Obtaining baseline patient information

• US 9,560,990 B2
• Filed: 07/09/2012
• Issued: 02/07/2017
• 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., Bourget, Dennis
• Primary Examiner(s): DOUGHERTY, SEAN PATRICK
• Application Number:
  US13/544,222
• Publication Number:
  US 20120277638A1
• Time in Patent Office: 1,674 Days
• Field of Search: 600/300, 600/587, 600/595, 607/17, 607/18, 607/19, 607/30, 607/46, 607/48, 607/62, 607/69, 607/70, 607/76
• US Class Current: 1/1
• CPC Class Codes: A61B 2560/0219 of externally powered implanted units
• CPC Class Codes: A61B 5/0031 Implanted circuitry
• CPC Class Codes: A61B 5/1116 Determining posture transitions
• CPC Class Codes: A61B 5/1118 Determining activity level
• CPC Class Codes: A61B 5/4815 Sleep quality
• 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 5/686 Permanently implanted devices, e.g. pacemakers, other stimulators, biochips A61B5/6861 takes precedence
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/36078 Inducing or controlling sleep or relaxation non-implantable stimulator A61M21/00
• CPC Class Codes: A61N 1/36085 Eating disorders or obesity
• CPC Class Codes: A61N 1/36107 Sexual dysfunction stimulating genital organs A61N1/36007
• CPC Class Codes: A61N 1/36132 using patient feedback
• 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: A61N 1/37282 characterised by communication with experts in remote locations using a network
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

The disclosure relates to a method and system for obtaining baseline patient information. In some examples, a method may include acquiring first patient data, wherein the first patient data comprises at least one of first posture state data indicative of a plurality of posture states of a patient during a first time period or first therapy adjustment data indicative of a plurality of patient therapy adjustments made during the first time period; generating baseline patient information based at least in part on the first patient data; and comparing the baseline patient information to patient information generated based on second patient data. Therapy is not delivered to the patient according to a detected posture state of the patient during the first time period, and therapy is delivered to the patient according to the detected posture state of the patient during the second time period.

Claims

1. A method comprising:

receiving, using a programmer device configured to program a medical device, first patient data and second patient data from the medical device;

generating baseline patient information based on the first patient data, wherein the generated baseline patient information is indicative of at least one of a plurality of posture states of a patient during a first time period or a plurality of patient-directed therapy adjustments during the first time period;

generating patient information based on the second patient data, wherein the generated patient information is indicative of at least one of a plurality of posture states of the patient during a second time period or a plurality of patient-directed therapy adjustments during the second time period;

presenting, via a user interface display of the programmer device, the generated baseline patient information indicative of the at least one of the plurality of posture states of the patient during the first time period or the plurality of patient-directed therapy adjustments during the first time period relative to the generated patient information indicative of the at least one of the plurality of posture states of the patient during the second time period or the plurality of patient-directed therapy adjustments during the second time period,

wherein a first therapy is delivered to the patient during the first time period, wherein delivery of the first therapy during the first time period is not controlled based on a posture state of the patient, wherein a second therapy is delivered to the patient during the second time period, and wherein delivery of the second therapy during the second time period is controlled based on the posture state of the patient; and

transmitting, from the programmer device to the medical device, information defining one or more therapy parameters of at least one of the first therapy or the second therapy,

wherein the method includes using one or more processors configured to perform the receiving, the generating, the presenting, and controlling the transmission of the information.

2. The method of claim 1, wherein the generated baseline patient information comprises at least one of baseline posture state information or baseline therapy adjustment information.

3. The method of claim 2, wherein the baseline posture state information comprises at least one of baseline sleep quality information, baseline proportional posture information, or baseline posture state adjustment information.

4. The method of claim 2, wherein the baseline therapy adjustment information comprises a number of the patient-directed therapy adjustments received over the first time period.

5. The method of claim 1, wherein the first posture state data comprises posture state sensor output data indicative of the posture state of the patient.

6. The method of claim 1, further comprising comparing the generated baseline patient information to the generated patient information, wherein presenting the generated baseline patient information relative to the generated patient information comprises presenting information indicating the comparison via the user interface display.

7. The method of claim 6, further comprising modifying one or more aspects of the at least one of the first therapy or the second therapy based on the comparison of the generated baseline patient information and the generated patient information.

