Methods and Systems for semi-automatic adjustment of medical monitoring and treatment.
First Claim
1. A system for performing monitoring operations to provide medical monitoring of a patient comprising an implanted medical monitoring device configured to communicate with an external patient programmer using a first communication subsystem, an external patient programmer having a second communication subsystem for communicating with said implanted medical device, said programmer having a patient alert module which is configured to provide an alert signal and to obtain a user input from the patient which is evaluated according to at least one patient response rule to produce a user input result;
- said programmer also being configured to use the result in order to make an adjustment to the monitoring operations.
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Abstract
Systems and methods are described for adjusting the operation of implantable stimulation devices used to provide medical monitoring and treatment. Several hierarchical algorithms are described which operate according to conditionally obtaining a patient response to an alert signal. In one such strategy semi-automatic therapy adjustment occurs by automatically issuing patient alert messages when selected operations are to occur, and using a patient'"'"'s response to the alert message that is provided within a selected time limit in order to contingently adjust therapy. Methods are also described for resolving conflicts which may occur when time information and sensed data information each indicate different patient states are occurring. Although treatment of neural and cardiac disorders is emphasized, the techniques can be applied to the monitoring and treatment of any medical disorder with an implanted device.
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Citations
24 Claims
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1. A system for performing monitoring operations to provide medical monitoring of a patient comprising
an implanted medical monitoring device configured to communicate with an external patient programmer using a first communication subsystem, an external patient programmer having a second communication subsystem for communicating with said implanted medical device, said programmer having a patient alert module which is configured to provide an alert signal and to obtain a user input from the patient which is evaluated according to at least one patient response rule to produce a user input result; - said programmer also being configured to use the result in order to make an adjustment to the monitoring operations.
- View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15)
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16. A system for providing medical treatment using an implanted device, the system comprising:
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a memory for storing a selected set of alert events for which alerting will occur;
a processor configured to determine if an alert event has occurred, and if so automatically alerting said patient by initiating an alert signal;
an alert module configured to provide the alert signal according to at least one send alert rule;
a user input subsystem for obtaining user input;
wherein the processor is further configured to adjust a treatment program according to at least one patient response rule of an alert protocol which defines at least one operation to perform for at least one type of user input that is provided by a user within a specified interval, and at least one operation to perform for at least one type of user input that is not provided by a user within a specified interval; and
,wherein at least one send alert rule and at least one patient response rule comprise a patient alert rule set. - View Dependent Claims (17, 18, 19, 20)
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21. A system for providing medical therapy having an implanted device for treatment of a disorder comprising:
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an implantable device for providing therapy, said implantable device configured for obtaining the output of a patient state module which calculates patient state and which determines if a change in patient state has occurred;
a patient notification module for automatically providing an alert to the patient if a change in patient state has occurred and awaiting a patient response for a selected amount of time prior to contingently making a treatment adjustment according to at least on of;
the patient response, a lack of patient response. - View Dependent Claims (22, 23, 24)
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Specification