Movement disorder therapy system and methods of tuning remotely, intelligently and/or automatically
First Claim
1. A method of continuous or periodic tuning of a movement disorder therapy system comprising steps of:
- having a subject wear a movement disorder diagnostic device during activities of daily living, the subject having a deep brain stimulation (DBS) device with a first level of DBS parameters, and the movement disorder diagnostic device comprising at least one physiological or movement sensor having a signal;
identifying or determining in real-time with a processor what activity of daily living the subject is performing, andmotor symptoms of a movement disorder or side effects of a treatment the subject is undergoing that the subject is suffering or has suffered based at least in part on the signal(s) from the at least one physiological or movement sensor and at least in part on the identified determined activity of daily living;
measuring and quantifying a severity of the identified or determined motor symptoms or side effects with a processor based at least in part on the signal(s) from the at least one physiological or movement sensor while the subject is wearing the diagnostic device in real-time;
calculating, with the processor, at least two optional groups of DBS parameters based at least in part on the measured and quantified severity of the identified or determined motor symptoms or side effects, each optional group addressing a separate identified or detected symptom or side effect in real-time;
having the subject select one of the at least two optional groups of DBS parameters based on the subject'"'"'s activity of daily living;
transmitting the selected optional group of DBS parameters to the subject'"'"'s DBS device; and
entering the selected optional group of DBS parameters into the subject'"'"'s DBS device such that the subject'"'"'s DBS device operates under the selected optional group of DBS parameters,wherein data corresponding to the subject'"'"'s measured and quantified motor symptoms is displayed in a tuning map that is a two-dimensional representation of a three-dimensional graph visually for review, and the displayed data and second level of DBS parameters is reviewed and approved by a clinician, physician or technician before being entered into the subject'"'"'s therapy device.
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Accused Products
Abstract
The present invention relates to methods for remotely and intelligently tuning movement disorder of therapy systems. The present invention still further provides methods of quantifying movement disorders for the treatment of patients who exhibit symptoms of such movement disorders including, but not limited to, Parkinson'"'"'s disease and Parkinsonism, Dystonia, Chorea, and Huntington'"'"'s disease, Ataxia, Tremor and Essential Tremor, Tourette syndrome, stroke, and the like. The present invention yet further relates to methods of remotely and intelligently or automatically tuning a therapy device using objective quantified movement disorder symptom data to determine the therapy setting or parameters to be transmitted and provided to the subject via his or her therapy device. The present invention also provides treatment and tuning intelligently, automatically and remotely, allowing for home monitoring of subjects.
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Citations
12 Claims
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1. A method of continuous or periodic tuning of a movement disorder therapy system comprising steps of:
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having a subject wear a movement disorder diagnostic device during activities of daily living, the subject having a deep brain stimulation (DBS) device with a first level of DBS parameters, and the movement disorder diagnostic device comprising at least one physiological or movement sensor having a signal; identifying or determining in real-time with a processor what activity of daily living the subject is performing, and motor symptoms of a movement disorder or side effects of a treatment the subject is undergoing that the subject is suffering or has suffered based at least in part on the signal(s) from the at least one physiological or movement sensor and at least in part on the identified determined activity of daily living; measuring and quantifying a severity of the identified or determined motor symptoms or side effects with a processor based at least in part on the signal(s) from the at least one physiological or movement sensor while the subject is wearing the diagnostic device in real-time; calculating, with the processor, at least two optional groups of DBS parameters based at least in part on the measured and quantified severity of the identified or determined motor symptoms or side effects, each optional group addressing a separate identified or detected symptom or side effect in real-time; having the subject select one of the at least two optional groups of DBS parameters based on the subject'"'"'s activity of daily living; transmitting the selected optional group of DBS parameters to the subject'"'"'s DBS device; and entering the selected optional group of DBS parameters into the subject'"'"'s DBS device such that the subject'"'"'s DBS device operates under the selected optional group of DBS parameters, wherein data corresponding to the subject'"'"'s measured and quantified motor symptoms is displayed in a tuning map that is a two-dimensional representation of a three-dimensional graph visually for review, and the displayed data and second level of DBS parameters is reviewed and approved by a clinician, physician or technician before being entered into the subject'"'"'s therapy device. - View Dependent Claims (2, 3, 4)
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5. A method of tuning a movement disorder therapy system comprising steps of:
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having a subject wear a movement disorder diagnostic device, the subject having a deep brain stimulation (DBS) device with a first level of DBS parameters, the movement disorder diagnostic device comprising at least one physiological or movement sensor having a signal; measuring and quantifying a severity of motor symptoms of the subject based at least in part on the signal from the at least one physiological or movement sensor(s) in real-time; transmitting data corresponding to the severity of the subject'"'"'s measured and quantified motor symptoms to a clinician, physician or technician at a remote location, the data being represented in the form of a tuning map that is a two-dimensional representation of a three-dimensional graph; having the clinician, physician or technician determine, based at least in part on the tuning map, a second level of DBS parameters; transmitting the second level of DBS parameters to the subject'"'"'s DBS device; and entering the second level of DBS parameters into the subject'"'"'s DBS device such that the subject'"'"'s DBS device operates under the second level of DBS parameters. - View Dependent Claims (6, 7, 8, 9, 10, 11, 12)
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Specification