Therapy program selection based on patient state
First Claim
1. A method comprising:
- with a processor, determining a patient state of a patient based on received information, wherein the patient state comprises at least one of a movement state, a sleep state or a speech state;
with the processor, selecting a therapy program or instruction for modifying a baseline therapy program from a plurality of stored therapy programs or instructions for modifying the baseline therapy program based on the determined patient state, wherein the plurality of stored therapy programs or instructions comprises;
a first therapy program or instruction associated with the speech state, anda second therapy program or instruction associated with at least one of the movement state or the sleep state,wherein selecting the therapy program or instruction based on the determined patient state comprises selecting the first therapy program or instruction in response to determining the patient is in the speech state and selecting the second therapy program or instruction in response to determining the patient is in at least one of the movement state or the sleep state; and
controlling a medical device to deliver deep brain stimulation therapy to the patient based on the selected therapy program or instruction.
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Accused Products
Abstract
A therapy program is selected based on a patient state, where the patient state comprises at least one of a movement state, sleep state or speech state. In this way, therapy delivery is tailored to the patient state, which may include specific patient symptoms. The therapy program is selected from a plurality of stored therapy programs that comprise therapy programs associated with a respective one at least two of the movement, sleep, and speech states. Techniques for determining a patient state include receiving volitional patient input or detecting biosignals generated within the patient'"'"'s brain. The biosignals are nonsymptomatic and may be incidental to the movement, sleep, and speech states or generated in response to volitional patient input.
138 Citations
29 Claims
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1. A method comprising:
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with a processor, determining a patient state of a patient based on received information, wherein the patient state comprises at least one of a movement state, a sleep state or a speech state; with the processor, selecting a therapy program or instruction for modifying a baseline therapy program from a plurality of stored therapy programs or instructions for modifying the baseline therapy program based on the determined patient state, wherein the plurality of stored therapy programs or instructions comprises; a first therapy program or instruction associated with the speech state, and a second therapy program or instruction associated with at least one of the movement state or the sleep state, wherein selecting the therapy program or instruction based on the determined patient state comprises selecting the first therapy program or instruction in response to determining the patient is in the speech state and selecting the second therapy program or instruction in response to determining the patient is in at least one of the movement state or the sleep state; and controlling a medical device to deliver deep brain stimulation therapy to the patient based on the selected therapy program or instruction. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11)
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12. A system comprising:
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a memory that stores a plurality of therapy programs for deep brain stimulation therapy or instructions for modifying a baseline therapy program for deep brain stimulation therapy, and associates each therapy program or instruction with a patient state, the patient state comprising at least one of a movement state, a sleep state or a speech state, wherein the plurality of therapy programs or instructions comprises; a first therapy program or instruction associated with the speech state, and a second therapy program or instruction associated with at least one of the movement state or the sleep state; and a processor that determines the patient state of a patient and selects a therapy program or instruction from the plurality of therapy programs or instructions stored by the memory based on the determined patient state, wherein the processor selects the first therapy program in response to determining the patient is in the speech state and selects the second therapy program in response to determining the patient is in at least one of the movement state or the sleep state. - View Dependent Claims (13, 14, 15, 16, 17, 18, 19, 20, 21)
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22. A non-transitory computer-readable medium comprising instructions that, when executed by a processor, cause the processor to:
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determine a patient state of a patient based on received information, wherein the patient state comprises at least one of a movement state, sleep state or speech state; select a therapy program or instruction for modifying a baseline therapy program from a plurality of therapy programs or instructions for modifying the baseline therapy program stored by a memory based on the determined patient state, wherein the plurality of stored therapy programs or instructions comprises; a first therapy program or instruction associated with the speech state, and a second therapy program or instruction associated with at least one of the movement state or the sleep state, wherein the instructions, when executed by the processor, cause the processor to select the therapy program or instruction based on the determined patient state by at least selecting the first therapy program or instruction in response to determining the patient is in the speech state and selecting the second therapy program or instruction in response to determining the patient is in at least one of the movement state or the sleep state; and control a medical device to deliver deep brain stimulation therapy to the patient based on the selected therapy program or instruction.
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23. A system comprising:
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means for determining a patient state of a patient, wherein the patient state comprises at least one of a movement state, sleep state or speech state; and means for selecting a therapy program for deep brain stimulation or instruction for modifying a baseline therapy program for deep brain stimulation from a plurality of stored therapy programs or instructions for modifying the baseline therapy program based on the determined patient state, wherein the plurality of stored programs or instructions comprises; a first therapy program or instruction associated with the speech state, and a second therapy program or instruction associated with at least one of the movement state or the sleep state, and wherein the means for selecting selects the therapy program or instruction by at least selecting the first therapy program or instruction in response to determining the patient is in the speech state and selecting the second therapy program or instruction in response determining the patient is in at least one of the movement state or the sleep state. - View Dependent Claims (24, 25, 26)
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27. A method comprising:
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with a processor, determining whether a patient is in a movement state; with the processor, determining whether the patient is in a speech state; with the processor, selecting, from a plurality of stored therapy programs or instructions for modifying a baseline therapy program, a first therapy program or a first instruction for modifying the baseline therapy program if the patient is in the movement state and selecting, from the plurality of stored therapy programs or instructions for modifying a baseline therapy program, a second therapy program different than the first therapy program or a second instruction different than the first instruction for modifying the baseline therapy program if the patient is in the speech state; and controlling a medical device to deliver deep brain stimulation therapy to the patient based on the selected therapy program or instruction for modifying the baseline therapy program. - View Dependent Claims (28, 29)
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Specification