Robust adaptive brain stimulation
AssigneeMedtronic, Inc.
InventorsThomas L. Chouinard, Scott R. Stanslaski, Timothy R. Abraham, Robert S. Raike
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Abstract
Systems and methods that automatically adjust, or adapt, stimulation waveforms delivered to brain structures. Closed loop system embodiments can automatically be reconfigured into a more suitable closed loop control system in response to measures of control system performance. Measures can be internal performance characteristics of the adaptive control system or external inputs provided by another subsystem. As these measures change in time, the robust adaptive system changes in response.
Claims26
An adaptive deep brain stimulation system comprising:
- at least one processor and memory operably coupled to the at least one processor;
- a measurement subsystem including:
- a plurality of sensing contacts, and
- measurement subsystem instructions that, when executed on the at least one processor, cause the processor to implement a first signal classification algorithm using one or more of the plurality of sensing contacts to generate a first plurality of signals of interest;
- an actuation subsystem including:
- a plurality of stimulation contacts, and
- actuation subsystem instructions that, when executed on the at least one processor, cause the processor to provide therapy on one or more of the plurality of stimulation contacts by one or more actuators according to a first control policy and a first control parameter;
- a reconfiguration subsystem including reconfiguration subsystem instructions that, when executed on the at least one processor, cause the processor to:
- determine at least one performance measure related to the measurement subsystem or the actuation subsystem,
- detect a change in performance of the at least one performance measure against a performance threshold,
- based on the detecting:
- generate updated measurement subsystem instructions, wherein the updated measurement subsystem instructions includes a second signal classification algorithm or a second plurality of signals of interest, or
- generate updated actuation subsystem instructions, wherein the updated actuation subsystem instructions includes a second control policy or a second control parameter,
- store at least one of the updated measurement subsystem instructions or the updated actuation subsystem instructions in the memory,
- wherein the updated measurement subsystem instructions or the updated actuation subsystem instructions, when executed on the at least one processor, cause the processor to provide an updated therapy on the one or more of the plurality of stimulation contacts.
A method for adapting an adaptive deep brain stimulation system including at least one processor and memory operably coupled to the at least one processor, a measurement subsystem including a plurality of sensing contacts, and measurement subsystem instructions that, when executed on the at least one processor, cause the processor to implement a first signal classification algorithm using one or more of the plurality of sensing contacts to generate a first plurality of signals of interest, and an actuation subsystem including:
- a plurality of stimulation contacts, and actuation subsystem instructions that, when executed on the at least one processor, cause the processor to provide therapy on one or more of the plurality of stimulation contacts by one or more actuators according to a first control policy and a first control parameter, the method comprising:
- determining at least one performance measure related to the measurement subsystem or the actuation subsystem,
- detecting a change in performance of the at least one performance measure against a performance threshold,
- based on the detecting:
- generating updated measurement subsystem instructions, wherein the updated measurement subsystem instructions includes a second signal classification algorithm or a second plurality of signals of interest, or
- generating updated actuation subsystem instructions, wherein the updated actuation subsystem instructions includes a second control policy or a second control parameter,
- storing at least one of the updated measurement subsystem instructions or the updated actuation subsystem instructions in the memory,
- wherein the updated measurement subsystem instructions or the updated actuation subsystem instructions, when executed on the at least one processor, cause the processor to provide an updated therapy on the one or more of the plurality of stimulation contacts.
Dependencies are inferred from the claim text.