Generation of therapy programs and program groups

• US 7,826,901 B2
• Filed: 04/26/2004
• Issued: 11/02/2010
• Est. Priority Date: 04/25/2003
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Goetz, Steven M., Lee, Michael T., Torgerson, Nathan A.
• Primary Examiner(s): LAYNO, CARL HERNANDZ
• Assistant Examiner(s): Lee; Yun Haeng
• Application Number:
  US10/831,971
• Publication Number:
  US 20040267330A1
• Time in Patent Office: 2,381 Days
• Field of Search: None
• US Class Current: 607/59
• CPC Class Codes: A61N 1/36082 Cognitive or psychiatric applications, e.g. dementia or Alzheimer's disease
• CPC Class Codes: A61N 1/36185 Selection of the electrode configuration
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: Y10S 128/903 Radio telemetry

Abstract

A programmer allows a clinician to identify desirable combinations of electrodes from within an electrode set implanted in a patient that enable delivery of desirable neurostimulation therapy by an implantable medical device. The clinician may create neurostimulation therapy programs that include identified desirable electrode combinations. In some embodiments, the clinician may use the programmer to select a program, such as a program identified during a neurostimulation programming session, and direct the programmer to replicate the selected program. The programmer may change one or more parameters of the selected program, such as pulse amplitude or duty cycle, when generating the copy of the selected program. In some embodiments, the programmer may associate each of a plurality of programs identified during a neurostimulation therapy programming session with one or more program categories, and may automatically generate program groups that include two or more of the programs based on the program categories.

Claims

1. A method comprising:

selecting a neurostimulation therapy program that includes a set of neurostimulation therapy parameters;

receiving a replication command from a user;

automatically generating a copy of the selected neurostimulation therapy program in response to the replication command, wherein automatically generating a copy comprises automatically generating the copy with a value of at least one of the neurostimulation therapy parameters modified relative to a value of the neurostimulation therapy parameter for the selected program in response to the command; and

providing the selected neurostimulation therapy program and the copy to at least one of a programming device or a medical device, wherein a selected one or more of the neurostimulation therapy program and the copy controls delivery of neurostimulation therapy to a patient by the medical device.

2. The method of claim 1, wherein the modified neurostimulation therapy parameter value comprises an amplitude of the selected neurostimulation therapy program.

3. The method of claim 1, wherein the modified neurostimulation therapy parameter value comprises a duty cycle of the selected neurostimulation therapy program.

4. The method of claim 1, wherein automatically generating the copy with a value of at least one of the neurostimulation therapy parameters modified relative to a value of the neurostimulation therapy parameter for the selected program comprises changing the neurostimulation therapy parameter value by an amount selected by the user.

5. The method of claim 1, wherein automatically generating the copy with a value of at least one of the neurostimulation therapy parameters modified relative to a value of the neurostimulation therapy parameter for the selected program comprises changing the neurostimulation therapy parameter value by a predetermined amount.

6. The method of claim 1, wherein automatically generating a copy comprises at least one of automatically generating a copy that provides a higher neurostimulation intensity relative to the selected neurostimulation therapy program or automatically generating a copy that provides a lower neurostimulation intensity relative to the selected neurostimulation therapy program.

7. The method of claim 6, wherein automatically generating a copy that provides a higher neurostimulation intensity comprises generating the copy with an amplitude approximately equal to a previously determined pain threshold of the patient, and automatically generating a copy that provides a lower neurostimulation intensity comprises generating the copy with the amplitude approximately equal to a previously determined perception threshold of the patient.

8. The method of claim 1,

wherein automatically generating a copy of the selected neurostimulation therapy program comprises automatically generating a plurality of copies of the selected neurostimulation therapy program, each of the copies having a respective value of the neurostimulation therapy parameter that is modified relative to the value of the neurostimulation therapy parameter for the selected program, in response to the replication command, and

wherein providing the selected neurostimulation therapy program and the copy to at least one of a programming device or a medical device comprises providing the selected neurostimulation therapy program and the plurality of copies to at least one of the programming device or the medical device.

9. The method of claim 1, wherein providing the selected neurostimulation therapy program and the copy to at least one of a programming device or a medical device comprises:

including the selected neurostimulation therapy program in a first program group that includes one or more neurostimulation therapy programs;

including the copy in a second program group that includes one or more neurostimulation therapy programs; and

providing the first and second program groups to at least one of the programming device or the medical device, wherein a selected one of the first and second groups controls delivery of neurostimulation therapy to the patient by the medical device.

10. The method of claim 1, further comprising associating the selected neurostimulation therapy program and the copy with at least one of respective patient postures or respective patient activities.

11. The method of claim 1, further comprising associating the selected neurostimulation therapy program and the copy with respective times of day.

12. The method of claim 1, further comprising associating the selected neurostimulation therapy program and the copy with at least one of respective symptom states or respective side effect states.

13. The method of claim 1, wherein selecting a neurostimulation therapy program comprises selecting one of a plurality of neurostimulation therapy programs identified during a programming session.

