Graphical manipulation of posture zones for posture-responsive therapy

• US 9,956,418 B2
• Filed: 01/06/2011
• Issued: 05/01/2018
• 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., Sahasrabudhe, Rajeev M., Simons, David
• Primary Examiner(s): DIETRICH, JOSEPH M
• Application Number:
  US12/986,039
• Publication Number:
  US 20110172738A1
• Time in Patent Office: 2,672 Days
• Field of Search: 607 17- 20
• 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 5/1117 Fall detection
• CPC Class Codes: A61B 5/1118 Determining activity level
• CPC Class Codes: A61B 5/4839 combined with drug delivery
• CPC Class Codes: A61B 5/686 Permanently implanted devices, e.g. pacemakers, other stimulators, biochips A61B5/6861 takes precedence
• CPC Class Codes: A61B 5/744 Displaying an avatar, e.g. an animated cartoon character
• CPC Class Codes: A61N 1/36071 Pain
• 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 1/37264 Changing the program; Upgrading firmware
• CPC Class Codes: A61N 1/37282 characterised by communication with experts in remote locations using a network
• CPC Class Codes: G16H 20/17 delivered via infusion or injection
• CPC Class Codes: G16H 20/30 relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
• CPC Class Codes: G16H 40/67 for remote operation

Abstract

The disclosure provides a system that displays graphical representations of posture zones associated with posture states of a patient, on a display device communicatively coupled to a medical device. The medical device is configured to deliver therapy to the patient based on detected posture states of the patient, where the detected posture state is based on the posture zones. The display device may allow a user to manipulate the graphical representations of the posture zones, including changing the size of the posture zones. Additionally, the display device may allow a user to change transition times associated with transitions between posture states, and displaying an indication of the changed transition time by highlighting the two graphical representations of the posture zones corresponding to the posture states associated with the changed transition time.

Claims

1. A method comprising:

controlling delivery of therapy from a medical device to a patient based on a detected posture state of the patient, wherein the medical device is configured to detect the posture state of the patient based on a comparison of a posture sensor output to one or more posture zones;

displaying a graphical representation of the one or more posture zones associated with the patient on a display device, wherein the display device is configured to be communicatively coupled to the medical device;

receiving user input via a user interface while the display device simultaneously displays the graphical representation of the one or more posture zones associated with the patient, wherein the user input comprises an indication to change one or more parameters associated with the one or more posture zones; and

changing the one or more parameters associated with the one or more posture zones in response to the user input, wherein the receiving and changing are performed via a processor.

2. The method of claim 1, wherein the indication comprises an indication to change the size of at least one of the one or more posture zones, the method further comprising:

changing the size of the at least one of the one or more posture zones according to the indication.

3. The method of claim 1, further comprising displaying an avatar of the patient in relation to the graphical representation of the one or more posture zones.

4. The method of claim 1, wherein the graphical representation comprises a graphical representation of at least one cone corresponding to the one or more posture zones.

5. The method of claim 4, further comprising changing an angle associated with the cone relative to a center vector passing through a center of the cone in response to the user input.

6. The method of claim 1, further comprising:

displaying a timing parameter associated with at least one of the one or more posture zones, wherein the medical device is configured to detect the posture state of the patient based at least in part on the timing parameter, wherein the indication comprises an indication to change the timing parameter associated with the at least one of the one or more posture zones; and

changing the timing parameter associated with the at least one of the one or more posture zones based on the indication.

7. The method of claim 6, wherein the timing parameter comprise transition times associated with transitioning from a first posture state to a second posture state.

8. The method of claim 7, further comprising displaying the indication to change the timing parameter, wherein displaying the indication comprises displaying a first pattern on the graphical representation of the zone associated with the first posture state and displaying a second pattern on the graphical representation of the zone associated with the second posture state.

9. The method of claim 7, further comprising accepting the second posture state as a current posture of the patient if the patient remains in the second posture state for an amount of time equal to or greater than the transition time.

10. The method of claim 1, wherein displaying a graphical representation of posture zones comprises displaying a graphical representation of multiple postures zones of the one or more posture zones simultaneously with each other.

