Patient interaction with posture-responsive therapy

• US 8,583,252 B2
• Filed: 04/30/2009
• Issued: 11/12/2013
• 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): Gedeon, Brian T
• Application Number:
  US12/433,325
• Publication Number:
  US 20100010575A1
• Time in Patent Office: 1,657 Days
• Field of Search: 607/40, 607/41, 607/62
• 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 5/1116 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 receiving an indication from an external device to resume delivery of therapy to a patient that was previously turned off, wherein the therapy that was previously turned off comprises therapy delivered to the patient according to a detected posture state of the patient; obtaining therapy information defining the therapy; and resuming the delivery of therapy to the patient in response to the receipt of the indication, wherein the delivery of therapy is resumed according to the obtained therapy information.

Claims

1. A method comprising:

receiving a first indication from an external device to resume delivery to a patient of therapy that was suspended, wherein the therapy that was suspended comprises therapy delivered to the patient via a medical device according to a detected posture state of the patient, and wherein the received first indication is generated by the external device based on input from a user indicating that the delivery of therapy should be resumed;

receiving a second indication from the external device, after suspension of the therapy, indicating therapy information to define the therapy to be delivered to the patient when the therapy is resumed;

and

resuming the delivery of therapy to the patient via the medical device in response to the receipt of the first indication to resume the delivery of therapy, wherein the therapy delivered via the medical device is resumed according to the therapy information.

2. The method of claim 1, wherein the therapy information comprises therapy information defining one or more aspects of the therapy delivered according to the detected posture state of the patient prior to the therapy being suspended.

3. The method of claim 1, wherein the therapy information comprises therapy information defined at approximately a time the delivery of stimulation therapy was suspended.

4. The method of claim 1, wherein the therapy information comprises therapy information defined when the delivery of stimulation therapy was initialized.

5. The method of claim 1, wherein the therapy information comprises therapy information associated with a posture state of the patient detected at a time when the therapy is resumed.

6. The method of claim 1, wherein the therapy information comprises therapy information defined prior to the therapy being turned off but after the therapy was initialized.

7. The method of claim 1, wherein the external device is a clinician programmer.

8. The method of claim 1, further comprising:

sending the therapy information to the external device; and

receiving a third indication from the external device confirming that the therapy should be resumed according to the therapy information.

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

10. The method of claim 1, wherein the therapy that was suspended further comprises therapy delivered to the patient not according to the detected posture state of the patient.

11. The method of claim 1, further comprising:

detecting, via a processor, the posture state of the patient based on output of a posture state sensor;

controlling the delivery of the therapy based on the detected posture state of the patient;

subsequently receiving the first indication to suspend the delivery of therapy based on the detected posture state of the patient; and

suspending the delivery of therapy based on the receipt of the first indication.

12. The method of claim 1, further comprising detecting, via a processor, the posture state of the patient based on output of a posture state sensor, wherein the posture state sensor comprises an accelerometer sensor.

13. The method of claim 1, wherein the therapy information comprises therapy information defining therapy groups active for delivery of therapy according to the detected posture state of the patient.

14. The method of claim 1, wherein resuming the delivery of therapy to the patient via the medical device in response to the receipt of the first indication comprises resuming the detection of a posture of the patient and controlling the delivery of the therapy according to the detected posture state of the patient.

15. The method of claim 1, further comprising:

controlling the delivery of the therapy to the patient according to a detected posture state of the patient; and

receiving, prior to receiving the first indication, a third indication from the external device to suspend the delivery of the therapy to the patient.

16. The method of claim 1, further comprising periodically storing therapy information over a period of time after the therapy is initialized, wherein the therapy information indicated by the second indication comprises the periodically stored therapy information different from that of therapy information defining the therapy when suspended.

17. The method of claim 1, wherein the input from the user is indicated to the external device via a user interface of the external device.

18. The system of claim 1, further comprising a user interface configured to receive the input from the user indicating that the delivery of therapy should be resumed.

19. The method of claim 1, wherein the first indication received from an external device to resume delivery of therapy includes the second indication indicating the therapy information to define the therapy delivered to the patient when resumed.

20. The method of claim 1, wherein the second indication indicating the therapy information is generated by the external device based on input from a user indicating the therapy information.

