Presentation of information associated with medical device therapy

• US 9,744,365 B2
• Filed: 01/07/2011
• Issued: 08/29/2017
• Est. Priority Date: 01/08/2010
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Davis, Jon P., Goetz, Steven M., Zimmerman, James, Davenport, Lynn A., Sahasrabudhe, Rajeev M., Simons, David
• Primary Examiner(s): Holmes, Rex R
• Application Number:
  US12/986,683
• Publication Number:
  US 20110172744A1
• Time in Patent Office: 2,426 Days
• Field of Search: 600300, 600587, 600595, 607 2, 607 5, 607 6, 607 17, 607 19, 607 30, 607 32
• CPC Class Codes: A61M 2205/502 User interfaces, e.g. screens or keyboards
• CPC Class Codes: A61M 2230/62 Posture
• CPC Class Codes: A61M 2230/63 Motion, e.g. physical activity
• CPC Class Codes: A61M 5/14276 specially adapted for implantation
• 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 1/3614 based on impedance measurement
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: G16H 40/63 for local operation

Abstract

This disclosure is related to techniques for presenting therapy factors related to medical device therapy in a manner that allows a user, such as a patient or a clinician, to receive, comprehend and evaluate information relating to therapy delivered by the medical device efficiently. In one aspect, a method comprises obtaining a data set corresponding to a therapy factor associated with delivery of a medical therapy to a patient with a medical system including an implantable medical device, receiving a user selection associated with a subset of the data set, the subset of the data set including less than all the information relating to the therapy factor in the data set, and presenting a representation, corresponding to the subset of the data set, of the therapy factor on a display of a programmer.

Claims

1. A method comprising:

obtaining, by a computing device, a data set recorded over time during the delivery of electrical neurostimulation therapy to a patient, the data set corresponding to a plurality of therapy factors associated with delivery of the neurostimulation therapy to the patient with a medical system including an implantable medical device (IMD);

receiving, by the computing device, a user selection of a subset of the data set, the subset of the data set including less than all information relating to the therapy factors in the data set; and

in response to the user selection, presenting, by the computing device, a representation, corresponding to the subset of the data set, of the therapy factors on a display to facilitate user evaluation of the neurostimulation therapy based on the therapy factors,

wherein presenting the representation of the therapy factors corresponding to the subset of the data set comprises presenting representations, corresponding to the subset of the data set, of two or more of the therapy factors simultaneously along a common timeline on the display, and

wherein the representations of the two or more therapy factors comprise at least one of a representation of usage of one or more programs of the neurostimulation therapy along the common timeline, a representation of one or more parameters of one or more programs of the neurostimulation therapy along the common timeline, or a representation of adjustments to one or more parameters of one or more programs of the neurostimulation therapy along the common timeline.

2. The method of claim 1, wherein the subset of the data set includes data from portions of the data set that are recorded non-sequentially to each other.

3. The method of claim 1, wherein the user selection includes a selection of a daily time period.

4. The method of claim 1, wherein the user selection includes a selection of at least one of a group of:

a therapeutic element in the medical system;

a therapy setting associated with delivering a portion of the neurostimulation therapy to the patient with the medical system;

a patient activity level;

a patient posture;

a patient posture and activity level;

a patient mobility;

a patient record of therapy outcome;

an objective record of therapy outcome;

an event recorded during the delivery of the neurostimulation therapy to the patient with the medical system;

or

a recharge status of the IMD.

5. The method of claim 4, wherein the user selection includes a selection of two or more of the group.

6. The method of claim 1,

wherein the two or more of the therapy factors include an objective record of the neurostimulation therapy delivered to the patient and one or more of a group of:

a record of patient posture;

a record of a battery charge history of a battery of the IMD;

a subjective record of pain experienced by the patient;

a subjective record of paresthesia experienced by the patient;

an objective record of one or more physiological conditions of the patient;

or

a record representative of electrode impedances for electrodes of medical leads associated with the IMD.

