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Publication numberCN105662350 A
Publication typeApplication
Application numberCN 201610127127
Publication date15 Jun 2016
Filing date29 Jun 2009
Priority date11 Jul 2008
Also published asCN102123761A, EP2344242A1, EP2344242B1, US9050471, US9272091, US20100010584, US20150238693, WO2010005818A1
Publication number201610127127.9, CN 105662350 A, CN 105662350A, CN 201610127127, CN-A-105662350, CN105662350 A, CN105662350A, CN201610127127, CN201610127127.9
InventorsDM斯凯尔顿, JP戴维斯, RM萨哈斯拉布德, S格卡达斯, JJ诺兰
Applicant麦德托尼克公司
Export CitationBiBTeX, EndNote, RefMan
External Links: SIPO, Espacenet
Posture state display on medical device user interface
CN 105662350 A
Abstract
The invention relates to a posture state display on medical device user interface. The disclosure provides a system that displays a posture state indication to a user. A posture state indication represents the current posture state of the patient, which may be a combination of patient posture and activity. As a patient changes posture and activity throughout a daily routine, a posture state detector may generate a posture state value that may be used to categorize the patient's posture or posture and activity level as one of multiple posture states used to adjust therapy. The posture state may be associated with one of multiple posture state indications that may be presented to the patient. The posture state indication shows the patient the posture state currently detected by the posture state detector.; The posture state indication may help the patient to effectively monitor therapy changes due to automatic, semi-automatic or patient-directed therapy adjustments made as a function of posture state.
Claims(10)  translated from Chinese
1. 一种方法,包括: 由处理器接收指示医疗患者当前所采取的姿势状态的经检测姿势状态; 通过医疗装置编程装置的用户界面呈递代表所述经检测姿势状态的姿势状态指示; 同治疗程序或治疗程序组中的至少一个一起呈递自动姿势响应图标,其中所述自动姿势响应图标指示治疗是根据所述医疗患者的姿势状态自动递送的;和控制对所述医疗患者的治疗的递送。 1. A method, comprising: receiving an indication by the processor after detecting the posture state of the patient's current health status of the posture taken; presenting on behalf of the medical device through the user interface programming means the detected posture state posture state indication; with treatment program or group of therapy programs together with at least one automatic posture response icon presenting, wherein the automatic posture response icon indicates that the therapy is delivered automatically according to the posture state of the medical patient; and the control of the medical treatment of a patient delivery.
2. 如权利要求1所述的方法,其特征在于,所述呈递所述姿势状态指示包括产生所述姿势状态指示的视觉、听觉或触觉表示。 2. The method according to claim 1, characterized in that said presenting the posture state indication includes producing a visual indication of the state of the posture, audible or tactile representation.
3. 如权利要求1所述的方法,其特征在于,所述呈递所述姿势状态指示包括呈递所述姿势状态指示的视觉表示。 3. The method according to claim 1, characterized in that said presenting the posture state indication comprises presenting a visual representation of the posture state indication.
4. 如权利要求3所述的方法,其特征在于,所述呈递姿势状态指示包括在与所述医疗装置编程装置的用户界面相关联的显示器上呈递所述姿势状态指示。 4. The method according to claim 3, characterized in that said presenting the posture state indication includes a user interface on a display of the medical device programming means associated with presenting the posture state indication.
5. 如权利要求1所述的方法,其特征在于,所述方法还包括通过所述医疗装置编程装置的用户界面呈递与通过医疗装置递送至医疗患者的治疗相关的治疗信息。 5. The method according to claim 1, characterized in that the method further comprises presenting the medical device is delivered through a therapeutic medical treatment information related to the patient through the user interface of the medical device programmer.
6. 如权利要求5所述的方法,其特征在于,接收所述经检测姿势状态包括:从所述医疗装置接收所述经检测姿势状态。 6. The method according to claim 5, characterized in that the posture state detected by said receiving comprises: receiving from the detected posture state of the medical device via.
7. 如权利要求1所述的方法,其特征在于,所述姿势状态指示包括表示所述医疗患者的姿势或所述患者的活动的一组姿势状态指示中的至少一个。 7. The method according to claim 1, characterized in that the posture state indication includes at least one represents a group of posture state indications of the health of the patient or the patient's posture in the activity.
8. 如权利要求1所述的方法,其特征在于,所述姿势状态指示包括直立指示、仰卧指示、 俯卧指示、右侧卧指示、左侧卧指示、走路指示、跑步指示、骑车指示、游泳指示、开车指示、 举重指示或打字指示中的至少一个。 8. The method according to claim 1, wherein said indication comprises an upright posture state indication, indicating supine, prone indication, a lying right indication, lying left indication, indication walking, running indication, biking indication, swimming directions, driving directions, or at least a weightlifting indication typing directives.
9. 如权利要求1所述的方法,其特征在于,所述姿势状态指示包括图形表示、象征性图标、文字、字母、数字或箭头中至少一个。 9. The method according to claim 1, characterized in that the posture state indication includes a graphical representation, a symbolic icon, text, letters, numbers, or at least one of the arrows.
10. 如权利要求1所述的方法,其特征在于,所述方法还包括同所述姿势状态指示一起呈递辅助姿势状态指示,其中所述辅助姿势状态指示表示与所述姿势状态指示不同的姿势状态。 10. The method according to claim 1, characterized in that, with the method further comprising presenting the posture state indication together with supplementary posture state indication, wherein the supplementary posture state indication represents the posture state indication in different positions status.
Description  translated from Chinese

医疗装置用户界面上的姿势状态显示 Posture state medical device on the user interface display

[0001 ] 本申请是国际申请号为PCT/US2009/049005,国际申请日为2009年6月29日,进入中国国家阶段的申请号为200980132522.4,发明名称为"医疗装置用户界面上的姿势状态显示"的发明专利申请的分案申请。 [0001] The present application is an international application number PCT / US2009 / 049005, the international filing date of June 29, 2009, entered the Chinese National Phase Application No. 200980132522.4, entitled as "the posture state of the medical device on the user interface display "divisional application of invention patent applications.

背景技术 Background technique

[0002] 许多医疗装置可用于对患有各种病症的患者进行慢性(例如长期)递送治疗,所述病症包括例如慢性疼痛、震颤、帕金森病、癒痛、尿失禁或大便失禁、性功能障碍、肥胖或胃轻擁。 [0002] Many medical devices can be used for patients suffering from a variety of chronic diseases (e.g., long-term) treatment delivery, said conditions comprise e.g. chronic pain, tremor, Parkinson's disease, the more pain, urinary incontinence or fecal incontinence, sexual function disorders, obesity or gastric Qingyong. 例如,可采用电刺激发生器进行电刺激治疗的慢性递送,例如屯、脏起搏、神经刺激、肌肉刺激等。 For example, a generator electrical stimulation of chronic electrical stimulation therapy delivery, such as Tuen, dirty pacing, nerve stimulation, muscle stimulation. 可采用累或其它流体递送装置实现治疗剂,例如药物的慢性递送。 May be tired or other fluid delivery device to achieve a therapeutic agent, such as chronic drug delivery. 通常,运种装置根据程序内含的参数连续或周期性地提供治疗。 Typically, kind of transportation means provided periodically or continuously treated according to the parameters contained in the program. 程序可包括临床医师指定的多种参数相应的值。 Programs may include a variety of parameters specified by the clinician appropriate value.

[0003] 在一些情况下,可允许患者激活和/或调节由医疗装置所递送的治疗。 [0003] In some cases, allows the patient to activate and / or by the adjustment means the delivered medical treatment. 例如,可向患者提供患者编程装置。 For example, providing the patient with a patient programmer. 患者编程装置与医疗装置连通W允许患者激活治疗和/或调节治疗参数。 Patient programmer communicates with the medical device W allows patients to activate the treatment and / or adjust treatment parameters. 例如,可植入医疗装置(IMD),例如可植入神经刺激器可伴随有外部患者编程装置, 允许患者激活和停止神经刺激治疗和/或调节递送的神经刺激的强度。 For example, an implantable medical device (the IMD), e.g., an implantable neurostimulator external programming device may be accompanied by the patient, allowing the patient to activate and deactivate a neural stimulation therapy and / or adjusting the intensity of the neural stimulation delivered. 患者编程装置可通过无线遥测技术与IMD连通W控制IMD和/或从IMD检索信息。 Patient programmer may control IMD communicating W and / or retrieve information from the IMD through wireless telemetry and IMD.

[0004] 发明概述 [0004] Summary of the Invention

[0005] 总体来说,本发明提供了一种系统,该系统向用户显示姿势状态指示。 [0005] In general, the present invention provides a system that posture state indication to the user. 姿势状态代表例如姿势状态检测器检测的患者当前的姿势状态。 Posture state representatives such as patient posture state detector detects the current posture state. 姿势状态可能是指患者姿势或患者姿势和患者活动的组合。 Posture state may refer to a combination of patient posture or position the patient and patient activity. 由于患者在日常生活中改变姿势和活动,可调整治疗W适应任何具体的姿势状态期间患者对治疗的响应的差异。 Because patients change position and activities in daily life, be adjusted to adapt to differences in patient treatment W during any particular posture state's response to treatment. 例如,姿势和活动的改变可导致治疗患者病症中的有效性降低或提高。 For example, changes in posture and activity can lead to decrease or increase the effectiveness of treatment in the patient's condition. 一种IMD可配置成自动、半自动或者响应基于IMD或与IMD通信的另一装置提供的姿势状态检测器所感应的患者姿势状态的患者输入而调整治疗。 One kind of IMD can be configured to automatically, semi-automatic or in response to input IMD based on patient posture state detector or with another means of communication provided by IMD sensed patient posture state and adjust the treatment.

[0006] 姿势状态检测器可产生姿势状态值,姿势状态值可用于分类患者的姿势或姿势和活动水平作为多个姿势状态的一种。 [0006] posture state detector may generate posture state value, posture state value can be used to position or posture and activity level of the patient's classification as a plurality of posture state. 每个姿势状态可W与通过与患者编程装置相关联的视觉、听觉或触觉用户界面介质向患者呈递的多个姿势状态指示中的一种相关联。 Each posture state at the W and visual programming means associated with the patient, the auditory or tactile user interface presenting a plurality of media to a patient in a posture state indication is associated. 每个姿势状态指示可代表一种姿势、一种活动、或两者,指示姿势状态检测器当前监测的患者姿势状态。 Each posture state indication may represent a gesture, an activity, or both, indicating the posture state of the patient posture state detector currently monitors. 在姿势状态指示的帮助下,患者能够相对于根据检测的姿势状态作出自动、半自动或患者指导的治疗调整而更有效地监测姿势状态。 With the help of posture state indication, the patient can be made with respect to automatic, semi-automatic or adjust treatment based on a patient-directed posture state detection and more effective monitoring of posture state.

[0007] 在一个实施例中,本发明提供了一种方法,该方法包括:接收指示医疗患者当前采取的姿势状态的检测的姿势状态;和通过医疗装置编程装置的用户界面呈递代表医疗患者的检测的姿势状态的姿势状态指示。 [0007] In one embodiment, the present invention provides a method comprising: receiving information indicating the detected posture state currently occupied by a medical patient posture state; and a medical device programmer via a user interface presenting device representative of the patient's medical posture state detected posture state indication.

[000引在另一个实施例中,本发明提供一种系统,该系统包括:可植入的医疗装置,所述可植入的医疗装置检测医疗患者当前采取的姿势状态;和医疗装置编程装置,所述医疗装置编程装置包括用户界面,其中,所述编程装置通过所述用户界面呈递代表医疗患者的检测的姿势状态的姿势状态指示。 Medical device and programming means; implantable medical device, the medical device is detected implantable medical patient posture state currently occupied: [000] In another embodiment of the primers, the present invention provides a system, the system comprising , the medical device programmer means includes a user interface, wherein said programming means via the user interface presented on behalf of the detected posture state of the medical patient posture state indication.

[0009] 在另一个实施例中,本发明提供一种用于可植入的医疗装置的编程装置,所述编程装置包括:存储器,所述存储器储存多个姿势状态指示;处理器,所述处理器接收指示医疗患者当前采取的姿势状态的检测的姿势状态,并获取代表所述医疗患者的所述检测的姿势状态的姿势状态指示之一;和用户界面,所述用户界面向用户呈递所述姿势状态指示。 [0009] In another embodiment, the present invention provides a device programmer for an implantable medical device, said programming means comprising: a memory storing a plurality of posture state indications; processor, the posture state detection processor receives instructions to take a medical patient's current posture state, and obtain on behalf of the medical condition of the patient posture detected posture state indicating one; and a user interface, the user interface presented to the user said posture state indication.

[0010] 在另一个实施例中,本发明提供了一种计算机可读介质,其包括导致处理器接收指示医疗患者当前采取的姿势状态的检测的姿势状态,并通过医疗装置编程装置的用户界面呈递代表医疗患者检测的姿势状态的姿势状态指示的指令。 [0010] In another embodiment, the present invention provides a computer-readable medium comprising instructions cause the processor receiving the detected posture state currently occupied by a medical patient posture state of the medical device programmer via the user interface instruction is detected posture state presenting on behalf of medical patient posture state indication.

[0011] 在另一个实施例中,本发明提供了一种方法,该方法包括:在用于递送电刺激治疗的可植入的医疗装置的编程装置的用户界面上呈递选择用于递送至患者的电刺激治疗的指示;和通过所述编程装置的所述用户界面呈递所述选择的治疗是否被配置成根据所述患者的姿势状态递送的指示。 [0011] In another embodiment, the present invention provides a method comprising: in the user interface of an implantable medical device programming means for delivering electrical stimulation therapy selected for delivery to the patient presenting indication of electrical stimulation therapy; and whether the user interface through the programming means presenting said selected therapy is configured according to the posture state of the patient delivery instructions.

[0012] 在另一个实施例中,本发明提供了一种用于可植入医疗装置的编程装置,所述编程装置包括:处理器,所述处理器产生选择用于通过可植入的医疗装置向患者递送电刺激治疗的指示,并产生所述选择的治疗是否被配置成根据所述患者的姿势状态递送的指示; 和用户界面,所述用户界面向用户呈递所述指示。 [0012] In another embodiment, the present invention provides an implantable medical device programming means for programming said apparatus comprising: a processor for generating a selection by an implantable medical if the device delivering electrical stimulation to a patient's treatment instructions, and generating the selected therapeutic configured according to the posture state of the patient delivery instructions; and a user interface, the user interface presented to the user indication.

[0013] 在附图和下述描述中详细描述了本发明的一个或多个方面。 [0013] A detailed description of the present invention or more aspects of the following description and in the accompanying drawings. 通过说明书、附图和权利要求书,不难了解其它的特征、目的和优点。 By specification, drawings and claims, is not difficult to understand the other features, objects, and advantages.

[0014] 附图简要说明 [0014] BRIEF DESCRIPTION

[0015] 图IA的概念图显示了包括两根可植入的刺激导线的可植入刺激系统。 [0015] Figure IA shows a conceptual diagram includes two implantable stimulation lead of an implantable stimulation system.

[0016] 图IB的概念图显示了包括S根可植入的刺激导线的可植入刺激系统。 [0016] FIG. IB is a conceptual diagram shows including S root implantable stimulation lead of an implantable stimulation system.

[0017] 图IC的概念图显示了包括递送导管的可植入的药物递送系统。 [0017] FIG IC conceptual diagram shows the delivery catheter includes an implantable drug delivery system.

[0018] 图2的概念图显示了一种示例性患者编程装置,该装置用于编程可植入医疗装置递送的刺激治疗。 Conceptual diagram [0018] FIG. 2 shows an exemplary patient programmer means for programming an implantable medical device to deliver stimulation therapy.

[0019] 图3的概念图显示了一种示例性临床医师编程装置,该装置用于编程可植入医疗装置递送的刺激治疗。 Conceptual diagram [0019] FIG. 3 shows an exemplary clinician programmer means for programming an implantable medical device to deliver stimulation therapy.

[0020] 图4的功能框图显示了可植入电刺激器的各个组件。 Functional Block Diagram [0020] FIG. 4 shows an implantable electrical stimulation of the respective components.

[0021] 图5的功能框图显示了可植入药物累的各个组件。 Functional Block Diagram [0021] FIG. 5 shows the various components of the implantable drug tired.

[0022] 图6的功能框图显示了用于可植入医疗装置的外置编程装置的各个组件。 Functional Block Diagram [0022] Figure 6 shows the various components of an implantable medical device for the external programming device.

[0023] 图7的框图显示了一种示例性的系统,该系统包括外置装置,例如服务器,W及通过网络禪联于图1A-1C所示可植入医疗装置和外置编程装置的一个或多个计算装置。 Block Diagram [0023] FIG. 7 shows an exemplary system, the system comprising an external device, such as a server, W, and linked via a network Chan shown in Figures 1A-1C implantable medical device and the external programmer one or more computing devices.

[0024] 图8A-8C是可基于姿势状态传感器所感应的信号限定患者姿势状态的姿势锥的概念图。 Posture cone conceptual diagram [0024] Figure 8A-8C are available based on the posture state sensor signals sensed patient posture state is defined.

[0025] 图9的概念图显示了用于向患者递送治疗信息的患者编程装置的示例性用户界面。 Conceptual diagram [0025] Figure 9 shows a means for programming delivered to the patient information of the patient treatment exemplary user interface.

[0026] 图10的概念图显示了用于向患者递送包括姿势信息的治疗信息的患者编程装置的示例性用户界面。 Conceptual diagram [0026] Figure 10 shows the patient programmer for delivery to a patient comprises a treatment device information posture information of the exemplary user interface.

[0027] 图11A-1化的概念图显示了可W在用户界面上显示的不同姿势状态指示。 [0027] FIG. 11A-1 shows the conceptual diagram of the different posture state indication may be W on the user interface display.

[00%]图12的概念图显示了一种用于提示用户指示感应的患者姿势状态是否正确的示例性的用户界面。 [00%] conceptual diagram of FIG. 12 illustrates posture state of the patient to prompt the user for a correct indication of induction of an exemplary user interface.

[0029] 图13的概念图显示了一种从用户接收经确认的姿势状态的示例性的用户界面。 Conceptual diagram [0029] FIG. 13 shows a posture state receives confirmation from the user an exemplary user interface.

[0030] 图14A-14D的概念图显示了在用户界面上表示患者姿势状态的不同的姿势状态指/J、- O [0030] FIG. 14A-14D is a conceptual diagram displayed on the user interface indicating that the patient posture state different posture state means / J, - O

[0031] 图15A-15C的概念图显示了不同的姿势状态指示,显示当前的患者姿势状态和其它非当前的患者姿势状态。 [0031] FIG. 15A-15C is a conceptual diagram shows the different posture state indication, display the current posture state of the patient and other non-current posture state of the patient.

[0032] 图16A-16F的概念图显示了代表姿势和/或活动的不同姿势状态指示。 [0032] FIG. 16A-16F is a conceptual diagram shows the different posture state representatives posture and / or activity indicator.

[0033] 图17A-17E的概念图显示了可表示不同姿势状态的不同的姿势状态指示。 [0033] Figure 17A-17E is a conceptual diagram showing a different posture state may represent a different posture state indications.

[0034] 图18A-18F的概念图显示了采用改变的定向基准的不同的姿势状态指示。 [0034] FIG. 18A-18F is a conceptual diagram shows the different positions by changing the orientation of the reference status indication.

[0035] 图19A-19F的概念图显示了采用箭头的不同的姿势状态指示。 [0035] 19A-19F are conceptual diagrams illustrating a display using an arrow of different posture state indications.

[0036] 图20A-20F的概念图显示了表示患者活动的不同的姿势状态指示。 [0036] FIG. 20A-20F shows a conceptual diagram showing the activities of different patient posture state indication.

[0037] 图21的流程图显示了一种用于最初选择在用户界面上呈递的姿势状态指示的类型的示例性的方法。 Flowchart [0037] FIG. 21 shows a method for the initial selection on the user interface presented posture state indication of the type of exemplary.

[0038] 图22的流程图显示了一种选择代表性的姿势状态指示并在用户界面上呈递该姿势状态指示的示例性的方法。 Flowchart [0038] FIG. 22 shows a representative selection of posture state indication and an exemplary method of presenting the posture state indication on the user interface.

[0039] 图23的流程图显示了一种让用户确认姿势状态指示表示正确患者姿势状态的示例性的方法。 Flowchart [0039] FIG. 23 shows a user to confirm the correct posture state indication represents the posture state of patient exemplary method.

具体实施方式 detailed description

[0040] 在递送电刺激治疗的一些医疗装置中,治疗功效可随着患者不同姿势状态之间的变化而变化。 [0040] Some medical devices during delivery of electrical stimulation therapy, therapeutic efficacy may varies between different patient posture state changes. 一般来说,姿势状态是指姿势或姿势和活动的组合。 In general, the posture state refers to a combination of poses or postures and activities. 一般来说,功效表示单独的症状,或者症状与一定程度的不良反应的组合得到完全或部分缓解的组合。 In general, the efficacy indicate that a combination of individual symptoms, or the symptoms associated with some degree of adverse reactions to obtain a combination of complete or partial remission.

[0041] 姿势状态的改变可导致功效改变,因为电极或其它治疗递送元件之间的距离发生改变,例如由于与患者不同的姿势相关的力或应力导致的导线或导管的暂时迁移,或者由于不同姿势状态下患者组织的压缩改变。 [0041] lead to changes in posture state may change effectiveness because the distance between the electrodes or other therapy delivery element is changed between, for example, are temporarily transferred due to the different positions associated with the patient's force or stress-induced wire or catheter, or due to different posture state organization under compression change patients. 为维持治疗功效,需要基于患者不同的姿势和/或活动调整治疗参数W维持有效的刺激治疗。 In order to maintain the effectiveness of treatment, patients need to be based in different positions and / or adjust treatment parameters W activity to maintain effective stimulation therapy. 治疗参数可单独调整,或者通过选择限定不同治疗参数集合的不同程序或程序组进行调整。 Treatment parameters can be individually adjusted, or adjusted by selecting a different program or set of programs defining different treatment parameters collection.

[0042] 由于姿势状态改变导致的功效改变可能需要患者频繁操控疗法,包括手动调整某些治疗参数,例如幅度、脉冲频率、脉冲宽度或电极组合,或者选择不同的治疗程序W实现在许多不同的姿势状态下更有效的治疗。 [0042] Since the posture state changes result in a patient in need of frequent changes may effect control therapy, including the treatment of certain manual adjustment parameters, e.g., amplitude, pulse frequency, pulse width or electrode assembly, or choose a different treatment procedures implemented in many different W more effective treatment of posture state. 在一些情况下,医疗装置可采用姿势状态检测器检测患者姿势状态。 In some cases, the medical device can be detected posture state of patient posture state detector. 然后,医疗装置响应不同的姿势状态调整治疗参数。 Then, the medical device in response to different posture state adjust treatment parameters.

[0043] 响应不同的姿势状态的治疗调整可W是完全自动的,在用户提供建议改变的提议的意义上半自动,或者在患者可基于姿势状态指示手动调整治疗的意义上是用户导向的。 The sense adjust treatment [0043] in response to different posture state may be W is fully automated, advise the user to change the proposed semi-automatic, or may be based on the patient's posture state indication to manually adjust the treatment is the meaning of the user's guide. 与外置编程装置(例如患者编程装置或临床医师编程装置)相关联的用户界面可获取和呈递表示患者当前采取的患者姿势状态的姿势状态指示。 With an external programming device (such as a patient programmer or clinician programmer) associated with the user interface and presentation available showing the current state of the patient posture taken by the patient posture state indication. 患者姿势状态可W通过可植入医疗装置的姿势状态模块检测并通信至编程装置。 W can be patient posture state by an implantable medical device posture state module detects and communicates to the programmer. 在姿势状态指示的帮助下,患者能够相对于根据每个检测的姿势状态作出的自动、半自动或患者指导的治疗调整更有效地监测检测的姿势状态。 With the help of posture state indication, the patient with respect to automatic, semi-automatic or treatment adjusted according to each detected posture state of the patient to guide more effective monitoring of the detected posture state.

[0044] 姿势状态指示将当前的姿势状态通信至用户,例如至患者。 [0044] The current posture state indicating a posture state of the communication to the user, for example, to the patient. 然后,用户可监测姿势状态指示W查明对于具体姿势状态递送的治疗和/或确保治疗正确递送。 Then, the user can monitor the posture state indication W identified for a particular posture state to deliver therapeutic and / or treatment to ensure proper delivery. 姿势状态指示可W由IMD或外置编程装置产生,并可W是通过与编程装置相关联的用户界面递送视觉、听觉或触觉指示。 W posture state indication may be generated by IMD or external programmer, and W is hidden from the programmer via a user interface associated with the delivery of visual, aural or tactile indication. 视觉指示可W是患者姿势或活动的图形表示,象征性图标,文字,数字或者甚至是箭头。 Visual indication may be W is a graphical representation of the patient posture or activity, a symbolic icon, text, numbers, or even arrows. 听觉指示可W是说明姿势状态的口语单词,不同的声调,不同的声调次数,或编程装置产生的用于指示姿势状态的其它听觉信息。 Audible indication may be W is a posture state of spoken words, other auditory information is used to indicate the state of the posture of different tones, the number of different tones, or programming means. 触觉指示可W是连续递送的不同的振动脉冲数或不同长度、幅度或频率的振动脉冲。 W tactile indication may be continuous delivery of pulses of different vibration or shaking pulses of different lengths, amplitude or frequency.

[0045] 在一些实现中,也可W向用户呈递补充的姿势状态指示。 [0045] In some implementations, the user may be presented to supplement W posture state indication. 例如,用户界面可呈递图形表示(例如图标)形式的姿势状态指示和描述患者姿势状态的文字形式的补充姿势状态指示。 For example, the user interface presenting a graphical representation (e.g., icons) and the posture state indication and described in text form in the posture state of patient supplemental posture state indication. 在另一个实施例中,用户界面可呈递视觉姿势状态指示与听觉或触觉姿势状态指示的组合作为补充姿势状态指示。 In another embodiment, the user interface visually presenting the posture state indication may be combined with an audible or tactile posture state indication as a supplemental posture state indication. 在一些实施例中,补充的姿势状态指示可提供比主要姿势状态指示更详细的患者姿势状态描述。 In some embodiments, the supplemental posture state indication may be provided over the main posture state indication more detailed description of the patient posture state. 在任何情况下,姿势状态指示可W单独呈递或者与限定递送至患者的刺激治疗的其它治疗参数组合呈递。 In any case, the posture state indication presented at the W alone or in combination with other therapeutic delivered to the parameters defining a combination treatment of a patient presenting stimulation.

[0046] 姿势状态指示可允许患者改变或确认姿势状态指示所代表的感应的患者姿势状态。 [0046] The posture state indication may allow the patient to confirm or change the posture state indication representative of the sensed patient posture state. 如果用户界面呈递的姿势状态指示不能正确标识当前的患者姿势状态,患者可提示医疗装置改变姿势状态指示W正确指示当前的患者姿势。 If the user interface presented posture state indication can not identify the correct current posture state of the patient, the medical device may prompt the patient to change the posture state indication indicates the current correct position W patients. 患者可W例如从下拉菜单或其它姿势状态选项的列表选择正确的姿势状态指示,医疗装置可W通过使当前的姿势状态(例如IMD检测的姿势状态)与患者新选择的姿势状态指示相关联来重新定向姿势状态检测器。 Patients at the W e.g. select the correct posture state indication from the list of drop-down menus or other posture state of the selection, the medical device at the W by making the current posture state (e.g., the posture state IMD detected) patients newly selected posture state associated indication redirect posture state detector.

[0047] 图IA的示意图显示了一种可植入的刺激系统10,其包括刺激导线16A和16B形式的一对可植入电极阵列。 Schematic [0047] Figure IA shows 10, which includes stimulation leads 16A and 16B form a pair of implantable electrode array of an implantable stimulation system. 虽然本发明所述的技术通常可应用于各种医疗装置,包括外置和可植入医疗装置(IMD),本发明将示例性地描述运些技术对IMD的应用,更具体说是对可植入电刺激器如神经刺激器的应用。 While the techniques of the present invention is generally applicable to a variety of medical devices, including external and implantable medical device (IMD), the present invention will be described in an exemplary operation of these techniques for IMD applications, more particularly, to be implantable electrical stimulators such as nerve stimulator applications. 更具体说,本发明将示例性地描述可植入的脊髓刺激(SCS) 系统,但并不限制其它类型的医疗装置。 More particularly, the present invention will be described in an exemplary implantable spinal cord stimulation (SCS) system, but does not limit other types of medical devices.

[004引如图IA所示,系统10包括示出与患者12联接的IMD14和外置编程装置20。 [004 cited in Figure IA, the system 10 includes diagrams showing IMD14 external programmer 20 and 12 coupled with the patient. 在图IA所示实施例中,IMD14是可植入电刺激器,它被构造用于脊髓刺激(SCS),例如用于缓解慢性疼痛或其它症状。 In the embodiment shown in FIG. IA, IMD 14 is an implantable electrical stimulator, which is configured to spinal cord stimulation (the SCS), for example, used to relieve chronic pain or other symptoms. 同样,虽然图IA显示了可植入医疗装置,但其它实施方式可包括例如具有经皮植入的导线的外置刺激器。 Similarly, although Figure IA shows an implantable medical device, but other embodiments may include, for example, an external stimulator having percutaneously implanted leads. 刺激能量通过可植入导线16A和16B(统称为"导线16")的一个或多个电极由IMD14递送至患者12的脊髓18。 One or more electrodes implantable stimulation energy through wires 16A and 16B (collectively "leads 16") delivered by the IMD14 to 12 patients with spinal cord 18. 在一些应用中,例如脊髓刺激(SCS)用于治疗慢性疼痛,相邻的可植入导线16可具有相互间基本上平行的纵轴线。 In some applications, such as spinal cord stimulation (SCS) for the treatment of chronic pain, the adjacent leads 16 may be implanted with each other substantially parallel to the longitudinal axis.

[0049] 虽然图IA设及SCS疗法,系统10可选地设及能够受益于刺激疗法的任何其他病症。 [0049] Although Figure IA and SCS therapy is provided, the system 10 is optionally provided and to benefit from any other illness stimulation therapy. 例如,系统10可用于治疗震颤、帕金森病、焦虑、抑郁、癒痛、尿失禁或大便失禁、性功能障碍、肥胖或胃轻擁。 For example, the system 10 may be used to treat tremor, Parkinson's disease, anxiety, depression, and more pain, urinary incontinence or fecal incontinence, sexual dysfunction, obesity or gastric Qingyong. 在运种方式中,系统10可配置成提供深部脑刺激(DBS)、外周神经刺激、 骨盆底刺激、胃刺激形式的治疗或任何其它刺激治疗。 In the transport ways, the system 10 may be configured to provide deep brain stimulation (DBS), peripheral nerve stimulation, pelvic floor stimulation, gastric irritation or any other form of treatment stimulation therapy. 患者12是普通人类患者。 12 patients with ordinary human patient.

[0050] 各个导线16可包括电极(图IA中未示出),控制IMD14刺激疗法的递送的程序的参数可包括鉴别根据刺激程序哪个电极被选择用于递送刺激,选择的电极的极性,即该程序的电极构造,W及电极递送的刺激的电压或电流幅度、脉冲频率和脉冲宽度等信息。 [0050] individual conductors 16 may include an electrode (not shown in FIG. IA), the parameters of the control program stimulation therapy delivered IMD14 may include identification of the program which is used to deliver stimulation stimulation electrode is selected depending on the choice of the polarity of the electrodes, that electrode structure of the program, W and deliver stimulation electrode voltage or current amplitude, pulse frequency and pulse width information. 将示例性地描述刺激脉冲的递送。 Exemplary delivery of stimulation pulses is described. 然而,刺激可W诸如连续波形等其它形式递送。 However, stimulation W continuous waveform such as other forms of delivery. 控制IMD14其它治疗递送的程序可包括其它参数,例如用于药物递送的剂量、频率等。 IMD14 other therapeutic delivery control program may include other parameters, such as for drug delivery dose and frequency.

