Generation of multiple neurostimulation therapy programs

• US 7,266,412 B2
• Filed: 04/22/2003
• Issued: 09/04/2007
• Est. Priority Date: 04/22/2003
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Stypulkowski, Paul H.
• Primary Examiner(s): Layno; Carl
• Assistant Examiner(s): Bertram; Eric D.
• Application Number:
  US10/420,991
• Publication Number:
  US 20040215286A1
• Time in Patent Office: 1,596 Days
• Field of Search: 607/30, 607/46, 607/48, 607/59, 607/60
• US Class Current: 607/48
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/36132 using patient feedback
• CPC Class Codes: A61N 1/36146 specified by the stimulation parameters
• CPC Class Codes: A61N 1/37211 Means for communicating with stimulators
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means

Abstract

Generation of multiple neurostimulation programs for delivery of neurostimulation therapy to a patient involves generation of a base program and one or more patient condition algorithms. The base program is modified according to specific algorithms associated with the patient condition algorithms to generate multiple neurostimulation programs. The patient condition algorithms specify modifications to parameters in the base program to generate programs that are better tailored to a particular condition. The base program serves as a starting point for the generation of multiple neurostimulation programs tailored to patient activities. The patient condition algorithms may correspond to different patient conditions or activities, for example, such as sitting, standing, sleeping, working, walking, running, exercising, or the like. The multiple programs can be loaded into an implanted neurostimulation device or patient programmer.

Claims

1. A method comprising:

generating a base program for delivery of neurostimulation therapy to a patient;

modifying the base program based on one or more patient condition algorithms defined by data stored in a memory of a device to generate multiple programs for the delivery of neurostimulation therapy to the patient;

transmitting the base program to an implanted neurostimulation device;

receiving user input selecting one of the patient condition algorithms; and

controlling the implanted neurostimulation device to modify the base program based on the selected patient condition algorithm.

2. The method of claim 1, wherein the base program defines one or more parameters for the delivery of the neurostimulation therapy, and each of the patient condition algorithms specifies modification of at least one of the parameters.

3. The method of claim 2, wherein the parameters include neurostimulation amplitude, pulse width, frequency, therapy duration, and electrode combination and polarity.

4. The method of claim 1, wherein the patient condition algorithms include at least one of a sitting algorithm, a standing algorithm, a sleeping algorithm, a working algorithm, a walking algorithm, running algorithm, and an exercising algorithm.

5. The method of claim 1, wherein the patient condition algorithms include at least one of an awake algorithm, a sleeping algorithm, a resting algorithm, an active algorithm, so inactive algorithm, an ‘

on’

medication algorithm, an ‘

off’

medication algorithm, a tired algorithm, a depressed algorithm, and an anxious algorithm.

6. The method of claim 1, wherein the meurostirnulation therapy includes one of spinal cord stimulation and brain stimulation.

7. The method of claim 1, wherein the base program defines parameters for the delivery of the neurostimulation therapy, and each of the patient condition algorithms specifies automatic modification of a plurality of the parameters.

8. The method of claim 1, wherein the device comprises at least one of a patient programmer device, a clinician programmer device or the implanted neurostimulation device.

9. A method comprising:

generating a base program for delivery of neurostimulation therapy to a patient;

modifying the base program based on one or more patient condition algorithms defined by data stored in a memory of a device to generate multiple programs for the delivery of neurostimuladon therapy to the patient, wherein the multiple programs are generated in a clinician orograminer device;

transmitting the multiple programs to an implanted neurostimulation device to control delivery of neurostimulation therapy to the patient by the implanted neurostimulation device; and

receiving user input selecting one of the patient condition algorithms, and controlling the implanted neurostimulation device to select one of to multiple programs that corresponds to the selected patient condition algorithm for delivery of the neurostimulation therapy to the patient.

10. The method of claim 9, wherein the device comprises at least one of a patient programmer device, the clinician programmer device or the implanted neurostimulation device.

