Adaptive baroreflex stimulation therapy for disordered breathing
First Claim
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1. A method of providing disordered breathing therapy to a patient, comprising:
- sensing one or more conditions affecting the patient;
predicting disordered breathing or detecting disordered breathing in the patient using the one or more of the sensed conditions; and
in response to predicting or detecting, delivering a first disordered breathing therapy and a second disordered breathing therapy and implementing instructions in a programmed therapy controller to coordinate the delivery of the first and second disordered breathing therapies, wherein the first disordered breathing therapy includes an electrical stimulation of a neural target to modify a baroreflex response and the second disordered breathing therapy does not include the electrical stimulation of the neural target to modify the baroreflex response, wherein implementing instructions in a programmed therapy controller to coordinate the delivery of the first and second disordered breathing therapies includes using the programmed therapy controller to evaluate the one or more conditions affecting the patient after delivering the first disordered breathing therapy and the second disordered breathing therapy and to adapt the first and second desired breathing therapies.
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Abstract
An approach to providing disordered breathing therapy includes delivering electrical stimulation therapy modifying a patient'"'"'s baroreflex response. Disordered breathing therapy may be delivered in response to prediction or detection of disordered breathing events. Various conditions affecting the patient may be evaluated and the baroreflex therapy modified. The therapy may be modified to improve therapy efficacy, to reduce an impact to the patient and/or to mitigate therapy interactions.
407 Citations
22 Claims
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1. A method of providing disordered breathing therapy to a patient, comprising:
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sensing one or more conditions affecting the patient; predicting disordered breathing or detecting disordered breathing in the patient using the one or more of the sensed conditions; and in response to predicting or detecting, delivering a first disordered breathing therapy and a second disordered breathing therapy and implementing instructions in a programmed therapy controller to coordinate the delivery of the first and second disordered breathing therapies, wherein the first disordered breathing therapy includes an electrical stimulation of a neural target to modify a baroreflex response and the second disordered breathing therapy does not include the electrical stimulation of the neural target to modify the baroreflex response, wherein implementing instructions in a programmed therapy controller to coordinate the delivery of the first and second disordered breathing therapies includes using the programmed therapy controller to evaluate the one or more conditions affecting the patient after delivering the first disordered breathing therapy and the second disordered breathing therapy and to adapt the first and second desired breathing therapies. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13)
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14. A system to provide disordered breathing therapy to a patient, comprising:
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a sensing system configured to sense one or more conditions affecting the patient; a disordered breathing predictor coupled to the sensing system and configured to evaluate the one or more conditions to predict disordered breathing; a first disordered breathing therapy device configured to deliver electrical neural stimulation to a neural target to modulate a baroreflex response of the patient; a second disordered breathing therapy device configured to deliver a therapy that does not deliver electrical neural stimulation to the neural target to modulate the baroreflex response of the patient; and a therapy controller coupled to the first and second therapy devices and configured to coordinate delivery of the first and second disordered breathing therapies, wherein the therapy controller is configured to evaluate the one or more conditions affecting the patient after delivering the first disordered breathing therapy and the second disordered breathing therapy, and adapt the first and second disordered breathing therapies to improve efficacy, to reduce impact to the patient, or to reduce or avoid therapy interaction. - View Dependent Claims (15, 16, 17, 18, 19, 20, 21, 22)
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Specification