Methods And Associated Algorithms For Programming A Baroreflex Activation Therapy Device
AssigneeCVRx, Inc.
InventorsAdam Cates, Eric Grant Lovett, Seth Wilks
Life of this patent
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Abstract
Methods and associated devices and algorithms for programming a therapy for an implanted baroreflex activation system are described and may include determining one or more programmable operating parameters of the therapy which do not cause a patient to experience extraneous stimulation associated with the therapy and programming the implanted baroreflex stimulation system with programmable operating parameters.
Claims20
A method of programming a therapy for an implanted baroreflex stimulation system, the implanted baroreflex stimulation system configured to deliver the therapy to a patient, the therapy having at least two programmable operating parameters, the method comprising:
- determining a first programmable operating parameter of the therapy, including:
- delivering a first therapy pulse to the patient, the therapy pulse including initial settings for each of the at least two programmable operating parameters;
- increasing the first programmable operating parameter in increments;
- delivering subsequent therapy pulses at each increment;
- determining, for at least some of the therapy pulses, whether the patient is experiencing extraneous stimulation associated with the therapy pulses;
- and
- selecting a value for the first programmable operating parameter based at least in part on the last therapy pulse delivered which did not cause the patient to experience extraneous stimulation associated with the therapy pulse;
- determining a second programmable operating parameter of the therapy, including:
- delivering a further therapy pulse to the patient, the therapy pulse including the selected value for the first programmable operating parameter and the initial setting for the second programmable operating parameter;
- increasing the second programmable operating parameter in increments;
- delivering subsequent therapy pulses at each increment;
- determining, for at least some of the therapy pulses, whether the patient is experiencing extraneous stimulation associated with the therapy pulses;
- and
- selecting a value for the second programmable operating parameter based at least in part on the last therapy pulse delivered which did not cause the patient to experience extraneous stimulation associated with the therapy pulse;
- and
- programming the implanted baroreflex stimulation system with the selected values for the first and second programmable operating parameters.
A method of programming a therapy for an implanted baroreflex stimulation system, the system configured to deliver the therapy to a patient and including a subcutaneously-implanted pulse generator and a baroreflex activation device in the form of an electrode structure coupled to the pulse generator via a lead, the baroreflex activation device implanted such that the electrode structure is proximate a baroreceptor of a patient, the therapy having at least two programmable operating parameters, the method comprising:
- causing a programming device to be manufactured and made available to a user, the programming device communicable with the implanted baroreflex stimulation system;
- and
- providing instructions to the user, the instructions including:
- determining a first programmable operating parameter of the therapy, including:
- delivering a first therapy pulse to the patient, the therapy pulse including initial settings for each of the at least two programmable operating parameters;
- increasing the first programmable operating parameter in increments;
- delivering subsequent therapy pulses at each increment;
- determining, for at least some of the therapy pulses, whether the patient is experiencing extraneous stimulation associated with the therapy pulses;
- and
- selecting a value for the first programmable operating parameter based at least in part on the last therapy pulse delivered which did not cause the patient to experience extraneous stimulation associated with the therapy pulse;
- determining a second programmable operating parameter of the therapy, including:
- delivering a further therapy pulse to the patient, the therapy pulse including the selected value for the first programmable operating parameter and the initial setting for the second programmable operating parameter;
- increasing the second programmable operating parameter in increments;
- delivering subsequent therapy pulses at each increment;
- determining, for at least some of the therapy pulses, whether the patient is experiencing extraneous stimulation associated with the therapy pulses;
- and
- selecting a value for the second programmable operating parameter based at least in part on the last therapy pulse delivered which did not cause the patient to experience extraneous stimulation associated with the therapy pulse;
- and
- programming the implanted baroreflex stimulation system with the selected values for the first and second programmable operating parameters.
A programming device for programming a therapy for an implanted baroreflex stimulation system, the implanted baroreflex stimulation system configured to deliver the therapy to a patient, the therapy having at least two programmable operating parameters, the programming device communicably coupled to the implanted baroreflex stimulation system and configured to:
- determine a first programmable operating parameter of the therapy, including:
- deliver a first therapy pulse to the patient, the therapy pulse including initial settings for each of the at least two programmable operating parameters;
- increase the first programmable operating parameter in increments;
- deliver subsequent therapy pulses at each increment;
- determine, for at least some of the therapy pulses, whether the patient is experiencing extraneous stimulation associated with the therapy pulses;
- and
- select a value for the first programmable operating parameter based at least in part on the last therapy pulse delivered which did not cause the patient to experience extraneous stimulation associated with the therapy pulse;
- determine a second programmable operating parameter of the therapy, including:
- deliver a further therapy pulse to the patient, the therapy pulse including the selected value for the first programmable operating parameter and the initial setting for the second programmable operating parameter;
- increase the second programmable operating parameter in increments;
- deliver subsequent therapy pulses at each increment;
- determine, for at least some of the therapy pulses, whether the patient is experiencing extraneous stimulation associated with the therapy pulses;
- and
- select a value for the second programmable operating parameter based at least in part on the last therapy pulse delivered which did not cause the patient to experience extraneous stimulation associated with the therapy pulse;
- and
- program the implanted baroreflex stimulation system with the selected values for the first and second programmable operating parameters.
Dependencies are inferred from the claim text.