Conditional electrical stimulation
First Claim
Patent Images
1. A system comprising:
- a therapy delivery circuit configured to apply a plurality of electrical stimulation pulse trains from an electrical stimulation device to a patient; and
one or more processors configured to;
cause the therapy delivery circuit to apply, according to a first delivery cycle, a first plurality of electrical stimulation pulse trains from an electrical stimulation device to a patient, wherein each electrical stimulation pulse train of the first plurality of electrical stimulation pulse trains comprises a series of pulses, wherein the first delivery cycle of the first plurality of electrical stimulation pulse trains is a first ratio of a first time duration during which the electrical stimulation pulse train of the first plurality of electrical stimulation pulse trains is delivered to a second time duration between successive electrical stimulation pulse trains of the first plurality of electrical stimulation pulse trains;
receive at least one of a user input or physiological information from a physiological information sensing device;
cause the therapy delivery circuit to apply, according to a second delivery cycle and in response to the at least one of the user input or the physiological information, a second plurality of electrical stimulation pulse trains from the electrical stimulation device to the patient, wherein each electrical stimulation pulse train of the second plurality of electrical stimulation pulse trains comprises a series of pulses, wherein the second delivery cycle of the second plurality of electrical stimulation pulse trains is a second ratio of a first time duration during which the electrical stimulation pulse train of the second plurality of electrical stimulation pulse trains is delivered to a second time duration between successive electrical stimulation pulse trains of the second plurality of electrical stimulation pulse trains and is different than the first delivery cycle; and
cause the therapy delivery circuit to automatically change, over at least three electrical stimulation pulse trains, the second delivery cycle to a third delivery cycle different than the second delivery cycle, wherein each electrical stimulation pulse train of the at least three electrical stimulation pulse trains comprises a plurality of pulses, and wherein the third delivery cycle is a third ratio of a first time duration during which a final electrical stimulation pulse train of the at least three electrical stimulation pulse trains is delivered to a second time duration between successive electrical stimulation pulse trains of the at least three electrical stimulation pulse trains.
1 Assignment
0 Petitions
Accused Products
Abstract
In general, the disclosure describes techniques for providing conditional electrical stimulation to a patient for pelvic health. An implantable medical device (IMD) may adjust the delivery cycle of the electrical stimulation applied to a patient in response to receiving a delivery cycle parameter associated with one or more of the following: a time in a time schedule, a control device output from a control device, and physiological information from a physiological information sensing device. As an example, the IMD may monitor a status of one or more inputs of the IMD and adjust the delivery cycle of the electrical stimulation applied to the patient based on the status of the input(s).
50 Citations
23 Claims
-
1. A system comprising:
-
a therapy delivery circuit configured to apply a plurality of electrical stimulation pulse trains from an electrical stimulation device to a patient; and one or more processors configured to; cause the therapy delivery circuit to apply, according to a first delivery cycle, a first plurality of electrical stimulation pulse trains from an electrical stimulation device to a patient, wherein each electrical stimulation pulse train of the first plurality of electrical stimulation pulse trains comprises a series of pulses, wherein the first delivery cycle of the first plurality of electrical stimulation pulse trains is a first ratio of a first time duration during which the electrical stimulation pulse train of the first plurality of electrical stimulation pulse trains is delivered to a second time duration between successive electrical stimulation pulse trains of the first plurality of electrical stimulation pulse trains; receive at least one of a user input or physiological information from a physiological information sensing device; cause the therapy delivery circuit to apply, according to a second delivery cycle and in response to the at least one of the user input or the physiological information, a second plurality of electrical stimulation pulse trains from the electrical stimulation device to the patient, wherein each electrical stimulation pulse train of the second plurality of electrical stimulation pulse trains comprises a series of pulses, wherein the second delivery cycle of the second plurality of electrical stimulation pulse trains is a second ratio of a first time duration during which the electrical stimulation pulse train of the second plurality of electrical stimulation pulse trains is delivered to a second time duration between successive electrical stimulation pulse trains of the second plurality of electrical stimulation pulse trains and is different than the first delivery cycle; and cause the therapy delivery circuit to automatically change, over at least three electrical stimulation pulse trains, the second delivery cycle to a third delivery cycle different than the second delivery cycle, wherein each electrical stimulation pulse train of the at least three electrical stimulation pulse trains comprises a plurality of pulses, and wherein the third delivery cycle is a third ratio of a first time duration during which a final electrical stimulation pulse train of the at least three electrical stimulation pulse trains is delivered to a second time duration between successive electrical stimulation pulse trains of the at least three electrical stimulation pulse trains. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8)
-
-
9. A device comprising:
-
