Systems and methods for delivering neural therapy correlated with patient status
First Claim
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1. A method for treating a patient, comprising:
- collecting a data set containing values of a patient status and values of a spinal cord stimulation parameter at an implantable pulse generator;
analyzing the collected values of the patient status and the values of the stimulation parameter in the data set;
establishing a preference baseline containing individual preference stimulation parameters paired with corresponding individual values of the patient status;
receiving an indication of the patient status; and
in response to receiving the indication of the patient status, automatically adjusting operating parameters of the implantable pulse generator to generate an electrical stimulation signal and apply the generated stimulation signal to a spinal cord region of the patient,wherein the stimulation parameter includes an amplitude of the stimulation signal, and wherein the patient status includes a first value corresponding to the patient standing and a second value corresponding to the patient lying down, and further wherein establishing a preference baseline includes;
recording the values of the amplitude of the stimulation signal and the values of the patient status at the implantable pulse generator;
determining the patient status to be one of the first value and the second value, wherein a first set of values of the amplitude corresponds to the first value of the patient status, and wherein a second set of values of the amplitude corresponds to the second value of the patient status;
calculating a first arithmetic mean of the first set of values of the amplitude corresponding to the first value of the patient status and a second arithmetic mean of the second set of values of the amplitude corresponding to the second value of the patient status;
setting a first preference amplitude of the preference baseline equal to the calculated first arithmetic mean, the first preference amplitude corresponding to the first value of the patient status; and
setting a second preference amplitude of the preference baseline equal to the calculated second arithmetic mean, the second preference amplitude corresponding to the second value of the patient status.
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Abstract
Therapy systems for treating a patient are disclosed. Representative therapy systems include an implantable pulse generator, a signal delivery device electrically coupled to the pulse generator, and a remote control in electrical communication with the implantable pulse generator. The pulse generator can have a computer-readable medium containing instructions for performing a process that comprises collecting the patient status and stimulation parameter; analyzing the collected patient status and stimulation parameter; and establishing a preference baseline containing a preferred stimulation parameter corresponding to a particular patient status.
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Citations
27 Claims
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1. A method for treating a patient, comprising:
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collecting a data set containing values of a patient status and values of a spinal cord stimulation parameter at an implantable pulse generator; analyzing the collected values of the patient status and the values of the stimulation parameter in the data set; establishing a preference baseline containing individual preference stimulation parameters paired with corresponding individual values of the patient status; receiving an indication of the patient status; and in response to receiving the indication of the patient status, automatically adjusting operating parameters of the implantable pulse generator to generate an electrical stimulation signal and apply the generated stimulation signal to a spinal cord region of the patient, wherein the stimulation parameter includes an amplitude of the stimulation signal, and wherein the patient status includes a first value corresponding to the patient standing and a second value corresponding to the patient lying down, and further wherein establishing a preference baseline includes; recording the values of the amplitude of the stimulation signal and the values of the patient status at the implantable pulse generator; determining the patient status to be one of the first value and the second value, wherein a first set of values of the amplitude corresponds to the first value of the patient status, and wherein a second set of values of the amplitude corresponds to the second value of the patient status; calculating a first arithmetic mean of the first set of values of the amplitude corresponding to the first value of the patient status and a second arithmetic mean of the second set of values of the amplitude corresponding to the second value of the patient status; setting a first preference amplitude of the preference baseline equal to the calculated first arithmetic mean, the first preference amplitude corresponding to the first value of the patient status; and setting a second preference amplitude of the preference baseline equal to the calculated second arithmetic mean, the second preference amplitude corresponding to the second value of the patient status.
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2. A method for treating a patient, comprising:
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collecting a data set containing values of a patient status and values of a spinal cord stimulation parameter at an implantable pulse generator; analyzing the collected values of the patient status and the values of the stimulation parameter in the data set; establishing a preference baseline containing individual preference stimulation parameters paired with corresponding individual values of the patient status; receiving an indication of the patient status; and in response to receiving the indication of the patient status, automatically adjusting operating parameters of the implantable pulse generator to generate an electrical stimulation signal and apply the generated stimulation signal to a spinal cord region of the patient, wherein the values of the stimulation parameter and the values of the patient status are measured with a sensing element embedded in the implantable pulse generator, and wherein the values of the stimulation parameter and the values of the patient status are periodically stored in the implantable pulse generator as the data set, and wherein establishing a preference baseline includes correlating the values of the measured stimulation parameter to the individual values of the patient status in the data set to establish the preference baseline.
