Neuromodulation system and method for automatically adjusting stimulation parameters to optimize power consumption

• US 10,143,845 B2
• Filed: 04/06/2017
• Issued: 12/04/2018
• Est. Priority Date: 02/22/2013
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Kothandaraman, Sridhar
• Primary Examiner(s): Holmes, Rex R
• Application Number:
  US15/480,681
• Publication Number:
  US 20170209704A1
• Time in Patent Office: 607 Days
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/36146 specified by the stimulation parameters
• CPC Class Codes: A61N 1/36185 Selection of the electrode configuration
• CPC Class Codes: A61N 1/36189 using modulation techniques
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means

Abstract

An electrical neuromodulation system configured for minimizing energy consumption of a neuromodulation device includes an external control device configured for receiving input from a user, the neuromodulation device in communication with the external control device, and control/processing circuitry. The control/processing circuitry is configured for automatically (a) adjusting a modulation parameter value (e.g., by a step size) to create a currently adjusted modulation parameter value that decreases the energy consumption of the neuromodulation device, (b) instructing the neuromodulation device to deliver electrical energy to at least one electrode in accordance with the currently adjusted modulation parameter value, (c) determining whether a manual parameter adjustment was made by the user in response to step (b), and (d) if the manual parameter adjustment was not made, deeming the currently adjusted modulation parameter value as a previously adjusted modulation parameter value and repeating steps (a)-(d).

Claims

1. A method, comprising instructing a neuromodulation device to:

deliver electrical energy for a therapy including deliver a therapeutically-effective amount of energy and then automatically deliver a series of decreasing amounts of energy;

receive, at a time when the electrical energy is delivered at a current one in the series of decreasing amounts of energy, a user input signal indicative that the therapy is no longer effective when the electrical energy is delivered at the current one in the series of decreasing amounts of energy, wherein the automatically deliver the series of decreasing amounts of energy includes automatically decrement energy within the series after expiration of a predetermined time period only when the user input signal is not received before the expiration of the predetermined time duration; and

in response to the received user input signal, deliver the electrical energy for the therapy at one of the series of decreasing amount of energy that immediately precedes the current amount of energy.

2. The method of claim 1, wherein the user input signal includes a manual parameter adjustment, further comprising instructing the neuromodulation device to:

adjust a first modulation parameter value to create a currently adjusted modulation parameter value to provide the series of decreasing amounts of energy;

adjust a second modulation parameter value to create a currently adjusted second modulation parameter value that decreases the energy consumption of the neuromodulation device;

deliver the electrical energy from the neuromodulation device to at least one electrode adjacent to a target tissue site in accordance with the currently adjusted second modulation parameter value, thereby modulating the target tissue site; and

determine whether the manual parameter adjustment was made by a user in response to the delivering the electrical energy in accordance with the currently adjusted second modulation parameter.

3. The method of claim 2, wherein the manual parameter adjustment includes an adjustment to at least one of pulse rate, pulse width, duty cycle, amplitude, or electrode combination.

4. The method of claim 2, wherein the energy is pulsed electrical energy.

5. The method of claim 2, wherein the first modulation parameter value is a pulse rate value.

6. The method of claim 2, wherein the first modulation parameter value is a pulse width value.

7. The method of claim 2, wherein the first modulation parameter value is a duty cycle value.

8. The method of claim 2, wherein the first modulation parameter value is an amplitude value.

9. The method of claim 2, wherein the first modulation parameter value is an electrode combination value.

10. The method of claim 2, wherein the energy is electrical energy delivered from the neuromodulation device at a frequency in the range of 1 KHz-50 KHz.

11. A non-transitory machine-readable medium including instructions, which when executed by a machine, cause the machine to instruct a neuromodulation device to:

deliver electrical energy for a therapy including deliver a therapeutically-effective amount of energy and then automatically deliver a series of decreasing amounts of energy;

receive, at a time when the electrical energy is delivered at a current one in the series of decreasing amounts of energy, a user input signal indicative that the therapy is no longer effective when the electrical energy is delivered at the current one in the series of decreasing amounts of energy, wherein the automatically deliver the series of decreasing amounts of energy includes automatically decrement energy within the series after expiration of a predetermined time period only when the user input signal is not received before the expiration of the predetermined time duration; and

in response to the received user input signal, deliver the electrical energy for the therapy at one of the series of decreasing amount of energy that immediately precedes the current amount of energy.

12. The non-transitory machine-readable medium of claim 11, further comprising instructions, which when executed by the machine, cause the machine to instruct the neuromodulation device to:

automatically deliver electrical energy for a therapy using a series of decreasing amounts of energy; and

automatically deliver the electrical energy for the therapy at one of the series of decreasing amount of energy that immediately precedes the current amount of energy.

13. The non-transitory machine-readable medium of claim 11, wherein the user input signal includes a manual parameter adjustment.

14. The non-transitory machine-readable medium of claim 13, further comprising instructions, which when executed by the machine, cause the machine to instruct the neuromodulation device to determine whether the manual parameter adjustment was made during the delivery of electrical energy at the current one in the series of decreasing amounts of energy.

15. The non-transitory machine-readable medium of claim 13, further comprising instructions, which when executed by the machine, cause the machine to instruct the neuromodulation device to adjust a first modulation parameter value to create a currently adjusted modulation parameter value to provide the series of decreasing amounts of energy.

16. A system, comprising:

a processor; and

a memory comprising instructions, which when executed by the processor, cause the processor to instruct a neuromodulation device to;

deliver electrical energy for a therapy including deliver a therapeutically-effective amount of energy and then automatically deliver a series of decreasing amounts of energy;

receive, at a time when the electrical energy is delivered at a current one in the series of decreasing amounts of energy, a user input signal indicative that the therapy is no longer effective when the electrical energy is delivered at the current one in the series of decreasing amounts of energy, wherein the automatically deliver the series of decreasing amounts of energy includes automatically decrement energy within the series after expiration of a predetermined time period only when the user input signal is not received before the expiration of the predetermined time duration; and

in response to the received user input signal, deliver the electrical energy for the therapy at one of the series of decreasing amount of energy that immediately precedes the current amount of energy.

17. The system of claim 16, further comprising instructions, which when executed by the processor, cause the processor to instruct the neuromodulation device to:

automatically deliver electrical energy for a therapy using a series of decreasing amounts of energy; and

automatically deliver the electrical energy for the therapy at one of the series of decreasing amount of energy that immediately precedes the current amount of energy.

18. The system of claim 16, wherein the user input signal includes a manual parameter adjustment.

19. The system of claim 18, further comprising instructions, which when executed by the processor, cause the processor to instruct the neuromodulation device to determine whether the manual parameter adjustment was made during the delivery of electrical energy at the current one in the series of decreasing amounts of energy.

20. The system of claim 18, further comprising instructions, which when executed by the processor, cause the processor to instruct the neuromodulation device to adjust a first modulation parameter value to create a currently adjusted modulation parameter value to provide the series of decreasing amounts of energy.