Coordinated therapy for disordered breathing including baroreflex modulation
First Claim
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1. A method of providing disordered breathing therapy to a patient, comprising:
- delivering a plurality of therapies to treat disordered breathing, including at least a first therapy utilizing electrical stimulation that modulates a patient'"'"'s baroreflex response, and including a second therapy different from the first therapy;
sensing one or more conditions associated with the patient;
determining, from the one or more sensed conditions, an efficacy of at least one therapy of the first and second therapies in treating disordered breathing;
determining, from the one or more sensed conditions, an impact on the patient other than the efficacy of the at least one therapy;
modifying the at least one therapy if the efficacy is determined to be acceptable and the impact is determined to be unacceptable.
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Abstract
An approach to providing disordered breathing therapy involves the use of a plurality of therapy devices to deliver a coordinated disordered breathing therapy regimen to the patient. The plurality of disordered breathing devices includes at least a therapy device that delivers an electrical stimulation therapy modulating a patient'"'"'s baroreflex response. Other therapy devices may include a cardiac electrical stimulation device, an external respiratory therapy device, and/or other therapy devices used in the treatment of disordered breathing. A therapy controller coordinates the therapies delivered by the plurality of therapy devices.
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Citations
36 Claims
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1. A method of providing disordered breathing therapy to a patient, comprising:
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delivering a plurality of therapies to treat disordered breathing, including at least a first therapy utilizing electrical stimulation that modulates a patient'"'"'s baroreflex response, and including a second therapy different from the first therapy; sensing one or more conditions associated with the patient; determining, from the one or more sensed conditions, an efficacy of at least one therapy of the first and second therapies in treating disordered breathing; determining, from the one or more sensed conditions, an impact on the patient other than the efficacy of the at least one therapy; modifying the at least one therapy if the efficacy is determined to be acceptable and the impact is determined to be unacceptable. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18)
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19. A disordered breathing therapy system at least a portion of which is adapted for implantation in a patient, the system comprising:
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a plurality of therapy devices, each therapy device configured to deliver a disordered breathing therapy different from disordered breathing therapies delivered by others of the therapy devices; a plurality of sensors capable of sensing at least one condition associated with the patient; and a therapy controller coupled to the plurality of therapy devices and to the plurality of sensors, the therapy controller configured to; determine from the at least one condition an efficacy of at least one therapy of the disordered breathing therapies in treating disordered breathing; determine from the at least one condition an impact on the patient other than the efficacy of the at least one therapy; and modify the at least one therapy if the efficacy is determined to be acceptable and the impact is determined to be unacceptable; wherein at least one of the therapy devices includes a baroreflex stimulator configured to deliver an electrical stimulation therapy modifying the patient'"'"'s baroreflex response. - View Dependent Claims (20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36)
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Specification