Cloud based neurostimulation programming optimization

Abstract

Systems and methods for optimizing electrostimulation in a patient is discussed. An exemplary system includes an implantable stimulator to provide electrostimulation, a programming device for in-clinic stimulation testing, an a therapy titration device for in-home therapy titration. In response to electrostimulation delivered in accordance with first stimulation settings defined in an electrode configuration and parameter value search space, the programing device evaluates patient clinical response in the patient, and determines a subspace of the search space based on the clinical response. During an in-home therapy titration phase, the therapy titration device can use cloud-based services to evaluate clinical responses to electrostimulation in accordance with candidate stimulation settings defined in the identified subspace. Based on the clinical response indicator, the therapy titration device can select from the candidate stimulation settings an optimal stimulation setting for future electrostimulation therapy in the patient.