Linking posture states for posture responsive therapy

• US 9,956,412 B2
• Filed: 04/30/2009
• Issued: 05/01/2018
• 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., Gokaldas, Shyam
• Primary Examiner(s): WEHRHEIM, LINDSEY GAIL
• Application Number:
  US12/433,827
• Publication Number:
  US 20100010577A1
• Time in Patent Office: 3,288 Days
• Field of Search: 600481, 600529, 600544, 600546, 607 17, 607 30, 607 62
• CPC Class Codes: A61B 2560/0219 of externally powered implanted units
• CPC Class Codes: A61B 2562/0219 Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
• CPC Class Codes: A61B 5/1116 Determining posture transitions
• CPC Class Codes: A61B 5/686 Permanently implanted devices, e.g. pacemakers, other stimulators, biochips A61B5/6861 takes precedence
• CPC Class Codes: A61B 5/7435 Displaying user selection data, e.g. icons in a graphical user interface
• CPC Class Codes: A61N 1/36135 using physiological parameters
• CPC Class Codes: A61N 1/36535 controlled by body position or posture
• CPC Class Codes: A61N 1/36542 controlled by body motion, e.g. acceleration
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 20/30 relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems

Abstract

The disclosure is directed towards posture-responsive therapy. To avoid interruptions in effective therapy, an implantable medical device may include a posture state module that detects the posture state of the patient and automatically adjusts therapy parameter values according to the detected posture state. A system may include a user interface that receives user input linking a plurality of posture states of a patient, and selecting a set of therapy parameter values for delivery of therapy to the patient for each of a linked posture states, a processor that defines the therapy to be delivered to the patient for each of the linked posture states based on the selection, and an implantable medical device that delivers the therapy to the patient for each of the linked posture states based on the selection.

Claims

1. A method comprising:

selecting a plurality of posture states of a patient as linked posture states;

selecting a set of one or more therapy parameter values for delivery of therapy to the patient by an implantable medical device for all of the linked posture states, the set of one or more therapy parameter values being the same for all of the linked posture states;

associating, by at least one processor, the set of one or more therapy parameter values with all of the linked posture states based on the selection; and

defining the therapy to be delivered to the patient by the implantable medical device for all of the linked posture states based on the association.

2. The method of claim 1, further comprising:

detecting one of the linked posture states; and

delivering therapy to the patient according to the therapy defined for the linked posture states in response to the detection.

3. The method of claim 1, further comprising:

adjusting the selected set of therapy parameter values; and

automatically defining the therapy to be delivered to the patient for all of the linked posture states based on the adjusted set of therapy parameter values.

4. The method of claim 1, wherein selecting the plurality of posture states of the patient as linked posture states comprises selecting, according to user input selecting the plurality of posture states from a list of posture states presented via a user interface, the posture states of the patient as the linked posture states.

5. The method of claim 1, wherein selecting the plurality of posture states comprises selecting at least some of the posture states as the linked posture states automatically.

6. The method of claim 1, wherein selecting the set of therapy parameter values comprises selecting one of a plurality of therapy program groups comprising one or more programs that include the set of therapy parameter values.

7. The method of claim 6, wherein selecting the posture states comprises selecting the posture states as linked posture states for one of the therapy program groups.

8. The method of claim 6, further comprising selecting the one of the therapy program groups for posture responsive therapy.

9. The method of claim 8, further comprising selecting the linked posture states for posture responsive therapy.

10. The method of claim 8, wherein posture responsive therapy comprises:

detecting a change from a first posture state to a second posture state; and

responsive to the detection, automatically changing from a first set of stimulation parameters associated with the first posture state to a second set of stimulation parameters associated with the second posture state; and

delivering therapy to the patient as defined by the second set of stimulation parameters.

11. The method of claim 6, wherein selecting the posture states comprises selecting the posture states as linked posture states for a plurality of the therapy program groups.

12. The method of claim 6, further comprising presenting a user interface that permits a user to link all of the posture states simultaneously.

13. The method of claim 1, wherein the therapy comprises electrical stimulation therapy, the method further comprising delivering the electrical stimulation therapy via electrodes.

14. The method of claim 1, further comprising at least one of enabling or disabling at least one therapy delivery feature based on the linking of the plurality of posture states of the patient.

15. The method of claim 1, wherein the plurality of linked posture states of the patient is a subset of all posture states of the patient.

16. An external programmer for an implantable medical device, the programmer comprising:

a user interface configured to receive user input selecting a plurality of posture states of a patient as linked posture states, and select a set of one or more therapy parameter values for delivery of therapy to the patient by the implantable medical device for all of the linked posture states, the set of one or more therapy parameter values being the same for all of the linked posture states; and

a processor configured to associate the set of one or more therapy parameter values with all of the linked posture states based on the selection and define the therapy to be delivered to the patient by the implantable medical device for all of the linked posture states based on the association.

17. The programmer of claim 16, wherein the processor is configured to program the implantable medical device to detect one of the linked posture states, and deliver therapy to the patient according to the therapy defined for the linked posture states in response to the detection.

18. The programmer of claim 16, wherein the user interface is configured to receive user input adjusting the selected set of therapy parameter values, and the processor is configured to automatically define the therapy to be delivered to the patient for all of the linked posture states based on the adjusted set of therapy parameter values.

19. The programmer of claim 16, wherein the processor is configured to select, according to user input selecting the plurality of posture states from a list of posture states presented via the user interface, at least some of the posture states as the linked posture states.