[0051] 在图IA所示实施例中,导线16可负载邻近脊髓祀组织设置的一个或多个电极。 [0051] In the embodiment shown in FIG. IA, the wire 16 can load one or more electrodes disposed adjacent spinal cord tissue worship. 一个或多个电极可位于导线16的远端和/或沿导线中间点的其它位置。 One or more electrodes may be located at the distal end and / or intermediate point along the wire 16 in the other position of the wire. 导线16可植入并禪联于IMD 14。 Implantable leads 16 and Zen linked to IMD 14. 或者,如上所述,导线16可例如通过经皮端口植入并禪联于外置刺激器。 Alternatively, as described above, for example, leads 16 may be implanted by percutaneous port and Zen-linked to an external stimulator. 在一些情况下,外置刺激器可W是试验或筛选刺激,在暂时基础上使用W评价潜在功效,W助于患者的长期植入的考虑。 In some cases, at the W external stimulator is stimulating or screening test, evaluate the potential effect of W on a provisional basis, W contribute to the patient's long-term implantation considerations. 在其它实施方式中,IMD14可W是无导线刺激器,具有布置在刺激器外壳上的一个或多个阵列的电极而不是从外壳延伸的导线。 In other embodiments, IMD 14 may be a leadless stimulator W, having a stimulating electrode is disposed on the housing one or more arrays of wire rather than extending from the housing.

[0052] 刺激可通过由一个或多个导线16所负载的选择的电极组合来递送。 [0052] stimulation can be produced by one or more wires 16 loads the selected electrode combinations to be delivered. 祀组织可W是受例如电刺激脉冲或波形的电刺激能量影响的任何组织。 Worship organizations such as W is affected by electrical stimulation pulses or waveforms to stimulate energy impact of any organization. 运些组织包括神经、平滑肌和骨骼肌。 These organizations include transportation nerves, smooth muscle and skeletal muscle. 在图IA所示实施例中,祀组织是脊髓18。 In the embodiment shown in Fig. IA, worship spinal cord tissue is 18. 脊髓18的刺激可例如阻止疼痛信号行进通过脊髓而到达患者脑部。 18 may, for example spinal cord stimulation travels through the spinal cord to block pain signals to reach the patient's brain. 患者12可因为疼痛减轻而察觉到疼痛信号的中断,因而具有有效的治疗结果。 12 patients may perceive as pain relief and to interrupt pain signals, and thus has an effective therapeutic result.

[0053] 将示例性地描述经导线16的电极的部署,但可W不同方式部署电极阵列。 [0053] The example described electrode deployment via the wire 16, but can be deployed in different ways W electrode array. 例如,与无导线刺激器相关的外壳可负载电极阵列,例如成行和/或成列(或其它式样),并可对其施加切换操作。 For example, non-wire stimulator housing associated electrode array may be supported, for example, in rows and / or columns into (or other pattern), and can exert a switching operation. 运些电极可排列成表面电极、环电极或凸起。 These electrodes can be arranged transport surface electrode, ring electrode or raised. 作为另一可选形式,电极阵列可W由在一个或多个奖形导线上多行和/或多列电极形成。 As another alternative form, the electrode array may be formed by a W on one or more of the multiple award-shaped wire-line and / or column electrodes. 在一些实施方式中,电极阵列可包括电极段,电极段可排列成位于沿导线外周的各个位置,例如围绕圆柱形导线的圆周一个或多个分段环的形式。 In some embodiments, the electrode array may include electrode segments, the electrode segments may be arranged along the outer periphery of the wire located at various locations around the circumference of the cylindrical wire, for example one or more segments of the form of a ring.

[0054] 在图IA所示实施例中,刺激能量由IMD14递送至脊髓18W减轻患者12感知的疼痛的量。 [0054] In the embodiment shown in FIG. IA amount embodiment, the stimulation energy delivered to the spinal cord from the IMD14 12 18W reduce the patient's perception of pain. 如上所述,IMD 14可与各种不同的疼痛治疗联用,例如外周神经刺激(PNS )、外周神经阔刺激(PNFS)、DBS、皮质刺激(CS)、骨盆底刺激、胃刺激等。 As described above, IMD 14 can be used with a variety of different treatment of pain associated with, e.g., peripheral nerve stimulation (the PNS), peripheral nerve stimulation width (PNFS), DBS, cortical stimulation (the CS), pelvic floor stimulation, gastric stimulation. IMD 14递送的电刺激可采取电刺激脉冲或连续刺激波形的形式,且特征是受控的电压水平或受控的电流水平W及在刺激脉冲的情况下脉冲宽度和脉冲频率。 IMD 14 may take delivery of electrical stimulation or electrical stimulation pulses to stimulate continuous wave form, and is characterized by a controlled voltage level or current level W and the controlled pulse width and pulse frequency in the case of stimulation pulses.

[0055] 在一些情况下,IMD 14可根据一种或多种程序递送刺激治疗。 [0055] In some cases, IMD 14 may deliver stimulation therapy according to one or more programs. 程序限定一个或多个参数,运些参数限定根据该程序由IMD14递送的治疗的一方面。 Program defines one or more parameters, these parameters define operation according to the program by the IMD14 deliver therapeutic aspect. 例如,控制脉冲形式的IMD14刺激的递送的程序可限定一种或多种治疗参数,例如电压或电流脉冲幅度,脉冲宽度、脉冲频率,用于根据该程序由IMD14递送刺激脉冲。 For example, the delivery of the stimulation program IMD14 control pulse may define the form of one or more therapeutic parameters, such as voltage or current pulse amplitude, pulse width, pulse frequency, for delivery of stimulation pulses according to the program by the IMD14. 而且,治疗可根据多个程序递送,其中多个程序包含在多个组的每一个内。 Further, a plurality of treatment according to the program delivery, wherein each of the plurality of programs included in the plurality of groups.

[0056] 每个程序组可支持患者12可选择的替代治疗,IMD14可根据多个程序递送治疗。 [0056] Each program group can support patient 12 alternative replacement therapy, IMD14 according to a plurality of delivery of therapeutic procedures. IMD 14在递送刺激时可轮用该组的多个程序,从而治疗患者12的各种病症。 IMD 14 may deliver stimulation when the wheel with multiple programs of the group, to treat patients with various diseases (12). 例如,在一些情况下,根据不同程序限定的参数制定的刺激脉冲可W时间交错地递送。 For example, in some cases, different stimulation pulses according to the program defined by the parameters established at the W chronologically staggered delivery. 例如,一组可包括指向腿部疼痛的程序,指向下背部疼痛的程序和指向腹部疼痛的程序。 For example, a group may include leg pain point program, point to Programs, and point to the program abdominal pain lower back pain. W运种方式,IMD 14可W基本上同时治疗不同的症状。 W transportation ways, IMD 14 W can be substantially simultaneously treat different symptoms.

[0057] 使用IMD 14治疗患者12期间,患者12在不同姿势状态间的移动可能影响IMD14递送一致的有效治疗的能力。 12 During the [0057] using IMD 14 patients, 12 patients moving between different posture state may affect IMD14 deliver consistent and effective treatment capacity. 例如,当患者12弯曲时导线16可能朝IMD14迁移,导致电极移位和可能的有效治疗递送的中断。 For example, when a patient 12 bent wire 16 may migrate towards IMD14 lead electrode displacement and possible effective treatment delivery interruptions. 例如,由于电极迁移,传递至祀组织的刺激能量可能降低, 导致缓解诸如疼痛等症状方面的功效降低。 For example, since the electrode migration, stimulation energy delivered to the tissue may be reduced worship, such as reducing the cause relieve pain and other symptoms effect. 在另一个例子中,当患者12躺下时导线16可朝脊髓18压缩。 In another example, when a patient 12 lying toward the wire 16 may compress the spinal cord 18. 运种压缩可导致传递至祀组织的刺激能量的量增加。 Yun levels of compression can lead to the transfer of the amount of worship tissue stimulation energy is increased. 在运种情况下,可能需要降低刺激治疗的幅度W避免引起患者12额外的疼痛或异常感觉,运些可视作损害总体功效的不良反应。 In transport cases, you may need to reduce the amplitude of stimulation therapy in patients 12 W to avoid causing additional pain or abnormal sensation, shipped some damage may be regarded as the overall effect of adverse reactions.

[0058] 并且,姿势状态改变可能导致症状或症状水平,例如疼痛水平的改变。 [0058] Further, the posture state change may cause symptoms or level of symptoms, such as changes in the level of pain. 在一些实施例中,为了避免有效治疗的中断,IMD 14可包括检测患者姿势状态的姿势状态模块。 In some embodiments, the effective treatment in order to avoid interruption, IMD 14 may include a detecting posture state of patient posture state module. IMD根据姿势状态检测自动调整刺激,从而提供姿势状态响应性治疗。 IMD Detection automatically adjusts stimulation according to the posture state, thereby providing a posture state-responsive treatment. 例如,姿势状态模块可包括一个或多个加速度计,检测患者12何时采取适合降低刺激幅度的姿势,例如患者12何时躺下。 For example, the posture state module may include one or more accelerometers, for detecting when to take the patient 12 posture reduce stimulation amplitude, e.g., when the patient 12 lying down. IMD可自动降低刺激幅度,因而患者12无需手动运样做。 IMD may automatically reduce the stimulation amplitude, thus 12 patients without manual sample operational. 示例性的姿势状态可包括"直立"、"直立活动"、"躺下"等等。 Exemplary posture state may include a "stand-up", "upright activities", "lie down" and so on.

[0059] 如下文更详细所述,在一些实施例中,IMD14可配置成当其检测到患者12躺下时自动降低刺激幅度。 [0059] As described in more detail below, in some embodiments, IMD14 may be configured to automatically reduce when it detects that the stimulation amplitude when the patient 12 to lie down. 幅度调整可配置成W适合防止不良反应(例如当患者12躺下时由于导线16朝脊髓18压缩导致的反应)的速率降低。 Adjustments may be configured to prevent W suitable rate of adverse reactions (such as when a patient lying down since the wires 12 16 18 toward the spinal cord compression caused by the reaction) is reduced. 在一些实施例中,IMD 14可被配置成一旦IMD14 检测到患者12躺下基本上立即降低刺激幅度至合适的幅度值。 In some embodiments, IMD 14 may be configured to detect when the patient 12 lying IMD14 substantially immediately reduce the stimulation amplitude to a suitable amplitude value. 在其它实施例中,IMD14不会在检测到患者12躺下时基本上立即降低刺激幅度,相反IMD14W适合防止患者12发生不良的刺激反应(例如由于刺激能量的传递增加导致的反应)的改变速率下将刺激幅度降低至合适的幅度水平。 In other embodiments, IMD 14 is not detected when the patient 12 lying substantially immediately reduce stimulation amplitude, contrary IMD14W patient 12 for preventing the occurrence of adverse reactions stimuli (e.g., due to the increased stimulation energy transfer resulting from the reaction) the rate of change under the stimulation amplitude reduced to an appropriate amplitude level. 在一些实施例中,当IMD检测到患者12躺下时,IMD14可基本上瞬时将刺激幅度降至合适的幅度值。 In some embodiments, when the patient is lying down IMD 12 detects, IMD14 stimulation amplitude can be substantially instantaneously reduced to a suitable amplitude values.

[0060] 刺激能量与祀组织的禪联增加或禪联降低导致的功效降低的许多其它例子可能因为与患者姿势状态相关的姿势和/或活动水平的改变而发生的。 [0060] stimulation energy associated with the worship of the organization Zen Zen-linked increase or decrease the effectiveness of many other examples may lead to a reduced because the patient posture state associated with posture and / or activity level changes occur. 为了避免或降低由于姿势状态改变导致的有效治疗的可能中断,IMD 14可包括姿势状态模块,检测患者12的姿势状态并使IMD 14根据检测的姿势状态自动调节刺激。 In order to avoid or reduce the effective treatment may be interrupted due to changes caused by posture state, IMD 14 may include a posture state module detected posture state of patient 12, and IMD 14 automatically adjusts the stimulation according to the detected posture state. 例如,姿势状态模块可包括活动传感器,例如加速度计,检测何时患者12躺下、站起来或者W其他方式改变姿势。 For example, the posture state sensor module may include activities such as accelerometers, detect when a patient 12 to lie down, stand up, or otherwise changing position W.

[0061] 响应于姿势状态模块检测的姿势状态,IMD14可改变程序组、程序、刺激幅度、脉冲宽度、脉冲频率和/或一种或多种其它参数、多个组或多个程序W维持治疗功效。 [0061] In response to posture state detected posture state module, IMD 14 may change the program group, program, stimulation amplitude, pulse width, pulse frequency and / or one or more other parameters, a plurality of groups W or more programs maintenance treatment effect. 例如,当患者躺下时,IMD14可自动降低刺激幅度,因而患者12无需手动降低刺激幅度。 For example, when the patient is lying down, IMD14 can automatically reduce the stimulation amplitude, thus reducing patient 12 without manual stimulation amplitude. 在其它情况下, IMD14可基于姿势状态自动增加刺激幅度。 In other cases, IMD14 may be based on the posture state automatically increase stimulation amplitude. 在一些情况下,IMD 14可连通外置编程装置20W 呈递响应于姿势状态改变而建议的刺激改变,并在自动应用治疗改变之前接收用户(例如患者12或临床医师)下达的对改变的批准或拒绝。 In some cases, IMD 14 may communicate 20W external programmer presented posture state changes in response to stimulation of the proposed changes, and receives the user before the automatic change in treatment (e.g., clinician or patient 12) issued by the approval of the change or Refuse. 在一些实施例中,姿势状态检测也可用于提供通知,例如经无线链接向护理人员提供患者可能经历跌倒的通知。 In some embodiments, the posture state detection can also be used to provide notification, for example, via a wireless link provides a patient may experience falls notice to the caregiver.

[0062] 仍然参考图1A,用户(例如临床医师或患者12)可与外置编程装置20的用户界面相互作用W编程IMD14JMD14的编程通常是指命令、程序或其他信息的产生和转移W控制IMD14的操作。 [0062] Still referring to FIG. 1A, a user (such as a clinician or patient 12) with an external programming device 20 is a user interface interaction W Programming Programming IMD14JMD14 usually refers to commands, programs, or other information generation and transfer of control IMD14 W operation. 例如,外置编程装置20例如可通过无线遥测传送程序、参数调整、程序选择、 组选择或其它信息W控制IMD14的运行。 For example, external programmer 20, for example via a wireless telemetry transmission program, parameter adjustment, the program selection, group selection and other information to control operation of IMD14 of W. 在一个例子中,外置编程装置20可传送由于患者12姿势改变导致的参数调整W支持治疗改变。 In one example, external programmer 20 may transmit parameters due to patient 12 to adjust the posture change resulting from a change in therapy W support. 在另一个例子中,用户可选择程序或程序组。 In another example, the user may select a program or set of programs. 同样,传送的特征为电极组合、电极极性、电压或电流幅度、脉冲宽度、脉冲频率和/或持续时间。 Similarly, electrode combination, electrode polarity, voltage or current amplitude, pulse width, pulse frequency and / or duration of the transmission characteristics. 组的特征为同时或者在交叉或轮换地递送多个程序。 Group is characterized by multiple programs at the same time or in rotation or cross delivered.

[0063] 外置编程装置20的用户界面可向用户指示患者12当前采取的姿势状态。 User Interface [0063] The external programmer 20 may indicate to the user the patient 12 posture state currently occupied. 患者姿势状态可W是不考虑活动水平的静态姿势,不考虑姿势的活动水平,或者描述患者12的身体位置或运动的姿势和活动水平的一些组合。 W is the patient posture state may not consider the activity level of static posture regardless of active horizontal position, posture and activity level or describe the patient's body position or movement of the 12's some combination thereof. 例如,姿势可表征为W下姿势中的一种:站立、 坐下、仰邸、俯邸、左侧邸、右侧邸。 For example, the position can be characterized as the W at position one: standing, sitting, Yang Di, overlooking Di, Di left side, right side of the mansion. 活动水平可表征为W下之一:高、中、低,或者例如走路、 骑车、跑步等。 Level of activity can be characterized as one of the following W: high, medium, low, or such as walking, bicycling and running.

[0064] 姿势状态可指示上述姿势之一与上述活动水平之一的组合。 [0064] posture state may indicate that a combination of one of the posture and activity level of one of the above. 对于一些姿势(例如躺下姿势),姿势状态不需要考虑活动水平,因为患者在该姿势中不太可能经历任何显著的活动。 For some position (e.g., lying down position), posture state level of activity need not be considered, because the patient is unlikely to experience any significant activity in this attitude. 在其它情况下,所有姿势状态可考虑姿势和活动水平,即使在特定姿势中活动最小。 In other cases, the state may consider all posture posture and activity level, even the smallest events in a particular posture. 可基于姿势状态模块检测的姿势信息和/或产生的活动水平信息确定姿势状态,所述姿势状态模块可包括一个或多个加速度计或其它姿势或活动水平传感器。 Posture state module may be based on the detected posture information and / or information for determining the level of activities posture state, the posture state module may include one or more accelerometers or other posture or activity level sensors.

[0065] 患者姿势状态可W视觉、听觉或触觉指示的形式通过编程装置20的用户界面产生并向患者12呈递的姿势状态指示来表示。 In the form of [0065] W patient posture state may be visual, audible or tactile indication to the patient 12 generated by the programming device presenting a user interface 20 to indicate posture state indication. 如果W视觉指示呈递,则姿势状态指示可W例如是例如图形表示,象征性图标,文本表示(例如文字或数字),箭头,或任何其它类型的指示。 If W presenting a visual indication, the posture state indication at the W, for example, such as a graphical representation, a symbolic icon, a text representation (e.g., words or numbers), an arrow, or any other type of indication. 视觉指示可W通过显示器,例如液晶显示器化CD)、点矩阵显示器、有机发光二极管(OLED) 显示器、触摸屏等呈递。 W by visual indication may display, such as a liquid crystal display of the CD), dot matrix display, an organic light emitting diode (OLED) display, touch screen presentation. 在其它情况下,视觉指示可W是选择性背光的半透明区域W指示姿势。 In other cases, the visual indication may be W is translucent backlit W regioselective indication position. 听觉指示可W是由编程装置20产生的说明姿势状态的口语单词,或者不同的声调、不同的声调次数、或编程装置产生的用于指示姿势状态的其它听觉信息。 Auditory instructions may be spoken words W generated by the programmer 20 illustrates posture state, different tones or other auditory information is used to indicate the status of different tones posture times, or programming means. 触觉指示可W是由编程装置20产生的连续递送的不同的振动脉冲数或不同长度、幅度或频率的振动脉冲。 W tactile indication may be continuous delivery of pulses of different vibration or shaking pulses of different lengths, amplitude or frequency generated by the programming device 20.

[0066] 编程装置20可呈递多种代表不同患者姿势状态的指示。 [0066] Programming device 20 may be present on behalf of a variety of different posture state of the patient's instructions. IMD14例如可W通过无线遥测根据外置编程装置20的姿势状态模块感应的姿势状态参数值通信患者姿势状态。 IMD14 example W via wireless telemetry sensor according to the posture state module external programmer 20 posture state parameter value of the communication patient posture state. IMD 14可通信检测的姿势状态,即姿势状态检测,或用于检测姿势状态的姿势状态参数值。 IMD 14 may communicate the posture state detection, i.e., posture state detector, for detecting a posture state or posture state parameter value. 例如,IMD14可W在周期性、间歇性或连续的基础上或者响应姿势状态改变将姿势状态检测发送至编程装置20。 For example, IMD14 W can be periodic, intermittent or continuous basis or in response to a change in the posture state posture state detection means 20 is sent to the program. 或者,编程装置20可W在周期性、间歇性或连续的基础上要求来自IMD14 的姿势状态检测。 Alternatively, the device 20 may be programmed W periodic, intermittent or continuous basis on the requirements of the posture state detection from IMD14. 由IMD14提供给编程装置20的姿势状态检测可W是解释成确定的姿势状态的姿势状态值,或者简单地是检测的姿势状态的指示,例如直立、俯邸、仰邸、左侧邸、右侧邸等。 By IMD14 to posture state of the programming device 20 can detect W is interpreted as determined posture state posture state value, or simply indicating the detected posture state, such as upright, overlooking Di, Yang Di, Di on the left and right Di and other side. 然后,外置编程装置20选择并呈递相关联的姿势状态指示。 Then, select the external programmer 20 and presented posture state indication associated.

[0067] 在一些情况下,当主要预期由内科医师或临床医师使用时,外置编程装置20的特征为内科医师或临床医师编程装置。 [0067] In some cases, when the mainly intended use by the physician or clinician, features external programmer 20 for a physician or clinician programmer. 在其他情况下,如果主要由患者预期使用,外置编程装置20可表现为患者编程装置。 In other cases, if the primary use by the patient expected, external programmer 20 can be expressed as a patient programmer. 患者编程装置通常由患者12访问,并且在许多情况下,可W是便携装置,可W在患者的整个日常生活中陪伴患者。 Patient programmer usually accessed by a patient 12, and in many cases, W is a portable device, W may accompany the patient throughout the patient's daily life. 通常,内科医师或临床医师编程装置可支持临床医师对刺激器14使用的程序的选择和产生,而患者编程装置可支持平常使用期间患者对该程序的调整和选择。 Typically, the physician or clinician programmer may support clinicians to select and produce the program to stimulate the use of 14, and a patient programmer to support the selection of patients and adjustment programs during normal use.

[006引IMD 14可用生物相容性外壳构建,例如铁或不诱钢,或聚合材料如娃酬或聚氨醋, 在患者18的骨盆附近处外科手术植入。 [006 cited IMD 14 available biocompatible housing construction, such as iron or steel trap, or a polymeric material such as polyurethane or paid baby, in the vicinity of the patient pelvic surgical implantation 18. IMD 14也可W在患者12最不易引人注意的位置植入患者12。 IMD 14 W can also be the most difficult in 12 patients implanted in a patient 12 interesting position. 或者,IMD 14可通过经皮植入的导线外置。 Alternatively, IMD 14 may be implanted percutaneously through an external wire. 对于SCSJMD 14可位于下腹部、下背部、 上臀部或其它位置W固定IMD14。 For SCSJMD 14 may be located in the lower abdomen, lower back, hips or other fixed location W IMD14. 导线16可由IMD14通道传输通过组织到达邻近脊髓18的祀组织用于刺激递送。 IMD14 wire 16 may be transmitted through the channel adjacent spinal cord tissue to tissue worship 18 used to stimulate delivery.

[0069] 在导线16的远端是一个或多个电极(未示出),将来自导线的电刺激传递至组织。 [0069] In the distal end of the wire 16 is one or more electrodes (not shown), the transfer from the wire to the electrical stimulation of tissue. 电极可W是奖形导线上的电极垫、围绕导线16主体的圆形(例如环形)电极、符合电极、C形电极(cuff electrodes)、分段电极、或能够形成用于治疗的单极、双极或多极电极配置的任何其它类型的电极。 W electrode may be an electrode pad on the award-shaped wire, the wire 16 around a circular body (such as a ring) electrode, in line with the electrode, C-shaped electrode (cuff electrodes), segmented electrodes, or can be formed for the treatment of unipolar, any other type of electrode or bipolar electrode configurations. 通常,将在示意性地描述排列在导线16远端的不同轴线位置的环形电极。 Typically, the schematically depicts the distal end of leads 16 are arranged in different axial position of the ring electrode in.

[0070] 图IB概念图显示了包括S根可植入的刺激导线16A、16B、16C (统称为16)的可植入刺激系统22。 [0070] Figure IB shows a conceptual diagram of an implantable root S includes stimulation lead 16A, 16B, 16C (collectively referred to as 16) of an implantable stimulation system 22. 系统22通常符合图IA的系统10,但包括第S导线。 System 22 is generally in line with FIG. IA system 10, but including the first S wire. 因此,IMD 14可W通过所有=根导线16或者=根导线的子集所负载的电极的组合递送刺激。 Thus, the combination may be W IMD 14 via wires 16 all = = root or a subset of the load wire electrodes deliver stimulation. 第=根导线,例如导线16C可包括比导线16A和16B更多数量的电极,且位于导线16A和16B之间或者在导线16A或16B的一侧。 S = wires, such as wire 16C may include more than the wires 16A and 16B number of electrodes, and is located between the wires 16A and 16B or 16A or 16B on one side of the wire. 外置编程装置20可首先告诉导线16的数量和配置W适当对刺激治疗编程。 External programmer 20 may be the first to tell the number and configuration of wires W 16 to appropriate stimulation therapy program.

[0071] 例如,导线16A和16B可包括四个电极,而导线16C包括八个或十六个电极,从而形成所谓的4-8-4或4-16-4导线配置。 [0071] For example, the wires 16A and 16B may include four electrodes, and wire 16C includes eight or sixteen electrodes, thereby forming a so-called 4-8-4 or 4-16-4 lead configuration. 其它导线配置,例如8-16-8、8-4-8、16-8-16、16-4-16也是可能的。 Other lead configurations, e.g. 8-16-8,8-4-8,16-8-16,16-4-16 also possible. 在一些情况下,导线16C上的电极可W比导线16A或16B的电极尺寸更小和/或更接近。 In some cases, the electrode lead 16C may be smaller W and / or closer than the size of the wire electrode 16A or 16B of. 在一些实例中,患者12改变活动或姿势导致的导线16C的移动比导线16A或16B的移动更严重地影响刺激功效。 In some instances, the wire 12 to change patient activity or posture caused by mobile 16C more seriously affected than stimulating effect of wire 16A or 16B move. 患者12可进一步受益于IMD14检测姿势状态和相关改变并自动调整刺激治疗W维持=导线系统22的治疗功效的能力。 12 patients may benefit from further IMD14 detect posture status and related changes and automatically adjust stimulation therapy W efficacy of a treatment system 22 to maintain the ability to wire =.

[0072] 图IC的概念图显示了一种可植入的药物递送系统24,其包括禪联于IMD26的一个递送导管28。 [0072] FIG. IC shows a conceptual diagram of an implantable drug delivery system 24, which includes a Zen-linked to IMD26 of a delivery catheter 28. 如图IC的实施例所示,药物递送系统24基本上类似于系统10和22。 As shown in Example IC, the drug delivery system 24 is substantially similar to systems 10 and 22. 然而,药物递送系统24通过药物刺激治疗而非电刺激治疗的递送执行类似的治疗功能。 However, the drug delivery system 24 treated by drugs to stimulate rather than electrical stimulation therapy treatment delivery perform similar functions. 在图IC所示实施例中IMD 26用作药物累,IMD 26与外置编程装置20连通W启动治疗或在运行期间修改治疗。 In the embodiment shown in FIG IC IMD 26 as a medicament tired, IMD 26 communicates with an external programmer 20 W start treatment or treatment modification during operation. 此外,IMD 26可重复填充W允许慢性药物递送。 In addition, IMD 26 W refillable allowed to chronic drug delivery.

[0073] 虽然所示IMD 26禪联于沿脊髓18定位的仅一个导管,但其它导管也可禪联于IMD26。 [0073] Although FIG. 26 Zen IMD linked to spinal cord 18 is positioned along only a conduit, but other conduits can also be linked to Zen IMD26. 多个导管可将药物或其它治疗剂递送至相同的解剖学位置或相同的组织或器官。 A plurality of conduit may be a drug or other therapeutic agent delivery to the same anatomical location or the same tissue or organ. 或者,每个导管可将治疗递送至患者12体内不同组织,用于治疗多种症状或病症。 Alternatively, treatment of each conduit can be delivered to the patient 12 different tissues, for treating a variety of symptoms or disorders. 在一些实施方式中,IMD 26可W是外置装置,其包括经皮导管,经皮导管形成导管28或者例如通过流体禪联器禪联于导管28。 In some embodiments, IMD 26 may be W is an external device that includes a percutaneous catheter, percutaneous catheter or catheter 28 is formed by a fluid such as Zen Zen is linked linked to the catheter 28. 在其它实施方式中,IMD 26可包括如IMD14所述的电刺激和药物递送治疗。 In other embodiments, IMD 26 may include electrical stimulation and drug delivery IMD14 the treatment.

[0074] IMD 26也可采用限定药物递送方法的参数来运行。 [0074] IMD 26 may also be defined in the parameters to run the drug delivery methods. IMD 26可包括限定用于患者14 的不同递送方法的程序或程序组。 IMD 26 may include a defined program or a group of patients with different delivery methods for a 14. 例如,控制药物或其它治疗剂递送的程序可包括控制推注递送时间选择的滴定速率或信息。 For example, to control the delivery of drugs or other therapeutic agents may include a control program of the titration rate or bolus delivery of information selected time. 患者14可采用外置编程装置20来调整程序或程序组W 调控治疗递送。 14 patients with external programmer 20 may be employed to adjust the program or set of programs W-control therapy delivery.

[0075] 类似于IMD 14 JMD 26可包括监测患者姿势状态的姿势状态模块。 [0075] similar to the IMD 14 JMD 26 may include monitoring the posture state of patient posture state module. IMD 26可基于姿势状态调整治疗。 IMD 26 may adjust the treatment based on the posture state. 例如,姿势状态模块可指示患者12从躺下到站起来的转变。 For example, the posture state module 12 may indicate that the patient lying down from the station up changes. 如果指示患者12站立时疼痛增加,则IMD 26可自动增加递送给处于站立位置的患者12的药物的速率。 If the indicator 12 patients standing pain increased, the IMD 26 can be automatically delivered to the patient to increase in the standing position of the drug at a rate of 12. 运种基于姿势状态的自动治疗调整可W根据IMD26所采用的所有或仅一部分的程序激活W 递送治疗。 Yun kind gesture-based state can automatically adjust the treatment according to the procedure to activate delivery of therapeutic W W all or only a portion of IMD26 used.

[0076] 图2的概念图显示了一种示例性患者编程装置30,该装置用于对可植入医疗装置递送的刺激治疗编程。 Conceptual diagram [0076] FIG. 2 shows an exemplary patient programmer 30, the device is an implantable medical device for the delivery of stimulation therapy program. 患者编程装置30是图1A、1B和IC所示外置编程装置20的一个示例性实施方式并且可W与IMD14或IMD26联用。 Patient programmer 30 is 1A, 1B, and IC shown an exemplary embodiment of an external programming device 20 and may be W and IMD14 or IMD26 combined. 在可选的实施方式中,患者编程装置30可W与外置医疗装置联用。 In an alternative embodiment, patient programmer 30 W with an external medical device may be combined. 如图2所示,患者编程装置30向使用者(例如患者12)提供了用户界面(未示出)W操控和编程刺激治疗。 As illustrated, the patient programmer 30 to the user (e.g., patient 12) provides a user interface (not shown) W 2 control and programming stimulation therapy. 此外,患者编程装置30向患者12呈递姿势状态指示W表示患者的姿势状态。 Moreover, patient programmer 30 to the patient 12 posture state indication presented W represents the posture state of the patient. 患者编程装置30受外壳32的保护,外壳32包裹患者编程装置30运行所必需的电路。 Patient programmer 30 protected housing 32, the housing 32 parcels patient programmer 30 runs required circuit.

