System and method for modulating therapy in a remote care architecture

A healthcare delivery system, comprising:

• a first external device configured as a clinician programmer device associated with a clinician;
• a second external device configured as a patient controller device associated with a patient;
• and
• an implantable medical device (IMD) implanted in the patient, the IMD supporting a therapy application configured to be programmable by at least one of the clinician operating the first external device and the patient operating the second external device,
• wherein the first external device and the second external device are each configured to establish a remote care session therebetween, the remote care session configurable to selectively effectuate a remote therapy session in addition to an audio and video (AV) communication session that facilitates a telehealth consultation between the clinician and the patient, the remote therapy session for delivering one or more programming instructions to the patient's IMD from the clinician programmer device in response to an input by the patient at the patient controller device to indicate selection of the remote therapy session,
• wherein one or more remote care therapy setting controls provided at the clinician programmer device to facilitate one or more adjustments with respect to the patient's IMD are configured to be disabled when the remote therapy session is paused responsive to a first triggering event.

A patient controller device associated with a patient having an implantable medical device (IMD), the patient controller device comprising:

• a processor;
• a first communication interface operative to interface with the IMD;
• a second communication interface operative to effectuate a remote care session with a programmer device of a clinician;
• and
• one or more persistent memory modules containing program instructions configured to perform following acts when executed by the processor:
• establish an audiovisual (AV) communication session and a remote therapy session as part of the remote care session with the clinician programmer device, wherein the remote therapy session comprises receiving one or more programming instructions with respect to the IMD from the clinician programmer device;
• responsive to detecting a first triggering event, pause the remote therapy session with the clinician programmer device wherein one or more remote care therapy setting controls provided at the clinician programmer device to facilitate one or more adjustments with respect to the patient's IMD are disabled;
• and
• responsive to detecting a second triggering event, resume the remote therapy session with the clinician programmer device wherein the one or more remote care therapy setting controls of the clinician programmer device are enabled.

A clinician programmer device for effectuating remote care delivery to a patient having an implantable medical device (IMD), the clinician programmer device comprising:

• a processor;
• a communication interface operative to effectuate a remote care session with a controller device associated with the patient;
• and
• one or more persistent memory modules containing program instructions configured to perform following acts when executed by the processor:
• establish an audiovisual (AV) communication session and a remote therapy session as part of the remote care session with the patient controller device, wherein the remote therapy session comprises providing one or more programming instructions to the IMD mediated via the patient controller device;
• responsive to detecting a first triggering event, pause the remote therapy session with the patient controller device wherein one or more remote care therapy setting controls provided at the clinician programmer device to facilitate one or more adjustments with respect to the patient's IMD are disabled;
• and
• responsive to detecting a second triggering event, resume the remote therapy session with the patient controller device wherein the one or more remote care therapy setting controls of the clinician programmer device are enabled.