System for respiratory disorder therapy with selection of stimulation strategies

Patent metadata

Field	Value
Publication number	US-2016158091-A1
Application number	US-201514961348-A
Country	US
Kind code	A1
Filing date	Dec 7, 2015
Priority date	Dec 8, 2014
Publication date	Jun 9, 2016
Grant date	—

Abstract

The disclosure relates to a system including a processor configured to generate stimulation control signals in response to a detection of a respiratory disorder. The system further includes at least one kinesthetic effector with a vibrating electromechanical transducer applied to a site on a patient's skin for delivering a kinesthetic stimulation energy determined by the control signals. The processor is further configured to determine the effectiveness of a stimulation by detecting a disappearance of the respiratory disorder. The processor is further configured to determine a therapy by selecting a stimulation strategy among several stimulation strategies according to a type of expected or detected disorder.

First claim

What is claimed is:

1 . A system for treating a breathing disorder in a patient by stimulation, including:
a processor configured to generate stimulation control signals in response to a detection of a respiratory disorder; and at least one effector adapted to receive the stimulations control signals and to deliver a stimulation energy determined by the control signals, wherein the processor is further configured to provide automatic therapy determination comprising dynamically selecting, according to a type of expected or detected respiratory disorder, a stimulation strategy from a set of stored simulation strategies.

2 . The system of claim 1 , wherein the stimulation strategies comprise at least one stimulation strategy of stimulation pulses of a first type and at least one stimulation strategy of stimulation pulses of a second type;
wherein the pulses of the second type have at least one of a pulse duration greater than the pulses of the first type and a time interval between pulses greater than the pulses of the first type.

3 . The system of claim 2 , wherein:
the pulses of the first type have a pulse duration of between 2 and 3 seconds and a time interval between pulses between 2 and 3 seconds.

4 . The system of claim 1 , wherein the automatic therapy determination further comprises limiting a value of the stimulation energy to a maximum value.

5 . The system of claim 1 , wherein automatic therapy determination further comprises selecting the stimulation energy for a late or early type of therapy depending on the type of disorder expected or detected;
the selection comprising either a high energy stimulation strategy and the early therapy or a lower energy stimulation strategy and the later therapy.

6 . The system of claim 1 , wherein the automatic therapy determination further comprises an incremental rising of an energy level from an initial value when the respiratory disorder is still detected.

7 . The system of claim 6 , wherein the automatic therapy determination further comprises a comparison for each energy value incremented to a maximum value.

8 . The system of claim 7 , wherein the automatic therapy determination further comprises forcing the energy level to a value greater than the maximum value when an episode of severe respiratory disorder is detected.

9 . The system of claim 1 , wherein the stimulation energy is a kinesthetic stimulation.

10 . The system of claim 9 , wherein effector is a kinesthetic effector adapted to be applied to a patient's external skin site, and comprising a vibrating electromechanical transducer.

11 . A system for treating a breathing disorder in a patient by kinesthetic stimulation, including:
a processor configured to generate kinesthetic stimulation control signals in response to detection of a respiratory disorder; and at least one kinesthetic effector adapted to be applied to a patient's external skin site, and comprising a vibrating electromechanical transducer adapted to receive control signals and to deliver a kinesthetic stimulation energy determined by said control signals; wherein the processor is further configured to provide automatic therapy determination comprising dynamically selecting, according to a type of expected or detected respiratory disorder, a stimulation strategy from a set of stored simulation strategies.

Assignees

• Sorin Crm Sas
• Inserm Inst De La Rech Médicale
• Université Joseph Fourier
• Université De Rennes 1

Inventors

• Amblard Amel
• Graindorge Laurence
• Feuerstein Delphine
• Hernandez Alfredo
• Pépin Jean-Louis

Classifications

• A61H23/004 Primary

  With mechanical drive, e.g. spring mechanism or vibrating unit being hit for starting vibration and then applied to the body of a patient · CPC title

• A61H2201/5007

  computer controlled · CPC title

• A61H2201/5058

  Sensors or detectors · CPC title

• A61H2230/207

  partial O2-value · CPC title

• A61H2201/5015

  using specific interfaces or standards, e.g. USB, serial, parallel · CPC title