WO2010005802A3 - Classification d'états posturaux pour dispositif médical - Google Patents

Classification d'états posturaux pour dispositif médical Download PDF

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Publication number
WO2010005802A3
WO2010005802A3 PCT/US2009/048686 US2009048686W WO2010005802A3 WO 2010005802 A3 WO2010005802 A3 WO 2010005802A3 US 2009048686 W US2009048686 W US 2009048686W WO 2010005802 A3 WO2010005802 A3 WO 2010005802A3
Authority
WO
WIPO (PCT)
Prior art keywords
vector
similarity
posture state
medical device
patient
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/US2009/048686
Other languages
English (en)
Other versions
WO2010005802A2 (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 EP09789953.8A priority Critical patent/EP2313004B1/fr
Publication of WO2010005802A2 publication Critical patent/WO2010005802A2/fr
Publication of WO2010005802A3 publication Critical patent/WO2010005802A3/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)
  • 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)
  • Endoscopes (AREA)
  • Radiation-Therapy Devices (AREA)
  • Information Retrieval, Db Structures And Fs Structures Therefor (AREA)

Abstract

Un mode de réalisation de l'invention concerne un dispositif médical incluant un capteur destiné à fournir des signaux indicateurs d'un état postural détecté d'un patient. Une mémoire stocke un ou plusieurs vecteurs définis, chaque vecteur défini étant associé à une tolérance décrivant une relation avec le vecteur défini. Un processeur détermine une similarité respective entre le vecteur détecté et chacun des dits un ou plusieurs vecteurs définis et classe un état postural du patient sur la base du fait qu'une quelconque similarité a ou non une relation avec le vecteur défini respectif qui est décrit par la tolérance associée. Dans un mode de réalisation, la similarité est déterminée sans considérer un système de coordonnées du patient. Un autre mode de réalisation concerne la détermination de la similarité sur la base d'au moins l'un des éléments parmi un produit interne, une longueur du vecteur postural défini et une longueur du vecteur défini.
PCT/US2009/048686 2008-07-11 2009-06-25 Classification d'états posturaux pour dispositif médical Ceased WO2010005802A2 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
EP09789953.8A EP2313004B1 (fr) 2008-07-11 2009-06-25 Classification d'états posturaux 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
US12/433,004 US8958885B2 (en) 2008-07-11 2009-04-30 Posture state classification for a medical device
US12/433,004 2009-04-30

Publications (2)

Publication Number Publication Date
WO2010005802A2 WO2010005802A2 (fr) 2010-01-14
WO2010005802A3 true WO2010005802A3 (fr) 2010-05-27

Family

ID=41505797

Family Applications (6)

Application Number Title Priority Date Filing Date
PCT/US2009/048686 Ceased WO2010005802A2 (fr) 2008-07-11 2009-06-25 Classification d'états posturaux pour dispositif médical
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/US2009/048852 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 After (5)

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/US2009/048852 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

Country Status (4)

Country Link
US (9) US8688225B2 (fr)
EP (5) EP2656787B1 (fr)
CN (2) CN102089032B (fr)
WO (6) WO2010005802A2 (fr)

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US9776008B2 (en) 2017-10-03
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