[0077] 患者编程装置30还包括显示器36,电源按钮38,上调按钮52,下调按钮50,同步按钮58,刺激打开按钮54和刺激关闭按钮56。 [0077] patient programmer 30 also includes a display 36, a power button 38, up button 52, a down button 50, the sync button 58, 54 and stimulation to stimulate the Open button close button 56. 覆盖层34保护显示器36W避免在患者编程装置30使用期间受损。 Cover layer 34 protects the display 36W avoided during use damaged patient programmer 30. 患者编程装置30还包括控制垫40,控制垫40允许用户沿箭头42、44、46和48的方向通过显示器36上显示的项目进行导航。 Patient programmer 30 also includes a control pad 40, the control pad 40 allows the direction of the arrow 42, 44 and 48 users to navigate through item 36 on the display. 在一些实施方式中,按钮和控制垫40可采取软键盘的形式(例如,具有显示器36上指示的功能和内容),例如其功能可基于目前的编程操作或用户偏好而改变。 In some embodiments, the buttons and control pad 40 may take the form of soft keyboard (for example, with 36 features and content on the display indicated), such as its function may be based on current programming operation or change user preferences. 在替代实施方式中,显示器36可W是触摸屏,其中患者12能够与显示器36直接相互作用而不需要使用控制垫40或者甚至是上调按钮52和下调按钮50。 In an alternative embodiment, the display 36 is a touch screen at the W, wherein the patient 12 and display 36 capable of interacting directly without the use of the control pad 40 or even up button 52 and down button 50.

[0078] 在所示实施方式中,患者编程装置30是手持式装置。 [0078] In the illustrated embodiment, patient programmer 30 is a hand-held device. 患者编程装置30可W在整个日常生活中陪伴患者12。 W patient programmer 30 may accompany the 12 patients in the whole daily life. 在一些情况下,当患者12在医院或诊所问诊时,可由临床医师使用患者编程装置30。 In some cases, when the patient 12 in a hospital or clinic interrogation, by the clinician using the patient programmer 30. 在其它实施方式中,患者编程装置30可W是保留在临床医师处或诊所的临床医师编程装置,当患者在诊所时由临床医师和/或患者12使用。 In other embodiments, the patient programmer 30 W can be retained in the clinician's office or clinic clinician programmer, when patients in the clinic when the clinician and / or patient 12 uses. 在临床医师编程装置的情况下,小尺寸和便携性的重要性降低。 In the case of the clinician programmer, small size and portability of reduced importance. 因此,临床医师编程装置可W比患者编程装置的尺寸更大,可提供更全面特征编程的较大屏幕。 Thus, the clinician programmer may be W is larger than the size of a patient programmer, can provide a more comprehensive program features a larger screen.

[0079] 外壳32可W由适合保护和容纳患者编程装置30的各个组件的聚合物、金属合金、 复合材料或组合材料构成。 Polymer [0079] W by the housing 32 may be adapted to protect and accommodate the various components of the patient programmer 30, metal alloys, composite materials or combinations of materials. 此外,外壳32可部分或完全密封,因而流体、气体或其它元素不能穿透外壳而影响其内部的组件。 In addition, the housing 32 may be partially or completely sealed, so the fluid, gas or other elements may not penetrate the housing and affect components therein. 电源按钮38可W按照患者12需要打开或关闭患者编程装置30。 Power button 38 to 12 W in accordance with the patient need to open or close the patient programmer 30. 患者12可W使用控制垫40通过用户界面进行导航来控制显示器36照度水平或者背景光水平,或用下调和上调按钮50和52增加或降低照度水平。 12 W patients can use the control pad to navigate through the user interface 40 to control the illumination level of the display 36 or the background light level, or increase or decrease the illumination level down and with raised buttons 50 and 52. 在一些实施方式中,顺时针或逆时针旋转旋钮可控制显示器36的照度。 In some embodiments, the clockwise or counterclockwise rotation of the control knob 36 of the display illumination. 遥测期间可W用IMD14或其它装置阻止患者编程装置30关闭,W防止传送数据的损失或正常运行的停止。 During the telemetry can be prevented with a W or other means IMD14 patient programmer 30 is closed, W stops to prevent the loss of data transmitted or normal operation. 或者,患者编程装置30和IMD14可包括处理可能的未计划的遥测中断,例如电池失效或装置无意关闭的指令。 Alternatively, the patient programmer 30 may include a processing and IMD14 possible unplanned interruption of telemetry, such as battery failure or unintentional turning off the device instructions.

[0080] 显示器36可W是液晶显示器化CD)、点矩阵显示器、有机发光二极管(OLED)显示器、触摸屏、或能够向患者12提供可视信息的类似的单色或颜色显示器。 [0080] W can display 36 is a liquid crystal display of the CD), dot matrix display, an organic light emitting diode (OLED) display, touch screen, or be able to provide visual information to the patient 12 similar monochrome or color display. 显示器36可提供关于当前刺激治疗、姿势状态信息的用户界面,提供用于接受来自患者12的反馈或药物输入的用户界面,显示刺激程序的活动组,W及显示患者编程装置30或IMD14或26的运行状态。 Display 36 may be provided on the current stimulation therapy, posture state information of a user interface that provides a user interface for receiving a group activity or drug feedback input from the patient 12, showed that the stimulus program, W and display patient programmer 30 or 26 or IMD14 operating state. 例如,患者编程装置30可W通过显示器36提供各组的滚动列表和每个组内各程序的滚动列表。 For example, the patient programmer 30 W can provide a scrollable list and scroll through the list within each group for each program in each group through the display 36. 此外,显示器36可基于姿势状态检测呈递视觉姿势状态指示。 In addition, the display 36 can be visually presented posture state indication based on the posture state detection. 此外,显示器36可W呈递在IMD14的记录模式期间储存的治疗调整信息,其中IMD14记录姿势状态转变、治疗调整或其它信息,甚至是呈递多个程序的标称或建议的治疗参数。 In addition, the display 36 can adjust treatment W presenting information during IMD14 recording mode stored in which recording IMD14 posture state change, adjust treatment, or other information, or even multiple programs presenting nominal or suggested treatment parameters. 然后,患者12可W通过单次确认输入选择性地将多个程序设定为相应的标称或建议的治疗参数。 Then, the patient may be 12 W by a single confirmation input selectively multiple programs set for the corresponding nominal or recommended treatment parameters. 如本文所述,患者编程装置30可被配置成能够执行关于临床医师编程装置60或其它外置编程装置20所述的任何任务。 As described herein, the patient programmer 30 may be configured to be able to perform any task on 60 or other external programmer 20, wherein the clinician programmer.

[0081 ] 控制垫40允许患者12通过显示器36上显示项目进行导航。 [0081] control pad 40 allows the patient 12 through 36 projects on display for navigation. 患者12可W在箭头42、 44、46和48所示的任意方向上按下控制垫40, W移动至显示器36上的另一项目或者移动至目前显示器上未显示的另一屏幕。 12 W patients can press the control pad 40 on 42, any direction of arrow 44, 46 and 48, W 36 to move to another item on the monitor or move to another screen is currently on display are not displayed. 在一些实施方式中,按下控制垫40的中部可选择在显示器36中突出显示的任何项目。 In some embodiments, press the control pad 40 can select any item in the middle of the display 36 highlighted. 在其它实施方式中,滚动条、滚动轮、单独的按钮或操纵杆可执行控制垫40的部分或全部功能。 In other embodiments, scroll bars, scroll wheel, a joystick or a separate button control pad 40 can perform some or all of the features. 在可选的实施例中,控制垫40可W是触摸垫,允许患者12在显不器36上显不的用户界面内移动光柄;可挺巧治疗。 In an alternative embodiment, the control pad 40 may be W is a touch pad that allows a patient 12 in 36 was not significant is not a user interface to move the handle; the treatment can be very clever.

[0082] 下调按钮50和上调按钮52为患者12提供了输入机构。 12 patients provided input mechanism [0082] 50 and a button down button 52 is raised. 通常,下调按钮50可W在每次按下下调按钮时降低突出显示的刺激参数的值。 Typically, the cut button 50 may reduce highlight W stimulation parameters displayed values each time the button is pressed down. 相反,上调按钮52可W在每次按下上调按钮时增加突出显示的刺激参数的值。 Instead, up to 52 W buttons to highlight the increase stimulation parameters displayed value increases each time the button is pressed. 虽然按钮50和52可用于控制任何刺激参数的值,按钮50和52也可控制患者反馈输入。 Although the buttons 50 and 52 can be used to control the stimulation parameters of any value, buttons 50 and 52 may also control patient feedback input. 当选择按钮50和52之一时,患者编程装置30可启动与IMD14或26的通信来相应地改变治疗。 When you select one of the buttons 50 and 52, the patient programmer 30 or 26 may initiate communication with IMD14 be changed accordingly treatment.

[0083] 当患者12按下打开刺激按钮54时,引导编程装置30产生与IMD14的通信的命令,该命令打开刺激治疗。 [0083] When the patient 12 is pressed to open the stimulation button 54, the boot program 30 generates communication IMD14 command, the command to open the stimulation treatment. 当患者12按下关闭刺激按钮56时关闭刺激治疗。 When the patient 12 by pressing button 56 Close Close stimulate stimulation therapy. 同步按钮58迫使患者编程装置30与IMD 14通信。 Sync button 5814 Communication forcing patient programmer 30 and IMD. 当患者12进入用户界面的自动姿势响应屏幕时,按下同步按钮58打开自动姿势响应,W使IMD14根据患者12的姿势状态自动改变治疗。 When the patient 12 enters the automatic posture responsive user interface screen, press the sync button 58 to open the automatic posture response, W make IMD14 automatically change the treatment according to the patient posture state 12. 同样,当显示自动姿势响应屏幕时,按下同步按钮58可关闭自动姿势响应。 Similarly, when the display automatic posture response screen, press the sync button 58 to turn off the automatic posture response. 在图2所示实施例中,患者12可使用控制垫40来调节患者编程装置30的音量、对比度、照度、时间和测量单位。 In the embodiment shown in FIG. 2, patient 12 may use the control pad to adjust the patient programmer 40 volume, contrast, illumination, time, and units of measurement (30).

[0084] 在一些实施方式中,按钮54和56可被配置成能够执行与刺激治疗或患者编程装置30的使用相关的操作功能。 [0084] In some embodiments, buttons 54 and 56 may be configured to be capable of performing a stimulation treatment using the patient programmer 30 or a function related to the operation. 例如,按钮54和56可控制患者编程装置20产生的可听声的音量, 其中按钮54增加音量而按钮56降低音量。 For example, buttons 54 and 56 can be controlled patient programmer 20 produces an audible sound volume, which increases the volume button 54 and button 56 to decrease the volume. 可按下按钮58W进入操作菜单,允许患者12将患者编程装置30的用户界面配置成患者12的需要。 58W can press the button to enter the operating menu, allow the patient 12 to configure the user interface into a patient programmer 30 needs of the patient 12. 例如,患者12能够选择语言、背景光延迟时间、显示器36的亮度和对比度或其它类似的选项。 For example, the patient 12 can select a language, backlight delay time, the brightness and contrast of the display 36 or other similar options. 在可选的实施方式中,按钮50和52可控制所有操作和选择功能,例如与刺激治疗或声音音量相关的那些功能。 In an alternative embodiment, the buttons 50 and 52 can select and control all operations functions such as sound volume and stimulation therapy or those functionally related.

[0085] 患者编程装置30可采取本文未描述的其它形状或尺寸。 [0085] patient programmer 30 may take other shapes or sizes not described herein. 例如,患者编程装置30可采取始壳形状的形式,类似于一些手机设计。 For example, the patient programmer 30 may take the form of the beginning of the shell shape, similar to some mobile phone designs. 当患者编程装置30关闭时,用户界面的一些或所有元素被保护在编程装置内。 When the patient programmer 30 is closed, some or all of the elements of the user interface are protected within the programmer. 当患者编程装置30打开时,编程装置的一侧可包含显示器而另一侧可包含输入机构。 When patient programmer 30 is opened, one side of the programmer may contain a display while the other side may contain input mechanisms. 在任何形状中,患者编程装置30能够执行本文所述的需求。 In any shape, the patient programmer 30 is capable of performing the requirements described herein. 患者编程装置30可选的实施方式可包括其它输入机构,例如键盘、麦克风、相机镜头或允许用户与患者编程装置30提供的用户界面相互作用的任何其它介质。 The patient programmer 30 alternative embodiments may include any other medium other input means such as a keyboard, a microphone, a camera lens or the user interface allows users to patient programmer 30 provides interaction.

[0086] 在其它实施方式中,患者编程装置30的按钮可执行与作为一个实施例的图2所示功能不同的功能。 [0086] In other embodiments, the patient programmer 30 may perform as buttons diagram of one embodiment of the functions shown in 2 different functions. 此外,患者编程装置30的其它实施方式可包括不同的按钮布局或不同数量的按钮。 In addition, other embodiments of patient programmer 30 may include different button layouts or different numbers of buttons. 例如,患者编程装置30甚至可包括单一的触摸屏,囊括了所有的用户界面功能, 具有一组有限的按钮或无其它按钮。 For example, the patient programmer 30 may comprise a single or even a touch screen, to include all user interface features, with a limited set of buttons or no other buttons.

[0087] 图3的示意图显示了一种示例性临床医师编程装置60,该装置用于对可植入医疗装置递送的刺激治疗编程。 Schematic [0087] FIG. 3 shows an exemplary clinician programmer 60, the device for an implantable medical device to deliver stimulation therapy program. 临床医师编程装置60是图IAUB和IC所示外置编程装置20的一个示例性实施方式并且可W与IMD14或IMD26联用。 Clinician programmer and IC 60 is a diagram IAUB one exemplary embodiment of an external programming device 20 and can be shown with a W or IMD14 IMD26 combined. 在可选的实施方式中,临床医师编程装置60可W与外置医疗装置联用。 In an alternative embodiment, the clinician programmer 60 W and can be combined with external medical devices. 如图3所示,临床医师编程装置60向使用者(例如临床医师、 内科医师、技术人员或护)提供了用户界面(未示出)W操控和编程刺激治疗。 3, the clinician programmer 60 to the user (such as clinical, physician, technician or nursing ) provides a user interface (not shown) W manipulation and programming stimulation therapy. 在一些实施方式中,临床医师编程装置60也能够向用户呈递姿势状态指示,或者甚至选择将要向患者12呈递的姿势状态指示的类型。 In some embodiments, clinician programmer 60 also presenting the posture state indication to a user, or even want to select the type of patient 12 posture state indication presented. 临床医师编程装置60受外壳62的保护,外壳32包裹临床医师编程装置60运行所必需的电路。 Clinician programmer 60 by the protective housing 62, the housing 32 parcels clinician programmer 60 necessary for the operation of the circuit.

[0088] 临床医师编程装置60由临床医师或其它用户使用W修改和审阅患者12的治疗。 [0088] clinician programmer 60 by the clinician or other user to modify and review W 12 patients. 临床医师可限定针对限定刺激治疗的各个程序的每个治疗参数的值。 Clinicians may define a value for each parameter defined stimulation therapy treatment program for each. 治疗参数(例如幅度)可根据治疗期间患者12采取的各个姿势状态具体限定。 Therapy parameters (for example, amplitude) may be specifically defined in terms of the patient during treatment 12 posture taken by each state. 此外,临床医师可通过使用姿势椎或本文所述的其它姿势容积或用于使姿势状态传感器输出与患者12的姿势状态相关联的其它技术,使用临床医师编程装置60来限定患者12的各个姿势状态。 In addition, clinicians can use other gestures or posture vertebral volume as described herein or other techniques used to position the patient posture state sensor output associated with state 12, 60 using the clinician programmer to define the position of each patient 12 status.

[0089] 临床医师编程装置60包括显示器64和电源按钮66。 [0089] clinician programmer 60 includes a display 64 and a power button 66. 在图3所示实施例中,显示器64 是触摸屏,接受用户通过触摸显示器64内的某些区域产生的输入。 In the embodiment shown in Figure 3, the display 64 is a touch screen, accepts an input by a user 64 within a certain region of the touch display is produced. 用户可使用指示笔68来触摸显示器64和选择虚拟的按钮、滑动块、键盘、拨号或显示器64显示的用户界面呈递的其它表示。 You can use the stylus to touch 68 display 64 and select the virtual buttons, sliders, keyboard, or monitor dialing 64 user interface displays presenting other representation. 在一些实施方式中,用户能够用手指、钢笔或任何其它点击设备触摸显示器64。 In some embodiments, the user can use a finger, pen, or any other pointing device touch display 64. 在可选的实施方式中,临床医师编程装置60可包括一个或多个按钮、键盘、控制垫、触摸垫或接受用户输入的其它装置,类似于患者编程装置30。 In alternative embodiments, clinician programmer 60 may include one or more buttons, a keyboard, a control pad, a touch pad, or other device to accept user input, similar to the patient programmer 30.

[0090] 在所示实施方式中,临床医师编程装置60是手持式装置。 [0090] In the illustrated embodiment, the clinician programmer 60 is a hand-held device. 临床医师编程装置60可W在诊所内或在内部患者呼叫时使用。 Clinician programmer 60 W or can be used when the internal patient calls the clinic. 临床医师编程装置60可用于与不同患者体内的多个IMD14和26通信。 Clinician programmer 60 and 26 can be used to communicate with a plurality of different patient IMD14. W运种方式,临床医师编程装置60能够与不同的装置进行通信并独立保留不同患者的数据。 W transportation ways, clinician programmer 60 can communicate with different devices and different patients to retain independent data. 在一些实施方式中,临床医师编程装置60可W是便携性较低的较大的装置,例如笔记本电脑、工作站或者甚至是通过远程遥测装置与IMD14或26通信的远程电脑。 In some embodiments, the clinician programmer 60 may be W is less portable larger devices, such as notebook computers, workstations, or even via a remote telemetry device IMD14 or 26 in communication with the remote computer.

[0091] 大部分(如果不是全部)的临床医师编程装置的功能可通过显示器64的触摸屏完成。 [0091] largely completed (if not all) features clinician programmer can display 64 via a touch screen. 用户可编程刺激治疗,修改程序或组,检索储存的治疗数据,检索姿势状态信息,限定姿势状态和其它活动信息,改变显示器64的对比度和背景光,或者任何其它治疗相关的功能。 User-programmable stimulation therapy, modify the program or group, the treatment of data retrieval storage, retrieval posture state information, and other activities defined posture state information, change the contrast and backlight display 64, or any other treatment-related functions. 此外,临床医师编程装置60能够与网络服务器通信W发送或接收电子邮件或其它消息,检索编程指令,访问帮助说明,发送错误消息,或者执行有利于即时治疗的任何其它功能。 In addition, the clinician programmer 60 can communicate with the web server to send or receive e-mail or other W message retrieval programming instructions, access the Help instructions, send an error message, or perform immediate treatment in favor of any other function.

[0092] 在一些情况下,所有处理可W在IMD14中执行并分布至临床医师编程装置60仅用于呈递给临床医师。 [0092] In some cases, all of the processing can be executed and distributed to the W clinician programmer for only 60 presented to the clinician in IMD14. 或者,IMD 14、临床医师编程装置60、患者编程装置30或其它计算装置中的两个或更多个在治疗调整信息和任何其它数据的处理任务中共享,然后将该信息呈递到临床医师编程装置60上。 Alternatively, IMD 14, clinician programmer 60, patient programmer 30 other computing devices in the treatment of two or more of any adjustment information and other data processing tasks, or shared, then the information is presented to the clinician programmer means 60.

[0093] 外壳62可W由适合保护和容纳临床医师编程装置60的各个组件的聚合物、金属合金、复合材料或组合材料构成。 [0093] W by the housing 62 may be adapted to protect and accommodate the various components clinician programmer 60 polymer, metal alloys, composite materials or combinations of materials. 此外,外壳62可部分或完全密封,因而流体、气体或其它元素不能穿透外壳而影响其内部的组件。 In addition, the housing 62 may be partially or completely sealed, so the fluid, gas or other elements may not penetrate the housing and affect components therein. 电源按钮66可W按照使用者需要打开或关闭临床医师编程装置60。 66 W power button can be turned on or off according to the user needs to clinician programmer 60. 临床医师编程装置60可能要求在使用者能够使用临床医师编程装置60之前输入密码、生物测定输入或其它安全措施并被接受。 Clinician programmer 60 may require the user to use the clinician programmer 60 previously entered password, biometric or other security measures entered and accepted.

[0094] 临床医师编程装置60可采取本文未描述的其它形状或尺寸。 [0094] clinician programmer 60 may take other shapes or sizes not described herein. 例如,临床医师编程装置60可采取始壳形状的形式,类似于一些手机设计。 For example, the clinician programmer 60 may take the form of the beginning of the shell shape, similar to some mobile phone designs. 当临床医师编程装置60关闭时,至少一部分的显示器64被保护在外壳62内。 When the clinician programmer 60 is closed, at least a portion of the display 64 is protected within the housing 62. 当临床医师编程装置60打开时,编程装置的一侧可包含显示器而另一侧可包含输入机构。 When clinician programmer 60 is opened, one side of the programmer may contain a display while the other side may contain input mechanisms. 在任何形状中,临床医师编程装置60能够执行本文所述的需求。 In any shape, the clinician programmer 60 can perform demand described herein.

[0095] 图4的功能框图显示了IMD14的各个组件。 Functional Block Diagram [0095] FIG. 4 shows the various components of IMD14. 在图4所示实施例中,IMD14包括处理器80、存储器82、刺激发生器84、姿势状态模块86、遥测电路88和电源90。 In the embodiment shown in FIG. 4, IMD 14 includes a processor 80, memory 82, stimulation generator 84, posture state module 86, telemetry circuit 88 and power supply 90. 存储器82可储存处理器80执行的指令、刺激治疗数据、姿势状态信息、姿势状态指示W及任何其它关于治疗或患者12的信息。 Instruction memory 82 may store processor 80 executed stimulation therapy data, status information posture, posture state indication W and any other information about the therapy or patient 12. 治疗信息可记录后长期储存并由使用者检索,治疗信息可包括IMD14产生或储存的任何数据。 Treatment after long-term storage of information can be recorded by the user retrieval, treatment information may include any data IMD14 produced or stored. 存储器82可包括用于储存指令、姿势状态信息、程序历史W及可能有益于单独的物理储存模块的任何其他数据的单独存储器。 82 may include a memory for storing instructions, a separate memory posture state information, the history of the program, and W may be useful for a separate physical storage block to any other data.

[0096] 处理器80控制刺激发生器84,经一个或多个电极阵列中的电极形成的电极组合递送电刺激。 [0096] Processor 80 controls stimulation generator 84, the electrode assembly via one or more electrodes in the electrode array delivery of electrical stimulation. 例如,刺激发生器84例如W刺激脉冲或连续波形的形式通过一根或多根导线16 上的电极递送电刺激治疗。 For example, the stimulus generator 84 such as W stimulation pulses or continuous wave form by one or more electrode lead 16 on the delivery of electrical stimulation therapy. IMD14、外置编程装置20或本发明所述的任何其它装置内用作处理器的组件可各自包括一个或多个处理器,例如一个或多个微处理器、数字信号处理器(DSP)、专用集成电路(ASIC)、现场可编程口阵列(FPGA)、可编程的逻辑电路等,单独使用或W任何合适的组合联用。 IMD 14, any other device is used as the component of the processor or external programmer 20 according to the present invention may each include one or more processors, e.g., one or more microprocessors, digital signal processors (DSP), application specific integrated circuit (ASIC), a field programmable port array (FPGA), a programmable logic circuit and the like, alone or W combined with any suitable combination.

[0097] 刺激发生器84可包括刺激发生电路和开关电路,刺激发生电路产生刺激脉冲或波形,而开关电路能够例如响应处理器80的控制而开关跨越不同的电极组合的刺激。 [0097] The stimulus generator 84 may include a stimulus generating circuit and a switch circuit, stimulate generation circuit generates stimulation pulses or waveforms, and the switch circuit can, for example in response to the control processor 80 and the switch across stimulate different electrode combinations. 具体说, 处理器80可W在选择性基础上控制开关电路,使刺激发生器84向选定的电极组合递送电刺激并且在治疗必需递送至患者12体内不同位置时沿第一方向或第二方向将电刺激切换至不同的电极组合。 Specifically, the processor 80 can selectively W on the basis of the control switch circuit, so that the stimulus generator 84 to the selected electrode assembly and delivery of electrical stimulation in the treatment of essential delivered to the patient 12 in a first direction or a second body in different positions electrical stimulation direction switch to a different electrode combinations. 在其它实施方式中,刺激发生器84可包括多个电流源W同时驱动超过一个电极组合。 In other embodiments, the stimulus generator 84 may include a plurality of current sources W are driven simultaneously more than one electrode combination. 在运种情况下,刺激发生器84可降低至第一电极组合的电流并且同时增加至第二电极组合的电流W切换刺激治疗。 In the transport case, the stimulus generator 84 can be reduced to a first current electrode combination and simultaneously increasing the current to the second electrode assembly W switching stimulation therapy.

[0098] 电极组合可通过储存在IMD14的存储器位置(例如,存储器82)中的数据表示。 [0098] can be stored in the electrode assembly IMD14 memory location (e.g., memory 82) data representation. 处理器80可访问存储器位置W确定电极组合和控制刺激发生器84通过指定的电极组合递送电刺激。 Processor 80 can access the memory location to determine W electrode assembly and control of the stimulus generator 84 to deliver electrical stimulation through the electrode combination specified. 为了改变电极组合、幅度、脉冲频率或脉冲宽度,处理器80可命令刺激发生器84根据存储器82内的指令适当地改变治疗并重写存储器位置W指示改变的治疗。 In order to change the combination of the electrode, the amplitude, pulse width or pulse frequency, the processor 80 commands the stimulus generator 84 can be appropriately changed and overwrite the memory location W therapeutic indication treated according to the change instruction memory 82 within. 在其它实施方式中,处理器80可利用两个或更多个存储器位置而不是重写单一的存储器位置。 In other embodiments, the processor 80 may utilize two or more memory locations rather than rewriting a single memory location.

[0099] 激活刺激时,处理器80不仅可W访问指定电极组合的存储器位置,而且可W访问指定诸如电压或电流幅度、脉冲宽度和脉冲频率等各种刺激参数的其它存储器位置。 [0099] When the activating stimulus, the processor 80 can not only access to the specified W electrode combination memory locations, and W can access the specified voltage or current amplitude, pulse width and pulse frequency parameters of a variety of stimuli such as other memory location. 例如在处理器80的控制下,刺激发生器84可利用电极组合和参数来向患者12制定和递送电刺激。 For example, in the control processor 80, stimulus generator 84 may use a combination of electrode parameters and to develop and deliver electrical stimulation to the patient 12.

[0100] 根据本文所述的实施例,可基于检测的患者12的姿势状态调整运种刺激参数W修改IMD14递送的刺激治疗。 [0100] According to the embodiment described herein, it may be based on the patient 12 posture state detection adjusting operation parameters W stimuli delivered IMD14 modify stimulation therapy. 在一些实施例中,处理器80可通过姿势状态模块86检测患者12的姿势状态,姿势状态模块86例如根据储存在存储器82中的指令指示刺激治疗的修改是合适的。 In some embodiments, the processor 80 can be detected posture state of patient 12 posture state module 86 by, for example posture state module 86 in accordance with instructions stored in memory 82 indicating stimulation therapy modifications are appropriate. 处理器80可访问基于患者12的姿势状态修改刺激治疗的指令,例如通过从适用于前一种姿势状态的刺激程序改变为适用于患者当前姿势状态的刺激程序。 Processor 80 can access the patient posture state based on 12 submissions stimulation therapy instruction, for example, by changing from a posture suitable for the former state stimulus program to apply to the program to stimulate the patient's current posture state.

[0101] 下面列出了例如应用于脊髓1別寸,可能在治疗慢性疼痛中有效的电刺激参数的示例性范围。 [0101] Listed below are applied, for example spinal cord 1 inch respectively, may be effective in treating chronic pain electrical stimulation parameters of an exemplary range. 虽然描述了刺激脉冲,但刺激信号可W是各种形式中的任何形式,例如正弦波等。 Although the description of the stimulation pulses, but the stimulation signal W can be in various forms in any form such as sine wave.

[0102] 1.脉冲频率:约为0.5-1200化,更优选约5-250HZ,甚至更优选约30-130化。 [0102] 1. Pulse frequency: of approximately 0.5-1200, more preferably about 5-250HZ, and even more preferably of about 30-130.

[0103] 2.幅度:约为0.1-50伏,更优选约0.5-20伏,甚至更优选约1-10伏。 [0103] 2. Amplitude: about 0.1 to 50 volts, and more preferably about 0.5 to 20 volts, even more preferably from about 1 to 10 volts. 在其它实施方式中,电流幅度可W限定为递送的电压中的生物负载。 In other embodiments, W can be defined as the amplitude of the current delivered voltage bioburden. 例如,电流幅度的范围可W约为0.1-50mA。 For example, the range of current amplitude may be W about 0.1-50mA.

[0104] 3.脉冲宽度:约为10-5000微秒,更优选约100-1000微秒,甚至更优选约180-450微秒。 [0104] 3. Pulse width: about 10-5000 microseconds, more preferably about 100-1000 microseconds, even more preferably about 180-450 microseconds.

[0105] 在其它应用中,可使用参数值的不同范围。 [0105] In other applications, you can use a different range of parameter values. 例如,对于深部脑刺激(DBS),缓解或减轻与帕金森病、特发性震颤、癒痛或其它病症有关的症状可利用脉冲频率约为0.5-1200化, 更优选5-250HZ,甚至更优选30-185化;脉冲宽度约为10-5000微秒,更优选约60-1000微秒, 甚至更优选约60-450微秒,甚至更优选约60-150微秒的刺激。 For example, deep brain stimulation (DBS), relieve or alleviate Parkinson's disease, essential tremor, the more pain or other symptoms associated with the disorder can take advantage of the pulse frequency of approximately 0.5-1200, preferably 5-250HZ, and even more preferably of 30-185; pulse width of about 10-5000 sec, more preferably about 60-1000 microseconds, even more preferably about 60-450 microseconds, even more preferably about 60-150 microseconds stimulation. 针对不同的DBS应用,可使用例如上文参照SCS描述的幅度范围或其它幅度范围。 DBS for different applications, for example as described above with reference SCS amplitude range or other amplitude range.

[0106] 处理器80访问存储器82中例如程序和程序组形式的刺激参数。 [0106] processor 80 to access the memory 82 such as program and program group in the form of stimulation parameters. 一旦选择具体的程序组,处理器80可控制刺激发生器84,根据各组中的程序同时或者时间交错地递送刺激。 Upon selection of a specific program group, the processor 80 may control the stimulus generator 84, simultaneously or chronologically staggered to deliver stimulation according to program each group. 组可包括单个程序或多个程序。 Set may include a single program or multiple programs. 如上所述,每个程序可指定一组刺激参数,例如幅度、脉冲宽度和脉冲频率。 As described above, each program can specify a set of stimulation parameters, such as amplitude, pulse width and pulse frequency. 此外,每个程序可指定用于递送刺激的具体的电极组合。 In addition, each program can specify a particular electrode combination used to deliver stimulation. 同样,电极组合可指定例如在单根导线或多根导线中的单个阵列或多个阵列中具体的电极。 Similarly, the electrode assembly can be specified, for example in a single wire or wires in a single array or multiple arrays in a specific electrode. 处理器80也可控制遥测电流88W向外置编程装置20发送信息或接收来自外置编程装置20的信息。 Telemetry processor 80 may also control the current 88W send messages or receive information from external programmer 20 to the external programmer 20. 例如, 遥测电路88向患者编程装置30发送信息或接收来自患者编程装置30的信息。 For example, telemetry circuit 88 to send information to patient programmer 30, or receive information from the patient programmer 30.

