Skip to main content
. Author manuscript; available in PMC: 2021 Mar 9.
Published in final edited form as: Conf Proc IEEE Int Conf Syst Man Cybern. 2020 Dec 14;2020:3433–3440. doi: 10.1109/SMC42975.2020.9283187

Table I. Definition of DyNeuMo Mk-2 algorithm system requirements; full requirements can be found in [14].

User Needs
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
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. 100μW 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