11. The method of claim 10, further comprising displaying an avatar of the patient in relation to the graphical representation of the multiple posture zones.

12. The method of claim 1, further comprising transmitting the change to the medical device.

13. The method of claim 1, further comprising receiving the output of the posture sensor from the medical device via a telemetry module.

14. The method of claim 1, wherein the graphical representation of the one or more posture zones is defined based on the one or more parameters associated with the one or more posture zones.

15. The method of claim 1, further comprising:

detecting the posture state of the patient based on the posture sensor output being within a zone of the one or more posture zones; and

delivering therapy to the patient via the medical device based on the detected posture state of the patient.

16. A system comprising:

means for controlling delivery of therapy from a medical device to a patient based on a detected posture state of the patient, wherein the medical device is configured to detect the posture state of the patient based on a comparison of a posture sensor output to one or more posture zones;

means for displaying a graphical representation of the one or more posture zones associated with the patient, wherein the display device is configured to be communicatively coupled to the medical device;

means for receiving user input while the means for displaying simultaneously displays the graphical representation of the one or more posture zones associated with the patient, wherein the user input comprises an indication to change one or more parameters associated with the one or more posture zones; and

means for changing the one or more parameters associated with the one or more posture zones in response to the user input.

17. The system of claim 16, wherein the indication comprises an indication to change the size of at least one of the one or more posture zones, the system further comprising:

means for changing the size of the at least one of the one or more zones according to the indication.

18. The system of claim 16, further comprising means for displaying an avatar of the patient in relation to the graphical representation of the one or more posture zones.

19. The system of claim 16, wherein the graphical representation comprises a graphical representation of at least one cone corresponding to the one or more posture zones.

20. The system of claim 19, further comprising means for changing an angle associated with the cone relative to a center vector passing through a center of the cone in response to the user input.

21. The system of claim 16, further comprising:

means for displaying a timing parameter associated with at least one of the one or more posture zones, wherein the indication comprises an indication to change the timing parameter associated with the at least one of the one or more posture zones; and

means for changing the timing parameter associated with the at least one of the one or more posture zones based on the indication.

22. The system of claim 21, wherein the timing parameter comprise transition times associated with transitioning from a first posture state to a second posture state.

23. The system of claim 22, further comprising means for displaying the indication to change the timing parameter, wherein the means for displaying the indication comprises means for displaying a first pattern on the graphical representation of the zone associated with the first posture state and means for displaying a second pattern on the graphical representation of the zone associated with the second posture state.

24. The system of claim 22, further comprising means for accepting the second posture state as a current posture of the patient if the patient remains in the second posture state for an amount of time equal to or greater than the transition time.

25. A non-transitory computer-readable storage medium comprising instructions that, upon execution, cause one or more processors to:

control delivery of therapy from a medical device to a patient based on a detected posture state of the patient, wherein the medical device is configured to detect the posture state of the patient based on a comparison of a posture sensor output to one or more posture zones;

display a graphical representation of the one or more posture zones associated with the patient on a display device, wherein the display device is configured to be communicatively coupled to the medical device;

receive user input while the display device simultaneously displays the graphical representation of the one or more posture zones associated with the patient, wherein the user input comprises an indication to change one or more parameters associated with the one or more posture zones; and

change the one or more parameters associated with the one or more posture zones in response to the user input.

26. The computer-readable medium of claim 25, wherein the indication comprises an indication to change the size of at least one of the one or more posture zones, the computer-readable medium further comprising instructions that cause the processor to:

change the size of the at least one of the one or more posture zones according to the indication.

27. The computer-readable medium of claim 25, further comprising instructions that cause the processor to display an avatar of the patient in relation to the graphical representation of the one or more posture zones.

28. The computer-readable medium of claim 25, wherein the graphical representation comprises a graphical representation of at least one cone corresponding to the one or more posture zones.

29. The computer-readable medium of claim 28, further comprising instructions that cause the processor to change an angle associated with the cone relative to a center vector passing through a center of the cone in response to the user input.