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3. A method for treating a patient, comprising:
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collecting a data set containing values of a patient status and values of a spinal cord stimulation parameter at an implantable pulse generator; analyzing the collected values of the patient status and the values of the stimulation parameter in the data set; establishing a preference baseline containing individual preference stimulation parameters paired with corresponding individual values of the patient status; receiving an indication of the patient status; and in response to receiving the indication of the patient status, automatically adjusting operating parameters of the implantable pulse generator to generate an electrical stimulation signal and apply the generated stimulation signal to a spinal cord region of the patient, wherein the values of the stimulation parameter include values of a stimulation parameter input from the patient, and wherein the values of the stimulation parameter and the values of the patient status are measured with a sensing element embedded in the implantable pulse generator, and wherein the values of the stimulation parameter and the values of the patient status are periodically stored in the implantable pulse generator as the data set, and wherein establishing a preference baseline includes correlating the measured values of the stimulation parameter input from the patient to the individual values of the patient status in the data set to establish the preference baseline.
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4. A method for treating a patient, comprising:
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collecting a data set containing values of a patient status and values of a spinal cord stimulation parameter at an implantable pulse generator; analyzing the collected values of the patient status and the values of the stimulation parameter in the data set; establishing a preference baseline containing individual preference stimulation parameters paired with corresponding individual values of the patient status; receiving an indication of the patient status; and in response to receiving the indication of the patient status, automatically adjusting operating parameters of the implantable pulse generator to generate an electrical stimulation signal and apply the generated stimulation signal to a spinal cord region of the patient, wherein the values of the stimulation parameter and the values of the patient status are measured with a sensing element embedded in the implantable pulse generator during an initial period, and wherein the values of the stimulation parameter and the values of the patient status are periodically stored in the implantable pulse generator as the data set, and wherein establishing a preference baseline includes correlating the measured stimulation parameter to the individual values of the patient status in the data set to establish the preference baseline when the initial period expires.
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5. A method for treating a patient, comprising:
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collecting a data set containing values of a patient status and values of a spinal cord stimulation parameter at an implantable pulse generator; analyzing the collected values of the patient status and the values of the stimulation parameter in the data set; establishing a preference baseline containing individual preference stimulation parameters paired with corresponding individual values of the patient status; receiving an indication of the patient status; and in response to receiving the indication of the patient status, automatically adjusting operating parameters of the implantable pulse generator to generate an electrical stimulation signal and apply the generated stimulation signal to a spinal cord region of the patient, wherein the values of the stimulation parameter and the values of the patient status are measured with a sensing element embedded in the implantable pulse generator during an initial period, and wherein the values of the stimulation parameter and the values of the patient status are periodically stored in the implantable pulse generator as the data set, and wherein establishing a preference baseline includes; correlating the measured values of the stimulation parameter to the values of the patient status in the data set to establish the preference baseline when; the initial period exceeds a preselected duration; the correlation of the values of the stimulation parameter to the individual values of the patient status has a confidence parameter greater than a preselected threshold;
orthe patient indicates an end of the initial period.
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6. A method for treating a patient, comprising:
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collecting a data set containing values of a patient status and values of a spinal cord stimulation parameter at an implantable pulse generator; analyzing the collected values of the patient status and the values of the stimulation parameter in the data set; establishing a preference baseline containing individual preference stimulation parameters paired with corresponding individual values of the patient status; receiving an indication of the patient status; and in response to receiving the indication of the patient status, automatically adjusting operating parameters of the implantable pulse generator to generate an electrical stimulation signal and apply the generated stimulation signal to a spinal cord region of the patient, wherein the stimulation parameter includes an amplitude of the stimulation signal, and wherein the values of the stimulation parameter and the values of the patient status are measured with a sensing element embedded in the implantable pulse generator, and wherein the values of the stimulation parameter and the values of the patient status are periodically stored in the implantable pulse generator as the data set, and wherein establishing a preference baseline includes; calculating a first arithmetic mean of the values of the amplitude corresponding to a first value of the patient status and calculating a second arithmetic mean of the values of the amplitude corresponding to a second value of the patient status based on the stored data set; and setting a first preference amplitude for the preference baseline based on the calculated first arithmetic mean and a second preference amplitude for the preference baseline based on the calculated second arithmetic mean.
