Collecting activity information to evaluate incontinence therapy

• US 8,190,253 B2
• Filed: 07/07/2009
• Issued: 05/29/2012
• Est. Priority Date: 03/16/2004
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Heruth, Kenneth T., Miesel, Keith A.
• Primary Examiner(s): Gedeon, Brian T
• Application Number:
  US12/498,928
• Publication Number:
  US 20090270942A1
• Time in Patent Office: 1,057 Days
• Field of Search: 607/3, 607/9, 607/41, 607/46, 607/48, 600/585, 600/587
• US Class Current: 607/3
• CPC Class Codes: A61B 2562/0219 Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
• CPC Class Codes: A61B 5/0031 Implanted circuitry
• CPC Class Codes: A61B 5/02055 Simultaneously evaluating both cardiovascular condition and temperature
• CPC Class Codes: A61B 5/1118 Determining activity level
• CPC Class Codes: A61B 5/1455 using optical sensors, e.g. spectral photometrical oximeters
• CPC Class Codes: A61B 5/369 Electroencephalography [EEG] devices for psychotechnics A61B5/16
• CPC Class Codes: A61B 5/389 Electromyography [EMG]
• CPC Class Codes: A61B 5/6814 Head
• CPC Class Codes: A61B 5/6826 Finger
• CPC Class Codes: A61B 5/6831 Straps, bands or harnesses
• CPC Class Codes: A61B 5/6838 Clamps or clips
• CPC Class Codes: A61M 5/14276 specially adapted for implantation
• CPC Class Codes: A61M 5/1723 using feedback of body parameters, e.g. blood-sugar, pressure measurement of body parameters A61B5/00
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/365 controlled by a physiological parameter, e.g. heart potential evoked response A61N1/371
• CPC Class Codes: A61N 1/36521 the parameter being derived from measurement of an electrical impedance
• CPC Class Codes: A61N 1/36542 controlled by body motion, e.g. acceleration
• CPC Class Codes: A61N 1/36557 controlled by chemical substances in blood

Abstract

A medical device delivers a therapy to a patient. The medical device may periodically determine an activity level of the patient, and associate each determined activity level with a current therapy parameter set. A value of at least one activity metric is determined for each of a plurality of therapy parameter sets based on the activity levels associated with that therapy parameter set. A list of the therapy parameter sets is presented to a user, such as a clinician, for evaluation of the relative efficacy of the therapy parameter sets. The list may be ordered according to the one or more activity metric values to aid in evaluation of the therapy parameter sets. Where values are determined for a plurality of activity metrics, the list may be ordered according to the one of the activity metrics selected by the user.

Claims

1. A method comprising:

monitoring a signal that varies as a function of patient activity;

periodically determining an activity level of the patient based on the signal;

associating each of the determined activity levels with a therapy parameter set used by a medical device to deliver a therapy to a patient to treat incontinence when the activity level was determined; and

determining a value of an activity metric for each of a plurality of therapy parameter sets based on activity levels associated with the therapy parameter sets.

2. The method of claim 1, wherein periodically determining an activity level comprises periodically determining a value of at least one physiological parameter of the patient.

3. The method of claim 2, wherein periodically determining a value of a physiological parameter comprises periodically determining at least one of a heart rate, a respiration rate, respiratory volume, a core temperature or a muscular activity level.

4. The method of claim 1, further comprising presenting a list of the plurality of therapy parameter sets and activity metric values associated with the therapy parameter sets.

5. The method of claim 4, further comprising ordering the list of therapy parameter sets according to the associated activity metric values.

6. The method of claim 5, wherein ordering the list comprises ordering the list according to a user selected one of the activity metrics.

7. The method of claim 1, wherein determining a value of an activity metric comprises:

determining a value of each of a plurality of activity metrics; and

determining a value of an overall activity metric based on the plurality of activity metric values.

8. The method of claim 1, further comprising presenting a graphical representation of the determined activity levels.

9. A medical system comprising:

a medical device configured to deliver a therapy to a patient to treat incontinence; and

a processor configured to monitor a signal that varies as a function of patient activity, periodically determine an activity level of the patient based on the signal, associate each of the determined activity levels with a therapy parameter set used by the medical device to deliver the therapy to the patient when the activity level was determined, and determine a value of an activity metric for each of a plurality of therapy parameter sets based on activity levels associated with the therapy parameter sets.

10. The medical system of claim 9, wherein the medical device includes the processor.

11. The medical system of claim 9, further comprising a programming device that includes the processor.

12. The medical system of claim 9, wherein the processor periodically determines an activity level by periodically determining a value of at least one physiological parameter of the patient.

13. The medical system of claim 9, further comprising a display to present a list of the plurality of therapy parameter sets and activity metric values associated with the therapy parameter sets.

