Patient interaction with posture-responsive therapy

• US 8,447,411 B2
• Filed: 04/30/2009
• Issued: 05/21/2013
• 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., Sahasrabudhe, Rajeev, Gokaldas, Shyam, Nolan, Joseph J.
• Primary Examiner(s): Koharski, Christopher D
• Assistant Examiner(s): MAHMOOD, NADIA AHMAD
• Application Number:
  US12/433,530
• Publication Number:
  US 20100010576A1
• Time in Patent Office: 1,482 Days
• Field of Search: None
• 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 5/1118 Determining activity level
• CPC Class Codes: A61B 5/686 Permanently implanted devices, e.g. pacemakers, other stimulators, biochips A61B5/6861 takes precedence
• CPC Class Codes: A61B 5/743 Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots
• CPC Class Codes: A61M 2205/054 with electrotherapy
• CPC Class Codes: A61M 2230/62 Posture
• CPC Class Codes: A61M 37/00 Other apparatus for introducing media into the body for reproduction or fertilisation A61B17/425; apparatus for iontophoresis or cataphoresis A61N1/30; Percutany, i.e. introducing medicines into the body by diffusion through the skin salt baths A61H33/04
• 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 1/36132 using patient feedback
• 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 1/37247 User interfaces, e.g. input or presentation means
• 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

Abstract

In general, the disclosure relates to the delivery of therapy according to a detected posture state of a patient. The disclosure contemplates a variety of techniques for managing therapy delivered to a patent, including patient and clinician interaction with a medical device configured to deliver therapy according to posture state. In one example, the disclosure relates to a technique including obtaining an operational status of a therapy group from a medical device, wherein the medical device is configured to deliver therapy to a patient according to a detected posture state of the patient; and presenting the operational status of the therapy group via an external device, wherein presenting the operational status of the therapy group comprises presenting whether the therapy group is active for delivery of therapy.

Claims

1. A method comprising:

determining, via one or more processors, whether a therapy group is active for delivery of therapy to a patient;

determining, via one or more processors, whether the therapy defined by the therapy group is configured to be delivered to the patient according to a detected posture state of the patient;

presenting a first indicator, via a user interface of an external device, indicating whether the therapy group is active for the delivery of therapy to the patient; and

presenting a second indicator, via a user interface of an external device, indicating whether the therapy defined by the therapy group is configured to be delivered to the patient according to the detected posture state of the patient.

2. The method of claim 1, wherein the external device is one of at least a patient programmer or a clinician programmer.

3. The method of claim 1, wherein presenting the second indicator, via the user interface of the external device comprises displaying an automatic posture response icon proximate to a group indicator icon on a display of the external device.

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

5. The method of claim 1, wherein the therapy group comprises a plurality of therapy groups.

6. The method of claim 5, wherein presenting the first indicator, via the user interface of the external device comprises displaying at least one of the plurality of therapy groups on a display of the external device.

7. The method of claim 6, wherein displaying the at least one of the plurality of therapy groups on the display comprises displaying less than all of the plurality of therapy groups on the display of the external device.

8. The method of claim 1, wherein the therapy group comprises at least one therapy program.

9. The method of claim 8, wherein the at least one therapy program defines one or more values for one or more therapy parameters.

10. The method of claim 9, wherein the one or more therapy parameters comprise at least one of voltage amplitude, current amplitude, pulse rate, pulse width, or electrode configuration.

11. The method of claim 1, wherein whether the therapy defined by the therapy group is configured to be delivered to the patient according to a detected posture state of the patient varies based at least on user input.

37. The method of claim 1, wherein presenting the second indicator comprises presenting the second indicator at one or more of a separate time or location than presenting the first indicator.

12. An external device comprising:

a processor configured to determine from a medical device whether a therapy group is active for the delivery of therapy to a patient and whether the therapy defined by the therapy group is configured to be delivered to the patient according to a detected posture state of the patient; and

a user interface configured to present a first indicator indicating whether the therapy group is active for the delivery of therapy to the patient via a medical device and a second indicator indicating whether the therapy defined by the therapy group is configured to be delivered to the patient according to the detected posture state of the patient.

13. The external device of claim 12, wherein the external device is one of at least a patient programmer or clinician programmer.

14. The external device of claim 12, further including a display, wherein the user interface, to present the second indicator, is configured to display an automatic posture response icon proximate to a group indicator icon on the display of the external device.