8. The method of claim 7, wherein modifying one or more aspects of the therapy based on the comparison comprises at least one of terminating, adjusting, or initiating delivery of the second therapy to the patient.

9. The method of claim 1, further comprising determining one or more differences between the generated baseline patient information and the generated patient information, wherein presenting the generated baseline patient information relative to the generated patient information comprises presenting the one or more differences between the generated baseline patient information and the generated patient information via the user interface display.

10. The method of claim 1, wherein at least a portion of the first time period is after the second time period.

11. The method of claim 1, wherein the first time period comprises a time period after the second time period and a time period before the second time period, wherein the generated baseline patient information comprises first baseline patient information based on patient data from the time period after the second time period and second baseline patient information based on patient data from the time period before the second time period.

12. The method of claim 1, further comprising:

receiving input indicating a modification to the therapy via the user interface in response to presenting the generated baseline patient information relative to the generated patient information via the user interface display; and

controlling delivery of the at least one of the first therapy or the second therapy to the patient according to the modification.

13. The method of claim 1, further comprising:

controlling, via the one or more processors, delivery of the first therapy to the patient via the medical device during the first time period; and

controlling, via the one or more processors, delivery of the second therapy to the patient via the medical device during the second time period.

14. A system comprising:

a programmer device including a user interface display and a telemetry module, wherein the programmer device is configured to program a medical device; and

one or more processors configured to;

receive, using the programmer device, first patient data and second patient data from the medical device,

generate baseline patient information based on the first patient data, wherein the generated baseline patient information is indicative of at least one of a plurality of posture states of a patient during a first time period or a plurality of patient-directed therapy adjustments during the first time period,

generate patient information based on the second patient data, wherein the generated patient information is indicative of at least one of a plurality of posture states of the patient during a second time period or a plurality of patient-directed therapy adjustments during the second time period,

present, via the user interface display of the programmer device, the generated baseline patient information indicative of the at least one of the plurality of posture states of the patient during the first time period or the plurality of patient-directed therapy adjustments during the first time period relative to the generated patient information indicative of the at least one of the plurality of posture states of the patient during the second time period or the plurality of patient-directed therapy adjustments during the second time period,

wherein a first therapy is delivered to the patient during the first time period, wherein delivery of the first therapy during the first time period is not controlled based on a posture state of the patient, wherein a second therapy is delivered to the patient during the second time period, and wherein delivery of the second therapy during the second time period is controlled based on the posture state of the patient, and

control the telemetry module to transmit, from the programmer device to the medical device, information defining one or more therapy parameters of at least one of the first therapy or the second therapy.

15. The system of claim 14, wherein the generated baseline patient information comprises at least one of baseline posture state information or baseline therapy adjustment information.

16. The system of claim 15, wherein the baseline postures state information comprises at least one of sleep quality baseline information, proportional posture baseline information, or posture state adjustment information.

17. The system of claim 15, wherein the baseline therapy adjustment information comprises a number of the patient-directed therapy adjustments received over the first time period.

18. The system of claim 14, wherein the first posture state data comprises posture state sensor output data indicative of the posture state of the patient.

19. The system of claim 14, wherein the one or more processors are configured to compare the generated baseline patient information to the generated patient information and present information indicating the comparison via the user interface display.

20. The system of claim 19, wherein the one or more processors are configured to modify one or more aspects of the at least one of the first therapy or the second therapy based on the comparison of the generated baseline patient information and the generated patient information.

21. The system of claim 20, wherein the one or more processors are configured to at least one of terminate, adjust, or initiate delivery of the second therapy to the patient based on the comparison.

22. The system of claim 14, wherein the one or more processors are configured to determine one or more differences between the generated baseline patient information and the generated patient information, and present the one or more differences between the generated baseline patient information and the generated patient information via the user interface display.

23. The system of claim 14, wherein at least a portion of the first time period is after the second time period.

24. The system of claim 14, wherein the first time period comprises a time period after the second time period and a time period before the second time period, wherein the generated baseline patient information comprises first baseline patient information based on the patient data from the time period after the second time period and second patient information based on patient data from the time period before the second time period.

25. The system of claim 14, wherein the programmer device comprising at least one processor of the one or more processor.

26. The system of claim 14, wherein the one or more processors comprise a first processor and a second processor, the system further comprising the medical device including the first processor, and the programmer device including the second processor.

