WO2004034882A3 - Measuring a neurological event using clustering - Google Patents

Measuring a neurological event using clustering Download PDF

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Publication number
WO2004034882A3
WO2004034882A3 PCT/US2003/032940 US0332940W WO2004034882A3 WO 2004034882 A3 WO2004034882 A3 WO 2004034882A3 US 0332940 W US0332940 W US 0332940W WO 2004034882 A3 WO2004034882 A3 WO 2004034882A3
Authority
WO
WIPO (PCT)
Prior art keywords
detection cluster
therapy
treatment
intensity threshold
nervous system
Prior art date
Application number
PCT/US2003/032940
Other languages
French (fr)
Other versions
WO2004034882A2 (en
Inventor
Mark G Frei
Ivan Osorio
Nina M Graves
Scott F Schaffner
Mark T Rise
Jonathon E Giftakis
David L Carlson
Original Assignee
Medtronic Inc
Mark G Frei
Ivan Osorio
Nina M Graves
Scott F Schaffner
Mark T Rise
Jonathon E Giftakis
David L Carlson
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, Mark G Frei, Ivan Osorio, Nina M Graves, Scott F Schaffner, Mark T Rise, Jonathon E Giftakis, David L Carlson filed Critical Medtronic Inc
Priority to EP03779123.3A priority Critical patent/EP1583464B1/en
Priority to US10/687,571 priority patent/US7280867B2/en
Priority to AU2003285895A priority patent/AU2003285895A1/en
Publication of WO2004034882A2 publication Critical patent/WO2004034882A2/en
Publication of WO2004034882A3 publication Critical patent/WO2004034882A3/en
Priority to US11/837,987 priority patent/US7933646B2/en
Priority to US11/837,994 priority patent/US8738136B2/en
Priority to US14/262,634 priority patent/US9072832B2/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/369Electroencephalography [EEG]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/40Detecting, measuring or recording for evaluating the nervous system
    • A61B5/4076Diagnosing or monitoring particular conditions of the nervous system
    • A61B5/4094Diagnosing or monitoring seizure diseases, e.g. epilepsy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36014External stimulators, e.g. with patch electrodes
    • A61N1/36025External stimulators, e.g. with patch electrodes for treating a mental or cerebral condition
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/3606Implantable neurostimulators for stimulating central or peripheral nerve system adapted for a particular treatment
    • A61N1/36082Cognitive or psychiatric applications, e.g. dementia or Alzheimer's disease
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/3606Implantable neurostimulators for stimulating central or peripheral nerve system adapted for a particular treatment
    • A61N1/361Phantom sensations, e.g. tinnitus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/72Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7203Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal
    • A61B5/7217Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal of noise originating from a therapeutic or surgical apparatus, e.g. from a pacemaker
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10STECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S128/00Surgery
    • Y10S128/92Computer assisted medical diagnostics

Abstract

Apparatus and method detect a detection cluster that is associated with a neurological event, such as a seizure, of nervous system disorder and update therapy parameters that are associated with a treatment therapy. The occurrence of the detection cluster is detected when the maximal ratio exceeds an intensity threshold. If the maximal ratio drops below the intensity threshold for a time interval that is less than a time threshold and subsequently rises above the intensity threshold, the subsequent time duration is considered as being associated with the detection cluster rather than being associated with a different detection cluster. Consequently, treatment of the nervous system disorder during the corresponding time period is in accordance with one detection cluster. Treatment therapy may be provided by providing electrical stimulation, drug infusion or a combination. Therapy parameters may be updated for each mth successive group of applications of the treatment therapy or for each nth detection cluster.
PCT/US2003/032940 2002-10-15 2003-10-15 Measuring a neurological event using clustering WO2004034882A2 (en)

Priority Applications (6)

Application Number Priority Date Filing Date Title
EP03779123.3A EP1583464B1 (en) 2002-10-15 2003-10-15 Clustering of recorded patient neurological activity to determine length of a neurological event
US10/687,571 US7280867B2 (en) 2002-10-15 2003-10-15 Clustering of recorded patient neurological activity to determine length of a neurological event
AU2003285895A AU2003285895A1 (en) 2002-10-15 2003-10-15 Measuring a neurological event using clustering
US11/837,987 US7933646B2 (en) 2002-10-15 2007-08-13 Clustering of recorded patient neurological activity to determine length of a neurological event
US11/837,994 US8738136B2 (en) 2002-10-15 2007-08-13 Clustering of recorded patient neurological activity to determine length of a neurological event
US14/262,634 US9072832B2 (en) 2002-10-15 2014-04-25 Clustering of recorded patient neurological activity to determine length of a neurological event

Applications Claiming Priority (6)

Application Number Priority Date Filing Date Title
US41866602P 2002-10-15 2002-10-15
US41849602P 2002-10-15 2002-10-15
US60/418,496 2002-10-15
US50379403P 2003-09-19 2003-09-19
US50400003P 2003-09-19 2003-09-19
US60/503,794 2003-09-19

Publications (2)

Publication Number Publication Date
WO2004034882A2 WO2004034882A2 (en) 2004-04-29
WO2004034882A3 true WO2004034882A3 (en) 2005-08-11

Family

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Family Applications (2)

Application Number Title Priority Date Filing Date
PCT/US2003/032940 WO2004034882A2 (en) 2002-10-15 2003-10-15 Measuring a neurological event using clustering
PCT/US2003/032909 WO2004034880A2 (en) 2002-10-15 2003-10-15 Timed delay for redelivery of treatment therapy for a medical device system

Family Applications After (1)

Application Number Title Priority Date Filing Date
PCT/US2003/032909 WO2004034880A2 (en) 2002-10-15 2003-10-15 Timed delay for redelivery of treatment therapy for a medical device system

Country Status (4)

Country Link
US (2) US7282030B2 (en)
EP (2) EP1583464B1 (en)
AU (2) AU2003301256A1 (en)
WO (2) WO2004034882A2 (en)

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