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WO2010005816A3 - Classification d’état postural pour dispositif médical - Google Patents

Classification d’état postural pour dispositif médical Download PDF

Info

Publication number
WO2010005816A3
WO2010005816A3 PCT/US2009/048995 US2009048995W WO2010005816A3 WO 2010005816 A3 WO2010005816 A3 WO 2010005816A3 US 2009048995 W US2009048995 W US 2009048995W WO 2010005816 A3 WO2010005816 A3 WO 2010005816A3
Authority
WO
WIPO (PCT)
Prior art keywords
sensor
patient
medical device
posture state
vector
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.)
Ceased
Application number
PCT/US2009/048995
Other languages
English (en)
Other versions
WO2010005816A2 (fr
Inventor
Eric J Panken
Dennis M Skelton
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Medtronic Inc
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
Application filed by Medtronic Inc filed Critical Medtronic Inc
Priority to CN200980134651.7A priority Critical patent/CN102137623B/zh
Priority to EP09789972.8A priority patent/EP2303122B1/fr
Publication of WO2010005816A2 publication Critical patent/WO2010005816A2/fr
Publication of WO2010005816A3 publication Critical patent/WO2010005816A3/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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
    • A61N1/362—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—Measuring 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 or 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—Measuring 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 or 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
    • 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)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Cardiology (AREA)
  • Biophysics (AREA)
  • Physiology (AREA)
  • Physics & Mathematics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Pathology (AREA)
  • Artificial Intelligence (AREA)
  • Neurology (AREA)
  • Hematology (AREA)
  • Psychiatry (AREA)
  • Signal Processing (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Mathematical Physics (AREA)
  • Dentistry (AREA)
  • Fuzzy Systems (AREA)
  • Evolutionary Computation (AREA)
  • Computer Vision & Pattern Recognition (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 pour la classification posturale d’un patient dans un système de coordonnées d’un capteur. Selon un aspect, un vecteur défini est obtenu à partir d’un capteur placé de façon sensiblement fixe par rapport au patient. Le vecteur défini est décrit dans un système de coordonnées du capteur et indépendamment de l’orientation du capteur par rapport au patient. Un vecteur détecté est obtenu à partir du capteur qui est décrit à l’aide du système de coordonnées du capteur. Le vecteur détecté et le vecteur défini sont utilisés pour classer l’état postural du patient indépendamment de l’orientation du capteur par rapport au patient. Une réponse peut être initiée par un dispositif médical, ladite réponse pouvant consister en l’ajustement de l’administration du traitement.
PCT/US2009/048995 2008-07-11 2009-06-29 Classification d’état postural pour dispositif médical Ceased WO2010005816A2 (fr)

Priority Applications (2)

Application Number Priority Date Filing Date Title
CN200980134651.7A CN102137623B (zh) 2008-07-11 2009-06-29 用于医疗装置的姿势状态分类
EP09789972.8A EP2303122B1 (fr) 2008-07-11 2009-06-29 Classification d état postural pour dispositif médical

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US8004908P 2008-07-11 2008-07-11
US61/080,049 2008-07-11
US12/432,993 2009-04-30
US12/432,993 US9545518B2 (en) 2008-07-11 2009-04-30 Posture state classification for a medical device

Publications (2)

Publication Number Publication Date
WO2010005816A2 WO2010005816A2 (fr) 2010-01-14
WO2010005816A3 true WO2010005816A3 (fr) 2010-05-27

Family

ID=41505797

Family Applications (6)

Application Number Title Priority Date Filing Date
PCT/US2009/048676 Ceased 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 Ceased WO2010005802A2 (fr) 2008-07-11 2009-06-25 Classification d'états posturaux pour dispositif médical
PCT/US2009/048852 Ceased 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 Ceased WO2010005822A2 (fr) 2008-07-11 2009-06-29 Classification d'états posturaux mixtes et administration de traitement
PCT/US2009/048995 Ceased WO2010005816A2 (fr) 2008-07-11 2009-06-29 Classification d’état postural pour dispositif médical
PCT/US2009/049184 Ceased WO2010005828A2 (fr) 2008-07-11 2009-06-30 Ajustements du temps de maintien pour traitement sensible à l'état postural

Family Applications Before (4)

Application Number Title Priority Date Filing Date
PCT/US2009/048676 Ceased 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 Ceased WO2010005802A2 (fr) 2008-07-11 2009-06-25 Classification d'états posturaux pour dispositif médical
PCT/US2009/048852 Ceased 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 Ceased WO2010005822A2 (fr) 2008-07-11 2009-06-29 Classification d'états posturaux mixtes et administration de traitement

Family Applications After (1)

Application Number Title Priority Date Filing Date
PCT/US2009/049184 Ceased 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) US8688225B2 (fr)
EP (5) EP2313004B1 (fr)
CN (2) CN102089032B (fr)
WO (6) WO2010005800A2 (fr)

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US9776008B2 (en) 2017-10-03
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US8958885B2 (en) 2015-02-17
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US20100010390A1 (en) 2010-01-14
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US9327129B2 (en) 2016-05-03
US11672989B2 (en) 2023-06-13
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