IP Library Granted Patent US 11,931,577
Granted Patent B2
US 11,931,577 · App. 17/468,441 · Granted Mar 19, 2024

Devices for controlling spinal cord modulation for inhibiting pain, and associated systems and methods, including controllers for automated parameter selection

Inventor: Jon Parker (Portland, OR)
Assignee: NEVRO CORP.
A61N1/36071A61N1/0551A61N1/36075A61N1/36128A61N1/36132A61N1/36185A61N1/37247
View Patent ↗
Loading inventors, assignments & file history…
Monitor This Case
Get email alerts when status or documents change.
Order Certified Copies
Most orders are placed with the USPTO same day — all within 24 business hours.
Order via The Patent Place →
Pre-filled with this patent's details
Quick Facts
Patent No.
US 11,931,577
App. No.
17/468,441
Granted
Mar 19, 2024
Kind
B2
Abstract

Devices for controlling spinal cord modulation for inhibiting pain, and associated systems and methods, including controllers for automated parameter selection are disclosed. A particular embodiment includes receiving a first input corresponding to a location of a signal delivery device implanted in a patient, establishing a positional relationship between the signal delivery device and an anatomical feature of the patient, receiving a second input corresponding to a medical indication of the patient, and, based at least in part on the positional relationship and the indication, automatically identifying a signal delivery parameter in accordance with which a pulsed electrical signal is delivered to the patient via the signal delivery device.

Claims (29)

1. A patient treatment system, comprising:

a non-transitory computer-readable medium having instructions that, when executed:

receive a first input corresponding to a location of a signal delivery device implanted in a patient;

establish a positional relationship between the implanted signal delivery device and an anatomical feature of the patient, wherein the anatomical feature includes a vertebra of the patient, and wherein establishing the positional relationship includes receiving a second input provided by a user and corresponding to a requested change in axial length of a schematic vertebral level identifier of the vertebra relative to another schematic vertebral level identifier of another vertebra of the patient;

receive a third input corresponding to a medical indication of the patient; and

based at least in part on the positional relationship and the medical indication, automatically identify a signal delivery parameter in accordance with which a pulsed electrical signal is delivered to the patient via the signal delivery device.

2. The patient treatment system of claim 1 wherein the second input includes the requested change in the axial length of the schematic vertebral level identifier of the vertebra relative to a schematic representation of the signal delivery device.

3. The patient treatment system of claim 1 wherein the second input includes a requested change in only the axial length of the schematic vertebral level identifier of the vertebra.

4. The patient treatment system of claim 1 wherein the requested change in the axial length includes a requested change in the axial length of the schematic vertebral level identifier of the vertebra relative to another schematic vertebral level identifier of an adjacent vertebra of the patient.

5. The patient treatment system of claim 1 wherein the instructions, when executed, adjust the axial length of the schematic vertebral level identifier of the vertebra in response to the second input.

6. The patient treatment system of claim 5 wherein only the axial length of the schematic vertebral level identifier of the vertebra is adjusted in response to the second input.

7. The patient treatment system of claim 1 wherein instructions, when executed, move a boundary of the schematic vertebral level identifier to adjust an axial extent of the schematic vertebral level identifier in response to the second input.

8. The patient treatment system of claim 1 wherein the instructions, when executed, display the schematic vertebral level identifier of the vertebra and a schematic representation of the signal delivery device on a display.

9. The patient treatment system of claim 8 wherein the instructions, when executed:

adjust the schematic vertebral level identifier of the vertebra relative to the schematic representation of the signal delivery device based on the second input; and

display the adjusted schematic vertebral level identifier of the vertebra and the schematic representation of the signal delivery device.

10. The patient treatment system of claim 1 wherein establishing the positional relationship further includes displaying a fluoroscopic image of at least one of the vertebra or the implanted signal delivery device.

11. The patient treatment system of claim 1 wherein the pulsed electrical signal is a paresthesia-free pulsed electrical signal.

12. The patient treatment system of claim 1 wherein automatically identifying the signal delivery parameter includes automatically identifying a signal delivery parameter correlated with a successful treatment outcome.

13. The patient treatment system of claim 12 wherein automatically identifying the signal delivery parameter includes automatically identifying at least one of an amplitude of the pulsed electrical signal, a frequency of the pulsed electrical signal, or an electrode carried by the signal delivery device and associated with a target vertebra of the patient to receive the pulsed electrical signal.

14. The patient treatment system of claim 1 wherein the instructions, when executed:

receive a fourth input corresponding to an updated location of the signal delivery device; and

in response to the fourth input, automatically update the signal delivery parameter.

15. The patient treatment system of claim 14 wherein identifying the signal delivery parameter includes identifying a first electrode, and wherein updating the signal delivery parameter includes identifying a second electrode different than the first electrode.

16. The patient treatment system of claim 1 wherein establishing the positional relationship includes establishing a positional relationship between an electrode of the signal delivery device and the vertebra.

17. The patient treatment system of claim 1 wherein the computer-readable medium has instructions that, when executed, access a database of patient information correlating signal delivery parameters and medical indications for other patients, and wherein automatically identifying the signal delivery parameter is based at least in part on the patient information contained in the database.

18. The patient treatment system of claim 17 wherein the patient is one of multiple patients presenting with the medical indication, and wherein the computer-readable medium has instructions that, when executed, update the database with data from the patient.

19. The patient treatment system of claim 17 wherein the instructions for accessing the database include instructions for accessing a correlation between the medical indication and a vertebral level, and wherein the instructions for automatically identifying the signal delivery parameter include instructions for selecting an electrode carried by the signal delivery device and positioned proximate to the vertebral level.

20. The patient treatment system of claim 19 wherein the selected electrode is the electrode closest to the vertebral level.

Assignments (3)
RELEASE OF SECURITY INTEREST Recorded Apr 4, 2025
From: WILMINGTON TRUST, NATIONAL ASSOCIATION, AS AGENT
To: NEVRO CORP.
Reel/Frame 070743/0001 →
PATENT SECURITY AGREEMENT Recorded Dec 1, 2023
From: NEVRO CORP.
To: WILMINGTON TRUST, NATIONAL ASSOCIATION, AS AGENT
Reel/Frame 065744/0302 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Apr 21, 2022
From: PARKER, JON
To: NEVRO CORP.
Reel/Frame 059669/0685 →
Continuity (7)
Continuation 16128276 · Sep 11, 2018
Continuation 15466738 · Mar 22, 2017
Continuation 14626732 · Feb 19, 2015
Continuation 14167968 · Jan 29, 2014
Continuation 13831539 · Mar 14, 2013
Provisional Application 61619358 · Apr 2, 2012
Related Publication 20220233862A1 · Jul 28, 2022