Implantable medical device with offline programming limitations and related methods of operations

A method of programming an implantable medical device (IMD) to provide therapeutic operations for a patient, comprising:

• conducting a first communication session between the IMD with an external programming device;
• receiving first programming data by the IMD from the external programming device to provide therapeutic operations according to at least one instance of settings data during the first communication session;
• receiving second programming data by the IMD from the external programming device to define limitations of reprogramming during one or more subsequent offline programming sessions;
• conducting a second communication session between the IMD with an external programming device when network connectivity with a remote server of a medical device management is not available for the external programming device;
• receiving third programming data by IMD from the external programming device to provide therapeutic operations according to at least one instance of settings data during the second communication session;
• determining whether the third programming data is permitted according to limitations defined by the second programming data;
• and
• conducting therapeutic operations by the IMD according to the third programming data after determining that the third programming data is permitted.