Neuromodulation Therapy Adjustment Using Physiological Feedback

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Solution Overview

Problem

Existing neuromodulation therapies struggle to customize treatment for individual users, maintain effective therapy while minimizing power consumption, detect lead migration, identify health risks, and enhance patient comfort and safety.

Innovation Solution

A system that adjusts neuromodulation therapy based on physiological inputs, using a processor to receive and analyze cardiac signals, sensor data, and user feedback to optimize parameters such as stimulation amplitude, frequency, and cycling times, while tracking physiological changes over time to detect events like lead migration and health risks.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If neuromodulation therapy is continuously delivered to maintain effective treatment, then therapy effectiveness is improved, but power consumption increases

Engineering Contradiction:
Improvetherapy effectivenessVSAvoidpower consumption
Core Design Contradiction:
ReliabilityVSUse of energy by moving object

Solution Approach 1:

The system implements cycling therapy delivery with periodic on/off intervals rather than continuous stimulation. The processor controls the pulse generator to deliver therapy in cycles, adjusting the cycling parameters based on physiological inputs to maintain effectiveness while reducing overall power consumption during off periods

Inventive Principle:
Principle #19Periodic action

Solution Approach 2:

The system dynamically adjusts therapy parameters including cycling ratios, amplitudes, and durations based on real-time physiological inputs. This allows the therapy to adapt its delivery pattern to maintain effectiveness while optimizing power consumption according to the user's current physiological state

Inventive Principle:
Principle #15Dynamics

2Reliability

If neuromodulation therapy parameters are customized for individual users, then therapy effectiveness is improved, but device complexity increases

Engineering Contradiction:
Improvetherapy effectivenessVSAvoidsystem complexity
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The system uses physiological inputs from sensors as feedback to automatically adjust therapy parameters. The processor receives physiological data, analyzes it to determine therapy response scores, and generates appropriate parameter adjustments, enabling customization without requiring complex manual programming interfaces

Inventive Principle:
Principle #23Feedback

Solution Approach 2:

The system performs self-adjustment of therapy parameters based on physiological feedback. The processor automatically modifies stimulation parameters according to detected physiological states, reducing the need for external intervention and simplifying the user interface while maintaining personalized therapy

Inventive Principle:
Principle #25Self-service

3Measurement precision

If physiological monitoring is continuously performed to detect lead migration and health risks, then detection accuracy is improved, but power consumption increases

Engineering Contradiction:
Improvedetection accuracyVSAvoidpower consumption
Core Design Contradiction:
Measurement precisionVSUse of energy by moving object

Solution Approach 1:

The system performs physiological monitoring at periodic intervals rather than continuously. The processor analyzes physiological inputs at scheduled times to detect lead migration and health risks, maintaining detection accuracy while consuming power only during monitoring and analysis periods

Inventive Principle:
Principle #19Periodic action

Solution Approach 2:

The system monitors only the specific physiological parameters necessary for detecting lead migration and health risks rather than all possible parameters. This selective monitoring approach maintains detection accuracy for critical events while reducing overall power consumption

Inventive Principle:
Principle #16Partial or excessive action

Data Source

PatentEP4360696B1Systems for adjusting a neuromodulation therapy based on physiological inputs
Publication Date: 2026.01.21 MEDTRONIC INC
  • EP4360696B1 patent drawingFigure 1
  • EP4360696B1 patent drawingFigure 2
  • EP4360696B1 patent drawingFigure 3

AI summary

Systems and methods for generating and/or applying an adjustment for one or more parameters of a neuromodulation therapy of a user are provided. One or more physiological-based inputs of the user may be received and a therapy response score may be determined based on the one or more physiological-based inputs. At least one adjustment for one or more parameters of the neuromodulation therapy may be generated based on the therapy response score.