Therapy program modification based on an energy threshold

• US 8,548,596 B2
• Filed: 01/26/2009
• Issued: 10/01/2013
• Est. Priority Date: 04/29/2008
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Gerber, Martin T., Rondoni, John C.
• Primary Examiner(s): Lavert, Nicole F
• Application Number:
  US12/989,726
• Publication Number:
  US 20110040353A1
• Time in Patent Office: 1,709 Days
• Field of Search: 607/46, 607 59- 60
• US Class Current: 607/59
• CPC Class Codes: A61M 5/14276 specially adapted for implantation
• CPC Class Codes: A61N 1/36017 with leads or electrodes penetrating the skin
• CPC Class Codes: A61N 1/36021 for treatment of pain
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/36146 specified by the stimulation parameters
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: A61N 1/37264 Changing the program; Upgrading firmware

Abstract

A therapy program is modified to decompose an electrical stimulation signal defined by the therapy program into a plurality of sub-signals based on a comparison between an energy associated with the stimulation signal and a threshold value. An electrical stimulation signal defined by a therapy program may be decomposed into a plurality of subsignals when an electrical stimulation energy of the stimulation signal exceeds the maximum energy output of the medical device or of a channel of the medical device. The energy associated with each one of the subsignals may be less than the energy threshold value of the medical device.

Claims

1. A method comprising:

with a processor, comparing an energy associated with a stimulation signal to a threshold value, wherein a therapy program comprises at least one stimulation parameter value defining the stimulation signal; and

with the processor, modifying the therapy program to decompose the stimulation signal into a plurality of subsignals based on the comparison between the energy associated with the stimulation signal and the threshold value.

2. The method of claim 1, wherein the energy is a first energy and a second energy associated with each of the plurality of subsignals is less than or equal to the first energy associated with the stimulation signal.

3. The method of claim 1, wherein the stimulation signal defines a first signal envelope and the plurality of subsignals define a second signal envelope that substantially conforms to the first signal envelope.

4. The method of claim 1, wherein the threshold value is based on a maximum energy output of a medical device that delivers therapy to a patient based on the therapy program or a channel of the medical device.

5. The method of claim 1, wherein the threshold value is based on an expected minimum energy value that a medical device can provide at the end of a predetermined time period, wherein the medical device delivers therapy to a patient based on the therapy program.

6. The method of claim 1, further comprising delivering the plurality of subsignals to a target tissue site within a patient.

7. The method of claim 1, wherein the at least one stimulation parameter value comprises at least one of a pulse width value or an amplitude value, and wherein comparing the energy associated with the stimulation signal to the threshold value comprises, with the processor, determining an energy associated with the stimulation signal based on the at least one of the pulse width value or the amplitude value.

8. The method of claim 1, wherein modifying the therapy program to decompose the stimulation signal comprises, with the processor, generating at least one subprogram that comprises a subsignal amplitude value that is substantially equal to a signal amplitude value defined by the therapy program, a subsignal duration value that is less than a signal duration value defined by the therapy program, and a first frequency value that is greater than a second frequency value defined by the therapy program.

9. The method of claim 8, wherein generating at least one subprogram comprises generating a plurality of subprograms.

10. The method of claim 9, further comprising delivering therapy to a target tissue site within a patient according to each of the subprograms via a respective channel of a medical device.

11. The method of claim 1, wherein the energy associated with the stimulation signal comprises a first energy and each subsignal is associated with a respective second energy, and a sum of the second energies associated with the plurality of respective subsignals is less than the first energy associated with the stimulation signal.

12. The method of claim 1, wherein the energy associated with the stimulation signal comprises a first energy and each subsignal is associated with a respective second energy, and a sum of the second energies associated with the plurality of respective subsignals is greater than the first energy associated with the stimulation signal, wherein the second energy associated with each respective subsignal is less than the first energy associated with the stimulation signal.

13. The method of claim 1, wherein modifying the therapy program to decompose the stimulation signal comprises, with the processor, setting an interval of time between subsignals to be less than a duration of a carry-over effect of delivery of stimulation according to at least one of the subsignals.

