Associating therapy adjustments with posture states using a stability timer

• US 10,207,118 B2
• Filed: 08/02/2013
• Issued: 02/19/2019
• 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.
• Primary Examiner(s): Wehrheim, Lindsey G
• Application Number:
  US13/958,405
• Publication Number:
  US 20130317568A1
• Time in Patent Office: 2,027 Days
• 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 5/103 Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes A61B5/08 takes precedence; measuring aids for tailors A41H1/00; measuring instruments specially adapted for dentistry A61C19/04
• 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 5/743 Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots
• CPC Class Codes: A61B 5/744 Displaying an avatar, e.g. an animated cartoon character
• CPC Class Codes: A61N 1/3605 Implantable neurostimulators for stimulating central or peripheral nerve system
• CPC Class Codes: A61N 1/36071 Pain
• 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: A61N 1/37264 Changing the program; Upgrading firmware
• CPC Class Codes: G16H 20/30 relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
• CPC Class Codes: G16H 20/40 relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
• CPC Class Codes: G16H 40/60 for the operation of medical equipment or devices
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

The disclosure describes techniques for associating therapy adjustments with posture states using a timer. The techniques may include detecting a patient adjustment to electrical stimulation therapy delivered to the patient, sensing a posture state of the patient, and associating the detected adjustment with the sensed posture state if the sensed posture state is sensed within a first period following the detection of the adjustment and if the sensed posture state does not change during a second period following the sensing of the sensed posture state.

Claims

1. A method comprising:

receiving an indication of an adjustment to one or more parameters of electrical stimulation therapy delivered to a patient, wherein the adjustment is made by the patient while occupying a first posture state and prior to the patient occupying a second posture state;

receiving an indication that the patient is occupying the second posture state; and

responsive to receiving the indication that the patient is occupying the second posture state, associating, by a processor, the adjustment to the one or more parameters with the second posture state, wherein the adjustment to the one or more parameters is not associated with the first posture state.

2. The method of claim 1, further comprising:

receiving an indication of sensing the second posture state;

determining that the second posture state does not change within a period of time subsequent to receiving the indication of the adjustment;

responsive to the determination, determining that the patient is occupying the second posture state; and

responsive to determining that the patient is occupying the second posture state, generating the indication that the patient is occupying the second posture state.

3. The method of claim 1, further comprising:

receiving an indication of sensing the second posture state; and

determining, based on the indication, that the second posture state was sensed within a period of time subsequent to receiving the indication of the adjustment, wherein associating the adjustment with the second posture state comprises, responsive to the determination, associating the adjustment with the second posture state.

4. The method of claim 3, further comprising:

determining that the second posture state does not change within a period of time subsequent to initially receiving the indication of sensing the second posture state; and

responsive to determining that the second posture state was sensed within the period of time subsequent to receiving the indication of the adjustment and determining that the second posture state does not change within the period of time subsequent to initially receiving the indication of sensing the second posture state, associating the adjustment with the second posture state.

5. The method of claim 1, further comprising:

sensing the first posture state; and

sensing the second posture state.

6. The method of claim 1, further comprising receiving, via a user interface of an external programmer for an implantable medical device, the adjustment to the one or more parameters of electrical stimulation therapy.

7. The method of claim 1, further comprising:

prompting a user to confirm the association of the therapy adjustment with the sensed posture state; and

receiving an indication of a user input confirming the association, wherein associating the therapy adjustment with the sensed posture state further comprises, responsive to receiving the indication of the user input confirming the association, associating the therapy adjustment with the sensed posture state.

8. The method of claim 1, wherein the sensed posture state is one of a plurality of predetermined posture states detectable by a posture state module, and wherein each of the plurality of predetermined posture states defines a respective area of a plurality of areas of a three-dimensional posture state space indicative of an orientation of the patient.

9. The method of claim 1, wherein an external programmer for an implantable medical device comprises the processor.

10. The method of claim 1, wherein an implantable medical device comprises the processor.

11. A system comprising:

one or more processors configured to;

receive an indication of an adjustment to one or more parameters of electrical stimulation therapy delivered to a patient, wherein the adjustment is made by the patient while occupying a first posture state and prior to the patient occupying a second posture state;

receive an indication that the patient is occupying the second posture state; and

responsive to receiving the indication that the patient is occupying the second posture state, associate the adjustment to the one or more parameters with the second posture state, wherein the adjustment to the one or more parameters is not associated with the first posture state.

12. The system of claim 11, wherein the one or more processors are further configured to:

receive an indication of sensing the second posture state;

determine that the second posture state does not change within a period of time subsequent to receiving the indication of the adjustment;

responsive to the determination, determine that the patient is occupying the second posture state; and

responsive to the determination that the patient is occupying the second posture state, generate the indication that the patient is occupying the second posture state.

13. The system of claim 11, wherein the one or more processors are further configured to:

receive an indication of sensing the second posture state;

determine, based on the indication, that the second posture state was sensed within a period of time subsequent to receiving the indication of the adjustment;

associate the adjustment with the second posture state by, responsive to the determination, associating the adjustment with the second posture state.

14. The system of claim 13, wherein the one or more processors are further configured to:

determine that the second posture state does not change within a period of time subsequent to initially receiving the indication of sensing the second posture state; and

responsive to the determination that the second posture state was sensed within the period of time subsequent to receiving the indication of the adjustment and the determination that the second posture state does not change within the period of time subsequent to initially receiving the indication of sensing the second posture state, associate the adjustment with the second posture state.

15. The system of claim 11, further comprising a posture state module configured to:

sense the first posture state; and

sense the second posture state.

16. The system of claim 11, further comprising an external programmer for an implantable medical device, wherein the external programmer comprises a user interface configured to receive the adjustment to the one or more parameters of electrical stimulation therapy.

17. The system of claim 11, wherein the one or more processors are configured to:

prompt a user to confirm the association of the therapy adjustment with the sensed posture state;

receive an indication of a user input confirming the association; and

responsive to receiving the indication of the user input confirming the association, associate the therapy adjustment with the sensed posture state.

18. The system of claim 11, wherein the sensed posture state is one of a plurality of predetermined posture states detectable by a posture state module, and wherein each of the plurality of predetermined posture states defines a respective area of a plurality of areas of a three-dimensional posture state space indicative of an orientation of the patient.

19. The system of claim 11, further comprising an external programmer for an implantable medical device, wherein the external programmer comprises the processor.

20. The system of claim 11, further comprising an implantable medical device, wherein the implantable medical device comprises the processor.

21. A system comprising:

means for receiving an indication of an adjustment to one or more parameters of electrical stimulation therapy delivered to a patient, wherein the adjustment is made by the patient while occupying a first posture state and prior to the patient occupying a second posture state;

means for receiving an indication that the patient is occupying the second posture state; and

means for, responsive to receiving the indication that the patient is occupying the second posture state, associating the adjustment to the one or more parameters with the second posture state, wherein the adjustment to the one or more parameters is not associated with the first posture state.