15. The external device of claim 12, wherein the therapy comprises electrical stimulation therapy.

16. The external device of claim 12, wherein the therapy group comprises a plurality of therapy groups.

17. The external device of claim 16, further including a display wherein the user interface, to present the first indicator, is configured to display at least one of the plurality of therapy groups on the display of the external device.

18. The external device of claim 17, wherein the user interface is configured to display less than all of the plurality of therapy groups on the display of the external device.

19. The external device of claim 12, wherein the therapy group comprises at least one therapy program.

20. The external device of claim 19, wherein the at least one therapy program defines one or more values for one or more therapy parameters of the therapy delivered to the patient by the medical device.

21. The external device of claim 20, wherein the one or more therapy parameters comprises at least one of voltage amplitude, current amplitude, pulse rate, pulse width, or electrode configuration.

22. The external device of claim 12, wherein whether the therapy defined by the therapy group is configured to be delivered to the patient according to the detected posture state of the patient varies based at least on user input.

23. The external device of claim 12, further comprising a telemetry circuit configured to retrieve information about whether the therapy defined by the therapy group is configured to be delivered to the patient according to the detected posture state of the patient.

24. The external device of claim 12, further comprising a memory configured to store information about whether the therapy defined by the therapy group is configured to be delivered to the patient according to the detected posture state of the patient.

38. The device of claim 12, wherein presenting the second indicator comprises presenting the second indicator at one or more of a separate time or location than presenting the first indicator.

25. A system comprising:

a medical device configured to detect the posture state of a patient and deliver therapy according to the detected posture state; and

an external device comprising a processor and a user interface,

wherein the processor is configured to determine whether a therapy group is active for the delivery of therapy to the patient and whether the therapy defined by the therapy group is configured to be delivered according to the detected posture state of the patient, and the user interface is configured to present a first indicator indicating whether the therapy group is active for the delivery of therapy to the patient and a second indicator indicating whether the therapy defined by the therapy group is configured to be delivered to the patient according to the detected posture state of the patient.

26. The system of claim 25, wherein the external device comprises at least one of a patient programmer or clinician programmer.

27. The system of claim 25, wherein the external device further includes a display, and the user interface, to present the second indicator, is configured to display an automatic posture response icon proximate to a group indicator icon on the display of the external device.

28. The system of claim 25, wherein the therapy delivered by the medical device comprises electrical stimulation therapy.

29. The system of claim 25, wherein the therapy group comprises a plurality of therapy groups.

30. The system of claim 29, wherein the user interface is configured to display at least one of the plurality of therapy groups on a display of the external device and to present the second indicator indicating whether, the therapy defined by the therapy group is configured to be delivered according to the detected posture state of the patient.

31. The system of claim 30, wherein less than all of the plurality of therapy groups are displayed on the display of the external device.

32. The system of claim 27, wherein whether the therapy defined by the therapy group is configured to be delivered to the patient according to the detected posture state of the patient varies based at least on user input.

33. The system of claim 27, wherein the external device further comprises a telemetry circuit configured to retrieve information about whether the therapy defined by the therapy group is configured to be delivered to the patient according to the detected posture state of the patient.

34. The system of claim 27, wherein the external device further comprises a memory configured to store information about whether the therapy defined by the therapy group is configured to be delivered to the patient according to the detected posture state of the patient.

39. The system of claim 25, wherein presenting the second indicator comprises presenting the second indicator at one or more of a separate time or location than presenting the first indicator.

35. A system comprising:

means for determining, via one or more processors, whether a therapy group is active for the delivery of therapy to a patient and whether the therapy defined by the therapy group is configured to be delivered to the patient according to a detected posture state of the patient; and

means for presenting a first indicator, via a user interface of an external device, indicating whether the therapy group is active for the delivery of therapy and a second indicator indicating whether the therapy defined by the therapy group is configured to be delivered to the patient according to the detected posture state of the patient.

40. The system of claim 35, wherein presenting the second indicator comprises presenting the second indicator at one or more of a separate time or location than presenting the first indicator.

36. A non-transitory computer-readable storage medium comprising instructions for causing one or more processors to:

determine whether a therapy group is active for the delivery of therapy to a patient and whether the therapy defined by the therapy group is configured to be delivered to the patient according to a detected posture state of the patient; and

present a first indicator, via a user interface of an external device, indicating whether the therapy group is active for the delivery of therapy and a second indicator indicating whether the therapy defined by the therapy group is configured to be delivered to the patient according to the detected posture state of the patient.

41. The non-transitory computer-readable storage medium of claim 36, wherein presenting the second indicator comprises presenting the second indicator at one or more of a separate time or location than presenting the first indicator.