Stimulation systems and related user interfaces
A system for stimulating body tissue may include a user interface and a control unit. The control unit may include a processor and non-transitory computer readable medium. The non-transitory computer readable medium may store instructions that, when executed by the processor, causes the processor to identify an electrode combination and determine a threshold charge for use in stimulating the body tissue. The processors identifications and determinations may be based at least partially on input received via the user interface.
1. A system for stimulating body tissue, the system comprising:
a user interface; and
a control unit including a processor and a non-transitory computer readable medium storing instructions that, when executed by the processor, causes the processor to identify an electrode combination and determine a threshold charge for use in stimulating the body tissue, based at least partially on input received via the user interface.
2. The system of claim 1 , wherein the instructions stored in the non-transitory computer readable medium cause the processor, when identifying the electrode combination, to:
select a set of electrode combinations from a domain of electrode combinations;
stimulate from all selected electrode combinations; and
receive input on whether a requisite stimulation was detected for each stimulation.
3. The system of claim 2 , wherein the instructions stored in the non-transitory computer readable medium cause the processor, when identifying the electrode combination, to:
individually select an electrode combination from the set of electrode combinations which provided the requisite stimulation;
stimulate from the individually selected electrode combination; and
for each stimulation, receive input on whether the requisite stimulation was detected.
4. The system of claim 3 , wherein receiving input on whether the requisite stimulation was detected includes prompting a user to provide feedback via the user interface on whether the requisite stimulation was detected.
5. The system of claim 1 , wherein the instructions stored in the non-transitory computer readable medium cause the processor, when determining a threshold charge, to determine a coarse threshold charge and a fine threshold charge.
6. The system of claim 5 , wherein the instructions stored in the non-transitory computer readable medium cause the processor, when determining a coarse threshold charge to:
perform an electrode sweep at a first charge;
receive input on whether a requisite stimulation was detected; and
if the requisite stimulation was detected, set the coarse threshold charge at a charge of the most recent electrode sweep; or
if the requisite stimulation was not detected, perform an electrode sweep at a second charge greater than the first charge.
7. The system of claim 5 , wherein the instructions stored in the non-transitory computer readable medium cause the processor, when determining a fine threshold charge to:
select a charge level that corresponds to a determined coarse threshold;
determine a domain of charges based on the determined coarse threshold;
deliver stimulation at the charge level corresponding to the determined coarse threshold; and
receive input on whether the requisite stimulation was detected.
8. The system of claim 1 , further comprising one or more stimulation arrays supported on an intravenous catheter, and the body tissue is a muscle that activates a lung or a nerve that innervates a muscle that activates a lung.
9. The system of claim 1 , wherein the user interface includes an anatomical indication window, one or more phase buttons, and one or more stimulation level indication windows.
10. A system for stimulating body tissue, the system comprising:
one or more sensors configured to be affixed to, or inserted in, a body to measure one or more physiological parameters of the body;
a stimulation array;
a user interface; and
a control unit including a processor and a non-transitory computer readable medium storing instructions that, when executed by the processor, causes the processor to assess a position of the stimulation array, determine an electrode combination of the stimulation array for use in stimulating the body tissue, and determine a threshold charge for use in stimulating the body tissue.
11. The system of claim 10 , wherein the instructions stored in the non-transitory computer readable medium cause the processor, when identifying the electrode combination, to:
select a set of electrode combinations from a domain of electrode combinations;
stimulate from all selected electrode combinations;
receive input on whether requisite stimulation was detected during stimulation from all selected electrode combinations;
individually select an electrode combination from the set of electrode combinations which provided requisite stimulation;
stimulate from the individually selected electrode combination; and
receive input on whether requisite stimulation was detected during stimulation from the individually selected electrode combination.
12. The system of claim 10 , wherein the instructions stored in the non-transitory computer readable medium cause the processor, when determining a threshold charge, to:
perform an electrode sweep at a first charge;
receive input on whether requisite stimulation was detected; and
if requisite stimulation was detected, set the coarse threshold charge at the charge of the most recent electrode sweep; or
if requisite stimulation was not detected; perform an electrode sweep at a second charge;
wherein the second charge is greater than the first charge.
13. The system of claim 10 , wherein the one or more sensors include one or more sensors configured to detect: airway pressure, airway flowrate, blood gas levels, heart rate, breathing rate, tidal volume, transpulmonary pressure, impedance, lung gas distribution, electromyographic activity, transdiaphragmatic pressure, or a combination thereof.
14. The system of claim 10 , wherein the instructions stored in the non-transitory computer readable medium further cause the processor to:
assist a user in determining if the one or more stimulation arrays are correctly placed, relative to a patient; or
schedule a number of stimulations within a set time interval.
15. The system of claim 10 , wherein:
the stimulation array includes at least two groups of electrodes;
identifying an electrode combination includes identifying an electrode combination for each group of electrodes; and
identifying a threshold charge includes identifying a threshold charge for each group of electrodes.
16. The system of claim 10 , wherein the instructions stored in the non-transitory computer readable medium cause the processor, when prompted by a user, to terminate the delivery of stimulation energy.
17. The system of claim 10 , wherein the instructions stored in the non-transitory computer readable medium further cause the processor to determine whether a stimulation would exceed a maximum allowable charge.
18. A system for stimulating body tissue, the system comprising:
a catheter including a plurality of electrodes; and
a user interface; and
a control unit including a processor and a non-transitory computer readable medium storing instructions that, when executed by the processor, causes the processor to, based on input received via the user interface:
determine a coarse threshold suitable for stimulating the body tissue, wherein the body tissue is a phrenic nerve that innervates a diaphragm;
identify an electrode combination from the plurality of electrodes, wherein the electrode combination is used to deliver stimulation to the phrenic nerve; and
determine a fine threshold suitable for stimulating the body tissue via the identified electrode combination.
19. The system of claim 17 , wherein the instructions stored in the non-transitory computer readable medium cause the processor to determine whether the catheter is placed in a position, relative to a body, suitable for delivering stimulation to the body tissue.
20. The system of claim 17 , wherein the instructions stored in the non-transitory computer readable medium cause the processor, when prompted by a user, to schedule a number of stimulations within a set time interval, wherein:
each stimulation of the number of stimulations is delivered via the identified electrode combination; and
the number of stimulations and the duration of the time interval are parameters adjustable via the user interface.