7. The method of claim 6, wherein the representation of the therapy factors comprises a representation of the objective record of neurostimulation therapy delivered to the patient, and the representation of the objective record of the neurostimulation therapy delivered to the patient includes a representation of one or more of a set of:

a list of stimulation programs along the common timeline;

a series of graphical representations of the medical leads and active electrodes corresponding to the neurostimulation therapy along the common timeline;

indications of stimulation activity along the common timeline;

indications of stimulation programs from two or more program slots of the electrical stimulation therapy along the common timeline;

indications of amplitudes of the neurostimulation therapy along the common timeline;

or

indications of the prevalence of manual patient adjustments of the neurostimulation therapy along the common timeline.

9. The method of claim 1, wherein the therapy factors include at least one of a group of:

an objective record of the neurostimulation therapy delivered to the patient,

a record of patient posture;

a record of a battery charge history of a battery of the IMD;

a subjective record of pain experienced by the patient;

a subjective record of paresthesia experienced by the patient;

an objective record of one or more physiological conditions of the patient;

or

a record representative of electrode impedances for electrodes of medical leads associated with the IMD.

10. The method of claim 1,

further comprising presenting a representation of the therapy factors corresponding to the data set on the display at a reduced resolution,

wherein presenting the representations of the therapy factors corresponding to the subset of the data set comprises presenting the representations of the therapy factors corresponding to the subset of the data set at a higher resolution than the reduced resolution.

11. The method of claim 1,

wherein the method further comprises delivering the electrical neurostimulation therapy with the IMD to the patient to treat pain of the patient.

12. The method of claim 1, wherein the representations of the two or more therapy factors further comprise the representation of one or more parameters, and the representation of one or more parameters comprises a representation of different sets of active electrodes and inactive electrodes for the neurostimulation therapy along the common timeline.

13. The method of claim 12, wherein the representation of the different sets of active electrodes comprises a graphical representation of active cathode electrodes and active anode electrodes.

14. The method of claim 12, wherein the representations of the two or more therapy factors further comprise at least one of indications of areas of a body of the patient corresponding to a subjective record of pain experienced by the patient along the common timeline or indications of areas of the body of the patient corresponding to a subjective record of paresthesia experienced by the patient along the common timeline.

15. The method of claim 14, wherein the representations of the two or more therapy factors comprise the representation of usage of one or more programs of the neurostimulation therapy, and the representation of usage of one or more programs comprises a representation of usage of at least one of different programs of the neurostimulation therapy or different slots of the neurostimulation therapy along the common timeline, each of the slots including one or more programs of the neurostimulation therapy that target at least one of a different symptom or a different area of pain than other slots.

16. The method of claim 12, wherein the representations of the two or more therapy factors comprise the representation of usage of one or more programs of the neurostimulation therapy, and the representation of usage of one or more programs comprises a representation of usage of at least one of different programs of the neurostimulation therapy or different slots of the neurostimulation therapy along the common timeline, each of the slots including one or more programs of the neurostimulation therapy that target at least one of a different symptom or a different area of pain than other slots.

17. The method of claim 1, wherein the representations of the two or more therapy factors comprise the representation of usage of one or more programs of the neurostimulation therapy.

18. The method of claim 17, wherein the representation of usage of one or more programs comprises a representation of usage of at least one of different programs of the neurostimulation therapy or different slots of the neurostimulation therapy along the common timeline, each of the slots including one or more programs of the neurostimulation therapy that target at least one of a different symptom or a different area of pain than other slots.

19. The method of claim 18, wherein the representations of the two or more therapy factors comprise a representation of recharges of a battery of the IMD along the common timeline.

20. The method of claim 18, wherein the representations of the two or more therapy factors comprise at least one of a patient activity level or a patient posture.

21. The method of claim 18, wherein the representations of the two or more therapy factors comprise the representation of adjustments, and wherein the representation of the adjustments comprises indications of manual patient adjustments to the one or more parameters of the one or more programs of the neurostimulation therapy along the common timeline.

22. The method of claim 21, wherein the representations of the two or more therapy factors comprise a representation of an amplitude range of the manual patient adjustments along the common timeline.

