Customizable titration for an implantable neurostimulator

Patent metadata

Field	Value
Publication number	US-11998747-B2
Application number	US-202117521496-A
Country	US
Kind code	B2
Filing date	Nov 8, 2021
Priority date	Sep 14, 2017
Publication date	Jun 4, 2024
Grant date	Jun 4, 2024

Abstract

A programmer configured to collect data from an implantable pulse generator about ongoing neurostimulation being applied during a stimulation titration process by the implantable pulse generator while in communication with the communication circuitry; display, via a user interface, an indication relating to a timing of neurostimulation bursts applied by the implantable pulse generator while in communication with the communication circuitry based on the collected data, the indication being displayed according to a time delay that accounts for a transport delay between the implantable pulse generator and the programmer such that the indication displayed coincides with an actual application of each stimulation burst by the implantable pulse generator; and adjust at least one stimulation parameter applied during the stimulation titration process by the implantable pulse generator.

First claim

What is claimed is:

1. A programmer configured to communicate with an implantable pulse generator that provides neurostimulation, the programmer comprising:
communication circuitry;
a user interface;
a processor; and
a memory having instructions stored thereon that, when executed by the processor, cause the processor to:
collect, via the communication circuitry, data from the implantable pulse generator about ongoing neurostimulation being applied during a stimulation titration process by the implantable pulse generator while in communication with the communication circuitry;
display, via the user interface, an indication relating to a timing of neurostimulation bursts applied by the implantable pulse generator while in communication with the communication circuitry based on the collected data, the indication being displayed according to a time delay that accounts for a transport delay between the implantable pulse generator and the programmer such that the indication displayed coincides with an actual application of each stimulation burst by the implantable pulse generator; and
adjust, via the communication circuitry, at least one stimulation parameter applied by the implantable pulse generator during the stimulation titration process.

2. The programmer of claim 1 , wherein the indication comprises a countdown time until a subsequent neurostimulation burst.

3. The programmer of claim 1 , wherein the indication comprises at least one of a therapy on indication or a therapy off indication.

4. The programmer of claim 1 , wherein the instructions further cause the processor to display the indication in real time.

5. The programmer of claim 1 , wherein the collected data includes timing data for future neurostimulation bursts to be applied by the implantable pulse generator, and wherein the instructions further cause the processor to synchronously display, via the user interface, an indication relating to a timing of the future neurostimulation bursts as the future neurostimulation bursts are applied by the implantable pulse generator.

6. The programmer of claim 1 , wherein the instructions further cause the processor to:
query, via the communication circuitry, the implantable pulse generator to receive a block of timing data;
receive, via the communication circuitry, the block of timing data from the implantable pulse generator; and
continue to display, via the user interface, the indication relating to the timing of neurostimulation bursts applied by the implantable pulse generator based on the block of timing data after ceasing communication between the communication circuitry and the implantable pulse generator.

7. A method of delivering neurostimulation to a patient from an implantable pulse generator, the method comprising:
collecting, via communication circuitry of a programmer, data from the implantable pulse generator about ongoing neurostimulation being applied during a stimulation titration process by the implantable pulse generator while in communication with the communication circuitry;
displaying, via a user interface of the programmer, an indication relating to a timing of neurostimulation bursts applied by the implantable pulse generator while in communication with the communication circuitry based on the collected data, the indication being displayed according to a time delay that accounts for a transport delay between the implantable pulse generator and the programmer such that the indication displayed coincides with an actual application of each stimulation burst by the implantable pulse generator; and
adjusting, via the communication circuitry, at least one stimulation parameter applied by the implantable pulse generator during the stimulation titration process.

8. The method of claim 7 , wherein the indication comprises a countdown time until a subsequent neurostimulation burst.

9. The method of claim 7 , wherein the indication comprises at least one of a therapy on indication or a therapy off indication.

10. The method of claim 7 , wherein the indication is displayed in real time.

11. The method of claim 7 , wherein the collected data includes timing data for future neurostimulation bursts to be applied by the implantable pulse generator, and the method further comprises:
synchronously displaying, via the user interface of the programmer, an indication relating to a timing of the future neurostimulation bursts as the future neurostimulation bursts are applied by the implantable pulse generator.

12. The method of claim 7 , wherein the method further comprises:
querying, via the communication circuitry of the programmer, the implantable pulse generator to receive a block of timing data;
receiving, via the communication circuitry of the programmer, the block of timing data from the implantable pulse generator; and
continuing to display, via the user interface of the programmer, the indication relating to the timing of neurostimulation bursts applied by the implantable pulse generator based on the block of timing data after ceasing communication between the programmer and the implantable pulse generator.

13. A neurostimulation system configured to deliver neurostimulation to a patient, the neurostimulation system comprising:
an implantable pulse generator configured to deliver the neurostimulation to the patient;
a programmer configured to:
collect, via communication circuitry of the programmer, data from the implantable pulse generator about ongoing neurostimulation being applied during a stimulation titration process by the implantable pulse generator while in communication with the communication circuitry; and
display, via a user interface of the programmer, an indication relating to a timing of neurostimulation bursts applied by the implantable pulse generator while in communication with the communication circuitry based on the collected data, the indication being displayed according to a time delay that accounts for a transport delay between the implantable pulse generator and the programmer such that the indication displayed coincides with an actual application of each stimulation burst by the implantable pulse generator; and
adjust, via the communication circuitry, at least one stimulation parameter applied by the implantable pulse generator during the stimulation titration process.

14. The neurostimulation system of claim 13 , wherein the indication comprises a countdown time until a subsequent neurostimulation burst.

Assignees

• Livanova Usa Inc

Inventors

• Stubbs Scott
• Libbus Imad
• Mazar Scott
• Kenknight Bruce
• Amurthur Badri

Classifications

• A61N1/36139 Primary

  with automatic adjustment · CPC title

• A61N1/37235

  Aspects of the external programmer · CPC title

• G16H20/30

  relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising · CPC title

• A61N1/36114

  Cardiac control, e.g. by vagal stimulation (stimulating the heart A61N1/362) · CPC title

• A61N1/36132

  using patient feedback · CPC title