Electrical stimulation therapy based on head position

• US 9,649,494 B2
• Filed: 04/26/2012
• Issued: 05/16/2017
• Est. Priority Date: 04/29/2011
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Gerber, Martin T., Poletto, Christopher, Goetz, Steven M.
• Primary Examiner(s): Carey, Michael
• Application Number:
  US13/457,063
• Publication Number:
  US 20120277833A1
• Time in Patent Office: 1,846 Days
• Field of Search: 607 62, 607139
• CPC Class Codes: A61N 1/0526 Head electrodes A61N1/0551 takes precedence
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes
• CPC Class Codes: A61N 1/36128 Control systems
• CPC Class Codes: A61N 1/36139 with automatic adjustment

Abstract

Techniques and systems for determining a head position of a patient and controlling delivery of electrical stimulation to a target stimulation site based on the determined head position are described. In some examples, movement of the head of the patient may result in movement of a lead, through which the electrical stimulation may be delivered, relative to the target stimulation site. Thus, controlling delivery of the electrical stimulation based on the head position may improve the efficiency and efficacy of the electrical stimulation therapy.

Claims

1. A method for delivering electrical stimulation therapy to a medical patient, the method comprising:

receiving, by one or more processors, a value for a sensed parameter indicative of head position of the patient;

selecting, by the one or more processors, at least one therapy parameter that at least partially defines electrical stimulation and is mapped to the value for the sensed parameter, the at least one therapy parameter selected from a plurality of therapy parameters previously mapped to respective values for the sensed parameter; and

controlling, by one or more processors, delivery of the electrical stimulation to the patient based at least partially on the selected therapy parameter.

2. The method of claim 1, wherein selecting the at least one therapy parameter comprises adjusting an intensity of the electrical stimulation based on the value for the sensed parameter indicative of head position.

3. The method of claim 1, wherein selecting the at least one therapy parameter comprises adjusting an electrode configuration that at least partially defines the electrical stimulation based on the value for the sensed parameter indicative of head position.

4. The method of claim 1, wherein receiving the value for the sensed parameter indicative of head position of the patient comprises determining the head position of the patient.

5. The method of claim 1, further comprising sensing a signal indicative of impedance of tissue of the patient between a sensing element and an electrode, wherein the method further comprises determining the value of the sensed parameter indicative of head position of the patient based on the sensed signal.

6. The method of claim 1, further comprising sensing a signal indicative of at least one parameter defining an electromagnetic field generated by an inductive coil, wherein the method further comprises determining the value of the sensed parameter indicative of head position of the patient based on the at least one parameter defining the electromagnetic field, and wherein the inductive coil is configured such that the at least one parameter defining the electromagnetic field is modulated based on a distance between a ferromagnetic sensing element and the inductive coil.

7. The method of claim 1, further comprising sensing a signal indicative of at least one of motion or position of a portion of the patient, and determining the value of the sensed parameter indicative of head position of the patient based on the sensed signal.

8. The method of claim 7, wherein sensing the signal indicative of at least one of motion or position of a portion of the patient comprises sensing a signal indicative of motion of a portion of the patient via an accelerometer.

9. The method of claim 1, further comprising detecting a change in head position of the patient, and wherein selecting the at least one therapy parameter based on the value of the sensed parameter indicative of head position of the patient comprises adjusting the at least one therapy parameter defining the electrical stimulation based on detecting the change in head position.

10. The method of claim 1, wherein selecting the at least one therapy parameter based on the value of the sensed parameter indicative of head position of the patient comprises selecting a stimulation therapy program associated with the value of the sensed parameter indicative of head position of the patient, and controlling delivery of the electrical stimulation comprises delivering electrical stimulation according to the selected therapy program to the patient.

11. The method of claim 1, further comprising, prior to receiving the value of the sensed parameter indicative of head position:

receiving data indicative of head motion of the patient;

receiving data indicative of torso motion of the patient; and

detecting a change in head position relative to torso position of the patient based on the data indicative of head motion of the patient and the data indicative of torso motion of the patient.

12. The method of claim 1, further comprising delivering the electrical stimulation to a target stimulation site, wherein the target stimulation site comprises a target stimulation site proximate to an occipital nerve of the patient.

