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Movement disorder therapy system, devices and methods, and methods of remotely tuning

  • US 9,289,603 B1
  • Filed: 09/10/2013
  • Issued: 03/22/2016
  • Est. Priority Date: 09/10/2012
  • Status: Active Grant
First Claim
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1. A method of tuning a movement disorder therapy system comprising steps of:

  • providing a movement disorder diagnostic device to a subject with an implanted deep brain stimulation (DBS) device operable according to adjustable DBS parameters,wherein the movement disorder diagnostic device comprises at least one physiological or movement sensor capable of generating a signal, and the DBS parameters include one or more of electrode polarity, frequency, amplitude, current, pulse width/wavelength, waveform type, and contact configuration;

    instructing, via a device with a processor in communication with the movement disorder diagnostic device, or by the clinician, physician or technician, the subject to perform at least one movement disorder test while the subject is undergoing DBS therapy or is under the effects of DBS therapy,wherein the movement disorder test corresponds to a set of first level DBS parameters of the DBS therapy;

    measuring, by the movement disorder diagnostic device, symptomatic movement of the subject to obtain movement data based at least in part on the generated signal from the at least one physiological or movement sensor during the at least one movement disorder test;

    transmitting, by the movement disorder diagnostic device, the measured movement data to the device with a processor;

    extracting, by the device with a processor, at least one kinematic feature from the measured movement data;

    processing, by the device with a processor, the at least one kinematic feature with an algorithm to obtain at least one score;

    displaying, on a display, the subject'"'"'s measured movement data and the at least one score to a clinician, physician or technician;

    determining, by the clinician, physician or technician, based at least in part on the subject'"'"'s measured movement data and the at least one score, a set of second level DBS parameters to alter the subject'"'"'s performance on the at least one movement disorder test;

    entering, automatically by the device with a processor or manually by the clinician, physician or technician, the second level DBS parameters into a programmer device in communication with the subject'"'"'s DBS device such that the subject'"'"'s DBS device operates under the second level DBS parameters; and

    supplying, by the DBS device, a stimulation current to the subject'"'"'s brain under the second level DBS parameters to provide altered DBS therapy to the subject.

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