Clinician programmer system interface for monitoring patient progress

• US 9,050,470 B2
• Filed: 05/15/2009
• Issued: 06/09/2015
• Est. Priority Date: 05/15/2008
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: IntElect Medical, Inc. (Boston Scientific Corporation)
• Inventors: Carlton, Keith, Barnhorst, Jordan, Blum, David Arthur, Greszler, Alan, Kokones, Scott, Sparks, Troy, Erdoan, Engin, Hoffer, Brian James, Ionescu, Arna Diana, Lubensky, David Ari
• Primary Examiner(s): Kahelin, Michael
• Assistant Examiner(s): FAIRCHILD, MALLIKA DIPAYAN
• Application Number:
  US12/454,343
• Publication Number:
  US 20090287273A1
• Time in Patent Office: 2,216 Days
• Field of Search: 607/45, 607/46, 607/30, 607/59
• US Class Current: 1/1
• CPC Class Codes: A61B 2034/104 Modelling the effect of the tool, e.g. the effect of an implanted prosthesis or for predicting the effect of ablation or burring
• CPC Class Codes: A61B 2034/105 Modelling of the patient, e.g. for ligaments or bones
• CPC Class Codes: A61B 2034/107 Visualisation of planned trajectories or target regions
• CPC Class Codes: A61B 2090/103 Cranial plugs for access to brain
• CPC Class Codes: A61B 34/10 Computer-aided planning, simulation or modelling of surgical operations
• CPC Class Codes: A61B 5/055 involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging
• CPC Class Codes: A61N 1/36082 Cognitive or psychiatric applications, e.g. dementia or Alzheimer's disease
• CPC Class Codes: A61N 1/36128 Control systems
• CPC Class Codes: A61N 1/36185 Selection of the electrode configuration
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: G06V 40/10 Human or animal bodies, e.g. vehicle occupants or pedestrians; Body parts, e.g. hands
• 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
• CPC Class Codes: G16H 50/50 for simulation or modelling of medical disorders
• CPC Class Codes: G16H 70/20 relating to practices or guidelines

Abstract

A therapy tracking system and method may include a processor that obtains physiological information regarding a patient and a time period during which a deep brain stimulation (DBS) therapy is conducted. The information may be organized into a plurality of sessions. The processor may arrange in a display device a separate representation of the information for each of at least a subset of the sessions, such that the sessions are presented in order of time.

Claims

1. A method of a therapy tracking machine, the method comprising:

obtaining, by a processor of the machine, physiological information regarding a patient and pertaining to a plurality of sessions of a deep brain stimulation (DBS) therapy conducted during a time period, each of the plurality of sessions corresponding to a respective set of stimulation parameter settings;

displaying, by the processor and in a single interface screen within a display device, a timeline representing at least a portion of the time period during which more than one of the plurality of sessions were conducted;

simultaneously displaying, by the processor and in the single interface screen within the display device, respective representations of the more than one of the plurality of sessions against the timeline; and

arranging, by the processor and in the single interface screen of the display device, the physiological information of the more than one of the plurality of sessions against the timeline.

2. The method of claim 1, wherein the information is organized into a plurality of discrete session data sets, each set corresponding to one of the plurality of sessions.

3. The method of claim 1, further comprising:

for each of at least a subset of the more than one of the plurality of sessions, displaying at the respective position of the session with respect to the timeline, stimulation parameter information regarding settings of a leadwire during the session, the leadwire being used for conducting the stimulation therapy.

4. The method of claim 1, wherein the sessions according to which the arranging is performed are selectable by a user from a plurality of sessions.

5. The method of claim 4, wherein a first and last session are automatically selected for display, in the simultaneously displaying step, of corresponding information along the timeline.

6. The method of claim 1, wherein the representation of information includes a graph of a change in a physiological parameter over the time period.

7. The method of claim 6, wherein the graph is graphically demarcated with respective indicia for each of the more than one of the plurality of sessions to indicate a correspondence between values of the graph to respective ones of the more than one of the plurality of sessions.

8. The method of claim 1, wherein the physiological information for which the representation is arranged is a subset of physiological information obtained by the processor, the subset being user-selectable.

9. The method of claim 1, wherein at least a subset of the physiological information is obtained from a sensor that senses physiological characteristics of the patient.

10. The method of claim 1, wherein each of the plurality of sessions has a respective begin time at which stimulation according to its respective set of stimulation parameter settings is begun and an end time at which the stimulation according to its respective set of stimulation parameter settings is ended.

11. The method of claim 1, wherein the respective representations each includes a thumbnail indicating its respective parameter settings.

12. A method of a therapy tracking machine, the method comprising:

obtaining, by a processor of the machine, physiological information regarding a patient and pertaining to a deep brain stimulation (DBS) therapy conducted during a time period, wherein the information is organized into a plurality of sessions;

displaying, by the processor and in a single interface screen within a display device, a timeline representing the time period; and

simultaneously displaying, by the processor and in the single interface screen within the display device, a representation of the information of the plurality of sessions against the timeline;

wherein;

each of the plurality of sessions is assigned a respective position along the timeline;

the method further comprises, for each of at least a subset of the plurality of sessions, displaying, in the single interface screen and at the respective position of the session with respect to the timeline, stimulation parameter information regarding settings of a leadwire during the session, the leadwire being used for conducting the stimulation therapy; and

a thumbnail depiction of a model of the leadwire is displayed in the single interface screen for each of at least a subset of the plurality of sessions, the thumbnail including at least a portion of the stimulation parameter information.