23. The method of claim 1, wherein the representations of the two or more therapy factors comprise the representation of adjustments, and wherein the representation of the adjustments comprises indications of manual patient adjustments to the one or more parameters of the one or more programs of the neurostimulation therapy along the common timeline.

24. The method of claim 23, wherein the representations of the two or more therapy factors comprise a representation of an amplitude range of the manual patient adjustments along the common timeline.

25. The method of claim 1, wherein the representations of the two or more therapy factors comprise a representation of recharges of a battery of the IMD along the common timeline.

26. The method of claim 1, wherein the representations of the two or more therapy factors comprise at least one of a patient activity level or a patient posture.

8. A method comprising:

obtaining, by a computing device, a data set recorded over time during the delivery of electrical neurostimulation therapy to a patient, the data set corresponding to a plurality of therapy factors associated with delivery of the neurostimulation therapy to the patient with a medical system including an implantable medical device (IMD);

receiving, by the computing device, a user selection of a subset of the data set, the subset of the data set including less than all information relating to the therapy factors in the data set; and

in response to the user selection, presenting, by the computing device, a representation, corresponding to the subset of the data set, of the therapy factors on a display of the computing device to facilitate user evaluation of the neurostimulation therapy based on the therapy factors,

wherein presenting the representation of the therapy factors corresponding to the subset of the data set comprises presenting representations, corresponding to the subset of the data set, of two or more of the therapy factors simultaneously on the display of the computing device, and

wherein the two or more of the therapy factors include a record of patient posture and a breakdown of individual stimulation slots usage over time, each of the slots including one or more programs of the neurostimulation therapy that target at least one of a different symptom or a different area of pain than other slots.

27. The method of claim 8, further comprising delivering the electrical neurostimulation therapy with the IMD to the patient to treat pain of the patient.

28. A programmer for an implantable medical device (IMD), the programmer comprising:

a user interface;

a telemetry circuit configured to transfer data to and from the IMD;

a display; and

a processor, wherein the processor is configured to;

obtain a data set recorded over time during the delivery of electrical neurostimulation therapy to a patient, the data set corresponding to a plurality of therapy factors associated with delivery of the neurostimulation therapy to the patient with the IMD;

receive, via the user interface, a user selection of a subset of the data set, the subset of the data set including less than all the information relating to the therapy factors in the data set; and

in response to the user selection, present a representation, corresponding to the subset of the data set, of the therapy factors on the display to facilitate user evaluation of the neurostimulation therapy based on the therapy factors,

wherein the processor, to present the representation of the therapy factors corresponding to the subset of the data set, is further configured to present representations, corresponding to the subset of the data set, of two or more of the therapy factors simultaneously along a common timeline on the display, and

wherein the representations of the two or more therapy factors comprise at least one of a representation of usage of one or more programs of the neurostimulation therapy along the common timeline, a representation of one or more parameters of one or more programs of the neurostimulation therapy along the common timeline, or a representation of adjustments to one or more parameters of one or more programs of the neurostimulation therapy along the common timeline.

29. The programmer of claim 28, wherein the subset of the data set includes data from portions of the data set that are recorded non-sequentially to each other.

30. The programmer of claim 28, wherein the user selection includes a selection of a daily time period.

31. The programmer of claim 28, wherein the user selection includes a selection of at least one of a group of:

a therapeutic element of the IMD;

a therapy setting associated with delivering a portion of the neurostimulation therapy to the patient with the IMD;

a patient activity level;

a patient posture;

a patient posture and activity level;

a patient mobility;

a patient record of therapy outcome;

an objective record of therapy outcome;

an event recorded during the delivery of the neurostimulation therapy to the patient with the IMD;

or

a recharge status of the IMD.

32. The programmer of claim 28, wherein the two or more therapy factors include an objective record of the neurostimulation therapy delivered to the patient and one or more of a group of:

a record of patient posture;

a record of a battery charge history of a battery of the IMD;

a subjective record of pain experienced by the patient;

a subjective record of paresthesia experienced by the patient;

an objective record of one or more physiological conditions of the patient;

or

a record representative of electrode impedances for electrodes of medical leads associated with the IMD.

