Predicate Therapy Support |
The research system must support existing stimulation parameters for therapy delivery (amplitude, frequency, pulse width) |
Slow-Adaptive Stimulation Scheme |
Stimulation based on assignment of discrete stimulation parameters to specific time intervals in throughout the circadian cycle. Temporal mapping facilitated through the clinician programmer |
Fast-Adaptive Sensing Scheme |
Inertial accelerometer (three axis) – with DC accuracy for posture detection and AC capability for activity, tremor, gait, shocks and free-fall – flexibility for configuration to specific therapy needs; fully configurable through telemetry update |
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Biopotential amplifier – local field potentials measured from implanted leads, including spectral power analysis or evoked potentials; fully configurable through telemetry update |
Algorithm Methods and Priority |
Slow-adaptive and Fast-adaptive algorithms classify a defined state and map this state to a specific stimulation parameter set pre-defined by the clinician. Priority is currently defined to the latest algorithm interrupt; upon termination of the fast-adaptive state, the signal will return to the slow-adaptive setting |
Algorithm Power Allowance |
Desired: the adaptive algorithm must draw no more than 25% of the nominal therapy power (e.g. 100W for deep brain stimulation). Mandatory: the power consumption will not require in excess of a daily recharge |
Algorithm Slow-Adaptive Granularity |
Stimulation epochs will be provided in a 30 minute (max) intervals through a 24-hour calendar |
Algorithm Fast-Adaptive Latency |
< 20 ms from event detection to stimulation adjustment |
Algorithm Risk Mitigations |
Please reference [17] [14] for an overview of therapy limits, ramp rates, and fallback modes used for algorithms |