Neurostimulation Timing Coordination for Interpulse Sensing

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Solution Overview

Problem

Current implantable neurostimulation systems face challenges in sensing electrical parameter information during stimulation procedures due to interference with therapy delivery and insufficient sampling rates, making on-the-fly closed-loop control difficult.

Innovation Solution

A method and system that coordinate stimulation and sensing timing channels to allow continuous therapy while sensing electrical parameters, such as impedance or field potentials, by using sub-threshold pulses and hold-off periods to avoid temporal overlap with active stimulation phases, enabling efficient and uninterrupted data collection.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If electrical parameter sensing is performed during stimulation procedure, then measurement precision is improved, but therapy delivery is interfered with

Engineering Contradiction:
Improveelectrical parameter sensing accuracyVSAvoidtherapy delivery continuity
Core Design Contradiction:
Measurement precisionVSReliability

Solution Approach 1:

The patent implements periodic sensing during stimulation by utilizing specific time windows within the stimulation cycle. Electrical parameters are sensed periodically during interpulse intervals or between stimulation bursts, allowing measurement without continuous interruption of therapy. The sensing occurs in a periodic manner synchronized with the stimulation timing, enabling both accurate measurement and continuous therapy delivery.

Inventive Principle:
Principle #19Periodic action

2Measurement precision

If sensing sampling rate is increased for fast change detection, then measurement precision is improved, but therapy delivery is interfered with

Engineering Contradiction:
Improvefast change detection capabilityVSAvoidtherapy interruption time
Core Design Contradiction:
Measurement precisionVSLoss of time

Solution Approach 1:

The patent performs sensing actions preliminarily within predetermined time windows before therapy interruption would occur. Electrical parameters are sensed during interpulse intervals or just before stimulation phases, allowing fast change detection without requiring continuous high-rate sensing that would interrupt therapy. The sensing is timed in advance to capture critical changes while maintaining therapy continuity.

Inventive Principle:
Principle #10Preliminary action

3Productivity

If continuous stimulation therapy is provided, then productivity is improved, but sensing capability is reduced

Engineering Contradiction:
Improvecontinuous therapy deliveryVSAvoidelectrical parameter data collection
Core Design Contradiction:
ProductivityVSLoss of information

Solution Approach 1:

The patent maintains continuity of useful action by implementing sensing during non-therapeutic time windows within the stimulation cycle. Electrical parameters are sensed during interpulse intervals, between bursts, or during refractory periods when no stimulation is delivered. This allows continuous therapy delivery while capturing electrical parameter information during the gaps, ensuring both productivity and information collection are maintained.

Inventive Principle:
Principle #20Continuity of useful action

Data Source

PatentUS11259732B2Method and device for acquiring physiological data during tissue stimulation procedure
Publication Date: 2022.03.01 BOSTON SCI NEUROMODULATION CORP
  • US11259732B2 patent drawing
  • US11259732B2 patent drawing
  • US11259732B2 patent drawing

AI summary

A method and system of providing therapy to a patient implanted with an array of electrodes is provided. A train of electrical stimulation pulses is conveyed within a stimulation timing channel between a group of the electrodes to stimulate neural tissue, thereby providing continuous therapy to the patient. Electrical parameter is sensed within a sensing timing channel using at least one of the electrodes, wherein the first stimulation timing channel and sensing timing channel are coordinated, such that the electrical parameter is sensed during the conveyance of the pulse train within time slots that do not temporally overlap any active phase of the stimulation pulses.