[0107] 姿势状态模块86允许IMD 14感应或检测当前的患者姿势状态,例如患者12的姿势、活动或任何其它静态位置或运动。 [0107] posture state module 86 allows the induction or IMD 14 detects the current posture state of the patient, such as patient 12 posture, activity or any other static position or motion. 在图4所示实施例中,姿势状态模块86包括能够在= 维中检测静态定向或向量的一个或多个加速度计,例如=轴加速度计。 In the embodiment shown in FIG. 4, the posture state module 86 includes a vector capable of static orientation or one or more accelerometers = dimension detection, for example = axis accelerometer. =轴加速度计可W 是微-电-机加速度计。 = W-axis accelerometer can be micro - electric - machine accelerometer. 在其它实施例中,姿势状态模块86可替代地或额外地包括一个或多个巧螺仪、压力换能器或感应患者12采取的当前姿势状态的其它传感器。 In other embodiments, the posture state module 86 may alternatively or additionally include one or more clever screw, pressure transducer or sensor 12 patients taken other current posture state sensor. 姿势状态模块86 和处理器80产生的姿势状态信息可对应于患者12经历的活动和/或姿势,或者物理活动的总体水平,例如基于足球等计算的活动。 Posture state information posture state module 86 and the processor 80 can be generated corresponding to the patient 12 through activities and / or posture, or the overall level of physical activity, such as soccer and other activities based computing.

[0108] 来自姿势状态模块86的姿势状态信息可储存在存储器82中由临床医师随后审阅, 用于调整治疗,向患者12呈递姿势状态指示,或者其中的一些组合。 [0108] posture state information from posture state module 86 can be stored in the memory 82 is then reviewed by a clinician, it is used to adjust the treatment to the patient 12 presented posture state indication, or some combination thereof. 例如,处理器80可记录=轴加速度计的姿势状态参数值或者输出,并将姿势状态参数值分配给该姿势状态参数值所指示的某些预定的姿势。 For example, the processor 80 may record posture state parameter value = axis accelerometer or output, and the posture state parameter value assigned to certain predetermined posture of the posture state parameter value indicated. W运种方式,IMD14能够追踪患者12每隔多久保持某一姿势状态。 W transportation ways, IMD14 able to track how often patients 12 to maintain a posture state. IMD 14也可储存当患者12处于感应姿势时使用了哪一组或哪个程序来递送治疗。 IMD 14 may also be stored in the sensor when the patient 12 posture which group or which is used to deliver a therapeutic program. 而且, 当姿势状态模块86指示患者12实际上改变了姿势时,处理器80也可针对新的姿势调整治疗。 Moreover, when the posture state module 86 indicates that the patient actually changes the position 12, the processor 80 can also adjust the treatment for the new position. 因此,IMD 14可被配置成向患者12提供姿势响应性刺激治疗。 Accordingly, IMD 14 may be configured to provide posture responsive stimulation therapy to a patient 12. 响应姿势状态的刺激调整可W是自动的或者半自动的(需患者批准)。 Posture state in response to stimulation can adjust W is automatic or semi-automatic (patients need approval). 在许多情况下,可能需要完全自动的调整,使得IMD14能够对姿势状态的改变更快作出反应。 In many cases, it may require a fully automatic adjustment of the posture can be changed so that the state of IMD14 faster response.

[0109] 姿势状态模块86中指示姿势状态的姿势状态参数值可W在患者12的整个日常活动期间不断变化。 [0109] The posture state module 86 indicating the posture state parameter value at the W posture state throughout the daily activities of the patient 12 during changing. 然而,某些活动(例如,走路、跑步或骑自行车)或姿势(例如站立、坐下或躺下(俯邸、仰邸、左侧邸、右侧邸))可包括在姿势状态模块86中的多个姿势状态参数值。 However, certain activities (such as walking, running or cycling) or posture (such as standing, sitting or lying down (prone Di, Yang Di, Di left side, right side Di)) may be included in the posture state module 86 a plurality of posture state parameter value. 存储器82可包括对患者12的每个姿势状态的定义。 Memory 82 may include a definition of the status of 12 patients each pose of. 在一个实施例中,可W在=维空间中W圆锥形式显示每个姿势状态的定义。 In one embodiment, the W W cone displayed in the definition of each posture state = dimensional space. 只要来自姿势状态模块86的=轴加速度计的姿势状态参数值,例如向量位于预定的圆锥或容积内,处理器80指示患者12处于圆锥或容积的姿势状态。 Just from the posture state module = Axis posture state parameter value of the accelerometer 86, such as a cone or volume vector located within a predetermined, processor 80 indicates that the patient 12 is in a cone or volume posture state. 在其它实施例中,可将来自=轴加速度计的姿势状态参数值与查找表或方程的值进行比较W确定患者12当前所处的姿势状态。 In other embodiments, may be from the posture state parameter value = axis accelerometer and a lookup table or equation values are compared to determine the patient posture state W 12 is currently located.

[0110] 响应姿势状态的刺激可允许IMD14在治疗调整中实现一定水平的自动化。 Stimulation [0110] response posture state may allow IMD14 achieve a certain level of automation in the treatment of adjustment. 自动调整刺激使得患者12不再需要每次当患者12改变姿势或开始和停止某些一姿势状态时手动调整治疗。 12 automatically adjusts the stimulation that the patient when the patient no longer needs every 12 to change the posture or the start and stop manually adjust the treatment a certain posture state. 刺激参数的运种手动调整会是乏味的,需要患者14在患者姿势状态期间多次按下患者编程装置30的一个或多个按键W维持适当的症状控制。 Stimulation parameters of the operation would be kind of tedious manual adjustment is required in patients 14 times during the patient posture state of patient programmer press one or more keys W 30 is appropriately maintained symptom control. 在一些实施方式中,患者12 可能最终能够享受响应姿势状态的刺激治疗而不需要继续通过患者编程装置30对不同的姿势作出改变。 In some embodiments, the patient may eventually be able to enjoy 12 response posture state stimulation therapy without the need to continue to make changes by 30 pairs of different positions patient programmer. 相反,患者12可能基于姿势状态立即过渡或者经过一定时间过渡至完全自动的调整。 In contrast, 12 patients could be based on the posture state transition immediately or after a certain period of transition to a fully automatic adjustment.

[0111] 虽然描述的姿势状态模块86包括=轴加速度计,但姿势状态模块86也可包括多个单轴加速度计、双轴加速度计、=轴加速度计、或它们的一些组合。 [0111] Although the posture state module 86 is described comprising = axis accelerometer, but the posture state module 86 may also include a plurality of single-axis accelerometer, dual-axis accelerometer, = axis accelerometer, or some combination thereof. 在一些实施例中,加速度计或其它传感器可位于IMD14内或IMD14上,导线16之一上(例如在远端稍部或中间位置), 位于患者12体内某一位置的另一传感器导线上,独立的可植入传感器内,或者甚至由患者12配戴。 In some embodiments, an accelerometer or other sensor may be located within or IMD14 IMD14 on one of the wires 16 (e.g., a little at a distal end portion or intermediate position), located on the body of the other 12 patients with a wire sensor position, independent implantable sensor inside, or even worn by the patient 12. 例如,可将一个或多个微传感器植入患者12体内,与IMD14无线通信姿势状态信息。 For example, the one or more micro-sensors implanted in the patient body 12, and a wireless communication IMD14 posture state information. W运种方式,可由在患者12身体上或体内各个位置设置的多个活动传感器确定患者12的姿势状态。 W transportation ways, by a plurality of activity sensors on the patient's body or body 12 disposed at various locations to determine the posture state of patient 12.

[0112] 在一些实施方式中,处理器80处理姿势状态模块86中姿势状态传感器的模拟输出W确定活动和/或姿势数据。 [0112] In some embodiments, the processor 80 processes posture state module 86 in the posture state sensor analog output W determine activities and / or posture data. 例如,如果姿势状态传感器包括加速度计,则处理器80或姿势状态模块86的处理器可处理姿势状态传感器提供的原始信号W确定活动计数。 For example, if a posture state sensor comprises an accelerometer, the processor 80 or posture state module 86 of the processor can process the raw signal W posture state sensors to determine the activity count. 在一些实施方式中,处理器80可处理姿势状态传感器提供的信号W确定沿各个轴的运动速率信息。 In some embodiments, processor 80 may process the signal provided by the posture state sensor to determine W along each axis of motion rate information.

[0113] 在一个实施例中,姿势状态传感器提供的每个x、y和Z信号具有DC分量和AC分量。 [0113] In one embodiment, each x posture state sensor provided, y and Z signal having a DC component and an AC component. DC分量描述了传感器上产生的重力,因而可用于确定地球重力场内传感器的定向。 DC component describes the gravity of the sensor, which can be used to determine the orientation of the Earth's gravitational field sensors. 假定传感器的定向相对于患者相对固定,则可利用X、y和Z信号的DC分量来确定重力场内患者的定向,因而确定患者的姿势。 Assuming the orientation sensor relative to the patient is relatively fixed, it can make use of X, y and Z signals to determine the DC component of the patient's gravitational field orientation, and thus determine the position of the patient.

[0114] x、y和Z信号的AC分量产生关于患者运动的信息。 [0114] x, y and Z AC component of the signal generating information about the patient movement. 具体说,可利用信号的AC分量得到描述患者运动的活动的值。 Specifically, the AC component of the signal can be used to give a value to describe the motion of patient activity. 该活动可设及运动的水平、方向、或患者的加速度。 This activity can be set and horizontal motion, direction, or acceleration of the patient.

[0115] -种用于确定活动的方法是活动计数。 [0115] - methods for determining the activity is activity count. 活动计数可用于指示患者12的活动或活动水平。 Activity Count can be used to indicate the level of patient activity or activity (12). 例如,信号处理器可合计N个连续样品的加速度计信号的AC部分的幅度。 For example, the signal processor may be part of the total amplitude AC N consecutive samples of the accelerometer signal. 例如,假定在25化取样,则N可W设定为25,计数逻辑提供了在一秒内获得的样品的总和。 For example, assume that 25 of the samples, the N may be set to 25 W, the total count logic provided in a second sample obtained. 该总和可称为"活动计数"。 The sum can be called "activity count." 需要时,可由处理器基于当前的姿势状态选择连续样品的数量"N"。 If necessary, by a processor based on the current posture state choose the number of consecutive samples "N". 活动计数可W是添加到姿势部分的活动参数值的活动部分。 Activity Count W can be added to the active portion of the movable portion of the posture parameter values. 然后,将所得活动参数值结合到活动和姿势中W产生患者12运动的精确指示。 Then, the resulting activity parameter value is incorporated into the activities and posture W produce an accurate indication of a patient 12 movement.

[0116] 作为另一个例子,可限定活动参数值描述运动方向。 [0116] As another example, you can define event parameters describe the direction of movement. 该活动参数值可与向量及相关公差相关联,公差可W离开向量一定距离。 The event parameter values and associated tolerance vector associated with tolerance can leave vector W a distance. 活动参数值的另一个例子设及加速度。 Another example of the activities set parameter values and acceleration. 量化在特定方向上运动随时间改变水平的值可W与活动参数值中引用的参数相关联。 Quantify the value of the motion in a particular direction over time may change the level of parameter values W & Events referenced associated parameters.

[0117] 在其它实施例中,姿势状态模块86可额外地或替代地被配置成感应患者12的一种或多种生理学参数。 [0117] In other embodiments, posture state module 86 may additionally or alternatively be configured to sense one or more physiological parameters of patients 12. 例如,生理学参数可包括屯、率、肌电图化MG)、脑电图化EG)、屯、电图化CG)、体溫、呼吸率或抑。 For example, physiological parameters may include Tuen rate, EMG of MG), EEG-based EG), Tuen, electrical diagram of CG), body temperature, respiration rate, or suppressed. 在一些实施方式中,运些生理学参数被处理器80可用W确认或拒绝可能由于震动、患者旅行(例如在飞机、汽车或火车上)或者一些其它姿势状态的假阳性导致的感应的姿势状态的改变。 In some embodiments, the transport of these physiological parameters by the processor 80 can be used to confirm or deny W posture state may be due to the induction of shock, patients travel (for example, on a plane, car or train), or some other false-positive results in the posture state change.

[0118] IMD 14中与外置编程装置20(例如,患者编程装置30或临床医师编程装置60)或其它装置的无线遥测可通过IMD14与外置编程装置20之间的射频(RF)通信或近端感应交互作用实现。 [0118] IMD 14 with an external programming device 20 (for example, patient programmer 30 or clinician programmer 60) telemetry or other wireless devices can communicate via radio frequency (RF) 20 and between the external programmer or IMD14 the proximal end of the induction interaction to achieve. 遥测电路88可W在连续的基础上、W周期性间隔、W非周期性间隔、或者根据刺激器或编程装置的要求向外置编程装置20发送信息和从外置编程装置20接收信息。 W telemetry circuit 88 may be on a continuous basis, at periodic intervals W, W non-periodic intervals, or send information and receiving information from external programmer 20 in accordance with the requirements of the stimulator or programming device to the external programmer 20. 为支持RF通信,遥测电路88可包括合适的电子元件,例如放大器、过滤器、混合器、编码器、解码器等。 To support RF communications, telemetry circuit 88 may comprise suitable electronic components, such as amplifiers, filters, mixers, encoders, decoders.

[0119] 当姿势状态参数值指示患者12已改变至不同的姿势状态时,处理器80可通过遥测电路88与患者编程装置30通信W指示新检测的姿势状态,即指示患者12所采取的当前姿势状态的新的姿势状态检测。 [0119] When the posture state parameter value indicates that the patient 12 has been changed to a different posture state, processor 80 via telemetry circuit 88 to communicate with the patient programmer 30 W indicates a new posture state detection, i.e., indicating the current taken by the patient 12 the new posture state detected posture state. W运种方式,处理器80可迫使患者编程装置30基于患者姿势状态的感应的姿势状态参数值呈递不同的姿势状态指示。 W transported manner, processor 80 forces the patient programmer 30 may present a different posture state indication based on patient posture state sensed posture state parameter value. 具体说,处理器80可W将新的姿势状态检测发送至患者编程装置30W指示患者所采取的当前检测的姿势状态。 Specifically, the processor 80 may be the new W posture state detection is sent to the patient programmer 30W instruct the patient to take a posture state currently detected. 或者,处理器80可W单向或者响应患者编程装置30的要求周期性地或非周期性地向患者编程装置30发送姿势状态信息。 Alternatively, the processor 80 can be unidirectional or W response to a request patient programmer 30 or periodically sends posture state information to patient programmer 30 aperiodically. 例如,患者编程装置30可W要求姿势状态参数值或者当前检测的姿势状态,它们中的任一种指示检测的姿势状态,并且在适当时独立地改变姿势状态指示。 For example, patient programmer 30 at the W claim posture state parameter value or currently detected posture state, either of which is an indication of the detected posture state, and changes the posture state indication, where appropriate, independently.

[0120] 电源90向IMD14的各组件递送工作功率。 [0120] power supply 90 to the power delivery of the work of the various components IMD14. 电源90可包括小型可再充电或不可再充电的电池或功率发生电路W产生工作功率。 Power supply 90 may include a small rechargeable or non-rechargeable batteries or power generating circuit W generates operating power. 再充电可W通过外置充电器和IMD14内感应充电线圈之间的近端感应交互作用来实现。 W can be recharged through the proximal end of the inner and external charger IMD14 inductive charging coil inductive interactions between realized. 在一些实施方式中,功率需要量可足够小W允许IMD14利用患者运动和实现动态能量清除装置对可再充电的电池进行点滴式充电。 In some embodiments, the power requirement can be small enough to allow IMD14 W using the patient's movement and dynamic energy clearing device for rechargeable battery trickle charge. 在其它实施方式中,可使用传统电池维持有限的时间。 In other embodiments, traditional batteries may be used to maintain a limited time. 作为另一个替代方式,需要或希望时,外置感应电源可经皮对IMD14供电。 As another alternative, if required or desired, external inductive power supply percutaneously to IMD14 supply.

[0121] 图5的功能框图显示了作为药物累的IMD26的各个组件。 Functional Block Diagram [0121] FIG. 5 shows the various components as a drug IMD26 tired of. IMD 26是一种药物累,其运行基本上类似于图4的IMD14。 IMD 26 is a drug tired, its operation is substantially similar to that of FIG IMD14 4. IMD 26包括处理器92、存储器94、累模块96、姿势状态模块98、遥测电路100和电源102。 IMD 26 includes a processor 92, a memory 94, tired module 96, the posture state module 98, telemetry circuit 100 and the power source 102. 相对于IMD14的刺激发生器84, IMD 26包括累模块96,其经导管28递送药物或一些其它的治疗剂。 With respect IMD14 stimulus generator 84, IMD 26 includes a tired modules 96, 28 of its transcatheter delivery of a drug or some other therapeutic agents. 累模块96可包括用于容纳药物的储器和迫使药物经导管28进入患者12的累机构。 Tired module 96 may include a reservoir for containing the drug and forcing the drug through the catheter into the patient tired bodies 28 12.

[0122] 处理器92可根据储存在存储器94内的治疗指令控制累模块96。 [0122] Processor 92 may control module 96 according to the treatment of tired instructions stored in the memory 94. 例如,存储器94可含有限定患者12的药物递送治疗的程序或程序组。 For example, memory 94 may contain the drug in patients with limited therapeutic 12 delivery program or set of programs. 程序可指示药物的推注量或流速,处理器92可相应地递送治疗。 Program may indicate drug bolus amount or flow rate, the processor 92 may deliver the treatment accordingly. 处理器92也可使用来自姿势状态模块98的姿势状态信息在患者12改变姿势状态(例如调整他们的姿势)时调整药物递送治疗。 Processor 92 can also be used from a posture state module 98 posture state information to adjust drug delivery (for example, to adjust their position) in patients 12 to change the posture state treatment.

[0123] 图6的功能框图显示了IMD14或26的外置编程装置20的各个组件。 Functional Block Diagram [0123] Figure 6 shows the various components of the external programmer IMD14 26 or 20. 如图6所示,外置编程装置20包括处理器104、存储器108、遥测电路110、用户界面106和电源112。 6, the external programmer 20 includes a processor 104, memory 108, telemetry circuitry 110, user interface 106 and power supply 112. 外置编程装置20可表现为患者编程装置30或临床医师编程装置60。 External programmer 20 can be expressed as a patient programmer 30 or clinician programmer 60. 临床医师或患者12与用户界面106 相互作用W手动改变程序的刺激参数,改变组内的程序,打开或关闭姿势响应性刺激,查看治疗信息,查看姿势状态信息,查看姿势状态指示或者W其它方式与IMD14或26通信。 Stimulation parameters clinician or patient 12 interaction with the user interface 106 W manual program changes, program changes within the group, open or closed position in response to sexual stimulation, view treatment information, view the posture status information, viewing posture state indication or otherwise W communication with IMD14 or 26.

[0124] 用户界面106可包括显示屏W及一个或多个输入按钮,例如在患者编程装置30的实施例中所述,允许外置编程装置20接受来自用户的输入。 [0124] User interface 106 may include a display screen or W, and a plurality of input buttons, for example, in the embodiments of patient programmer 30 as described, it allows the external programmer 20 receives input from the user. 或者,用户界面106可额外地或仅利用触摸屏显示器,例如临床医师编程装置60的实施例中所述。 Alternatively, the user interface 106 may additionally or only by the touch screen display, e.g., clinician programmer Example 60 of the. 显示屏可W是液晶显示器化CD)、点矩阵显示器、有机发光二极管(OLED)显示器、触摸屏、或能够递送和/或接受信息的任何其它装置。 A liquid crystal display screen at the W of CD), dot matrix display, organic light emitting diode (OLED) display, touch screen, or be able to deliver and / or receive any other information apparatus. 对于可视的姿势状态指示,显示屏已足够。 For visible posture state indication, the display is sufficient. 对于听觉和/或触觉姿势状态指示,编程装置20可还包括一个或多个音频扬声器、声音合成器忍片、压电蜂鸣器等。 For audible and / or tactile posture state indication, the programming device 20 may also include one or more audio speakers, sound synthesizer chip tolerance, a piezoelectric buzzer.

[0125] 用户界面106的输入按钮可包括触摸垫、上调和下调按钮、紧急关闭按钮W及控制刺激治疗所需的其它按钮,如上文参照患者编程装置30所述。 Enter button [0125] User interface 106 may include a touch pad, up and down buttons, emergency shut-off button W stimulation therapy and other buttons control required, as described above with reference to the patient programmer 30. 处理器104控制用户界面106、 从存储器108检索数据并将数据储存在存储器108内。 The processor 104 controls the user interface 106, a storage memory 108 to retrieve data from the data in the memory 108. 处理器104还控制数据通过遥测电路110至IMD14或26的传输。 Processor 104 also controls data transmission via telemetry circuit 110 to IMD14 or 26. 存储器108包括处理器104的操作指令W及与患者12治疗相关的数据。 Memory 108 includes a processor 104 W, and the operation instruction 12 patients with treatment-related data.

[0126] 遥测电路110允许数据从和向IMD 14或IMD 26传递。 [0126] telemetry circuit 110 allows data transfer from and 26 to IMD 14 or IMD. 遥测电路110可W在规划的时间或者当遥测电路检测到刺激器靠近时与IMD14自动通信。 Telemetry circuit 110 can be W in the planning of time or when the telemetry circuit detects the automatic communication with the stimulator near IMD14. 或者,遥测电路110可W在用户通过用户界面106发出信号时与IMD14通信。 Alternatively, the telemetry circuit 110 can be W in the user via the user interface 106 to signal when communicating with IMD14. 为支持RF通信,遥测电路110可包括合适的电子元件,例如放大器、过滤器、混合器、编码器、解码器等。 To support RF communications, telemetry circuit 110 may comprise suitable electronic components, such as amplifiers, filters, mixers, encoders, decoders. 电源112可W是可再充电的电池,例如裡离子或儀金属氨化物电池。 112 W power supply is a rechargeable battery, such as in the metal amide ion battery or instrument. 也可使用其它可再充电或常规的电池。 You can also use other rechargeable or conventional batteries. 在一些情况下,在直接或通过AC/DC适配器禪联于交流电(AC)出口,即AC线路功率时,可使用外置编程装置20。 In some cases, directly or through the AC / DC adapter to AC Zen-linking (AC) outlet that AC line power, you can use an external programmer 20.

[0127] 在一些实施例中,外置编程装置20可被配置成除了编程IMD14之外还能对IMD14再充电。 [0127] In some embodiments, the external programmer 20 may be configured in addition to the programming IMD14 also on IMD14 recharged. 或者,再充电装置可能够与IMD14通信。 Alternatively, the recharging device may be able to communicate with IMD14. 那么,再充电装置可能能够将编程信息、数据或本文所述的任何其它信息传递至IMD 14。 Then, a recharging device may be able to transfer information to any other programming information, data, or as described herein to IMD 14. W运种方式,再充电装置可能能够用作外置编程装置20和IMD 14之间的中介通信装置。 W transport ways, recharging means may be used as an external programmer 20 and IMD 14 intermediary between the communication device. 在其它情况下,编程装置可W与再充电功能整合形成组合的编程装置/再充电装置。 In other cases, the device can be programmed with the W-recharge feature integrated programming means form a combined / recharging device. 本文所述的技术可W在IMD14与能够和IMD14通信的任何类型的外置装置之间进行通信。 The techniques described herein may be between IMD14 W and capable of any type of communication IMD14 external device to communicate.

[0128] 图7的框图显示了一种示例性的系统120,其包括外置装置,例如服务器122, W及通过网络126禪联于图1A-1C所示IMD14和外置编程装置20的一个或多个计算装置124A-124N。 Block Diagram [0128] FIG. 7 shows an exemplary system 120, which includes external means, such as a server 122, W 126 and a network linking Chan shown in Figures 1A-1C and IMD14 external programmer 20 or more computing devices 124A-124N. 在该实施例中,IMD 14可使用其遥测电路88通过第一无线连接与外置编程装置20通信,通过第二无线连接与接入点128通信。 In this embodiment, IMD 14 may use its communication via telemetry circuit 88 is connected to the first wireless external programmer 20, is connected to the access point 128 through the second wireless communication. 在其它实施例中,也可使用IMD 26代替IMD14,外置编程装置20可W是患者编程装置30或临床医师编程装置60。 In other embodiments, IMD 26 may also be used in place of IMD14, external programmer 20 may be 30 W or clinician programmer 60 patient programmer.

[0129] 在图7所示实施例中,接入点128、外置编程装置20、服务器122和计算装置124A-124N互连,并且能够通过网络126相互通信。 [0129] In the embodiment shown in FIG. 7, the access point 128, 20, 122 and the server computing devices 124A-124N interconnecting external programmer, and can communicate with each other via a network 126. 在一些情况下,接入点128、外置编程装置20、月良务器122和计算装置124A-124N中的一个或多个可通过一个或多个无线连接与网络126禪联。 In some cases, the access point 128, external programmer 20 months good server 122 and computing devices 124A-124N in one or more connected to the network 126 Zen-linked by one or more wireless. IMD14、外置编程装置20、服务器122和计算装置124A-124N可各自包括一个或多个处理, 例如一个或多个微处理器、数字信号处理器(DSP)、专用集成电路(ASIC)、现场可编程口阵列(FPGA)、可编程的逻辑电路等,它们可执行各种功能和操作,例如本说明书中描述的那些。 IMD14, 20, 122 and the server computing means external programmer 124A-124N may each comprise one or more processors, e.g., one or more microprocessors, digital signal processors (DSP), application specific integrated circuit (ASIC), Field programmable port array (FPGA), programmable logic circuits, etc., they can perform various functions and operations, such as those described in this specification.

[0130] 接入点128可包括诸如家用监测装置的装置,通过各种连接中的任一种,例如电话拨号、数字用户线化化)或电缆调制解调器连接与网络126相连。 [0130] Access point 128 may include a device such as a home monitoring device, by any of a variety of connections, such as dial-up, digital subscriber line technology-based) or cable modem connection is connected to the network 126. 在其它实施方式中,接入点128可通过不同形式的连接,包括有线或无线连接,禪联于网络126。 In other embodiments, the access point 128 through different forms of connection, including wired or wireless connection to Zen-linked network 126.

[0131] 运行期间,IMD 14可收集并储存各种形式的数据。 During the [0131] operation, IMD 14 can collect and store data in various forms. 例如,IMD 14可收集治疗期间感应的姿势状态信息,指示患者12每天如何运动。 For example, IMD 14 posture state information may be collected during induction therapy, 12 patients with instructions how to exercise every day. 在一些情况下,IMD 14可直接分析收集的数据W评价患者12的姿势状态,例如患者12处于每种标识的姿势中的时间百分比。 In some cases, IMD 14 may analyze the collected data W direct evaluation of posture state of patient 12, e.g., the percentage of patients in the 12 position of each of the identified time. 然而,在其它情况下,IMD 14可W无线方式或通过接入点128和网络126将储存的姿势状态信息相关的数据发送至外置编程装置20和/或服务器122,用于远程处理和分析。 However, in other cases, IMD 14 W can wirelessly or through an access point posture state 128 and 126 store network information related data is sent to the external programmer 20 and / or server 122 for remote processing and analysis .

[0132] 例如,IMD 14可感应、处理、倾向和评价感应的姿势状态信息。 [0132] For example, IMD 14 can sense, process, and evaluate posture state information tends induction. 运种通信可实时发生,并且网络126允许远程临床医师通过在远程显示器(例如计算装置124A)上接收姿势状态指示的呈递审阅当前的患者姿势状态。 Kind of communication may occur in real-time operation, and a remote network 126 allows the clinician via remote display (e.g., a computing device 124A) receives presented posture state indication review on the current patient posture state. 或者,处理、趋向和评价功能可分配给其它装置如外置编程装置20或服务器122,运些装置与网络126禪联。 Alternatively, processing, and evaluation functions tend to be assigned to other devices such as an external programmer 20 or 122 servers, network devices and shipped some 126 Buddhist Union. 此外,姿势状态信息可由任何运种装置存档,例如用于临床医师的后续检索和分析。 In addition, the posture state information may be any kind of transportation means archiving, such as subsequent retrieval and analysis for the clinician.

[0133] 在一些情况下,IMD 14、外置编程装置20或服务器122可处理姿势状态信息或原始数据和/或治疗形成可显示的姿势状态报告,通过外置编程装置20或计算装置124A-124N中的一个显示。 [0133] In some cases, IMD 14, external programmer 20 or server 122 can handle posture state information or raw data and / or treatment of posture state report is formed that can be displayed by the external programmer 20 or computing device 124A- 124N in a display. 姿势状态报告可包含由临床医师进行评价的趋势数据,例如通过图形数据的视觉检查。 Posture state report may include appraisal carried out by the clinician trend data, such as visual inspection of graphical data. 在一些情况下,基于IMD14、外置编程装置20或服务器122自动执行的分析和评价,姿势状态报告可包括:患者12进行的活动的次数,患者12处于每种姿势状态的时间百分比,患者12连续处于一姿势状态的平均时间,每种活动期间使用了哪个组或哪个程序来递送治疗,每个相应的姿势状态期间治疗调整的次数,或者与或者12治疗相关的任何其它信息。 In some cases, based on IMD 14, external programmer analysis and evaluation apparatus 20 or the server 122 automatically, posture state report may comprise: patient activity of 12 times, each time the percentage of patients in the 12 posture state, patient 12 continuously in a posture state average time, which is used during each activity or group which program to deliver treatment, number of treatments adjusted during each respective posture state, or with 12 or any other information related to the treatment. 临床医师或其它经培训的专业人员可审阅和/或评注姿势状态报告,可能地识别出应该解决的治疗的任何问题。 Clinician or other trained professionals can review and / or commentary posture state report may identify any problems with the treatment should be addressed.

[0134] 在一些实施方式中,服务器122可配置成提供从IMD14和/或外置编程装置20收集的姿势状态信息存档的安全储存位点。 [0134] In some embodiments, the server 122 may be configured to provide safe storage sites from IMD14 and / or external programmer 20 posture state information collected archives. 网络126可包括局域网、广域网或全球网络,例如英特网。 Network 126 may include a local area network, wide area network or a global network such as the Internet. 在其它情况下,外置编程装置20或服务器122可W在网页或其它文件中汇编姿势状态信息,由经培训的专业人员(例如临床医师)通过查看与计算装置124A-124N相关的终端查看。 In other cases, external programmer 20 or server 122 may compile W posture state information in web pages or other documents, by trained professionals (eg, clinician) by looking at the computing device 124A-124N associated terminal view. 在一些方面,系统120可用类似于明尼苏达州明尼阿波利斯的麦德托尼克有限公司(Me化ronic,Inc. ,Minneapolis,MN.)开发的Me化ronicCareL'ink够网络提供的通用网络技术和功能来实现。 In some aspects, the system 120 may be similar to the Minnesota Minneapolis 麦德托尼克 Ltd. (Me of ronic, Inc., Minneapolis, MN.) Development of Me ronicCareL'ink enough common network technology provided by the network and functions to achieve.

