Implantable medical device providing adaptive neurostimulation therapy for incontinence
First Claim
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1. A method comprising:
- receiving, in an external programmer, information relating to efficacy of neurostimulation therapy delivered by an implanted neurostimulator to manage urinary incontinence, wherein the received information comprises information input by the patient and information from the implanted neurostimulator, wherein the information input by the patient and the information from the implanted neurostimulator are temporally correlated;
adjusting, in a processor applying adaptation logic, one or more stimulation parameters of the neurostimulation therapy based on the received information; and
inputting the adjusted parameters from the processor to the implanted neurostimulatorwherein the information is temporally correlated in order to evaluate the conditions experienced by a patient at the time of a significant voiding event.
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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 fecal or urinary 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
25 Claims
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1. A method comprising:
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receiving, in an external programmer, information relating to efficacy of neurostimulation therapy delivered by an implanted neurostimulator to manage urinary incontinence, wherein the received information comprises information input by the patient and information from the implanted neurostimulator, wherein the information input by the patient and the information from the implanted neurostimulator are temporally correlated; adjusting, in a processor applying adaptation logic, one or more stimulation parameters of the neurostimulation therapy based on the received information; and inputting the adjusted parameters from the processor to the implanted neurostimulator wherein the information is temporally correlated in order to evaluate the conditions experienced by a patient at the time of a significant voiding event. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20)
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21. A system for performing a method the system comprising:
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an external programmer, comprising a processor; and an implantable neurostimulator, wherein the external programmer is configured to be in wireless contact with the implantable neurostimulator, the external programmer is configured to receive information input by a patient related to efficacy of neurostimulation therapy delivered by the implantable neurostimulator to manage urinary incontinence and information from the implantable neurostimulator, wherein the information input from the patient and the information from the implantable neurostimulator are temporally correlated in order to evaluate the conditions experienced by a patient at the time of a significant voiding event, the processor applying adaptation logic and is configured to adjust one or more stimulation parameters of the neurostimulation therapy based on the received information, and the processor is configured to input the adjusted parameters into the implantable neurostimulator. - View Dependent Claims (22)
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23. A system comprising:
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an implantable neurostimulator configured to deliver neurostimulation therapy to manage urinary incontinence and send information regarding the stimulation parameters of the implantable neurostimulator; an external programmer configured to receive information input by a patient, said information relating to efficacy of neurostimulation therapy delivered by the implanted neurostimulator and information from the implantable neurostimulator, wherein the information input from the patient and the information from the implantable neurostimulator are temporally correlated in order to evaluate the conditions experienced by a patient at the time of a significant voiding event, and send the received information; and a processor applying adaptation logic, that is configured to adjust one or more parameters associated with the neurostimulation therapy based on the information from the implantable neurostimulator and the external programmer.
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24. A system for performing a method, the system comprising:
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an external programmer; and an implantable neurostimulator comprising a processor, wherein the external programmer is configured to be in wireless contact with the implantable neurostimulator, the external programmer is configured to receive information input by a patient, said information related to efficacy of neurostimulation therapy delivered by the implantable neurostimulator to manage urinary incontinence and information from the implantable neurostimulator, wherein the information input from the patient and the information from the implantable neurostimulator are temporally correlated in order to evaluate the conditions experienced by a patient at the time of a significant voiding event, the processor applying adaptation logic and being configured to adjust one or more stimulation parameters of the neurostimulation therapy based on the received information, and the processor is configured to input the adjusted parameters into the implantable neurostimulator. - View Dependent Claims (25)
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Specification