Variable amplitude signals for neurological therapy, and associated systems and methods
Variable amplitude signals for neurological therapy, and associated systems and methods are disclosed. A representative method includes activating automatic delivery of an electrical therapy signal to a patient's spinal cord region at a frequency in a frequency range between 1.5 kHz and 100 kHz, via at least one signal delivery contact carried by an implanted signal delivery device. The delivery can include repeatedly and automatically delivering the electrical therapy signal at each of multiple therapy signal amplitudes to the at least one signal delivery contact, without the therapy signal generating paresthesia in the patient. The foregoing process can be used as a screening tool to screen responders from non-responders in the context of a non-paresthesia-generating therapy, and/or can be used during long-term treatment, for example, for chronic pain.
1. A patient therapy system, comprising:
a signal generator coupleable to at least one implantable signal delivery device having at least one signal delivery contact, the signal generator being programmed with instructions that, when executed:
direct a non-paresthesia-generating electrical therapy signal to the patient via the at least one signal delivery contact at a frequency in a frequency range between 1.5 kHz and 100 kHz, including repeatedly and automatically (a) incrementing an amplitude of the electrical therapy signal to provide multiple therapy signal amplitudes, and (b) delivering the electrical therapy signal at each of the multiple therapy signal amplitudes to the same at least one signal delivery contact, wherein repeatedly and automatically incrementing the amplitude and delivering the electrical therapy signal includes generating at least one pulse at each amplitude of the multiple therapy signal amplitudes during each one of a plurality of sequential amplitude sweep periods, and
wherein pulses of the same amplitude in the plurality of sequential amplitude sweep periods have a same pulse width.
2. The system of claim 1 wherein the signal generator is an external signal generator.
3. The system of claim 1 wherein the signal generator is an implantable signal generator.
4. The system of claim 1 wherein at least a portion of the electrical therapy signal is at a frequency of 10 kHz.
5. The system of claim 1 wherein the multiple therapy signal amplitudes include at least three different amplitudes.
6. The system of claim 1 wherein the multiple therapy signal amplitudes include at least five different amplitudes.
7. The system of claim 1 wherein the multiple amplitudes are in an amplitude range between 0.5 mA and 10 mA.
8. The system of claim 1 wherein an increment between numerically adjacent amplitudes of the multiple therapy signal amplitudes is 0.5 mA.
9. The system of claim 1 wherein an increment between numerically adjacent amplitudes of the multiple therapy signal amplitudes is 0.1 mA.
10. The system of claim 1 wherein, when the instructions are executed, the electrical therapy signal is delivered at an individual amplitude over a time period corresponding to one bi-phasic pulse pair.
11. The system of claim 1 wherein, when the instructions are executed, the electrical therapy signal is delivered at an individual amplitude over a time period corresponding to multiple consecutive bi-phasic pulse pairs.
12. The system of claim 1 wherein, when the instructions are executed, the electrical therapy signal is delivered for at least one second at each of the multiple therapy signal amplitudes.
13. The system of claim 1 wherein a duty cycle for each amplitude of the multiple therapy signal amplitudes is at least 20%.
14. The system of claim 1 wherein automatically delivering the electrical therapy signal comprises delivering the multiple therapy signal amplitudes in a random, non-uniform manner.
15. A method for treating a patient, comprising:
programming a signal generator coupleable to at least one implantable signal delivery device having at least one signal delivery contact to direct a non-paresthesia-generating electrical therapy signal to the patient via the at least one signal delivery contact at a frequency in a frequency range between 1.5 kHz and 100 kHz,
wherein programming the signal generator to direct the non-paresthesia-generating electrical therapy signal includes programming the signal generator to repeatedly and automatically (a) increment an amplitude of the electrical therapy signal to provide multiple therapy signal amplitudes, and (b) deliver the electrical therapy signal at each of the multiple therapy signal amplitudes to the same at least one signal delivery contact, wherein repeatedly and automatically incrementing the amplitude and delivering the electrical therapy signal includes generating at least one pulse at each amplitude of the multiple therapy signal amplitudes during each one of a plurality of sequential amplitude sweep periods, and
wherein pulses of the same amplitude in the plurality of sequential amplitude sweep periods have a same pulse width.
16. The system of claim 15 wherein the multiple therapy signal amplitudes include at least three different amplitudes.
17. The system of claim 15 wherein programming the signal generator includes programming the signal generator to deliver the electrical therapy signal at an individual amplitude over a time period corresponding to one bi-phasic pulse pair.
18. The system of claim 15 wherein programming the signal generator includes programming the signal generator to deliver the electrical therapy signal at an individual amplitude over a time period corresponding to multiple consecutive bi-phasic pulse pairs.
19. The system of claim 15 wherein programming the signal generator includes programming the signal generator to deliver the electrical therapy signal for at least one second at each of the multiple therapy signal amplitudes.
20. The system of claim 15 wherein a duty cycle for each amplitude of the multiple therapy signal amplitudes is at least 20%.
21. A patient therapy system, comprising:
a signal generator coupleable to at least one implantable signal delivery device having at least one signal delivery contact, the signal generator being programmed with instructions that, when executed:
direct a non-paresthesia-generating electrical therapy signal to the patient via the at least one signal delivery contact, including repeatedly and automatically (a) incrementing an amplitude of the electrical therapy signal to provide multiple therapy signal amplitudes, and (b) delivering the electrical therapy signal at each of the multiple therapy signal amplitudes to the same at least one signal delivery contact, wherein repeatedly and automatically incrementing the amplitude and delivering the electrical therapy signal includes generating at least one pulse at each amplitude of the multiple therapy signal amplitudes during each one of a plurality of sequential amplitude sweep periods, and
wherein pulses of the same amplitude in the plurality of sequential amplitude sweep periods have a same pulse width.
22. A method for treating a patient, comprising:
programming a signal generator coupleable to at least one implantable signal delivery device having at least one signal delivery contact to direct a non-paresthesia-generating electrical therapy signal to the patient via the at least one signal delivery contact,
wherein programming the signal generator to direct the non-paresthesia-generating electrical therapy signal includes programming the signal generator to repeatedly and automatically (a) increment an amplitude of the electrical therapy signal to provide multiple therapy signal amplitudes, and (b) deliver the electrical therapy signal at each of the multiple therapy signal amplitudes to the same at least one signal delivery contact, wherein repeatedly and automatically incrementing the amplitude and delivering the electrical therapy signal includes generating at least one pulse at each amplitude of the multiple therapy signal amplitudes during each one of a plurality of sequential amplitude sweep periods, and
wherein pulses of the same amplitude in the plurality of sequential amplitude sweep periods have a same pulse width.