14. The method of claim 1, wherein selecting a neurostimulation therapy program comprises receiving a selection of the neurostimulation therapy program by the user.

15. A device comprising:

a user interface;

a communication circuit; and

a processor to select a neurostimulation therapy program that includes a set of neurostimulation therapy parameters, receive a replication command from a user via the user interface, automatically generate a copy of the selected neurostimulation therapy program in response to the replication command, and provide the selected neurostimulation therapy program and the copy to at least one of a programming device or a medical device via the communication circuit,

wherein a selected one or more of the neurostimulation therapy program and the copy controls delivery of neurostimulation therapy to a patient by the medical device, and

wherein the processor automatically generates the copy with a value of at least one of the neurostimulation therapy parameters modified relative to a value of the neurostimulation therapy parameter for the selected program in response to the replication command.

16. The device of claim 15, wherein the processor automatically generates the copy with an amplitude modified relative to an amplitude of the selected neurostimulation therapy program.

17. The device of claim 15, wherein the processor automatically generates the copy with a duty cycle modified relative to a duty cycle of the selected neurostimulation therapy program.

18. The device of claim 15, wherein the processor changes the parameter value by an amount selected by the user when generating the copy.

19. The device of claim 15, wherein the processor changes the parameter value by a predetermined amount when generating the copy.

20. The device of claim 15, wherein the processor automatically generates at least one of a copy that provides a higher neurostimulation intensity relative to the selected neurostimulation therapy program or a copy that provides a lower neurostimulation intensity relative to the selected neurostimulation therapy program.

21. The device of claim 20, wherein the copy that provides a higher neurostimulation intensity includes an amplitude approximately equal to a previously determined pain threshold of the patient, and the copy that provides a lower neurostimulation includes an amplitude approximately equal to a perception threshold of the patient.

22. The device of claim 15, wherein the processor automatically generates a plurality of copies of the selected neurostimulation therapy program, each of the copies having a respective value of the neurostimulation therapy parameter that is modified relative to the value of the neurostimulation therapy parameter for the selected program, in response to the replication command, and provides the selected neurostimulation therapy program and the plurality of copies to at least one of the programming device or the medical device via the communication circuit.

23. The device of claim 15,

wherein the processor includes the selected neurostimulation therapy program in a first program group that includes one or more neurostimulation therapy programs, includes the copy in a second program group that includes one or more neurostimulation therapy programs, and provides the first and second program groups to at least one of the programming device or the medical device, and

wherein a selected one of the first and second groups controls delivery of neurostimulation therapy to the patient by the medical device.

24. The device of claim 15, wherein the processor associates the selected neurostimulation therapy program and the copy with at least one of respective patient postures or respective patient activities.

25. The device of claim 15, wherein the processor associates the selected neurostimulation therapy program and the copy with respective times of day.

26. The device of claim 15, wherein the processor associates the selected neurostimulation therapy program and the copy with at least one of respective symptom states or respective side effect states.

27. The device of claim 15, wherein the selected neurostimulation therapy program is one of a plurality of neurostimulation therapy programs identified during a programming session.

28. The device of claim 15, wherein the processor receives a selection of the neurostimulation therapy program made by the user via the user interface.

29. A computer-readable medium comprising instructions that cause a programmable processor to:

select a neurostimulation therapy program that includes a set of neurostimulation therapy parameters;

receive a replication command from a user;

automatically generate a copy of the selected neurostimulation therapy program in response to the replication command; and

provide the selected neurostimulation therapy program and the copy to at least one of a programming device or a medical device,

wherein a selected one or more of the neurostimulation therapy program and the copy controls delivery of neurostimulation therapy to a patient by the medical device, and

wherein the instructions that cause a programmable processor to automatically generate a copy comprises instructions that cause the programmable processor to automatically generate the copy with a value of at least one of the neurostimulation therapy parameters modified relative to a value of the neurostimulation therapy parameter for the selected program in response to the replication command.

30. The computer-readable medium of claim 29,

wherein the instructions that cause the programmable processor to automatically generate a copy of the selected neurostimulation therapy program comprise instructions that cause the programmable processor to automatically generate a plurality of copies of the selected neurostimulation therapy program in response to the replication command, each of the copies having a respective value of the neurostimulation therapy parameter that is modified relative to the value of neurostimulation parameter for the selected program, and

wherein the instructions that cause a programmable processor to provide the selected neurostimulation therapy program and the copy to at least one of a programming device or a medical device comprise instructions that cause the programmable processor to provide the selected neurostimulation therapy program and the plurality of copies to at least one of the programming device or the medical device.

31. The computer-readable medium of claim 29, wherein the instructions that cause the programmable processor to provide the selected neurostimulation therapy program and the copy to at least one of a programming device or a medical device comprise instructions that cause a programmable processor to:

include the selected neurostimulation therapy program in a first program group that includes one or more neurostimulation therapy programs;

include the copy in a second program group that includes one or more neurostimulation therapy programs; and

provide the first and second program groups to at least one of the programming device or the medical device, wherein a selected one of the first and second groups controls delivery of neurostimulation therapy to the patient by the medical device.