33. The programmer of claim 32, wherein the representation of the therapy factors comprises a representation of the objective record of the neurostimulation therapy delivered to the patient, and the representation of the objective record of the neurostimulation therapy delivered to the patient includes a representation of one or more of a set of:

a list of stimulation programs along the common timeline;

a series of graphical representations of the medical leads and active electrodes corresponding to the neurostimulation therapy along the common timeline;

indications of stimulation activity along the common timeline;

indications of stimulation programs from two or more program slots of the neurostimulation therapy along the common timeline;

indications of amplitudes of the neurostimulation therapy along the common timeline; and

indications of the prevalence of manual patient adjustments of the neurostimulation therapy along the common timeline.

34. The programmer of claim 28, wherein the processor is configured to program the IMD to deliver the electrical neurostimulation therapy to the patient to treat pain of the patient.

35. The programmer of claim 28, wherein the representations of the therapy factors further comprise the representation of one or more parameters, and the representation of one or more parameters comprises a representation of different sets of active electrodes and inactive electrodes for the neurostimulation therapy along the common timeline.

36. The programmer of claim 35, wherein the representation of the different sets of active electrodes comprises a graphical representation of active cathode electrodes and active anode electrodes.

37. The programmer of claim 35, wherein the representations of the two or more therapy factors further comprise at least one of indications of areas of a body of the patient corresponding to a subjective record of pain experienced by the patient along the common timeline or indications of areas of the body of the patient corresponding to a subjective record of paresthesia experienced by the patient along the common timeline.

38. The programmer of claim 28, wherein the representations of the two or more therapy factors comprise the representation of usage of one or more programs of the neurostimulation therapy.

39. The programmer of claim 38, wherein the representation of usage of one or more programs comprises a representation of usage of at least one of different programs of the neurostimulation therapy or different slots of the neurostimulation therapy along the common timeline, each of the slots including one or more programs of the neurostimulation therapy that target at least one of a different symptom or a different area of pain than other slots.

40. The programmer of claim 28, wherein the representations of the two or more therapy factors comprise the representation of adjustments, and wherein the representation of the adjustments comprises indications of manual patient adjustments to the one or more parameters of the one or more programs of the neurostimulation therapy along the common timeline.

41. The programmer of claim 40, wherein the representations of the two or more therapy factors comprise a representation of an amplitude range of the manual patient adjustments along the common timeline.

42. The programmer of claim 28, wherein the representations of the two or more therapy factors comprise a representation of recharges of a battery of the IMD along the common timeline.

43. The programmer of claim 28, wherein the representations of the two or more therapy factors comprise at least one of a patient activity level or a patient posture.

44. A system comprising:

an implantable medical device (IMD) configured to deliver electrical neurostimulation therapy to a patient; and

a programmer for the implantable medical device, the programmer comprising;

a user interface;

a telemetry circuit configured to transfer data to and from the IMD;

a display; and

a processor, wherein the processor is configured to;

obtain a data set recorded over time during the delivery of the electrical neurostimulation therapy to the patient, the data set corresponding to a plurality of therapy factors associated with delivery of the neurostimulation therapy to the patient with the IMD;

receive, via the user interface, a user selection of a subset of the data set, the subset of the data set including less than all the information relating to the therapy factors in the data set; and

in response to the user selection, present a representation, corresponding to the subset of the data set, of the therapy factors on the display to facilitate user evaluation of the neurostimulation therapy based on the therapy factors,

wherein the processor, to present the representation of the therapy factors corresponding to the subset of the data set, is further configured to present representations, corresponding to the subset of the data set, of two or more of the therapy factors simultaneously along a common timeline on the display, and

wherein the representations of the two or more therapy factors comprise at least one of a representation of usage of one or more programs of the neurostimulation therapy along the common timeline, a representation of one or more parameters of one or more programs of the neurostimulation therapy along the common timeline, or a representation of adjustments to one or more parameters of one or more programs of the neurostimulation therapy along the common timeline.

