IP Library Granted Patent US 9,147,046
Granted Patent B2
US 9,147,046 · App. 13/096,403 · Granted Sep 29, 2015

Systems and methods for modulating pressure wave therapy

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Quick Facts
Patent No.
US 9,147,046
App. No.
13/096,403
Granted
Sep 29, 2015
Kind
B2
Abstract

A processor-controlled, energy-based therapy apparatus includes a device configured to provide therapeutic energy to a patient and a processor that controls the output of the device. The output of the device is based on output profiles programmed into the processor. The output profiles include a therapeutic energy output profile and a ramp-up energy profile. The therapeutic energy output profile includes a desired target energy level and a therapeutic duration for controlling the output of the device during a therapeutic period. The ramp-up energy output profile includes an initial treatment energy level and a ramp-up duration for controlling the output of the device during a ramp-up period. The energy output specified by the ramp-up energy output profile incrementally increases over the ramp-up duration as a function of the desired target energy level and the ramp-up duration.

Claims (58)

1. A processor-controlled, energy-based acoustic wave therapy apparatus, comprising:

an acoustic wave therapy device configured to provide therapeutic acoustic energy to a patient;

a user interface that receives a change to a therapy parameter;

a memory; and

a processor, coupled to the memory, that controls acoustic wave energy output of the device based on output profiles programmed into the processor, the output profiles comprising:

a therapeutic acoustic wave energy output profile comprising a desired target energy level and a therapeutic duration for controlling the energy output of the device during a therapeutic period, and

a ramp-up energy output profile comprising an initial treatment energy level and a ramp-up duration for controlling the output of the device during a ramp-up period, wherein the energy output specified by the ramp-up energy output profile incrementally increases over the ramp-up duration as a function of the desired target energy level and the ramp-up duration, wherein the processor is configured to adjust the ramp-up energy output profile when the change to the therapy parameter is received from the user interface during the ramp-up period,

wherein the processor is configured to:

control an energy output of the acoustic wave therapy device based on a therapy profile comprising the ramp-up energy output profile and the therapeutic acoustic wave energy output profile;

automatically adjust the therapy profile to meet required criteria stored in the memory;

instruct the device to provide a treatment according to the adjusted therapy profile by incrementally increasing the energy output over a ramp-up period as a function of a desired target energy level and a ramp-up duration;

receive, from the user interface, an input from a user to change an acoustic wave therapy parameter during the ramp-up period;

automatically adjust the ramp-up energy output profile when the input to change the therapy parameter is received during the ramp-up period; and

instruct the device to provide a treatment according to the adjusted ramp-up energy output profile.

2. The apparatus of claim 1 , wherein the ramp-up profile is configured to control delivery of pneumatic energy pulses during the ramp-up period, and to provide a pneumatic pressure level that incrementally increases as a function of the number of pulses delivered.

3. The apparatus of claim 1 , wherein the ramp-up energy output profile reaches the desired target energy level, and the processor is configured to not further increase the energy output applied to a patient after the ramp-up period.

4. The apparatus of claim 1 , wherein the processor is further configured to adjust a ramp-up function, a desired target energy output, and a steady state energy level that is at or below the desired target energy output.

5. The apparatus of claim 1 , wherein the processor is configured to save in the memory information related to one or more output profiles.

6. The apparatus of claim 1 , wherein the user interface is a device selected from the group consisting of a touch screen, a keyboard, a keypad, a mouse, a dial, and a connectable memory module.

7. The apparatus of claim 1 , wherein the ramp-up energy output profile is further configured as a polynomial function, an exponential function, a linear function, an affine function or a step-wise function.

8. The apparatus of claim 1 , wherein the change to the therapy parameter is a target energy level and the processor is configured to adjust a target energy level of the ramp-up energy output profile when the change to the therapy parameter is received during the ramp-up period.

9. The apparatus of claim 1 , wherein the change to the therapy parameter is a duration and the processor is configured to adjust the ramp-up duration of the ramp-up energy output profile when the change to the therapy parameter is received during the ramp-up period.