[0135] 虽然说明书的一些实施例可能设及姿势状态信息和数据,但也可采用系统120来分发与患者12的治疗W及与其相关的任何装置的运行相关的任何信息。 [0135] While some embodiments of the specification may be located and posture state information and data, but can also be used to distribute any of the information system 120 associated with the operation of W 12 patients and any device associated with the. 例如,系统120能够将治疗错误或装置错误立即报告给临床医师。 For example, the system 120 can be a therapeutic error or device error immediately reported to the clinician. 此外,系统120允许临床医师远程干预治疗和对IMD14、患者编程装置30重新编程或与患者12通信。 In addition, the system 120 allows clinician intervention and IMD14 remote patient programmer 30 to reprogram or 12 communicate with the patient. 在另一实施例中,临床医师可利用系统120来监测多位患者并与其它临床医师共享数据,协作努力加快患者有效治疗的进展。 In another embodiment, the clinician can use the system to monitor more than 120 patients and share data with other clinicians, collaborative effort to accelerate progress patient an effective treatment. 而且,姿势状态检测也可用于提供通知,例如经无线链接向护理人员提供患者可能已经历跌倒的通知。 Moreover, the posture state detection can also be used to provide notification, for example, via a wireless link provides the patient may have experienced a fall of notification to the caregiver.

[0136] 而且,虽然参照SCS治疗描述了本发明,但运种技术也可应用于传递其中姿势状态信息非常重要的其它治疗的IMD,例如DBS、骨盆底刺激、胃刺激、枕骨刺激、功能性电刺激等。 [0136] Moreover, although described with reference to SCS therapy of the present invention, but the kind of operation wherein the transfer technique can be applied very important posture state information of the IMD other treatments, such as the DBS, pelvic floor stimulation, gastric irritation, occipital stimulation, functional electrical stimulation. 并且,在一些方面,本发明所述用于评价姿势状态信息的技术可应用于通常致力于感应或监测但不包括刺激或其它治疗组件的IMD。 Further, in some aspects, the present invention is the technique for evaluating the posture state information may be applied generally dedicated to sensing or monitoring IMD does not include stimulation or other therapy components. 例如,可植入的监测装置可与可植入的刺激装置联合植入,并被配置成根据可植入刺激装置递送刺激引发的感应信号来评价与可植入的监测装置相关的导线或电极的感应完整性。 For example, the implantable monitoring device may be combined with the implantable stimulation device implantable and is configured to deliver a sensing signal stimulus by an implantable stimulation device according to the evaluation and monitoring device associated with implantable leads or electrodes induction integrity.

[0137] 图8A-8C是姿势状态空间140、152、155的概念图示,其中姿势状态参考数据可限定患者12的姿势状态。 [0137] Figure 8A-8C are conceptual 140,152,155 posture state space diagram, where the posture state reference data may define a posture state of patient 12. 姿势状态参考数据可限定相应的姿势状态空间140、152、155内与患者12特定姿势状态相关的某些区域。 Posture state may define certain areas of reference data corresponding posture state space 140,152,155 12 patients with a particular posture state dependent. 一个或多个姿势状态传感器的输出可由姿势状态模块86 相对于姿势状态空间140、152、155进行分析W确定患者12的姿势状态。 One or more posture state sensor output by the posture state module 86 with respect to the posture state space W 140,152,155 analyzed to determine the posture state of patient 12. 例如,如果一个或多个姿势状态传感器的输出位于姿势状态参考数据限定的特定姿势区域内,则姿势状态模块86可确定患者12处于与相应的姿势状态区域相关的姿势状态内。 For example, in a certain position within the area if one or more posture state sensor located at the output of the posture state reference data is defined, the posture state module 86 may determine that patient 12 is associated with the posture state area corresponding to a posture state.

[0138] 在一些情况下,一个或多个姿势状态区域可限定为姿势状态圆锥。 [0138] In some cases, one or more posture state area may be defined as the posture state cone. 根据用于姿势状态检测的一个示例性方法,可利用姿势状态圆锥基于来自姿势状态的姿势状态传感器的输出限定患者12的姿势状态。 According to an exemplary method for detecting the posture state may be utilized posture state cone defining the posture state of patient 12 from the output of the posture state sensor of posture state based. 姿势状态圆锥可关于对应于特定姿势状态的姿势状态参考坐标向量定中屯、。 Posture state cones may correspond to a particular position on the state of posture state reference coordinate vector set Tuen. 在图8A和8B所示的实施例中,IMD14或IMD26的姿势状态模块86可利用能够提供指示患者12的姿势状态的数据的姿势状态传感器,例如=轴加速度计来感应姿势向量。 In the embodiment of FIGS. 8A and 8B in, IMD14 or IMD26 posture state module 86 can be used to provide instructions posture state of patient 12 posture state sensor data, such as = axis accelerometer to sense the position vector. 虽然感应的数据可指示任何姿势状态,但患者12的姿势通常将如下使用W示出姿势圆锥概念。 While the data may indicate that the induction of any posture state, but the patient posture 12 will generally be used as follows W shows posture cone concept. 如图8A所示,姿势状态空间140表示从左侧到后侧划分患者12的垂直面,或矢状面。 8A, the posture state space 140 from the left side to the rear side represents the vertical division of the patient, or the sagittal plane 12. 可利用来自两个轴的姿势状态传感器的姿势状态参数值根据姿势状态空间140确定患者12 当前的姿势状态。 Posture state sensor can be used from the two axes of posture state parameter value 140 to determine the current posture state of patient 12 based on the posture state space. 姿势状态数据可包括x、y和Z坐标值。 Posture state data may include x, y, and Z coordinates.

[0139] 姿势圆锥可通过给定姿势状态的参考坐标向量结合限定围绕姿势参考坐标向量的圆锥内的一定范围的坐标向量的距离或角度进行限定。 [0139] posture cone may be given posture state reference coordinate vectors combined distance or angle is defined around a certain range posture reference coordinate vector cone within the coordinates of the vector is defined by. 或者,姿势圆锥可通过参考坐标向量W及采用参考坐标向量作为邻接向量、圆锥的最外侧向量中的任一个作为斜边向量计算的余弦值范围进行限定。 Alternatively, the posture cone by reference coordinate vector W and the use as a reference coordinate vector adjacent vector, any vector outermost cone in a vector calculated as the hypotenuse cosine range limitation. 如果感应的姿势状态向量位于参考坐标向量的可应用角度或距离内,或者如果感应的姿势状态向量和参考坐标向量产生在指定余弦范围内的余弦值,贝U 可确定该姿势状态向量处于参考坐标向量限定的姿势圆锥内。 If the posture state vector sensed located in the reference coordinate vectors can be applied angle or distance, or if the posture state vector sensing and reference coordinate vector generation cosine values within a specified cosine range shellfish U can determine the posture state vector in reference coordinates vector defined position within the cone.

[0140] 将姿势状态空间140分割成指示患者12的某一姿势状态的不同的姿势圆锥。 [0140] The posture state space 140 is divided into a posture indicates that the patient's state of 12 different posture cone. 在图8A所示的实施例中,直立圆锥142指示患者12竖直站立或坐下,仰邸圆锥148指示患者12仰臣h,俯邸圆锥144指示患者12胸部向下横邸,倒圆锥146指示患者12处于倒立姿势。 In the embodiment shown in Fig. 8A, upright cone 142 indicates that the patient 12 to sit or stand upright, conical Yang Di Yang Chen 148 indicates that the patient 12 h, the cone 144 indicates that the patient prone Di 12 Di chest down a cross, inverted cone 146 12 indicates that the patient is in a standing posture. 可提供其它圆锥,例如指示患者12右侧或左侧邸。 May provide other conical, for example, indicates that the patient 12 right or left mansion. 例如,右侧邸姿势圆锥和左侧邸姿势圆锥可位于图8A所示矢状面之外。 For example, on the right and left sides of the cone Di Di posture posture cone may be located outside the sagittal plane shown in Fig. 8A. 具体说,右侧邸和左侧邸姿势圆锥可位于大致垂直于图8A所示矢状面的冠状平面中。 Specifically, the left and right side of Di Di posture cone may be positioned substantially perpendicular to the coronal plane sagittal plane shown in Fig. 8A. 为便于说明,图8A未示出右侧邸和左侧邸圆锥。 For ease of illustration, Figure 8A is not shown on the right and left Di Di cone.

[0141] 提供垂直轴141和水平轴143用于姿势状态区域140的定向,为说明的目的显示为正交。 [0141] Providing the vertical axis and the horizontal axis 141 oriented posture state area 143 to 140, for the purposes of illustration shown as orthogonal. 然而,在一些情况下,姿势圆锥可具有相应的非正交的姿势参考坐标向量。 However, in some cases, posture cones may have a respective non-orthogonal posture reference coordinate vectors. 例如,圆锥142和146的各个参考坐标向量可不共享相同的轴,圆锥144和148的参考坐标向量可不共享相同的轴。 For example, the cone 142 and 146 of the respective reference coordinate vectors may not share the same axis, the cone 144 and the reference coordinate vectors 148 may not share the same axis. 并且,圆锥144和148的参考坐标向量可W与圆锥142、146的参考坐标向量正交或不正交。 Also, the cone 144 and the reference coordinate vectors 148 may be conical 142, 146 W reference coordinate vector orthogonal or non-orthogonal. 而且,参考坐标向量无需位于相同的平面内。 Moreover, the reference coordinate vectors need not reside in the same plane. 因此,虽然为了说明的目的在图8A中显示了正交的轴,但相应的姿势圆锥可通过对该圆锥个性化的参考坐标向量进行限定。 Accordingly, although for purposes of illustration shows the orthogonal axes in FIG. 8A, but the respective posture cone may be defined by the conical individual reference coordinate vectors.

[0142] IMD 14可监测姿势状态传感器的姿势状态参数值W产生感应的坐标向量,并且通过识别姿势状态传感器模块86感应的坐标向量位于哪个圆锥内来识别患者12当前的姿势。 [0142] posture state parameter IMD 14 monitors the posture state sensor values generated sensed coordinate vector W and the inner cone which identified 12 current posture of the patient is located by identifying the posture state sensor module 86 sensed coordinate vector. 例如,如果姿势状态参数值对应于落在俯邸圆锥144内感应的坐标向量,则IMD14可确定患者12胸部向下横邸。 For example, if the posture state parameter value corresponding to the coordinates of the vector falls within a top cone Di sensor 144, the patient may be determined IMD14 down on the chest 12 Di horizontal. IMD14可W储存来自姿势状态传感器的测定的姿势状态或原始输出形式的姿势信息,根据姿势改变治疗,或者运两种功能。 W can be measured from the store IMD14 posture state sensor posture state or output in the form of original posture information, according to a posture change treatment, or take two functions. 此外,IMD 14可将姿势信息通信至患者编程装置30,使得患者编程装置能够向患者12呈递姿势状态指示。 In addition, IMD 14 may communicate the posture information to the patient programmer 30, so that the patient programmer 12 can be presented to a patient posture state indication.

[0143] 此外,姿势状态区域140可包括滞后区1504、1508、150(:和1500(统称为"滞后区150")。各滞后区150位于其中未限定姿势圆锥的姿势状态区域140内。当IMD14利用姿势状态信息和姿势圆锥自动调节治疗时滞后区150尤其有用。如果姿势状态传感器指示患者患者12位于直立圆锥142中,则IMD 14将一直到姿势状态参数值指示不同的姿势圆锥才检测患者12进入新的姿势圆锥。例如,如果IMD 14确定患者12从直立圆锥142移动至滞后区150A 内,则IMD14保持姿势为直立。W运种方式,IMD 14到患者12完全进入不同的姿势圆锥才会改变对应的治疗。当患者12的姿势状态保留在姿势圆锥边界附近时,滞后区150可防止IMD 14在不同的治疗之间连续摆动。 [0143] In addition, the posture state area 140 may include hysteresis region 1504,1508,150 (: 1500 (collectively referred to as "hysteresis region 150") each of which is located in the hysteresis region 150 is not limited posture cone posture state area 140 when. hysteresis region 150 is particularly useful IMD14 use posture state information and posture cone automatically adjust therapy. If the posture state sensor indicates that the patient patient 12 is positioned upright cone 142, the IMD 14 will remain the posture state parameter value indicates a different posture cone was detected in patients 12 into a new posture cones. for example, if the IMD 14 determines that patient 12 from the upright cone 142 to move within the hysteresis region 150A, the upright posture holding IMD14 .W transport ways, IMD 14 to patient 12 enters completely different posture cone until will change the course of treatment for when the patient posture state cone 12 is retained in position near the border, a hysteresis region 150 prevents the IMD 14 continuously oscillate between different treatment.

[0144] 每个姿势圆锥142、144、146、148可通过与为相应的姿势圆锥所限定的参考坐标向量相关的角度进行限定。 [0144] Each posture cone 142,144,146,148 by the corresponding posture cone defined by reference coordinate vector correlation angle limitation. 或者,一些姿势圆锥可通过相对于另一姿势圆锥的参考坐标向量的角度进行限定。 Alternatively, some posture cones may be relative to another position by the cone angle of the reference coordinate vector defined. 例如,横邸姿势可通过相对于直立姿势圆锥的参考坐标向量的角度进行限定。 For example, the cross by Di posture relative to the upright posture reference coordinate vector cone angle limitation. 在每种情况下,如下详细所述,每个姿势圆锥可通过与为特定姿势状态限定的参考坐标姿势向量相关的角度进行限定。 In each case, described in detail below, each posture cone may be defined by the reference coordinate for a particular posture state angle posture vector related limitation. 当患者12采取需要用参考坐标向量进行限定的特定姿势状态时,则参考坐标向量可基于姿势状态传感器产生的姿势传感器数据进行限定。 When the patient 12 to take a specific posture state need to use a reference coordinate vector defined, the reference coordinate vectors may be based on the posture sensor data generated by the posture state sensor defined. 例如,可要求患者采取一定姿势,使得能够对相应的姿势感应参考坐标向量。 For example, patients may be required to take a certain posture, enabling the corresponding position sensor reference coordinate vector. W运种方式,可根据患者的实际定向指定垂直轴141。 W transportation ways, you can specify the vertical axis 141 according to the actual orientation of the patient. 然后,可使用参考坐标向量作为圆锥中屯、限定姿势圆锥。 Then, you can use as a reference coordinate vector Tuen cone defining posture cone.

[0145] 图8A中的垂直轴141可对应于当患者采取直立姿势状态时感应的参考坐标向量。 [0145] FIG. 8A vertical axis 141 may correspond to when the patient take an upright posture state sensor reference coordinate vector. 类似的,水平轴143可对应于当患者采取横邸姿势状态时感应的参考坐标向量。 Similarly, the horizontal axis 143 may correspond to the time when patients take a cross-Di posture state sensor reference coordinate vector. 姿势圆锥可相对于参考坐标向量进行限定。 With respect to posture cones may be defined reference coordinate vector. 虽然,显示了延伸穿过直立圆锥和倒圆锥142、146的单一轴,显示了延伸穿过俯邸和仰邸圆锥144、148的另一单一轴,但根据姿势圆锥所获得的参考坐标向量之间的差异,对于相应的圆锥可使用单独的参考坐标向量,并且参考坐标向量可不共享相同的轴。 While showing the single axis extending through the cone upright and inverted cone 142, 146, showing a plan extending through Di and Yang Di cone 144, 148 of another single-axis, but the reference coordinate vector according to the obtained position between the cone differences, for the corresponding cone may be used singly reference coordinate vector and reference coordinate vector may not share the same axis.

[0146] 姿势圆锥可通过关于各个轴对称、或关于各个轴不对称的相同或不同的角度进行限定。 [0146] posture cone by symmetrical about respective axes, or about the same or a different angle of each rotationally asymmetric limitation. 例如,直立圆锥142可具有80度的角,相对于正垂直轴141的+40度到-40度。 For example, upright cone 142 may have a 80 degree angle with respect to the positive vertical axis 141 +40 degrees to -40 degrees. 在一些情况下,横邸圆锥可相对于直立圆锥142的参考坐标向量进行限定。 In some cases, the cross-Di tapered cone 142 relative to the upright reference coordinate vector defined. 例如,仰邸圆锥148可具有80度的角,相对于正垂直轴141的-50度到-130度。 For example, Yang Di cone 148 may have a 80 degree angle with respect to the vertical axis 141 being -50 degrees to -130 degrees. 倒圆锥146可具有80度的角,相对于垂直轴141的-140度到+140度。 Inverted cone 146 may have a 80 degree angle with respect to the vertical axis 141 -140 degrees to +140 degrees. 此外,俯邸圆锥144可具有80度的角,相对于正垂直轴141的巧0度到+130度。 In addition, Di overlooking the cone 144 may have a 80 degree angle with respect to the vertical axis 141 being clever 0 degrees to +130 degrees. 在其它实施例中,每个姿势圆锥可具有变化的角度定义,角度可W在治疗递送期间改变W实现对患者12最有效的治疗。 In other embodiments, each posture cone may be defined in terms of having a change of angle at the W W changes during treatment delivery to achieve the most effective treatment of the patient 12.

[0147] 替代地或另外地,姿势圆锥144、146、148、148可通过与垂直轴141、水平轴143或一些其它轴(例如对于相应的圆锥的单独的参考坐标向量)相关的余弦值或余弦值范围而非角度进行限定。 [0147] Alternatively or additionally, 144,146,148,148 posture cone 141 by the vertical axis, the horizontal axis of shaft 143, or some other (e.g., for the respective conical individual reference coordinate vectors) related to the cosine or cosine of the angle range and not be limited. 例如,姿势圆锥可通过采用参考坐标向量W及姿势状态传感器在任何点及时感应的相应的坐标向量计算的限定最小余弦值的余弦值限定。 For example, defining the minimum cosine cosine posture cone by using the reference coordinate vector W and the posture state sensor at any point in time corresponding to the sensed coordinate vector value calculated Limited. 在余弦计算中,值(邻边/ 斜边)可采用坐标参考向量的幅度作为邻边,圆锥最外侧的向量作为斜边W限定与圆锥外边界一致的余弦值范围进行计算。 In the cosine calculations, the value of (the adjacent side / hypotenuse) can coordinate reference vector magnitude as the adjacent edges, conical outermost vector as hypotenuse W defines a conical outer boundary consistent with the cosine of the range calculated.

[0148] 对于直立圆锥142,余弦范围可从对应于匹配直立圆锥的参考坐标向量的感应向量的最大余弦值1.0,延伸到对应于直立圆锥外限处感应向量的最小余弦值。 [0148] For the upright cone 142, corresponding to the cosine range from the maximum matching cosine induction vector upright cone of reference coordinate vectors 1.0, extending to the smallest cosine values corresponding to the outer limit of the upright cone induction vector. 作为另一实施例,对于俯邸圆锥144,余弦范围可从对应于匹配俯邸圆锥的参考坐标向量的感应向量的最大余弦值1.0,延伸到对应于俯邸圆锥外限处感应向量的最小余弦值。 As another example, for a top Di cone 144, the cosine range may correspond to the maximum value of the detection cosine vector in a plan matches the reference coordinate vector Di cone 1.0, Di extends to a top cone is induced at the limit vector corresponding to the smallest cosine value. 或者,俯邸圆锥144可相对于直立圆锥142进行限定,使得余弦范围可W在相对于直立圆锥的参考坐标向量确定的最大和最小值之间延伸。 Alternatively, overlooking Di cone 144 with respect to the upright cone 142 is defined such that the cosine range W between the maximum and minimum values with respect to a reference coordinate vector upright cone extends identified.

[0149] 在其他实施例中,姿势状态区域140可包括除图8A所示之外的姿势圆锥。 [0149] In other embodiments, posture state area 140 may include, in addition to those shown in Figure 8A posture cone. 例如,斜躺圆锥可位于直立圆锥142和仰邸圆锥148之间W指示何时患者12斜躺(例如,沿背部方向)。 For example, reclining cone may be positioned upright cone 142 and Yang Di cone between 148 W to indicate when the patient 12 reclining (for example, along the back direction). 在该位置中,患者12可能需要不同的治疗W有效治疗症状。 In this position, the patient 12 may require different effective therapeutic treatment of the symptoms W. 当患者12处于直立姿势(例如,在直立圆锥142内)、仰邸姿势(例如在仰邸圆锥148内)和斜躺姿势中的每一种姿势时, 不同的治疗程序可向患者12提供有效的治疗。 When the patient 12 in the upright position (for example, in an upright cone 142), Yang Di posture (for example, Yang Di cone 148) and a reclined position in each position, a different treatment program to provide effective patient 12 treatment. 因此,限定斜躺的姿势圆锥对于向患者12提供有效的姿势响应性治疗是有用的。 Therefore given reclining posture cone to provide effective posture responsive therapy to patient 12 is useful. 在其他实施例中,姿势状态区域140可包括比图8A所示圆锥142、144、146、148更少的姿势圆锥。 In other embodiments, posture state area 140 may include a taper than shown in Figure 8A posture cones 142,144,146,148 less. 例如,倒圆锥146可W被更大的仰邸圆锥148和俯邸圆锥144代替。 For example, an inverted cone 146 W can be more prone Yang Di Di tapered cone 148 and 144 in place.

[0150] 图8B显示了处于S维空间中的示例性姿势状态空间152,其中来自姿势状态传感器的姿势状态参数值相对于姿势圆锥设置。 [0150] FIG. 8B shows the S-dimensional space in an exemplary posture state space 152, wherein the posture state parameter value from the posture state sensor disposed with respect to posture cones. 姿势状态空间152基本上类似于图8A所示的姿势状态区域140。 Posture state space 152 is substantially similar to that shown in FIG posture state area 8A 140. 然而,可采用从=轴加速度计的所有=个轴导出的姿势状态参数值来精确确定患者12的姿势状态。 However, all the posture state parameter value can be from = = axis accelerometer axes exported to accurately determine the posture state of patient 12. 在图8B所示实施例中,姿势状态空间152包括直立圆锥154、仰邸圆锥156和俯邸圆锥158。 In the embodiment shown in FIG. 8B, posture state space 152 includes upright cone 154, Yang Di Di tapered cone 156 and a top 158. 类似于姿势状态区域140,姿势状态空间152也包括滞后区(未示出)。 Similar to the posture state area 140, posture state space 152 also includes a hysteresis region (not shown). 在图8B所示实施例中,滞后区是未被姿势圆锥,例如直立圆锥154、仰邸圆锥156和俯邸圆锥158占据的空间。 In the embodiment shown in FIG. 8B, the hysteresis region is not posture cone, for example, upright cone 154, 156 and tapered space Yang Di Di overlooking cone 158 occupied.

[0151] 姿势圆锥154、156和158也可通过相应的中屯、线1534、1538或153(:及相关的圆锥角A、B或邱良定。例如,直立圆锥154由延伸穿过直立圆锥154的中屯、的中屯、线153A限定。中屯、线153A可对应于姿势状态传感器的轴或一些其它校准向量的轴。在一些实施方式中,每条中屯、线153A、153B、153C可对应于相应的姿势(例如直立姿势)所限定的姿势参考坐标向量。例如,假定患者12站立,姿势状态模块86的姿势状态传感器检测的x、y和Z信号的DC部分限定对应于中屯、线153A的姿势向量。 [0151] posture cone 154, 156 and 158 can also be appropriate in Tuen, line 1534,1538 or 153 (: and associated cone angle A, B, or set good example Qiu, upright cone 154 extending through the upright cone 154 the village, in the village, the line 153A defined. Tuen, line 153A may correspond to the state of the shaft position sensor or some other calibration vector axis. in some embodiments, each Tuen, line 153A, 153B, 153C may corresponding to the respective position (e.g., upright position) defined posture reference coordinate vectors. for example, assume that the patient 12 standing, posture state module posture state sensor 86 of the x, DC portion y and the Z signal is defined corresponding to the village, line 153A of the posture vector.

[0152] 当已知患者12处于指定位置(例如站立)时测量x、y和Z信号,并可将测得的向量与直立姿势状态相关联。 [0152] measuring x, y and Z signal when the patient is known to 12 in the specified location (for example, standing) when, and can be measured with an upright posture state vector associated. 此后,当姿势状态传感器信号的DC部分位于例如姿势参考坐标向量(即中屯、线153A)的角度、距离或余弦值限定的某一预定的圆锥容差或近似范围内时,可确定患者12处于直立姿势。 Thereafter, when the DC part of the posture state sensor signals for example located posture reference coordinate vector (ie Tuen, line 153A) angle, distance or cosine of the cone defined by a predetermined tolerance range of approximately or can identify patients 12 in an upright posture. W运种方式,先基于姿势状态模块86的一个或多个姿势状态传感器的输出测量与姿势状态(例如直立)有关的感应的姿势坐标向量作为参考坐标向量,然后用于检测患者的姿势状态。 W transportation ways, first based on the output measurements and posture state (such as upright) a posture state module 86 or more posture state sensor coordinate vector posture-related induction as a reference coordinate vector is then used to detect the state of the patient's posture.

[0153] 如上所述,可能希望允许一些容差与限定的姿势状态有关,从而限定姿势圆锥或其它体积。 [0153] As described above, you may want to allow some tolerance posture state defining relevant to define a posture cone or other volume. 例如,对于直立姿势状态,可能理想的是确定直立但稍微斜靠的患者仍然处于相同的直立姿势状态。 For example, for the upright posture state, it may be desirable to determine the patient upright but slightly leaning against the upright posture is still in the same state. 因此,姿势状态的定义通常不仅包括姿势参考坐标向量(例如中屯、线153A),而且包括指定的容差。 Therefore, the definition includes not only the usual posture state posture reference coordinate vector (such as Tuen, line 153A), and include the specified tolerances. 指定容差的一种方式是通过提供角度,例如相对于坐标参考向量153A的圆锥角A,其导致本文所述的姿势圆锥154。 One way to specify the tolerance angle is achieved by providing, for example, the taper angle A with respect to the coordinates of the reference vectors 153A, which results in posture cone 154 as described herein. 圆锥角A是直立圆锥154的偏转角或半径。 A cone angle is the deflection angle or radius upright cone 154. 每个姿势圆锥跨过的总角度是圆锥角的两倍。 The total angle of each posture cone crossed twice cone angle. 圆锥角A、B和C通常在约1度到约70度之间。 Cone angle A, B and C is generally between about 1 degree to about 70 degrees. 在其它实施例中,圆锥角A、B和C可W在约10度到30度之间。 In other embodiments, the cone angle A, B and C W may be between about 10 degrees to 30 degrees. 在图8B的实施例中,圆锥角A、B和C约为20度。 In the embodiment of Figure 8B, the cone angle A, B and C is about 20 degrees. 圆锥角A、B和C可W不同,中屯、线153A、153B和153C可W不是相互正交。 Cone angle A, B and C may be different W, Tuen, line 153A, 153B and 153C W can not mutually orthogonal.

[0154] 在其它实施例中,容差可W通过余弦值或余弦值的范围进行指定。 [0154] In other embodiments, the tolerances may range W by the cosine or cosine value to be specified. 在一些情况下, 使用余弦值可提供相当的处理效率。 In some cases, the use of cosine provide comparable processing efficiency. 如上所述,例如,用参考坐标向量作为邻边、感应的坐标向量作为斜边测定的最小余弦值指示了圆锥内的向量范围。 As described above, for example, with the reference coordinate vector as adjacent side, the minimum value of the cosine of the sensed coordinate vector as hypotenuse indicates the measured vector within the range of the cone. 如果结合姿势圆锥的参考坐标向量,感应的坐标向量产生的余弦值小于姿势圆锥的最小余弦值,则感应的坐标向量不位于相关的姿势圆锥内。 If the combination of posture cones reference coordinate vector sensed coordinate vector cosine values produced posture cones than the minimum value of the cosine of the sensed coordinate vector is not located within an associated posture cone. W运种方式,最小余弦值可限定部分地由参考坐标向量限定的特定姿势圆锥内余弦值范围的外侧边界。 W transportation ways, the minimum value may be defined within the cosine part, by reference coordinate vector defined specific posture cone cosine of the outer boundary of the range.

[01巧]虽然图8B中分别显示每个姿势圆锥154、156、158的中屯、线1534、1538、153巧目互间大致正交,但在其它实施例中,中屯、线153A、153B和153C相互不是正交,甚至无需位于相同的平面内。 [01 Qiao] Although shown in FIG. 8B respectively for each posture cone 154,156,158 in Tuen 1534,1538,153 line between clever head substantially orthogonal to each other, but in other embodiments, Tuen, line 153A, 153B and 153C are not orthogonal to each other, without even located in the same plane. 同样,中屯、线153A、153B、153C的相对定向可取决于当患者12采取相应的姿势时IMD14的姿势状态模块86的姿势状态传感器的实际参考坐标向量输出。 Similarly, in the village, the line 153A, relative orientation 153B, 153C may depend on the actual reference coordinate vector output when the patient 12 to take appropriate posture posture state IMD14 posture state sensor module 86.

[0156] 在一些情况下,所有姿势圆锥可基于实际参考坐标向量单独限定。 [0156] In some cases, all of posture cones may be defined solely based on the actual reference coordinate vectors. 或者,在一些情况下,一些姿势圆锥可参照一个或多个其它姿势圆锥的一个或多个参考坐标向量进行限定。 Alternatively, in some cases, some posture cones may refer to one or more other one or more reference coordinate vectors were defined posture cones. 例如,可假定横邸参考坐标向量与直立参考坐标向量正交。 For example, assume a cross-reference coordinate vector Di upright reference coordinate vector orthogonal. 或者,可基于当患者处于相应的横邸姿势时感应的坐标向量单独确定横邸参考坐标向量。 Alternatively, when the patient is based on the corresponding coordinate vectors are horizontal posture induced Di Di individually determined cross-reference coordinate vectors. 因此,不同姿势的实际参考坐标向量可W相互正交或非正交,并且无需位于相同的平面内。 Therefore, the actual reference coordinate vectors of the different postures are mutually orthogonal or non-orthogonal to W, and located in the same plane without.

[0157] 除了直立圆锥154、仰邸圆锥156和俯邸圆锥158之外,姿势状态空间152还可包括其它姿势圆锥。 [0157] In addition to upright cone 154, Yang Di Di tapered cone 156 and a plan beyond 158, posture state space 152 may also include other posture cone. 例如,可提供右侧邸圆锥W限定当患者12靠其右侧横邸时的患者姿势,提供左侧邸圆锥W限定当患者12靠其左侧横邸时的患者姿势。 For example, it can provide the right side of the cone W Di patient posture defined by its right side when the patient 12 when cross-Di, Di left side of the cone to provide patient posture when W is defined by the left of the patient 12 when cross-Di. 在一些情况下,右侧邸圆锥和左侧邸圆锥可与直立圆锥154大致正交定位,与仰邸圆锥156和俯邸圆锥158大致位于相同的平面内。 In some cases, the right side and the left side of Di Di tapered cone can be positioned substantially perpendicular to the upright cone 154, and Yang Di Di tapered cone 156 and a top 158 located approximately in the same plane. 而且,姿势状态空间152可包括与直立圆锥154大致相反定位的倒圆锥。 Moreover, the posture state space 152 may include a generally upright cone 154 located opposite an inverted cone. 运种圆锥指示患者姿势从直立姿势倒转,例如倒立。 Yun species cone indicates that the patient from the upright posture inverted posture, such as headstand.

[015引在一些实施例中,为检测患者的姿势状态,IMD14的姿势状态模块86可基于一个或多个姿势状态传感器产生的姿势传感器数据确定感应的坐标向量,然后相对于图8B的姿势圆锥154、156、158分析感应的坐标向量。 Posture sensor data [015] In some embodiments, primers for the detection of the state of the patient's posture, posture state module 86 of IMD 14 may be based on one or more posture state sensors produce sensed coordinate vector is determined, and with respect to FIG. 8B posture cone 154,156,158 analysis sensed coordinate vector. 例如,在由参考坐标向量和容差角(例如容差角"A")限定姿势圆锥的情况下,姿势状态模块86可W通过计算感应的坐标向量与参考坐标向量之间的角度确定感应的坐标向量是否位于直立姿势圆锥154内,然后确定角度是否小于容差角度"A"。 For example, in the case where the reference coordinate vector and tolerance angle (such as tolerance angle "A") cone defined posture, posture state module 86 can be calculated by W sensed coordinate vector sensed to determine the angle between the reference coordinate vector coordinate vector is located within upright posture cone 154, and then determines whether the angle is less than the tolerance angle "A". 如果是运样,则姿势状态模块86可确定感应的坐标向量位于直立姿势圆锥154内并检测患者12处于直立姿势。 If the sample is transported, the posture state module 86 may determine the sensed coordinate vector is within upright posture cone 154 is located and detects that patient 12 is upright posture. 如果姿势状态模块86确定感应的坐标向量不位于直立姿势圆锥154内,则姿势状态模块86检测患者12不处于直立姿势。 If posture state module 86 determines the sensed coordinate vector is not located within the upright posture cone 154, posture state module 86 detects the patient 12 is not in the upright posture.

