CN117282027A

CN117282027A - IPG program control method and related device

Info

Publication number: CN117282027A
Application number: CN202311421190.XA
Authority: CN
Inventors: 周国新; 邓泽
Original assignee: Sceneray Co Ltd
Current assignee: Sceneray Co Ltd
Priority date: 2023-10-27
Filing date: 2023-10-27
Publication date: 2023-12-26

Abstract

The application provides an IPG program control device, an IPG program control method, program control equipment, a medical system and a computer readable storage medium. The IPG programming device includes a memory and at least one processor configured to perform the following steps when executing a computer program: selecting a stimulation parameter set from a stimulation parameter set of a target object according to a preset sequence and taking the stimulation parameter set as a target stimulation parameter set, wherein the stimulation parameter set comprises a plurality of stimulation parameter sets; acquiring parameter scoring information corresponding to the target stimulation parameter set through the interaction device, wherein the parameter scoring information is used for indicating the scoring of target personnel on a plurality of feedback dimensions of the target object respectively; and taking the parameter scoring information acquired for each target stimulation parameter set as a parameter scoring information set, and acquiring an output graph according to the stimulation parameter set and the parameter scoring information set. The method and the device enable target personnel to comprehensively know the response of the patient to different stimulation parameters by acquiring the output graphs indicating the multiple feedback dimensions.

Description

IPG program control method and related device

Technical Field

The present application relates to the technical field of medical devices, for example, to IPG programming methods, programming devices, medical systems, and computer readable storage media.

Background

With technological development and social progress, patients are desirous of improving the quality of life through various therapeutic means, and the application prospect of the implantable medical system is very broad. An implantable neural electrical stimulation system is one type of implantable medical system, and includes a stimulator (i.e., an implantable neural stimulator) implanted in a patient and a programmable device disposed outside the patient. The stimulator includes a pulse generator and electrodes, and is capable of providing a patient with a parameter-controllable, refined electrical stimulation therapy.

When the doctor program-controls the IPG parameters for the patient, the doctor stops setting parameters and completes the program control by intuitively sensing the parameters such as the contact, amplitude, frequency, pulse width and the like in a reasonable range, gradually adjusting the parameters such as increasing the amplitude, reducing the pulse width, replacing the contact and the like through physiological feedback of the patient, and finally, reaching a state which is considered to be most comfortable by the patient.

However, the physiological feedback of the patient after each parameter delivery is a subjective and emotional expression, and lacks objective scoring criteria, so that the doctor cannot be helped to make optimal choice among multiple groups of similar parameters.

Based on this, the present application provides an IPG program control apparatus, an IPG program control method, a program control device, a medical system and a computer readable storage medium, so as to solve the problems in the above-mentioned technology.

Disclosure of Invention

The present application aims to provide an IPG program control device, an IPG program control method, program control equipment, a medical system and a computer readable storage medium, which solve the problem that a doctor cannot be helped to make optimal choice among multiple groups of similar parameters.

The purpose of the application is realized by adopting the following technical scheme:

in a first aspect, the present application provides an IPG programming apparatus comprising a memory storing a computer program and at least one processor configured to implement the following steps when executing the computer program:

selecting a stimulation parameter set from a stimulation parameter set of a target object according to a preset sequence and taking the stimulation parameter set as a target stimulation parameter set, wherein the stimulation parameter set comprises a plurality of stimulation parameter sets;

acquiring parameter scoring information corresponding to the target stimulation parameter set through an interaction device, wherein the parameter scoring information is used for indicating scores of target personnel on multiple feedback dimensions of a target object respectively;

And taking the parameter scoring information acquired for each target stimulation parameter set as a parameter scoring information set, and acquiring an output graph according to the stimulation parameter set and the parameter scoring information set.

The beneficial effect of this technical scheme lies in: by acquiring physiological feedback of the patient in real time, the target personnel can adjust the stimulation parameters of the IPG according to individual differences, so that the treatment is more personalized. The stimulation parameters can be adjusted according to the multidimensional feedback of the patient in the later period, so that the comfort of the patient is improved, and the possible discomfort is relieved. The target personnel can intuitively indicate the output patterns of a plurality of feedback dimensions, so that the target personnel can comprehensively and quickly know the response of the patient to different stimulation parameters, the optimal stimulation parameters can be effectively selected, and the problem that the optimal choice is not easy to be made among a plurality of groups of similar parameters is solved.