28. The method of claim 1, wherein selecting the at least one therapy parameter comprises adjusting an intensity of one or more therapy parameters of the electrical stimulation delivered to the patient based at least partially on the adjusted one or more therapy parameters.

29. The method of claim 1, wherein selecting the at least one therapy parameter comprises selecting one of a plurality of different therapy stimulation programs for the electrical stimulation based at least partially on the selected therapy parameter.

30. The method of claim 1, further comprising:

prior to receiving the value of the sensed parameter indicative of head position, mapping a plurality of different head positions indicated by different ranges of values of the sensed parameter, wherein selecting the at least one therapy parameter comprises selecting different electrical stimulation for at least some of the different head positions indicated by the different values of the sensed parameter, and wherein controlling delivery of the electrical stimulation comprises controlling delivery of the different electrical stimulation for the different head positions based on the different values of the sensed parameter.

31. The method of claim 1, wherein the value of the sensed parameter is based at least in part on a detected movement in the head position of the patient, wherein the detected movement of the head position correlates to movement of one or more leads relative to a target stimulation site.

35. The method of claim 1, further comprising:

storing, in a memory, the mapping of the respective values for the sensed parameter to the plurality of therapy values,

wherein selecting the at least one therapy parameter includes selecting the at least one therapy parameter from the plurality of therapy values based on the mapping stored in the memory.

36. The method of claim 1, wherein the value for the sensed parameter indicative of the head position of the patient comprises a measurement indicative of the head position of the patient relative to another portion of a body of the patient.

13. An electrical stimulation system for delivering electrical stimulation therapy to a medical patient, the system comprising:

one or more processors configured to;

receive a value for a sensed parameter indicative of head position of the patient,

select at least on therapy parameter that at least partially defines electrical stimulation and is mapped to the value of the sensed parameter, the at least one therapy parameter selected from a plurality of therapy parameters previously mapped to respective values for the sensed parameter and

control delivery of the electrical stimulation to the patient based at least partially on the selected therapy parameter.

14. The system of claim 13, further comprising:

a stimulation generator configured to deliver electrical stimulation, wherein the one or more processors are configured to select the at least on therapy parameter by at least adjusting an intensity defining the electrical stimulation based on the received value of the sensed parameter indicative of head position, and to control delivery of the electrical stimulation by at least controlling the stimulation generator to deliver the electrical stimulation with the adjusted intensity.

15. The system of claim 13, further comprising:

a stimulation generator configured to deliver electrical stimulation, wherein the one or more processors are configured to select the at least on therapy parameter by at least adjusting an electrode combination of the electrical stimulation based on the received value of the sensed parameter indicative of head position, and to control delivery of the electrical stimulation by at least controlling the simulation generator to deliver the electrical stimulation according to the adjusted electrode combination.

16. The system of claim 13, wherein the one or more processors are configured to determine the value of the sensed parameter indicative of head position of the patient by at least determining the head position of the patient.

17. The system of claim 13, further comprising:

a sensing element configured to be coupled to a portion of a body of the patient;

an electrode; and

a sensing module coupled to the sensing element and the electrode,

wherein the sensing module is configured to sense a signal indicative of impedance of tissue of the patient between the sensing element and the electrode and wherein the one or more processors are configured to determine the value for the sensed parameter indicative of head position of the patient based on the signal sensed by the sensing module.

18. The system of claim 13, further comprising:

a ferromagnetic sensing element coupled to a portion of a body of the patient;

an inductive coil; and

a sensing module,

wherein the sensing module is configured to sense a signal indicative of at least one parameter defining an electromagnetic field generated by the inductive coil and wherein the one or more processors are configured to determine the value for the sensed parameter indicative of head position of the patient based on the at least one parameter defining the electromagnetic field, wherein the inductive coil is configured such that the at least one parameter defining the electromagnetic field is modulated based on a distance between the ferromagnetic sensing element and the inductive coil.

19. The system of claim 13, further comprising a sensing element configured to sense a signal indicative of at least one of motion or position of a portion of the patient, wherein the one or more processors are configured to determine the value for the sensed parameter indicative of head position of the patient based on the sensed signal.

