79 results about "Patient feedback" patented technology

Disclosed are devices and systems which to sense parameters related to the mechanical forces imposed on devices implanted in the stomach. The parameters of the system are further translated into patient feedback systems to create satiety inducing pathways in the stomach.

This invention relates to an interactive medication container or console that hold or otherwise organizes one or more medication vials or containers. Each vial has a memory strip containing medication and prescription information. Each vial can also include a reminder unit that is attached to and portable with the individual vials. The console or reminder unit reads the information strip of the vial and communicates this information to or interacts with a patient to remind them to take the medication. The medication container or reminder unit also gathers or tracks information such as consumption time, quantity remaining, patient feedback, and contraindication information. The medication container or reminder unit interacts with the patient by displaying questions or receiving and recording input from the patient before, during or after a dose of medication is taken. The patient input can be used to modify the dosing regimen for future doses of medication. The medication container reorders medication when the quantity remaining reaches a threshold level. Contraindication information in the memory strip is downloaded to a personal home computer or a hospital or nursing home computer.

This invention relates to an interactive medication container or console that hold or otherwise organizes one or more medication vials or containers. Each vial has a memory strip containing medication and prescription information. Each vial can also include a reminder unit that is attached to and portable with the individual vials. The console or reminder unit reads the information strip of the vial and communicates this information to or interacts with a patient to remind them to take the medication. The medication container or reminder unit also gathers or tracks information such as consumption time, quantity remaining, patient feedback, and contraindication information. The medication container or reminder unit interacts with the patient by displaying questions or receiving and recording input from the patient before, during or after a dose of medication is taken. The patient input can be used to modify the dosing regimen for future doses of medication. The medication container reorders medication when the quantity remaining reaches a threshold level. Contraindication information in the memory strip is downloaded to a personal home computer or a hospital or nursing home computer.

Device and method for limiting adverse events during supplemental oxygen therapy are disclosed. In the present invention, the oxygen flow between a patient and an oxygen source is controlled with a valve such as a proportional solenoid capable of constraining flow-rates within a continuous range. The flow-rate of oxygen is accurately controlled in a closed-loop with flow-rate measurements. Measures of a patient's vital physiological statistics are used to automatically determine optimum therapeutic oxygen flow-rate. Controller signal filtering is disclosed to improve the overall response and stability. The control algorithm varies flow-rates to minimize disturbances in the patient feedback measurements.

A system, method, and computer program product for calibrating a stimulation device such as an implantable pulse generator (IPG). An IPG, whether it is a self-contained implantable pulse generator (SCIPG) or externally-powered implantable pulse generator (EPIPG), communicates with an external programmer to determine the characteristics of the stimuli delivered to the lead electrodes. An external programmer is used with patient feedback to determine initial threshold levels, and using the initial threshold levels, to determine threshold levels for combined electrode arrays.

Disclosed are devices and systems which to sense parameters related to the mechanical forces imposed on devices implanted in the stomach. The parameters of the system are further translated into patient feedback systems to create satiety inducing pathways in the stomach.

A new system and methodology is disclosed for developing interactive weight control and maintenance programs, where an weight control program is developed during a visit to a treating physician or expert based on medical data, medical historical data, and patient profile data. The data and program is then stored in a host computer and a relevant portions are transferred to a weight measuring and feedback unit including a scale and a processing unit having audio and / or visual and / or tactile output devices for patient feedback, which is taken to the patient's home. The patient then weighs himself / herself on a periodic basis and the apparatus issues recommendations or other messages for improved compliance.

