Abstract: A method of evaluating an implantation of a lead is disclosed. Via a graphical user interface of an electronic device, a visual representation of a sacrum of the patient and a lead that is implanted in the sacrum is displayed. The lead includes a plurality of electrode contacts. An evaluation is made as to how well the lead has been implanted in the sacrum based on the visual representation of the sacrum and the lead. The evaluating comprises: determining whether the lead is inserted in a predetermined region of the sacrum, determining how far a predetermined one of the electrode contacts is located from an edge of the sacrum, and determining a degree of curvature of the lead.

Abstract: Electrical stimulation therapy is provided for a patient. A user is informed that a user-supplied electrical stimulation waveform can be entered into an electronic programmer. At least in part via a user interface of the electronic programmer, it is detected that the user-supplied electrical stimulation waveform has been received by the electronic programmer. A determination is made to whether the user-supplied electrical stimulation waveform is compliant with a set of predetermined restrictions. In response to a determination that the user-supplied electrical stimulation waveform is compliant with the set of predetermined restrictions, a pulse generator is instructed to generate electrical stimulation pulses based on the user-supplied electrical stimulation waveform.

Abstract: A pulse generator is configured to generate electrical pulses of an electrical stimulation therapy. The pulse generator includes an N number of output channels and a microcontroller configured to generate instructions. The pulse generator is configured to generate different stimulation waveforms simultaneously for the output channels. The different waveforms have different waveform characteristics. A mesh electrode array includes an M number of electrodes. Each of the electrodes is configured to deliver the electrical pulses of the electrical stimulation therapy. M is at least several times greater than N. A solid state relay contains a plurality of controllable switches that is each configured to be turned on or off in response to the instructions received from the microcontroller, such that the solid state relay routes the output channels of the pulse generator to different subset of the electrodes of the mesh electrode array at different points in time.

Abstract: A method of displaying pain or stimulation experienced by a patient includes providing a graphical user interface configured to receive an input from a user and display a visual output to the user. A first map and a second map are concurrently displayed via the graphical user interface. The first map and the second map are each a pain map or a stimulation map. The pain map represents a body area of the patient experiencing pain. The stimulation map represents a body area of the patient experiencing electrical stimulation. A virtual control mechanism is displayed via the graphical user interface. Through the graphical user interface, an engagement of the virtual control mechanism is detected. In response to the engagement of the virtual control mechanism, respective visual emphases of the first map and the second map are simultaneously adjusted.

Abstract: The present disclosure involves a medical system that includes one or more implantable medical devices configured to deliver a medical therapy to a patient. The medical system also includes a portable electronic device on which a touch-sensitive user interface is implemented. The user interface is configured to provide a visual representation of the medical therapy through a hierarchy. The hierarchy includes a lower level representation of the medical therapy that corresponds to a stimulation program that includes a plurality of configurable stimulation parameters. The hierarchy includes a middle level representation of the medical therapy that corresponds to a stimulation program-set that includes a plurality of different stimulation programs. The hierarchy includes an upper level representation of the medical therapy that corresponds to a scrollable collection of stimulation program-sets that are represented by a plurality of digital cards, respectively.

Abstract: The present disclosure involves an electronic device for visualizing a sensation experienced by a patient. The electronic device includes a touchscreen display configured to receive a tactile input from a user and display a visual output. The electronic device includes a memory storage component configured to store programming code. The electronic device includes a computer processor configured to execute the programming code to perform the following tasks: generating, in response to the tactile input from the user, a three-dimensional (3D) sensation map that represents the sensation experienced by the patient; deriving a two-dimensional (2D) sensation map based on the 3D sensation map, wherein the 2D sensation map contains substantially less data than the 3D sensation map; and sending the 2D sensation map over a network to facilitate a reconstruction of the 3D sensation map using the 2D sensation map.

Abstract: Impedance information of an implantable medical device is displayed. One or more impedance values are received over a period of time for a plurality of channels. The channels may each include an electrode contact on an implantable lead. A graph is displayed that illustrates a variation of the impedance values over at least a portion of the period of time for one or more of the channels. A visual landscape that is representative of the impedance values for the plurality of channels is also displayed.

