Systems and methods for automatically programming patient therapy devices

• US 9,295,840 B1
• Filed: 01/22/2014
• Issued: 03/29/2016
• Est. Priority Date: 01/22/2013
• Status: Active Grant

• Current Assignee: Nevro Corporation
• Original Assignee: Nevro Corporation
• Inventors: Thacker, James R., Parker, Jon
• Primary Examiner(s): Alter, Alyssa M
• Application Number:
  US14/161,554
• Time in Patent Office: 797 Days
• Field of Search: 607/46
• US Class Current: 1/1
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/36128 Control systems
• CPC Class Codes: A61N 1/36139 with automatic adjustment
• CPC Class Codes: A61N 1/36171 Frequency
• CPC Class Codes: A61N 1/36185 Selection of the electrode configuration
• CPC Class Codes: A61N 1/37235 Aspects of the external programmer
• CPC Class Codes: A61N 1/37264 Changing the program; Upgrading firmware
• CPC Class Codes: G16H 40/63 for local operation

Abstract

Methods for automatically programming a signal generator in a patient therapy system and associated systems are disclosed. A representative method comprises retrieving data including therapy program parameters, level of efficacy, and medication use corresponding to a plurality of time periods; identifying from the data a target time period having a corresponding level of efficacy; determining from the data if medication was used during the target time period; determining from the data if medication was used during a prior time period immediately before the target time period; calculating a lead position confidence factor; and programming the signal generator to repeat therapy with the therapy program parameters corresponding to the target time period if the confidence factor is greater than a threshold value and medication was used during the prior time period and not during the target time period.

Claims

1. A spinal cord stimulation system, comprising:

a signal generator implantable in a patient and programmed with instructions that, when executed, direct the signal generator to apply a therapy signal to the patient via a signal delivery device according to a first program;

a patient-operable device programmed with instructions that, when executed, receive information from the patient regarding a level of efficacy for the first program;

at least one memory unit housed in the signal generator and operable to record the information from the patient;

a practitioner-operable device programmed with instructions for directing the signal generator;

wherein at least one of the signal generator and the practitioner-operable device is programmed with instructions that, when executed;

retrieve the level of efficacy for the first program from the at least one memory unit,

receive information corresponding to a location of the signal delivery device, and

automatically select a second program based on the level of efficacy and signal delivery device location; and

wherein the signal generator is programmed with instructions, that when executed, direct the signal generator to apply a therapy signal to the patient according to the second program.

2. The system of claim 1 wherein at least one of the signal generator and the practitioner-operable device is programed with instructions that, when executed, assign a confidence factor to the signal delivery device location, and wherein automatically selecting the second program is performed only when the confidence factor exceeds a threshold value.

3. The system of claim 1 wherein at least one of the signal generator and the practitioner-operable device is programed with instructions that, when executed, retrieve information from the signal generator regarding the first program, and wherein selecting the second program is based on the information from the signal generator regarding the firstprogram.

4. The system of claim 1 wherein at least one of the signal generator and the practitioner-operable device is programed with instructions that, when executed, receive information corresponding to the patient'"'"'s medication use, and wherein selecting the second program based at least in part on the information corresponding to the patient'"'"'s medication use.

5. The system of claim 1, wherein the patient operable device is operable to communicate with the signal generator.

6. The system of claim 1, wherein the level of efficacy corresponds to a level of pain relief.

7. The system of claim 1, wherein information regarding lead location is obtained from an x-ray of the patient.

8. The system of claim 1, wherein the first and second programs each include information pertaining to duration of stimulation and amplitude of stimulation.

9. The system of claim 1, wherein the first program includes a first electrode configuration and the second program includes a second electrode configuration different than the first electrode configuration.

10. The system of claim 1, wherein the therapy signal according to at least one of the first and second programs has a frequency in a range of from about 1.5 kHz to about 100 kHz.

11. The system of claim 1, wherein the signal generator is programmed with instructions that, when executed, direct a non-paresthesia producing signal having a frequency in a range of from about 1.5 kHz to about 100 kHz to the patient.