Posture state display on medical device user interface

• US 9,050,471 B2
• Filed: 04/30/2009
• Issued: 06/09/2015
• 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): Carey, Michael
• Application Number:
  US12/433,103
• Publication Number:
  US 20100010584A1
• Time in Patent Office: 2,231 Days
• Field of Search: 607/3, 607/6, 607/42, 607/43, 607 48- 50, 607/144, 607/19, 607/60, 607/62
• US Class Current: 1/1
• CPC Class Codes: A61B 2562/0219 Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
• CPC Class Codes: A61B 5/11 Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb for measuring pulse A61B5/02 ;A61B5/1038 takes precedence; motion detection to correct for motion artifacts in physiological signals A61B5/721
• CPC Class Codes: A61B 5/6846 specially adapted to be brought in contact with an internal body part, i.e. invasive
• CPC Class Codes: A61B 5/7445 Display arrangements, e.g. multiple display units
• CPC Class Codes: A61B 5/7475 User input or interface means, e.g. keyboard, pointing device, joystick
• CPC Class Codes: A61M 2205/502 User interfaces, e.g. screens or keyboards
• CPC Class Codes: A61M 2230/005 Parameter used as control input for the apparatus
• CPC Class Codes: A61M 2230/62 Posture
• 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 1/36139 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 20/30 relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16H 80/00 ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring

Abstract

The disclosure provides a system that displays a posture state indication to a user. A posture state indication represents the current posture state of the patient, which may be a combination of patient posture and activity. As a patient changes posture and activity throughout a daily routine, a posture state detector may generate a posture state value that may be used to categorize the patient'"'"'s posture or posture and activity level as one of multiple posture states used to adjust therapy. The posture state may be associated with one of multiple posture state indications that may be presented to the patient. The posture state indication shows the patient the posture state currently detected by the posture state detector. The posture state indication may help the patient to effectively monitor therapy changes due to automatic, semi-automatic or patient-directed therapy adjustments made as a function of posture state.

Claims

1. A method comprising:

receiving, by a processor, a detected posture state indicating a posture state currently occupied by a medical patient;

presenting, by a user interface of a medical device programmer, a posture state indication representative of the detected posture state currently occupied by the medical patient;

presenting an automatic posture response icon with at least one of a therapy program or a group of therapy programs, wherein the automatic posture response icon indicates therapy is delivered automatically according to the posture state of the medical patient; and

controlling delivery of therapy to the medical patient.

2. The method of claim 1, wherein presenting the posture state indication comprises generating a visible, audible or tactile representation of the posture state indication.

3. The method of claim 1, wherein presenting the posture state indication comprises presenting a visible representation of the posture state indication.

4. The method of claim 3, wherein presenting the posture state indication comprises presenting the posture state indication on a display associated with the user interface of the medical device programmer.

5. The method of claim 1, further comprising presenting, via the user interface of the medical device programmer, therapy information relating to therapy delivered to the medical patient by a medical device.

6. The method of claim 5, wherein receiving the detected posture state comprises receiving the detected posture state from the medical device.

7. The method of claim 1, wherein the posture state indication includes at least one of a plurality of posture state indications that represents a respective posture of the medical patient or a respective activity of the patient.

8. The method of claim 1, wherein the posture state indication includes at least one of an upright indication, a lying back indication, a lying front indication, a lying right indication, a lying left indication, a walking indication, a running indication, a biking indication, a swimming indication, a car riding indication, a lifting indication, or a typing indication.

9. The method of claim 1, wherein the posture state indication includes at least one of a graphical representation, a word, a letter, a number, or an arrow.

10. The method of claim 1, further comprising presenting a supplementary posture state indication with the posture state indication, wherein the supplementary posture state indication represents the posture state differently than the posture state indication.

11. The method of claim 10, wherein the posture state indication is a graphical representation and the supplementary posture state indication is a word.

12. The method of claim 1, further comprising receiving, via the user interface, a posture state confirmation selection from the medical patient that confirms the patient is currently engaged in the posture state represented by the presented posture state indication.

13. The method of claim 1, further comprising controlling, according to the posture state of the medical patient, an implantable medical device to deliver electrical stimulation therapy to the medical patient.

19. The method of claim 1, further comprising detecting, by an implantable medical device, the posture state currently occupied by the medical patient.

20. The method of claim 1, further comprising selecting the posture state indication from a plurality of posture state indications, wherein each of the posture state indications is associated with a different posture state.

25. The method of claim 5, wherein the therapy information is an indication of electrical stimulation therapy selected for delivery to the medical patient by the medical device.

33. The method of claim 1, wherein presenting the posture state indication comprises, responsive to receiving the detected posture state, presenting, by the user interface of the medical device programmer, the posture state indication representative of the detected posture state currently occupied by the medical patient.

34. The method of claim 1, wherein the posture state indication includes a symbolic icon that represents the detected posture state currently occupied by the medical patient.

35. The method of claim 1, wherein the medical device programmer is a patient programmer configured for use by the medical patient.

