Guided programming for posture-state responsive therapy

• US 8,200,340 B2
• Filed: 04/30/2009
• Issued: 06/12/2012
• Est. Priority Date: 07/11/2008
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Skelton, Dennis M., Davis, Jon P., Gokaldas, Shyam
• Primary Examiner(s): Gedeon, Brian T
• Application Number:
  US12/433,725
• Publication Number:
  US 20100010587A1
• Time in Patent Office: 1,139 Days
• Field of Search: 607/40, 607/41, 607/133, 607/138
• US Class Current: 607/62
• 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 5/103 Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes A61B5/08 takes precedence; measuring aids for tailors A41H1/00; measuring instruments specially adapted for dentistry A61C19/04
• 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: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/36139 with automatic adjustment
• CPC Class Codes: A61N 1/36535 controlled by body position or posture
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: G16H 20/40 relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
• CPC Class Codes: G16H 40/63 for local operation

Abstract

The disclosure describes guided programming for posture state-responsive therapy. The guided programming may include receiving therapy adjustment information that includes therapy adjustments made by a patient to at least one parameter of one or more stimulation therapy programs for one or more patient posture states, generating one or more suggested therapy parameters for one or more of the stimulation therapy programs based on the therapy adjustment information, presenting the suggested therapy parameters to a user.

Claims

1. A method comprising:

receiving therapy adjustment information that includes therapy adjustments made by a patient to at least one parameter of one or more stimulation therapy programs for one or more patient posture states;

generating one or more suggested therapy parameters for one or more of the stimulation therapy programs based on the therapy adjustment information; and

presenting the suggested therapy parameters to a user.

2. The method of claim 1, further comprising:

receiving input from the user selecting at least some of the suggested therapy parameters; and

setting the selected suggested therapy parameters to at least partially define the respective therapy programs for the respective posture states.

3. The method of claim 2, further comprising:

sensing one of the posture states; and

delivering stimulation therapy according to one of the therapy programs and the suggested therapy parameters selected by the user for the respective therapy program and the respective posture states.

4. The method of claim 2, wherein the input from the user comprises a selection of at least some of the posture states, and a selection of suggested therapy parameters for each of the therapy programs and the selected posture states.

5. The method of claim 4, wherein the input from the user comprises a selection of a program group comprising one or more of the therapy programs, and a selection of nominal therapy parameters for each of the therapy programs in the selected program group and the selected posture states.

6. The method of claim 2, wherein receiving a confirmation input from the user comprises receiving a single confirmation input from the user for suggested parameters for multiple therapy programs and multiple posture states.

7. The method of claim 1, further comprising:

prompting the user to select one of a plurality of guided programming algorithms from a guided programming algorithm menu presented to the user via a user interface;

receiving a selection of the one of the guided programming algorithms from the user; and

generating the suggested therapy parameters based on the selected guided programming algorithm.

8. The method of claim 7, wherein the guided programming algorithm comprises at least one of:

a safe average algorithm that generates the suggested therapy parameters based on an average of a portion of the therapy adjustments made by the patient having lowest values;

a weighted low average algorithm that generates the suggested therapy parameters based on an average of the therapy adjustments of the patient with a weighting applied to a lowest portion of the therapy adjustments;

a weighted high average algorithm that generates the suggested therapy parameters based on an average of the therapy adjustments of the patient with a weighting applied to a highest portion of the therapy adjustments;

a most frequent therapy parameter algorithm that generates the suggested therapy parameters based on a parameter value associated with a most frequent therapy adjustment of the patient;

a trend target algorithm that generates the suggested therapy parameters based on an average of the therapy adjustments of the patient with a weighting applied to more recent therapy adjustments; and

a most recently used algorithm that generates the suggested therapy parameters based on most recent therapy adjustments.

9. The method of claim 1, wherein each of the suggested therapy parameters for each of the respective therapy programs and posture states is at least one of a current amplitude or a voltage amplitude.

10. The method of claim 1, wherein the therapy programs are organized in a plurality of program groups, wherein each of the groups comprises one or more of the therapy programs, and wherein each of the therapy programs in any of the groups is delivered to the patient with other therapy programs in the respective group.

11. The method of claim 1, wherein generating one or more suggested therapy parameters comprises generating the one or more suggested therapy parameters in one of an implantable medical device or an external programmer.

12. A programming device for an implantable medical device, the programmer comprising:

a processor configured to generate one or more suggested therapy parameters for one or more stimulation therapy programs delivered by the implantable medical device based on therapy adjustment information, wherein the therapy adjustment information includes therapy adjustments made by a patient to at least one parameter of the stimulation therapy programs for one or more patient posture states; and

a user interface that presents the suggested therapy parameters to a user and receives input from the user selecting at least some of the suggested therapy parameters,

wherein the processor sets the selected suggested therapy parameters to at least partially define the respective therapy programs for the respective posture states.

13. The device of claim 12, further comprising a telemetry interface configured to transmit programming information relating to the selected suggested therapy parameters to the implantable medical device, wherein the programming information is configured to control the implantable medical device to sense one of the posture states, and deliver stimulation therapy according to one of the therapy programs and the suggested therapy parameters selected by the user for the respective therapy program and the respective posture state.

14. The device of claim 13, wherein the input from the user comprises a selection of at least some of the posture states, and a selection of suggested therapy parameters for each of the therapy programs and the selected posture states.

15. The device of claim 14, wherein the input from the user comprises a selection of a program group comprising one or more of the therapy programs, and a selection of nominal therapy parameters for each of the therapy programs in the selected program group and the selected posture states.

16. The device of claim 13, wherein the user interface is configured to receive a single confirmation input from the user to select the suggested therapy parameters for multiple therapy programs and multiple posture states.

