ASSIGNMENT OF THERAPY PARAMETER TO MULTIPLE POSTURE STATES

• US 20100010579A1
• Filed: 04/30/2009
• Published: 01/14/2010
• Est. Priority Date: 07/11/2008
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Davis, Jon P., Skelton, Dennis M., Gokaldas, Shyam, Sahasrabudhe, Rajeev
• Granted Patent: US 8,515,550 B2
• Time in Patent Office: Days
• US Class Current: 607/60
• CPC Class Codes: A61B 2560/0219 of externally powered implanted units
• CPC Class Codes: A61B 2562/0219 Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
• CPC Class Codes: A61B 5/1116 Determining posture transitions
• CPC Class Codes: A61B 5/686 Permanently implanted devices, e.g. pacemakers, other stimulators, biochips A61B5/6861 takes precedence
• CPC Class Codes: A61B 5/7435 Displaying user selection data, e.g. icons in a graphical user interface
• CPC Class Codes: A61N 1/36135 using physiological parameters
• CPC Class Codes: A61N 1/36535 controlled by body position or posture
• CPC Class Codes: A61N 1/36542 controlled by body motion, e.g. acceleration
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 20/30 relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems

Abstract

The disclosure is directed towards posture-responsive therapy. To avoid interruptions in effective therapy, an implantable medical device may include a posture state module that detects the posture state of the patient and automatically adjusts therapy parameter values according to the detected posture state. A system may include an external programmer comprising a user interface that receives user input defining therapy parameter values for delivery of therapy to a patient, and user input associating one or more of the therapy parameter values with a plurality of posture states based on user input, a processor that automatically defines therapy parameter values for delivery of therapy to a patient when the patient occupies the posture states based on the association, and an implantable medical device that delivers the therapy to the patient in response to detection of the posture states.

Claims

1. A method comprising:

defining therapy parameter values for delivery of therapy to a patient;

associating one or more of the therapy parameter values with a plurality of posture states based on user input; and

automatically defining therapy parameter values for delivery of therapy to a patient when the patient occupies the posture states based on the association.

2. The method of claim 1, further comprising:

detecting one of the posture states; and

delivering the therapy to the patient using the defined therapy parameter values.

3. The method of claim 1, further comprising:

receiving a patient adjustment to one of the therapy parameter values for one of the posture states; and

associating the patient adjustments with the one of the posture states.

4. The method of claim 1, wherein associating one or more of the therapy parameter values with a plurality of posture states based on user input comprises associating the therapy parameter values with a plurality of lying posture states.

5. The method of claim 1, wherein the therapy comprises electrical stimulation therapy.

6. An external programmer for an implantable medical device, the programmer comprising:

a user interface that receives user input defining therapy parameter values for delivery of therapy to a patient, and user input associating one or more of the therapy parameter values with a plurality of posture states based on user input; and

a processor that automatically defines therapy parameter values for delivery of therapy to a patient when the patient occupies the posture states based on the association.

7. The programmer of claim 6, wherein the programmer programs an implantable medical device to detect one of the posture states, and deliver the therapy to the patient using the defined therapy parameter values.

8. The programmer of claim 6, wherein the user interface receives a patient adjustment to one of the therapy parameter values for one of the posture states, and the processor associates the patient adjustments with the one of the posture states.

9. The programmer of claim 6, wherein the user interface receives user input associating one or more of the therapy parameter values with a plurality of lying posture states, and the processor automatically defines therapy parameter values for delivery of therapy to a patient when the patient occupies the lying posture states based on the association.

10. The programmer of claim 6, wherein the therapy comprises electrical stimulation therapy.

11. A system comprising:

an external programmer comprising a user interface that receives user input defining therapy parameter values for delivery of therapy to a patient, and user input associating one or more of the therapy parameter values with a plurality of posture states based on user input;

a processor that automatically defines therapy parameter values for delivery of therapy to a patient when the patient occupies the posture states based on the association; and

an implantable medical device that delivers the therapy to the patient in response to detection of the posture states.

13. The system of claim 11, wherein the user interface receives user input associating one or more of the therapy parameter values with a plurality of lying posture states, and the processor automatically defines therapy parameter values for delivery of therapy to a patient when the patient occupies the lying posture states based on the association.

14. The system of claim 11, wherein the therapy comprises electrical stimulation therapy.

15. The system of claim 11, wherein the programmer comprises the processor.

16. The system of claim 11, wherein the implantable medical device comprises the processor.

12. The system of 11, wherein the user interface receives a patient adjustment to one of the therapy parameter values for one of the posture states, and the processor associates the patient adjustments with the one of the posture states.

17. A system comprising:

means for defining therapy parameter values for delivery of therapy to a patient;

means for associating one or more of the therapy parameter values with a plurality of posture states based on user input; and

means for automatically defining therapy parameter values for delivery of therapy to a patient when the patient occupies the posture states based on the association.

18. The system of claim 17, further comprising:

means for detecting one of the posture states; and

means for delivering the therapy to the patient using the defined therapy parameter values.

19. The system of claim 17, further comprising:

means for receiving a patient adjustment to one of the therapy parameter values for one of the posture states; and

means for associating the patient adjustments with the one of the posture states.

20. The system of claim 17, wherein the means for associating one or more of the therapy parameter values with a plurality of posture states based on user input comprises means for associating the therapy parameter values with a plurality of lying posture states.

21. The system of claim 17, wherein the therapy comprises electrical stimulation therapy.