Velocity detection for posture-responsive therapy

• US 9,907,959 B2
• Filed: 04/12/2012
• Issued: 03/06/2018
• Est. Priority Date: 04/12/2012
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Skelton, Dennis M.
• Primary Examiner(s): DIETRICH, JOSEPH M
• Application Number:
  US13/445,506
• Publication Number:
  US 20130274830A1
• Time in Patent Office: 2,154 Days
• Field of Search: 607 62
• CPC Class Codes: A61N 1/3605 Implantable neurostimulators for stimulating central or peripheral nerve system
• CPC Class Codes: A61N 1/36128 Control systems

Abstract

The disclosure describes techniques for modifying an electrical stimulation or another type of therapy provided to a patient by a medical device. The therapy modification may be based on a posture and/or activity state of a patient that is detected by an IMD, such as a change in a detected posture state occupied by the patient. Different therapy modifications may be applied for different changes in detected posture state. An IMD may modify therapy based on a transition from one posture state to another posture state. The IMD may determine a posture state of the patient for use in controlling therapy adjustments and/or other aspects of the system. In some examples, when the patient'"'"'s movement and/or activity velocity exceeds a velocity threshold, a previously-determined stable posture state of the patient may be used to control therapy rather than a current posture state of the patient, which may be transient.

Claims

1. A system comprising:

a sensor configured to sense one or more posture state parameters of a patient; and

a posture state module comprising circuitry configured to determine a posture state of the patient to be used in controlling an aspect of the system, the posture state being determined based on the one or more posture state parameters and a relationship between a velocity of the patient and a velocity threshold,

wherein the posture state module comprises circuitry configured to determine the velocity of the patient based on a distance between two sensed coordinate vectors, wherein each of the two sensed coordinate vectors is indicative of a respective posture state of the patient.

2. The system of claim 1, wherein the posture state module comprises circuitry configured to determine the posture state of the patient based on a previously-determined posture state of the patient during time periods wherein the velocity of the patient exceeds the velocity threshold.

3. The system of claim 1, wherein the posture state module comprises circuitry configured to determine the velocity of the patient based on a DC component of the posture state parameters.

4. The system of claim 1, further comprising a therapy delivery module comprising circuitry configured to deliver therapy to the patient based on the posture state of the patient.

5. The system of claim 4, wherein the therapy delivery module comprises circuitry configured to deliver therapy to the patient based on a current posture state of the patient and to temporarily suspend delivering therapy based on the current posture state of the patient if the velocity of the patient exceeds a predetermined velocity threshold.

6. The system of claim 4, wherein the therapy delivery module comprises circuitry configured to deliver the therapy to the patient based on a previously-determined posture state of the patient during time periods wherein the velocity of the patient is above the velocity threshold.

7. The system of claim 1, further comprising an implantable medical device comprising the sensor.

8. The system of claim 1, further comprising a device external to the patient comprising at least a portion of the posture state module.

9. The system of claim 1, further comprising a programmer configured to receive input to control the medical system.

10. The system of claim 1, wherein the posture state module comprises circuitry configured to determine the velocity of the patient based on an AC component of the posture state parameters.

11. The system of claim 1, wherein the velocity threshold is selectable.

12. The system of claim 1, wherein the posture state module comprises circuitry configured to suspend determining a current posture state of the patient during time periods wherein the velocity of the patient exceeds the velocity threshold.

13. A system comprising:

a sensor configured to sense one or more posture state parameters of a patient; and

a posture state module comprising circuitry configured to determine a posture state of the patient to be used in controlling an aspect of the system, the posture state being determined based on the one or more posture state parameters and a relationship between a velocity of the patient and a velocity threshold,

wherein the posture state module comprises circuitry configured to determine the velocity of the patient based on an angle between two sensed coordinate vectors, wherein each of the two sensed coordinate vectors is indicative of a respective posture state of the patient.

14. A method comprising:

sensing, by a sensor, one or more posture state parameters of a patient; and

determining, via a posture state module comprising circuitry, a posture state of the patient for use in controlling an aspect of the system, the determined posture state being determined based on the one or more posture state parameters and a relationship between a velocity of the patient and a velocity threshold,

wherein the velocity of the patient is a movement velocity that is based on a distance.

15. The method of claim 14, further comprising delivering therapy to the patient based on the posture state of the patient.

16. The method of claim 15, further comprising delivering therapy to the patient based on a previously-determined posture state of the patient during time periods wherein the velocity of the patient exceeds the velocity threshold and delivering therapy to the patient based on a current posture state of the patient during time periods wherein the velocity of the patient does not exceed the velocity threshold.

17. The method of claim 16, further comprising suspending determining, via the posture state module circuitry, the current posture state of the patient during time periods wherein the velocity of the patient exceeds the velocity threshold.

18. The method of claim 14, wherein sensing one or more posture state parameters comprises sensing one or more posture state parameters via an accelerometer.

19. The method of claim 14, wherein sensing one or more posture state parameters comprises sensing one or more posture state parameters via a sensor carried by an implantable medical device.

20. The method of claim 14, further comprising determining the velocity of the patient based on the one or more posture state parameters.

21. The method of claim 20, wherein the velocity of the patient is based on an AC component of the one or more posture state parameters.

22. The method of claim 14, wherein the threshold is programmable.

23. The method of claim 14, wherein determining the posture state of the patient based on the one or more posture state parameters and the relationship between the velocity of the patient and the velocity threshold comprises determining the posture state of the patient based on a current posture state of the patient and determining that the velocity of the patient is below the velocity threshold.

24. The method of claim 14, wherein the distance is based on a distance between two sensed coordinate vectors, wherein each of the two sensed coordinate vectors is indicative of a respective posture state of the patient.

25. A method comprising:

sensing, by a sensor, one or more posture state parameters of a patient; and

determining, via a posture state module comprising circuitry, a posture state of the patient for use in controlling an aspect of the system, the determined posture state being determined based on the one or more posture state parameters and a relationship between a velocity of the patient and a velocity threshold,

wherein the velocity of the patient is a movement velocity that is based on an angle.

26. The method of claim 25, wherein the angle is based on an angle between two sensed coordinate vectors, wherein each of the two sensed coordinate vectors is indicative of a respective posture state of the patient.

27. A system comprising:

means for sensing one or more posture state parameters of a patient; and

means for determining, via a posture state module, a posture state of the patient based on the one or more posture state parameters and a relationship between a velocity of the patient and a velocity threshold,

wherein the velocity of the patient is based on a distance or is based on an angle.

28. A non-transitory storage medium storing instructions executable by a control circuit to cause the control circuit to

sense one or more posture state parameters of a patient;

and

determine a posture state of the patient based on the one or more posture state parameters and a relationship between a velocity of the patient and a velocity threshold,

wherein the velocity of the patient is based on a distance or is based on an angle.

29. The storage medium of claim 28, wherein instructions executable by a control circuit further comprise instructions executable by the control circuit to cause the control circuit to control delivery of therapy to the patient based on a previously-determined posture state of the patient during time periods wherein the velocity of the patient exceeds the velocity threshold and to control delivery of therapy to the patient based on a current posture state of the patient during time periods wherein the velocity of the patient does not exceed the velocity threshold.

30. The storage medium of claim 28, wherein the instructions executable by a control circuit comprise instructions executable by the control circuit to cause the control circuit to control delivery of therapy according to a current posture state of the patient and to temporarily suspend delivery of the therapy according to the current posture state of the patient during time periods when the velocity of the patient exceeds a predetermined velocity threshold.