关于我们

友情链接

联系方式