Techniques for selecting electrode combinations for stimulation therapy are described. The techniques include selecting one or more electrode combinations based on information associating a plurality of electrode combinations with at least one value of a therapy metric. The therapy metric comprises a quantifiable result of delivery of stimulation, and may be generated computer modeling of delivery of stimulation via the electrode combinations. In one embodiment, a clinician may deliver stimulation via a baseline electrode combination, receive patient feedback to the baseline electrode combination, select a therapy metric based on the patient feedback, and select additional electrode combinations based on the selected therapy metric and the information associating the electrode combinations with therapy metric values. In another embodiment, the clinician may select a therapy metric prior to providing a test stimulation and select additional electrode combinations based on the selected therapy metric and the information associating electrode combinations with metric values.

A child-sized adaptor for a DPI or MDI is provided. Also provided is a patient feedback mechanism for signaling and / or teaching proper inhaler use.

An implantable neurostimulator for treating disorders such as epilepsy, pain, movement disorders and depression includes a detection subsystem capable of detecting a physiological condition and a therapy subsystem capable of providing a course of therapy in response to the condition. The therapy subsystem includes an auto-adjust module for automatically adjusting one or more parameters of the therapy so that the therapy subsystem can provide an adjusted parameter to the patient and solicit the patient's feedback concerning the adjustment without requiring the presence of, or immediate involvement with, a clinician or physician. The patient feedback can be analyzed by computer, clinician or a combination of both to determine an optimal range of parameters for subsequent courses of therapy. In this manner, information useful in tuning the neurostimulator therapy parameters to optimize them for individual patient can be acquired automatically outside of the traditional clinical setting, saving time and minimizing patient fatigue that otherwise would be experience in marathon, in-clinic tuning sessions. The auto-adjust module also can be configured to prompt the patient to provide feedback even when parameters are not being adjusted, so as to acquire information for a baseline or about any placebo effect when the patient is otherwise expecting changes to the therapy to be made.

A system and method for providing tiered patient feedback for use in automated patient care is described. Physiological measures are analyzed. Each physiological measure is representative of at least one of measured and derived patient information recorded on a substantially continuous basis and was retrieved from one such patient care record to determine a patient status. Tiered feedback is provided to an individual patient responsive to the patient status.

Apparatus and method for at least partially fitting a cochlear implant system to a patient is described, comprising: executing a genetic algorithm to select values for a subset of one or more parameters selected from a plurality of parameters for which values are to be selected to fit the implant, wherein said genetic algorithm is operable to generate one or more successive generations of values for said parameter subset; and determining, based on patient feedback, said values of said values for said parameter subset in each of said one or more successive generations.

The present invention relates to a patient feedback system (10) for providing feedback information on the use of a therapeutic device (14) to a patient (12), said system (10) comprising: an interface (34) for receiving personal profile data (18) of the patient (12); a database (16) for storing reference profile data (18′) and reference device settings (54) from a plurality of reference patients (42) using therapeutic devices; a cohort selection module (36) for comparing the personal profile data (18) of the patient (12) with the reference profile data (18′) of the reference patients (42) in the database (16) and for determining a cohort (44) for the patient (12) from the plurality of reference patients (42) based upon said comparison, wherein said cohort (44) comprises a subset of the reference patients (42) having reference profile data (18′) similar to the personal profile data (18) of the patient (12); and a feedback unit (38) for determining feedback information based on the reference device settings (54) of the reference patients (42) in the cohort (44) and for providing said feedback information to the patient (12).

Embodiments presented herein describe techniques for providing feedback for a care plan for a patient. Embodiments receive a care plan specifying a plurality of assigned tasks for the patient to perform, timing information specifying when each of the plurality of assigned tasks should be performed, and a plurality of observation metrics that each indicate a type of biometric data to monitor. Biometric data corresponding to the plurality of observation metrics is collected using at least one monitoring device. Embodiments receive symptom information specifying one or more reported symptoms experienced by the patient and monitor adherence of the patient to completing the plurality of assigned tasks according to the timing information specified in the care plan. Embodiments further include providing feedback to the patient, based on the collected biometric data, received symptom information and monitored adherence.

