Systems and methods for detecting faults and/or adjusting electrical therapy based on impedance changes

• US 9,814,884 B2
• Filed: 11/05/2012
• Issued: 11/14/2017
• Est. Priority Date: 11/04/2011
• Status: Active Grant

• Current Assignee: Nevro Corporation
• Original Assignee: Nevro Corporation
• Inventors: Parker, Jon, Walker, Andre B., Singh, Udai
• Primary Examiner(s): Dietrich, Joseph
• Application Number:
  US13/669,377
• Publication Number:
  US 20130116752A1
• Time in Patent Office: 1,835 Days
• Field of Search: 607 62
• CPC Class Codes: A61N 1/3603 Control systems
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/36142 for improving safety
• CPC Class Codes: A61N 1/36185 Selection of the electrode configuration

Abstract

System and methods for detecting impedance changes and for adjusting electrical therapy based on impedance changes are disclosed herein. A method in accordance with a particular embodiment includes applying a therapeutic, paresthesia-less electrical signal to a patient via a patient modulation system that includes a signal delivery device in electrical communication with a target neural population of the patient. The method can include monitoring on a periodic basis an impedance of an electrical circuit that includes the signal delivery device. The method can further include detecting a change in the impedance that indicates a fault and providing an indication that the fault exists.

Claims

1. A method for controlling a patient therapy device, comprising:

applying a therapeutic, paresthesia-less electrical signal to a target neural population in a patient'"'"'s spinal cord region via a patient modulation system that includes a signal delivery device in electrical communication with the target neural population, wherein the electrical signal provides pain relief for a period of time that extends beyond a duration of the electrical signal;

automatically monitoring, on a pre-set periodic basis, an impedance of an electrical circuit that includes the signal delivery device;

detecting a change in the impedance of the electrical circuit that indicates a fault;

automatically adjusting a compliance value in accordance with which the electrical signal is delivered; and

in response to detecting the change in the impedance automatically correcting or compensating for the fault before the patient senses a change in therapy resulting from the change in the impedance indicating the fault.

2. The method of claim 1 wherein detecting the change in impedance includes detecting the change in impedance before the patient senses a change in therapy resulting from the fault.

3. The method of claim 1 wherein the fault includes an open circuit.

4. The method of claim 1, further comprising providing a notification of the fault before the patient senses a change in therapy resulting from the fault.

5. The method of claim 4 wherein the notification includes a vibratory signal.

6. The method of claim 4 wherein providing a notification of the fault includes directing the notification to a location external to the patient.

7. The method of claim 1 wherein automatically correcting or compensating for the fault includes checking to determine if the fault has been corrected.

8. The method of claim 1 wherein automatically correcting or compensating includes changing active contacts.

9. The method of claim 1 wherein automatically correcting or compensating includes changing a number of active contacts.

10. The method of claim 1 wherein automatically correcting or compensating for the fault includes gradually increasing a strength of the electrical signal in response to the fault being corrected.

11. The method of claim 1, further comprising automatically adjusting a compliance margin in accordance with which the electrical signal is delivered.

12. The method of claim 1 wherein applying therapeutic, paresthesia-less electrical signals includes applying the signals at a frequency in a range of from about 1.5 kHz to about 100 kHz.

13. A method for controlling a patient therapy device, comprising:

applying a therapeutic, paresthesia-less electrical signal to a target neural population in a patient'"'"'s spinal cord region via a patient modulation system that includes a signal delivery device in electrical communication with the target neural population, wherein the therapeutic electrical signal has a frequency in the range of from about 1.5 kHz to about 100 kHz and provides pain relief for a period of time that extends beyond a duration of the electrical signal;

automatically monitoring, on a pre-set periodic basis, an impedance of an electrical circuit that includes the signal delivery device;

detecting a change in the impedance of the electrical circuit that indicates a fault;

in response to detecting the change in the impedance, automatically correcting the fault before the patient senses a change in therapy resulting from the change in the impedance indicating the fault, wherein automatically correcting the fault includes—

adjusting a signal parameter of the therapeutic electrical signal from a first signal parameter value to a second signal parameter value that is greater than the first signal parameter value, and

adjusting a compliance value from a first compliance value that is less than the second signal parameter value to a second compliance value that is greater than the second signal parameter value; and

automatically providing a notification of the fault.

14. A patient therapy system, comprising:

a patient-implantable portion that includes a signal generator and a signal delivery device having an electrical contact positioned to be in electrical communication with a target neural population in a patient'"'"'s spinal cord region when implanted, wherein the signal generator produces an electrical signal that provides pain relief for a period of time that extends beyond a duration of the electrical signal;

an impedance detector carried by the patient-implantable portion, the impedance detector being operatively coupled to an electrical circuit that includes the electrical contact to detect an impedance of the electrical circuit; and

a processor carried by the patient-implantable portion, the processor having a computer-readable medium programmed with instructions that, when executed, perform a process that includes;

automatically monitoring, on a pre-set periodic basis, the impedance of the electrical circuit that includes the signal delivery device;

receiving an indication from the impedance detector corresponding to a fault; and

in response to receiving the indication of the fault and before the patient senses a change in therapy, automatically correcting the fault by adjusting a compliance value in accordance with which the signal generator produces the electrical signal.

15. The system of claim 14, wherein the processor is configured to automatically correct or compensate for the fault without human intervention.

16. The system of claim 15 wherein automatically correcting or compensating includes changing a number of active contacts.

17. The method of claim 15 wherein automatically correcting or compensating includes changing active contacts.

18. The system of claim 15, wherein adjusting a compliance value includes adjusting a compliance voltage.

19. The system of claim 15 wherein the processor is configured to:

direct the electrical signal to the electrical contact; and

gradually increase a strength of the electrical signal in response to the fault being corrected.

20. The system of claim 14, wherein the processor is configured to determine if the fault has been corrected.

21. The system of claim 14 wherein the fault includes an open circuit.

22. The system of claim 14, wherein the processor is configured to direct a signal providing notification of the fault.

23. The system of claim 22 wherein the processor is configured to direct a vibratory signal providing notification of the fault.

25. The system of claim 14 wherein the electrical signal is a paresthesia-less, therapeutic signal at a frequency of from about 1.5 kHz to about 100 kHz.

24. The system of claim wherein 22, wherein the processor is configured to direct a signal providing notification of the fault to a location external to the patient.