A patient neck cuff arrangement includes an object or garment configured to be worn or positioned in close contact with a neck of a patient. A wireless transmitter may be arranged within the object or garment to transmit power to a medical device implanted within a head-and-neck region of the patient.
A device includes at least one first element in operative relation to at least one target tissue from a set of target tissues to treat sleep disordered breathing, which may include obstructive sleep apnea. The operative relation may include sensing and/or stimulation. The at least one target tissue may comprise diaphragm-related tissue, respiratory tissue-related nerves, and/or upper airway patency-related tissue. Example tissue in the set of target tissues includes hypoglossal nerve, infrahyoid muscle (IHM)-innervating nerve, IHMs, glossopharyngeal nerve, an internal superior laryngeal (iSL) nerve, phrenic nerve, diaphragm, pudendal nerve, among other nerves and muscles. In some example, multiple target tissue may be selected for stimulation and/or sensing.
A method comprises establishing communication between a therapy device implantable in a patient and a consumer electronic device operable by the patient. The method comprises controlling, by the consumer electronic device, a predetermined set of therapy device functions in response to patient inputs to the consumer electronic device. The method also comprises transmitting therapy data from the therapy device to the consumer electronic device. The method further comprises presenting therapy data on a display of the consumer electronic device.
One example of an implantable medical device includes an output signal driver, a first electrode coupled to the output signal driver, a second electrode coupled to the output signal driver, and a control portion. The output signal driver is configured to generate stimulation pulses. The control portion is configured to control the output signal driver to selectively apply via the first electrode and the second electrode a first pulse train to stimulate a first nerve and a second pulse train to stimulate a second nerve.
A system and/or method to treat incontinence of a patient includes a stimulation element implanted to stimulate one or more target sites to activate an external sphincter or other mechanism of continence of the patient, such as the external urethral sphincter and/or the external anal sphincter.
A programmer is configured to effect communication with, and programming of, an implantable medical device configured to deliver neurostimulation therapy. The programmer comprises a display, such as a touch display, and a processor comprising memory and coupled to the display. An interface is coupled to the processor and configured to receive therapy setting data indicative of current therapy settings operative in the implantable medical device and any modifications made to the therapy settings by a patient. The processor is configured to determine if one or more therapy settings have been modified since the last interaction with the patient and coordinate displaying of the current therapy settings, the one or more therapy settings modified by the patient, and a previous state of the one or more therapy settings modified by the patient on the display.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61N 1/05 - Electrodes for implantation or insertion into the body, e.g. heart electrode
A61N 1/372 - Arrangements in connection with the implantation of stimulators
09 - Scientific and electric apparatus and instruments
Goods & Services
Downloadable computer software for programming a medical
apparatus for the treatment of sleep apnea, namely, an
implantable nerve or muscle stimulator.
G06F 21/62 - Protecting access to data via a platform, e.g. using keys or access control rules
H04L 9/32 - Arrangements for secret or secure communicationsNetwork security protocols including means for verifying the identity or authority of a user of the system
A system includes an implantable medical device and an external charger. The implantable medical device includes a power element and a wireless receiver to receive power to charge the power element. The external charger includes a wireless transmitter to transmit the power to the wireless receiver of the implantable medical device.
An implantable medical device includes a power element, stimulation circuitry and/or a sensor to sense physiologic information of a patient, and a housing. The housing encloses the power element and the stimulation circuitry and/or the sensor. The housing is configured to be implanted within a head-and-neck region of the patient.
Examples are directed to methods, apparatuses, and/or devices for identifying a target location and/or for stimulating an infrahyoid muscle-related tissue to promote patency of an upper airway of a patient. In some examples, a method comprises identifying the target location for stimulating the infrahyoid muscle-related tissue to promote patency of an upper airway of a patient.
A61N 1/36 - Applying electric currents by contact electrodes alternating or intermittent currents for stimulation, e.g. heart pace-makers
A61B 5/00 - Measuring for diagnostic purposes Identification of persons
A61B 5/0205 - Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
A61B 5/08 - Measuring devices for evaluating the respiratory organs
A61B 5/113 - Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb occurring during breathing
G16H 20/40 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
31.
TRANSVENOUS STIMULATION TO PROMOTE UPPER AIRWAY PATENCY
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61N 1/05 - Electrodes for implantation or insertion into the body, e.g. heart electrode
A61N 1/372 - Arrangements in connection with the implantation of stimulators
33.
SLEEP DETECTION FOR SLEEP DISORDERED BREATHING (SDB) CARE
An example devices comprises at least one implantable stimulation element to be in stimulating relation to at least one hypoglossal nerve portion, and optionally comprising a control portion configured to stimulate, via the at least one implantable stimulation element, the at least one hypoglossal nerve portion.