A computer assisted programming method includes ramping up a stimulation current for a plurality of contacts on a lead. Patient feedback is received while the stimulation current is being ramped up. Patient feedback indicates that the patient is beginning to feel stimulation. Based on the patient feedback, amplitude of the stimulation current that resulted in the patient feedback is recorded, and contacts are divided into groups. The contacts are activated one group at a time to the recorded amplitude. For each activated group of contacts, whether the patient can feel stimulation is determined. Thereafter, the target group that caused the patient to feel stimulation is then sub-divided into sub-groups. This process repeats a plurality of cycles until one or more contacts that caused the patient to feel stimulation are identified. The recorded amplitude is assigned as a perception threshold for the identified one or more contacts.

A method for fitting a cochlear implant to a patient. A genetic algorithm operates to generate successive generations of multiple groups of values for a parameter subset, and patient feedback during execution of the genetic algorithm determines the multiple groups of subset values in successive generations. In each generation, half of the groups of values for the parameter subset are selected and used to determine the groups of values for the next generation. Values for the parameters not included in the subset are selected by any traditional method that does not use a genetic algorithm. In one illustrative embodiment of the invention, there are only three parameters in the subset that are selected by a genetic algorithm—parameters relating to rate, number of channels and filtering characteristics.

The present disclosure involves a method of measuring a physiological feedback from a patient in response to electrical stimulation. A stimulation parameter of a sacral nerve stimulation therapy is ramped up. The sacral nerve stimulation therapy includes electrical pulses generated by a pulse generator based on programming instructions received from an electronic programmer. The electrical pulses are delivered to a patient via a stimulation lead that is implanted in the patient. Via an anal electrode device that is at least partially inserted inside an anal canal of the patient, a compound motor action potential (CMAP) is measured from an anal sphincter of the patient while the stimulation parameter of the sacral nerve stimulation therapy is being ramped up. A stimulation threshold is determined based on the measured CMAP.

Disclosed are methods and systems and methods for patient-feedback control of non-invasive deep brain or superficial neuromodulation using sound impacting one or multiple points in a neural circuit to produce acute effects and, with application in multiple sessions, Long-Term Potentiation (LTP) or Long-Term Depression (LTD) to treat indications such as neurologic and psychiatric conditions. One or more of sonic transducer positioning, intensity, frequency, dynamic sweeps, phase / intensity relationships, and firing patterns are changed through feedback from the patient to optimize patient experience through up-regulation or down regulation. Examples are decreases in acute pain or tremor due to more effective impact on the neural targets.

An implantable neurostimulator for treating disorders such as epilepsy, pain, movement disorders and depression includes a detection subsystem capable of detecting a physiological condition and a therapy subsystem capable of providing a course of therapy in response to the condition. The therapy subsystem includes an auto-adjust module for automatically adjusting one or more parameters of the therapy so that the therapy subsystem can provide an adjusted parameter to the patient and solicit the patient's feedback concerning the adjustment without requiring the presence of, or immediate involvement with, a clinician or physician. The patient feedback can be analyzed by computer, clinician or a combination of both to determine an optimal range of parameters for subsequent courses of therapy. In this manner, information useful in tuning the neurostimulator therapy parameters to optimize them for individual patient can be acquired automatically outside of the traditional clinical setting, saving time and minimizing patient fatigue that otherwise would be experience in marathon, in-clinic tuning sessions. The auto-adjust module also can be configured to prompt the patient to provide feedback even when parameters are not being adjusted, so as to acquire information for a baseline or about any placebo effect when the patient is otherwise expecting changes to the therapy to be made.

A computer assisted programming method includes ramping up a stimulation current for a plurality of contacts on a lead. Patient feedback is received while the stimulation current is being ramped up. Patient feedback indicates that the patient is beginning to feel stimulation. Based on the patient feedback, amplitude of the stimulation current that resulted in the patient feedback is recorded, and contacts are divided into groups. The contacts are activated one group at a time to the recorded amplitude. For each activated group of contacts, whether the patient can feel stimulation is determined. Thereafter, the target group that caused the patient to feel stimulation is then sub-divided into sub-groups. This process repeats a plurality of cycles until one or more contacts that caused the patient to feel stimulation are identified. The recorded amplitude is assigned as a perception threshold for the identified one or more contacts.

