# US 12,179,019 B2 · Patient therapy systems and methods > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 12,179,019 B2 - Document ID: US12179019B2 - Status: Granted - Kind: B2 - Application number: 17/479,461 - Filed: 2021-09-20 - Published: 2022-01-06 - Granted: 2024-12-31 - Earliest claimed: 2015-01-26 - Assignees: Motive Health, Inc. - Applicants: Motive Health, Inc. - Inventors: Struan Coleman; Calvin Domenico; Edison Gieswein; Jessica Paparella; Joshua Butters; Marlina Kessler; David Saar; Lee Knox - Web page: https://patentgrep.com/patent/US12179019B2 ## CPC - A61N 1/36014: {External stimulators, e.g. with patch electrodes (external pacemakers A61N1/3625)} - A61B 5/389: Electromyography [EMG] - A61N 1/0452: {Specially adapted for transcutaneous muscle stimulation [TMS]} - A61N 1/0456: {Specially adapted for transcutaneous electrical nerve stimulation [TENS]} - A61N 1/0476: {Array electrodes (including any electrode arrangement with more than one electrode for at least one of the polarities)} - A61N 1/0484: {Garment electrodes worn by the patient} - A61N 1/0492: {Patch electrodes (A61N1/0412, A61N1/0428 take precedence)} - A61N 1/36003: {of motor muscles, e.g. for walking assistance} - A61N 1/36031: {using physiological parameters for adjustment} - A61N 1/36034: {specified by the stimulation parameters} - G16H 20/30: relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising - G16H 20/40: relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture - G16H 40/63: for local operation - G16H 40/67: for remote operation - G16H 50/20: for computer-aided diagnosis, e.g. based on medical expert systems - A61B 2562/0219: Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches - A61F 5/01: Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces - A61N: ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY (measurement of bioelectric currents A61B; surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body A61B18/00; anaesthetic apparatus in general A61M; incandescent lamps H01K; infrared radiators for heating H05B) - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) - G16H: HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA - A61F: FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS (dental prosthetics A61C) ## Abstract Some embodiments include a system with a sensor with electrodes including an active electrode and a receiving electrode that is in physical contact with skin of a patient forming an electrical circuit with control electronics of a controller that can measure an electrical parameter using an active electrode and a receiving electrode within a closed loop electrical muscle stimulation system. A sense electrical pulse can be applied to the tissue using the sensor, an electrical parameter measured from the tissue, and a stimulation pulse applied to the tissue based at least in part on the measured electrical parameter. The stimulation is adjustably controlled by the controller to maintain a constant power output to the tissue based on the electrical parameter. A good is coupled to a computer readable medium configured to store usage data, the usage data relating to the patient's use of the good. ## Claims ### Claim 1 A system for non-narcotic pain relief comprising: a garment, a motion sensor, a plurality of electrodes, an electrical circuit, a hydration sensor, and at least one controller; wherein the plurality of electrodes are coupled to or integrated with the garment; wherein the plurality of electrodes are arranged to couple with a patient's tissue forming the electrical circuit with control electronics of the at least one controller; wherein the plurality of electrodes are configured to provide a current flow through nociceptors of a user; wherein the at least one controller is configured to provide a signal configured to disrupt a pain signal to offer pain relief to a patient; wherein the system is configured to use the motion sensor to track a position, movement, and/or acceleration of at least a portion of the garment; and wherein the at least one controller is configured to tune the signal by using measured hydration levels of the patient. ### Claim 2 (depends on 1) The system of claim 1, wherein the plurality of electrodes includes at least one active electrode and at least one receiving electrode forming the electrical circuit with the control electronics of the at least one controller. ### Claim 3 (depends on 1) The system of claim 1, wherein the plurality of electrodes includes at least one active electrode and at least one receiving electrode. ### Claim 4 (depends on 1) The system of claim 1, further comprising a display configured to enable the patient to self-tune the signal for maximum effectiveness. ### Claim 5 (depends on 4) The system of claim 4, wherein self-tuning the signal includes varying one or more of pulse amplitude, pulse width, and/or pulse duration. ### Claim 6 (depends on 1) The system of claim 1, further comprising a display comprising a pain survey mobile application screen. ### Claim 7 (depends on 1) The system of claim 1, further comprising a display comprising a pain reduction goals section. ### Claim 8 (depends on 7) The system of claim 7, wherein the pain reduction goals section is configured to enable the patient to set target pain reduction goals. ### Claim 9 (depends on 1) The system of claim 1, wherein the garment comprises an inflatable bolster. ### Claim 10 (depends on 9) The system of claim 9, wherein the garment is configured to apply the inflatable bolster to a shoulder joint complex. ### Claim 11 (depends on 9) The system of claim 9, wherein the inflatable bolster is configured to be inflated manually by the patient. ### Claim 12 (depends on 1) The system of claim 1, further comprising a display comprising a pain gauge. ### Claim 13 (depends on 12) The system of claim 12, wherein the pain gauge is configured to enable the patient to set a target level of pain using a moveable indicator. ### Claim 14 (depends on 1) The system of claim 1, further comprising a display comprising a therapy pain plot. ### Claim 15 (depends on 14) The system of claim 14, wherein the therapy pain plot is configured to display a before session pain level, an after session pain level, and/or a daily average pain level. ### Claim 16 (depends on 1) The system of claim 1, further comprising a strain gage sensor. ### Claim 17 (depends on 16) The system of claim 16, wherein the system is configured to utilize data collected by the strain gage sensor to determine voluntary muscle contraction or involuntary muscle contraction caused by the signal. ### Claim 18 A system for non-narcotic pain relief comprising: a garment, a plurality of electrodes, an electrical circuit, a hydration sensor, and at least one controller; wherein the plurality of electrodes are coupled to or integrated with the garment; wherein the plurality of electrodes are arranged to couple with a patient's tissue forming the electrical circuit with control electronics of the at least one controller; wherein the plurality of electrodes are configured to provide a current flow through nociceptors of a user; wherein the at least one controller is configured to provide a signal configured to disrupt a pain signal to offer pain relief to a patient; and wherein the at least one controller is configured to tune the signal by using measured hydration levels of the patient.