27. The system of claim 14, wherein the one or more processors are configured to receive input indicating a modification to the therapy via the user interface in response to presenting the generated baseline patient information relative to the generated patient information via the user interface display, and control delivery of the at least one of the first therapy or the second therapy to the patient according to the modification.

28. The system of claim 14, further comprising the medical device, wherein the one or more processors are configured to control the medical device to deliver the first therapy to the patient during the first time period, and control the medical device to deliver the second therapy to the patient during the second time period.

29. A computer-readable storage medium comprising instructions to cause one or more processors to:

receive, using a programmer device configured to program a medical device, first patient data and second patient data from the medical device;

generate baseline patient information based on the first patient data, wherein the generated baseline patient information is indicative of at least one of a plurality of posture states of a patient during a first time period or a plurality of patient-directed therapy adjustments during the first time period;

generate patient information based on the second patient data, wherein the generated patient information is indicative of at least one of a plurality of posture states of the patient during a second time period or a plurality of patient-directed therapy adjustments during the second time period;

present, via a user interface display of the programmer device, the generated baseline patient information indicative of the at least one of the plurality of posture states of the patient during the first time period or the plurality of patient-directed therapy adjustments during the first time period relative to the generated patient information indicative of the at least one of the plurality of posture states of the patient during the second time period or the plurality of patient-directed therapy adjustments during the second time period,

wherein a first therapy is delivered to the patient during the first time period, wherein delivery of the first therapy during the first time period is not controlled based on a posture state of the patient, wherein a second therapy is delivered to the patient during the second time period, and wherein delivery of the second therapy during the second time period is controlled based on the posture state of the patient; and

control a telemetry module of the programmer device to transmit, from the programmer device to the medical device, information defining one or more therapy parameters of at least one of the first therapy or the second therapy.

30. A method comprising

receiving, using a programmer device configured to program a medical device, first patient data and second patient data from the medical device;

generating baseline patient information based on the first patient data, wherein the generated baseline patient information is indicative of at least one of a plurality of posture states of a patient during a first time period or a plurality of patient-directed therapy adjustments during the first time period;

generating patient information based on the second patient data, wherein the generated patient information is indicative of at least one of a plurality of posture states of the patient during a second time period or a plurality of patient-directed therapy adjustments during the second time period;

determining differences between the generated baseline patient information indicative of the at least one of the plurality of posture states of the patient during the first time period or the plurality of patient-directed therapy adjustments during the first time period and the generated patient information indicative of the at least one of the plurality of posture states of the patient during the second time period or the plurality of patient-directed therapy adjustments during the second time period based on a comparison of the generated baseline patient information and the generated patient information;

transmitting the information indicating the determined differences to a device including a user interface display,

wherein a first therapy is delivered to the patient during the first time period, wherein delivery of the first therapy during the first time period is not controlled based on a posture state of the patient, wherein a second therapy is delivered to the patient during the second time period, and wherein delivery of the second therapy during the second time period is controlled based on the posture state of the patient; and

transmitting, from the programmer device to the medical device, information defining one or more therapy parameters of at least one of the first therapy or the second therapy.

31. A system comprising one or more processors configured to:

receive, using a programmer device configured to program a medical device, first patient data and second patient data from the medical device;

generate baseline patient information based on the first patient data, wherein the generated baseline patient information is indicative of at least one of a plurality of posture states of a patient during a first time period or a plurality of patient-directed therapy adjustments during the first time period,

generate patient information based on the second patient data, wherein the generated patient information is indicative of at least one of a plurality of posture states of the patient during a second time period or a plurality of patient-directed therapy adjustments during the second time period;

determine differences between the generated baseline patient information indicative of the at least one of the plurality of posture states of the patient during the first time period or the plurality of patient-directed therapy adjustments during the first time period and the generated patient information indicative of the at least one of the plurality of posture states of the patient during the second time period or the plurality of patient-directed therapy adjustments during the second time period based on a comparison of the generated baseline patient information and the generated patient information;

transmit information indicating the determined differences to a device including a user interface display,

wherein a first therapy is delivered to the patient during the first time period, wherein delivery of the first therapy during the first time period is not controlled based on a posture state of the patient, wherein a second therapy is delivered to the patient during the second time period, and wherein delivery of the second therapy during the second time period is controlled based on the posture state of the patient; and

control a telemetry module of the programmer device to transmit, from the programmer device to the medical device, information defining one or more therapy parameters of at least one of the first therapy or the second therapy.