Systems and methods for treating bladder and/or bowel dysfunction of a patient includes implanting a lead carrying one or more stimulation elements to apply stimulation energy to one or more target sites in the periurethral space. In some examples, the target site(s) can be one or more of the deep perineal nerve and the external urethral sphincter.
A communication platform at least partially implements secure communications between a medical device and a trusted authority (TA) service provider. The secure communications prevent access to the secure communications by the communication platform while permitting access to the secure communications at the medical device and/or at the trusted authority service provider.
A device includes at least one first element in operative relation to at least one target tissue to treat sleep disordered breathing, which may include obstructive sleep apnea. The operative relation may include sensing and/or stimulation. The at least one target tissue may comprise a diaphragm-related tissue and/or an upper airway patency-related tissue. The upper airway patency-related tissue may comprise a hypoglossal nerve, an infrahyoid (IHM)-innervating nerve, and/or an infrahyoid muscle.
An example device includes a sensor, a filter, an electrode, and a control portion. The sensor is securable to a patient to provide a sensor signal. The sensor is to sense changes in acceleration indicative of respiration of the patient. The filter is to detect zero crossings of the sensor signal. The electrode is to deliver electrical stimulation to the patient. The control portion is to apply the electrical stimulation based on the detected zero crossings.
Implantable medical apparatuses and methods configured to engage target tissue, such a nerve, via a first electrode arrangement. Such engagement may, in some examples, include improving, increasing, and/or otherwise enhancing electrical capture of the target tissue, such as a nerve, for stimulation and/or sensing. In some examples, the first electrode arrangement may be previously implanted.
A61N 1/36 - Applying electric currents by contact electrodes alternating or intermittent currents for stimulation, e.g. heart pace-makers
A61B 5/00 - Measuring for diagnostic purposes Identification of persons
A61B 5/0205 - Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
A61B 5/08 - Measuring devices for evaluating the respiratory organs
A61B 5/113 - Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb occurring during breathing
G16H 20/40 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
Devices and/or methods for treating sleep disordered breathing may include stimulation of a single nerve, multiple nerves, as well as other tissues relating to upper airway patency.
Examples are directed to an apparatus, device and/or method comprising promoting patency of an upper airway of a patient via mechanically maneuvering at least one of thyroid cartilage inferiorly, and hyoid bone anteriorly.
A method includes setting, via a control portion of a device, sleep-wake threshold values for each of a plurality of sleep-wake determination parameters based on a patient population model. The method includes adjusting, via the control portion, the sleep-wake threshold values for each of the plurality of sleep-wake determination parameters based on patient feedback.
A device and/or method to determine patient eligibility for automatic initiation of therapy based on variability of sleep onset latency. The device comprises a control portion programmed to determine patient eligibility of a patient, based on at least one variability metric of sleep onset latency of the patient, for initiating sleep disordered breathing (SDB) stimulation therapy via an automatic sleep detection mode. The automatic sleep detection mode may be a selection from a plurality of modes, wherein the plurality of modes may include a motion-activity only detection mode, a non-motion-activity physiologic parameter detection mode, a combination motion-activity and non- motion-activity physiologic parameter detection mode and a posture timer detection mode.
Systems and methods for treating bladder and/or bowel dysfunction of a patient includes a stimulation element implanted to stimulate one or more target sites, and a bioimpedance sensor to sense at least one bioimpedance parameter of the patient. In some examples, stimulation energy is applied to an anatomical structure of the patient as a function of the sensed bioimpedance parameter, for example to address the potential bladder or bowel dysfunction event.
Systems and methods for treating bladder and/or bowel dysfunction of a patient includes implanting a lead carrying one or more stimulation elements to apply stimulation energy to one or more target sites. In some examples, the lead can be implanted using one or more of a guidewire, a tear-away sheath, an open surgical approach, a laparoscopic procedure, or endoluminally.
Systems and methods for treating bladder and/or bowel dysfunction of a patient includes implanting a lead carrying one or more stimulation elements to apply stimulation energy to one or more target sites. In some examples, the target site(s) can be one or more of the hypogastric nerve, the pudendal nerve, the pelvic nerve, the external urethral sphincter, and the internal urethral sphincter.
Examples are directed to an apparatus, device and/or method comprising selectively stimulating, via at least one stimulation element, glossopharyngeal-related tissue of a patient to promote upper airway patency.
A device and/or method to detect a second instance of sleep onset within a nightly treatment period according to a second criteria different from a first criteria associated with a first instance of sleep onset during the nightly treatment period.
An implantable medical device includes a first element and a second element. The second element is electrically connected to the first element via an electrical connector. The second element includes at least one conductive element.
Examples are directed to methods, apparatuses, and/or devices for identifying a target location for stimulating an infrahyoid muscle-related tissue to promote patency of an upper airway of a patient.
