Therapy system including multiple posture sensors

• US 9,026,223 B2
• Filed: 04/30/2009
• Issued: 05/05/2015
• Est. Priority Date: 04/30/2009
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Skelton, Dennis M., Davis, Jon P., Miesel, Keith A., Denison, Timothy J.
• Primary Examiner(s): Koharski, Christopher D
• Assistant Examiner(s): So, Elizabeth K
• Application Number:
  US12/433,588
• Publication Number:
  US 20100280578A1
• Time in Patent Office: 2,196 Days
• US Class Current: 607/62
• CPC Class Codes: A61B 2562/0219 Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
• CPC Class Codes: A61B 5/11 Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb for measuring pulse A61B5/02 ;A61B5/1038 takes precedence; motion detection to correct for motion artifacts in physiological signals A61B5/721
• CPC Class Codes: A61B 5/1116 Determining posture transitions
• CPC Class Codes: A61B 5/4836 Diagnosis combined with treatment in closed-loop systems or methods A61B5/0036 takes precedence
• CPC Class Codes: A61M 2005/14208 with a programmable infusion control system, characterised by the infusion program
• CPC Class Codes: A61M 2205/17 with redundant control systems
• CPC Class Codes: A61M 2210/0693 Brain, cerebrum
• CPC Class Codes: A61M 2210/1053 Stomach
• CPC Class Codes: A61M 2210/1078 Urinary tract
• CPC Class Codes: A61M 2210/1089 Urethra
• CPC Class Codes: A61M 2230/62 Posture
• CPC Class Codes: A61M 5/14276 specially adapted for implantation
• CPC Class Codes: A61N 1/3605 Implantable neurostimulators for stimulating central or peripheral nerve system
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means

Abstract

Posture-responsive therapy is delivered by the medical system based on posture state input from only one of multiple posture sensors at any given time. An example implantable medical system includes a first posture sensor and a second sensor. A processor controls therapy delivery to the patient based on at least one of a patient posture state or a patient activity level determined based on input from only one of the first or second posture sensors. In some examples, one of multiple posture sensors of an implantable posture-responsive medical system is used to automatically reorient another posture sensor (of the system), which has become disoriented. The disoriented posture sensor may be automatically reoriented for one or more posture states at a time.

Claims

1. An implantable medical system comprising:

a first multiple-axis posture sensor;

a second multiple-axis posture sensor; and

a processor that controls therapy delivery to a patient based on a patient posture state determined based on input selected from only one of the first or second posture sensors.

2. The system of claim 1, wherein the processor toggles between activating the first posture sensor and deactivating the second posture sensor, and deactivating the first posture sensor and activating the second posture sensor based on an initial patient posture state detected by one or both of the first or the second posture sensors.

3. The system of claim 1, wherein the processor selects the one of the first or second posture sensors to determine the patient posture state based on an initial patient posture state detected by one or both of the first or the second posture sensors.

4. The system of claim 1, wherein the first and the second posture sensors are each associated with one or more of a plurality of posture states for the patient.

5. The system of claim 4, wherein the processor selectively determines the patient posture state based on input from one of the first or second posture sensors based on one or more associations between the one of the first or second posture sensors and the posture state of the patient.

6. The system of claim 4, wherein the first posture sensor is associated with a sitting posture state, and wherein the processor controls therapy delivery to the patient based on the sitting posture state determined based on input selected from only the first sensor.

7. The system of claim 1, wherein the processor selectively determines the patient posture state based on input from the one of the first or the second posture sensors based on a determined status of the other of the first and the second posture sensors.

8. The system of claim 7, wherein the processor selectively determines the patient posture state based on input from the one of the first or the second posture sensors when the other of the first and the second posture sensors fails.

9. The system of claim 7, wherein the processor selectively determines the patient posture state based on input from the one of the first or the second posture sensors when the other of the first or the second posture sensors changes orientation.

10. The system of claim 9, wherein the processor selectively determines the patient posture state based on input from the one of the first or the second posture sensors when the processor determines that the other of the first or the second posture sensors has changed orientation relative to an initial orientation.

11. The system of claim 1, wherein at least one of the first and the second posture sensors comprises one or more of a multiple-axis accelerometer, multiple single-axis accelerometers, a gyroscope, a piezoelectric crystal or a pressure transducer.

