# US 2019/0167988 A1 · 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 2019/0167988 A1 - Document ID: US20190167988A1 - Status: Published application - Kind: A1 - Application number: 16/208,329 - Filed: 2018-12-03 - Published: 2019-06-06 - Earliest claimed: 2017-12-04 - Assignees: Cymedica Orthopedics, Inc. - Applicants: CyMedica Orthopedics, Inc. - Inventors: Kereshmeh Shahriari; Dharmavirsinh Bharatsinh Jhala - Web page: https://patentgrep.com/patent/US20190167988A1 ## CPC - A61N 1/36003: {of motor muscles, e.g. for walking assistance} - A61F 5/0125: {the device articulating around a single pivot-point} - A61N 1/0452: {Specially adapted for transcutaneous muscle stimulation [TMS]} - A61N 1/0484: {Garment electrodes worn by the patient} - A61N 1/36021: {for treatment of pain} - A61N 1/3603: {Control systems} - A61F 2002/701: {operated by electrically controlled means, e.g. solenoids or torque motors} - A61F 2002/704: {computer-controlled, e.g. robotic control} - A61F 2005/0188: {having pressure sensors} - A61N 1/0492: {Patch electrodes (A61N1/0412, A61N1/0428 take precedence)} - A61N 1/36031: {using physiological parameters for adjustment} - A61N 1/36153: {Voltage (A61N1/3616 takes precedence)} - A61N 1/36157: {Current (A61N1/3616 takes precedence)} - 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) - 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 knee therapy system that includes a flexible garment or wrap that is electrically conductive, and a range-of-motion sensor coupled or integrated with the flexible garment or wrap. The sensor is coupled or integrated with the flexible garment or wrap, and includes a plurality of electrodes including an active electrode and a receiving electrode. The electrodes can be in physical contact with skin of a patient forming an electrical circuit with control electronics of the controller. The electrical circuit measures an electrical parameter using the active and receiving electrodes, and forms a closed loop electrical muscle stimulation system, where stimulation current or voltage is applied by the electrodes onto the skin between the active and receiving electrodes based on a program and an electrical parameter measured through the electrodes. An optical sensor or camera can be configured to track body joints of a user. ## Claims ### Claim 1 A knee therapy system comprising; a flexible garment or wrap, wherein at least a portion of the flexible garment or wrap is electrically conductive; at least one range-of-motion sensor coupled to or integrated with the flexible garment or wrap; a plurality of electrodes coupled to or integrated with the flexible garment or wrap, the plurality of electrodes including at least one active electrode and at least one receiving electrode, the electrodes configured and arranged to be coupled with skin of a patient forming an electrical circuit with control electronics of at least one controller, the electrical circuit configured and arranged to measure an electrical parameter using the at least one active electrode and at least one receiving electrode, and to form a closed loop electrical muscle stimulation system, wherein a stimulation current or voltage applied onto the skin between the at least one active electrode and at least one receiving electrode is based on at least one program and at least one electrical parameter measured through the at least one active electrode and at least one receiving electrode, and wherein the at least one controller is configured and arranged to (a) apply a sense electrical pulse to the tissue, (b) measure the at least one electrical parameter from the tissue, (c) using at least one of the active electrodes, adjustably apply a stimulation pulse to the tissue based at least in part on the measured electrical parameter, the stimulation being adjustably controlled by the at least one controller to maintain a constant power output to the tissue based at least in part on the at least one electrical parameter, and (d) repeat steps (a)-(c). ### Claim 2 (depends on 1) The knee therapy system of claim 1, wherein the flexible garment or wrap comprises a popliteal cutout. ### Claim 3 (depends on 1) The knee therapy system of claim 1, further comprising a brace assembly, the brace assembly integrated or coupled to the flexible garment or wrap. ### Claim 4 (depends on 3) The knee therapy system of claim 3, wherein the brace assembly includes at least one brace element or stay coupled with the flexible garment or wrap. ### Claim 5 (depends on 3) The knee therapy system of claim 3, wherein the brace assembly includes a dial hinge. ### Claim 6 (depends on 5) The knee therapy system of claim 5, wherein the dial hinge includes range-of-motion (ROM) stops, the range-of-motion (ROM) stops configured to enable a user to achieve a customized fitting and therapy. ### Claim 7 (depends on 1) The knee therapy system of claim 1, wherein the controller is configured to be coupled to at least one computer readable medium configured to store usage data, the usage data relating to the patient's use of the