21. A system comprising:

a therapy module configured to deliver therapy to a patient according to a detected posture state of the patient; and

a processor configured to receive a first indication from an external device to resume delivery to the patient of therapy that was suspended, wherein the received first indication is generated by the external device based on input from a user indicating that the delivery of therapy should be resumed, receive a second indication from the external device, after suspension of the therapy, indicating therapy information to define the therapy to be delivered to the patient when the therapy is resumed, and resume delivery of therapy to the patient via the therapy module in response to the receipt of the first indication to resume the delivery of therapy, wherein the delivery of therapy is resumed according to the therapy information, and wherein the therapy that was suspended comprises therapy delivered to the patient according to the detected posture state of the patient.

22. The system of claim 21, wherein the therapy information comprises therapy information defining one or more aspects of the therapy delivered according to the detected posture state of the patient prior to the therapy being suspended.

23. The system of claim 21, wherein the therapy information comprises therapy information defined at approximately a time the delivery of stimulation therapy was suspended.

24. The system of claim 21, wherein the therapy information comprises therapy information defined when the delivery of stimulation therapy was initialized.

25. The system of claim 21, wherein the therapy information comprises therapy information defined prior to the therapy being suspended but after the therapy was initialized.

26. The system of claim 21, wherein the therapy information comprises therapy information associated with a posture state of the patient detected at a time when the therapy is resumed.

27. The system of claim 21, wherein the external device is a clinician programmer.

28. The system of claim 21, wherein the processor is configured to send the therapy information to the external device, and receive a third indication from the external device confirming that the therapy should be resumed according to the obtained therapy information.

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

30. The system of claim 21, wherein the therapy that was suspended further comprises therapy delivered to the patient not according to the detected posture state of the patient.

31. The system of claim 21, further comprising the external device configured to generate the indication.

32. The system of claim 21, further comprising a posture state sensor, wherein the processor is configured to detect the posture state of the patient based on output of the posture state sensor, control the delivery of the therapy via the therapy module based on the detected posture state of the patient, subsequently receive the first indication to suspend the delivery of therapy based on the detected posture state of the patient, and suspend the delivery of therapy based on the receipt of the first indication.

33. The system of claim 21, further comprising a posture state sensor, wherein the processor is configured to detect the posture state of the patient based on output of the posture state sensor, wherein the posture state sensor comprises an accelerometer sensor.

34. The system of claim 21, wherein the therapy information comprises therapy information defining therapy groups active for delivery of therapy according to the detected posture state of the patient.

35. The system of claim 21, wherein the processor is configured to resume the detection of a posture of the patient and deliver the therapy according to the detected posture state of the patient.

36. The system of claim 21, wherein the processor is configured to deliver the therapy to the patient according to a detected posture state of the patient, and receive, prior to receiving the first indication, a third indication from the external device to suspend the delivery of the therapy to the patient.

37. The system of claim 21, wherein the processor is configured to periodically store current therapy information after the therapy is initialized, wherein the therapy information indicated by the second indication includes the periodically stored therapy information, wherein the periodically stored therapy information is different from that of therapy information defining the therapy when suspended.

38. The system of claim 21, wherein the first indication received from an external device to resume delivery of therapy includes the second indication indicating a therapy information to define the therapy delivered to the patient when resumed.

39. The system of claim 21, wherein the first indication indicating the therapy information is generated by the external device based on input from a user indicating the therapy information.

40. A system comprising:

means for receiving a first indication from an external device to resume delivery to a patient of therapy that was suspended, wherein the therapy that was suspended comprises therapy delivered to the patient via a medical device according to a detected posture state of the patient, and wherein the received first indication is generated by the external device based on input from a user indicating that the delivery of therapy should be resumed;

receiving a second indication from the external device, after suspension of the therapy, indicating therapy information to define the therapy to be delivered to the patient when resumed;

and

means for resuming the delivery of therapy to the patient via the medical device in response to the receipt of the first indication to resume the delivery of therapy, wherein the delivery of therapy is resumed according to the therapy information.

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

receive a first indication from an external device to resume delivery to a patient of therapy that was suspended, wherein the therapy that was suspended comprises therapy delivered to the patient via a medical device according to a detected posture state of the patient, and wherein the received first indication is generated by the external device based on input from a user indicating that the delivery of therapy should be resumed;

receive a second indication from the external device, after suspension of the therapy, indicating therapy information to define the therapy to be delivered to the patient when resumed;

and

resume the delivery of therapy to the patient via the medical device in response to the receipt of the first indication to resume the delivery of therapy, wherein the delivery of therapy is resumed according to the therapy information.