Independent modulation of stimulation therapy waveforms

A method comprising:

• generating, by stimulation generation circuitry of an implantable medical device, first electrical stimulation and generate second electrical stimulation at least partially concurrent with the first electrical stimulation;
• controlling, by processing circuitry of the implantable medical device, the stimulation generation circuitry to deliver the first electrical stimulation to a patient via a first electrode combination, wherein the first electrical stimulation is defined by at least a first set of stimulation parameters selected that the first electrical stimulation exceeds a first perception threshold;
• controlling, by the processing circuitry of the implantable medical device, the stimulation generation circuitry to deliver the second electrical stimulation to the patient via a second electrode combination, wherein the second electrical stimulation is defined by at least a second set of stimulation parameters selected that the second electrical stimulation is below a second perception threshold;
• determining, by the processing circuitry of the implantable medical device, a triggering condition;
• and
• responsive to determining the triggering condition, independently modulating, by the processing circuitry of the implantable medical device, one of the first electrical stimulation or the second electrical stimulation.

A non-transitory, computer-readable medium comprising instructions that, when executed, cause processing circuitry of an implantable medical device to:

• control stimulation generation circuitry of the implantable medical device to deliver first electrical stimulation to a patient via a first electrode combination, wherein the first electrical stimulation is defined by at least a first set of stimulation parameters selected that the first electrical stimulation exceeds a first perception threshold;
• control the stimulation generation circuitry to deliver second electrical stimulation to the patient via a second electrode combination, wherein the second electrical stimulation is defined by at least a second set of stimulation parameters selected that the second electrical stimulation is below a second perception threshold;
• determine a triggering condition;
• and
• responsive to determining the triggering condition, independently modulate one of the first electrical stimulation or the second electrical stimulation.

A medical device system, the system comprising:

• stimulation generation circuitry configured to generate first electrical stimulation and generate second electrical stimulation at least partially concurrent with the first electrical stimulation;
• and
• processing circuitry configured to:
• control the stimulation generation circuitry to deliver the first electrical stimulation to a patient via a first electrode combination, wherein the first electrical stimulation is defined by at least a first set of stimulation parameters selected that the first electrical stimulation exceeds a first perception threshold;
• control the stimulation generation circuitry to deliver the second electrical stimulation to the patient via a second electrode combination, wherein the second electrical stimulation is defined by at least a second set of stimulation parameters selected that the second electrical stimulation is below a second perception threshold;
• determine a triggering condition;
• and
• responsive to determining the triggering condition, independently modulate one of the first electrical stimulation or the second electrical stimulation by at least modulating the first electrical stimulation according to a first modulation program and modulating the second electrical stimulation according to a second modulation program.

A medical device system, the system comprising:

• stimulation generation circuitry configured to generate first electrical stimulation and generate second electrical stimulation at least partially concurrent with the first electrical stimulation, wherein the first electrical stimulation comprises a pulse frequency in a range of about 40 Hz to about 60 Hz;
• and
• processing circuitry configured to:
• control the stimulation generation circuitry to deliver the first electrical stimulation to a patient via a first electrode combination, wherein the first electrical stimulation is defined by at least a first set of stimulation parameters selected that the first electrical stimulation exceeds a first perception threshold;
• control the stimulation generation circuitry to deliver the second electrical stimulation to the patient via a second electrode combination, wherein the second electrical stimulation is defined by at least a second set of stimulation parameters selected that the second electrical stimulation is below a second perception threshold;
• determine a triggering condition;
• and
• responsive to determining the triggering condition, independently modulate one of the first electrical stimulation or the second electrical stimulation.

A medical device system, the system comprising:

• stimulation generation circuitry configured to generate first electrical stimulation and generate second electrical stimulation at least partially concurrent with the first electrical stimulation, wherein the second electrical stimulation comprises a pulse frequency from about 100 Hz to about 1200 Hz;
• and
• processing circuitry configured to:
• control the stimulation generation circuitry to deliver the first electrical stimulation to a patient via a first electrode combination, wherein the first electrical stimulation is defined by at least a first set of stimulation parameters selected that the first electrical stimulation exceeds a first perception threshold;
• control the stimulation generation circuitry to deliver the second electrical stimulation to the patient via a second electrode combination, wherein the second electrical stimulation is defined by at least a second set of stimulation parameters selected that the second electrical stimulation is below a second perception threshold;
• determine a triggering condition;
• and
• responsive to determining the triggering condition, independently modulate one of the first electrical stimulation or the second electrical stimulation.

A method comprising:

• generating, by stimulation generation circuitry, first electrical stimulation and generate second electrical stimulation at least partially concurrent with the first electrical stimulation;
• controlling, by processing circuitry, the stimulation generation circuitry to deliver the first electrical stimulation to a patient via a first electrode combination, wherein the first electrical stimulation is defined by at least a first set of stimulation parameters selected that the first electrical stimulation exceeds a first perception threshold;
• controlling, by the processing circuitry, the stimulation generation circuitry to deliver the second electrical stimulation to the patient via a second electrode combination, wherein the second electrical stimulation is defined by at least a second set of stimulation parameters selected that the second electrical stimulation is below a second perception threshold;
• determining, by the processing circuitry, a triggering condition;
• and
• responsive to determining the triggering condition, independently modulating, by the processing circuitry, one of the first electrical stimulation or the second electrical stimulation by at least modulating the first electrical stimulation according to a first modulation program and modulating the second electrical stimulation according to a second modulation program.

A method comprising:

• generating, by stimulation generation circuitry, first electrical stimulation and generate second electrical stimulation at least partially concurrent with the first electrical stimulation, wherein the first electrical stimulation comprises a pulse frequency in a range of about 40 Hz to about 60 Hz;
• controlling, by processing circuitry, the stimulation generation circuitry to deliver the first electrical stimulation to a patient via a first electrode combination, wherein the first electrical stimulation is defined by at least a first set of stimulation parameters selected that the first electrical stimulation exceeds a first perception threshold;
• controlling, by the processing circuitry, the stimulation generation circuitry to deliver the second electrical stimulation to the patient via a second electrode combination, wherein the second electrical stimulation is defined by at least a second set of stimulation parameters selected that the second electrical stimulation is below a second perception threshold;
• determining, by the processing circuitry, a triggering condition;
• and
• responsive to determining the triggering condition, independently modulating, by the processing circuitry, one of the first electrical stimulation or the second electrical stimulation.

A method comprising:

• generating, by stimulation generation circuitry, first electrical stimulation and generate second electrical stimulation at least partially concurrent with the first electrical stimulation, wherein the second electrical stimulation comprises a pulse frequency from about 100 Hz to about 1200 Hz;
• controlling, by processing circuitry, the stimulation generation circuitry to deliver the first electrical stimulation to a patient via a first electrode combination, wherein the first electrical stimulation is defined by at least a first set of stimulation parameters selected that the first electrical stimulation exceeds a first perception threshold;
• controlling, by the processing circuitry, the stimulation generation circuitry to deliver the second electrical stimulation to the patient via a second electrode combination, wherein the second electrical stimulation is defined by at least a second set of stimulation parameters selected that the second electrical stimulation is below a second perception threshold;
• determining, by the processing circuitry, a triggering condition;
• and
• responsive to determining the triggering condition, independently modulating, by the processing circuitry, one of the first electrical stimulation or the second electrical stimulation.