Renal Response Index Device for Hypertension Treatment Stratification

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Solution Overview

Problem

Current hypertension treatment procedures, particularly renal denervation, exhibit significant variability in patient response, making them cumbersome and inefficient.

Innovation Solution

A device and method for determining a renal response index by measuring physiological parameters under stimulated and non-stimulated conditions, calculating a ratio, and generating an index to assess suitability for renal denervation, facilitating more informed treatment decisions.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If renal denervation is performed to treat hypertension, then blood pressure control is improved, but treatment response varies significantly between patients

Engineering Contradiction:
Improvetreatment response predictabilityVSAvoidpatient response variability
Core Design Contradiction:
ReliabilityVSAdaptability or versatility

Solution Approach 1:

The patent applies preliminary action by measuring physiological parameters (such as renal vascular resistance, blood flow, or pressure) before renal denervation treatment to predict patient response. This pre-treatment assessment allows clinicians to identify patients likely to respond well to renal denervation, thereby improving treatment reliability and reducing variability in outcomes across different patients.

Inventive Principle:
Principle #10Preliminary action

2Measurement precision

If multiple measurements are taken under different conditions to improve prediction accuracy, then treatment selection is optimized, but measurement complexity increases

Engineering Contradiction:
Improveresponse prediction accuracyVSAvoidmeasurement protocol complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The patent applies local quality by focusing measurements on specific physiological parameters at specific locations in the renal vasculature under specific conditions (e.g., stimulated vs. non-stimulated states). Rather than conducting comprehensive systemic assessments, the invention targets localized renal physiological responses, thereby improving prediction accuracy while keeping the measurement protocol manageable and clinically feasible.

Inventive Principle:
Principle #3Local quality

Data Source

PatentUS20240347158A1Determination of a treatment response index
Publication Date: 2024.10.17 KONINKLIJKE PHILIPS NV
  • US20240347158A1 patent drawing
  • US20240347158A1 patent drawing
  • US20240347158A1 patent drawing

AI summary

The present invention relates to determining a treatment response index. In order to improve and facilitate hypertension treatment procedures, a device (10) for determining a treatment response index is provided that comprises a data input (12), a data processor (14) and a data output (16). The data input is configured to receive a value (18) of at least one first measurement of a physiological parameter of a subject's vasculature under a first condition; and to provide a value (20) of at least one second measurement of the physiological parameter of the vasculature under a second condition. In the second condition, a pre-determined stimulation is provided, and the first condition is non-stimulated or at least differently stimulated. The data processor is configured to generate a treatment response index. In an example, the data output is configured to provide a classification of the subject into one of at least two groups of subjects, based on the treatment response index.