Closed-loop therapy adjustment

• US 10,471,264 B2
• Filed: 06/06/2011
• Issued: 11/12/2019
• Est. Priority Date: 12/02/2005
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Bourget, Duane, Miesel, Keith A.
• Primary Examiner(s): Koharski, Christopher
• Assistant Examiner(s): Dinga, Roland
• Application Number:
  US13/154,303
• Publication Number:
  US 20110238136A1
• Time in Patent Office: 3,081 Days
• Field of Search: 607 17, 607 19, 607 27, 607 30, 607 46, 607 48, 607 62
• CPC Class Codes: A61N 1/36021 for treatment of pain
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: A61N 1/37252 Details of algorithms or data aspects of communication system, e.g. handshaking, transmitting specific data or segmenting data

Abstract

Techniques for detecting a value of a sensed patient parameter, and automatically delivering therapy to a patient according to therapy information previously associated with the detected value, are described. In exemplary embodiments, a medical device receives a therapy adjustment from the patient. In response to the adjustment, the medical device associates a sensed value of a patient parameter with therapy information determined based on the adjustment. Whenever the parameter value is subsequently detected, the medical device delivers therapy according to the associated therapy information. In this manner, the medical device may “learn” to automatically adjust therapy in the manner desired by the patient as the sensed parameter of the patient changes. Exemplary patient parameters that may be sensed for performance of the described techniques include posture, activity, heart rate, electromyography (EMG), an electroencephalogram (EEG), an electrocardiogram (ECG), temperature, respiration rate, and pH.

Claims

1. A method comprising:

determining a rate of change of a value of a sensed patient parameter over a first time period, wherein the patient parameter is sensed via a sensor and is indicative of at least one of patient posture or patient activity, wherein the sensor comprises an accelerometer;

comparing the rate of change of the value to a threshold rate of change; and

controlling delivery of therapy to a patient via a medical device based on the comparison, wherein at least one of the determining, comparing, and controlling is performed using one or more processors.

2. The method of claim 1, wherein delivering therapy to the patient via the medical device based on the comparison comprises delivering therapy to the patient according to default therapy information based on the comparison.

3. The method of claim 1, wherein delivering therapy to the patient via the medical device based on the comparison comprises suspending the delivery of therapy to the patient for a predetermined period based on the comparison.

4. The method of claim 1, wherein delivering therapy to the patient via the medical device based on the comparison comprises delivering therapy to the patient via the medical device according to therapy information associated with a sensed value of the patient parameter.

5. The method of claim 1, wherein the patient parameter is indicative of patient posture.

6. The method of claim 1, wherein the patient parameter is indicative of patient activity.

7. The method of claim 1, wherein the therapy comprises electrical stimulation therapy, and wherein the therapy is defined by at least one stimulation parameter.

8. The method of claim 7, wherein the at least one stimulation parameter includes at least one of amplitude, pulse width, pulse rate, or electrode configuration.

9. A system comprising:

a medical device configured to deliver therapy to a patient;

a sensor configured to sense a patient parameter, wherein the patient parameter is indicative of at least one of patient posture or patient activity, wherein the sensor comprises an accelerometer; and

at least one processor configured to;

determine a rate of change of a value of the sensed patient parameter over a first time period, wherein the patient parameter is indicative of at least one of patient posture or patient activity;

compare the rate of change of the value to a threshold rate of change; and

control the delivery of therapy to the patient via the medical device based on the comparison.

10. The system of claim 9, wherein the at least one processor controls delivery of therapy to the patient via the medical device based on the comparison by at least controlling the delivery of therapy to the patient according to default therapy information based on the comparison.

11. The system of claim 9, wherein the at least one processor controls delivery of therapy to the patient via the medical device based on the comparison by at least suspending the delivery of therapy to the patient for a predetermined period based on the comparison.

