Boston Scientific Neuromodulation Corporation

Boston Scient Ation Corporation

Lee, Dongchul

Parramon, Jordi

Grandhe, Sarvani

Doan, Que T.

Kothandaraman, Sridhar

Gillespie, Christopher Ewan

Sridhar Kothandaraman

Michael A Moffitt

Mun Pook Lui

Prakash Rao

Bradley Lawrence Hershey

Chirag Shah

Changfang Zhu

Dennis Allen Vansickle

Jordi Parramon

Dennis Zottola

Dongchul Lee

Que T Doan

Stephen Carcieri

Anita Yip

John Rivera

Joshua Uyeda

Peter J Yoo

Dean Chen

Gaurav Gupta

Sarvani Grandhe

Berj Doudian

Habet Ter-Petrosyan

James Carl Makous

Christopher Britton Gould

Adam Thomas Featherstone

Damon Moazen

Michael Andrew Caruso

Vikrant Venkateshwar Gunna Srinivasan

Gyuman Kim

David K L Peterson

Rafael Carbunaru

Joseph M Bocek

Rosana Esteller

Carla Mann Woods

Natalie A Brill

Christopher Ewan Gillespie

John D H King

Dheerendra Raghavendra Kashyap

Hannah Gallovic

Kerry A Bradley

James R Thacker

Goran Nils Marnfeldt

G Karl Steinke

Richard Mustakos

David Lubensky

Brian Hoffer

Justin Holley

Chester Kim

Soroush Massoumi

Nazim Wahab

Keron Greene

Dennis Vansickle

Brian James Hoffer

David Ari Lubensky

Archie Eslabon Huerto

David KL Peterson

Systems and methods are disclosed for use with Implantable Medical Devices (IMD) such as Implantable Stimulator Devices. The system includes a permanent magnet which can be used to reset the IMD (such as during an emergency) and to place the IMD in a pairing mode to establish communications with an external device. An external device paired to the IMD can be used to place the IMD in an MRI mode that renders the IMD safe during a Magnetic Resonance Imaging (MRI) scan. In the event that the external device is unavailable to cause the IMD to exit the MRI mode, the bar magnet can also be used in the MRI mode to pair the IMD with another external device.

Programming of pairing and MRI modes in an implantable medical device system

An external device for wireless communication with an implantable medical device can include a memory having stored thereon instructions for a first application and authentication credentials specific to the first application; and a processor configured for transmitting the authentication credentials specific to the first application to an implantable medical device to authorize access to the implantable medical device by the first application. An external device for wireless communication with an implantable medical device can include a memory including authentication credentials stored thereon; and a processor configured for transmitting the authentication credentials to an implantable medical device to authorize access; receiving a request to facilitate authorization of the second device and receiving second authentication credentials from the second device; determining authentication or authorization of the second device; and transmitting a token or authorization credentials directing the implantable medical device to authorize access by the second device.

Methods and systems for managing access to implantable medical devices

An implantable stimulator device is disclosed for executing a stimulation program comprising a plurality of sub-programs, wherein the sub-programs are configured to be automatically sequentially executed by stimulation circuitry in the device. Control circuitry periodically stores log data to indicate where each sub-program is in its execution. If the device experiences an interruption that prevents the stimulation circuitry from executing the stimulation program, and upon receiving an indication that the stimulation circuitry can continue execution of the stimulation program, the control circuitry is configured to query the log data to determine a sub-program during which the interruption occurred, and using the log data, cause the stimulation circuitry to continue execution of the stimulation circuitry either at the beginning of the sub-program, or at a point during the sub-program when the interruption occurred.

Logging the execution of sub-programs within a stimulation program for an implantable stimulator device

An example of a system for delivering neurostimulation energy to a patient using a plurality of electrodes may include a stimulation circuit and a sensing circuit. The stimulation circuit may be configured to deliver the neurostimulation energy using stimulation electrodes selected from the plurality of electrodes and to control the delivery of the neurostimulation energy. The sensing circuit may be configured to receive one or more neural signals from sensing electrodes selected from the plurality of electrodes and may include a signal processing circuit. The signal processing circuit may include a detection circuit and an analysis circuit. The detection circuit may be configured to detect one or more attributes of neural responses from the received one or more neural signals. The analysis circuit may be configured to analyze the detected one or more attributes of the neural responses for one or more indications of a neurodegenerative disease.