20. The system of claim 19, wherein the sensing element comprises an accelerometer configured to sense the signal indicative of motion of a portion of the patient.

21. The system of claim 13, further comprising a stimulation generator configured to deliver electrical stimulation, wherein the one or more processors are configured to determine the value for the sensed parameter indicative of head position of the patient by at least detecting a change in head position of the patient, and wherein the one or more processors are configured to select the at least one therapy parameter based on the determined value of the sensed parameter indicative of head position of the patient by at least adjusting the at least one therapy parameter defining the electrical stimulation based on detecting the change in head position.

22. The system of claim 13, further comprising a stimulation generator configured to deliver electrical stimulation, wherein the one or more processors are configured to control delivery of the electrical stimulation by at least selecting a stimulation therapy program associated with the value of the sensed parameter indicative of the head position of the patient, and controlling the stimulation generator to deliver the electrical stimulation according to the selected stimulation therapy program to the patient.

23. The system of claim 13, wherein prior to receiving the value of the sensed parameter indicative of head position, the one or more processors are further configured to:

receive data indicative of head motion of the patient,

receive data indicative of torso motion of the patient, and

detect a change in head position relative to torso position of the patient based on the data indicative of head motion of the patient and the data indicative of torso motion of the patient.

32. The system of claim 13, wherein to select the at least one therapy parameter, the one or more processors are configured to adjust one or more stimulation parameters of the electrical stimulation delivered to the patient based at least partially on the selected at least one therapy parameter.

33. The system of claim 13, wherein to select the at least one therapy stimulation parameter, the one or more processors are configured to select one of a plurality of different therapy stimulation programs for the electrical stimulation delivered to the patient.

37. The system of claim 13, further comprising:

a memory accessible by at least one of the one or more processors, the memory configured to store the mapping of the respective values for the sensed parameter indicative of the head position of the patent to the plurality of therapy values,

wherein the one or more processors are configured to select the at least one therapy parameter from the plurality of therapy values based on the mapping stored in the memory.

38. The system of claim 13, wherein the value for the sensed parameter indicative of the head position of the patient comprises a measurement indicative of the head position of the patient relative to another portion of a body of the patient.

24. An electrical stimulation system for delivering electrical stimulation therapy to a medical patient, the system comprising:

means for receiving a value for a sensed parameter indicative of head position of the patient;

means for selecting at least one therapy parameter that at least partially defines electrical stimulation and is mapped to the value of the sensed parameter, the at least one therapy parameter selected from a plurality of therapy parameters previously mapped to respective values for the sensed parameter; and

means for controlling delivery of the electrical stimulation to the patient based at least partially on the selected therapy parameter.

25. The system of claim 24, wherein the means for selecting selects the at least one therapy parameter by at least adjusting an electrode configuration that at least partially defines the electronic stimulation based on the determined value of the sensed parameter indicative of head position, and the means for controlling controls delivery of the electrical stimulation by at least delivering the electrical stimulation according to the adjusted electrode configuration.

26. A non-transitory computer-readable medium comprising instructions that cause one or more processors to:

receiving, by one or more processors, a value for a sensed parameter indicative of head position of the patient;

selecting, by the one or more processors, at least one therapy parameter that at least partially defines electrical stimulation and is mapped to the value for the sensed parameter, the at least one therapy parameter selected from a plurality of therapy parameters previously mapped to respective values for the sensed parameter; and

controlling, by the one or more processors, delivery of the electrical stimulation to the patient based at least partially on the selected therapy parameter.

27. The non-transitory computer-readable medium of claim 26, wherein the instructions cause the one or more processors to select the the at least one therapy parameter by at least adjusting an electrode configuration that at least partially defines electrical stimulation based on the determined value for the parameter indicative of head position.

34. The system of 13, wherein the one or more processors are further configured to map a plurality of different head positions indicated by different ranges of values of the sensed parameter, select the at least one therapy parameter comprising selecting different therapy parameters for at least some of the different head positions indicated by the different values of the parameter, and to control delivery of the electrical stimulation comprising the one or more processors controlling a stimulation generator, the delivery of the different electrical stimulation for the different head positions based on the different values of the parameter.