A method of optimizing the electrical stimulation of a bladder of a patient including selecting a first subset of electrodes from a set of electrodes positioned adjacent to a set of nerves associated with the bladder. The set of electrodes may include one or more electrodes, each of which may be configured to deliver electrical stimulation pulses generated by a stimulator device to the nerves. The method may further include delivering an electrical stimulation pulse through the selected first subset of electrodes and recording at least one parameter of the electrical stimulation pulse after receiving patient feedback.

A device and method for relieving pain including a waveform generator electrically interconnected with electrodes wherein methods of operation of the waveform generator include methods relying on patient feedback and conductivity measurements of tissue being subjected to a medical procedure.

A method of optimizing the electrical stimulation of a bladder of a patient including selecting a first subset of electrodes from a set of electrodes positioned adjacent to a set of nerves associated with the bladder. The set of electrodes may include one or more electrodes, each of which may be configured to deliver electrical stimulation pulses generated by a stimulator device to the nerves. The method may further include delivering an electrical stimulation pulse through the selected first subset of electrodes and recording at least one parameter of the electrical stimulation pulse after receiving patient feedback.

A non-zero starting value for ramping up a stimulation parameter for an electrical stimulation to be delivered to a patient is determined. The non-zero starting value is customized to the patient. A pulse generator is caused to generate the electrical stimulation, which is delivered to the patient via an implanted lead. The pulse generator is caused to ramp up, from the determined non-zero starting value and toward a predefined maximum limit value, the stimulation parameter for a plurality of electrode contacts on the lead. Feedback is received from the patient in response to the ramping up. The feedback is received via an electronic patient feedback device. Based on the ramping up and the received feedback from the patient, a perception threshold is determined for each of the plurality of electrode contacts. The perception threshold is a value of the stimulation parameter that corresponds to the patient feeling the electrical stimulation.

The present invention relates to a patient feedback system (10) for providing feedback information on the use of a therapeutic device (14) to a patient (12), said system (10) comprising: an interface (34) for receiving personal profile data (18) of the patient (12); a database (16) for storing reference profile data (18') and reference device settings (54) from a plurality of reference patients (42) using therapeutic devices; a cohort selection module (36) for comparing the personal profile data (18) of the patient (12) with the reference profile data (18') of the reference patients (42) in the database (16) and for determining a cohort (44) for the patient (12) from the plurality of reference patients (42) based upon said comparison, wherein said cohort (44) comprises a subset of the reference patients (42) having reference profile data (18') similar to the personal profile data (18) of the patient (12); and a feedback unit (38) for determining feedback information based on the reference device settings (54) of the reference patients (42) in the cohort (44) and for providing said feedback information to the patient (12).

The invention provides a diabetes and cardiovascular and cerebrovascular disease monitoring and treatment system. The diabetes and cardiovascular and cerebrovascular disease monitoring and treatment system comprises a front-end monitoring system, an information middleware, an expert system and a center application system. The front-end monitoring system is connected with the center application system sequentially through the information middleware and the expert system, the front-end monitoring system sends data information to the information middleware and stores the data information into a database, the information middleware sends the data information to the expert system, and the expert system sends conclusions of the physical condition to the center application system. The diabetes and cardiovascular and cerebrovascular disease monitoring and treatment system can utilize low power consumption wireless communication technologies and sensing technologies to timely monitor physiological parameters, daily life, diet, exercise and medicine-taking time of a patient. A doctor can give patients feedbacks and advice by analyzing monitored data of the patients with chronic diseases and control the development of the diseases by supervising the implementation of the advice so as to improve the condition of the patients.