17. The device of claim 12, wherein the processor controls the user interface to prompt the user to select one of a plurality of guided programming algorithms from a guided programming algorithm menu presented to the user via a user interface, and receive a selection of the one of the guided programming algorithms from the user, and wherein the processor generates the suggested therapy parameters based on the selected guided programming algorithm.

18. The device of claim 17, wherein the guided programming algorithm comprises at least one of:

a safe average algorithm that generates the suggested therapy parameters based on an average of a portion of the therapy adjustments made by the patient having lowest values;

a weighted low average algorithm that generates the suggested therapy parameters based on an average of the therapy adjustments of the patient with a weighting applied to a lowest portion of the therapy adjustments;

a weighted high average algorithm that generates the suggested therapy parameters based on an average of the therapy adjustments of the patient with a weighting applied to a highest portion of the therapy adjustments;

a most frequent therapy parameter algorithm that generates the suggested therapy parameters based on a parameter value associated with a most frequent therapy adjustment of the patient;

a trend target algorithm that generates the suggested therapy parameters based on an average of the therapy adjustments of the patient with a weighting applied to more recent therapy adjustments; and

a most recently used algorithm that generates the suggested therapy parameters based on most recent therapy adjustments.

19. The device of claim 12, wherein each of the suggested therapy parameters for each of the respective therapy programs and posture states is at least one of a current amplitude or a voltage amplitude.

20. The device of claim 12, wherein the therapy programs are organized in a plurality of program groups, wherein each of the groups comprises one or more of the therapy programs, and wherein each of the therapy programs in any of the groups is delivered to the patient with other therapy programs in the respective group.

21. A programmer for an implantable medical device, the programmer comprising:

means for receiving therapy adjustment information that includes therapy adjustments made by a patient to at least one parameter of one or more stimulation therapy programs for one or more patient posture states;

means for generating one or more suggested therapy parameters for one or more of the stimulation therapy programs based on the therapy adjustment information; and

means for presenting the suggested therapy parameters to a user.

22. The programmer of claim 21, further comprising:

means for receiving input from the user selecting at least some of the suggested therapy parameters; and

means for setting the selected suggested therapy parameters to at least partially define the respective therapy programs for the respective posture states.

23. The programmer of claim 22, further comprising:

means for sensing one of the posture states; and

means for delivering stimulation therapy according to one of the therapy programs and the suggested therapy parameters selected by the user for the respective therapy program and the respective posture states.

24. The programmer of claim 22, wherein the input from the user comprises a selection of at least some of the posture states, and a selection of suggested therapy parameters for each of the therapy programs and the selected posture states.

25. The programmer of claim 24, wherein the input from the user comprises a selection of a program group comprising one or more of the therapy programs, and a selection of nominal therapy parameters for each of the therapy programs in the selected program group and the selected posture states.

26. The programmer of claim 22, wherein receiving a confirmation input from the user comprises receiving a single confirmation input from the user for suggested parameters for multiple therapy programs and multiple posture states.

27. The programmer of claim 21, further comprising:

means for prompting the user to select one of a plurality of guided programming algorithms from a guided programming algorithm menu presented to the user via a user interface;

means for receiving a selection of the one of the guided programming algorithms from the user; and

means for generating the suggested therapy parameters based on the selected guided programming algorithm.

28. The programmer of claim 27, wherein the guided programming algorithm comprises at least one of:

a safe average algorithm that generates the suggested therapy parameters based on an average of a portion of the therapy adjustments made by the patient having lowest values;

a weighted low average algorithm that generates the suggested therapy parameters based on an average of the therapy adjustments of the patient with a weighting applied to a lowest portion of the therapy adjustments;

a weighted high average algorithm that generates the suggested therapy parameters based on an average of the therapy adjustments of the patient with a weighting applied to a highest portion of the therapy adjustments;

a most frequent therapy parameter algorithm that generates the suggested therapy parameters based on a parameter value associated with a most frequent therapy adjustment of the patient;

a trend target algorithm that generates the suggested therapy parameters based on an average of the therapy adjustments of the patient with a weighting applied to more recent therapy adjustments; and

a most recently used algorithm that generates the suggested therapy parameters based on most recent therapy adjustments.

29. The programmer of claim 21, wherein each of the suggested therapy parameters for each of the respective therapy programs and posture states is at least one of a current amplitude or a voltage amplitude.

30. The programmer of claim 21, wherein the therapy programs are organized in a plurality of program groups, wherein each of the groups comprises one or more of the therapy programs, and wherein each of the therapy programs in any of the groups is delivered to the patient with other therapy programs in the respective group.

31. An implantable medical device comprising:

a memory configured to store therapy adjustment information that includes therapy adjustments made by a patient to at least one parameter of one or more stimulation therapy programs for one or more patient posture states; and

a processor configured to generate one or more suggested therapy parameters for one or more of the stimulation therapy programs based on the therapy adjustment information; and

a telemetry circuit configured to transmit the suggested therapy parameters to an external programmer for presentation to a user.

32. A system comprising:

a memory configured to store therapy adjustment information that includes therapy adjustments made by a patient to at least one parameter of one or more stimulation therapy programs for one or more patient posture states;

a processor configured to generate one or more suggested therapy parameters for one or more of the stimulation therapy programs based on the therapy adjustment information; and

a user interface configured to present the suggested therapy parameters to a user and receive input from the user selecting at least some of the suggested therapy parameters.

33. The system of claim 32, further comprising an implantable medical device comprising at least one of the memory and the processor.

34. The system of claim 32, further comprising an external programmer comprising the user interface and at least one of the memory and the processor.