Systems and methods for delivering spinal cord stimulation therapy
View Patent ↗This document discusses, among other things, systems and methods to provide a paresthesia therapy to a patient using an implantable neuromodulation system, wherein providing the paresthesia therapy may include delivering to the patient an electrical waveform having a duration and a distribution of frequencies in the range of 0.001 kHz to 20 kHz, wherein the distribution of frequencies includes a first frequency group of one or more frequencies and a second frequency group of one or more frequencies, and wherein the patient continuously experiences paresthesia throughout the duration of the electrical waveform.
1. A method, comprising:
applying a single pain therapy to a patient using an implantable neuromodulation system, wherein providing the single pain therapy includes:
delivering to the patient an electrical waveform, wherein the electrical waveform includes pulses and bursts of pulses and the electrical waveform has different pulse-to-pulse intervals such that the electrical waveform has a distribution of frequencies in the range of 0.001 kHz to 20 kHz, wherein the distribution of frequencies for the electrical waveform includes at least two frequencies caused by different pulse-to-pulse intervals less than a threshold frequency value and at least two frequencies caused by different pulse-to-pulse intervals above the threshold frequency value, wherein the threshold frequency value is 0.3 kHz.
2. The method of claim 1 , wherein the delivering to the patient the electrical waveform includes delivering the electrical waveform to modulate a dorsal column.
3. The method of claim 1 , wherein the single pain therapy is a supra-perception therapy.
4. The method of claim 1 , wherein the electrical waveform includes a composite waveform.
5. The method of claim 1 , wherein the delivering to the patient the electrical waveform includes delivering the electrical waveform to one neural target.
6. The method of claim 1 , wherein the delivering to the patient the electrical waveform includes delivering the electrical waveform to more than one neural target.
7. The method of claim 1 , wherein the electrical waveform includes a regular pattern of waveform shapes.
8. The method of claim 1 , wherein electrical the waveform incudes an irregular pattern of waveform shapes.
9. The method of claim 1 , wherein the pulses and the bursts of pulses in the electrical waveform are arranged in a predefined sequence of bursts of pulses with respect to pulses.
10. The method of claim 1 , wherein the at least two frequencies above the threshold frequency threshold include one or more frequencies above 8.0 kHz.
11. The method of claim 1 , wherein the at least two frequencies above the threshold frequency threshold include one or more frequencies above 2 kHz.
12. The method of claim 1 , wherein the at least two frequencies less than the threshold frequency value include one or more frequencies below 0.1 kHz.
13. The method of claim 1 , wherein the electrical waveform includes concatenated temporal waveform segments.
14. The method of claim 13 , wherein the concatenated temporal waveform segments include at least one segment with at least one pulse and at least one segment with a burst of pulses.
15. A method implemented using a graphical user interface, comprising:
receiving, via the graphical user interface, at least one user input to determine an electrical waveform to be delivered to the patient for a single pain therapy, wherein the electrical waveform includes pulses and bursts of pulses having different pulse-to-pulse intervals such that the electrical waveform has a distribution of frequencies in the range of 0.001 kHz to 20 kHz, wherein the distribution of frequencies for the electrical waveform includes at least two frequencies caused by different pulse-to-pulse intervals less than a threshold frequency value and at least two frequencies caused by different pulse-to-pulse intervals above the threshold frequency value, wherein the threshold frequency value is 0.3 kHz.
16. The method of claim 15 , wherein the electrical waveform includes concatenated temporal waveform segments, the concatenated temporal waveform segments including more than one regular pattern of waveform shapes.
17. A neuromodulation system comprising:
a first storage device configured to store a waveform pattern including pulses and bursts of pulses having different pulse-to-pulse intervals; and
modulation circuitry configured to provide at least a single pain therapy by delivering an electrical waveform to a patient, the electrical waveform for the single pain therapy including the stored waveform pattern having the different pulse-to-pulse intervals such that the electrical waveform has a distribution of frequencies in the range of 0.001 kHz to 20 kHz, wherein the distribution of frequencies for the electrical waveform includes at least two frequencies caused by different pulse-to-pulse intervals less than a threshold frequency value and at least two frequencies caused by different pulse-to-pulse intervals above the threshold frequency value, wherein the threshold frequency value is 0.3 kHz.
18. The neuromodulation system of claim 17 , wherein the electrical waveform includes concatenated temporal waveform segments, and the concatenated temporal waveform segments include segments with at least one pulse and segments with a burst of pulses.
19. The neuromodulation system of claim 17 , wherein the electrical waveform includes a regular pattern of waveform shapes.
20. The neuromodulation system of claim 17 , wherein the pulses and the bursts of pulses in the electrical waveform are arranged in a predefined sequence of bursts of pulses with respect to pulses.