System and method of adjusting the compliance voltage in a neuromodulation device

• US 10,307,595 B2
• Filed: 02/01/2017
• Issued: 06/04/2019
• Est. Priority Date: 08/29/2013
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Shi, Jess Weiqian, Parramon, Jordi, Marnfeldt, Goran N.
• Primary Examiner(s): Layno, Carl H
• Assistant Examiner(s): Piateski, Erin M
• Application Number:
  US15/421,926
• Publication Number:
  US 20170143974A1
• Time in Patent Office: 853 Days
• Field of Search: 607 62
• CPC Class Codes: A61N 1/0534 Electrodes for deep brain stimulation
• CPC Class Codes: A61N 1/36125 Details of circuitry or electric components
• CPC Class Codes: A61N 1/36128 Control systems
• CPC Class Codes: A61N 1/36139 with automatic adjustment
• CPC Class Codes: A61N 1/3614 based on impedance measurement
• CPC Class Codes: A61N 1/36153 Voltage A61N1/3616 takes precedence
• CPC Class Codes: A61N 1/36178 Burst or pulse train parameters

Abstract

A therapeutic neuromodulation system configured for providing therapy to a patient. The therapeutic neuromodulation system comprises a plurality of electrical terminals configured for being respectively coupled to a plurality of electrodes implanted within tissue, analog output circuitry configured for delivering therapeutic electrical energy between the plurality of electrical terminals in accordance with a set of modulation parameters that includes a defined current value, a voltage regulator configured for supplying an adjustable compliance voltage to the analog output circuitry, and control/processing circuitry configured for automatically performing a compliance voltage calibration process at a compliance voltage adjustment interval by periodically computing an adjusted compliance voltage value as a function of a compliance voltage margin. The control/processing circuitry may also be configured for automatically adjusting at least one of the compliance voltage adjustment interval and the compliance voltage margin during the compliance voltage calibration process.

Claims

1. A method for improving efficiency of a neuromodulation system having a voltage regulator, comprising:

automatically calibrating a compliance voltage for the voltage regulator of the neuromodulation system at a compliance voltage adjustment interval, the calibrating including determining a rate of change in tissue impedance and adjusting the compliance voltage adjustment interval and a compliance voltage margin based on the determined rate of change in tissue impedance to improve the efficiency of the neuromodulation system.

2. The method of claim 1 further comprising determining the compliance voltage margin based on a voltage drop across tissue.

3. The method of claim 1 further comprising determining the compliance voltage margin based on a voltage drop across analog circuitry.

4. The method of claim 1 further comprising determining the compliance voltage margin based on at least one voltage drop generated by an implantable pulse generator.

5. The method of claim 1 wherein the compliance voltage margin is maintained at a constant value.

6. The method of claim 1 further comprising:

maintaining a first compliance voltage margin during a first time period;

maintaining a second compliance voltage margin during a second time period; and

maintaining a third compliance voltage margin during a third time period.

7. The method of claim 6 wherein the first compliance voltage is greater than the second compliance voltage and the second compliance voltage is greater than the third compliance voltage.

8. The method of claim 7 wherein the first time period is less than the second time period and the second time interval is less than the third time period.

9. The method of claim 6 further comprising:

maintaining a first compliance voltage adjustment interval during the first time period;

maintaining a second compliance voltage adjustment interval the second time period; and

maintaining a third compliance voltage adjustment interval during the third time period.

10. The method of claim 9 wherein the first compliance voltage adjustment interval is less than the second compliance voltage adjustment interval and the second compliance voltage adjustment interval is less than the third compliance voltage adjustment interval.

11. A non-transitory machine-readable medium including instructions, which when executed by a machine within a neuromodulation system, cause the machine to improve efficiency of the neuromodulation system:

automatically calibrate a compliance voltage for a voltage regulator of the neuromodulation system at a compliance voltage adjustment interval, the calibrating including determining a rate of change in tissue impedance and adjusting the compliance voltage adjustment interval and a compliance voltage margin based on the determined rate of change in tissue impedance to improve the efficiency of the neuromodulation system.

12. The non-transitory machine-readable medium of claim 11 wherein the instructions, which when executed by the machine, cause the machine to determine the compliance voltage margin based on a voltage drop across tissue.

13. The non-transitory machine-readable medium of claim 11 wherein the instructions, which when executed by the machine, cause the machine to determine the compliance voltage margin based on a voltage drop across analog circuitry.

14. The non-transitory machine-readable medium of claim 11 wherein the instructions, which when executed by the machine, cause the machine to determine the compliance voltage margin based on at least one voltage drop generated by an implantable pulse generator.

15. The non-transitory machine-readable medium of claim 11 wherein the compliance voltage margin is maintained at a constant value.

16. The non-transitory machine-readable medium of claim 11 wherein the instructions, which when executed by the machine, cause the machine to maintain a first compliance voltage margin during a first time period, maintain a second compliance voltage margin during a second time period, and maintain a third compliance voltage margin during a third time period.

17. The non-transitory machine-readable medium of claim 16 wherein the first compliance voltage is greater than the second compliance voltage and the second compliance voltage is greater than the third compliance voltage.

18. The non-transitory machine-readable medium of claim 17 wherein the first time period is less than the second time period and the second time period is less than the third time period.

19. The non-transitory machine-readable medium of claim 16 wherein the instructions, which when executed by the machine, cause the machine to maintain a first compliance voltage adjustment interval during the first time period, maintain a second compliance voltage adjustment interval during the second time period, and maintain a third compliance voltage adjustment interval during the third time period.

20. The non-transitory machine-readable medium of claim 19 wherein the first compliance voltage adjustment interval is less than the second compliance voltage adjustment interval and the second compliance voltage adjustment interval is less than the third compliance voltage adjustment interval.