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7. A method for treating a patient, comprising:
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collecting a data set containing values of a patient status and values of a spinal cord stimulation parameter at an implantable pulse generator; analyzing the collected values of the patient status and the values of the stimulation parameter in the data set; establishing a preference baseline containing individual preference stimulation parameters paired with corresponding individual values of the patient status; receiving an indication of the patient status; and in response to receiving the indication of the patient status, automatically adjusting operating parameters of the implantable pulse generator to generate an electrical stimulation signal and apply the generated stimulation signal to a spinal cord region of the patient, wherein the stimulation parameter includes a frequency of the stimulation signal, and wherein the values of the stimulation parameter and the values of the patient status are measured with a sensing element carried by the implantable pulse generator, and wherein the values of the stimulation parameter and the values of the patient status are periodically stored in the implantable pulse generator as the data set, and wherein establishing a preference baseline includes; calculating a first arithmetic mean of the values of the frequency corresponding to a first value of the patient status and calculating a second arithmetic mean of the values of the frequency corresponding to a second value of the patient status based on the stored data set; and setting a first preference frequency for the preference baseline based on the calculated first arithmetic mean and a second preference frequency for the preference baseline based on the calculated second arithmetic mean.
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8. A method for treating a patient, comprising:
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collecting a data set containing values of a patient status and values of a spinal cord stimulation parameter at an implantable pulse generator; analyzing the collected values of the patient status and the values of the stimulation parameter in the data set; establishing a preference baseline containing individual preference stimulation parameters paired with corresponding individual values of the patient status; receiving an indication of the patient status; in response to receiving the indication of the patient status, automatically adjusting operating parameters of the implantable pulse generator to generate an electrical stimulation signal and apply the generated stimulation signal to a spinal cord region of the patient; recording additional values of the stimulation parameter and the patient status; and indicating an alarm if the measured values of the stimulation parameter and/or the patient status exceed a corresponding threshold.
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9. A method for treating a patient, comprising:
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collecting a data set containing values of a patient status and values of a spinal cord stimulation parameter at an implantable pulse generator; analyzing the collected values of the patient status and the values of the stimulation parameter in the data set; establishing a preference baseline containing individual preference stimulation parameters paired with corresponding individual values of the patient status; receiving an indication of the patient status; and in response to receiving the indication of the patient status, automatically adjusting operating parameters of the implantable pulse generator to generate an electrical stimulation signal and apply the generated stimulation signal to a spinal cord region of the patient, wherein collecting a data set includes collecting impedance data, and wherein collecting impedance data includes distinguishing a capacitive component of the impedance data from a resistive component of the impedance data. - View Dependent Claims (10)
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11. A computer-implemented method for treating a patient, comprising:
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automatically collecting a data set containing values of a patient status and values of a spinal cord stimulation parameter; automatically establishing a preference baseline containing individual preference stimulation parameter values paired with corresponding individual values of the patient status based on the data set; and automatically generating an electrical stimulation signal and applying the generated stimulation signal to a spinal cord region of the patient based on a value of the patient status, wherein the values of the stimulation parameter and the values of the patient status are measured with a sensing element carried by an implantable pulse generator, and wherein the values of the stimulation parameter and the values of the patient status are periodically stored in the implantable pulse generator as the data set, and wherein establishing a preference baseline includes correlating the values of the measured stimulation parameter to the individual values of the patient status in the data set to establish the preference baseline. - View Dependent Claims (12)
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13. A computer-implemented method for treating a patient, comprising:
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automatically collecting a data set containing values of a patient status and values of a spinal cord stimulation parameter; automatically establishing a preference baseline containing individual preference stimulation parameter values paired with corresponding individual values of the patient status based on the data set; automatically generating an electrical stimulation signal and applying the generated stimulation signal to a spinal cord region of the patient based on a value of the patient status; collecting additional values of the stimulation parameter and the patient status; and indicating an alarm if the measured values of the stimulation parameter and/or the patient status exceed a corresponding threshold.
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14. A therapy system for treating a patient, comprising:
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an implantable pulse generator coupled to a sensing element to detect a patient status and a stimulation parameter of the patient, the implantable pulse generator having a memory to store the detected values of the patient status and the stimulation parameter; a signal delivery device electrically coupled to the pulse generator to apply a stimulation signal to a spinal cord region of the patient; and wherein the implantable pulse generator has a computer-readable medium containing instructions for performing a process comprising; analyzing the stored values of the patient status and the stimulation parameter; and establishing a preference baseline containing a preference stimulation parameter corresponding to a particular value of the patient status. - View Dependent Claims (15, 16, 17, 18, 19, 20, 21, 22, 23, 24)
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25. An implantable pulse generator for treating a spinal cord region of a patient, the implantable pulse generator comprising:
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a database module programmed to organize and store records containing values of a patient status and a stimulation parameter; and a processing module programmed to analyze the stored records of the patient status and the stimulation parameter and establish a preference baseline containing a preference stimulation parameter corresponding to a particular value of the patient status. - View Dependent Claims (26, 27)
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Specification