12. The system of claim 1 further comprising:

an implantable electrical stimulator that includes the processor; and

one or more medical leads connected to the electrical stimulator, wherein the first posture sensor is connected to one of the medical leads and the second posture sensor is within a housing of the electrical stimulator, wherein the processor controls therapy delivery by the implantable electrical stimulator based on the patient posture state.

13. The system of claim 1 further comprising:

an implantable fluid delivery device which includes the processor; and

one or more catheters connected to the fluid delivery device, wherein the first posture sensor is connected to one of the catheters and the second posture sensor is within a housing of the fluid delivery device, wherein the processor controls therapy delivery by the implantable fluid delivery device based on the patient posture state.

14. The system of claim 1, wherein the first posture sensor is configured to be arranged proximate a subcutaneous therapy delivery site within the patient, and the second posture sensor is configured to be arranged distal to a therapy delivery site within the patient for the therapy delivery.

15. The system of claim 1, further comprising an implantable medical device comprising the processor, wherein the processor controls therapy delivery by the implantable medical device based on the patient posture state.

16. The system of claim 1, further comprising a medical device programmer comprising the processor.

17. The system of claim 1, wherein the processor controls therapy delivery to a patient based on a patient posture state determined based on input from only one posture sensor, the one posture sensor being one of the first or second posture sensors.

18. A method comprising:

determining, by a processor, a posture state of a patient based on input selected from only one of a first multiple-axis posture sensor or a second multiple-axis posture sensor of a therapy system, wherein at least one of the first or second posture sensors is implanted within the patient; and

controlling a medical device to deliver therapy to the patient based on the determined patient posture state.

19. The method of claim 18, further comprising selectively activating, by the processor, the first posture sensor and the second posture sensor based on an initial patient posture state detected by one or both of the first or the second posture sensors.

20. The method of claim 18, further comprising selecting, by the processor, the one of the first or second posture sensors based on an initial patient posture state detected by one or both of the first or the second posture sensors.

21. The method of claim 20, wherein the first and the second posture sensors are each associated with one or more of a plurality of posture states for the patient.

22. The method of claim 21, further comprising selecting, by the processor, the one of the first or second posture sensors based on one or more associations between the one of the first or second posture sensors and the posture state of the patient.

23. The method of claim 21, further comprising:

selectively receiving, by the processor, input from only the first posture sensor,

wherein the first sensor is associated with a sitting posture state, and

wherein input from the first posture sensor is indicative of the sitting posture state.

24. The method of claim 18, further comprising selecting, by the processor, the one of the first or second posture sensors based on a determined status of the other of the first and the second posture sensors.

25. The method of claim 24, further comprising determining, by the processor, the status of the other of the first and the second posture sensors by at least determining whether one of the first or the second posture sensors has failed.

26. The method of claim 24, further comprising determining, by the processor, the status of the other of the first and the second posture sensors by at least determining whether the other of the first or the second posture sensors has changed orientation relative to an initial orientation.

27. The method of claim 18, wherein the first posture sensor is arranged proximate a subcutaneous therapy delivery site within the patient and the second posture sensor is arranged distal to the therapy delivery site.

28. The method of claim 18, wherein at least one of the first multiple-axis posture sensor or the second multiple-axis posture sensor comprises a multiple-axis accelerometer or multiple single-axis accelerometers.

29. The method of claim 18, wherein selectively receiving input from the only one of the first multiple-axis posture sensor or the second multiple-axis posture sensor comprises selectively receiving input from only one posture sensor, the one posture sensor being one of the first or second multiple-axis posture sensors.

30. The method of claim 18, further comprising selectively receiving input from the only one of the first multiple-axis posture sensor or the second multiple-axis posture sensor.

31. A non-transitory computer readable medium comprising instructions configured to cause one or more processors to perform a method comprising:

determining a posture state of a patient based on input selected from only one of a first multiple-axis posture sensor or a second multiple-axis posture sensor of a therapy system, wherein at least one of the first or second posture sensors is implanted within the patient; and

controlling a medical device to deliver therapy to the patient based on the determined patient posture state.

32. The non-transitory computer readable medium of claim 31, further comprising instructions configured to cause one or more processors to perform a method comprising:

selectively receiving input from only the first posture sensor,

wherein the first sensor is associated with a sitting posture state, and

wherein input from the first posture sensor is indicative of the sitting posture state.

33. The non-transitory computer readable medium of claim 31, further comprising instructions configured to cause one or more processors to perform a method comprising selectively receiving input from the only one of the first multiple-axis posture sensor or the second multiple-axis posture sensor.