In some possible implementations, before selecting the set of stimulation parameters from the set of stimulation parameters of the target subject in a preset order and as the set of target stimulation parameters, the at least one processor is configured to implement the following steps when executing the computer program:

And acquiring a stimulation parameter set of the target object according to the first identification information of the target object.

In some possible implementations, the at least one processor is configured to obtain the set of stimulation parameters of the target object from the first identification information of the target object when executing the computer program in the following manner:

acquiring IPG information corresponding to the first identification information of the target object;

and generating a plurality of stimulation parameter sets according to the IPG information and taking the stimulation parameter sets as a stimulation parameter set, wherein the stimulation parameter sets comprise a plurality of stimulation parameters and corresponding values thereof.

The beneficial effect of this technical scheme lies in:

the IPG corresponding to the IPG information of the target object is a better choice determined by the doctor according to the condition of the target object and the physical condition of the target object, and the generated stimulation parameter set is more matched with the technical specification of the implantation device by utilizing the IPG information of the target object, so that the stimulation parameter is ensured to be within a safe range. The stimulation parameter set is generated by using the IPG information, so that the efficiency of stimulation parameter selection can be improved, and unnecessary testing is avoided.

Acquiring the corresponding relation between the identification information and the stimulation parameter set;

and determining and acquiring a stimulation parameter set corresponding to the target object based on the first identification information of the target object and the corresponding relation.

The beneficial effect of this technical scheme lies in: the target object can be rapidly identified and the corresponding parameter set can be automatically acquired without manually searching or inputting the stimulation parameters, so that the efficiency is improved.

In some possible implementations, the at least one processor is further configured to implement the following steps when executing the computer program:

storing each parameter grading information acquired by the interaction device and the corresponding stimulation parameter set thereof into a storage device;

when the interaction device is used for receiving the selection operation of the target personnel aiming at any target stimulation parameter set, the interaction device is used for displaying the corresponding parameter scoring information and/or the stimulation parameter set to the target personnel.

The beneficial effect of this technical scheme lies in: the scoring information of the target personnel for each stimulation parameter set is stored in the storage device, and a complete scoring record can be established so as to help the medical professional review and analyze the feedback of the patient in subsequent work and provide basis for adjusting or selecting the treatment scheme. After the target personnel select any stimulation parameter group, the corresponding parameter scoring information of the group can be displayed to the target personnel in real time, and the real-time feedback is helpful for the target personnel to know the physiological response and satisfaction of the patient more timely, so that the test can be adjusted in real time.

receiving identification operation of a target person aiming at the target stimulation parameter set by utilizing the interaction device so as to acquire second identification information corresponding to the target stimulation parameter set;

the at least one processor is configured to present its corresponding parameter scoring information and/or stimulation parameter sets to the target person using the interaction device when executing the computer program in the following manner:

displaying a plurality of target stimulation parameter sets with second identification information to the target person by utilizing the interaction device;

receiving a selection operation of the target person for any one of the target stimulation parameter sets by utilizing the interaction device so as to determine a stimulation parameter set to be displayed from a plurality of target stimulation parameter sets;

and displaying parameter scoring information and/or a stimulation parameter set corresponding to the stimulation parameter set to be displayed to the target personnel by utilizing the interaction device.

The beneficial effect of this technical scheme lies in: the plurality of stimulation parameter sets with the second identification information are displayed, and the second identification information provides a simple identification means, so that a target person can better distinguish and understand each parameter set. The target person can select among the displayed multiple stimulation parameter groups, and respond and display the parameter scoring information of the selected groups in real time, namely, instant decision support is provided, so that the medical professional can adjust the scheme more quickly. The use of the interactive device provides a visual parameter selection interface that allows the medical professional to more clearly understand the multi-dimensional effects of each stimulation parameter set, helping to make more informed decisions.

In some possible implementations, the feedback dimension includes at least two of:

comfort dimension, pain dimension, mood dimension, attention dimension, and memory dimension.

The beneficial effect of this technical scheme lies in: each dimension represents feedback of a different aspect of the patient's potential during the test. Multidimensional assessment provides an objective way to quantify patient feedback, not just relying on subjective descriptions, helping to assess the effect of treatment more systematically.

In some possible implementations, the output graphic is any one of a radar map, a line graph, a scatter graph.