20. The programmer of claim 16, wherein the selected set of therapy parameter values is defined by one of a plurality of therapy program groups comprising one or more programs that include the selected set of therapy parameter values.

21. The programmer of claim 20, wherein the posture states are linked for one of the therapy program groups.

22. The programmer of claim 21, wherein the user interface is configured to receive user input selecting the one of the therapy program groups for posture responsive therapy.

23. The programmer of claim 22, wherein the linked posture states are selected for posture responsive therapy.

24. The programmer of claim 20, wherein the posture states are linked for a plurality of the therapy program groups.

25. The programmer of claim 16, wherein the user interface is configured to permit a user to link all of the posture states simultaneously.

26. The programmer of claim 16, wherein the therapy comprises electrical stimulation therapy.

27. The programmer of claim 16, wherein the processor is configured to at least one of enable or disable at least one therapy delivery feature based on the selecting of the plurality of posture states of the patient as linked posture states.

28. A system comprising:

a user interface configured to receive user input selecting a plurality of posture states of a patient as linked posture states, and select a set of one or more therapy parameter values for delivery of therapy to the patient for all of the linked posture states, the set of one or more therapy parameter values being the same for all of the linked posture states;

a processor configured to associate the set of one or more therapy parameter values with all of the linked posture states based on the selection and define the therapy to be delivered to the patient for all of the linked posture states based on the association; and

an implantable medical device configured to deliver the therapy to the patient for all of the linked posture states based on the association.

29. The system of claim 28, wherein the implantable medical device is configured to detect one of the linked posture states, and deliver the therapy to the patient according to the therapy defined for the linked posture states in response to the detection.

30. The system of claim 28, wherein the user interface is configured to receive user input adjusting the selected set of therapy parameter values, and the processor is configured to automatically define the therapy to be delivered to the patient for all of the linked posture states based on the adjusted set of therapy parameter values.

31. The system of claim 28, wherein the processor is configured to select at least some of the posture states as the linked posture states automatically.

32. The system of claim 28, wherein the selected set of therapy parameter values is defined by one of a plurality of therapy program groups comprising one or more programs that include the selected set of therapy parameter values.

33. The system of claim 32, wherein the posture states are linked for one of the therapy program groups.

34. The system of claim 33, wherein the user interface is configured to receive user input selecting the one of the therapy program groups for posture responsive therapy.

35. The system of claim 34, wherein the linked posture states are selected for posture responsive therapy.

36. The system of claim 32, wherein the therapy comprises electrical stimulation therapy.

37. The system of claim 28, wherein the processor is configured to at least one of enable or disable at least one therapy delivery feature based on the selecting of the plurality of posture states of the patient as linked posture states.

38. The system of claim 28, wherein one of the implantable medical device or an external programmer comprises the processor.

39. A system comprising:

means for selecting a plurality of posture states of a patient as linked posture states;

means for selecting a set of one or more therapy parameter values for delivery of therapy to the patient by an implantable medical device for all of the linked posture states, the set of one or more therapy parameter values being the same for all of the linked posture states;

means for associating the set of one or more therapy parameter values with all of the linked posture states based on the selection; and

means for defining the therapy to be delivered to the patient by the implantable medical device for all of the linked posture states based on the association.

40. The system of claim 39, further comprising:

means for detecting one of the linked posture states; and

means for delivering therapy to the patient according to the therapy defined for the linked posture states in response to the detection.

41. The system of claim 39, further comprising:

means for adjusting the selected set of therapy parameter values; and

means for automatically defining the therapy to be delivered to the patient for all of the linked posture states based on the adjusted set of therapy parameter values.

42. The system of claim 39, further comprising means for selecting, according to user input selecting the plurality of posture states from a list of posture states presented via a user interface, the posture states as the linked posture states.

43. The system of claim 39, further comprising means for selecting at least some of the posture states as the linked posture states automatically.

44. The system of claim 39, wherein the means for selecting the set of therapy parameter values comprises means for selecting one of a plurality of therapy program groups comprising one or more programs that include the set of therapy parameter values.

45. The system of claim 44, further comprising means for selecting the one of the plurality of therapy program groups for posture responsive therapy.

46. The system of claim 45, further comprising means for selecting the linked posture states for posture responsive therapy.

47. The system of claim 44, wherein the means for selecting the posture states comprises means for selecting the posture states as linked posture states for one of the therapy program groups.

49. The system of claim 39, wherein the therapy comprises electrical stimulation therapy.

50. The system of claim 39, further comprising means for at least one of enabling or disabling at least one therapy delivery feature based on the linking of the plurality of posture states of the patient.

48. The system of 36, wherein the means for selecting the posture states comprises means for selecting the posture states as linked posture states for a plurality of the therapy program groups.

51. An implantable medical device comprising:

a stimulation generator configured to deliver electrical stimulation therapy; and

a processor configured to;

receive information indicative of user input selecting a plurality of posture states of a patient as linked posture states and selecting a set of one or more therapy parameter values for delivery of the therapy to the patient for all of the linked posture states, the set of one or more therapy parameter values being the same for all of the linked posture states,

associate the set of one or more therapy parameter values with all of the linked posture states based on the selection;

define the therapy to be delivered to the patient for all of the linked posture states based on the association, and

control the stimulation generator to deliver the therapy to the patient for all of the linked posture states based on the association.

52. The implantable medical device of claim 51, further comprising a telemetry circuit configured to receive the information from an external programmer.