36. The method of claim 1, wherein the processor includes a processor of the medical device programmer, and wherein:

receiving the detected posture state comprises receiving, by the processor of the medical device programmer and via wireless telemetry between the medical device programmer and an implantable medical device, the detected posture state from the implantable medical device implanted within the medical patient,

the method further comprising, responsive to receiving the detected posture state, selecting, by the medical device programmer, the posture state indication from a plurality of posture state indications stored within a memory of the medical device programmer, wherein each of the posture state indications is associated with a different posture state, and wherein

presenting the posture state indication comprises, responsive to selecting the posture state indication, presenting the posture state indication representative of the detected posture state currently occupied by the medical patient.

37. The method of claim 1, further comprising:

receiving, by the medical device programmer, input indicating that the detected posture state incorrectly identifies a current posture state occupied by the medical patient;

presenting, by the user interface, a plurality of posture state indications associated with different posture states; and

receiving, by the medical device programmer, user selection of one of the plurality of posture state indications representative of the current posture state occupied by the medical patient.

38. The method of claim 37, further comprising re-orienting, based on the user selection of the one of the plurality of posture state indications, a posture state parameter value from which the detected posture state is determined.

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

a processor configured to receive a detected posture state indicating a posture state currently occupied by a medical patient; and

a user interface configured to;

present a posture state indication representative of the detected posture state currently occupied by the medical patient, and

present an automatic posture response icon with at least one of a therapy program or a group of therapy programs, wherein the automatic posture response icon indicates therapy is delivered automatically according to the detected posture state of the medical patient, and wherein the programmer is configured to control delivery of therapy from the implantable medical device to the medical patient.

15. The programmer of claim 14, further comprising a telemetry circuit that receives the detected posture state from the implantable medical device.

16. The programmer of claim 14, wherein the user interface is configured to present therapy information relating to therapy delivered to the medical patient by the implantable medical device.

17. The programmer of claim 14, further comprising a memory configured to store a plurality of posture state indications, wherein:

the posture state indication is one of the plurality of posture state indications; and

the plurality of posture state indication include at least one of an upright indication, a lying back indication, a lying front indication, a lying right indication, a lying left indication, a walking indication, a running indication, a biking indication, a swimming indication, a car riding indication, a lifting indication, or a typing indication.

18. The patient programmer of claim 14, wherein the posture state indications include at least one of a graphical representation, a symbolic icon, a word, a letter, a number, or an arrow.

21. The programmer of claim 14, wherein the programmer is configured to select the posture state indication associated with the received posture state.

22. The programmer of claim 14, wherein the user interface is configured to present a supplementary posture state indication with the posture state indication, wherein the supplementary posture state indication represents the posture state differently than the posture state indication.

23. The programmer of claim 22, wherein the posture state indication includes a graphical representation and the supplementary posture state indication includes a word.

24. The programmer of claim 14, wherein the user interface is configured to receive a posture state confirmation from the medical patient that confirms that the medical patient is currently engaged in the posture state represented by the presented posture state indication.

26. The programmer of claim 16, wherein the therapy information is an indication of electrical stimulation therapy selected for delivery to the medical patient by the implantable medical device.

27. A non-transitory computer-readable storage medium comprising instructions that cause a processor to:

receive a detected posture state indicating a posture state currently occupied by a medical patient;

present, via a user interface of a medical device programmer, a posture state indication representative of the detected posture state currently occupied by the medical patient;

present an automatic posture response icon with at least one of a therapy program or a group of therapy programs, wherein the automatic posture response icon indicates therapy is delivered automatically according to the posture state of the medical patient; and

control delivery of therapy to the medical patient.

28. The non-transitory computer-readable storage medium of claim 27, wherein the instructions that cause the processor to present the posture state indication comprises instructions that cause the processor to present a visible representation of the posture state indication.

29. The non-transitory computer-readable storage medium of claim 27, wherein the posture state indication includes at least one of an upright indication, a lying back indication, a lying front indication, a lying right indication, a lying left indication, a walking indication, a running indication, a biking indication, a swimming indication, a car riding indication, a lifting indication, or a typing indication.

30. The non-transitory computer-readable storage medium of claim 27, wherein the posture state indication includes at least one of a graphical representation, a symbolic icon, a word, a letter, a number, or an arrow.

31. The non-transitory computer-readable storage medium of claim 27, further comprising instructions that cause the processor to receive, via the user interface, a posture state confirmation selection from the medical patient, wherein the posture state confirmation confirms the patient is currently engaged in the posture state represented by the presented posture state indication.

32. The non-transitory computer-readable storage medium of claim 27, further comprising instructions that cause the processor to select the posture state indication from a plurality of posture state indications, wherein each of the posture state indications is associated with a different posture state.

39. A method comprising:

receiving, by a processor, a detected posture state indicating a posture state currently occupied by a medical patient;

presenting, by a user interface of a medical device programmer, a posture state indication representative of the detected posture state currently occupied by the medical patient;

receiving, via the user interface, a posture state confirmation selection from the medical patient that confirms the patient is currently engaged in the posture state represented by the presented posture state indication; and

controlling delivery of therapy to the medical patient.

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

a processor configured to receive a detected posture state indicating a posture state currently occupied by a medical patient; and

a user interface configured to;

present a posture state indication representative of the detected posture state currently occupied by the medical patient, and

receive a posture state confirmation selection from the medical patient that confirms the patient is currently engaged in the posture state represented by the presented posture state indication, wherein the programmer is configured to control delivery of therapy from the implantable medical device to the medical patient.