Abstract: An electronic device having a display is provided. Interactive user engagements with the electronic device are made through the display. A simulation mode is entered. The simulation mode simulates a real pulse generator configured to generate electrical stimulation pulses. The simulation mode is entered without establishing a wireless connection with the real pulse generator. Via the display, one or more features of a virtual pulse generator are demoed after entering the simulation mode. The one or more features of the virtual pulse generator simulate corresponding features of the real pulse generator. The virtual pulse generator is a software program that resides on the electronic device. The demoing comprises mimicking a plurality of user interface screens that allow a user to interact with the real pulse generator.

Abstract: A patient feedback device for use in an electrical stimulation system is calibrated. The electrical stimulation system includes an implantable pulse generator (IPG) implanted in a patient and a patient feedback device having a force sensor. Input from the patient is sensed using the patient feedback device. At a first time, an electrical stimulus is applied with the IPG. The force sensor is monitored at a plurality of time points. A level of force sensed by the force sensor at each of the plurality of time points is recorded. A time point at which a maximum force is applied is identified, or a time point at which a minimum force is applied is identified. The first time is compared to the time point at which a minimum force is applied or the time point at which a maximum force is applied, in order to determine a patient response time.

Abstract: The present disclosure involves a method of communicating with an implantable medical device. An authentication process is performed to verify an identity of a user of a mobile computing device. A request is received from the user to access an implantable medical device via the mobile computing device. Based on the identity of the user, a first user interface suitable for the user is selected from a plurality of user interfaces that are each configured to control an implantable medical device. The plurality of user interfaces have different visual characteristics and different levels of access to the implantable medical device. The first user interface is displayed on the mobile computing device.

Abstract: The present disclosure involves a method of facilitating visualization in a medical context. The method includes displaying a virtual reality representation of a medical device via a touch-sensitive user interface. The virtual reality representation of the medical device includes a movable and rotatable three-dimensional model of the medical device. The method includes displaying a virtual reality representation of an anatomical environment of a patient via a touch-sensitive user interface. The virtual reality representation of the anatomical environment is zoomable and scalable. The method includes customizing the virtual reality representation of the medical device. The method includes positioning the customized virtual reality representation of the medical device in an appropriate location of the virtual reality representation of the anatomical environment. The customizing and the positioning are performed in response to user input.

Abstract: An anal electrode device is configured to measure a response of a patient to a stimulation pulse. The anal electrode device includes an elongated shaft that is configured to be at least partially inserted into an anal canal of the patient. A first sensory electrode is disposed on a first region of the shaft. The first sensory electrode is configured to measure a compound motor action potential (CMAP) from an internal sphincter of the patient while the shaft is partially inserted into the anal canal of the patient. A second sensory electrode is disposed on a second region of the shaft. The second sensory electrode is configured to measure the CMAP from an external sphincter of the patient while the shaft is partially inserted into the anal canal of the patient.

Abstract: A first fraction of an electrical stimulation is allocated to a first electrode. In response to user input, the first fraction of the electrical stimulation is fixed to the first electrode such that the first fraction is user-adjustable but cannot be automatically changed. In response to the first fraction being fixed to the first electrode, a respective second fraction of the electrical stimulation is automatically allocated to a plurality of second electrodes. The second fraction is a function of the first fraction and a total number of the second electrodes. Thereafter, a new electrode is added to, or deleting from, the second electrodes, while the first fraction is still fixed to the first electrode. The respective second fractions are automatically adjusted in response to the adding or the deleting, without affecting the first fraction of the electrical stimulation that has been fixed to the first electrode.

Abstract: A portable electronic programmer has a display screen, one or more sensors, a non-transitory memory storing instructions, and one or more electronic processors configured to execute the instructions to perform operations that include: detecting, via the one or more sensors, that the display screen of the portable electronic programmer has been engaged by an object; determining a location of the display screen of the portable electronic programmer that has been engaged; and causing an external monitor to display a visual indicator that corresponds to the location of the display screen of the portable electronic programmer, the external monitor being communicatively coupled to the portable electronic programmer.