A device includes a sensor and a control portion. The sensor is securable to a patient to provide a sensor signal. The sensor is to sense changes in acceleration indicative of respiration of the patient. The control portion is to determine a midpoint of each respiratory phase of the patient based on the sensor signal.
Systems and methods for treating bladder and/or bowel dysfunction of a patient includes a stimulation element implanted to stimulate one or more target sites, and a sensor to sense sensing at least one parameter of the patient indicative of a potential bladder or bowel dysfunction event. In some examples, stimulation energy is applied to an anatomical structure of the patient as a function of the sensed parameter, for example to address the potential bladder or bowel dysfunction event.
Examples are directed to a system, device and/or method comprising forming at least one lead portion of a medical lead body in a non-linear configuration from a thermoset material. Some examples are directed to a system, device and/or method comprising forming a body supporting at least one contact electrode, the body at least partially defining a re-closable lumen and comprising engaging portions, at least one of the engaging portions being formed from a silicone material.
B29C 48/18 - Articles comprising two or more components, e.g. co-extruded layers the components being layers
A61N 1/05 - Electrodes for implantation or insertion into the body, e.g. heart electrode
B29C 48/00 - Extrusion moulding, i.e. expressing the moulding material through a die or nozzle which imparts the desired formApparatus therefor
B29C 48/03 - Extrusion moulding, i.e. expressing the moulding material through a die or nozzle which imparts the desired formApparatus therefor characterised by the shape of the extruded material at extrusion
73.
METHODS OF MANEUVERING STIMULATION ELEMENTS WITHIN VESSELS VIA A GUIDE TOOL
A system and/or method involving establishing, via a guide tool, a stimulation element in a first position within a first vessel of a vasculature which is in communication with a second vessel of the vasculature, identifying, via angularly positioning of an elongate arm relative to a distal elongate portion of the guide tool, an entry region into the second vessel from the first vessel, and maneuvering the stimulation element through the entry region and to a second position within the second vessel via the guide tool.
Methods and systems provide for receiving, at a remote server, first data and a first sharing key acquired from a first processor associated with a first medical practice, and receiving, at the remote server, second data and a second sharing key acquired from a second processor associated with a second medical practice. The methods and systems provide for comparing, by the remote server, the first sharing key to the second sharing key, and granting, to the first and second processors by the remote server, access to the first and second data stored in the remote server in response to a successful comparison of the first and second sharing keys. The methods and systems provide for sharing, by the remote server, the first and second data with the first and second processors in response to the grant of access.
G16H 80/00 - ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring
A method comprises establishing communication between a therapy device implantable in a patient and a consumer electronic device operable by the patient. The method comprises controlling, by the consumer electronic device, a predetermined set of therapy device functions in response to patient inputs to the consumer electronic device. The method also comprises transmitting therapy data from the therapy device to the consumer electronic device. The method further comprises presenting therapy data on a display of the consumer electronic device.
44 - Medical, veterinary, hygienic and cosmetic services; agriculture, horticulture and forestry services
Goods & Services
Implantable nerve and muscle stimulators for health and
medical purposes; therapeutic breathing enhancement devices
for medical purposes. Medical services, namely, providing virtual diagnostic
services and treatment plans for patients; providing
information for patients in the field of respiratory
disorders.
81.
SYSTEMS AND METHODS FOR MONITORING IMPLANTABLE MEDICAL DEVICE USAGE AND TREATMENT PLAN ADHERENCE
G16H 50/30 - ICT specially adapted for medical diagnosis, medical simulation or medical data miningICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for calculating health indicesICT specially adapted for medical diagnosis, medical simulation or medical data miningICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for individual health risk assessment
G16H 10/60 - ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
G16H 50/70 - ICT specially adapted for medical diagnosis, medical simulation or medical data miningICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for mining of medical data, e.g. analysing previous cases of other patients
G16H 20/40 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
A61B 5/00 - Measuring for diagnostic purposes Identification of persons
An apparatus includes an implantable stimulator to treat sleep disordered breathing (SDB) and at least one electrode associated with the stimulator. The apparatus may include a microstimulator including a housing to encapsulate at least stimulation circuitry and a control portion including a therapy manager to control the stimulation circuitry based on at least control information.
One example of a device includes a clock, a sensing circuit, and a stimulation circuit. The clock is configured to generate a clock signal. The sensing circuit is configured to periodically sense a signal based on the clock signal. The stimulation circuit is configured to output a stimulation pulse train relative to the periodic sensing of the signal based on the clock signal.
Examples are directed to methods, devices, systems, computer-readable storage medium. An example non-transitory computer-readable storage medium comprises instructions that when executed cause a processing resource to present a graphical user interface (GUI) associated with a clinician portal, the GUI including a plurality of GUI portions that are individually and selectively displayable to present patient data for a plurality of patients based on at least one filter for different classes of the plurality of patients.