means for applying, according to a first delivery cycle, a first plurality of electrical stimulation pulse trains to a patient, wherein each electrical stimulation pulse train of the first plurality of electrical stimulation pulse trains comprises a series of pulses, wherein the first delivery cycle of the first plurality of electrical stimulation pulse trains is a first ratio of a first time duration during which the electrical stimulation pulse train of the first plurality of electrical stimulation pulse trains is delivered to a second time duration between successive electrical stimulation pulse trains of the first plurality of electrical stimulation pulse trains; means for receiving at least one of a user input or physiological information from a physiological information sensing device; means for applying, according to a second delivery cycle and in response to the at least one of the user input or the physiological information, a second plurality of electrical stimulation pulse trains to the patient, wherein each electrical stimulation pulse train of the second plurality of electrical stimulation pulse trains comprises a series of pulses, wherein the second delivery cycle of the second plurality of electrical stimulation pulse trains is a second ratio of a first time duration during which the electrical stimulation pulse train of the second plurality of electrical stimulation pulse trains is delivered to a second time duration between successive electrical stimulation pulse trains of the second plurality of electrical stimulation pulse trains and is different than the first delivery cycle; and means for automatically changing, over at least three electrical stimulation pulse trains, the second delivery cycle to a third delivery cycle different than the second delivery cycle, wherein each electrical stimulation pulse train of the at least three electrical stimulation pulse trains comprises a plurality of pulses, and wherein the third delivery cycle is a third ratio of a first time duration during which a final electrical stimulation pulse train of the at least three electrical stimulation pulse trains is delivered to a second time duration between successive electrical stimulation pulse trains of the at least three electrical stimulation pulse trains. - View Dependent Claims (10, 11, 12, 13, 14)
-
-
15. A method comprising:
-
applying, according to a first delivery cycle, a first plurality of electrical stimulation pulse trains from an electrical stimulation device to a patient, wherein each electrical stimulation pulse train of the first plurality of electrical stimulation pulse trains comprises a series of pulses, wherein the first delivery cycle of the first plurality of electrical stimulation pulse trains is a first ratio of a first time duration during which the electrical stimulation pulse train of the first plurality of electrical stimulation pulse trains is delivered to a second time duration between successive electrical stimulation pulse trains of the first plurality of electrical stimulation pulse trains; receiving at least one of a user input or physiological information from a physiological information sensing device; applying, according to a second delivery cycle and in response to the indication of the at least one of the user input or the physiological information, a second plurality of electrical stimulation pulse trains from the electrical stimulation device to the patient, wherein each electrical stimulation pulse train of the second plurality of electrical stimulation pulse trains comprises a series of pulses, wherein the second delivery cycle of the second plurality of electrical stimulation pulse trains is a second ratio of a first time duration during which the electrical stimulation pulse train of the second plurality of electrical stimulation pulse trains is delivered to a second time duration between successive electrical stimulation pulse trains of the second plurality of electrical stimulation pulse trains and is different than the first delivery cycle; and automatically changing, over at least three electrical stimulation pulse trains, the second delivery cycle to a third delivery cycle different than the second delivery cycle, wherein each electrical stimulation pulse train of the at least three electrical stimulation pulse trains comprises a plurality of pulses, and wherein the third delivery cycle is a third ratio of a first time duration during which a final electrical stimulation pulse train of the at least three electrical stimulation pulse trains is delivered to a second time duration between successive electrical stimulation pulse trains of the at least three electrical stimulation pulse trains. - View Dependent Claims (16, 17, 18, 19, 20, 23)
-
-
21. A non-transitory computer readable medium comprising instructions that cause a one or more processors to:
-
cause a therapy delivery circuit to apply, according to a first delivery cycle, a first plurality of electrical stimulation pulse trains from an electrical stimulation device to a patient, wherein each electrical stimulation pulse train of the first plurality of electrical stimulation pulse trains comprises a series of pulses, wherein the first delivery cycle of the first plurality of electrical stimulation pulse trains is a first ratio of a first time duration during which the electrical stimulation pulse train of the first plurality of electrical stimulation pulse trains is delivered to a second time duration between successive electrical stimulation pulse trains of the first plurality of electrical stimulation pulse trains; receive at least one of a user input or physiological information from a physiological information sensing device; cause the therapy delivery circuit to apply, according to a second delivery cycle and in response to the at least one of the user input or the physiological information, a second plurality of electrical stimulation pulse trains from the electrical stimulation device to the patient, wherein each electrical stimulation pulse train of the second plurality of electrical stimulation pulse trains comprises a series of pulses, wherein the second delivery cycle of the second plurality of electrical stimulation pulse trains is a second ratio of a first time duration during which the electrical stimulation pulse train of the second plurality of electrical stimulation pulse trains is delivered to a second time duration between successive electrical stimulation pulse trains of the second plurality of electrical stimulation pulse trains and is different than the first delivery cycle; and cause the therapy delivery circuit to automatically change, over at least three electrical stimulation pulse trains, the second delivery cycle to a third delivery cycle different than the second delivery cycle, wherein each electrical stimulation pulse train of the at least three electrical stimulation pulse trains comprises a plurality of pulses, and wherein the third delivery cycle is a third ratio of a first time duration during which a final electrical stimulation pulse train of the at least three electrical stimulation pulse trains is delivered to a second time duration between successive electrical stimulation pulse trains of the at least three electrical stimulation pulse trains. - View Dependent Claims (22)
-
Specification