14. The medical system of claim 13, further comprising a programming device that includes the display.

15. The medical system of claim 14, wherein the programming device orders the list of therapy parameter sets according to the associated activity metric values.

16. The medical system of claim 15, wherein the processor determines a value of each of a plurality of activity metrics for each of the plurality of therapy parameter sets based on activity levels associated with the therapy parameter sets, and the programming device orders the list according to a user selected one of the activity metrics.

17. The medical system of claim 13, wherein the medical device includes the display, and the processor generates the list and presents the list via the display.

18. The medical system of claim 9, wherein the processor determines a value of each of a plurality of activity metrics, and determines a value of an overall activity metric based on the plurality of activity metric values.

19. The medical system of claim 9, wherein the medical device comprises an implantable medical device.

20. The medical system of claim 9, wherein the medical device comprises a trial neurostimulator.

21. A medical system comprising:

an implantable medical device that delivers a therapy to a patient to treat incontinence, monitors a signal that varies as a function of patient activity, periodically determines an activity level of the patient based on the signal, and associates each of the determined activity levels with a therapy parameter set used by the medical device to deliver therapy to the patient to treat incontinence when the activity level was determined; and

an external programming device including a display that receives information identifying a plurality of therapy parameter sets and associated activity levels from the implantable medical device via telemetry, determines a value of an activity metric for each of a plurality of therapy parameter sets based on activity levels associated with the therapy parameter sets, and presents a list of the plurality of therapy parameter sets and activity metric values associated with the therapy parameter sets via the display.

22. The medical system of claim 21, wherein the programming device orders the list of therapy parameter sets according to the associated activity metric values.

23. A medical system comprising:

a medical device configured to deliver a therapy to a patient to treat incontinence;

a processor configured to monitor a signal that varies as a function of patient activity, periodically determine an activity level of the patient based on the signal, associate each of the determined activity levels with a therapy parameter set used by the medical device to deliver the therapy to the patient when the activity level was determined, and determine a value of an activity metric for each of a plurality of therapy parameter sets based on activity levels associated with the therapy parameter sets; and

a programming device comprising a display, the programming device configured to present a list of the plurality of therapy parameter sets and activity metric values associated with the therapy parameter sets on the display, and order the list of therapy parameter sets according to the associated activity metric values.

24. The medical system of claim 23, wherein the processor is configured to determine a value of each of a plurality of activity metrics for each of the plurality of therapy parameter sets based on activity levels associated with the therapy parameter sets, and the programming device is configured to order the list according to a user selected one of the activity metrics.

25. A medical system comprising:

a medical device configured to deliver a therapy to a patient to treat incontinence;

a processor configured to monitor a signal that varies as a function of patient activity, periodically determine an activity level of the patient based on the signal, associate each of the determined activity levels with a therapy parameter set used by the medical device to deliver the therapy to the patient when the activity level was determined, and determine a value of an activity metric for each of a plurality of therapy parameter sets based on activity levels associated with the therapy parameter sets; and

a display configured to present a list of the plurality of therapy parameter sets and activity metric values associated with the therapy parameter sets, wherein the medical device includes the display, and the processor is configured to generate the list and present the list via the display.

26. A medical system comprising:

an implantable medical device configured to deliver a therapy to a patient to treat incontinence, monitor a signal that varies as a function of patient activity, periodically determine an activity level of the patient based on the signal, and associate each of the determined activity levels with a therapy parameter set used by the implantable medical device to deliver therapy to the patient to treat incontinence when the activity level was determined; and

an external programming device including a display, the external programming device configured to receive information identifying a plurality of therapy parameter sets and associated activity levels from the implantable medical device via telemetry, determine a value of an activity metric for each of a plurality of therapy parameter sets based on activity levels associated with the therapy parameter sets, and present a list of the plurality of therapy parameter sets and activity metric values associated with the therapy parameter sets via the display, wherein the programming device is configured to order the list of therapy parameter sets according to the associated activity metric values.

27. A method comprising:

monitoring a signal that varies as a function of patient activity;

periodically determining an activity level of the patient based on the signal;

associating each of the determined activity levels with a therapy parameter set used by a medical device to deliver a therapy to a patient to treat incontinence when the activity level was determined;

determining a value of an activity metric for each of a plurality of therapy parameter sets based on activity levels associated with the therapy parameter sets; and

presenting a list of the plurality of therapy parameter sets and activity metric values associated with the therapy parameter sets.

28. The method of claim 27, further comprising ordering the list of therapy parameter sets according to the associated activity metric values.

29. The method of claim 28, wherein ordering the list comprises ordering the list according to a user selected one of the activity metrics.