14. The method of claim 1, wherein modifying the therapy program to decompose the stimulation signal of the therapy program into a plurality of subsignals comprises, with the processor:

selecting a timing window;

setting an interval of time between subsignals;

setting a pulse width value of each of the subsignals; and

determining whether an energy associated with the subsignals is less than the threshold value.

15. The method of claim 14, wherein setting a pulse width value of each of the subsignals comprises subtracting the duration of the timing window and the duration between subsignals.

16. The method of claim 1, further comprising, with the processor, receiving information that defines the therapy program.

17. A system comprising:

a memory that stores a therapy program comprising at least one stimulation parameter defining a stimulation signal; and

a processor that determines a first energy associated with the stimulation signal, compares the first energy to a threshold value, and modifies the therapy program to decompose the stimulation signal of the therapy program into a plurality of subsignals based on the comparison between the energy and the threshold value, wherein a second energy associated with each of the plurality of subsignals is less than the first energy associated with the stimulation signal.

18. The system of claim 17, wherein at least two of the subsignals are associated with different energies.

19. The system of claim 17, wherein the stimulation signal defines a first signal envelope and the plurality of subsignals define a second signal envelope that substantially conforms to the first signal envelope.

20. The system of claim 17, wherein the threshold value is based on a maximum energy output of a medical device that delivers therapy to a patient based on the therapy program or a channel of the medical device.

21. The system of claim 17, wherein the threshold value is based on an expected minimum energy value that a medical device can provide at the end of a predetermined time period, wherein the medical device delivers therapy to a patient according to the plurality of subsignals.

22. The system of claim 17, further comprising a medical device that delivers therapy to the patient according to the plurality of subsignals.

23. The system of claim 17, wherein the processor modifies the therapy program to decompose the stimulation signal of the therapy program into a plurality of subsignals by at least generating at least one subprogram that comprises a subsignal amplitude value that is substantially equal to a signal amplitude value defined by the therapy program, a subsignal duration value that is less than a signal duration value defined by the therapy program, and a first frequency value that is greater than a second frequency value defined by the therapy program.

24. The system of claim 17, wherein the processor sets an interval of time between subsignals to be less than a duration of a carry-over effect of delivery of stimulation according to at least one of the subsignals.

25. The system of claim 17, wherein the processor sets an interval of time between subsignals to be greater than a duration of a carry-over effect of delivery of stimulation according to at least one of the subsignals.

26. The system of claim 17, wherein the processor modifies the therapy program by at least setting a duration of a timing window that defines each one of the plurality of subsignals, setting an interval of time between subsignals, and setting a pulse width parameter of each of the subsignals by subtracting the duration of the timing window and the duration between subsignals.

27. The system of claim 26, wherein the duration between subsignals is less than the duration of a carry-over effect.

28. A computer-readable storage medium comprising instructions that cause a programmable processor to:

compare an energy associated with a stimulation signal to a threshold value, wherein a therapy program comprises at least one stimulation parameter defining the stimulation signal; and

modify the therapy program to decompose the stimulation signal into a plurality of subsignals based on the comparison between the energy associated with the stimulation signal and the threshold value.

29. The computer-readable storage medium of claim 28, wherein the threshold value is a maximum energy output of a medical device that delivers therapy to a patient based on the therapy program or a channel of the medical device.

30. A system comprising:

means for comparing an energy associated with a stimulation signal to a threshold value, wherein a therapy program comprises at least one stimulation parameter defining the stimulation signal; and

means for modifying the therapy program to decompose the stimulation signal into a plurality of subsignals based on the comparison between the energy associated with the stimulation signal and the threshold value.

31. The system of claim 30, wherein the means for modifying the therapy program to decompose the stimulation signal comprises means for generating at least one subprogram that comprises a subsignal amplitude value that is substantially equal to a signal amplitude value defined by the therapy program, a subsignal duration value that is less than a signal duration value defined by the therapy program, and a first frequency value that is greater than a second frequency value defined by the therapy program.