11. A method comprising;

generating a base nrograntfor delivery of neurostimulation therapy to a patient;

transmittinautbe base program to a patient programmer device;

modifying the base program loaded into the patient programmer device based on one or more patient condition algorithms defined by data stored in a memory of a device to generate multiple programs for the delivery of neurostimulation therapy to the patient;

transmitting the modified base program to an implanted neurostimulation device; and

receiving user input selecting one of the patient condition algorithms via the patient programmer device, and modifying the base program comprises modifying the base program loaded into the patient programmer device based on the patient condition algorithms.

12. The method of claim 11, wherein the device comprises at least one of the patient programmer device, a clinician programmer device or the implanted neurostimulation device.

13. A method comprising:

generating a base program for delivery of neurostimulation therapy to a patient; and

modifying the base program based on one or more patient condition algorithms defined by data stored in a memory of a device to generate multiple programs for the delivery of neurostimulation therapy to the patient,

wherein generating a base program includes;

controlling an implanted neurostimulation device to deliver neurostimulation therapy to a the patient according to a test program;

evaluating efficacy of the delivered neurostimulation therapy; and

selecting the test program as the base program if the efficacy of the delivered neurostimulation therapy is satisfactory.

14. The method of claim 13, wherein the device comprises at least one of a patient programmer device, a clinician programmer device or the implanted neurostimulation device.

15. A method comprising:

generatng a base program for delivery of neurostimulation therapy to a patient;

modifying the base program based on one or more patient condition algorithms defined by data stored in a memory of a device to generate multiple programs for the delivery of neurostimulation therapy to the patient;

detecting a type of patient condition;

selecting one of the patient condition algorithms based on the detected type of patient condition; and

controlling an implanted neurostimulation device to select one of the multiple programs that corresponds to the selected patient condition algorithm for delivery of the neurostimulation therapy to the patient.

16. The method of claim 15, wherein the device comprises at least one of a patient programmer device, a clinician programmer device or the implanted neurostimulation device.

17. A method comprising:

generating a base program for delivery of neurostimulation therapy to a patient;

modifying the base program based on one or more patient condition algorithms defined by data stored in a memory of a device to generate multiple programs for the delivery of neurostimulation therapy to the patient;

transmitting the base program to an implanted neurostimulation device;

detecting a type of patient condition;

selecting one of the patient condition algorithms based on the detected type of patient condition; and

controlling the implanted neurostimulation device to modify the base program based on the selected patient condition algorithm.

18. The method of claim 17, wherein the device comprises at least one of a patient programmer device, a clinician programmer device or the implanted neurostimulation device.

19. A method comprising:

generating a base program for delivery of neurostiniulation therapy to a patient;

modifying the base program based on one or more patient condition algorithms defined by data stored in a memory of a device to generate multiple programs for the delivery of neurostimulation therapy to the patient;

selecting one of the patient condition algorithms based on a time of day; and

controlling an implanted neurostimulation device to select one of the multiple programs that corresponds to the selected patient condition algorithm for delivery of the neurostimulation therapy to the patient.

20. The method of claim 19, wherein the device comprises at least one of a patient programmer device, a clinician programmer device or the implanted neurostimulation device.

21. A method comprising:

generating a base program for delivery of neurostimulation therapy to a patient;

modifying the base program based on one or more patient condition algorithms defined by data stored in a memory of a device to generate multiple programs for the delivery of neurostimulation therapy to the patient;

transmitting the base program to an implanted neurostimulation device;

selecting one of the patient condition algorithms based on a time of day; and

controlling the implanted neurostimulation device to modify the base program based on the selected patient condition algorithm.

22. The method of claim 21, wherein the device comprises at least one of a patient programmer device, a clinician programmer device or the implanted neurostimulation device.