G16H 40/20 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
G16H 20/30 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
G16H 40/67 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
G16H 10/20 - ICT specially adapted for the handling or processing of patient-related medical or healthcare data for electronic clinical trials or questionnaires
86.
Display screen or portion thereof with a graphical user interface
44 - Medical, veterinary, hygienic and cosmetic services; agriculture, horticulture and forestry services
Goods & Services
(1) Implantable nerve and muscle stimulators for health and medical purposes; therapeutic breathing enhancement devices in the nature of airway stimulators to facilitate and improve breathing. (1) Providing virtual diagnostic services and treatment plans for patients with respiratory disorders; providing medical and therapeutic information for patients with respiratory disorders.
88.
Display screen or portion thereof with a graphical user interface
Methods and/or devices to identify disease burden indication are disclosed. One type of disease comprises sleep disordered breathing and/or related parameters, which may be sensed via implantable sensors such as an acceleration sensor.
An example devices comprises at least one implantable stimulation element to be in stimulating relation to at least one hypoglossal nerve portion, and optionally comprising a control portion configured to stimulate, via the at least one implantable stimulation element, the at least one hypoglossal nerve portion.
An output signal driver includes a positive output node, a negative output node, a power supply input node, a power supply common node, a charging capacitor, a discharging capacitor, a current source, a current sink, a first switch, a second switch, and a controller. The charging capacitor is coupled to the power supply input node. The discharging capacitor is coupled to the negative output node. The current source is coupled between the power supply input node and the positive output node. The current sink is coupled between the positive output node and the power supply common node. The first switch is coupled in parallel with the current source. The second switch is coupled in parallel with the current sink. The controller is coupled to the current source, the current sink, the first switch, and the second switch to apply either complementary constant current pulses or complementary constant voltage pulses to the positive output node.
Devices and/or methods for treating sleep disordered breathing may include stimulation of a single nerve, multiple nerves, as well as other tissues relating to upper airway patency.
A device includes a sensor signal input node and a high-pass filter stage. The high-pass filter stage includes an operational amplifier and a feedback integrator. The operational amplifier includes an input node coupled to the sensor signal input node. The feedback integrator is coupled between an output node of the operational amplifier and the input node of the operational amplifier to set a high-pass pole frequency of the high-pass filter stage.
One example of an implantable medical device includes an output signal driver, a first electrode, a second electrode, and a controller. The output signal driver is configured to generate stimulation pulses to stimulate a nerve within a patient. The first electrode is coupled to the output signal driver. The second electrode is coupled to the output signal driver. The controller is configured to control the output signal driver to selectively apply between the first electrode and the second electrode a first pulse train and a second pulse train interleaved with the first pulse train.
09 - Scientific and electric apparatus and instruments
10 - Medical apparatus and instruments
42 - Scientific, technological and industrial services, research and design
44 - Medical, veterinary, hygienic and cosmetic services; agriculture, horticulture and forestry services
Goods & Services
Downloadable software for a digital health platform and
portal used in connection with implantable medical devices
used for treating breathing disorders; remote control used
with medical apparatus for implantable nerve or muscle
stimulator; downloadable mobile applications for receiving
and providing information to patients about breathing data,
breathing disorders, and breathing treatments. Implantable nerve and muscle stimulators for health and
medical purposes; therapeutic breathing enhancement devices. Software as a service (SAAS) featuring software for a
cloud-based digital health platform and portal for use in
connection with implantable medical devices used to monitor
user breathing and treat breathing disorders; providing
non-downloadable software for receiving and providing
information to patients and clinicians about breathing data,
breathing disorders, and breathing treatments. Providing virtual diagnostic and treatment plans for
patients; providing information for patients in the field of
respiratory disorders.
97.
SYSTEMS AND METHODS FOR OPERATING AN IMPLANTABLE MEDICAL DEVICE BASED UPON A SENSED PHYSICAL ACTION
A system and/or method to control operation of an implantable medical device in response to sensed occurrence of a designated physical action intentionally performed by the patient.
44 - Medical, veterinary, hygienic and cosmetic services; agriculture, horticulture and forestry services
Goods & Services
Implantable electronic nerve and muscle stimulators for health and medical purposes; therapeutic breathing enhancement devices for medical purposes Medical services, namely, providing virtual diagnostic services and treatment plans for patients; providing medical and health information for patients in the field of respiratory disorders
44 - Medical, veterinary, hygienic and cosmetic services; agriculture, horticulture and forestry services
Goods & Services
Implantable electronic nerve and muscle stimulators for health and medical purposes; therapeutic breathing enhancement devices for medical purposes Medical services, namely, providing virtual diagnostic services and treatment plans for patients; providing medical and health information for patients in the field of respiratory disorders
