Patient assignment of therapy parameter to posture state

• US 8,755,901 B2
• Filed: 04/30/2009
• Issued: 06/17/2014
• 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:
  US12/433,839
• Publication Number:
  US 20100010578A1
• Time in Patent Office: 1,874 Days
• Field of Search: 607/62, 600/481, 600/544
• 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 implantable medical device that delivers therapy to a patient according to a set of therapy parameter values while the patient occupies a first posture state, a user interface that receives patient input associating one or more of the therapy parameter values with a second posture state different from the first posture state, and a processor that automatically defines therapy for delivery to the patient when the patient occupies the second posture state based on the associated therapy parameter values.

Claims

1. A method comprising:

delivering therapy to a patient according to a set of therapy parameter values while the patient occupies a first posture state;

receiving user input that selects a second posture state not currently occupied by the patient and associates one or more of the therapy parameter values with the second posture state, wherein the second posture state is different from the first posture state; and

automatically defining therapy for delivery to the patient when the patient occupies the second posture state based on the associated therapy parameter values.

2. The method of claim 1, wherein receiving user input that associates one or more of the therapy parameter values with the second posture state of the patient comprises receiving user input that associates each of the therapy parameter values with the second posture state.

3. The method of claim 1, further comprising receiving user input that selects a third posture state and associates one or more of the therapy parameter values with the third specified posture state different from the first posture state and the second posture state.

4. The method of claim 1, further comprising receiving user input that associates one or more of the therapy parameter values with the first posture state.

5. The method of claim 1, further comprising detecting the second posture state with an implantable medical device, and delivering the defined therapy to the patient from the implantable medical device when the second posture state is detected.

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

28. The method of claim 1, wherein the user input is a patient input.

29. The method of claim 1, wherein the user input is a clinician input.

7. A system comprising:

an implantable medical device that delivers therapy to a patient according to a set of therapy parameter values while the patient occupies a first posture state;

a user interface that receives user input selecting a second posture state not currently occupied by the patient and associating one or more of the therapy parameter values with the second posture state, wherein the second posture state is different from the first posture state; and

a processor that automatically defines therapy for delivery to the patient when the patient occupies the second posture state based on the associated therapy parameter values.

8. The system of claim 7, wherein the user input associates each of the therapy parameter values with the second posture state.

9. The system of claim 7, wherein the user input associates one or more of the therapy parameter values with a third specified posture state different from the first posture state and the second posture state, and wherein the processor automatically defines therapy for delivery to the patient when the patient occupies the third posture state based on the associated therapy parameter values.

10. The system of claim 7, wherein the processor automatically defines therapy for delivery to the patient when the patient occupies the first posture state based on the therapy parameter values.

11. The system of claim 7, wherein the implantable medical device detects the second posture state, and delivers the defined therapy to the patient from the implantable medical device when the second posture state is detected.

12. The system of claim 7, wherein the therapy comprises electrical stimulation therapy.

13. The system of claim 7, further comprising an external programmer for the implantable medical device, wherein the programmer comprises the user interface.

14. The system of claim 13, wherein the external programmer comprises the processor.

15. The system of claim 7, wherein the implantable medical device comprises the processor.

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

a user interface that receives user input selecting a second posture state not currently occupied by a patient and associating one or more therapy parameter values of therapy delivered from the implantable medical device to the patient when the patient occupies a first posture state with the second posture state, wherein the second posture state is different from the first posture state; and

a processor that automatically defines therapy for delivery from the implantable medical device to the patient when the patient occupies the second posture state based on the associated therapy parameter values.

17. The programmer of claim 16, wherein the user input associates each of the therapy parameter values with the second posture state.

18. The programmer of claim 16, wherein the user input associates one or more of the therapy parameter values with a third specified posture state different from the first posture state and the second posture state, and wherein the processor automatically defines therapy for delivery to the patient when the patient occupies the third posture state based on the associated therapy parameter values.

19. The programmer of claim 18, wherein the processor automatically defines therapy for delivery to the patient when the patient occupies the first posture state based on the therapy parameter values.

20. The programmer of claim 18, wherein the programmer programs the implantable medical device to deliver the defined therapy to the patient from the implantable medical device when the second posture state is detected.

21. The programmer of claim 18, wherein the therapy comprises electrical stimulation therapy.

22. A system comprising:

means for delivering therapy to a patient according to a set of therapy parameter values while the patient occupies a first posture state;

means for receiving user input that selects a second posture state not currently occupied by the patient and associates one or more of the therapy parameter values with the second posture state, wherein the second posture state is different from the first posture state; and

means for automatically defining therapy for delivery to the patient when the patient occupies the second posture state based on the associated therapy parameter values.

23. The system of claim 22, wherein the means for receiving user input that associates one or more of the therapy parameter values with the second posture state of the patient comprises means for receiving user input that associates each of the therapy parameter values with the second posture state.

24. The system of claim 22, further comprising means for receiving user input that selects a third posture state and associates one or more of the therapy parameter values with the third posture state different from the first posture state and the second posture state.

25. The system of claim 22, further comprising means for receiving user input that associates one or more of the therapy parameter values with the first posture state.

26. The system of claim 22, further comprising means for detecting the second posture state with an implantable medical device, and means for controlling the implantable medical device to deliver the defined therapy to the patient when the second posture state is detected.

27. The system of claim 22, wherein the therapy comprises electrical stimulation therapy.

30. A method comprising:

receiving user input that selects a second posture state not currently occupied by a patient and associates with the second posture state one or more therapy parameter values of therapy delivered from an implantable medical device to the patient when the patient occupies a first posture state, wherein the second posture state is different from the first posture state; and

defining, with a processor, therapy for delivery from the implantable medical device to the patient when the patient occupies the second posture state based on the associated therapy parameter values.

31. The method of claim 30, further comprising:

receiving user input that selects a third posture state and associates with the third posture state one or more therapy parameter values of therapy delivered from the implantable medical device to the patient when the patient occupies the first posture state, wherein the third posture state is different from both the first posture state and the second posture state; and

defining, with a processor, therapy for delivery from the implantable medical device to the patient when the patient occupies the third posture state based on the associated therapy parameter values.

32. An implantable medical device, the device comprising:

a stimulation generator configured to deliver therapy to a patient according to a set of therapy parameter values while the patient occupies a first posture state; and

a processor configured to receive an association of one or more of the therapy parameter values with a second posture state selected by user input when the second posture state was not currently occupied by the patient, wherein the second posture state is different from the first posture state, and automatically define therapy for delivery to the patient when the patient occupies the second posture state based on the associated therapy parameter values.

33. The device of claim 32, wherein the processor is configured to:

receive an association of one or more of the therapy parameter values with a third posture state selected by the user input, wherein the third posture state is different from the first posture state and the second posture state; and

automatically define therapy for delivery to the patient when the patient occupies the third posture state based on the associated therapy parameter values.