12. The system of claim 9, wherein the at least one processor controls delivery of therapy to the patient via the medical device based on the comparison by at least controlling the delivery of therapy to the patient via the medical device according to therapy information associated with a sensed value of the patient parameter.

13. The system of claim 9, wherein the patient parameter is indicative of patient posture.

14. The system of claim 9, wherein the patient parameter is indicative of patient activity.

15. The system of claim 9, wherein the therapy comprises electrical stimulation therapy, and wherein the therapy is defined by at least one stimulation parameter.

16. The system of claim 15, wherein the at least one stimulation parameter includes at least one of amplitude, pulse width, pulse rate, or electrode configuration.

17. The system of claim 9, wherein the medical device comprises an implantable medical device.

18. A system comprising:

means for determining a rate of change of a value of a sensed patient parameter over a first time period, wherein the patient parameter is sensed via a sensor and is indicative of at least one of patient posture or patient activity, wherein the sensor comprises an accelerometer;

means for comparing the rate of change of the value to a threshold rate of change; and

means for delivering therapy to a patient via a medical device based on the comparison.

19. A method comprising:

determining a rate of change of a value of a sensed patient parameter over a first time period, wherein the patient parameter is sensed via a sensor and is indicative of patient posture;

comparing the rate of change of the value to a threshold rate of change; and

controlling delivery of therapy to a patient via a medical device based on the comparison, wherein at least one of the determining, comparing, and controlling is performed using one or more processors.

20. The method of claim 19, wherein delivering therapy to the patient via the medical device based on the comparison comprises delivering therapy to the patient according to default therapy information based on the comparison.

21. The method of claim 19, wherein delivering therapy to the patient via the medical device based on the comparison comprises suspending the delivery of therapy to the patient for a predetermined period based on the comparison.

22. The method of claim 19, wherein delivering therapy to the patient via the medical device based on the comparison comprises delivering therapy to the patient via the medical device according to therapy information associated with a sensed value of the patient parameter.

23. The method of claim 19, wherein the sensor comprises an accelerometer.

24. The method of claim 19, wherein the patient parameter is indicative of patient activity.

25. The method of claim 19, wherein the therapy comprises electrical stimulation therapy, and wherein the therapy is defined by at least one stimulation parameter.

26. The method of claim 25, wherein the at least one stimulation parameter includes at least one of amplitude, pulse width, pulse rate, or electrode configuration.

27. A system comprising:

a medical device configured to deliver therapy to a patient;

a sensor configured to sense a patient parameter, wherein the patient parameter is indicative of patient posture; and

at least one processor configured to;

determine a rate of change of a value of the sensed patient parameter over a first time period, wherein the patient parameter is indicative of at least one of patient posture or patient activity;

compare the rate of change of the value to a threshold rate of change; and

control the delivery of therapy to the patient via the medical device based on the comparison.

28. The system of claim 27, wherein the at least one processor controls delivery of therapy to the patient via the medical device based on the comparison by at least controlling the delivery of therapy to the patient according to default therapy information based on the comparison.

29. The system of claim 27, wherein the at least one processor controls delivery of therapy to the patient via the medical device based on the comparison by at least suspending the delivery of therapy to the patient for a predetermined period based on the comparison.

30. The system of claim 27, wherein the at least one processor controls delivery of therapy to the patient via the medical device based on the comparison by at least controlling the delivery of therapy to the patient via the medical device according to therapy information associated with a sensed value of the patient parameter.

31. The system of claim 27, wherein the sensor comprises an accelerometer.

32. The system of claim 27, wherein the patient parameter is indicative of patient activity.

33. The system of claim 27, wherein the therapy comprises electrical stimulation therapy, and wherein the therapy is defined by at least one stimulation parameter.

34. The system of claim 33, wherein the at least one stimulation parameter includes at least one of amplitude, pulse width, pulse rate, or electrode configuration.

35. The system of claim 27, wherein the medical device comprises an implantable medical device.