45. The system of claim 44, wherein the representations of the therapy factors further comprise the representation of one or more parameters, and the representation of one or more parameters comprises a representation of different sets of active electrodes and inactive electrodes for the neurostimulation therapy along the common timeline.

46. The system of claim 45, wherein the representations of the two or more therapy factors further comprise at least one of indications of areas of a body of the patient corresponding to a subjective record of pain experienced by the patient along the common timeline or indications of areas of the body of the patient corresponding to a subjective record of paresthesia experienced by the patient along the common timeline.

47. The system of claim 44, wherein the representations of the two or more therapy factors comprise the representation of usage of one or more programs of the neurostimulation therapy.

48. The system of claim 47, wherein the representation of usage of one or more programs comprises a representation of usage of at least one of different programs of the neurostimulation therapy or different slots of the neurostimulation therapy along the common timeline, each of the slots including one or more programs of the neurostimulation therapy that target at least one of a different symptom or a different area of pain than other slots.

49. The system of claim 44, wherein the representations of the two or more therapy factors comprise the representation of adjustments, and wherein the representation of the adjustments comprises indications of manual patient adjustments to the one or more parameters of the one or more programs of the neurostimulation therapy along the common timeline.

50. The system of claim 44, wherein the representations of the two or more therapy factors comprise a representation of recharges of a battery of the IMD along the common timeline.

51. The system of claim 44, wherein the representations of the two or more therapy factors comprise at least one of a patient activity level or a patient posture.

52. A programmer for an implantable medical device (IMD), the programmer comprising:

a user interface;

a telemetry circuit configured to transfer data to and from the IMD;

a display; and

a processor, wherein the processor is configured to;

obtain a data set recorded over time during the delivery of electrical neurostimulation therapy to a patient, the data set corresponding to a plurality of therapy factors associated with delivery of the neurostimulation therapy to the patient with the IMD;

receive, via the user interface, a user selection of a subset of the data set, the subset of the data set including less than all the information relating to the therapy factors in the data set; and

in response to the user selection, present a representation, corresponding to the subset of the data set, of the therapy factors on the display to facilitate user evaluation of the neurostimulation therapy based on the therapy factors,

wherein the processor, to present the representation of the therapy factors corresponding to the subset of the data set, is further configured to present representations, corresponding to the subset of the data set, of two or more of the therapy factors simultaneously along a common timeline on the display, and

wherein the two or more of the therapy factors include a record of patient posture and a breakdown of individual stimulation slots usage over time, each of the slots including one or more programs of the neurostimulation therapy that target at least one of a different symptom or a different area of pain than other slots.

53. The programmer of claim 52, wherein the processor is configured to program the IMD to deliver the electrical neurostimulation therapy to the patient to treat pain of the patient.

54. A system comprising:

an implantable medical device (IMD) configured to deliver electrical neurostimulation therapy to a patient; and

a programmer for the implantable medical device, the programmer comprising;

a user interface;

a telemetry circuit configured to transfer data to and from the implantable medical device;

a display; and

a processor, wherein the processor is configured to;

obtain a data set recorded over time during the delivery of the electrical neurostimulation therapy to the patient, the data set corresponding to a plurality of therapy factors associated with delivery of the neurostimulation therapy to the patient with the IMD;

receive a user selection via the user interface, wherein the user selection is an indication of a subset of the data set, the subset of the data set including less than all the information relating to the therapy factors in the data set; and

in response to the user selection, present a representation, corresponding to the subset of the data set, of the therapy factors on the display to facilitate user evaluation of the neurostimulation therapy based on the therapy factors,

wherein the programmer, to present the representation of the therapy factors corresponding to the subset of the data set, is further configured to present representations, corresponding to the subset of the data set, of two or more of the therapy factors simultaneously along a common timeline on the display, and

wherein the two or more of the therapy factors include a record of patient posture and a breakdown of individual stimulation slots usage over time, each of the slots including one or more programs of the neurostimulation therapy that target at least one of a different symptom or a different area of pain than other slots.