The beneficial effect of this technical scheme lies in: output patterns of the type described above may be used to visually demonstrate the performance of different sets of stimulation parameters in various feedback dimensions. The process of generating an output graph such as a radar chart, a line graph or a scatter chart generally includes mapping scores in various dimensions onto coordinate axes of the graph to form an intuitive visual effect. The output graph provides an intuitive way to compare the effects of different stimulation parameter sets in multiple dimensions, so that a target person can quickly know which parameter sets perform better or worse in which dimensions through the graph, thereby being helpful for better understanding feedback of a patient and providing more comprehensive support for subsequent decisions.

In a second aspect, the present application also provides an IPG programming method, the method including:

In some possible implementations, the method further includes:

before selecting a stimulation parameter set from a stimulation parameter set of a target object according to a preset sequence and taking the stimulation parameter set as the target stimulation parameter set, acquiring the stimulation parameter set of the target object according to the first identification information of the target object.

In some possible implementations, the obtaining the set of stimulation parameters of the target object according to the first identification information of the target object includes:

In some possible implementations, the method further includes:

In some possible implementations, the method further includes: receiving identification operation of a target person aiming at the target stimulation parameter set by utilizing the interaction device so as to acquire second identification information corresponding to the target stimulation parameter set;

the step of displaying the corresponding parameter scoring information and/or the stimulation parameter set to the target person by using the interaction device comprises the following steps:

In a third aspect, the application further provides a program control device, which comprises an interaction device and the IPG program control device in the first aspect.

In a fourth aspect, the present application also provides a medical system comprising:

the program control apparatus of the third aspect;

a stimulator implanted within a patient configured to generate and deliver electrical stimulation to the patient.

In a fifth aspect, the present application also provides a computer-readable storage medium storing a computer program which, when executed by a processor, performs the steps of the method of any of the second aspects, or performs the functions of the apparatus of any of the first aspects.

In a sixth aspect, the present application also provides a computer program product comprising a computer program which, when executed by at least one processor, performs the steps of the method of any of the second aspects, or performs the functions of the apparatus of any of the first aspects.

Drawings

The application is further described below with reference to the drawings and detailed description.

Fig. 1 is a schematic flow chart of an IPG program control method according to an embodiment of the present application.

Fig. 2 is a schematic diagram of an output graph according to an embodiment of the present application.

Fig. 3 is a flowchart of acquiring a set of stimulation parameters according to an embodiment of the present application.

Fig. 4 is a block diagram of a program control apparatus according to an embodiment of the present application.

Fig. 5 is a block diagram of a medical system according to an embodiment of the present application.

Fig. 6 is a schematic structural diagram of a computer program product according to an embodiment of the present application.

Detailed Description

The technical solutions in the present application will be described below with reference to the drawings and the specific embodiments in the specification of the present application, and it should be noted that, on the premise of no conflict, new embodiments may be formed by any combination of the embodiments or technical features described below.

In the embodiments of the present application, words such as "exemplary" or "such as" are used to mean serving as examples, illustrations, or descriptions. Any implementation or design described as "exemplary" or "e.g." in the examples of this application should not be construed as preferred or advantageous over other implementations or designs. Rather, the use of words such as "exemplary" or "such as" is intended to present related concepts in a concrete fashion.

The first, second, etc. descriptions in the embodiments of the present application are only used for illustration and distinction of description objects, and no order division, nor does it represent a particular limitation on the number in the embodiments of the present application, nor should it constitute any limitation on the embodiments of the present application.

The technical fields and related terms of the embodiments of the present application are briefly described as follows.

Implantable medical systems include implantable neurostimulation systems, implantable cardiac electrical stimulation systems (also known as cardiac pacemakers), implantable drug infusion systems (Implantable Drug Delivery System, IDDS for short), lead switching systems, and the like. The implantable nerve electrical stimulation system is, for example, a deep brain electrical stimulation system (Deep Brain Stimulation, abbreviated as DBS), an implantable brain cortex stimulation system (Cortical Nerve Stimulation, abbreviated as CNS), an implantable spinal cord electrical stimulation system (Spinal Cord Stimulation, abbreviated as SCS), an implantable sacral nerve electrical stimulation system (Sacral Nerve Stimulation, abbreviated as SNS), an implantable vagal nerve electrical stimulation system (Vagus Nerve Stimulation, abbreviated as VNS), or the like.

An implantable neural electrical stimulation system includes a stimulator (i.e., an implantable neural stimulator) implanted in a patient and a programmable device disposed outside the patient. That is, the stimulator is a medical device, or the medical device includes a stimulator. The related nerve regulation technology mainly implants electrodes (the electrodes are in the form of electrode wires for example) at specific parts (namely targets) of tissues of organisms through stereotactic surgery, and electric pulses are sent to the targets through the electrodes to regulate and control the electric activities and functions of corresponding nerve structures and networks, so that symptoms are improved and pains are relieved.