10. The apparatus of claim 1 , wherein the processor is further configured to:

recalculate an energy of one or more pulses of the ramp-up energy output profile when the change to the therapy parameter is received from the user interface.

11. The apparatus of claim 1 , wherein the processor is further configured to:

recalculate a number of pulses of the ramp-up energy output profile when the change to the therapy parameter is received from the user interface.

12. The apparatus of claim 1 , wherein the acoustic wave therapy therapeutic energy at a frequency of approximately 0.5-35 Hz, at a pressure of 1.0-5.0 bar, and in 10-10000 pulses delivered in a ramp up portion and a therapeutic portion.

13. The apparatus of claim 1 , wherein the processor is further configured to:

receive, from the user interface, an input;

determine that the input from the user interface is a patient tolerance threshold indicator by querying the memory in which an operator or patient preference has been stored;

instruct the device to automatically discontinue the treatment in response to identification of the patient tolerance threshold indicator;

identify treatment parameters delivered when the patient tolerance threshold indicator is received; and

display the treatment parameters and/or record the treatment parameters in the memory.

14. A method for applying acoustic wave energy-based therapy to a patient, comprising:

applying an acoustic wave therapy device configured to provide therapeutic energy to a patient;

configuring a processor to control an energy output of the acoustic wave therapy device based on a therapy profile comprising a ramp-up energy output profile and a therapeutic energy output profile programmed into the processor;

automatically adjusting the therapy profile to meet required criteria stored in the memory coupled to the processor;

providing a treatment according to the adjusted therapy profile by activating the processor to incrementally increase the energy output over a ramp-up period as a function of a desired target energy level and a ramp-up duration;

receiving, from a user interface, an input from a user to change an acoustic wave therapy parameter during the ramp-up period;

automatically adjusting the ramp-up energy output profile when the input to change the therapy parameter is received during the ramp-up period; and

providing a treatment according to the adjusted ramp-up energy output profile.

15. The method of claim 8 , further comprising:

controlling, by the processor, delivery of pneumatic energy pulses during the ramp-up period; and

providing, by the device, a pneumatic pressure level that incrementally increases as a function of the number of pulses delivered.

16. The method of claim 14 , further comprising delivering, by the device, the desired target energy level at the end of the ramp-up period and preventing, by the processor, the energy output to increase above the desired target energy level throughout the therapeutic period.

17. The method of claim 14 , further comprising receiving, at the processor, adjustments of a ramp-up function, a desired target energy output, and a steady state energy level that is at or below the desired target energy output, wherein the adjustments are entered using the user interface.

18. The method of claim 14 , further comprising saving in the memory information related to one or more output profiles.

19. The method of claim 14 , wherein receiving from the user interface further comprises receiving from a device selected from the group consisting of a touch screen, a keyboard, a keypad, a mouse, a dial, and a connectable memory module.

20. The method of claim 14 , wherein automatically adjusting the ramp-up energy output profile further comprises adjusting one of a polynomial function, an exponential function, a linear function, an affine function or a step-wise function.

21. The method of claim 14 , wherein the automatically adjusting the ramp-up energy output profile further comprises adjusting a target energy level of the ramp-up energy output profile.

22. The method of claim 14 , wherein the automatically adjusting the ramp-up energy output profile further comprises adjusting the ramp-up duration of the ramp-up energy output profile.

23. The method of claim 14 , wherein a frequency of the therapeutic energy is approximately 0.5-35 Hz, wherein a pressure of the therapeutic energy is 1.0-5.0 bar, and wherein the therapeutic energy is delivered in 10-10000 pulses delivered in a ramp up portion and a therapeutic portion.

24. The method of claim 14 , further comprising:

receiving, from the user interface, an input;

determining, by the processor, that the input from the user interface is a patient tolerance threshold indicator by querying the memory in which an operator or patient preference has been stored;

automatically discontinuing, by the processor, the treatment in response to identification of the patient tolerance threshold indicator;

identifying, by the processor, treatment parameters delivered when the patient tolerance threshold indicator is received; and

displaying the treatment parameters and/or recording the treatment parameters in the memory.

