Neuromodulation system and method for automatically adjusting stimulation parameters to optimize power consumption

• US 9,623,244 B2
• Filed: 02/21/2014
• Issued: 04/18/2017
• Est. Priority Date: 02/22/2013
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Kothandaraman, Sridhar
• Primary Examiner(s): Holmes, Rex R
• Application Number:
  US14/186,995
• Publication Number:
  US 20140243925A1
• Time in Patent Office: 1,152 Days
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/36146 specified by the stimulation parameters
• CPC Class Codes: A61N 1/36185 Selection of the electrode configuration
• CPC Class Codes: A61N 1/36189 using modulation techniques
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means

Abstract

An electrical neuromodulation system configured for minimizing energy consumption of a neuromodulation device includes an external control device configured for receiving input from a user, the neuromodulation device in communication with the external control device, and control/processing circuitry. The control/processing circuitry is configured for automatically (a) adjusting a modulation parameter value (e.g., by a step size) to create a currently adjusted modulation parameter value that decreases the energy consumption of the neuromodulation device, (b) instructing the neuromodulation device to deliver electrical energy to at least one electrode in accordance with the currently adjusted modulation parameter value, (c) determining whether a manual parameter adjustment was made by the user in response to step (b), and (d) if the manual parameter adjustment was not made, deeming the currently adjusted modulation parameter value as a previously adjusted modulation parameter value and repeating steps (a)-(d).

Claims

1. An electrical neuromodulation system, comprising:

an external control device configured for receiving input from a user;

a neuromodulation device configured for communicating with the external control device, and configured for delivering electrical energy to at least one electrode in accordance with a modulation parameter value; and

control/processing circuitry configured for automatically performing a process to optimize power consumption that includes (a) adjusting the modulation parameter value to create a currently adjusted modulation parameter value to decrease energy consumption of the neuromodulation device, (b) instructing the neuromodulation device to deliver the electrical energy to the at least one electrode in accordance with the currently adjusted modulation parameter value, (c) determining whether a manual parameter adjustment was made by the user in response to step (b), and (d) repeating steps (a)-(c) until it is determined that the manual parameter adjustment was made by the user in response to step (b), and then determining that a previously-adjusted parameter value is an optimized modulation parameter value that minimizes the energy consumption of the neuromodulation device when delivering the electrical energy to the at least one electrode.

2. The electrical neuromodulation system of claim 1, further comprising memory configured for storing the modulation parameter value.

3. The electrical neuromodulation system of claim 1, wherein the manual parameter adjustment made by the user comprises a manual adjustment of at least one of pulse rate, pulse width, duty cycle, amplitude, or electrode combination.

4. The electrical neuromodulation system of claim 1, wherein the control/processing circuitry is further configured for determining whether the manual parameter adjustment was made within a predetermined time period of step (b) is initiated, and for repeating steps (a)-(c) until it is determined that the manual parameter adjustment was made within the predetermined time period after step (b) is initiated.

5. The electrical neuromodulation system of claim 1, wherein the control/processing circuitry is further configured for, after determining that the manual parameter adjustment was made, automatically instructing the neuromodulation device to again deliver the electrical energy to the at least one electrode in accordance with the previously adjusted modulation parameter value.

6. The electrical neuromodulation system of claim 1, wherein the modulation parameter value is a first modulation parameter value, and wherein the control/processing circuitry is further configured for repeating the steps (a)-(c) by performing a process that includes adjusting a second modulation parameter value to create a currently adjusted second modulation parameter value that decreases the energy consumption of the neuromodulation device, instructing the neuromodulation device to deliver the electrical energy to the at least one electrode in accordance with the currently adjusted second modulation parameter value, determining whether a manual parameter adjustment was made by the user in response to delivery of the electrical energy to the at least one electrode in accordance with the currently adjusted second modulation parameter value.

7. The electrical neuromodulation system of claim 1, wherein the electrical energy is pulsed electrical energy.

8. The electrical neuromodulation system of claim 7, wherein the modulation parameter value is a pulse rate value.

9. The electrical neuromodulation system of claim 7, wherein the modulation parameter value is a pulse width value.

10. The electrical neuromodulation system of claim 1, wherein the modulation parameter value is a duty cycle value.

11. The electrical neuromodulation system of claim 1, wherein the modulation parameter value is an amplitude value.

12. The electrical neuromodulation system of claim 1, wherein the modulation parameter value is an electrode combination value.

13. The electrical neuromodulation system of claim 1, wherein the neuromodulation device is configured for conveying the electrical energy at a frequency in the range of 1 KHz-50 KHz.

