Incontinence therapy
First Claim
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1. A medical system comprising:
- a therapy delivery module configured to generate and deliver a first electrical stimulation therapy to a patient to generate a first physiological effect and a second electrical stimulation therapy to the patient to generate a second physiological effect that is different than the first physiological effect, wherein the first physiological effect comprises inhibiting contraction of a bladder of the patient, and wherein the second physiological effect comprises promoting contraction of one or more of a bladder outlet of the patient, an internal urinary sphincter of the patient, an external urinary sphincter of the patient, or periurethral muscles of the patient; and
a processor configured to control the therapy delivery module to deliver the first electrical stimulation therapy to the patient on a regular basis over a period of time and control, during the period of time, the therapy delivery module to deliver the second electrical stimulation therapy only in response to received input, wherein the first and second electrical stimulation therapies are configured to reduce a likelihood of at least one of urinary voiding events and fecal voiding events.
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Abstract
Techniques for managing urinary or fecal incontinence include delivering a first type of therapy to generate a first physiological response and, upon detecting a trigger event, delivering a second type of therapy to generate a second physiological response. The first type of therapy can be delivered on a substantially regular basis, while the second type of therapy is delivered as needed to provide an additional boost of therapy. The trigger event for activating the delivery of the second type of therapy may include input from a sensor that indicates a bladder condition, patient activity level or patient posture, or patient input. In some examples, the therapy is stimulation therapy.
77 Citations
54 Claims
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1. A medical system comprising:
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a therapy delivery module configured to generate and deliver a first electrical stimulation therapy to a patient to generate a first physiological effect and a second electrical stimulation therapy to the patient to generate a second physiological effect that is different than the first physiological effect, wherein the first physiological effect comprises inhibiting contraction of a bladder of the patient, and wherein the second physiological effect comprises promoting contraction of one or more of a bladder outlet of the patient, an internal urinary sphincter of the patient, an external urinary sphincter of the patient, or periurethral muscles of the patient; and a processor configured to control the therapy delivery module to deliver the first electrical stimulation therapy to the patient on a regular basis over a period of time and control, during the period of time, the therapy delivery module to deliver the second electrical stimulation therapy only in response to received input, wherein the first and second electrical stimulation therapies are configured to reduce a likelihood of at least one of urinary voiding events and fecal voiding events. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29)
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30. A method comprising:
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controlling, by a processor, a therapy module to deliver first electrical stimulation therapy to a patient on a regular basis over a period of time to generate a first physiological effect; receiving input from the patient or a sensor; and controlling, by the processor and during the period of time, the therapy module to deliver second electrical stimulation therapy to the patient only in response to the input from the patient or the sensor, wherein the delivery of the second electrical stimulation therapy generates a second physiological effect that is different than the first physiological effect, wherein the first and second electrical stimulation therapies are configured to reduce a likelihood of at least one of urinary voiding events and fecal voiding events, wherein the first physiological effect comprises inhibiting contraction of a bladder of the patient, and wherein the second physiological effect comprises promoting contraction of one or more of a bladder outlet of the patient, an internal urinary sphincter of the patient, an external urinary sphincter of the patient, or periurethral muscles of the patient. - View Dependent Claims (31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50)
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51. A medical system comprising:
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means for generating and delivering first electrical stimulation therapy to a patient on a regular basis over a period of time to generate a first physiological effect; means for receiving input from the patient or a sensor; and means for delivering, during the period of time, second electrical stimulation therapy to the patient to generate a second physiological effect that is different than the first physiological effect only in response to the input from the patient or the sensor, wherein the first and second electrical stimulation therapies are configured to reduce a likelihood of at least one of urinary voiding events and fecal voiding events, wherein the first physiological effect comprises inhibiting contraction of a bladder of the patient, and wherein the second physiological effect comprises promoting contraction of one or more of a bladder outlet of the patient, an internal urinary sphincter of the patient, an external urinary sphincter of the patient, or periurethral muscles of the patient. - View Dependent Claims (52)
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53. A non-transitory computer-readable medium comprising instructions that cause a programmable processor to:
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control a therapy module to deliver first electrical stimulation therapy to a patient on a regular basis over a period of time to generate a first physiological effect; receive input from a patient or a sensor; and control, during the period of time, the therapy module to deliver second electrical stimulation therapy to the patient only in response to the input from the patient or the sensor, wherein the second electrical stimulation therapy is configured to generate a second physiological effect that is different than the first physiological effect, wherein the first and second electrical stimulation therapies are configured to reduce a likelihood of at least one of urinary voiding events and fecal voiding events, wherein the first physiological effect comprises inhibiting contraction of a bladder of the patient, and wherein the second physiological effect comprises promoting contraction of one or more of a bladder outlet of the patient, an internal urinary sphincter of the patient, an external urinary sphincter of the patient, or periurethral muscles of the patient. - View Dependent Claims (54)
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Specification