Collecting activity information to evaluate therapy

• US 7,167,743 B2
• Filed: 03/16/2005
• Issued: 01/23/2007
• Est. Priority Date: 03/16/2004
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Heruth, Kenneth T., Miesel, Keith A.
• Primary Examiner(s): Bockelman; Mark
• Application Number:
  US11/081,785
• Publication Number:
  US 20050222643A1
• Time in Patent Office: 678 Days
• Field of Search: 607/19, 607/20, 607/117, 600/509, 600/549, 600/595
• US Class Current: 600/509
• CPC Class Codes: A61B 2562/0219 Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
• CPC Class Codes: A61B 5/0031 Implanted circuitry
• CPC Class Codes: A61B 5/02055 Simultaneously evaluating both cardiovascular condition and temperature
• CPC Class Codes: A61B 5/1118 Determining activity level
• CPC Class Codes: A61B 5/1455 using optical sensors, e.g. spectral photometrical oximeters
• CPC Class Codes: A61B 5/369 Electroencephalography [EEG] devices for psychotechnics A61B5/16
• CPC Class Codes: A61B 5/389 Electromyography [EMG]
• CPC Class Codes: A61B 5/6814 Head
• CPC Class Codes: A61B 5/6826 Finger
• CPC Class Codes: A61B 5/6831 Straps, bands or harnesses
• CPC Class Codes: A61B 5/6838 Clamps or clips
• CPC Class Codes: A61M 5/14276 specially adapted for implantation
• CPC Class Codes: A61M 5/1723 using feedback of body parameters, e.g. blood-sugar, pressure measurement of body parameters A61B5/00
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/365 controlled by a physiological parameter, e.g. heart potential evoked response A61N1/371
• CPC Class Codes: A61N 1/36521 the parameter being derived from measurement of an electrical impedance
• CPC Class Codes: A61N 1/36542 controlled by body motion, e.g. acceleration
• CPC Class Codes: A61N 1/36557 controlled by chemical substances in blood

Abstract

A medical device delivers a therapy to a patient. The medical device or another device may periodically determine an activity level of the patient, and associate each determined activity level with a current therapy parameter set. A value of at least one activity metric is determined for each of a plurality of therapy parameter sets based on the activity levels associated with that therapy parameter set. A list of the therapy parameter sets is presented to a user, such as a clinician, for evaluation of the relative efficacy of the therapy parameter sets. The list may be ordered according to the one or more activity metric values to aid in evaluation of the therapy parameter sets. Where values are determined for a plurality of activity metrics, the list may be ordered according to the one of the activity metrics selected by the user.

Claims

1. A method comprising:

monitoring a signal that varies as a function of activity of a patient;

periodically determining an activity level of the patient based on the signal;

associating each of the determined activity levels with a therapy parameter set used by a medical device to deliver a therapy to the patient when the activity level was determined; and

determining a value of an activity metric for each of a plurality of therapy parameter sets based on activity levels associated with the therapy parameter sets,

wherein periodically determining an activity level comprises periodically determining at least one of a value of an ECG morphological feature or a subcutaneous temperature.

2. The method of claim 1, wherein the medical device comprises an implantable medical device.

3. The method of claim 2, wherein the implantable medical device comprises at least one of an implantable neurostimulator and an implantable drug pump.

4. The method of claim 1, wherein the medical device comprises at least one of a trial neurostimulator or a trial drug pump.

5. A medical system comprising:

a medical device that delivers a therapy to a patient; and

a processor that monitors a signal that varies as a function of patient activity, periodically determines an activity level of the patient based on the signal, associates each of the determined activity levels with a therapy parameter set used by the medical device to deliver the therapy to the patient when the activity level was determined, and determines a value of an activity metric for each of a plurality of therapy parameter sets based on activity levels associated with the therapy parameter sets,

wherein the processor periodically determines an activity level by periodically determining at least one of a value of an ECG morphological feature or a subcutaneous temperature.

6. The medical system of claim 5, wherein the medical device comprises an implantable medical device.

7. The medical system of claim 6, wherein the implantable medical device comprises at least one of an implantable neurostimulator or an implantable drug pump.

8. The medical system of claim 5, wherein the medical device comprises at least one of a trial neurostimulator or a trial drug pump.

9. A medical system comprising:

means for monitoring a signal that varies as a function of patient activity;

means for periodically determining an activity level of the patient based on the signal;

means for associating each of the determined activity levels with a therapy parameter set used by a medical device to deliver a therapy to the patient when the activity level was determined;

means for determining a value of an activity metric for each of a plurality of therapy parameter sets based on activity levels associated with the therapy parameter sets; and

means for presenting a list of the plurality of therapy parameter sets and activity metric values associated with the therapy parameter sets,

wherein the means for monitoring a signal that varies as a function of patient activity comprises means for monitoring at least one of an ECG morphological feature or a subcutaneous temperature.

10. A medical system comprising:

an implantable medical device that that delivers a therapy to a patient, monitors a signal that varies as a function of patient activity, periodically determines an activity level of the patient based on the signal, and associates each of the determined activity levels with a current therapy parameter set; and

an external programming device including a display that receives information identifying a plurality of therapy parameter sets and associated activity levels from the implantable medical device via telemetry, determines a value of an activity metric for each of a plurality of therapy parameter sets based on activity levels associated with the therapy parameter sets, and presents a list of the plurality of therapy parameter sets and activity metric values associated with the therapy parameter sets via the display,

wherein the implantable medical device monitors at least one of an ECG morphological feature or a subcutaneous temperature.