Therapy program modification based on an energy threshold

• US 8,805,525 B2
• Filed: 09/30/2013
• Issued: 08/12/2014
• 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:
  US14/042,108
• Publication Number:
  US 20140031900A1
• Time in Patent Office: 316 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 subsignals 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:

determining, by a processor, that an energy associated with a therapy program exceeds a threshold value, wherein therapy delivery to a patient by a medical device according to the therapy program generates a therapy field;

responsive to the determination, generating, by the processor, at least a first subfield and a second subfield to decompose the therapy field; and

outputting, by the processor and for display, the first subfield and the second subfield.

2. The method of claim 1, wherein the energy is a first energy and a second energy associated with the at least first subfield and second subfield is less than or equal to the first energy associated with the therapy program.

3. 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.

4. 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.

5. The method of claim 1, wherein the therapy program is a first therapy program, and wherein the method further comprises generating, by the processor, at least one second therapy program comprising one or more stimulation parameter value defining therapy delivery that generates the first subfield and the second subfield.

6. The method of claim 1, further comprising receiving, via a user interface comprising a representation of a lead, user input that defines at least a portion of the therapy field with respect to the lead, the therapy field being associated with the therapy program.

7. The method of claim 1, further comprising displaying the first subfield and the second subfield in conjunction with a representation of a lead.

8. The method of claim 1, further comprising receiving user input manipulating the first subfield to create a third subfield.

9. The method of claim 8, further comprising:

determining that an energy associated with the second subfield and the third subfield exceeds the threshold value; and

responsive to determining that the energy associated with the second subfield and the third subfield exceeds the threshold value, prompting a user to modify at least one of the second subfield or the third subfield.

10. The method of claim 8, further comprising:

determining that an energy associated with the second subfield and the third subfield exceeds the threshold value; and

responsive to determining that the energy associated with the second subfield and the third subfield exceeds the threshold value, generating, by the processor, at least a fourth subfield and a fifth subfield to decompose at least one of the second subfield or the third subfield.

11. A system comprising:

a memory configured to store a therapy program, wherein therapy delivery to a patient by a medical device according to the therapy program generates a therapy field; and

a processor configured to;

determine that a first energy associated with the therapy program exceeds to a threshold value,

responsive to the determination, generate at least a first subfield and a second subfield to decompose the therapy field, and

output, for display, the first subfield and the second subfield.

12. The system of claim 11, wherein the energy is a first energy and a second energy associated with the at least first subfield and second subfield is less than or equal to the first energy associated with the therapy program.

13. The system of claim 11, wherein the therapy program is a first therapy program, and wherein the processor is configured to generate at least one second therapy program comprising one or more stimulation parameter value defining therapy delivery that generates the first subfield and the second subfield.

14. The system of claim 11, further comprising a user interface configured to:

display a representation of a lead, and

receive user input defining at least a portion of the therapy field with respect to the lead, the therapy field being associated with the therapy program.

15. The system of claim 11, further comprising a display configured to present the first subfield and the second subfield in conjunction with a representation of a lead.

16. The system of claim 11, wherein the processor is configured to receive an indication of user input manipulating the first subfield to create a third subfield.

17. The system of claim 16, wherein the processor is configured to:

determine that an energy associated with the second subfield and the third subfield exceeds the threshold value, and

responsive to determining that the energy associated with the second subfield and the third subfield exceeds the threshold value, prompt, via a user interface, a user to modify at least one of the second subfield or the third subfield.

18. The system of claim 16, wherein the processor is configured to:

determine that an energy associated with the second subfield and the third subfield exceeds the threshold value, and

responsive to determining that the energy associated with the second subfield and the third subfield exceeds the threshold value, generate at least a fourth subfield and a fifth subfield to decompose at least one of the second subfield or the third subfield.

19. A non-transitory computer-readable medium comprising instructions that cause a programmable processor to:

determine that an energy associated with a therapy program exceeds a threshold value, wherein therapy delivery to a patient by a medical device according to the therapy program generates a therapy field;

responsive to the determination, generate at least a first subfield and a second subfield to decompose the therapy field; and

output, for display, the first subfield and the second subfield.

20. The non-transitory computer-readable medium of claim 19, 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.