System for abating neural stimulation side effects
First Claim
1. A system, comprising:
- a neural stimulation delivery system configured to deliver a neural stimulation signal;
a sensor configured to sense a parameter to provide a signal for use in detecting a side effect;
a side effect detector configured to receive the signal from the sensor, to characterize the signal as a detected side effect, and to provide a detected side effect signal;
a controller configured to control the neural stimulation delivery system to provide a neural stimulation therapy, receive the detected side effect signal from the side effect detector determine whether the neural stimulation therapy caused the detected side effect, and automatically adjust the neural stimulation therapy if it is determined that the delivered neural stimulation therapy caused the detected side effect , wherein the side effect is selected from the group of side effects consisting of;
a voice-related side effect, a respiratory-related side effect and a cardiac output side effect.
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Abstract
Various system embodiments comprise a neural stimulation delivery system adapted to deliver a neural stimulation signal for use in delivering a neural stimulation therapy, a side effect detector, and a controller. The controller is adapted to control the neural stimulation delivery system, receive a signal indicative of detected side effect, determine whether the detected side enact is attributable to delivered neural stimulation therapy, and automatically titrate the neural stimulation therapy to abate the side effect. In various embodiments, the side effect detector includes a cough detector. In various embodiments, the controller is adapted to independently adjusting at least one stimulation parameter for at least one phase in the biphasic waveform as part of a process to titrate the neural stimulation therapy. Other aspects and embodiments are provided herein.
50 Citations
20 Claims
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1. A system, comprising:
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a neural stimulation delivery system configured to deliver a neural stimulation signal; a sensor configured to sense a parameter to provide a signal for use in detecting a side effect; a side effect detector configured to receive the signal from the sensor, to characterize the signal as a detected side effect, and to provide a detected side effect signal; a controller configured to control the neural stimulation delivery system to provide a neural stimulation therapy, receive the detected side effect signal from the side effect detector determine whether the neural stimulation therapy caused the detected side effect, and automatically adjust the neural stimulation therapy if it is determined that the delivered neural stimulation therapy caused the detected side effect , wherein the side effect is selected from the group of side effects consisting of;
a voice-related side effect, a respiratory-related side effect and a cardiac output side effect. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12)
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13. A system, comprising:
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a neural stimulation delivery system configured to deliver a neural stimulation signal; a sensor configured to sense a parameter to provide a signal for use in detecting a voice-related side effect; a side effect detector configured to receive the signal from the sensor, to characterize the signal as a detected voice-related side effect, and to provide a detected side effect signal; and a controller configured to control the neural stimulation delivery system to provide a neural stimulation therapy, receive the detected side effect signal from the side effect detector, determine whether delivered neural stimulation therapy caused the detected voice-related side effect, and automatically adjust the neural stimulation therapy if it is determined that the delivered neural stimulation therapy caused the detected voice-related side effect. - View Dependent Claims (14)
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15. A system, comprising:
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a neural stimulation delivery system configured to deliver a neural stimulation signal; a sensor configured to sense a parameter to provide a signal for use in detecting a respiratory-related side effect; a side effect detector configured to receive the signal from the sensor, to characterize the signal as a detected respiratory-related side effect, and to provide a detected side effect signal; and a controller configured to control the neural stimulation delivery system to provide a neural stimulation therapy, receive the detected side effect signal from the side effect detector, determine whether delivered neural stimulation therapy caused the detected respiratory-related side effect, and automatically adjust the neural stimulation therapy if it is determined that the delivered neural stimulation therapy caused the detected respiratory-related side effect. - View Dependent Claims (16)
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17. A system, comprising:
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a neural stimulation delivery system configured to deliver a neural stimulation signal; a sensor configured to sense a parameter to provide a signal for use in detecting cardiac output; a side effect detector configured to receive the signal from the sensor, to characterize the signal as a detected cardiac output side effect, and to provide a detected side effect signal; and a controller configured to control the neural stimulation delivery system to provide a neural stimulation therapy, receive the detected side effect signal from the side effect detector, determine whether delivered neural stimulation therapy caused the detected cardiac output side effect, and automatically adjust the neural stimulation therapy if it is determined that the delivered neural stimulation therapy caused the detected cardiac output side effect. - View Dependent Claims (18)
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19. A method for operating an implantable medical device, comprising:
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using the implantable medical device to deliver a neural stimulation therapy; using the implantable medical device to determine whether the neural stimulation therapy causes a side effect from the group of side effects consisting of;
a voice-related side effect, a respiratory-related side effect and a cardiac output side effect; andautomatically adjusting the neural stimulation therapy if it is determined that the neural stimulation therapy causes the side effect. - View Dependent Claims (20)
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Specification