therapy system. ### Claim 8 (depends on 1) The knee therapy system of claim 1, wherein the at least one controller is coupled to an outer surface of the flexible garment or wrap. ### Claim 9 (depends on 1) The knee therapy system of claim 1, further including at least one wireless transmitter coupled to the controller. ### Claim 10 (depends on 1) The knee therapy system of claim 1, wherein the flexible garment or wrap comprises a compressible and non-slip material. ### Claim 11 (depends on 1) The knee therapy system of claim 1, wherein the flexible garment or wrap is configured to be secured to a wearer by at least one hook-and-loop fastener. ### Claim 12 (depends on 9) The knee therapy system of claim 9, further including a computing program, applet or application configured to transfer usage data using the at least one wireless transmitter. ### Claim 13 (depends on 12) The knee therapy system of claim 12, wherein the at least one controller is configured and arranged to electromagnetically couple with a mobile computing device using at least a portion of the computing program, applet or application. ### Claim 14 (depends on 12) The knee therapy system of claim 12, wherein at least a portion of the computing program, applet or application is configured and arranged to display a user interface on a user's computing device, the user interface configured to display at least some usage data and to enable control of a parameter through the at least one controller. ### Claim 15 (depends on 12) The knee therapy system of claim 12, wherein the usage data includes a user's compliance to certain daily movements and/or one or more physiotherapy or exercise routines. ### Claim 16 (depends on 12) The knee therapy system of claim 12, wherein the usage data comprises kinematic data, including orientation data and acceleration data. ### Claim 17 (depends on 1) The knee therapy system of claim 1, wherein the at least one sensor comprises at least one of an accelerometer, a motion sensor, a proximity sensor, an optical sensor, a motion sensor, a gyrometer, a magnetometer, a proximity sensor, a hydration sensor, a force or pressure sensor, a position sensor, a global positioning sensor (GPS), an optical sensor, a magnetic sensor, a magnetometer, an inductive sensor, a capacitive sensor, an eddy current sensor, a resistive sensors, a magnetoresistive sensor, an inductive sensor, an infrared sensor, an inclinometer sensor, a piezoelectric materials or piezoelectric-based sensor, a blood-oxygen sensor, a heart-rate sensor, a laser or ultrasound based sensor, and an electromyography type sensor. ### Claim 18 (depends on 1) The knee therapy system of claim 1, wherein the at least one sensor comprises an optical sensor or camera configured to track body joints of a user. ### Claim 19 An assembly comprising; a flexible garment or wrap, at least a portion of which is electrically conductive; at least one range-of-motion sensor coupled to or integrated with the flexible garment or wrap; at least one wireless transmitter coupled to at least one controller; a plurality of electrodes including at least one active electrode and at least one receiving electrode coupled to or integrated with the flexible garment or wrap, and configured and arranged to be coupled with skin of a patient forming an electrical circuit with control electronics of the at least one controller, the electrical circuit configured and arranged to measure an electrical parameter using the at least one active electrode and at least one receiving electrode, and to form a closed loop electrical muscle stimulation system, wherein a stimulation current or voltage applied onto the skin between the at least one active electrode and at least one receiving electrode is based on at least one computer program and at least one electrical parameter measured through the at least one active electrode and at least one receiving electrode, and wherein the at least one controller is configured and arranged for (a) applying a sense electrical pulse to the tissue, (b) measuring the at least one electrical parameter from the tissue, (c) using at least one of the active electrodes, adjustably applying a stimulation pulse to the tissue based at least in part on the measured electrical parameter, the stimulation being adjustably controlled by the at least one controller to maintain a constant power output to the tissue based at least in part on the at least one electrical parameter, and (d) repeat steps (a)-(c). ### Claim 20 (depends on 19) The assembly of claim 19, further comprising a brace assembly that includes at least one brace element or stay coupled with the flexible garment or wrap. ### Claim 21 (depends on 19) The assembly of claim 19, wherein the controller is configured to transmit usage data to at least one computer readable medium, the usage data relating to the patient's use of the assembly. ### Claim 22 (depends on 19) The assembly of claim 19, wherein the at least one range-of-motion sensor comprises an optical sensor or camera configured to track body joints of a user.