Implantable medical device providing adaptive neurostimulation therapy for incontinence
First Claim
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1. A method comprising:
- receiving in a processor an operation information from an implantable neurostimulator for delivery of a neurostimulation therapy to manage urinary incontinence, the delivery of the neurostimulation therapy being based on a plurality of stimulation parameters;
sensing, via at least one sensor, sensed information related to the efficacy of the neurostimulation therapy delivered by an implantable neurostimulator;
wirelessly transmitting the sensed information from the sensor to the processor;
selecting, using adaptation logic, at lease one parameter from the plurality of stimulation parameters based on the sensed information and the operation information from the implantable neurostimulator;
determining, in the processor, an adjustment of the at least one parameter;
proposing a modified at least one parameter to a user based, at least in part, on the adjustment of the at least one parameter;
the user choosing a disposition for the modified at least one parameter;
inputting the modified at least one parameter from the processor to the implanted neurostimulator based on the disposition.
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Abstract
In general, the disclosure is directed to an implantable neurostimulator and system capable of providing adaptive neurostimulation therapy to alleviate incontinence. The neurostimulator operates according to a set of stimulation parameters stored in memory. During operation, information is obtained from the patient, the implanted neurostimulator, one or more implanted sensors, or some combination thereof. A processor analyzes the information to automatically generate proposed adjustments to the stimulation parameters applied by the neurostimulator. The adjustments provide an adaptive neurostimulation therapy that supports or enhances therapeutic efficacy based on the information.
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Citations
22 Claims
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1. A method comprising:
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receiving in a processor an operation information from an implantable neurostimulator for delivery of a neurostimulation therapy to manage urinary incontinence, the delivery of the neurostimulation therapy being based on a plurality of stimulation parameters; sensing, via at least one sensor, sensed information related to the efficacy of the neurostimulation therapy delivered by an implantable neurostimulator; wirelessly transmitting the sensed information from the sensor to the processor; selecting, using adaptation logic, at lease one parameter from the plurality of stimulation parameters based on the sensed information and the operation information from the implantable neurostimulator; determining, in the processor, an adjustment of the at least one parameter; proposing a modified at least one parameter to a user based, at least in part, on the adjustment of the at least one parameter; the user choosing a disposition for the modified at least one parameter; inputting the modified at least one parameter from the processor to the implanted neurostimulator based on the disposition. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14)
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15. A system for delivering therapy to a patient, comprising:
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an implantable neurological stimulator, comprising; a therapy delivery circuit delivering therapy based on a plurality of stimulation parameters; a memory module storing said plurality of stimulation parameters and an operating information; and an implantable neurological stimulator wireless telemetry interface operatively coupled to said memory module; an implantable sensor, comprising; a sensing element obtaining sensed information related to efficacy of said therapy; and a sensor wireless telemetry interface operatively coupled to said sensing element; and a processor receiving said sensed information by way of said sensor wireless telemetry interface and said operating information by way of said implantable neurological stimulator wireless telemetry interface; and a user interface operatively coupled with said processor; wherein said processor is configured to select, using adaptation logic, at least one parameter from said plurality of parameters based on said sensed information and said operating information; wherein the processor is further configured to determine an adjustment of said at least one parameter; wherein said user interface displays a modified at least one parameter to a user based, at least in part, on said adjustment of said at least one parameter; wherein said user interface is configured to allow said user to select a disposition for said modified at least one parameter; and wherein said modified at least one parameter is stored in said memory module based on said disposition. - View Dependent Claims (16, 17, 18, 19, 20, 21, 22)
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Specification