Assignments (12)
SECURITY INTEREST Recorded Jan 3, 2024
From: DJO, LLC
To: JPMORGAN CHASE BANK, N.A., AS ADMINISTRATIVE AGENT
Reel/Frame 066186/0659 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Feb 19, 2020
From: EMPI, INC.
To: DJO, LLC
Reel/Frame 051864/0324 →
RELEASE OF SECURITY INTEREST Recorded Mar 21, 2019
From: WELLS FARGO BANK, NATIONAL ASSOCIATION AS COLLATERAL AGENT
To: DJO, LLC; ENCORE MEDICAL, L.P.; EMPI, INC.; ENCORE MEDICAL ASSET CORPORATION; RIKCO INTERNATIONAL, LLC
Reel/Frame 048672/0661 →
RELEASE OF SECURITY INTEREST Recorded Mar 14, 2019
From: THE BANK OF NEW YORK MELLON AS SECOND LIEN AGENT
To: DJO, LLC; ENCORE MEDICAL, L.P.; EMPI, INC.; ENCORE MEDICAL ASSET CORPORATION; RIKCO INTERNATIONAL, LLC
Reel/Frame 050129/0262 →
RELEASE OF SECURITY INTEREST Recorded Mar 14, 2019
From: THE BANK OF NEW YORK MELLON AS THIRD LIEN AGENT
To: DJO, LLC; ENCORE MEDICAL, L.P.; EMPI, INC.; ENCORE MEDICAL ASSET CORPORATION; RIKCO INTERNATIONAL, LLC
Reel/Frame 048608/0932 →
RELEASE OF SECURITY INTEREST Recorded Mar 14, 2019
From: MACQUARIE US TRADING LLC AS COLLATERAL AGENT
To: DJO, LLC; ENCORE MEDICAL, L.P.; EMPI, INC.; ENCORE MEDICAL ASSET CORPORATION; RIKCO INTERNATIONAL, LLC
Reel/Frame 048655/0067 →
SECURITY AGREEMENT Recorded May 18, 2015
From: DJO, LLC; EMPI, INC.; ENCORE MEDICAL ASSET CORPORATION; ENCORE MEDICAL, L.P.; RIKCO INTERNATIONAL, LLC
To: THE BANK OF NEW YORK MELLON, AS THIRD LIEN AGENT
Reel/Frame 035707/0498 →
SECURITY AGREEMENT Recorded May 18, 2015
From: DJO, LLC; EMPI, INC.; ENCORE MEDICAL ASSET CORPORATION; ENCORE MEDICAL, L.P.; RIKCO INTERNATIONAL, LLC
To: MACQUARIE US TRADING LLC, AS COLLATERAL AGENT
Reel/Frame 035707/0398 →
SECURITY AGREEMENT Recorded May 18, 2015
From: DJO, LLC; EMPI, INC.; ENCORE MEDICAL ASSET CORPORATION; ENCORE MEDICAL, L.P.; RIKCO INTERNATIONAL, LLC
To: THE BANK OF NEW YORK MELLON, AS SECOND LIEN AGENT
Reel/Frame 035707/0454 →
RELEASE OF SECURITY INTEREST Recorded May 18, 2015
From: THE BANK OF NEW YORK MELLON, AS SECOND LIEN AGENT
To: DJO, LLC; ENCORE MEDICAL ASSET CORPORATION; RIKCO INTERNATIONAL, LLC; EMPI, INC.
Reel/Frame 035706/0457 →
SECURITY INTEREST Recorded May 7, 2015
From: DJO, LLC; EMPI, INC.; ENCORE MEDICAL ASSET CORPORATION; ENCORE MEDICAL, L.P.; RIKCO INTERNATIONAL, LLC
To: WELLS FARGO BANK, NATIONAL ASSOCIATION, AS THE COLLATERAL AGENT
Reel/Frame 035614/0001 →
SECURITY AGREEMENT Recorded Apr 20, 2012
From: DJO, LLC; EMPI, INC.; ENCORE MEDICAL ASSET CORPORATION; RICKO INTERNATIONAL, LLC
To: THE BANK OF NEW YORK MELLON, AS SECOND LIEN AGENT
Reel/Frame 028078/0320 →