[0159] 姿势状态模块86可W相对于各个单独限定的姿势圆锥,例如姿势圆锥156和158在姿势状态空间152中分析感应的坐标向量,从而确定患者12的姿势状态。 [0159] W posture state module 86 may be defined with respect to each individual's posture cone, e.g., posture cones 156 and 158 in the posture state space 152 analyzes the sensed coordinate vector to determine the posture state of patient 12. 例如,姿势状态模块86可确定感应的坐标向量和对姿势状态限定的单独的姿势圆锥的参考坐标向量之间的角度,并将测定角与对相应的姿势圆锥所限定的容差角进行比较。 For example, posture state module 86 may determine the sensed coordinate vector and the angle of posture state posture cone defined individual reference coordinate vectors between the measured angle and position of the corresponding cone angle defined tolerance compared. W运种方式,可针对每个姿势圆锥评价感应的坐标向量直到检测到匹配,即直到发现感应的坐标向量位于姿势圆锥之一中为止。 W transportation ways, can coordinate vector for each posture cone evaluation of induction until a match is detected, that is, until the discovery of the sensed coordinate vector in one position until the cone. 因此,一个个圆锥分析是姿势检测一个选项。 Thus, a posture detection cones analysis is an option.

[0160] 在其它实施例中,可采用不同的姿势检测分析技术。 [0160] In other embodiments, the posture detection may take different analytical techniques. 例如,采用分阶段方法而不是在一个个圆锥的基础上针对姿势圆锥测定感应的坐标向量,在分阶段方法中将感应的坐标向量分为直立或非直立。 For example, using a phased approach rather than one based on a cone for measuring the cone posture sensed coordinate vector in the coordinate vector phased approach will be induced into an upright or erect. 在运种情况下,如果感应的坐标向量不位于直立圆锥中,则姿势状态模块86可针对单独的横邸姿势圆锥测定感应的坐标向量或者针对通用的横邸姿势容积(例如包括所有横邸姿势的类似环形或圆环面的容积)测定感应的坐标向量,确定感应的坐标向量是否处于横邸姿势,采用相对于直立向量,或者相对于如下所述修正的或虚拟的直立向量的角或余弦范围进行限定。 In the transport case, if the sensed coordinate vector is not located in an upright cone, the posture state module 86 may taper measuring the sensed coordinate vector or for individual cross-Di posture for common cross-Di posture volume (for example, to include all cross-Di posture similar circular or torus volume) was measured sensed coordinate vector is determined whether the sensed coordinate vector in the horizontal posture Di used with respect to the vertical vector, or with respect to the following correction or virtual upright vector angle or cosine Limited range. 在一些情况下,如果横邸姿势由圆锥限定,则横邸容积可限定为类似环形或圆环面的容积和横邸姿势圆锥的容积的逻辑OR。 In some cases, if the position is defined by a conical cross-Di, the volume of cross-Di can be defined as a ring-like or toroid volume and the volume of cross-Di posture cone logical OR. 如果圆锥较大使得一些部分延伸超出横邸容积,则可利用类似逻辑OR的操作将那些部分添加到横邸容积内。 If such large portions of the cone extends beyond the volume of cross-Di, you can use similar logic OR operation will add to those portions of the inner volume of cross-Di.

[0161] 如果感应的坐标向量位于类似环形或圆环面的横邸容积内,则可针对横邸容积中的多个横邸姿势圆锥中的每一个测定感应的坐标向量。 [0161] If the sensed coordinate vector is located in the ring-like or toroid volume cross-Di, you can cross for Di Di volume plurality of horizontal posture cones each measurement sensed coordinate vector. 或者,姿势检测技术可不使用横邸圆锥。 Alternatively, position detection technology may not use cross-Di cone. 相反,姿势检测技术可依赖于感应的坐标向量与相应的横邸姿势的参考坐标向量中的每一个之间的接近度测试。 In contrast, the posture detection technique may be dependent on the sensed coordinate vector and a proximity test between each respective transverse Di posture reference coordinate vector. 接近度测试可依赖于角度、余弦值或距离W确定哪个横邸姿势参考坐标向量最接近感应的坐标向量。 Proximity test may depend on the angle, distance or cosine value to determine which cross-W Di posture reference coordinate vector closest to the sensed coordinate vector. 例如,感应的坐标向量作为斜边,参考坐标向量作为邻边,产生最大余弦值的参考坐标向量是最接近的参考坐标向量。 For example, the sensed coordinate vector as hypotenuse, reference coordinate vector as adjacent sides to generate maximum reference coordinate vector cosine is the closest reference coordinate vectors. 在运种情况下,与产生最大余弦值的参考坐标向量相关的横邸姿势是检测的姿势。 In the transport case, with the greatest cosine reference coordinate vector associated with cross-Di posture is detected posture. 因此,有各种方法来检测姿势, 例如使用姿势圆锥,使用具有横邸容积的直立姿势圆锥和横邸姿势圆锥测试,或者使用具有横邸容积的直立姿势圆锥和横邸向量接近度测试。 Thus, there are various methods to detect the position, for example, pose a cone, having a cross-Di upright posture cone volume and cross-Di posture cone test, or upright posture cone and having a transverse cross-vector Di Di proximity test volume.

[0162] 作为示例性的姿势检测技术的另一个示例,姿势状态模块86可首先通过相对于直立姿势状态的轴153A分析姿势状态空间152中感应的坐标向量W确定患者12是大致处于横邸姿势状态或是直立姿势状态。 [0162] As another illustrative example of the posture detection technique, posture state module 86 may first state by an upright posture with respect to the axis 153A posture state space 152 analyzes the sensed coordinate vector W is determined in the patient 12 is substantially horizontal posture Di state or upright posture state. 轴153A可对应于直立参考坐标向量。 Upright shaft 153A may correspond to the reference coordinate vector. 例如,角"A"可用于限定直立姿势圆锥154,如上所述,角"护和"护可用于限定大致认为患者12处于横邸姿势状态时的感应的坐标向量落入的向量空间,而与具体的姿势状态圆锥,例如俯邸圆锥158、仰邸圆锥156、右侧邸圆锥(未示出)、左侧邸圆锥(未示出)无关。 For example, the angle "A" can be used to define an upright posture cone 154, described above, the angle "care and" protection may be used to define that the patient 12 is substantially horizontal coordinate vector Di posture state induced falls of vector space, and particular posture state cone, such as cone overlooking Di 158, 156 cone Yang Di, Di cone on the right (not shown), the left Di cone (not shown) has nothing to do.

[0163] 如果确定感应的坐标向量不在轴153A的角A之内,则可确定该患者不处于直立姿势圆锥所指示的直立姿势。 [0163] If it is determined sensed coordinate vector is not within the shaft 153A of the angle A, it may be determined that the patient is not in an upright posture upright posture cone indicated. 在运种情况下,接着确定感应的坐标向量是否大致位于横邸姿势空间容积中,该横邸姿势空间容积在一定程度可视作类似环形或圆环面,并相对于直立参考坐标向量153A进行限定。 In the transport case, then determines whether the sensed coordinate vector is located approximately horizontal posture Di space volume, the volume of cross-Di posture space to some extent be regarded as similar to a ring or torus, and with respect to the reference coordinate vector 153A upright conduct limited. 如图所示,角"护和"E"分别限定感应的向量可相对于患者12 的轴153A形成的最小和最大角度值,用于确定患者大致处于横邸姿势状态。同样,可使用余弦值而非角度来确定感应的坐标向量相对于姿势圆锥或其它姿势容积,或者相对于参考坐标向量的位置。 As shown, the angle "protection and" E "are defined induction vector angle relative minimum and maximum values for patients shaft 12 153A formed for determining a patient in a substantially horizontal posture Di state. Similarly, you can use the cosine rather than an angle to determine the sensed coordinate vector with respect to the other position or posture cone volume, or relative to a reference coordinate vector position.

[0164] 如图所示,角"D"和"E"可相对于垂直轴153A(对应于直立参考坐标向量)进行限定,该垂直轴153A是直立姿势圆锥的参考坐标向量,而不是相对于横邸姿势状态圆锥的参考坐标向量进行限定。 [0164] As shown, the angle "D" and "E" with respect to the vertical axis 153A (corresponding to a vertical reference coordinate vector) were limited, and the vertical axis 153A is tapered upright posture reference coordinate vectors instead of relative Di horizontal posture state cone defined reference coordinate vectors. 如果感应的向量相对于轴153A位于D至化的角度范围内,则姿势状态模块86可确定患者大致处于横邸姿势。 If the sensed vector relative to the shaft 153A to D is located within the range of the angle, the posture state module 86 may determine the patient in a substantially horizontal position Di. 或者,在一些实施例中,可根据大致水平的轴153C (对应于横邸参考坐标向量之一)限定角C。 Alternatively, in some embodiments, according to a substantially horizontal axis 153C (corresponding to one of the cross-reference coordinate vector Di) defined angle C. 在运种情况下,如果感应的向量位于轴153C的角C之内,则姿势状态模块86可确定患者处于横邸姿势。 In the transport case, if the vector sensed within the shaft angle C of 153C, the posture state module 86 may determine the patient is a cross-Di posture. 在每种情况下,大致限定横邸姿势状态的区域可称为姿势环形或姿势圆环面而不是姿势圆锥。 In each case, generally defining a cross-Di posture state area may be referred to the ring position or posture toroid rather than posture cone. 姿势环形通常可包括认为代表各种躺下姿势的向量范围。 Posture may include annular generally considered to represent a variety of lying down posture vector scope.

[0165] 作为一种替代方式,姿势状态模块86可依赖于余弦值或余弦值范围W相对于轴153A限定姿势环形或圆环面。 [0165] As an alternative, posture state module 86 may be dependent on the cosine or cosine value range W is defined position relative to the shaft 153A toroid or annular. 如果感应的向量落在轴153A和角"护和吧'限定的向量空间之内,或者相对于坐标向量153A产生的余弦值在规定的范围内,则姿势状态模块86可确定患者12大致处于横邸姿势状态。例如,如果感应的向量和参考坐标向量153产生的余弦值在第一范围内,则姿势为直立。如果余弦值在第二范围内,姿势为横邸。如果余弦值在第一和第二范围之外,则姿势不确定。第一范围可对应于角A限定的姿势圆锥154中向量产生的余弦值范围,第二范围可对应于角D和邱良定的姿势环形中向量产生的余弦值。 If the vector induced falls shaft 153A and the corner "and protect it within 'defined vector space, or with respect to the cosine of the coordinate vectors 153A generated within a predetermined range, the posture state module 86 may determine a patient 12 in a substantially horizontal Di posture state. for example, if the vector cosine sensor and the reference coordinate vectors 153 generated in the first range, the upright posture. If the cosine value in a second range, posture is a cross-Di. If the cosine in the first and outside the second range, the position uncertainty. the first range corresponds to the cosine of the angle a in the range defined posture cone 154 vector generation, the second range corresponding to the angle D and Qiu given good posture vectors generated in the ring cosine.

[0166] 当感应的向量落在轴153A和角"护和吧'限定的向量空间内时,如角或余弦值指示的那样,则姿势状态模块86可确定患者12采取的具体横邸姿势状态,例如俯邸、仰邸、右侧邸或左侧邸。为确定患者12采取的具体横邸姿势状态,姿势状态模块86可采用前文所述的一种或多种技术,例如角度或余弦技术,相对于针对单独的横邸姿势状态圆锥的参考坐标向量分析感应的向量,所述横邸姿势状态圆锥包括例如俯邸圆锥156、仰邸圆锥158、右侧邸圆锥(未示出)和左侧邸圆锥(未示出)。例如,姿势状态模块86可确定感应的坐标向量是否位于横邸姿势状态圆锥之一内,如果是的话,则选择对应于该圆锥的姿势状态作为检测的姿势状态。 [0166] When the vector induced falls shaft 153A and the corner "and protect it within 'defined vector space, or as the cosine of the angle indicated, the posture state module 86 may determine the specific patient 12 posture state cross-Di such as Di stoop, Yang Di, the right side or the left side of Di Di to determine the specific patient 12 Di horizontal posture state, posture state module 86 may be used as previously described one or more techniques, such as the cosine of the angle or technology with respect to the cone reference coordinate vector sensed vector analysis for individual cross-Di posture state, the horizontal posture state cone Di Di cone 156 includes, for example stoop, Yang Di cone 158, the right side of Di cone (not shown) and the left side Di cone (not shown). for example, the posture state module 86 may determine the sensed coordinate vector is located within one of the cross-Di posture state cones, and if so, select the corresponding to the cone posture state as posture state detection .

[0167] 图8C显示了一个示例性的姿势状态空间155,该空间是基本上类似于图8B所示姿势状态空间152的=维空间。 [0167] Figure 8C shows an example posture state space 155, the space is substantially similar to that shown in FIG. 8B posture state space = 152-dimensional space. 姿势状态空间155包括参考坐标向量167限定直立姿势圆锥157。 Posture state space 155 includes a reference coordinate vector 167 defines an upright posture cone 157. 限定相对于参考坐标向量167的直立姿势圆锥157的容差可包括容差角或余弦值,如上所述。 Defined relative to a reference coordinate vector upright posture cone 167 157 tolerances may include tolerance angle or cosine value, as described above. 与确定感应的坐标向量是否位于横邸圆锥中不同,图8C显示了基于感应的坐标向量与横邸姿势的参考坐标向量之一的接近度来检测横邸姿势的一种方法。 And determining whether the sensed coordinate vector in Wang Di in different cone, Figure 8C shows a method based on proximity sensor coordinate cross-vector and vector Di posture reference coordinate one to detect cross-Di posture.

[016引如图8C所示,姿势状态空间155包括四个参考坐标向量159、161、163、165,它们分别与左侧邸、右侧邸、俯邸和仰邸姿势状态相关。 [016 primer 8C, a posture state space 155 includes four reference coordinate vectors 159,161,163,165, respectively, and Di the left and right Di, Di and Yang Di prone posture state correlation. 姿势状态模块86可基于当患者12采取相应的姿势状态中的每一种时一个或多个姿势传感器的输出来限定四个参考坐标向量159、 161、163、165中的每一个。 When the 12 posture state module 86 may take the appropriate posture state of each patient based on an output when one or more position sensors to define four reference coordinate vectors 159, 161,163,165 each. 与图8B的实施例中俯邸和仰邸姿势圆锥158、156不同,对应于参考向量159、161、163、165的四个限定的姿势状态的姿势状态参考数据无需包括^限定姿势圆锥的方式相对于相应的参考向量限定的角。 The embodiment of Fig. 8B overlooking Di and Di Yang different posture cone 158,156, 159,161,163,165 corresponding to the reference vector of the four defined posture state posture state reference data need not include ^ posture cone defined manner with respect to the corresponding reference vector defined angle. 相反,如下所述,可基于各余弦值相对于彼此分析相应的姿势状态参考向量W确定哪个具体的参考坐标向量最接近感应的坐标向量。 In contrast, as described below, may be based on the cosine of the respective analyzes corresponding to each other with respect to the reference posture state vector W to determine which specific reference coordinate vector sensed coordinate vector is closest. [0169]在一些实施例中,为确定患者12的姿势状态,姿势状态模块85可通过根据相对于直立姿势参考坐标向量167限定的容差角或余弦值分析感应的坐标向量W确定感应的坐标向量是否在直立姿势圆锥157内,或者感应的向量是否在相对于直立姿势参考坐标向量167 的角(如图8B所示)或余弦值范围限定的姿势环形或圆环面内,在该情况下姿势状态模块86 可确定患者12大致处于横邸姿势状态。 [0169] In some embodiments, to determine the posture state of patient 12, posture state module 85 may be a W determined sensed relative to an upright posture reference coordinate vector coordinate vector 167 defined tolerance angle or cosine value analysis of the sensed coordinates vector has the upright posture cone 157, or whether the sensed vector with respect to upright posture reference coordinate vector angle 167 (FIG. 8B) or a range of values defined by the cosine of the position or the annular toroid, in which case posture state module 86 may determine a patient 12 in a substantially horizontal posture state mansion.

[0170] 如果姿势状态模块86确定患者12采取大致横邸姿势状态,则姿势状态模块86可计算感应的坐标向量相对于每个横邸参考坐标向量159、161、163、165的余弦值。 [0170] If the posture state module 86 to determine the patient 12 substantially horizontal posture Di state, the coordinate vector posture state module 86 may calculate induction with respect to each cross reference coordinate vector Di cosine of 159,161,163,165. 在运种情况下,姿势状态模块86基于四个余弦值中哪个余弦值最大来确定患者12的具体横邸姿势状态,即左侧邸、右侧邸、俯邸、仰邸。 In the transport case, the posture state module 86 is based on four cosine values to determine which of the cosine of the patient-specific maximum horizontal posture state 12 Di, Di namely the left and right Di, Di stoop, Yang Di. 例如,如果用感应的向量作为斜边、俯邸参考向量163作为邻边向量计算的余弦值是四个余弦值中最大值,则可认为感应的向量在所有四个参考向量159、161、163、165中最接近俯邸参考向量。 For example, if the sensed vector as hypotenuse, overlooking Di reference vector 163 as the cosine of the adjacent sides of the four vector computing the cosine of the maximum sensed vector may be considered in all four reference vectors 159,161,163 , 165 closest to stoop Di reference vector. 因此,姿势状态模块85可确定患者12采取俯邸姿势状态。 Therefore, the posture state module 85 may determine a plan Di patient 12 posture state.

[0171] 在一些实施例中,姿势状态模块86可根据感应的向量与直立参考向量167的关系来确定患者12是否大致处于横邸姿势状态。 [0171] In some embodiments, posture state module 86 may determine whether patient 12 is in a substantially horizontal posture state according to the vector induced Di upright reference vector 167 of the relationship. 例如,如上所述,例如可采用图8B中的角D和E, 相对于直立姿势参考向量167限定横邸姿势环形圆环面。 For example, as described above, for example, may be used in FIG. 8B angle D and E, with respect to the upright posture reference vectors 167 defines an annular cross-Di posture toroid. 当横邸姿势参考向量159、161、 163、165限定与直立姿势参考向量167大致正交的共用平面时,运种技术可能是恰当的。 When Di horizontal posture reference vectors 159,161, 163 and 165 define a common plane with the upright posture reference vectors 167 is substantially orthogonal, transport techniques may be appropriate. 然而,横邸姿势参考向量159、161、163、165事实上可能不与直立参考坐标向量167正交。 However, the cross-reference vector 159,161,163,165 Di posture may in fact not upright reference coordinate vector 167 orthogonal. 并且, 横邸姿势参考向量159、161、163、165可能不在相同的平面内。 And cross-reference vector Di posture may not be within the same plane 159,161,163,165.

[0172] 在其它实施例中,为说明非正交参考向量,可相对于修正或虚拟的直立参考向量169而非实际直立姿势参考向量167限定横邸姿势环形或圆环面。 [0172] In other embodiments, as described with reference to the non-orthogonal vectors, with respect to amendments or virtual upright reference vector 169 instead of the actual 167 upright posture reference vectors defining an annular cross-Di posture or toroid. 同样,当横邸参考向量159、161、163、165不在共用平面中,或者参考向量159、161、163、165的共用平面与直立参考向量167不是大致正交的情况下,可使用运种技术。 Similarly, when the cross-reference vector Di 159,161,163,165 is not common plane, or reference vector 159,161,163,165 common plane upright reference vector 167 is not under substantially orthogonal case, use transport techniques . 然而,示例性技术的使用并不限于上述情况。 However, using exemplary technique is not limited to the above.

[0173] 为限定虚拟的直立参考向量169,姿势状态模块86可计算横邸参考向量159、161、 163、165的各种组合的叉积和平均叉积值。 [0173] to define a virtual upright reference vector 169, posture state module 86 calculate the cross-reference vector Di 159,161, the average cross-product and cross product value of 163, 165 various combinations. 在图8C的实施例中,姿势状态模块86可计算四个叉积并对四个叉积向量取平均W得到虚拟的直立向量。 In the embodiment of FIG. 8C, a posture state module 86 may calculate the cross product of four and four cross product vector averaging W get virtual vertical vector. 可根据W下方法进行叉积运算:左侧邸向量159 X仰邸向量165,仰邸向量165 X右侧邸向量161,右侧邸向量161 X俯邸向量163和俯邸向量163 X左侧邸向量159。 Cross product operation can be carried out according to the following method W: Left Di Yang Di Vector Vector 159 X 165, 165 X on the right side vector Di Yang Di Vector 161, Vector 161 X overlooking the right side of Di Di Di Vector 163 and Vector 163 X overlooking the left Di vector 159. 每个叉积产生与叉积的两个横邸参考向量正交的向量。 Each cross-product and cross product of two generating cross-reference vector Di orthogonal vectors. 对每个叉积向量取平均产生与大致由横邸参考向量159、161、163、165形成的横邸平面171正交的虚拟直立参考向量。 Taking the cross product of each vector resulted in an average of roughly made cross-reference vector Di Di 159,161,163,165 forming a cross-plane 171 orthogonal to the virtual upright reference vector.

[0174] 采用虚拟直立参考向量169,姿势状态模块86可W类似于参照直立参考向量167所述的方式,但相对于虚拟直立参考向量169限定横邸姿势环形或圆环面。 [0174] virtual upright reference vector 169, posture state module 86 may be similar to referring to erect a 167 W reference vector mode, but relative to the virtual upright reference vector 169 defines an annular cross-Di posture or toroid. 具体说,当姿势状态模块86确定患者不是直立姿势时,则姿势状态模炔基于相对于虚拟直立参考向量169的角或余弦值确定患者是否处于横邸姿势。 Specifically, when the posture state module 86 determines the patient is not an upright posture, the posture state module yn-based virtual upright reference vector with respect to the cosine of the angle or 169 determine whether the patient is in horizontal position mansion.

[0175] 姿势状态模块86仍然可使用直立姿势圆锥157确定患者12是否处于直立姿势状态。 [0175] posture state module 86 remains upright posture cone 157 may be used to determine whether a patient 12 in an upright posture state. 如果姿势状态模块86基于感应的坐标向量相对于虚拟直立参考向量169的分析确定患者12采取大致横邸姿势状态,则姿势状态模块86可计算感应的坐标向量(作为斜边)相对于每个横邸参考坐标向量159、161、163、165(作为邻边)的余弦值。 If the posture state module 86 based on the sensed coordinate vector with respect to the virtual upright reference vector analysis identified 169 patients 12 to take a substantially horizontal posture Di state, the posture state module 86 may calculate the sensed coordinate vector (as the hypotenuse) with respect to each cross Di reference coordinate vector 159,161,163,165 (as adjacent sides) cosine.

[0176] 在运种情况下,姿势状态模块86基于四个余弦值中哪个余弦值最大来确定患者12 的具体横邸姿势状态,即左侧邸、右侧邸、俯邸、仰邸。 [0176] In the transport case, the posture state module 86 is based on four cosine values to determine which of the cosine of the patient-specific maximum horizontal posture state 12 Di, Di namely the left and right Di, Di stoop, Yang Di. 例如,如果用俯邸参考向量163计算的余弦值是四个余弦中值中最大的值,则可认为感应的向量最接近所有四个参考向量159、 161、163、165中的俯邸参考向量。 For example, if a plan Di cosine reference vector 163 is calculated in four cosine values maximum value may be considered a vector of all four sensors is closest reference vector 159, 161,163,165 in a top reference vector Di . 因此,姿势状态模块85可确定患者12采取俯邸姿势状态。 Therefore, the posture state module 85 may determine a plan Di patient 12 posture state.

[0177] 此外,姿势状态定义并不限于姿势圆锥。 [0177] In addition, the posture state definition is not limited to posture cones. 例如,姿势状态的定义可设及姿势向量和容差,例如离开姿势向量的最大距离。 For example, the definition of posture state can be set and posture vector and tolerance, for example, the maximum distance away from posture vectors. 只要检测的姿势向量在姿势状态定义所包括的姿势向量的最大距离内,患者12就可归类为该姿势状态。 As long as the maximum distance between the detected posture vector in posture state definitions included posture vector, the patient 12 posture state that can be categorized. 该替代方法无需计算角度即可检测姿势状态,如上文参照姿势圆锥的讨论中所述。 This alternative method does not need to calculate the angle can be detected posture state, as discussed in the reference posture cone.

[0178] 而且,可限定专用于特定患者活动和/或职业的姿势状态。 [0178] Moreover, patients may be defined specific to a particular activity and / or posture state profession. 例如,银行出纳员可能花费大部分的工作时间W-定角度前倾。 For example, a bank teller may spend most of their working time W- given angle forward. 可限定包括该角度的患者专用的"前倾"姿势状态。 It may include defining a patient-specific angle of the "forward" posture state. 选择用于该姿势状态的圆锥角或其它容差值可专用于该患者特定的姿势状态定义。 Selected for this posture state cone angle or other tolerance values may be dedicated to the particular patient posture state definition. W 运种方式,可基于具体的用户调整限定的姿势状态,无需在IMD中"硬编码"。 W transportation ways, can be defined to adjust posture state based on specific users without "hard-coded" in the IMD.

[0179] 在一些实施例中,单独的姿势状态可连接在一起,从而将姿势状态绑定至一组共同的姿势参考数据和一组共同的治疗参数值。 [0179] In some embodiments, the individual posture state may be connected together, so that the state is bound to pose a common set of data and a common position reference value set treatment parameters. 事实上,运可合并多个姿势圆锥,用于基于姿势状态的选择治疗参数值的目的。 In fact, transport can merge multiple posture cone, for the purpose of selecting treatment parameters based on posture state. 例如,采用与参照图8B和8C描述的限定环形、圆环面或其它容积的内容相同或相似的技术,将所有横邸姿势状态圆锥(仰邸、俯邸、左侧邸、右侧邸) 视作一个圆锥或环形/圆环面。 For example, with reference to FIG. 8B and 8C and description defines an annular torus or the same or similar technical contents of the other volumes, all the horizontal posture state cone Di (Yang Di, overlooking Di, Di left side, right side Di) regarded as a cone or ring / toroid. 根据姿势状态的连接状态,经外置编程装置20指导,一个程序组或一组共同的治疗参数值可应用于同一合并圆锥中的所有姿势状态。 According to the connection status posture state by 20 guide external programmer, a common treatment group or a set of parameter values can be applied to the same merger cone all posture state.

[0180] 合并姿势圆锥或W其它方式将多个姿势状态连接在一起例如可用于一组共同的治疗参数值为患者12提供对多个姿势状态有效的治疗的情况。 [0180] Merge posture cones or other means W plurality of posture states together may be used such as a common set of therapy parameter values providing the patient 12 posture state of a plurality of effective treatment. 在所述实施例中,将多个姿势状态连接在一起有助于降低向患者12提供姿势响应性治疗所需的功率消耗,因为当多个姿势状态连接在一起时追踪患者姿势状态并提供响应性治疗调整所需的消耗最小。 In the illustrated embodiment, a plurality of posture states together to help reduce the patient 12 posture responsive therapy providing the desired power consumption, because when a plurality of posture states together for tracking patient posture state and providing a response adjust the desired therapeutic consumption is minimized.

[0181] 连接各姿势状态还能允许同时在与多个姿势状态相关的一个姿势状态中进行治疗参数值调整。 [0181] connecting the posture state also allows simultaneous adjustment of treatment parameters in a posture state associated with a plurality of posture state. 例如,一个或多个程序相同的幅度水平可应用于姿势状态连接组中所有的姿势状态。 For example, one or more programs can be applied to the same amplitude level posture status of all connected group posture state. 或者,躺下姿势状态均可位于"环形"或圆环面内而非例如单独的圆锥156和158 中。 Alternatively, rather than lying down posture state may be located such as a separate cone 156 and 158 in the "donut" or toroid. 与单独的圆锥不同,圆环面可划分成部分区段,每个区段对应于不同的姿势状态,例如仰邸、俯邸、右侧邸、左侧邸。 And separate different cone, torus can be divided into partial segments each corresponding to a different posture state, for example, Yang Di, overlooking Di, Di right side, left side of the mansion. 在运种情况下,不同的姿势参考数据和治疗参数值可指派给圆环面的不同部分区段。 In transport cases, different postures reference data and treatment parameters can be assigned to a different part of the section of the torus.

[0182] 图9的概念图显示了用于向患者12递送治疗和姿势状态信息的患者编程装置30的示例性的用户界面168。 Conceptual diagram [0182] Figure 9 shows for the delivery of therapeutic to a patient 12 posture state of the patient and programmer 30 information exemplary user interface 168. 在其它实施例中,也可W在临床医师编程装置60上显示类似于用户界面168的用户界面。 In other embodiments, W can also display a user interface similar to the user interface 168 in the clinician programmer 60. 在图9的实施例中,患者编程装置30的显示器36通过显示屏170向用户(例如患者12)提供用户界面168。 In the embodiment of FIG. 9, the display 36 of patient programmer 30 through the display to the user (e.g., patient 12) provides a user interface 168,170. 显示屏170包括刺激图标174、IMD电池图标176、编程装置电池图标178、导航箭头180、自动姿势响应图标182、组选择图标184、组标识符186、程序标识符188、附图表190和选择框192。 Display 170 includes stimulation icon 174, IMD 176 battery icon, the battery icon programming means 178, 180 arrow navigation, automatic posture response icon 182, the group selection icon 184, group identifier 186, a program identifier 188, the reference table 190 and the selection box 192. 用户界面168向患者12提供关于组、程序、幅度和自动姿势响应状态的信息。 User interface 168 provides information about the group, the program, the magnitude and automatic posture response status to the patient 12. 用户界面168是可配置的,按照临床医师或患者12的要求可W向患者12 提供更多或更少的信息。 User interface 168 is configurable according to the requirements of the clinician or patient 12 may provide more or less W information 12 to the patient.

[0183] 选择框192允许患者12使用导航箭头180导航至其它显示屏、组或程序W操控治疗。 [0183] selection box 192 allows the patient 180 12 Use the navigation arrows to navigate to another screen, groups or W control treatment. 在该显示屏170的实施例中,设置选择框192,使得患者12可使用箭头44和48移动至患者编程装置30的自动姿势响应显示屏、音量显示屏、对比度或照度显示屏、时间显示屏W及测量单元显示屏。 In this embodiment, the display 170, set the selection box 192, so that the patient can use the arrows 12 44 and 48 to move patient programmer 30 automatic posture response display, volume display, contrast or illumination display, time display W and measurement unit display. 在运些显示屏中,患者12能够控制自动姿势响应特征的使用和调整患者编程装置30特征。 In some display operation, the patient is able to control 12 automatic posture response characteristics of the use and characteristics of the patient programmer 30 adjustment. 患者12可仅调整选择框192围住的特征。 Patient 12 can be adjusted only selection box 192 surrounded features.

