Methods and systems for semi-automatic adjustment of medical monitoring and treatment
First Claim
1. A system for treating a human patient with an implantable device, the system including:
- an implanted device treatment module configured for operating according to at least a first treatment protocol;
a control subsystem configured to detect at least one type of alert event;
an alerting module for operating according to an alert protocol and for operating in response to at least 2 types of alert events when at least two types of operating conditions are satisfied, said conditions relating to the provision of therapy, and for providing an alert signal to a patient in response to each type of alert event;
an external programmer configured for obtaining a patient response;
a clock for providing time information; and
,wherein the treatment protocol and the alert protocol are configured to operate to provide ongoing device operation and semi-automatic treatment in accordance with the treatment protocol being a function of the patient'"'"'s treatment needs including providing the patient with the alert signal and operating according to a response of the patient in the case where the patient provides a response and also operating to automatically cause the modification of device operation across a duration for which the response is not provided by a patient, said modification including a continuance of the device operation according to at least one patient response rule defined for each of said alert events in which at least one of the group of;
modification of treatment operations, modification of alerting operations, and the length of said duration, is defined according to the patient response rule.
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Accused Products
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.
50 Citations
31 Claims
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1. A system for treating a human patient with an implantable device, the system including:
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an implanted device treatment module configured for operating according to at least a first treatment protocol; a control subsystem configured to detect at least one type of alert event; an alerting module for operating according to an alert protocol and for operating in response to at least 2 types of alert events when at least two types of operating conditions are satisfied, said conditions relating to the provision of therapy, and for providing an alert signal to a patient in response to each type of alert event; an external programmer configured for obtaining a patient response; a clock for providing time information; and
,wherein the treatment protocol and the alert protocol are configured to operate to provide ongoing device operation and semi-automatic treatment in accordance with the treatment protocol being a function of the patient'"'"'s treatment needs including providing the patient with the alert signal and operating according to a response of the patient in the case where the patient provides a response and also operating to automatically cause the modification of device operation across a duration for which the response is not provided by a patient, said modification including a continuance of the device operation according to at least one patient response rule defined for each of said alert events in which at least one of the group of;
modification of treatment operations, modification of alerting operations, and the length of said duration, is defined according to the patient response rule. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14)
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15. A system for treating a human patient with an implantable device, the system including:
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an implanted device having a treatment module that is configured for operating according to at least a first treatment protocol for defining a therapy to be applied to the patient; a control subsystem configured to detect at least one type of alert event; an alerting module for operating according to an alert protocol that is configured for providing an alert signal during therapy to a patient, when an operating condition related to a scheduled future event, that is related to the provision of treatment and which is, defined as an alert event, is satisfied and thereby detected by the control subsystem; an external patient programmer for obtaining a patient response; a clock for providing time information; and
,wherein the treatment protocol and the alert protocol causes the modification of treatment operations and alerting operations, said modification occurring to at least one patient response rule that is defined for each alert event. - View Dependent Claims (16, 17, 18, 19, 20, 21, 22, 23)
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24. A system for treating a human patient with an implantable device, the system including:
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an implanted device treatment module configured for operating according to at least a first treatment protocol for defining a therapy to be applied to the patient, said treatment protocol being configured to be adjusted according to the evaluation of treatment data, said treatment data including sensed data obtained from at least one sensor of a sensing module; a control subsystem configured to detect at least one type of alert event; an alerting module for operating according to an alert protocol and for providing an alert signal when an operating condition is satisfied which indicates a defined ambiguity has occurred, the operating condition being defined as an alert event that requires disambiguation by way of requesting a patient response; an external programmer for obtaining a patient response; a clock for providing time information; and
,wherein the treatment protocol and the alert protocol causes the modification of treatment operations, monitoring operations, and alerting operations, said modification occurring according to a patient input response rule defined for the alert event, whereby the therapy to be applied to the patient is a function of the treatment protocol and the alert protocol. - View Dependent Claims (25, 26, 27, 28, 29, 30, 31)
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Specification