30. The computer-readable medium of claim 25, further comprising instructions that cause the processor to:

display a timing parameter associated with at least one of the one or more posture zones, wherein the indication comprises an indication to change the timing parameter associated with the at least one of the one or more posture zones; and

change the timing parameter associated with the at least one of the one or more posture zones based on the indication.

31. The computer-readable medium of claim 30, wherein the timing parameter comprises a transition time associated with transitioning from a first posture state to a second posture state.

32. The computer-readable medium of claim 31, further comprising instructions that cause the processor to display the indication to change the timing parameter, wherein the instructions to display the indication comprise instructions that cause the processor to display a first pattern on the graphical representation of the zone associated with the first posture state and display a second pattern on the graphical representation of the zone associated with the second posture state.

33. The computer-readable medium of claim 31, further comprising instructions that cause the processor to accept the second posture state as a current posture of the patient if the patient remains in the second posture state for an amount of time equal to or greater than the transition time.

34. A system comprising:

a medical device configured to deliver therapy to a patient;

a posture sensor configured to generate a posture sensor output;

a display device configured to display a graphical representation of one or more posture zones associated with a patient, wherein the display device is configured to be communicatively coupled to the medical device, wherein the medical device is configured to deliver therapy to the patient based on a detected posture state of the patient, and wherein the medical device is configured to detect the posture state of the patient based on a comparison of a posture sensor output to the one or more posture zones;

a user interface configured to receive user input, wherein the user input comprises an indication to change one or more parameters associated with the one or more posture zones, and wherein the user interface is configured to receive the user input while the display device simultaneously displays the graphical representation of the one or more posture zones associated with the patient; and

a processor configured to change the one or more parameters associated with the one or more posture zones in response to the user input.

35. The system of claim 34, further comprising a programmer configured to program the medical device, wherein the programmer includes the display device, the user interface, and the processor.

36. The system of claim 34:

wherein the indication comprises an indication to change the size of at least one of the one or more posture zones, and

wherein the processor is configured to change the size of the at least one of the one or more posture zones according to the indication.

37. The system of claim 34, wherein the display device is further configured to display an avatar of the patient in relation to the graphical representation of the one or more posture zones.

38. The system of claim 34, wherein the graphical representation comprises a graphical representation of at least one cone corresponding to the one or more posture zones.

39. The system of claim 38, wherein the processor is configured to change an angle associated with the cone relative to a center vector passing through a center of the cone in response to the user input.

40. The system of claim 34,

wherein the display device is configured to display timing parameters associated with at least one of the one or more posture zones,

wherein the indication comprises an indication to change the timing parameter associated with the at least one of the one or more posture zones, and

wherein the processor is configured to change the timing parameter associated with the at least one of the one or more posture zones based on the indication.

41. The system of claim 40, wherein the timing parameters comprise transition times associated with transitioning from a first posture state to a second posture state.

42. The system of claim 41, wherein the display device is further configured to display the indication to change the timing parameter by displaying a first pattern on the graphical representation of the zone associated with the first posture state and displaying a second pattern on the graphical representation of the zone associated with the second posture state.

43. The system of claim 41, wherein the processor is further configured to accept the second posture state as a current posture state of the patient if the patient remains in the second posture state for an amount of time equal to or greater than the transition time.

44. The system of claim 34, wherein the display device is configured to display a graphical representation of multiple postures zones of the one or more posture zones simultaneously with each other.

45. The system of claim 44, wherein the display device is configured to display an avatar of the patient in relation to the graphical representation of the multiple posture zones.

46. The system of claim 34, wherein the processor is configured to transmit the change to the medical device.

47. The system of claim 34, wherein the display device includes a telemetry module configured to receive the output of the posture sensor from the medical device.

48. The system of claim 34, wherein the graphical representation of the one or more posture zones is defined based on the one or more parameters associated with the one or more posture zones.

49. The system of claim 34, wherein the medical device is configured to detect the posture state of the patient based on the posture sensor output being within a zone of the one or more posture zones, and deliver therapy to the patient via the medical device based on the detected posture state of the patient.