[0184] 组标识符186指示可选择用于递送至患者12的几个可能的程序组之一。 [0184] 186 indicates a group identifier to be selected for the delivery of one of several possible program group of 12 patients. 组选择图标184指示显示的组(例如在图9中是组B)是否是实际选择用于递送至患者12的组。 Group selection icon 184 indicating the displayed group (e.g., FIG. 9 is a group B), if it is actually selected for delivery to the patients 12. 如果选择当前显示的组,则组选择图标184包括具有选中标记的框。 If you choose to display the current group, the group selection icon 184 includes a check mark in the box. 如果不选择当前显示的组,贝U 组选择图标184包括不具有选中标记的框。 If you do not select a group currently displayed, select the icon Tony U group comprising 184 does not have a check mark in the box. 为在各程序组间导航,用户可使用控制垫40移动选择框192来选择组标识符186,然后使用控制垫40在各组,例如A、B、C等间滚动。 To navigate among the program group, the user can use the control pad 40 to move the selection block 192 to select the group identifier 186, and then use the control pad 40 to scroll through the various groups, such as A, B, C and so on. 可对IMD 14编程W支持少量组或大量组,其中每个组包括同时、相继或在时间交错地递送的少量程序或大量程序。 IMD 14 can support a small group or a large number of programming W group, wherein each group comprises simultaneously, sequentially or staggered in time delivery of a small amount of a large number of programs or program.

[01化]对于每个组,组选择图标184指示合适的状态。 [Of 01] For each group, the group selection icon 184 indicates the proper state. 对于给定组,程序标识符188指示与该组相关的程序之一。 For a given group, the program identifier 188 indicates one of the procedures associated with the group. 在图9的实施例中,程序标识符188中未指示程序编号,因为在幅度表190的每个条中显示了所有的程序幅度。 In the embodiment of FIG. 9, the program identifier 188 does not indicate program number, because the program shows all the magnitude of the amplitude of each strip 190 in the table. 条的实屯、部分指示当前IMD14用于向患者12递送刺激治疗的相对幅度,而条的空屯、部分指示每个程序可利用的剩余幅度。 Of the real village, part indicates the current IMD14 for delivering stimulation therapy to a patient 12 relative amplitudes, and bars empty village, some indicate that each program can take advantage of the remaining amplitude. 在一些实施方式中, 附加于幅度表190或代替幅度表190还可显示每个程序幅度的数值。 In some embodiments, in addition to the magnitude of the amplitude table 190 or table 190 can also be displayed in place of the value of the amplitude of each program. 在专用于IMD26的药物递送的用户界面168的其它实施方式中,幅度表190可显示递送至患者12的药物流速和推注频率。 IMD26 dedicated to drug delivery to another embodiment of the user interface 168, the amplitude table 190 may show the drug delivered to the patient and the flow rate of the bolus 12 frequency. 该信息也可W数字格式显示。 This information can also be W digital format. 患者12可操纵组选择图标184和选择框192,在选择组的不同程序间滚动。 12 patients Steerable group selection icon 184 and 192 select box, scroll through the different programs to select groups.

[0186] 可采用编程装置30基于感应的患者姿势状态限定递送至患者的姿势状态响应性治疗。 [0186] means 30 may be programmed based on the sensed patient posture state is delivered to the defined state of the patient posture responsive therapy. 然而,一些治疗程序或程序组可W不被配置成或者激活W支持姿势状态响应性治疗。 However, some of the treatment program or set of programs can not be configured to W or W activation state support posture responsive therapy. 自动姿势响应图标182指示,IMD 14通常被激活成基于姿势状态模块86检测的姿势状态自动改变对患者12的治疗,即递送根据患者的姿势状态调整一个或多个刺激参数的姿势状态响应性治疗。 Automatic posture response icon 182 indicates, IMD 14 is typically activated as posture state based on the detected posture state module 86 automatically change the 12 patients, i.e., delivery according to the posture state of the patient or a plurality of stimulation parameter adjustments posture state-responsive therapy . 具体说,自动姿势响应性治疗可设及基于患者检测姿势状态调整一个或多个治疗参数值,选择不同的程序或选择不同的程序组。 Specifically, the automatic posture responsive therapy may be provided, and adjusting one or more treatment parameters based on patient posture state detection, select a different program or choose a different program group. 然而,自动姿势响应图标182并不位于组标识符186旁边。 However, the automatic posture response icon 182 is not located next to the group identifier 186. 因此,组"B"不具有激活用于组"B"内任意程序的自动姿势响应性治疗。 Thus, the group "B" does not have activated for group "B" within any program of automatic posture responsive therapy. 相反,组"B"可包括非姿势状态响应性的程序。 In contrast, the group "B" may include a non-responsive posture state program. 与组"B"的程序相关联的参数通常为静态,它们不会基于检测的姿势状态发生调整。 Program parameters associated with the group "B" is generally static, they do not occur based on the detected posture state adjustment.

[0187] -些组或组中单独的程序可支持自动姿势响应性治疗,而另一些不是运样。 [0187] - some group or groups separate program supports automatic posture responsive therapy, while others are not - like transport. 例如, 可根据临床医师,或者可能的患者12输入的设置,选择性激活或禁用响应姿势状态指示的一个或多个治疗参数的自动调整。 For example, you can set up according to the clinician or patient 12 may be input selectively activated or deactivated in response to posture state indication automatically adjusting one or more treatment parameters. 因此,一些程序或组可被配置成与姿势响应性治疗联用, 而另一些程序或组可不被配置成与姿势响应性治疗联用。 Therefore, some programs may be configured to set or posture responsive therapy in combination with, while other programs may not be configured or group posture responsive therapy in combination with. 编程装置(例如编程装置30或60) 被配置成呈递自动姿势响应图标182, W向用户指示特定程序或程序组,例如用户选择并由组标识符186标识的组,是否被配置成支持姿势状态响应性治疗。 Programming device (e.g., programmer 30 or 60) is configured to present automatic posture response icon 182, W indicates to the user a specific program or set of programs, e.g., by a user to select a group identifier 186 identifying the group, whether configured to support posture state responsive therapy. 在一些情况下,如果需要自动姿势响应特征支持的姿势状态响应性治疗,患者12可能需要将治疗切换至具有激活用于IMD14的自动姿势响应性治疗的不同的组,从而根据患者12的姿势状态调整治疗。 In some cases, if automatic posture response feature support posture state-responsive therapy to patient 12 may need to switch to a different treatment groups activated for automatic posture responsive therapy IMD14 the thus based on the posture state of the patient 12 adjust the treatment.

[0188] 自动姿势响应图标182提供了关于选择的程序或程序组是否是姿势状态响应性的即时指示。 [0188] automatic posture response icon 182 provides information on the selected program or set of programs posture state indicating whether it is instant responsiveness. 通过编程装置30呈递的自动姿势响应图标182,用户不再需要怀疑程序或组的姿势状态响应性状态,或记住该状态。 Programmed automatic posture response icon 30 presented 182, users no longer need a program or group suspected posture state-responsive state, or remember that state. 相反,状态可W通过编程装置30的用户界面向用户即时显示,允许用户基于是否需要姿势状态响应性治疗而转换至不同的治疗。 On the contrary, the state W can be programmed to the user interface device 30 to the user real-time display, allowing the user based on the need to posture state-responsive treatment converted to a different treatment. 虽然描述为图标形式,但自动姿势响应图标182可选地通过适合向用户传递选择的治疗程序或组的姿势状态响应性状态的任何文本、图形、触觉、听觉或视觉指示呈递。 Although any text described as an icon, but the automatic posture response icon 182 optionally passing through the selected treatment program for a user or group posture state-responsive state, graphics, tactile, auditory or visual indication presenting.

[0189] 图10的概念图显示了用于向患者递送包括姿势信息的治疗信息的患者编程装置30的示例性的用户界面168。 Conceptual diagram [0189] Figure 10 shows the delivered to the patient for patient treatment information programmer 30 includes a posture information of the exemplary user interface 168. 在其它实施例中,也可W在临床医师编程装置60上显示用户界面168。 In other embodiments, W can also be displayed on the clinician programmer 168 60 user interface. 在图10的实施例中,患者编程装置30的显示器36通过显示屏194向用户(例如患者12)提供用户界面168。 In the embodiment of FIG. 10, the display 36 of patient programmer 30 to the user (e.g., patient 12) provides a user interface 168 via the display 194. 类似于图9的显示器170,显示屏194包括刺激图标174、IMD电池图标176、编程装置电池图标178和自动姿势响应图标182。 FIG. 9 is similar to the display 170, the display 194 includes stimulation icon 174, IMD battery icon 176, 178 and programming means the battery icon automatic posture response icon 182. 此外,显示屏194包括组选择图标184、 组标识符186、辅助姿势状态指示202、程序标识符196、姿势状态指示200、幅度值204、选择框192和选择箭头180。 In addition, the display 194 includes a group selection icon 184, group identifier 186, supplementary posture state indication 202, the program identifier 196, posture state indication 200, the amplitude value 204, selection box 192 and the selection arrow 180. 用户界面168向患者12提供关于组、程序、幅度、自动姿势响应状态和姿势状态信息的信息。 User interface 168 provides about 12 to a patient group, program, amplitude, automatic posture response status and posture status information. 根据临床医师或患者12的要求,可向患者提供更多或更少信息。 According to the requirements of the clinician or patient 12 can be provided to the patient more or less information.

[0190] 在图10中,组标识符186指示组"B"被激活,自动姿势响应图标182指示组"B"(包括一个或多个程序)被激活W使IMD14根据患者12的姿势状态自动调整治疗。 [0190] In FIG. 10, a group identifier 186 indicating group "B" is activated, automatic posture response icon 182 indicating group "B" (including one or more programs) are activated so IMD14 W posture state of patient 12 based on the automatic adjust the treatment. 具体说,患者12 的姿势状态是图10所示实施例中的姿势状态。 Specifically, the posture state of patient 12 is shown in Figure 10. Example embodiments of posture state. 程序标识符196说明在显示屏194上显示关于组"B"的程序"r的信息,例如说明程序"r的当前电压幅度为2.85伏的幅度值204。 Program Description identifier 196 on display group "B" program on the display screen 194 "r information, such as description of the process," the current voltage amplitude r of 2.85 volts amplitude 204. 患者12 可W通过控制垫40的箭头44和48使用导航箭头180在该组的不同程序间滚动。 12 W patients can control pad 40 by arrows 44 and 48 use the navigation arrows 180 to scroll through the different programs of the group.

[0191] 此外,姿势状态指示200显示IMD 14检测到患者12处于直立或站立姿势。 [0191] In addition, posture state indication 200 is displayed IMD 14 detects that patient 12 is in an upright or standing position. 辅助姿势状态指示202通过W文字方式向患者12说明IMD14的姿势状态模块86检测的准确姿势补充说明姿势状态指示200。 Supplementary posture state indication 202 W Text mode 12 to the patient accurately described posture posture state IMD14 detection module 86 Addendum posture state indication 200. 姿势状态指示200和辅助姿势状态指示202根据IMD14感应或检测的姿势状态而改变。 Posture state indication 200 and the auxiliary posture state indication 202 according to the detection or sensing IMD14 posture state is changed. 在IMD14检测到姿势状态之后立即将姿势状态通信至外置编程装置,或者由IMD14单向周期性地或非周期性地通信至外置编程装置20或者一旦接收到来自编程装置20的要求。 After IMD14 posture state detected posture state will immediately communicate to the external programmer, or by a IMD14 check periodically or non-periodically upon receiving the communication to the requirements of external programmer 20 or 20 from the programmer. 因此,姿势状态指示200和/或辅助姿势状态指示202可表示当前、到目前运一分钟为止的状态,或者来自IMD14的姿势状态的最新通信的状态。 Accordingly, posture state indication 200 and / or auxiliary posture state indication 202 may indicate the current, the current operation state until one minute, or the latest communication from IMD14 posture state of the state. 姿势状态指示200显示为图形表示,但姿势状态指示可替代地也可W象征性图标、文字、字母、数字、箭头或姿势状态的任何其它表示的形式呈现。 Posture state indication 200 is displayed as a graphical representation, but the posture state indication may alternatively have any other form of representation at the W symbolic icon, text, letters, numbers, arrows, or presented posture state. 在一些情况下,可呈递姿势状态指示200而没有辅助姿势状态指示202。 In some cases, posture state indication 200 may be presented without supplementary posture state indication 202.

[0192] 选择框192指示患者12使用选择箭头180查看组"B"内的其它程序。 [0192] indicates that the patient selection box 192 12 180 using the selection arrow to view another program group "B" inside. 可用控制垫40 移动选择框192来选择其它显示屏水平,从而在其它刺激组或治疗的可调整元素中导航。 Available control pad 40 to move the selection block 192 to select another display level, so that the adjustable elements in navigation or other stimulation therapy. 当患者12用控制垫40选择不同的程序时,程序标识符196将改变编号至正确标识显示屏194上显示的当前程序。 When the patient 12 by the control pad 40 to select a different program, the program identifier 196 will change the number to correctly identify the display 194 displays the current program.

[0193] 如上所述,除了姿势状态的图形、文字或其它可视指示之外,外置编程装置还可通过各种听觉或触觉输出介质呈递姿势状态的听觉和/或触觉指示。 [0193] As described above, in addition to the graphics, text, or other visual indication of the state of posture, external programmer may present a posture state auditory and / or tactile indication through various auditory or tactile output medium. 同样,听觉指示可W是说明姿势状态的口语单词,或者不同的声调、不同的声调次数、或编程装置产生的用于指示姿势状态的其它听觉信息。 Similarly, an audible indication may be W is a posture state of the spoken word, or a different tone, other auditory information is used to indicate the status of different tones posture times, or programming means. 触觉指示可W是连续递送的不同的振动脉冲数或不同长度、幅度或频率的振动脉冲。 W tactile indication may be continuous delivery of pulses of different vibration or shaking pulses of different lengths, amplitude or frequency.

[0194] 图11A-11E的概念图显示了可W在用户界面(例如用户界面168)上图形显示的不同姿势状态指示的实施例。 [0194] FIG. 11A-11E is a conceptual diagram showing embodiments may W in the user interface (such as user interface 168) on the graphic display different posture state indication. 如图IlA-UE所示,姿势状态指示208A-208E(统称为"姿势状态指示208")是代表不同的患者姿势状态的不同的姿势状态指示。 Shown in FIG. IlA-UE, posture state indications 208A-208E (collectively referred to as "the posture state indication 208") is different posture state representative of different patient posture state indication. 姿势状态指示208是图10的姿势状态指示200的可选实施方式。 Posture state indication 208 of FIG. 10 is a posture state indication 200 of the alternative embodiment. 具体说,姿势状态指示208是代表日常生活期间患者12 通常采取的静态姿势(例如站立或睡眠)的图形表示。 Specifically, the posture state indication 208 is a static posture during everyday life on behalf of 12 patients usually take (such as standing or sleeping) graphical representation. 虽然结合程序标识符210显示了姿势状态指示208,类似于图10的程序标识符196,姿势状态指示208可W单独呈递。 While the combination of the program identifier 210 shows posture state indication 208, similar to Figure 10 of the program identifier 196, posture state indications 208 present at the W alone. 姿势状态指示208是姿势状态指示的一种类型,因为所有姿势状态指示208被认为是一组姿势状态指示。 Posture state indication 208 is one type of posture state indication, all as posture state indications 208 is considered to be a group of posture state indications. 显示的姿势状态指示208为黑和白,但指示也可W用多种颜色、尺寸或其它创造性可选形式呈递。 Posture state indication 208 displays black and white, but also indicates W using a variety of color, size, or other creative alternative forms of presentation.

[0195] 图IlA显示了代表患者12的直立姿势的姿势状态指示208A。 [0195] FIG. IlA shows an upright posture on behalf of the patient 12 posture state indication 208A. 姿势状态指示208A是患者处于站立的直立位置,垂直于地平面的一种示例性表示。 Patient posture state indication 208A is standing in an upright position, perpendicular to an exemplary representation of the ground plane. 在一些实施例中,姿势状态指示208A可W是患者12与其站立姿势状态相关联的象征性图标。 In some embodiments, posture state indication 208A at the W standing patient 12 posture state associated therewith symbolic icon.

[0196] 图IlB显示了代表患者处于仰邸姿势状态的姿势状态指示208B。 [0196] FIG. IlB shows Yang Di posture on behalf of the patient is in a state of posture state indication 208B. 当患者12仰邸时, 姿势状态模块产生的姿势状态参数值将指示,患者仰邸的患者姿势状态对应于姿势状态指示208B。 When Yang Di patient 12, the posture state parameter value generated by the posture state module will indicate, Yang Di patient posture state of the patient corresponding to the posture state indication 208B. 图IlC显示了代表患者处于右侧邸姿势状态的姿势状态指示208C,图IlD显示了患者处于左侧邸姿势状态的姿势状态指示208D。 Figure IlC shows on behalf of the patient is in the right side of Di posture state posture state indication 208C, FIG IlD patient is on the left shows the state Di posture posture state indication 208D. 此外,图UE显示了代表患者处于俯邸姿势状态(例如抵靠胃部横邸)的姿势状态指示208E。 In addition, Figure UE shows a plan on behalf of patients in Di posture state (such as the stomach against the cross-Di) posture state indication 208E.

[0197] 当患者12改变或者转变至不同的姿势状态时,处理器104可迫使用户界面168改变呈递的姿势状态W正确指示检测的当前姿势状态。 [0197] When the patient 12 to alter or change to a different position, the processor 104 may be forced to change the user interface 168 presented posture state W correct posture indicates the current status of detection. 新的姿势状态指示可W在检测后立即呈递,转变延迟直到新检测的姿势状态稳定之后呈递,只要IMD14可与患者编程装置30通信就呈递,当患者编程装置30要求当前的姿势状态参数值或者姿势状态时呈递,或者在患者12 采取新的姿势状态之后的任何其它时间呈递。 The new posture state indication may W immediately presented upon detection, change delayed until after the posture state of the newly detected stable presentation, as long as IMD14 programmable 30 communication device patients and on presentation, when the patient programmer 30 requires that the current posture state parameter value or any other time when presenting the posture state, or to adopt a new posture state in 12 patients after the presentation.

[0198] 呈递新的姿势状态指示时,患者编程装置30可指示该姿势状态指示已经改变。 When [0198] presented a new posture state indication, patient programmer 30 may indicate that the posture state indication has changed. 例如,新的姿势状态指示可开关闪烁10秒,然后呈递固定指示形式的姿势状态指示。 For example, the new posture state indication may switch blinks for 10 seconds, then presented in the form of fixed directions posture state indication. 或者,患者编程装置30可W呈递持续短时间的弹出窗口,指示该姿势状态已改变。 Alternatively, the patient programmer 30 may continue presenting W short pop-up window, indicating that the posture state has changed. 在其它实施方式中,患者编程装置30可提供听觉警报使患者12识别IMD14已检测到姿势状态的改变。 In other embodiments, patient programmer 30 may provide an audible alert patient identification IMD14 12 has detected posture state changes. 可实现运些或其它过渡性警告,通过患者12反馈和与患者编程装置30的相互作用进一步增加治疗功效。 Yun can achieve some warning or other transition through patient 12 feedback and interaction with patient programmer 30 is further increased therapeutic efficacy.

[0199] 姿势状态指示208只是姿势状态指示的一种类型。 [0199] One type of posture state indications 208 just posture state indication. 在其它实施例中,可W存在本文未示出的额外的姿势状态指示208。 In other embodiments, W may be additional posture state exists not herein illustrated instructions 208. 例如,姿势状态指示208也可包括倒立姿势状态指示、半邸姿势状态指示、具体活动、或代表患者姿势状态的任何其它姿势状态指示。 For example, the posture state indication 208 may also include an inverted posture state indication, semi-Di posture state indication, specific activities, or on behalf of any other posture state of patient posture state indication. 临床医师或患者12甚至可W从目录选择其它姿势状态指示W描述患者12通常使用的某些姿势状态。 Clinician or patient 12 W or even select a different posture state indication W describe certain posture state of the patient 12 is typically used from the directory.

[0200] 图12的概念图显示了一种用于提示用户指示感应的患者姿势状态是否正确的用户界面168的示例性显示屏214。 Conceptual diagram [0200] Figure 12 shows the posture state of the patient to prompt the user for a correct indication of the induction of an exemplary user interface 214 of the display 168. 如图12所示,显示屏214呈递选择框216、模式文本218、姿势状态指不220、提不本文222、是提不224和否提不226。 12, the display 214 presenting the selection box 216, text 218 mode, the posture state means not 220, not to mention the article 222, is not to mention the 224 and No. 226 does not mention. 如果图10的姿势状态指不200不代表当前的姿势状态,患者12可使用控制垫40进入显示屏214W确认正确的姿势状态。 If the posture state of Fig. 10 does not refer to the current posture state 200 does not mean the patient 12 may use the control pad 40 into the display 214W confirm the correct posture state. 模式本文218显示"感应的姿势"W指示当前感应的姿势状态是姿势状态指示220所显示的姿势状态。 Mode display 218 herein "sensing position" W indicates the current posture state sensed posture state is the posture state indication 220 is displayed.

[0201] 如果呈递的姿势状态指示220不正确,患者12可从模式文本218移动显示屏214上的选择框216W加亮提示本文222。 [0201] If the present posture state indication 220 is not correct, the patient 12 may display selection box 214 216W highlighted tips article 222 from 218 mobile text mode. 患者12可W通过按下是提示224显示的患者编程装置30 的上调按钮52,确认姿势状态指示220的感应姿势是正确的患者12当前的姿势状态。 12 patients at the W is prompted by pressing up button 224 displays the patient programmer 30, 52, confirmed posture state indication 220 of the position sensor are correct current posture state of patient 12. 如果呈递的姿势状态指示220不正确,则患者12可选择否提示226显示的患者编程装置30的下调按钮50。 If the present posture state indication 220 is not correct, the patient 12 can choose whether to display the down button 226 prompts the patient programmer 30, 50. 或者,患者12可使用控制垫40W加亮是提示224或否提示226和选择框216。 Alternatively, patients can use the control pad 12 40W is highlighted tips or no tips 226 and 224 select box 216. 如果姿势状态指示220显示的感应的姿势是正确的,患者12可回到正常的用户界面的操作显示屏。 If the posture state indication 220 displays the sensed posture is correct, patient 12 may return to normal operation of the user interface display. 如果患者12指示感应的姿势状态不正确,处理器104可提示患者12选择合适的姿势状态指示W使IMD14重新定向活动传感器、或姿势状态模块,如图13所示。 If the patient posture state sensor 12 indicates an incorrect processor 104 may prompt patient 12 to select the appropriate posture state indication W make IMD14 redirect activity sensor, or posture state module, shown in Figure 13. 可使用用于呈递感应的姿势并引发关于感应的姿势的准确性的患者反馈的各种技术中的任一种。 It can be used for presenting inductive position sensor and trigger posture on the accuracy of patient feedback of any of a variety of techniques. 因此,图12提供的具体实施例是为了说明的目的,而不是限制其它方法或技术。 Thus, the particular embodiment of Figure 12 is provided for purposes of illustration and not limitation of other methods or techniques.

[0202] 图13的概念图显示了一种从用户接收经确认的姿势状态的示例性的用户界面168 的显不屏230。 Conceptual diagram [0202] FIG. 13 shows a posture state receives confirmation from the user an exemplary user interface screen 230 168 was not. 如图13所不,显不屏230呈递板式本文232、接雙提不234、姿势状态指不208和选择框236。 FIG. 13 is not, was not present screen plate 230 article 232, not to mention then double 234, 208, and does not refer to posture state selection box 236. 模式本文232显示"选择当前的姿势"W指示患者12需要患者12确认正确的姿势状态指示。 Display mode article 232 "select the current position" W 12 indicates that the patient needs to confirm that the correct patient 12 posture state indication. 患者12通过在当前的姿势状态指示208之一上移动选择框236并通过按下接受提示234建议的上调按钮52来确认姿势状态。 12 patients by the current posture state indication to move the selection box on one of the 208 236 and 234 receive a presentation by pressing the proposed regulation button 52 to confirm the posture state. 或者,患者12可按下控制垫40的中央或者按下不同的输入键。 Alternatively, patients can press the control of the central pad 12 or 40 different press the Enter key. 在图13的实施例中,患者12右侧邸,因此当前的患者姿势状态由姿势状态指示208C表示。 In the embodiment of FIG. 13, the patient 12 on the right Di, so the current state of the patient's posture by the posture state indication 208C representation. 在其它实施例中,如果提供触摸屏,患者12可使用指示笔选择所需的姿势状态指示。 In other embodiments, the touch screen if provided, the patient 12 may use a stylus to select the posture state indication.

[0203] 在一些实施例中,IMD14可能要求选择大于一个确认的姿势状态,从而在患者12指示该呈递的姿势状态指示不正确之后重新定向姿势传感器模块。 [0203] In some embodiments, IMD 14 may be required to select more than one posture state confirmation, thus indicating the patient 12 posture state indication presented after the re-orientation incorrect orientation sensor module. 患者12可能需要采取两种不同的姿势状态并选择相应的姿势状态指示,如用户界面168所提示的那样。 12 patients may need to take two different posture state and selecting the appropriate posture state indication, such as user interface 168 as suggested. 或者,IMD14可提示患者12确认=种或更多种姿势状态,一直到姿势状态指示所代表的所有可能的姿势状态。 Alternatively, IMD 14 may prompt patient 12 to confirm = two or more posture state until the posture state indication represents the posture state of all possible. 因此,用户界面168通过采取特定姿势和接收指示对应于该姿势的姿势状态指示的用户输入的过程来指导患者12。 Thus, the user interface 168 by receiving an indication to take a specific position and posture of the process corresponding to the posture state indication user input to guide the patient 12.

[0204] 图14A-14D的概念图显示了可在用户界面168的显示屏238上表示患者姿势状态的不同的姿势状态指示240A-204D。 [0204] FIG. 14A-14D is a conceptual diagram showing may represent patient posture state on the user interface display 238,168 different posture state indications 240A-204D. 如图14A所示,显示屏238向患者12呈递组指示符和幅度指示符形式的治疗信息。 14A, the display screen 238 presented to the patient 12 in the form of group indicators and amplitude indicators of treatment information. 此外,显示屏238呈递姿势状态指示240A,姿势状态指示200的一个实施方式,W表示活动传感器所感应的当前的患者姿势状态。 In addition, the display 238 presenting the posture state indication 240A of, an embodiment of posture state indication 200, W represents the current patient posture state sensed by the activity sensor. 在图14A的实施例中,姿势状态指示240A表示患者12处于直立姿势状态。 In the embodiment of FIG. 14A, posture state indication 240A represents that patient 12 is in an upright posture state. 姿势状态指示240A也呈递患者12可能采取的两种其它姿势状态,但运些姿势状态不是当前检测的。 Posture state indication 240A may take 12 patients also presenting two other posture state, but the state is not currently transport some posture detection. 运些额外的姿势状态可能对患者12是有用的,在患者12决定感应的姿势状态不正确之前确保患者知道IMD14检测的其它可能的姿势状态。 Transport some extra posture state may be useful for patient 12, patient 12 posture state before induction incorrect decisions ensure that the patient knows other possible IMD14 posture state detection. 所有姿势状态指示240A-D是姿势状态指示的一种类型,且该类型可由临床医师或患者12选择。 All posture state indication 240A-D is a type of posture state indication, and that this type by the clinician or patient 12 selection.

[02化]图14B显示了姿势状态指示240B,表示患者12处于坐下或半邸的姿势状态。 [Of 02] FIG. 14B illustrates posture state indication 240B, indicating that the patient is sitting or semi-Di 12 posture state. 姿势状态指示240B显示直立和躺下姿势状态变灰,因为它们不是活动传感器当前检测的。 Posture state indication 240B display upright and lying down posture state grayed out because they are not currently detected by the motion sensor. 图14C显示了姿势状态指示240C,其表示患者12处于躺下姿势状态。 Figure 14C illustrates posture state indication 240C, which represents patient 12 is lying down posture state. 在患者12躺下时活动传感器不能区分不同姿势的情况下,姿势状态指示240C是足够的。 Lie down at the patient activity sensor 12 can not distinguish between different postures, the posture state indication 240C is sufficient. 如果活动传感器和IMD 14能够指示患者12的精确姿势,补充姿势状态指示可W用本文形式描述姿势状态,例如仰邸、俯邸、 右侧邸和左侧邸。 If the activity sensor and IMD 14 can indicate the exact position of the patient 12, supplementary posture state indication may be described in the form W posture state used herein, such as Yang Di, Di overlooking the right and left Di Di. 图14D中显示的的姿势状态指示240D显示了所有S种姿势状态。 FIG. 14D posture state indication 240D display shows all S postures state. 当患者12 在某一时间段内在多个姿势状态之间连续转变时,患者编程装置30可呈递姿势状态指示240D。 When the patient 12 in a period of time between successive transitions in the plurality of posture state, patient programmer 30 may present the posture state indication 240D. 替代地或另外地,当活动传感器出现问题需要用户输入或远程关注时,用户界面168 可闪烁姿势状态指示240D。 Alternatively or additionally, when the activity sensor there is a problem that requires user input or a remote concern, the user interface 168 may flicker posture state indication 240D.

[0206] 图15A-15C的概念图显示了不同的姿势状态指示244A-C,在用户界面168中显示当前的患者姿势状态和其它非当前的患者姿势状态。 [0206] FIG. 15A-15C is a conceptual diagram shows the different posture state indication 244A-C, shows the current posture state of the patient and other non-current posture state of the patient in the user interface 168. 如图15A所示,显示屏242向患者12呈递组指示符和幅度指示符形式的治疗信息。 15A, the display screen 242 presented to the patient 12 in the form of group indicators and amplitude indicators of treatment information. 此外,显示屏242呈递姿势状态指示244A,姿势状态指示200的一个实施方式,W表示活动传感器所感应的当前的患者姿势状态。 In addition, the display presenting the posture state indication 244A to 242, posture state indication 200 of one embodiment, W represents the current patient posture state sensed by the activity sensor. 在图15A的实施例中,姿势状态指示244A表示患者12处于躺下姿势状态。 In the embodiment in FIG. 15A, posture state indication 244A represents that patient 12 is lying down posture state. 图15A-C的所有姿势状态指示244A-C是姿势状态指示的一种类型,且该类型可由临床医师或患者12选择。 All posture state of FIG. 15A-C indication 244A-C is a type of posture state indication, and that this type by the clinician or patient 12 selection. 然而,姿势状态指示244A没有向患者12呈递所有姿势状态信息。 However, posture state indication 244A does not present all of the patient 12 posture state information.

[0207] 辅助姿势状态指示246通过额外地描述躺下姿势为"右侧邸",即患者12处于右侧邸姿势来辅助说明姿势状态指示244A。 [0207] supplementary posture state indication 246 additionally described by lying down posture as "the right of the mansion," that patient 12 is on the right position to assist legend Di posture state indication 244A. 如果临床医师编程的治疗受益于姿势状态的微小变化,辅助姿势状态指示246尤其有用。 If small changes in the programming clinician therapeutic benefit posture state, the auxiliary posture state indication 246 is particularly useful. 运种患者姿势状态的微小变化可W在治疗过程中用临床医师或患者12配置的窄姿势圆锥进行检测。 Species transport patient posture state may be small changes during treatment with W clinician or patient 12 posture narrow conical configuration for testing. 例如,辅助姿势状态指示246可W描述当患者12采取姿势状态指示244A所显示的姿势时患者12所进行的活动。 For example, auxiliary W posture state indication 246 may be described as patient activity undertaken 12:00 patient 12 posture state indication 244A posture shown. W运种方式,姿势状态指示244A可显示患者12的一般姿势状态,而辅助姿势状态指示246可进一步限定IMD14检测的具体姿势状态。 W transported manner, posture state indication 244A may display the posture state of patient 12. Usually, the auxiliary posture state indication 246 may further define specific IMD14 detected posture state. 辅助姿势状态指示246可W是患者12语言的本文,字母,数字、另一种图形表示,图标,箭头,或者甚至是患者编程装置30的扬声器所呈递的听觉警告。 Supplementary posture state indication 246 W 12 patients language paper, letters, numbers, and the other a graphic representation, icons, arrows, or even aural warning speaker patient programmer 30 being presented.

