PROGRAMMING POSTURE STATE-RESPONSIVE THERAPY WITH NOMINAL THERAPY PARAMETERS

• US 20100010589A1
• Filed: 04/30/2009
• Published: 01/14/2010
• Est. Priority Date: 07/11/2008
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Davis, Jon P., Skelton, Dennis M., Gokaldas, Shyam
• Granted Patent: US 8,249,718 B2
• Time in Patent Office: Days
• US Class Current: 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 5/103 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: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/36139 with automatic adjustment
• 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: G16H 20/40 relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
• CPC Class Codes: G16H 40/63 for local operation

Abstract

The disclosure describes techniques for programming posture state-responsive therapy with nominal therapy parameters. The techniques may include presenting therapy adjustment information to a user via a user interface, wherein the therapy adjustment information includes one or more therapy adjustments made by a patient to at least one stimulation parameter of one or more stimulation therapy programs for one or more patient posture states, receiving input from the user that selects one or more nominal therapy parameters for each of the therapy programs and for each of the posture states based on the therapy adjustment information, and setting the selected nominal therapy parameters for each of the therapy programs and posture states for use in delivering stimulation therapy to the patient.

Claims

1. A method comprising:

presenting therapy adjustment information to a user via a user interface, wherein the therapy adjustment information includes one or more therapy adjustments made by a patient to at least one stimulation parameter of one or more stimulation therapy programs for one or more patient posture states;

receiving input from the user that selects one or more nominal therapy parameters for each of the therapy programs and for each of the posture states based on the therapy adjustment information; and

setting the selected nominal therapy parameters for each of the therapy programs and posture states for use in delivering stimulation therapy to the patient.

2. The method of claim 1, wherein each of the nominal therapy parameters is one of a minimum amplitude value or a maximum amplitude value for each of the therapy programs and each of the posture states.

3. The method of claim 1, wherein the therapy adjustment information comprises a minimum amplitude value and a maximum amplitude value for each of the therapy programs and each of the posture states.

4. The method of claim 1, further comprising:

quantifying a number of the therapy adjustments associated with each of the therapy programs and posture states; and

presenting the quantified number of therapy adjustments for each of the therapy programs and posture states.

5. The method of claim 1, further comprising:

sensing one of the plurality of posture states; and

delivering stimulation therapy according to one of the therapy programs and the nominal therapy parameters set for the respective therapy program and the respective posture state.

6. The method of claim 5, wherein the therapy programs are organized in a plurality of program groups, wherein each of the groups comprises one or more of the therapy programs, and wherein each of the therapy programs in any of the groups is delivered to the patient with other therapy programs in the respective group.

7. The method of claim 1, wherein the input from the user comprises a single input that specifies selection of the nominal therapy parameters for each of the therapy programs and for each of the posture states.

8. The method of claim 1, wherein the input from the user comprises a selection of at least some of the posture states, and a selection of the nominal therapy parameters for each of the therapy programs and the selected posture states.

9. The method of claim 8, wherein the input from the user comprises a selection of a program group comprising one or more of the programs, and a selection of the nominal therapy parameters for each of the therapy programs in the selected program group and the selected posture states.

10. The method of claim 8, wherein the input from the user comprises a single input that specifies selection of the nominal therapy parameters for each of the therapy programs in the selected program group and the selected posture states.

11. A system comprising:

a memory that stores therapy adjustment information that includes one or more therapy adjustments made by a patient to at least one stimulation parameter of one or more stimulation therapy programs for one or more patient posture states;

a user interface that presents the therapy adjustment information to a user and receives input from the user that selects one or more nominal therapy parameters for each of the therapy programs and for each of the posture states based on the therapy adjustment information; and

a processor that sets the selected nominal therapy parameters for each of the therapy programs and posture states for use in delivering stimulation therapy to the patient.

12. The system of claim 11, wherein each of the nominal therapy parameters is one of a minimum amplitude value or a maximum amplitude value for each of the therapy programs and each of the posture states.

13. The system of claim 11, wherein the therapy adjustment information comprises a minimum amplitude value and a maximum amplitude value for each of the therapy programs and each of the posture states.

