Demand-based system for treating breathing disorders
First Claim
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1. A method of treating sleep disordered breathing in a patient comprising the steps of:
- identifying a breathing disorder in the patient;
providing at least one electrical stimulation to diaphragm or phrenic nerve tissue to manipulate the diaphragm such that the breathing of the patient is adjusted to thereby mitigate the breathing disorder, wherein the at least one electrical stimulation is applied as one or more bursts, each burst comprising a series of pulses, monitoring a respiration parameter of the patient sensing for normalized breathing for a first monitoring period;
further providing at least one electrical stimulation to diaphragm or phrenic nerve tissue if breathing is not as desired or ceasing the at least one electrical stimulation if the breathing is as desired;
further monitoring the respiration parameter if the breathing is not as desired for the presence of the breathing disorder during at least a second monitoring period which is longer than the first monitoring period sensing for normalized breathing; and
if the breathing is still not as desired for the presence of the breathing disorder during the at least a second monitoring period, providing a third or more monitoring periods, each longer than the previous period and further providing at least one electrical stimulation if the breathing is not as desired or ceasing the at least one electrical stimulation if the breathing is as desired.
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Abstract
A device and method are provided for managing the treatment of a patient with respiratory disorders or symptoms. Respiratory parameters are sensed and recorded and communicated to an external device to provide information to a patient and/or provider for further treatment or diagnosis. Also respiratory disorders such as apnea or hypoventilation may be treated by electrically stimulating the diaphragm muscle or phrenic nerve in response to a sensed respiratory parameter or characteristic.
201 Citations
17 Claims
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1. A method of treating sleep disordered breathing in a patient comprising the steps of:
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identifying a breathing disorder in the patient; providing at least one electrical stimulation to diaphragm or phrenic nerve tissue to manipulate the diaphragm such that the breathing of the patient is adjusted to thereby mitigate the breathing disorder, wherein the at least one electrical stimulation is applied as one or more bursts, each burst comprising a series of pulses, monitoring a respiration parameter of the patient sensing for normalized breathing for a first monitoring period; further providing at least one electrical stimulation to diaphragm or phrenic nerve tissue if breathing is not as desired or ceasing the at least one electrical stimulation if the breathing is as desired; further monitoring the respiration parameter if the breathing is not as desired for the presence of the breathing disorder during at least a second monitoring period which is longer than the first monitoring period sensing for normalized breathing; and
if the breathing is still not as desired for the presence of the breathing disorder during the at least a second monitoring period, providing a third or more monitoring periods, each longer than the previous period and further providing at least one electrical stimulation if the breathing is not as desired or ceasing the at least one electrical stimulation if the breathing is as desired. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17)
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Specification