Implantable medical device providing adaptive neurostimulation therapy
First Claim
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1. A method comprising:
- obtaining, in an external programmer during application of neurostimulation therapy, information that relates to efficacy of the neurostimulation therapy being delivered to the patient by an implanted neurostimulator;
adjusting, in a processor, one or more stimulation parameters associated with the neurostimulation therapy being applied to the patient by applying a set of adaptive logic to the obtained information to formulate an adjustment of a stimulation parameter;
submitting the adjusted parameters for approval by a clinician;
if approval is received, then inputting the adjusted parameters from the programmer to the implanted neurostimulator, and otherwise stopping without inputting the adjusted parameters to the implanted neurostimulator.
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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 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.
102 Citations
31 Claims
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1. A method comprising:
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obtaining, in an external programmer during application of neurostimulation therapy, information that relates to efficacy of the neurostimulation therapy being delivered to the patient by an implanted neurostimulator; adjusting, in a processor, one or more stimulation parameters associated with the neurostimulation therapy being applied to the patient by applying a set of adaptive logic to the obtained information to formulate an adjustment of a stimulation parameter; submitting the adjusted parameters for approval by a clinician; if approval is received, then inputting the adjusted parameters from the programmer to the implanted neurostimulator, and otherwise stopping without inputting the adjusted parameters to the implanted neurostimulator. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23)
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24. A system comprising:
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an implantable neurostimulator configured to deliver neurostimulation therapy and send information regarding stimulation parameters of the implantable neurostimulator; an external programmer configured to obtain information that relates to the efficacy of neurostimulation therapy delivered by the implanted neurostimulator; a processor configured to adjust one or more stimulation parameters associated with the neurostimulation therapy based on adaptive logic applied to information including at least the obtained information, and wherein the adaptive logic employs weighting to the information and employs safety ranges for the information with the safety ranges being weighted most heavily. - View Dependent Claims (25, 26, 27, 28)
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29. A system for adjusting stimulation parameters associated with neurostimulation therapy comprising:
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an implantable neurostimulator adapted to deliver neurostimulation therapy; an external programmer adapted to obtain information that relates to efficacy of neurostimulation therapy delivered by the implantable neurostimulator; and a processor adapted to adjust a stimulation parameter associated with the neurostimulation therapy by applying a set of adaptive logic to information including the obtained information, wherein the processor submits the adjusted parameters for approval by a clinician and upon receiving an approval adjusts the stimulation parameters. - View Dependent Claims (30, 31)
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Specification