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 (14)
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: 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 →
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 →
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 →
CORRECTIVE ASSIGNMENT TO CORRECT THE ASSIGNEE STREET ADDRESS TO READ 599 CARDIGAN ROAD PREVIOUSLY RECORDED ON REEL 026748 FRAME 0993. ASSIGNOR(S) HEREBY CONFIRMS THE CORRECTION OF ASSIGNEE STREET ADDRESS TO READ 599 CARDIGAN ROAD. Recorded Nov 23, 2011
From: HART, LOTTA
To: EMPI, INC.
Reel/Frame 027280/0946 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Aug 15, 2011
From: HART, LOTTA
To: EMPI, INC.
Reel/Frame 026748/0993 →