13. The method of claim 12, wherein the leadwire includes electrodes, and the thumbnail shows at least one of which electrodes of the leadwire are active and one or more current fields.

14. The method of claim 12, wherein:

the time period corresponding to the displayed timeline is a portion of a greater time period during which the DBS therapy was conducted, and the arranging includes displaying the timeline such that it is scrollable to display information corresponding to other portions of the greater time period;

the thumbnails are rotating thumbnails; and

the arranging further includes displaying and removing from display in accordance with the scrolling of the timeline.

15. A method of a therapy tracking machine, the method comprising:

obtaining, by a processor of the machine, physiological information regarding a patient and pertaining to a deep brain stimulation (DBS) therapy conducted during a time period, wherein the information is organized into a plurality of sessions;

displaying, by the processor and in a single interface screen within a display device, a timeline representing the time period; and

simultaneously displaying, by the processor and in the single interface screen within the display device, a representation of the information of the plurality of sessions against the timeline;

wherein;

each of the plurality of sessions is assigned a respective position along the timeline;

the sessions according to which the arranging is performed are selectable by a user from a plurality of sessions; and

one of the sessions is selectable as a baseline, information regarding the baseline session being displayed in the simultaneously displaying step for comparison with any session selected for display along the timeline.

16. A method of a therapy tracking machine, the method comprising:

obtaining, by a processor of the machine, physiological information regarding a patient and pertaining to a deep brain stimulation (DBS) therapy conducted during a time period, wherein the information is organized into a plurality of sessions;

displaying, by the processor and in a single interface screen within a display device, a timeline representing the time period;

simultaneously displaying, by the processor and in the single interface screen within the display device, a representation of the information against the timeline , wherein each session is assigned a respective position within the single interface screen along the timeline; and

displaying note icons along the timeline, each note icon selectable for viewing a note entered in association with a session to which a point along the timeline at which the note icon is displayed corresponds.

17. A method of a therapy tracking machine, the method comprising:

obtaining, by a processor of the machine, physiological information regarding a patient and pertaining to a plurality of sessions of a deep brain stimulation (DBS) therapy conducted during a time period, each of the plurality of sessions corresponding to a respective set of stimulation parameter settings, the information being organized into a plurality of discrete session data sets, each set corresponding to a respective one of the plurality of sessions;

displaying, by the processor and in a single interface screen within a display device, a timeline representing the time period; and

simultaneously displaying, by the processor and in the single interface within the display device, a separate representation of the information for each of at least a subset of the sessions against the timeline, the subset including more than one of the sessions.

18. The method of claim 17, further comprising:

determining a difference between adjacent ones of the subset, of sessions with respect to each of at least one physiological parameter; and

displaying an identification of a type of trend with respect to the determined difference.

19. The method of claim 18, wherein the identification of trend type is via directional arrows indicating a positive or negative change.

20. The method of claim 17, further comprising:

with respect to each of the subset;

for each of at least one physiological parameter;

determining whether a value of the parameter is within a tolerance range; and

where the determination is that the value is not within the tolerance range, outputting a corresponding visual alert.

21. A therapy tracking system, comprising:

a display device; and

a processor configured to;

obtain physiological information regarding a patient and pertaining to a plurality of sessions of a deep brain stimulation (DBS) therapy conducted during a time period, each of the plurality of sessions corresponding to a respective set of stimulation parameter settings, the information being organized into a plurality of discrete session data sets, each set corresponding to a respective one of the plurality of sessions;

display in a single interface screen within the display device a timeline representing the time period; and

simultaneously display in the single interface screen a separate representation of the information for each of the sessions against the timeline.

22. A method of a therapy tracking machine, the method comprising:

obtaining, by a processor of the machine, physiological information regarding a patient and pertaining to a deep brain stimulation (DBS) therapy conducted during a time period, wherein the information is organized according to a plurality of stimulation programs by which a stimulation leadwire, that includes electrodes, provides a stimulation;

displaying, by the processor and in a single interface screen within a display device, a timeline representing the time period; and

simultaneously displaying, by the processor and in the single interface screen within the display device, a representation of the information against the timeline;

wherein;

for each of the stimulation programs, a respective thumbnail is displayed in the single interface screen against the timeline;

each of the thumbnails represents a subset of the time period; and

each of the thumbnails includes a graphical model of the leadwire and a representation of which of the electrodes of the leadwire were active during the subset of the time period to which the respective thumbnail corresponds.

23. A method of a therapy tracking machine, the method comprising:

obtaining, by a processor of the machine, physiological information regarding a patient and pertaining to a deep brain stimulation (DBS) therapy conducted during a time period, wherein the information is organized into a plurality of sessions;

displaying, by the processor and in a single interface screen within a display device, a timeline representing the time period; and

simultaneously displaying, by the processor and in the single interface screen of the display device, a representation of the information against the timeline;

wherein;

each session is assigned a respective position along the timeline;

the sessions are a subset of user-selected sessions;

one is selected as a baseline;

the time period corresponding to the displayed timeline is a portion of a greater time period during which the DBS therapy was conducted;

the timeline is displayed such that it is scrollable to different scroll positions, and such that (a) information corresponding to different ones of the user-selected sessions are displayed at different ones of the scroll positions, and (b) information regarding the baseline session is displayed at all of the scroll positions for comparison with selected non-baseline sessions displayed along the timeline at the respective scroll positions.