Assignment of therapy parameter to multiple posture states

• US 8,515,550 B2
• Filed: 04/30/2009
• Issued: 08/20/2013
• 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., Davis, Jon P., Gokaldas, Shyam, Sahasrabudhe, Rajeev
• Primary Examiner(s): Koharski, Christopher D
• Assistant Examiner(s): MAHMOOD, NADIA AHMAD
• Application Number:
  US12/433,848
• Publication Number:
  US 20100010579A1
• Time in Patent Office: 1,573 Days
• Field of Search: 607/62
• 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 5/1116 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 5/7435 Displaying user selection data, e.g. icons in a graphical user interface
• CPC Class Codes: A61N 1/36135 using physiological parameters
• 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: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 20/30 relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems

Abstract

The disclosure is directed towards posture-responsive therapy. To avoid interruptions in effective therapy, an implantable medical device may include a posture state module that detects the posture state of the patient and automatically adjusts therapy parameter values according to the detected posture state. A system may include an external programmer comprising a user interface that receives user input defining therapy parameter values for delivery of therapy to a patient, and user input associating one or more of the therapy parameter values with a plurality of posture states based on user input, a processor that automatically defines therapy parameter values for delivery of therapy to a patient when the patient occupies the posture states based on the association, and an implantable medical device that delivers the therapy to the patient in response to detection of the posture states.

Claims

1. A method comprising:

receiving an indication of a first user input;

receiving an indication of a second user input different than the first user input;

defining therapy parameter values for delivery of therapy to a patient based on the first user input;

associating, by a processor, one or more of the therapy parameter values with a plurality of posture states based on the second user input; and

automatically defining therapy parameter values for delivery of therapy to the patient when the patient occupies the posture states based on the association.

2. The method of claim 1, further comprising:

detecting one of the posture states; and

delivering the therapy to the patient using the defined therapy parameter values.

3. The method of claim 1, further comprising:

receiving a patient adjustment to one of the therapy parameter values for one of the posture states; and

associating the patient adjustment with the one of the posture states.

4. The method of claim 1, wherein associating one or more of the therapy parameter values with a plurality of posture states based on the second user input comprises associating the therapy parameter values with a plurality of lying posture states.

5. The method of claim 1, wherein the therapy comprises electrical stimulation therapy.

22. The method of claim 1, further comprising receiving user input linking a first posture state to at least a second posture state to generate the plurality of posture states.

23. The method of claim 1, further comprising receiving an adjustment to at least one of the therapy parameter values of one of the plurality of posture states and automatically associating the adjustment with all of the plurality of posture states.

24. The method of claim 1, wherein associating one or more of the therapy parameter values with the plurality of posture states comprises associating one or more of the therapy parameter values via a processor of an external programmer.

25. The method of claim 1, wherein associating one or more of the therapy parameter values with the plurality of posture states comprises associating one or more of the therapy parameter values via a processor of an implantable medical device.

26. The method of claim 1, wherein the therapy comprises electrical stimulation therapy, and wherein the therapy parameter values comprise at least one of an amplitude, a pulse width, and a pulse rate of the electrical stimulation therapy.

27. The method of claim 1, wherein the plurality of posture states is a subset of a larger plurality of posture states.

44. The method of claim 1, wherein the second user input specifies the association.

6. An external programmer for an implantable medical device, the programmer comprising:

a user interface configured to receive first user input defining therapy parameter values for delivery of therapy to a patient, and second user input associating one or more of the therapy parameter values with a plurality of posture states, wherein the first user input is different than the second user input; and

a processor configured to automatically define therapy parameter values for delivery of therapy to the patient when the patient occupies the posture states based on the association.

7. The programmer of claim 6, wherein the programmer is configured to program an implantable medical device to detect one of the posture states, and deliver the therapy to the patient using the defined therapy parameter values.

8. The programmer of claim 6, wherein the user interface is configured to receive a patient adjustment to one of the therapy parameter values for one of the posture states, and the processor is configured to associate the patient adjustment with the one of the posture states.

9. The programmer of claim 6, wherein the user interface is configured to receive user input associating one or more of the therapy parameter values with a plurality of lying posture states, and the processor is configured to automatically define therapy parameter values for delivery of therapy to the patient when the patient occupies the lying posture states based on the association.

10. The programmer of claim 6, wherein the therapy comprises electrical stimulation therapy.

28. The programmer of claim 6, wherein the user interface is configured to receive a user input linking a first posture state to at least a second posture state to generate the plurality of posture states.

29. The programmer of claim 6, wherein the user interface is configured to receive an adjustment to at least one of the therapy parameter values of one of the plurality of posture states and the processor is configured to automatically associate the adjustment with all of the plurality of posture states.

