System and methods for determining and tuning detection settings in a neurostimulator

A system for managing the configuration of an implanted neurostimulation system having a therapy phase of operation during which stimulation therapy is delivered, and an adaptive phase of operation during which stimulation therapy is not delivered, the system comprising:

• a patient data management system configured to:
• during a first period of the adaptive phase, obtain an initial detection tool configured to detect an onset pattern in electrographic activity sensed by a sensing channel of the implanted neurostimulation system, the initial detection tool defined by a set of detection parameters;
• during a second period of the adaptive phase, perform at least one tuning cycle of the initial detection tool to determine a tuned initial detection tool by being further configured to:
• adjust a detection parameter of the initial detection tool;
• receive for a period of time subsequent to the adjustment of the detection parameter, data from the implanted neurostimulation system that results from detections of the onset pattern by the adjusted initial detection tool;
• obtain a performance metric for the adjusted initial detection tool based on the data;
• determine if the performance metric satisfies a target performance metric;
• responsive to the target performance metric not being satisfied, perform another tuning cycle;
• and
• responsive to the target performance metric being satisfied, provide configuration information that defines the tuned initial detection tool, where the provided configuration information corresponds to the configuration information of the adjusted initial detection tool that satisfied the target performance metric.