Abstract: Electrical stimulation therapy is provided for a patient. A user is informed that a user-supplied electrical stimulation waveform can be entered into an electronic programmer. At least in part via a user interface of the electronic programmer, it is detected that the user-supplied electrical stimulation waveform has been received by the electronic programmer. A determination is made to whether the user-supplied electrical stimulation waveform is compliant with a set of predetermined restrictions. In response to a determination that the user-supplied electrical stimulation waveform is compliant with the set of predetermined restrictions, a pulse generator is instructed to generate electrical stimulation pulses based on the user-supplied electrical stimulation waveform.

Abstract: A non-zero starting value for ramping up a stimulation parameter for an electrical stimulation to be delivered to a patient is determined. The non-zero starting value is customized to the patient. A pulse generator is caused to generate the electrical stimulation, which is delivered to the patient via an implanted lead. The pulse generator is caused to ramp up, from the determined non-zero starting value and toward a predefined maximum limit value, the stimulation parameter for a plurality of electrode contacts on the lead. Feedback is received from the patient in response to the ramping up. The feedback is received via an electronic patient feedback device. Based on the ramping up and the received feedback from the patient, a perception threshold is determined for each of the plurality of electrode contacts. The perception threshold is a value of the stimulation parameter that corresponds to the patient feeling the electrical stimulation.

Abstract: The present disclosure involves systems and methods of programming electrical stimulation therapy for a patient. A communications link is established with a pulse generator that is configured to generate electrical stimulation pulses. An intermittent electrical coupling between the pulse generator and a diagnostic tool is simulated. This simulation is performed by instructing, for a plurality of cycles, the pulse generator to automatically turn on and off the generation of electrical stimulation pulses. Each cycle includes a first time period and a second time period following the first time period. The simulating includes: instructing the pulse generator to generate the electrical stimulation pulses during the first time period; and instructing the pulse generator to stop generating the electrical stimulation pulses during the second time period.

Abstract: A method of evaluating an implantation of a lead is disclosed. Via a graphical user interface of an electronic device, a visual representation of a sacrum of the patient and a lead that is implanted in the sacrum is displayed. The lead includes a plurality of electrode contacts. An evaluation is made as to how well the lead has been implanted in the sacrum based on the visual representation of the sacrum and the lead. The evaluating comprises: determining whether the lead is inserted in a predetermined region of the sacrum, determining how far a predetermined one of the electrode contacts is located from an edge of the sacrum, and determining a degree of curvature of the lead.

Abstract: Via a user interface of an electronic device, virtual representations of an implantable pulse generator (IPG), an external pulse generator (EPG), and an implantable lead are displayed. A detection is made that the EPG has been selected. In response to the selection of the EPG, a first workflow is made automatically available. The first workflow is associated with using a Percutaneous Nerve Evaluation (PNE) needle to investigate an optimum location for implanting the implantable lead. A detection is made that the implantable lead has been coupled to the IPG or the EPG. In response to the coupling of the implantable lead to the IPG or the EPG, a second workflow is made automatically available. The second workflow is associated with evaluating a patient physiological response at least in part by using the implantable lead to deliver electrical stimulation to the patient.

Abstract: A pulse generator is programmed to generate electrical stimulation to target a sacral nerve or a pudendal nerve of the patient. The electrical stimulation being delivered at least in part via a lead. The electrical stimulation is applied by ramping up a stimulation parameter over time. A first, a second, and a third physiological response are detected from the patient as a result of the electrical stimulation. A first value, a second value, and a third value of the stimulation parameter associated with the first, second, and third physiological response are measured, respectively. A placement of the lead inside the patient is evaluated based on at least one of: a chronological sequence in which the first, second, and third physiological responses occurred, a comparison of the first value with a predetermined threshold, or respective deviations of the second value or the third value from the first value.