23. A device comprising:

a memory that stores one or more programs for delivery of neurostimulation therapy to a patient; and

a processor that modifies a base program for delivery of neurostimulation therapy to the patient based on one or more patient condition algorithms defined by data stored in the memory of the device to generate multiple programs for the delivery of neurostimulation therapy to the patient,

wherein the processor receives user input selecting one of the patient condition algorithms, and selects one of the multiple programs that corresponds to the selected patient condition algorithm for delivery of the neurostimulation therapy to the patient.

24. The device of claim 23, wherein the base program defines one or more parameters for the delivery of the neurostimulation therapy, and each of the patient condition algorithms specifies modification of at least one of the parameters.

25. The device of claim 24, wherein the parameters include neurostimulation amplitude, pulse width, frequency, therapy duration, and electrode combination and polarity.

26. The device of claim 23, wherein the patient condition algorithms include at least one of a sitting algorithm, a standing algorithm, a sleeping algorithm, a working algorithm, a walking algorithm, running algorithm, and an exercising algorithm.

27. The device of claim 23, wherein the patient condition algorithms include at least one of an awake algorithm, a sleeping algorithm, a resting algorithm, an active algorithm, an inactive algorithm, an ‘

on’

medication algorithm, an ‘

off’

medication algorithm, a tired algorithm, a depressed algorithm, and an anions algorithm.

28. The device of claim 23, further comprising a transmitter that transmits the multiple programs to an implanted neurostimulation device.

29. The device of claim 23, wherein the neurostimulation therapy includes one of spinal cord stimulation and brain stimulation.

30. The device of claim 23, wherein the base program defines parameters for the delivery of the neurostimulation therapy, and each of the patient condition algorithms specifies automatic modification of a plurality of the parameters.

31. A device comprising:

a memory that stores one or more programs for delivery of neurostimulation therapy to a patient; and

a processor that modifies a base program for delivery of neurostimulation therapy to the patient based on one or more patient condition algorithms defined by data stared in the memory of the device to generate multiple programs for the delivery of neurostimulation therapy to the patient,

wherein the processor receives user input selecting one of the patient condition algorithms, and modifies the base program based on the selected patient condition algorithm.

32. A device comprising:

a memory that stores one or more programs for delivery of neurostimulation therapy to a patient; and

a processor that modifies a base program for delivery of neurostimulation therapy to the patient based an one or more patient condition algorithms defined by data stored in the menory of the device to generate multiple programs for the delivery at neurostimulation therapy to the patient,

wherein the processor detects a type of patient condition, selects one of the patient condition algorithms based on the detected type of patient condition, and controls an implanted neurostimulation device to select one of the multiple programs that corresponds to the selected patient condition algorithm for delivery of the neurostimulation therapy to the patient.

33. A computer-readable medium comprising instructions to cause a processor to:

generate a base program for delivery of neurostimulation therapy to a patient;

modify the base program based on one or more patient condition algorithms defined by data stored in a memory of a device to generate multiple programs for the delivery of neurostimulation therapy to the patient;

receive user input selecting one of the patient condition algorithms; and

control an implanted neurostimulation device to select one of the multiple programs that corresponds to the selected patient condition algorithm for delivery of the neurostimulation therapy to the patient.

34. The computer-readable medium of claim 33, wherein the base program defines one or more parameters for the delivery of the neurostimulation therapy, and each of the patient condition algorithms specifies modification of at least one of the parameters.

35. The computer-readable medium of claim 34, wherein the parameters include neurostimulation pulse amplitude, pulse width, therapy duration, and electrode combination.

36. The computer-readable medium of claim 33, wherein the patient condition algorithms include at least one of a sitting algorithm, a standing algorithm, a sleeping algorithm, a working algorithm, a walking algorithm, running algorithm, and an exercising algorithm.

37. The computer-readable medium of claim 33, wherein the patient condition algorithms include at least one of an awake algorithm, a sleeping algorithm, a resting algorithm, an active algorithm, an inactive algorithm, an ‘

on’

medication algorithm, an ‘

off’

medication algorithm, a tired algorithm, a depressed algorithm, and an anxious algorithm.

