Remote Diagnostic Server for Secure Implantable Device Programming
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Solution Overview
Problem
Patients with implanted neuromodulation devices, such as spinal cord stimulation (SCS) and deep brain stimulation (DBS), face the inconvenience and expense of frequent in-person visits to clinicians for programming adjustments, which is undesirable due to time, cost, and stress considerations.
Innovation Solution
A system comprising a patient programmer, a clinician programmer, and a remote diagnostic server enables secure remote programming of implanted devices, allowing patients to initiate and approve stimulation programs from a distance, facilitating communication between the patient and clinician for adjustments to stimulation parameters like amplitude, frequency, and electrode configuration.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If patients travel to visit the clinician in person for programming adjustments, then the clinician can directly program the implanted device, but the patient incurs time cost, money cost, and stress
Solution Approach 1:
A remote diagnostic server is introduced as an intermediary between the patient's programmer and the clinician's programmer. The server receives programming data from the clinician, transmits it to the patient's device, and confirms successful programming, enabling remote programming adjustments without requiring patient travel to the clinician's office
Solution Approach 2:
The physical mechanical interaction of in-person programming (patient present at clinic, direct device access) is replaced with an electronic communication system. Data transmission occurs through encrypted digital channels between programmers and the remote server, substituting the mechanical presence-based programming process with remote electronic programming
2Reliability
If patients travel to visit the clinician in person for programming adjustments, then the clinician can directly program the implanted device, but the patient incurs expense
Solution Approach 1:
A remote diagnostic server is introduced as an intermediary between the patient's programmer and the clinician's programmer. The server receives programming data from the clinician, transmits it to the patient's device, and confirms successful programming, enabling remote programming adjustments without requiring patient travel to the clinician's office
Solution Approach 2:
The physical mechanical interaction of in-person programming (patient present at clinic, direct device access) is replaced with an electronic communication system. Data transmission occurs through encrypted digital channels between programmers and the remote server, substituting the mechanical presence-based programming process with remote electronic programming
3Reliability
If patients travel to visit the clinician in person for programming adjustments, then the clinician can directly program the implanted device, but the patient experiences added stress
Solution Approach 1:
A remote diagnostic server is introduced as an intermediary between the patient's programmer and the clinician's programmer. The server receives programming data from the clinician, transmits it to the patient's device, and confirms successful programming, enabling remote programming adjustments without requiring patient travel to the clinician's office
Solution Approach 2:
The physical mechanical interaction of in-person programming (patient present at clinic, direct device access) is replaced with an electronic communication system. Data transmission occurs through encrypted digital channels between programmers and the remote server, substituting the mechanical presence-based programming process with remote electronic programming
4Ease of operation
If the system enables remote programming, then patient convenience is improved, but secure communication between patient programmer and clinician programmer must be established
Solution Approach 1:
A remote diagnostic server is introduced as an intermediary between the patient's programmer and the clinician's programmer. The server receives programming data from the clinician, transmits it to the patient's device, and confirms successful programming, enabling remote programming adjustments without requiring patient travel to the clinician's office
Solution Approach 2:
The system implements feedback mechanisms where the server confirms data receipt, the patient's programmer verifies successful transmission to the implanted device, and the clinician's programmer receives confirmation of programming completion. This feedback loop ensures secure and reliable remote programming while managing system complexity through structured communication protocols
Data Source
AI summary
The present disclosure provides systems and methods for programming an implanted device when a patient is remote from a clinician. A system includes a patient programmer configured to be operated by the patient, a clinician programmer configured to be operated by the clinician, and a remote diagnostic server configured to facilitate secure communication between the patient programmer and the clinician programmer, wherein the remote diagnostic server is configured to initiate a secure programming session between the patient programmer and the clinician programmer, receive a proposed stimulation program from the clinician programmer, transmit the proposed stimulation program to the patient programmer, receive an indication from the patient programmer that the patient has accepted the proposed stimulation program, and transmit an alert to the clinician programmer, the alert indicating that the patient has accepted the proposed stimulation program.


