Systems and methods for controlling position

• US 9,855,006 B2
• Filed: 06/24/2014
• Issued: 01/02/2018
• Est. Priority Date: 06/05/2009
• Status: Active Grant

• Current Assignee: Advanced Brain Monitoring
• Original Assignee: Advanced Brain Monitoring
• Inventors: Levendowski, Daniel J., Zavora, Timothy, Westbrook, Philip R., Mitrovic, Mirko, Veljkovic, Bratislav, Berka, Chris, Trejo, Jonny
• Primary Examiner(s): NELSON, KERI JESSICA
• Application Number:
  US14/313,213
• Publication Number:
  US 20140309483A1
• Time in Patent Office: 1,288 Days
• Field of Search: 128845, 128848, 128871, 600301, 600529, 600587
• CPC Class Codes: A61B 5/103 Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes A61B5/08 takes precedence; measuring aids for tailors A41H1/00; measuring instruments specially adapted for dentistry A61C19/04
• CPC Class Codes: A61B 5/11 Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb for measuring pulse A61B5/02 ;A61B5/1038 takes precedence; motion detection to correct for motion artifacts in physiological signals A61B5/721
• CPC Class Codes: A61B 5/1116 Determining posture transitions
• CPC Class Codes: A61B 5/113 occurring during breathing
• CPC Class Codes: A61B 5/4806 Sleep evaluation A61B5/4821 takes precedence; devices for inducing sleep A61M21/02
• CPC Class Codes: A61B 5/4809 Sleep detection, i.e. determining whether a subject is asleep or not
• CPC Class Codes: A61B 5/4818 Sleep apnoea
• CPC Class Codes: A61B 5/4833 Assessment of subject's compliance to treatment
• CPC Class Codes: A61B 5/486 Bio-feedback A61B5/375 takes precedence
• CPC Class Codes: A61B 5/6819 Nose
• CPC Class Codes: A61B 5/6822 Neck
• CPC Class Codes: A61B 5/6823 Trunk, e.g., chest, back, abdomen, hip
• CPC Class Codes: A61B 5/6831 Straps, bands or harnesses
• CPC Class Codes: A61B 5/7282 Event detection, e.g. detecting unique waveforms indicative of a medical condition A61B5/4094, A61B5/4818, A61B5/349, A61B5/0823 take precedence
• CPC Class Codes: A61B 5/7405 using sound
• CPC Class Codes: A61B 7/003 Detecting lung or respiration noise
• CPC Class Codes: A61B 7/04 Electric stethoscopes microphones, acoustic transducers therefor H04R
• CPC Class Codes: A61F 5/56 Devices for preventing snoring by influencing the respiratory system by gas treatment A61M16/00
• CPC Class Codes: A61M 2021/0022 by the tactile sense, e.g. vibrations
• CPC Class Codes: A61M 2021/0027 by the hearing sense
• CPC Class Codes: A61M 2021/0044 : by the sight sense
• CPC Class Codes: A61M 2021/0083 : especially for waking up
• CPC Class Codes: A61M 21/02 : for inducing sleep or relaxation, e.g. by direct nerve stimulation, hypnosis, analgesia for massage A61H; electrotherapy A61N, e.g. applying alternating or intermittent electric currents for producing anaesthesia A61N1/36021
• CPC Class Codes: A61M 2205/3375 : Acoustical, e.g. ultrasonic, measuring means
• CPC Class Codes: A61M 2205/3569 : sublocal, e.g. between console and disposable
• CPC Class Codes: A61M 2205/3592 : using telemetric means, e.g. radio or optical transmission
• CPC Class Codes: A61M 2205/502 : User interfaces, e.g. screens or keyboards
• CPC Class Codes: A61M 2205/581 : by audible feedback
• CPC Class Codes: A61M 2205/583 : by visual feedback
• CPC Class Codes: A61M 2205/8206 : battery-operated
• CPC Class Codes: A61M 2209/088 : on the body
• CPC Class Codes: A61M 2230/63 : Motion, e.g. physical activity
• CPC Class Codes: A61N 1/3601 : of respiratory organs
• CPC Class Codes: A61N 1/36014 : External stimulators, e.g. with patch electrodes external pacemakers A61N1/3625
• CPC Class Codes: A61N 1/36031 : using physiological parameters for adjustment
• CPC Class Codes: A61N 2005/0653 : Organic light emitting diodes

Abstract

Systems and methods for assessing compliance with position therapy. In an embodiment, position therapy is provided to a user while the user is wearing a position therapy device. The position therapy comprises, by the device, collecting positional data, determining positions of the user over a time period based on the positional data, and, when it is determined that the user is in a target position, providing feedback to the user to influence the user to change to a non-target position. In addition, the device stores a duration of use in its memory. The duration of use indicates a duration that the user has used the wearable position therapy device in each of one or more positions. An assessment of the user'"'"'s compliance with the position therapy is then provided based, at least in part, on the duration of use.

