Minimally invasive system for selecting patient-specific therapy parameters
First Claim
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1. A method for selecting a therapy for a patient suffering from a neurological or psychiatric condition, the method comprising:
- implanting a monitoring device between at least one layer of the scalp and the skull, wherein said implanting comprises injecting the monitoring device between at least one layer of the scalp and the skull or delivering the monitoring device through a cannula to a target area;
commencing a first therapy;
monitoring a physiological signal from the patient with the implanted device on an ambulatory basis for a first time period after commencement of the first therapy, wherein said monitoring for the first time period comprises sampling the physiological signal with the implanted device;
commencing a second therapy;
monitoring a physiological signal from the patient with the implanted device on an ambulatory basis for a second time period after commencement of the second therapy, wherein said monitoring for the second time period comprises sampling the physiological signal with the implanted device;
processing the physiological signals from the first time period and second time period; and
analyzing the processed physiological signals to select an appropriate therapy for the patient.
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Abstract
The present invention provides systems and methods for ambulatory, long term monitoring of a physiological signal from a patient. At least a portion of the systems of the present invention may be implanted within the patient in a minimally invasive manner. In preferred embodiments, brain activity signals are sampled from the patient and are transmitted to a handheld patient communication device for further processing.
481 Citations
33 Claims
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1. A method for selecting a therapy for a patient suffering from a neurological or psychiatric condition, the method comprising:
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implanting a monitoring device between at least one layer of the scalp and the skull, wherein said implanting comprises injecting the monitoring device between at least one layer of the scalp and the skull or delivering the monitoring device through a cannula to a target area; commencing a first therapy; monitoring a physiological signal from the patient with the implanted device on an ambulatory basis for a first time period after commencement of the first therapy, wherein said monitoring for the first time period comprises sampling the physiological signal with the implanted device; commencing a second therapy; monitoring a physiological signal from the patient with the implanted device on an ambulatory basis for a second time period after commencement of the second therapy, wherein said monitoring for the second time period comprises sampling the physiological signal with the implanted device; processing the physiological signals from the first time period and second time period; and analyzing the processed physiological signals to select an appropriate therapy for the patient. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12)
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13. A method for optimizing parameters of a selected therapy for patient having a neurological or psychiatric condition, the method comprising:
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implanting a device in between a patient'"'"'s skull and at least one layer of the scalp, wherein said implanting comprises injecting the device between the skull and at least one layer of the scalp or delivering the device through a cannula to a target area; commencing a therapy; sampling a physiological signal from the patient on an ambulatory basis with the implanted device after commencement of the therapy for a first time period; changing at least one parameter of the therapy; sampling the physiological signal from the patient on an ambulatory basis with the implanted device for a second time period after the at least one parameter of the therapy is changed; processing the physiological signal from the first time period and second time period; and analyzing the processed physiological signals from the first and second time periods to determine desirable parameters for the patient'"'"'s therapy. - View Dependent Claims (14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27)
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28. A method for selecting a therapy for a patient suffering from a neurological or psychiatric condition, the method comprising:
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injecting a monitoring device beneath at least one layer of the patient'"'"'s scalp; monitoring a physiological signal from the patient with the implanted device on an ambulatory basis for a first time period after commencement of the first therapy, wherein said monitoring for the first time period comprises sampling the physiological signal with the monitoring device; commencing a therapy; monitoring a physiological signal from the patient with the implanted device on an ambulatory basis for a second time period after commencement of the therapy, wherein said monitoring for the second time period comprises sampling the physiological signal with the monitoring device; processing the physiological signals from the first time period and second time period; and analyzing the processed physiological signals to evaluate efficacy of the therapy. - View Dependent Claims (29, 30, 31, 32, 33)
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Specification