Implantable medical device providing adaptive neurostimulation therapy for incontinence

摘要

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.

主权项

1. A method comprising:
receiving, in an external programmer during application of neurostimulation therapy, information that is provided by a patient and that relates to efficacy of the neurostimulation therapy being delivered to the patient by an implanted neurostimulator to manage urinary incontinence; sensing, via at least one sensor, information related to efficacy of neurostimulation therapy delivered 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 received information and the sensed information to formulate an adjustment of a stimulation parameter based on both the sensed information and the received information; 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.