Neurostimulation system with neurodegenerative disease detection

An electrical stimulation system includes a control module that provides electrical stimulation signals to an electrical stimulation lead coupled to the control module for stimulation of patient tissue. The system also includes a sensor to be disposed on or within the body of the patient and to measure a biosignal; and a processor to communicate with the sensor to receive the biosignal and to generate an adjustment to one or more of the stimulation parameters based on the biosignal. The adjustment can be configured and arranged to steer the electrical stimulation signals to stimulate a region of the patient tissue that is different, at least in part, from a region of the patient tissue stimulated prior to the adjustment. Alternatively or additionally, the biosignal is indicative of a particular patient activity and the adjustment is a pre-determined adjustment selected for the particular patient activity.

Systems, devices, and methods for electrical stimulation using feedback to adjust stimulation parameters

An advertising algorithm is disclosed which operates in an Implantable Medical Device (IMD) to adjust an interval at which the IMD will transmit advertising data packets to an external device able to connect with the IMD. When a communication session between the IMD and an external device is terminated, the advertising algorithm will issue advertising data packets at a higher rate for a set duration. This will allow the external device to connect more quickly with the IMD in a next communication session. After the set duration, when it may be assumed that the external device is less likely to connect with the IMD, the algorithm reduces that rate at which advertising data packets are issued, which saves power in the IMD.

Adjustment of advertising interval in communications between an implantable medical device and an external device

An external control device for indicating whether a stimulation parameter set for use in a neurostimulator is available on a remote control in communication with the external control device is provided. The device includes a user interface configured for displaying the stimulation parameter set and an indicator that indicates whether the stimulation parameter set is available to the patient from the remote control. The device also includes control circuitry configured for, in response to input from the user (e.g., actuating the indicator), selectively turning the indicator on or off. The indicator may be an icon, and the icon may be a graphical depiction of a remote control. The user interface may be further configured for receiving additional input from the user, and the control circuitry may be further configured for, in response to the additional input from the user, programming the remote control with the stimulation parameter set.

System and method for identifying availability of clinician defined programming settings for a patient

An external control device for use with a medical component implanted within a patient. The device comprises a user interface configured for receiving user input, displaying a first graphical representation of the medical component in the context of a global graphical representation of an anatomical region of the patient, displaying a view finder defining a portion of the global graphical representation, and displaying a second graphical representation of the medical component in the context of a local graphical representation of the portion of the anatomical region portion. The external control device further comprises control circuitry configured for, in response to the input from the user, modifying the displayed view finder to spatially define a different portion of the global graphical representation, such that the second graphical representation of the medical component is displayed in the context of a local graphical representation of the different portion of the anatomical region.

User interface with view finder for localizing anatomical region

A filtering algorithm implemented by a filtering module in an implantable medical device (IMD), or in an external device for communicating with an IMD, is disclosed which reviews blocks based on a number of rules. The filtering module preferably comprises both firewall and instruction analysis modules. The instruction analysis module analyzes the instructions and associated data (if present) in each block to determine whether such blocks would compromise operation of the IPG or injure a patient if executed. Instruction rules corresponding to an instruction identified in the block are retrieved by the instruction analysis module. The instruction analysis module reviews the block per the retrieved rules, and possibly also in light of current and historical IPG therapy setting or mode data, or other received but un-executed blocks. If a block is compliant, it is executed by the IMD or transmitted to the IMD.

Filtering algorithm for assessing communications wirelessly received by an implantable medical device

A neuromodulation customization system includes a field definition user interface, a neuromodulation signaling engine, and a supervisor engine. The field definition user interface is to facilitate entry of a customized electrotherapy field definition, with the field definition user interface including a set of input controls for defining field shape, field intensity, and field steering parameters of the customized electrotherapy field. The neuromodulation signaling engine is to produce commands for neuromodulation output circuitry to control generation of a customized electrotherapy field via a set of electrodes based on the customized electrotherapy field definition. The supervisor engine is to assess compliance of the customized electrotherapy field to be generated with applicable predefined criteria, and to modify generation of the customized electrotherapy field in response to an assessed non-compliance with the criteria.

Customized targeted fields for electrotherapy applications

Methods and systems can facilitate visualizing cathodic and anodic stimulation separately via displaying and modifying graphical representations of anodic and cathodic volumes of activation. Alternately, the methods and systems may separately visualize stimulation of different neural elements, such as nerve fibers and neural cells. These methods and systems can further facilitate programming an electrical stimulation system for stimulating patient tissue.

Systems and methods for visualizing and programming electrical stimulation

Growing community of inventors

Valencia, CA, United States of America

Sridhar Kothandaraman