Differential neurostimulation therapy driven by physiological context
First Claim
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1. A method for using an implantable device to treat a neurological disorder, the method comprising the steps of:
- detecting a neurological event;
analyzing a parameter observed by the implantable device, wherein the parameter is representative of a characteristic of the neurological event;
selecting a therapy based at least in part on the parameter; and
delivering the therapy.
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Abstract
An implantable neurostimulator system adapted to provide therapy for various neurological disorders is capable of varying therapy delivery strategies based on the context, physiological or otherwise, into which the therapy is to be delivered. Responsive and scheduled therapies can be varied depending on various sensor measurements, calculations, inferences, and device states (including elapsed times and times of day) to deliver an appropriate course of therapy under the circumstances.
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Citations
47 Claims
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1. A method for using an implantable device to treat a neurological disorder, the method comprising the steps of:
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detecting a neurological event;
analyzing a parameter observed by the implantable device, wherein the parameter is representative of a characteristic of the neurological event;
selecting a therapy based at least in part on the parameter; and
delivering the therapy. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31)
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32. A method for treating a neurological disorder in a patient, the method comprising the steps of:
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implanting a device in the body of the patient;
implanting a plurality of electrodes in the body of the patient, wherein each of the plurality of electrodes is coupled to the device;
detecting a neurological event with the device;
analyzing a parameter measured by the implantable device, wherein the parameter is representative of a characteristic of the neurological event;
selecting a therapy based at least in part on the parameter; and
applying the therapy with the device. - View Dependent Claims (33, 34, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47)
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35. A method for using an implantable device to treat a neurological disorder, the method comprising the steps of:
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detecting a neurological event with a triggering detection channel of the implantable device;
analyzing a parameter observed by the implantable device, wherein the parameter comprises an electrographic measurement representative of a characteristic of the event and obtained from a data storage area associated with the triggering detection channel;
selecting a therapy based at least in part on the parameter; and
delivering the therapy.
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36. A method for using an implantable device to treat a neurological disorder, the method comprising the steps of:
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detecting a neurological event with a triggering detection channel included in a plurality of detection channels of the implantable device;
analyzing a parameter observed by the implantable device, wherein the parameter is representative of a characteristic of the event and obtained from an indication of which of the plurality of detection channels is the triggering detection channel;
selecting a therapy based at least in part on the parameter; and
delivering the therapy.
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37. An implantable neurostimulator for the treatment of a neurological disorder, comprising:
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a detection subsystem adapted to detect a neurological event and to observe an event characteristic related to the neurological event; and
a therapy subsystem adapted to deliver a therapy to the patient, wherein the therapy is selected at least in part based on the event characteristic.
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Specification