38. The computer-readable medium of claim 33, wherein the device is a clinician programmer device, further comprising instructions to cause the processor to generate the multiple programs in the clinician programmer device, and transmit the multiple programs to the implanted neurostimulation device to control delivery of neurostimulation therapy to a patient by the implanted neurostimulation device.

39. The computer-readable medium of claim 33, wherein the neurostimulation therapy includes one of spinal cord stimulation and brain stimulation.

40. The computer-readable medium of claim 33, wherein the base program defines parameters for the delivery of the neurostimulation therapy, and each of the patient condition algorithms specifies automatic modification of a plurality of the parameters.

41. The computer-readable medium of claim 33, wherein the device comprises at least one of a patient programmer device, a clinician programmer device or the implanted neurostimulation device.

42. A computer-readable medium comprising instructions to cause a processor to:

generate a base program for delivery of neurostimulation therapy to a patient;

modify the base program based on one or more patient condition algorithms defined by data stored in a memory of a device to generate multiple programs for the delivery of neurostimulation therapy to the patient;

receive user input selecting one of the patient condition algorithms; and

control an implanted neurostimulation device to modify the base program based on the selected patient condition algorithm.

43. The computer-readable medium of claim 42, wherein the device comprises at least one of a patient programmer device, a clinician programmer device or the implanted neurostimulation device.

44. A computer-readable medium comprising instructions to cause a processor to;

generate a base program for delivery of neurostimulation therapy to a patient;

modify the base program based on one or more patient condition algorithms defined by data stored in a memory of a device to generate multiple programs for the delivery of neurostimulation therapy to the patient;

detect a type of patient condition;

select one of the patient condition algorithms based on the detected type of patient condition; and

control an implanted neurostimulation device to select one of the multiple programs that corresponds to the selected patient condition algorithm for delivery of the neurostimulation therapy to the patient.

45. The computer-readable medium of claim 44, wherein the device comprises at least one of a patient programmer device, a clinician programmer device or the implanted neurostimulation device.

46. A computer-readable medium comprising instructions to cause a processor to;

generate a base program for delivery of neurostimulation therapy to a patient;

modify the base program based on one or more patient condition algorithms defined by data stored in a memory of a device to generate multiple programs for the delivery of neurostimulation therapy to the patient;

transmit the base program to an implanted neurostimulation device;

detect a type of patient condition;

select one of the patient condition algorithms based on the detected type of patient condition; and

control the an implanted neurostimulation device to modify the base program based on the selected patient condition algorithm.

47. The computer-readable medium of claim 46, wherein the device comprises at least one of a patient programmer device, a clinician programmer device or the implanted neurostimulation device.

48. A computer-readable medium comprising instructions to cause a processor to:

generate a base program for delivery of neurostimulation therapy to a patient;

modify the base program based on one or more patient condition algorithms defined by data stored in a memory of a device to generate multiple programs for the delivery of neurostimulation therapy to the patient;

select one of the patient condition algorithms based on a time of day; and

control an implanted neurostimulation device to select one of the multiple programs that corresponds to the selected patient condition algorithm for delivery of the neurostimulation therapy to the patient.

49. The computer-readable medium of claim 48, wherein the device comprises at least one of a patient programmer device, a clinician programmer device or the implanted neurostimulation device.

50. A computer-readable medium comprising instructions to cause a processor to:

generate a base program far delivery of neurostimulation therapy to a patient;

modify the base program based on one or more patient condition algorithms defined by data stored in a memory of a device to generate multiple programs for the delivery of neurostimulation therapy to the patient;

transmit the base program to an implanted neurostimulation device;

select one of the patient condition algorithms based on a time of day; and

control the implanted neurostimulation device to modify the base program based on the selected patient condition algorithm.

51. The computer-readable medium of claim 50, wherein the device comprises at least one of a patient programmer device, a clinician programmer device or the implanted neurostimulation device.