[0208] 图15B显示了姿势状态指示244B,表示患者12处于直立姿势状态。 [0208] Figure 15B illustrates posture state indication 244B, indicating that the patient 12 is in an upright posture state. 姿势状态指示244B显示了仅仅轮廓形式的半邸和躺下姿势状态,因为它们不是活动传感器当前检测的。 Posture state indication 244B shows the outline form only a semi-Di and lying down posture states, because they are not currently detected by the motion sensor. 图15C显示了姿势状态指示244C,其表示患者12处于半邸姿势状态。 Figure 15C illustrates posture state indication 244C, which represents patient 12 in a semi-Di posture state. 姿势状态指示244C可表示坐在椅子中,开车,或者患者12采取该姿势状态的一些其它姿势或活动。 Posture state indication 244C can be expressed in the chair, drive, or take some other patient 12 posture or activities of the posture state. 在其它实施方式中,可W存在和姿势状态指示244A-C相同类型的额外的姿势状态指示。 In other embodiments, at the W and the presence of additional posture state indication 244A-C posture state indication of the same type.

[0209] 图16A-16F的概念图显示了代表姿势或活动的一种类型的不同姿势状态指示248A-F(统称为"姿势状态指示248")。 [0209] FIG. 16A-16F conceptual diagram shows the posture or activity on behalf of a different type of posture state indication 248A-F (collectively referred to as "the posture state indication 248"). 姿势状态指示248可W是姿势状态指示200的实施方式和可包括活动W及静态姿势的表示的示例性姿势状态指示。 Posture state indication 248 W is a posture state indication 200, and the embodiment may include a static posture and activities W represents an exemplary posture state indication. 图16A显示了表示患者12处于站立姿势的姿势状态指示248A。 16A shows a representation in a standing posture of the patient 12 posture state indication 248A. 图16B显示了表示患者12在采取站立姿势的同时参与活动的姿势状态指示248B JMD 14可W通过监测来自活动传感器的姿势状态参数值来检测活动。 16B shows a representation of patient 12 to take part in activities at the same time standing posture posture state indication 248B JMD 14 W can be monitored by the posture state parameter value from the activity sensor to detect activities. 姿势状态指示248A和248B之间姿势状态参数值的向量方向可W在相同姿势圆锥内。 Posture state indication 248A posture state parameter value between the vector and 248B in the same direction at the W posture cone. 然而,向量幅度可W在预定阔值幅度内改变,指示进一步的活动。 However, the magnitude of the vector W can be within a predetermined threshold value amplitude changes, indicating further activities. 在运种情况下,姿势状态参数值可与姿势圆锥154B相关联,由姿势状态指示248B而不是姿势状态指示248A表示。 In the transport case, posture state parameter value may be associated with posture cones 154B, the posture state indication 248B instead of posture state indication 248A represents.

[0210] 图16C显示了姿势状态指示248C,其表示患者12处于半邸姿势状态。 [0210] Figure 16C illustrates posture state indication 248C, which represents patient 12 in a semi-Di posture state. 图1抓显示了姿势状态指示248D,类似于姿势状态指示248C。 Figure 1 shows the grasping posture state indication 248D, similar to the posture state indication 248C. 然而,姿势状态指示248D除了检测的半邸姿势外还显示患者12的活动。 However, in addition to detecting posture state indication 248D Semi Di posture outside activities also shows patient 12. 图1犯显示了姿势状态指示248E,其表示患者12处于躺下状态。 Figure 1 shows the committing posture state indication 248E, which represents patient 12 lying in state. 相反,图16F显示姿势状态指示248F,表示患者12处于躺下姿势并且参与一些活动,例如游泳、举重或一些其它活动。 In contrast, FIG. 16F show posture state indication 248F, indicating that the patient is lying down position 12 and participate in some activities, such as swimming, weight lifting or other activities. 在可选的实施方式中,姿势状态指示248除了图16A-F所示图像表示之外还包括本文。 In an alternative embodiment, in addition to posture state indication 248 showing the image shown in FIG. 16A-F through to include herein.

[0211] 图17A-17F的概念图显示了可代表不同患者姿势的一种类型的不同姿势状态指示250A-E(统称为"姿势状态指示250")。 [0211] 17A-17F are conceptual diagrams illustrating a display may represent different patient postures different from one type of posture state indications 250A-E (collectively "posture state indications 250"). 姿势状态指示250是姿势状态指示200的实施方式并且显示了患者12的头部相对于地面的定向。 Posture state indication 250 is an embodiment of posture state indication 200 and show the head of the patient 12 is oriented relative to the ground. W运种方式,姿势状态指示250可告诉患者12IMD14正在检测的姿势状态。 W transportation ways, posture state indication 250 may tell the patient 12IMD14 being detected posture state. 姿势状态指示250A包括相对于地面254直立定向的头部252A。 Posture state indication 250A includes an upright orientation relative to the surface 254 of the head 252A. 姿势状态指示250A是患者处于站立或坐下的直立位置,垂直于地平面的一种示例性表不。 Patient posture state indication 250A is standing or sitting in an upright position perpendicular to the ground plane of an exemplary table is not.

[0212] 图17B显示了代表患者处于仰邸姿势状态的姿势状态指示250B。 [0212] FIG. 17B shows the Yang Di posture on behalf of the patient is in a state of posture state indication 250B. 头部252B的定向使得在姿势状态指示250B中眼睛和鼻子背离地面254指向。 Head 252B 250B indicating orientation such that the eyes and nose pointing away from the ground 254 in the posture state. 图17C显示了姿势状态指示250C,显示面向地面254定向的头部252C。 Figure 17C illustrates posture state indication 250C, the display 254 facing the ground directional head 252C. 姿势状态指示250C表示患者抵靠胸部躺下或者俯邸的患者姿势状态。 Posture state indication 250C indicating that the patient lie down against the chest or prone Di posture state of the patient. 图17D显示了姿势状态指示250D,包括眼睛和鼻子指向地面254的左侧定向的头部252D。 FIG. 17D illustrates posture state indication 250D, including the eyes and nose pointing to the left directional ground 254 head 252D. 姿势状态指示250D表示当患者12抵靠其左侧躺下时的患者姿势状态。 Posture state indication 250D indicates when the posture state of the patient against the patient 12 when its left lying down. 此夕h图17E显示了姿势状态指示250E,包括指向地面254的右侧定向的头部252E。 This evening h Figure 17E illustrates posture state indication 250E, including 254 ground pointing to the right orientation of the head 252E. 姿势状态指示250E表示抵靠其右侧躺下时患者12的姿势状态。 Posture state indication 250E represents 12 against the patient posture state when its right to lie down.

[0213] 姿势状态指示250可包括相对于姿势状态指示200的任何实施方式描述的任何其它属性、动作或呈递方法。 [0213] posture state indication 250 may include any other attributes, actions or presenting any method embodiment 200 will be described with respect to the posture state indication. 在不同姿势状态指示间转变时可动画显示姿势状态指示250,或者指示患者12需要输入或关注W解决IMD14或患者编程装置30的问题。 When the transition between different posture state indication may display animated posture state indication 250, or 12 indicates that the patient will need to enter or attention problem IMD14 W or patient programmer 30. 而且,姿势状态指示250只是姿势状态指示的一种类型。 Moreover, one type of posture state indication 250 is the posture state indication. 在其它实施例中,可存在本文未示出的额外的姿势状态指示250。 In other embodiments, there may be additional herein posture state indication 250 is not shown. 例如,姿势状态指示250也可包括倒立姿势状态指示、斜倚姿势状态指示、具体活动、或可代表患者姿势状态的任何其它姿势状态指示。 For example, the posture state indication 250 may also include an inverted posture state indication, reclining posture state indication, specific activities, or on behalf of any other posture state of patient posture state indication.

[0214] 图18A-18F的概念图显示了采用改变的参比定向基准的不同的姿势状态指示256A-F(统称为"姿势状态指示256")。 [0214] FIG. 18A-18F is a conceptual diagram showing by changing parameters indicative 256A-F ratio different posture state directional reference (collectively referred to as "the posture state indication 256"). 姿势状态指示256是姿势状态指示200的实施方式并且在=维空间内显示了头部258的静态定向,参比基准围绕该=维空间移动W显示患者12 的姿势状态。 Posture state indications 256 are embodiments of posture state indication 200 and in = dimensional space shows the orientation of the static head 258, the reference datum about the move W = dimensional display posture state of patient 12. 图18A显示了姿势状态指示256A,其包括头部258和头部258下方定向的参比基准260AW指示患者12处于直立姿势状态。 18A shows posture state indication 256A, which includes a head 258 and a head 258 below the reference orientation reference 12 indicates that the patient is in an upright 260AW posture state.

[0215] 图18B显示了代表患者处于左侧邸姿势状态的姿势状态指示256B。 [0215] FIG. 18B shows a representative of the patient is in the left side of Di posture state posture state indication 256B. 参比基准260B 在患者12的左侧定位。 Reference reference 260B on the left side 12 patient positioning. 图18C显示了姿势状态指示256C,显示在头部258上方定位的参比基准260C。 FIG. 18C illustrates posture state indication 256C, 258 are displayed in the top of the head positioning reference benchmark 260C. 姿势状态指示256C表示患者12处于倒立姿势状态。 Indicating that the patient posture state indication 256C 12 in the inverted posture state. 图18D显示了姿势状态指示256D,包括在头部258右侧定位的参比基准260D。 Figure 18D illustrates posture state indication 256D, included in the right side of the head positioning reference 258 reference 260D. 姿势状态指示256D表示抵靠其右侧躺下的患者12的姿势状态。 Posture state indication 256D represents its right against the patient lying down posture state 12. 而且,图18E显示了姿势状态指示256E,显示在头部258后方定位的参比基准260E。 Further, FIG. 18E illustrates posture state indication 256E, 258 displayed in the rear head positioning reference baseline 260E. 姿势状态指示256E表示探测患者12仰邸的的姿势状态参数值。 Posture state indication 256E posture state parameter value represents detection Yang Di of the 12 patients. 此外,图18F显示了姿势状态指示256F,其包括在头部258前方定位的参比基准260F W显示患者处于患者12 抵靠胸部横邸的患者姿势状态。 In addition, FIG. 18F shows the posture state indication 256F, which comprises a head 258 positioned in front of the reference benchmark 260F W 12 patients showed that patients in the state of the patient posture against cross by Di's chest.

[0216] 姿势状态指示256可包括相对于姿势状态指示200的任何实施方式描述的任何其它属性、动作或呈递方法。 [0216] posture state indication 256 may include any other attributes, actions or presenting any method embodiment 200 will be described with respect to the posture state indication. 而且,姿势状态指示256只是姿势状态指示的一种类型。 Moreover, one type of posture state indication 256 is the posture state indication. 在其它实施例中,可存在本文未示出的额外的姿势状态指示256。 In other embodiments, there may be additional herein posture state indication 256 is not shown. 例如,姿势状态指示256也可包括指示患者12的活动而不仅仅显示静态姿势的元素或图标。 For example, the posture state indication 256 may also include an indication of patient activity 12 rather than display static posture elements or icons.

[0217] 图19A-19F的概念图显示了采用箭头的不同的姿势状态指示262A-F(统称为"姿势状态指示262")。 [0217] FIG. 19A-19F is a conceptual diagram showing the use of arrows different posture state indications 262A-F (collectively referred to as "the posture state indication 262"). 姿势状态指示262是姿势状态指示200的实施方式并且显示了指出患者12 的姿势状态方向的箭头。 Posture state indication 262 is a posture state indication 200 and show an embodiment of the posture state of patient 12 pointed in the direction of the arrow. 图19A显示姿势状态指示262A,箭头向上表示患者12处于直立姿势状态。 19A shows posture state indication 262A, upward arrow 12 indicates the patient is in an upright posture state.

[021引图19B显示了姿势状态指示262B,箭头向下表示患者12倒立。 [021 cited Figure 19B illustrates posture state indication 262B, the down arrow represents patient 12 inverted. 图19C显示了姿势状态指示262C,箭头向右表示姿势状态参数值检测患者12处于抵靠其右侧躺下的姿势。 FIG. 19C illustrates posture state indication 262C, arrow to the right indicates the posture state parameter value detected in 12 patients with the right side against the lying down position. 图19D 显示姿势状态指示262D,箭头向左表示患者12抵靠其左侧躺下。 FIG. 19D show posture state indication 262D, arrow to the left represents 12 against the patient to lie down on its left side. 而且,图1犯显示姿势状态指示262E,箭头指向显示屏的后方表示患者12抵靠其背部躺下。 Moreover, Figure 1 displays guilty posture state indication 262E, an arrow pointing to the rear of the display indicating that the patient 12 abuts the back to lie down. 此外,图19F显示姿势状态指示262F,箭头向前指向用户表示患者12抵靠其胸部躺下或者俯邸。 In addition, FIG. 19F show posture state indication 262F, forward arrow pointing to the user indicating that the patient's chest 12 abutting or lying prone mansion.

[0219] 姿势状态指示262可包括尺寸改变的额外的箭头,取决于IMD14检测的患者12的活动。 [0219] posture state indication 262 may additionally include the size of the arrows to change, depending on the activity of the patient 12 IMD14 detection. 姿势状态指示262也可包括相对于姿势状态指示200的任何实施方式描述的任何其它属性、动作或呈递方法。 Posture state indications 262 may also include any other attributes, actions, or presentation method of any of the embodiments described herein with respect to 200 of the posture state indication. 而且,姿势状态指示262只是姿势状态指示的一种类型。 Moreover, the posture state indication 262 is just one type of posture state indication. 在其它实施例中,可存在本文未示出的额外的姿势状态指示262。 In other embodiments, there may be additional herein posture state indication 262 is not shown. 例如,姿势状态指示262也可包括指示患者12的活动而不仅仅显示静态姿势的元素或图标。 For example, the posture state indication 262 may also include an indication of patient activity 12 rather than display static posture elements or icons.

[0220] 图20A-20F的概念图显示了表示患者活动的不同姿势状态指示264A-F(统称为"姿势状态指示264")。 [0220] FIG. 20A-20F shows a conceptual diagram showing the activities of the different patient posture state indication 264A-F (collectively referred to as "the posture state indication 264"). 姿势状态指示264是姿势状态指示200的实施方式并且显示了患者姿势状态下患者12的活动。 Posture state indications 264 are embodiments of posture state indication 200 and show activity in patients under 12 patient posture state. 来自活动传感器的姿势状态参数可指示,患者12的姿势状态包括通过改变姿势状态参数值的幅度或者一些其它测量得到的活动。 Posture state parameter from the activity sensor may indicate, posture state of patient 12 by changing the amplitude comprises the posture state parameter value, or some other measured activity. 就像患者12可受益于根据静态姿势改变治疗参数,患者12可受益于由于患者12采取特定活动的认识作出的治疗参数的调整。 As 12 patients may benefit from treatment parameters change according to the static posture, the patient may benefit from 12 since the patient 12 to adjust the awareness of specific activities to make treatment parameters.

[0221] 图20A显示了表示患者12正在跑步的姿势状态指示264A。 [0221] Figure 20A shows a representation of patient 12 running posture state indication 264A. 图20B显示了表示患者12 正在走路的姿势状态指示264B。 FIG. 20B shows a representation of patient 12 walking posture state indication 264B. 图20C显示了表示患者12正在游泳的姿势状态指示264C。 Figure 20C shows a representation of patient 12 posture state indication swimming 264C. 图20D显示了表示患者12参与骑自行车活动的姿势状态指示264D。 FIG. 20D shows a representation of patient 12 to participate in cycling posture state indication 264D. 而且,图20E显示了姿势状态指示264E,表示患者12正在提重物或者正在进行需要患者12频繁弯腰的其它工作。 Further, FIG. 20E illustrates posture state indication 264E, indicating that the patient 12 is heavy lifting or other work in progress requires frequent bending of the patient 12. 此夕h图20F显示了表示患者12正在开车的姿势状态指示264F。 This evening h Figure 20F shows a representation of patient 12 driving posture state indication 264F. 所有姿势状态指示264表示包括参与可能受益于治疗参数的改变的重复或偶发运动的活动的一些姿势状态。 All posture state indication 264 is meant to include participation may benefit from some posture state change treatment parameters repetitive motion or incidental activities.

[0222] 姿势状态指示264也可包括相对于姿势状态指示200的任何实施方式描述的任何其它属性、动作或呈递方法。 [0222] posture state indications 264 may also include any other attributes, actions or presenting any method embodiment 200 will be described with respect to the posture state indication. 而且,姿势状态指示264只是姿势状态指示的一种类型,例如活动姿势状态指示。 Moreover, the posture state indication 264 is just one type of posture state indication, such activities posture state indication. 在其它实施例中,可存在本文未示出的额外的姿势状态指示264。 In other embodiments, there may be additional herein posture state indication 264 is not shown. 例如,姿势状态指示264也可包括打字、划船、洗碗、庭院维护、演奏乐器或患者12可能参与的任何其它活动。 For example, the posture state indication 264 may also include typing, boating, washing dishes, garden maintenance, and any other activity or playing a musical instrument may be involved 12 patients.

[0223] 图21的流程图显示了一种用于最初选择在用户界面上呈递的用户界面的姿势状态指示的类型的示例性的方法。 Flowchart [0223] FIG. 21 shows a method for presenting the posture state originally selected in the user interface, the user interface indicates the type of exemplary. 如图21所示,用户(例如临床医师、内科医师、技师或患者12)进入姿势状态初始化显示屏或菜单,允许IMD14或IMD26从来自活动传感器感应的姿势状态参数值检测患者12的姿势状态(266)。 21, the user (such as clinical, physician, technician or patient 12) into the posture state initialization screen or menu, or allow IMD14 IMD26 detect patient activity sensor from from the posture state parameter value sensed posture state 12 ( 266). 通常,用户在临床医师编程装置60上执行姿势状态初始化,但用户也可使用患者编程装置30或其它外置编程装置20。 Typically, the user performs posture state initialized on clinician programmer 60, but you can also use the patient programmer 30 or other external programmer 20. 然后,临床医师编程装置60提示用户选择当向患者12呈递姿势状态表示时使用的姿势状态指示的类型(268)。 Then, the clinician programmer 60 prompts the user to select the type of posture state of the patient 12 when presenting the posture state indication indicates the use of (268). 用户可选择本文所述姿势状态指示类型中的任一种,例如姿势状态指示200、208、240、244、 248、250、256、262或264。 The user may select the type of posture state indication described herein any one of, e.g., the posture state indication 200,208,240,244, 248,250,256,262, or 264. 在一些实施方式中,用户可选择对于姿势的姿势状态指示的类型和对于患者12的活动的姿势状态指示的不同类型。 In some embodiments, the user may select the type of the posture of the posture state indication and different types of activity for the patient 12 posture state indication.

[0224] 在用户选择姿势状态指示所需的类型之后,临床医师编程装置60接收该姿势状态指示类型选择(270)并将该选择储存在编程装置60的存储器和IMD14的存储器中(272) JMD 14可将选择通信至患者编程装置30或者临床医师编程装置60将姿势状态指示类型的选择直接通信至或者编程装置30。 [0224] After the user selects the desired type of posture state indication, the clinician programmer 60 receives the posture state indication type selection (270) and the selection program stored in the memory device 60 and IMD14 memory (272) JMD 14 to 30 can select the communication or clinician programmer 60 posture state indication type selection or direct communication to the patient programmer 30 programmer. 在一些实施方式中,姿势状态指示类型选择可W仅仅储存在IMD14的存储器中并在需要时通信至合适的外置编程装置20。 In some embodiments, the posture state indication type selection can only be stored in IMD14 W memory and need to communicate to an appropriate external programmer 20. 选择姿势状态指示类型之后, 用户通过临床医师编程装置60继续初始化(274)。 After selecting the type of posture state indication, the user continues to clinician programmer 60 is initialized (274).

[0225] 图22的流程图显示了一种选择代表性的姿势状态指示并在用户界面上呈递该姿势状态指示的示例性的方法。 Flowchart [0225] FIG. 22 shows a representative selection of posture state indication and an exemplary method of presenting the posture state indication on the user interface. 通常,编程装置接收指示患者当前采取的姿势状态的姿势状态检测,获取代表检测的姿势状态的姿势状态指示,并通过医疗装置编程装置的用户界面呈递该姿势状态指示。 Typically, the posture state detection means to receive programmed instructions patient posture state currently occupied, obtaining representative of the detected posture state of posture state indication and presenting the posture state indication via a user interface of a medical device programmer. 检测的姿势状态可W由IMD14检测并通信至外置编程装置。 Posture state detection can be detected by IMD14 W and communicated to the external programmer.

[0226] 参照患者编程装置30描述了图22的实施例,但可选地可使用任何外置编程装置, 例如临床医师编程装置60。 [0226] Referring to patient programmer 30 described in the embodiment of FIG. 22, but alternatively you can use any external programmer, such as clinician programmer 60. 如图22所示,患者编程装置30向患者12显示治疗信息(276)。 22, patient programmer 30 displays therapy information to patient 12 (276). 治疗信息可W是刺激幅度、脉冲宽度、脉冲频率、电极组合、药物递送速率、推注大小、活动程序、活动组、电池水平、刺激活动、自动姿势响应、姿势状态指示或者任何其它与患者12接受的治疗相关的信息的任意组合。 Treatment information may be W is a stimulation amplitude, pulse width, pulse frequency, an electrode assembly, the drug delivery rate, bolus size, active program, activity group, battery level, stimulating activity, automatic posture response, posture state indication, or any other patient 12 any combination of received information related to the treatment.

[0227] 如果患者12选择新的组进行刺激治疗(278),患者编程装置30的处理器104检查自动姿势状态响应(APR)是否已启用(280)。 [0227] If a patient 12 to select a new set of stimulation therapy (278), the processor 104 checks automatically posture state of the patient programmer 30 response (APR) is enabled (280). 如果尚未启用自动姿势响应,处理器104更新治疗信息(290)并继续显示该治疗信息(276)。 If you have not enabled automatic posture response, processor 104 updates the therapy information (290) and continues to display the treatment information (276). 如果对于选择的刺激程序组已启用自动姿势响应(280),则处理器104确定是否在用户界面168上显示姿势状态指示(282)。 If a stimulus program for the selected group is enabled automatic posture response (280), the processor 104 determines whether the posture state indication (282) 168 on the user interface. 如果不显示姿势状态指示,则处理器104更新治疗信息(290)并显示治疗信息(276)。 If you do not show posture state indication, the processor 104 updates the therapy information (290) and displays the therapy information (276).

[0228] 如果处理器104显示选择的组的姿势状态指示(282),处理器104通过从IMD16的姿势状态模块86或处理器80检索或获取当前姿势状态检测的姿势状态参数值(284)并选择与检测姿势状态相关联的姿势状态指示(286)来获取姿势状态指示。 [0228] If the processor 104 displays the selected group of posture state indication (282), the processor 104 through the posture state parameter value from IMD16 posture state module 86 or processor 80 to retrieve or get the current posture state detection (284) and posture state selections associated with the detected posture state indication (286) to obtain the posture state indication. 检测的姿势状态指示患者当前采取的姿势状态。 Posture state detection indication in patients taking the current posture state. 然后,处理器104更新姿势状态指示(288),更新治疗信息(290)并显示治疗信息(276)。 Then, the processor 104 updates the posture state indication (288), updated treatment information (290) and displays the therapy information (276).

[0229] 在需要显示姿势状态指示的选择的组中,处理器104根据姿势状态参数值和存储器108中储存的指令继续更新姿势状态指示。 [0229] display selection posture state indication of the need group, the processor 104 continues to update the posture state indication according to the posture state parameter value and stored in the instruction memory 108. 例如,处理器104可周期性地与IMD 14通信W 接收当前的姿势状态参数或当前检测的姿势状态。 For example, the processor 104 may periodically receive the current posture state parameter or the current posture state detected communication with IMD 14 W. 或者,当姿势状态改变时,IMD 14可W向患者编程装置30发送更新通信。 Alternatively, when the posture state change, IMD 14 W can send updates to communicate patient programmer 30. 在任何情况下,处理器104可W在用选择的刺激治疗程序组进行治疗期间根据当前检测的姿势状态继续更新姿势状态指示。 In any case, the processor 104 may be W during treatment with selected stimulation treatment program groups continue to update the current posture state indication detected posture state.

[0230] 在其它实施方式中,任何启用自动姿势响应的组可自动启动处理器104W显示对应于检测的姿势状态或姿势状态参数值的姿势状态指示。 [0230] In other embodiments, any enable automatic posture response groups activated automatically display the corresponding processor 104W posture state or posture state parameter value detected in the posture state indication. 此外,可始终提供姿势状态指示,即使选择的组不基于患者12感应的姿势状态递送治疗。 In addition, the posture state indication always available, even if the selected group is not based on patient posture state 12 induction therapy delivery. 当IMD14被配置成收集和记录姿势状态信息用于确定治疗有效性或评价自动姿势响应提高治疗功效的潜能时,该实施方式是有益的。 When IMD14 configured to collect and record posture state information is used to determine the effectiveness of treatment or evaluation automatic posture response to improve the treatment efficacy of potential, this embodiment is useful.

[0231] 图23的流程图显示了一种让用户确认姿势状态指示所表示的正确患者姿势状态的示例性的方法。 Flowchart [0231] FIG. 23 shows a user to confirm the correct patient posture state represented by the posture state indication exemplary method. 参照患者编程装置30描述了图23的实施例,但可选地可使用任何外置编程装置,例如临床医师编程装置60。 Referring to patient programmer 30 described in FIG Example 23, but may alternatively use any external programmer, such as clinician programmer 60. 如图23所示,患者编程装置30向患者12显示治疗信息(292)。 23, patient programmer 30 displays therapy information to patient 12 (292). 如果患者12进入姿势确认模式(294),如图12所示,处理器104显示姿势状态确认显示屏(296)。 If the posture of the patient 12 enters the confirmation mode (294), as shown in Figure 12, the processor 104 displays the posture state confirmation screen (296). 用户界面106然后接收来自患者12的姿势状态正确输入(298)。 User interface 106 then receives the status from the patient 12 posture correct input (298).

[0232] 如果因为姿势状态指示正确表示患者12的姿势状态所W姿势状态是正确的(300),则处理器104离开姿势状态确认显示屏(310),用户界面106继续显示治疗信息(292)。 [0232] If for posture state indication indicates the correct posture state of patient 12 by W posture state is correct (300), the processor 104 to leave the posture state confirmation screen (310), the user interface 106 continues to display treatment information (292) . 如果姿势状态不正确(300),处理器104提示患者12通过用户界面106选择代表当前正确的姿势状态的姿势状态指示(302),如图13的实施例所示。 If the status is not correct posture (300), the processor 104 prompts the patient 12 through the user interface to select the correct posture represents the current state of the posture state indication 106 (302), Example 13 is shown in Fig. 然后,用户界面106接收姿势状态确认选择(304)。 Then, the user interface 106 receives posture state to confirm the selection (304). 如果处理器104要求另一姿势状态确认(306),用户界面106同样提示患者12用姿势状态指示选择当前的姿势状态(302)。 If the processor 104 requires further confirmed posture state (306), the user interface 106 also prompts the patient 12 posture state indication with the posture state currently selected (302). 否则,处理器104将活动传感器和/或姿势状态参数值重新定向成患者12作出的新的姿势状态确认选择(308)。 Otherwise, the processor 104 activity sensor and / or posture state parameter value redirected to the new posture state of the patient 12 to confirm the selection made (308). 然后,处理器104离开姿势状态确认显示屏(310)并继续显示治疗信息(292)。 Then, the processor 104 to leave the posture state confirmation screen (310) and continues to display treatment information (292).

[0233] 本发明能够向用户提供许多特征。 [0233] The present invention can provide many features to users. 例如,患者可W通过查看姿势状态指示所代表的感应的姿势状态继续监测基于感应的姿势状态的自动治疗。 For example, patients can view the posture state indication by W represents the posture state sensor continues to monitor the treatment of auto-induction of a state based on the posture. 如果对治疗的自动调整存在任何问题,患者可首先确定系统是否正确感应姿势状态。 If the automatic adjustment of the treatment there are any problems, the patient may first determine the posture state sensor system correctly. 此外,患者可W通过选择正确的姿势状态指示确认或改变感应的姿势状态。 In addition, patients can W by selecting the correct posture state indication to confirm or change the posture state induced. 进而,系统可重新定向活动传感器W更准确地检测患者的姿势状态。 Furthermore, the system can redirect the activity sensor W more accurately detect the posture state of the patient.

[0234] 本发明所述的技术可至少部分地用硬件、软件、固件或其任何组合来实现。 [0234] The techniques of the present invention may be implemented in hardware, software, firmware, or any combination thereof at least partially. 例如, 技术的各个方面可W在一个或多个微处理器、数字信号处理器(DSP)、专用集成电路(ASIC)、现场可编程口阵列(FPGA)或任何其它等价集成或独立逻辑电路中W及运些组件的任意组合来实现,表现在编程装置(例如临床医师或患者编程装置)、刺激器或其它装置中。 For example, various aspects of the technology at the W in one or more microprocessors, digital signal processors (DSP), application specific integrated circuit (ASIC), a field programmable port array (FPGA) or any other equivalent integrated or discrete logic circuitry W and transport any combination of these components is achieved, and in the programming device (such as a clinician or patient programmer), irritation or other devices. 术语"处理器"或"处理电路"通常表示任何上述逻辑电路,单独使用或与其它逻辑电路或者任何其它等价电路组合。 The term "processor" or "processing circuitry" generally indicates any of said logic circuit, either alone or with other logic circuitry, or any other equivalent combinations.

[0235] 用软件实现时,归属于本发明所述系统和装置的功能可W表现为计算机可读介质上的指令,所述计算机可读介质包括例如随机存取存储器(RAM)、只读存储器(ROM)、非易失性随机存取存储器(NVRAM)、电可擦除可编程只读存储器化EPROM)、FLA細存储器、磁性介质、光学介质等。 [0235] When implemented in software, attributable to the function of the system and apparatus of the present invention can be expressed as W computer-readable medium, the computer-readable media include random access memory (RAM), read-only memory (ROM), nonvolatile random access memory (the NVRAM), electrically erasable programmable read-only memory of the EPROM), FLA fine memory, magnetic media, optical media. 可执行指令W支持本发明所述功能的一个或多个方面。 W-executable instructions to support the functions of the present invention, one or more aspects.

[0236] 此外,应理解本文所述的系统并不限于治疗人类患者。 [0236] In addition, to be understood that the systems described herein is not limited to the treatment of human patients. 在可选的实施方式中,执行系统可W在非人类患者中实现,例如灵长类、犬齿类、马、猪和猫。 In an alternative embodiment, the system can perform W implemented in a non-human patients, such as primates, canines class, horses, pigs and cats. 运些动物可经历可能受益于本发明主题的临床或研究治疗。 These animals can be transported through the theme of the present invention may benefit from clinical research or treatment.

[0237] 描述了许多本发明的实施方式。 [0237] described a number of embodiments of the present invention. 可进行各种改进而不背离权利要求的范围。 Various modifications may be without departing from the scope of the claims. 运些和其它实施方式包括在所附权利要求书的范围内。 These and other embodiments of transportation included within the scope of the appended claims.

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