WO2010005802A3 - Posture state classification for a medical device - Google Patents

Posture state classification for a medical device Download PDF

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Publication number
WO2010005802A3
WO2010005802A3 PCT/US2009/048686 US2009048686W WO2010005802A3 WO 2010005802 A3 WO2010005802 A3 WO 2010005802A3 US 2009048686 W US2009048686 W US 2009048686W WO 2010005802 A3 WO2010005802 A3 WO 2010005802A3
Authority
WO
WIPO (PCT)
Prior art keywords
vector
similarity
posture state
medical device
patient
Prior art date
Application number
PCT/US2009/048686
Other languages
French (fr)
Other versions
WO2010005802A2 (en
Inventor
Eric J. Panken
Dennis M. Skelton
Original Assignee
Medtronic, Inc.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Medtronic, Inc. filed Critical Medtronic, Inc.
Priority to EP09789953.8A priority Critical patent/EP2313004B1/en
Publication of WO2010005802A2 publication Critical patent/WO2010005802A2/en
Publication of WO2010005802A3 publication Critical patent/WO2010005802A3/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • A61N1/36514—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure
    • A61N1/36542—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure controlled by body motion, e.g. acceleration
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • A61B5/1116—Determining posture transitions
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7235—Details of waveform analysis
    • A61B5/7264—Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02—Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0219—Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • A61B5/1118—Determining activity level
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A61B5/686—Permanently implanted devices, e.g. pacemakers, other stimulators, biochips
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • A61N1/36514—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure
    • A61N1/36535—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure controlled by body position or posture
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems

Abstract

One embodiment relates to a medical device including a sensor to provide signals indicative of a detected posture state of a patient. A memory stores one or more defined vectors, each defined vector being associated with a tolerance describing a relationship with the defined vector. A processor determines a respective similarity between the detected vector and each of one or more of the defined vectors and classifies a posture state of the patient based on whether any similarity has a relationship to the respective defined vector that is described by the associated tolerance. In one embodiment, the similarity is determined without regard to a coordinate system of the patient. Another embodiment relates to determining the similarity based on at least one of an inner product, a length of the defined posture vector and a length of the detected vector.
PCT/US2009/048686 2008-07-11 2009-06-25 Posture state classification for a medical device WO2010005802A2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
EP09789953.8A EP2313004B1 (en) 2008-07-11 2009-06-25 Posture state classification for a medical device

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US8004908P 2008-07-11 2008-07-11
US61/080,049 2008-07-11
US12/433,004 US8958885B2 (en) 2008-07-11 2009-04-30 Posture state classification for a medical device
US12/433,004 2009-04-30

Publications (2)

Publication Number Publication Date
WO2010005802A2 WO2010005802A2 (en) 2010-01-14
WO2010005802A3 true WO2010005802A3 (en) 2010-05-27

Family

ID=41505797

Family Applications (6)

Application Number Title Priority Date Filing Date
PCT/US2009/048676 WO2010005800A2 (en) 2008-07-11 2009-06-25 Posture state detection using selectable system control parameters
PCT/US2009/048686 WO2010005802A2 (en) 2008-07-11 2009-06-25 Posture state classification for a medical device
PCT/US2009/048852 WO2010005809A2 (en) 2008-07-11 2009-06-26 Posture state responsive therapy delivery using dwell times
PCT/US2009/049071 WO2010005822A2 (en) 2008-07-11 2009-06-29 Blended posture state classification and therapy delivery
PCT/US2009/048995 WO2010005816A2 (en) 2008-07-11 2009-06-29 Posture state classification for a medical device
PCT/US2009/049184 WO2010005828A2 (en) 2008-07-11 2009-06-30 Dwell time adjustments for posture state-responsive therapy

Family Applications Before (1)

Application Number Title Priority Date Filing Date
PCT/US2009/048676 WO2010005800A2 (en) 2008-07-11 2009-06-25 Posture state detection using selectable system control parameters

Family Applications After (4)

Application Number Title Priority Date Filing Date
PCT/US2009/048852 WO2010005809A2 (en) 2008-07-11 2009-06-26 Posture state responsive therapy delivery using dwell times
PCT/US2009/049071 WO2010005822A2 (en) 2008-07-11 2009-06-29 Blended posture state classification and therapy delivery
PCT/US2009/048995 WO2010005816A2 (en) 2008-07-11 2009-06-29 Posture state classification for a medical device
PCT/US2009/049184 WO2010005828A2 (en) 2008-07-11 2009-06-30 Dwell time adjustments for posture state-responsive therapy

Country Status (4)

Country Link
US (8) US8688225B2 (en)
EP (5) EP2656787B1 (en)
CN (2) CN102089032B (en)
WO (6) WO2010005800A2 (en)

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