14. The system of claim 11, wherein:

the processor quantifies a number of the therapy adjustments associated with each of the therapy programs and posture states; and

the user interface presents the quantified number of therapy adjustments for each of the therapy programs and posture states.

15. The system of claim 11, further comprising:

an implantable medical device comprising a posture state module that senses one of the posture states, and a stimulator module that delivers stimulation therapy according to one of the therapy programs and the nominal therapy parameters set for the respective therapy program and the respective posture state; and

an external programmer for the implantable medical device, the external programmer comprising the user interface that presents the therapy adjustment information to the user.

16. The system of claim 15, wherein the therapy programs are organized in a plurality of program groups, wherein each of the groups comprises one or more of the therapy programs, and wherein the stimulation module delivers each of the therapy programs in any of the groups to the patient with other therapy programs in the respective group.

17. The system of claim 11, wherein the input from the user comprises a single input that specifies selection of the nominal therapy parameters for each of the therapy programs and for each of the posture states.

18. The system of claim 11, wherein the input from the user comprises a selection of at least some of the posture states, and a selection of the nominal therapy parameters for each of the therapy programs and the selected posture states.

19. The system of claim 18, wherein the input from the user comprises a selection of a program group comprising one or more of the programs, and a selection of the nominal therapy parameters for each of the therapy programs in the selected program group and the selected posture states.

20. The system of claim 18, wherein the input from the user comprises a single input that specifies selection of the nominal therapy parameters for each of the therapy programs in the selected program group and the selected posture states.

21. A system comprising:

means for presenting therapy adjustment information to a user via a user interface, wherein the therapy adjustment information includes one or more therapy adjustments made by a patient to at least one stimulation parameter of one or more stimulation therapy programs for one or more patient posture states;

means for receiving input from the user that selects one or more nominal therapy parameters for each of the therapy programs and for each of the posture states based on the therapy adjustment information; and

means for setting the nominal therapy parameters for each of the therapy programs and posture states for use in delivering stimulation therapy to the patient.

22. The system of claim 21, wherein each of the nominal therapy parameter is one of a minimum amplitude value or a maximum amplitude value for each of the therapy programs and each of the posture states.

23. The system of claim 21, wherein the therapy adjustment information comprises a minimum amplitude value and a maximum amplitude value for each of the therapy programs and each of the posture states.

24. The system of claim 21, further comprising:

means for quantifying a number of the therapy adjustments associated with each of the therapy programs and posture states; and

means for presenting the quantified number of therapy adjustments for each of the therapy programs and posture states.

25. The system of claim 21, further comprising:

means for sensing one of the plurality of posture states; and

means for delivering stimulation therapy according to one of the therapy programs and the nominal therapy parameters set for the respective therapy program and the respective posture state.

26. The system of claim 25, wherein the therapy programs are organized in a plurality of program groups, wherein each of the groups comprises one or more of the therapy programs, and wherein each of the therapy programs in any of the groups is delivered to the patient with other therapy programs in the respective group.

27. The system of claim 21, wherein the input from the user comprises a single input that specifies selection of the nominal therapy parameters for each of the therapy programs and for each of the posture states.

28. The system of claim 21, wherein the input from the user comprises a selection of at least some of the posture states, and a selection of the nominal therapy parameters for each of the therapy programs and the selected posture states.

29. The system of claim 28, wherein the input from the user comprises a selection of a program group comprising one or more of the programs, and a selection of the nominal therapy parameters for each of the therapy programs in the selected program group and the selected posture states.

30. The system of claim 28, wherein the input from the user comprises a single input that specifies selection of the nominal therapy parameters for each of the therapy programs in the selected program group and the selected posture states.

31. An external programmer for an implantable medical device comprising:

a user interface that presents therapy adjustment information to a user via a user interface, wherein the therapy adjustment information includes one or more therapy adjustments made by a patient to at least one stimulation parameter of one or more stimulation therapy programs for one or more patient posture states, and receives input from the user that selects one or more nominal therapy parameters for each of the therapy programs and for each of the posture states based on the therapy adjustment information; and

a processor that sets the selected nominal therapy parameters for each of the therapy programs and posture states for use in delivering stimulation therapy to the patient.