14. The electrical neuromodulation system of claim 1, wherein the control/processing circuitry is contained in the neuromodulation device.

15. The electrical neuromodulation system of claim 1, wherein the control/processing circuitry is contained in the external control device.

16. The electrical neuromodulation system of claim 1, further comprising a battery configured for storing power used to generate the electrical energy.

17. The electrical neuromodulation system of claim 1, wherein the control/processing circuitry is configured for automatically adjusting the modulation parameter value by a step size.

18. A method of minimizing energy consumption of a neuromodulation device, the method comprising automatically:

(a) adjusting a modulation parameter value to create a currently adjusted modulation parameter value to decrease the energy consumption of the neuromodulation device;

(b) delivering electrical energy from the neuromodulation device to at least one electrode adjacent a target tissue site in accordance with the currently adjusted modulation parameter value, thereby modulating the target tissue site;

(c) determining whether a manual parameter adjustment was made by a user in response to step (b); and

(d) repeating steps (a)-(c) until it is determined that the manual parameter adjustment was made by the user in response to step (b), and then determining that a previously-adjusted parameter value is an optimized modulation parameter value that minimizes the energy consumption of the neuromodulation device when delivering the electrical energy to the at least one electrode.

19. The method of claim 18, further comprising, after determining that the manual parameter adjustment was made, in delivering the electrical energy to the at least one electrode in accordance with the previously adjusted modulation parameter value.

20. The method of claim 18, wherein the determining whether the manual parameter adjustment was made includes determining whether the manual parameter adjustment was made within a predetermined time period of step (b) is initiated, and the repeating steps (a)-(c) includes repeating steps (a)-(c) until it is determined that the manual parameter adjustment was made within the predetermined time period after step (b) is initiated.

21. The method of claim 18, wherein the modulation parameter value is a firm modulation parameter value. and the repeating the steps (a)-(c) includes performing a process that includes:

adjusting a second modulation parameter value to create a currently adjusted second modulation parameter value that decreases the energy consumption of the neuromodulation device;

delivering the electrical energy from the neuromodulation device to the at least one electrode adjacent the target tissue site in accordance with the currently adjusted second modulation parameter value, thereby modulating the target tissue site;

determining whether the manual parameter adjustment was made by a user in response to the delivering the electrical energy in accordance with the currently adjusted second modulation parameter.

22. The method of claim 18, wherein the manual parameter that is adjusted includes at least one of pulse rate, pulse width, duty cycle, amplitude, or electrode combination.

23. The method of claim 18, wherein the electrical energy is pulsed electrical energy.

24. The method of claim 23, wherein the modulation parameter value is a pulse rate value.

25. The method of claim 23, wherein the modulation parameter value is a pulse width value.

26. The method of claim 18, wherein the modulation parameter value is a duty cycle value.

27. The method of claim 18, wherein the modulation parameter value is an amplitude value.

28. The method of claim 18, wherein the modulation parameter value is an electrode combination value.

29. The method of claim 18, wherein the electrical energy is delivered from the neuromodulation device at a frequency in the range of 1 KHz-50 KHz.

30. The method of claim 18, wherein the at least one electrode is implanted within the patient.

31. The method of claim 18, wherein the delivery of the electrical energy from the neuromodulation device to the at least one electrode stimulates the target tissue site.

32. The method of claim 18, wherein the modulation parameter value is adjusted by a step size.

33. An electrical neuromodulation system, comprising:

an external control device configured to receive input from a user;

a neuromodulation device configured to communicate with the external control device and to deliver electrical energy to at least one electrode in accordance with a modulation parameter value; and

control/processing circuitry configured to automatically perform a process to optimize power consumption for the neuromodulation device that includes;

adjusting the modulation parameter value to create a currently adjusted modulation parameter value to decrease the energy consumption of the neuromodulation device, and instructing the neuromodulation device to deliver the electrical energy to the at least one electrode in accordance with the currently adjusted modulation parameter value, and then determining whether a manual parameter adjustment was made by the user in response to delivery of the electrical energy to the at least one electrode in accordance with the currently adjusted parameter value; and

repeating the adjusting, the instructing and the determining until it is determined that the manual parameter adjustment was made by the user, and then determining that the previously-adjusted parameter value is an optimized modulation parameter value that minimizes energy consumption of the neuromodulation device when delivering the electrical energy to the at least one electrode.

34. The electrical neuromodulation system of claim 33, wherein the control/processing circuitry is further configured to adjust at least one modulation parameter selected from the group of parameters consisting of pulse rate, pulse width, duty cycle, amplitude, and electrode combination during the automatically-performed process to optimize power consumption.