Claims

1. A position therapy system comprising:

a wearable position therapy device configured to be positioned proximate a user'"'"'s neck, the wearable position therapy device comprising

a memory,

a position detector configured to generate positional data, when proximate the user'"'"'s neck, that can be used to determine a position of the user,

a feedback generator configured to generate feedback to the user, and

at least one microcontroller configured to

provide position therapy to the user by,

based on the positional data, determining positions of the user over a time period,

when it is determined that the user is in a supine position, controlling the feedback generator to provide feedback to a back of the user'"'"'s neck to influence the user to change to a non-supine position,

wherein, in response to the device being turned on or a reset operation, not providing feedback for a delay period to provide the user with an opportunity to fall asleep, and

store a duration of use in the memory, wherein the duration of use indicates a duration that the user has used the wearable position therapy device in each of one or more positions; and

one or more software modules that provide an assessment of the user'"'"'s compliance with the position therapy based, at least in part, on the duration of use.

2. The position therapy system of claim 1, wherein the at least one microcontroller is further configured to store indications of the determined positions in the memory, and wherein providing an assessment of the user'"'"'s compliance with the position therapy is further based on the indications of the determined positions.

3. The position therapy system of claim 2, wherein the one or more software modules further, based on the indications of the determined positions, measure a percentage of time that the user has spent in the supine position.

4. The position therapy system of claim 3, wherein the one or more software modules further, based on the indications of the determined positions, measure a percentage of time that the user has spent in one or more non-supine positions.

5. The position therapy system of claim 1, further comprising a communication interface for transferring the stored duration of use from the memory to an external computer system, wherein the one or more software modules are further configured to generate a report based on the assessment of the user'"'"'s compliance with the position therapy, and wherein one or more of the one or more software modules are executed on the external computer system.

6. The position therapy system of claim 5, wherein the external computer system comprises a web portal.

7. The position therapy system of claim 1, further comprising a microphone, wherein the at least one microcontroller is further configured to:

collect snoring data using the microphone; and

correlate the snoring data with the determined positions.

8. The position therapy system of claim 1, wherein the at least one microcontroller is further configured to determine the duration of use based on when the wearable position therapy device is powered on and powered off.

9. The position therapy system of claim 1 further comprising

an enclosure holding the position detector, the feedback generator, and the at least one microprocessor;

and

a strap extending from the enclosure.

10. The position therapy system of claim 1 wherein the positional feedback is delivered when the user is in the supine position and snoring.

11. The position therapy system of claim 1 wherein the positional information is transmitted wirelessly to the memory storage.

12. A method for assessing compliance with position therapy using a position therapy device, the method comprising:

providing position therapy to a user while the user is wearing a wearable position therapy device proximate the user'"'"'s neck, wherein the position therapy comprises, by the wearable position therapy device,

collecting positional data via a position detector in the wearable position therapy device while the user is wearing the wearable position therapy device proximate the user'"'"'s neck,

based on the positional data, determining positions of the user over a time period, and,

when it is determined that the user is in a supine position, by a feedback generator in the wearable position therapy device, providing feedback to a back of the user'"'"'s neck to influence the user to change to a non-supine position,

wherein, in response to the device being turned on or a reset operation, not providing feedback for a delay period to provide the user with an opportunity to fall asleep;

by the wearable position therapy device, storing a duration of use in a memory of the wearable position therapy device, wherein the duration of use indicates a duration that the user has used the wearable position therapy device in each of one or more positions; and

providing an assessment of the user'"'"'s compliance with the position therapy based, at least in part, on the duration of use.

13. The method of claim 12, further comprising, by the wearable position therapy device, storing indications of the determined positions in the memory in the wearable position therapy device, wherein providing an assessment of the user'"'"'s compliance with the position therapy is further based on the indications of the determined positions.

14. The method of claim 13, further comprising, based on the indications of the determined positions, measuring a percentage of time that the user has spent in the supine position.

15. The method of claim 14, further comprising, based on the indications of the determined positions, measuring a percentage of time that the user has spent in one or more non-supine positions.

16. The method of claim 12, further comprising:

transferring the stored duration of use from the memory in the wearable position therapy device to an external computer system; and

,

by the external computer system, generating a report based on the assessment of the user'"'"'s compliance with the position therapy.

17. The method of claim 16, wherein the external computer system comprises a web portal.

18. The method of claim 12, further comprising, by the wearable position therapy device:

collecting snoring data using a microphone in the wearable position therapy device; and

correlating the collected snoring data with the determined positions.

19. The method of claim 12, further comprising, by the wearable position therapy device, determining the duration of use based on when the wearable position therapy device is powered on and powered off.

20. A position therapy system for influencing the position of a user of the position therapy system, the system comprising:

a position detector configured to be positioned proximate a user'"'"'s neck and operable to generate positional signal data that can be used to determine a position of the user;

a haptic feedback generator operable to generate tactile feedback to the user and configured to be positioned proximate a user'"'"'s neck; and

one or more processors in communication with the position detector and the haptic feedback generator, wherein the microcontroller is operable to

receive and analyze the signal data from the position detector,

delay feedback for a delay period to provide the user with an opportunity to fall asleep,

determine whether the user is in a target position,

if it is determined that the user is in the target position following the delay period, generate a control signal to cause the haptic feedback generator to provide tactile feedback to the user to induce the user to change to a different, non-target position.

21. The system of claim 20 further comprising

an enclosure holding the position detector, the feedback generator, and the at least one microprocessor;

and

a strap extending from the enclosure.

22. The system of claim 20 wherein the positional feedback is delivered when the user is in the supine position and snoring.

23. The position therapy system of claim 20 wherein the delay period ends when snoring is detected.