30. The programmer of claim 6, wherein the therapy comprises electrical stimulation therapy, and wherein the therapy parameter values comprise at least one of an amplitude, a pulse width, and a pulse rate of the electrical stimulation therapy.

31. The programmer of claim 6, wherein the plurality of posture states is a subset of a larger plurality of posture states.

45. The method of claim 6, wherein the external programmer is one of a clinician programmer or a patient programmer.

11. A system comprising:

an external programmer comprising a user interface configured to receive first user input defining therapy parameter values for delivery of therapy to a patient, and second user input associating one or more of the therapy parameter values with a plurality of posture states, wherein the first user input is different than the second user input;

a processor configured to automatically define therapy parameter values for delivery of therapy to the patient when the patient occupies the posture states based on the association; and

an implantable medical device configured to deliver the therapy to the patient in response to detection of the posture states.

13. The system of claim 11, wherein the user interface is configured to receive user input associating one or more of the therapy parameter values with a plurality of lying posture states, and the processor is configured to automatically define therapy parameter values for delivery of therapy to a patient when the patient occupies the lying posture states based on the association.

14. The system of claim 11, wherein the therapy comprises electrical stimulation therapy.

15. The system of claim 11, wherein the programmer comprises the processor.

16. The system of claim 11, wherein the implantable medical device comprises the processor.

32. The system of claim 11, wherein the user interface is configured to receive a user input linking a first posture state to at least a second posture state to generate the plurality of posture states.

33. The system of claim 11, wherein the user interface is configured to receive an adjustment to at least one of the therapy parameter values of one of the plurality of posture states and the processor is configured to automatically associate the adjustment with all of the plurality of posture states.

34. The system of claim 11, wherein the therapy comprises electrical stimulation therapy, and wherein the therapy parameter values comprise at least one of an amplitude, a pulse width, and a pulse rate of the electrical stimulation therapy.

35. The system of claim 11, wherein the plurality of posture states is a subset of a larger plurality of posture states.

12. The system of 11, wherein the user interface is configured to receive a patient adjustment to one of the therapy parameter values for one of the posture states, and the processor is configured to associate the patient adjustment with the one of the posture states.

17. A system comprising:

means for receiving an indication of a first user input;

means for receiving an indication of a second user input different than the first user input

means for defining therapy parameter values for delivery of therapy to a patient based on the first user input;

means for associating one or more of the therapy parameter values with a plurality of posture states based on the second user input; and

means for automatically defining therapy parameter values for delivery of therapy to the patient when the patient occupies the posture states based on the association.

18. The system of claim 17, further comprising:

means for detecting one of the posture states; and

means for delivering the therapy to the patient using the defined therapy parameter values.

19. The system of claim 17, further comprising:

means for receiving a patient adjustment to one of the therapy parameter values for one of the posture states; and

means for associating the patient adjustment with the one of the posture states.

20. The system of claim 17, wherein the means for associating one or more of the therapy parameter values with a plurality of posture states based on the second user input comprises means for associating the therapy parameter values with a plurality of lying posture states.

21. The system of claim 17, wherein the therapy comprises electrical stimulation therapy.

36. An implantable medical device comprising:

a housing configured to be implantable within a patient;

a therapy delivery device associated with the housing and configured to deliver a therapy to the patient;

a telemetry interface configured to receive an indication of a first user input and an indication of a second user input different than the first user input;

a processor within the housing and configured to define therapy parameter values for delivery of the therapy to the patient based on the first user input, associate one or more of the therapy parameter values with a plurality of posture states based on the second user input, and automatically define therapy parameter values for delivery of therapy to the patient when the patient occupies the posture states based on the association.

37. The device of claim 36, wherein the first user input defines the therapy parameter values and the second user input associates one or more of the therapy parameter values with the plurality of posture states.

38. The device of claim 36, wherein the therapy delivery device comprises an electrical stimulation generator configured to deliver electrical stimulation therapy to the patient.

39. The device of claim 36, further comprising a posture state module configured to detect the plurality of posture states.

40. The device of claim 36, wherein the processor is configured to link a first posture state to at least a second posture state to generate the plurality of posture states.

41. The device of claim 36, wherein the processor is configured to, based on the second user input, adjust at least one of the therapy parameter values of one of the plurality of posture states and automatically associate the adjustment with all of the plurality of posture states.

42. The device of claim 36, wherein the therapy parameter values comprise at least one of an amplitude, a pulse width, and a pulse rate.

43. The device of claim 36, wherein the plurality of posture states is a subset of a larger plurality of posture states.