As one example, the DBS includes an IPG (Implantable Pulse Generator ), an extension lead, and an electrode lead, with the IPG being connected to the electrode lead by the extension lead. The IPG is implanted in the patient, for example, in the patient's chest or other in-vivo location.

As another example, the DBS includes an IPG and an electrode lead, with the IPG being directly connected to the electrode lead. The IPG is implanted in the head of the patient, for example by slotting the skull of the patient, and then fitting the IPG in the slot of the skull, in which case the IPG may not protrude from the outer surface of the skull, or may protrude partially from the outer surface of the skull.

Wherein the IPG provides controllable electrical stimulation therapy (or electrical stimulation energy) to the tissue in the body by means of a sealed battery and circuitry in response to programming instructions sent by the programming device. When the battery is low in electric quantity, the battery needs to be charged, and the method for charging the battery can adopt an electromagnetic induction coil wireless charging mode to charge the battery through human skin, other epidermal tissues and the like. The IPG delivers one or more controllable specific electrical stimuli to specific areas of tissue in the body via electrode leads.

In some embodiments, the extension leads are used in conjunction with the IPG as a delivery medium for electrical stimulation to deliver electrical stimulation generated by the IPG to the electrode leads.

In some embodiments, the electrical stimulation may be delivered in the form of a pulsed signal, or may be delivered in the form of a non-pulsed signal. For example, electrical stimulation may be delivered as signals having various waveform shapes, frequencies, and amplitudes. Thus, the electrical stimulus in the form of a non-pulsed signal may be a continuous signal, which may have a sinusoidal waveform or other continuous waveform.

The electrode leads deliver electrical stimulation to specific areas of tissue in the body through the plurality of electrode contacts upon receiving electrical stimulation delivered by the IPG or extension leads. The stimulator is provided with one or more electrode wires on one side or two sides, for example, and the electrode wires are provided with a plurality of electrode contacts, and the electrode contacts can be uniformly arranged or non-uniformly arranged in the circumferential direction of the electrode wires. As an example, the electrode contacts may be arranged in an array of 4 rows and 3 columns (12 electrode contacts in total) in the circumferential direction of the electrode wire. The electrode contacts may include stimulation electrode contacts and/or harvesting electrode contacts. The electrode contact may take the shape of a sheet, ring, dot, or the like, for example.

In some embodiments, the stimulated in vivo tissue may be brain tissue of a patient and the stimulated site may be a specific site of brain tissue. When the type of disease in the patient is different, the location to be stimulated will generally be different, as will the number of stimulation contacts (single or multiple sources) used, the application of one or more (single or multiple) specific electrical stimuli, and the stimulation parameters (values).

The embodiment of the present application is not limited to the applicable disease type, and may be a disease type applicable to Deep Brain Stimulation (DBS), spinal Cord Stimulation (SCS), sacral nerve stimulation, gastric stimulation, peripheral nerve stimulation, and functional electrical stimulation. Among the types of diseases that DBS may be used to treat or manage include, but are not limited to: spasticity (e.g., epilepsy), pain, migraine, psychotic disorders (e.g., major Depressive Disorder (MDD)), bipolar disorder, anxiety, post-traumatic stress disorder, mild depression, obsessive Compulsive Disorder (OCD), behavioral disorders, mood disorders, memory disorders, mental state disorders, movement disorders (e.g., essential tremor or parkinson's disease), huntington's disease, alzheimer's disease, drug addiction, autism, or other neurological or psychiatric disorders and impairments.

In this embodiment of the present application, when the program control device and the stimulator establish program control connection, the program control device may be used to adjust one or more stimulation parameters of the stimulator (or one or more stimulation parameters of the pulse generator, where different stimulation parameters correspond to different electrical stimuli), or may sense the electrophysiological activity of the patient through the stimulator to acquire electrophysiological signals, and may continuously adjust the stimulation parameters of the stimulator through the acquired electrophysiological signals, so as to implement closed-loop control (or adaptive adjustment) of the stimulation parameters.

The stimulation parameters may include at least one of: electrode contact identification (e.g., 2# electrode contact and 3# electrode contact) for delivering electrical stimulation, frequency (e.g., number of electrical stimulation pulse signals per unit time of 1s in Hz), pulse width (duration of each pulse in mus), amplitude (typically expressed in terms of voltage, i.e., intensity of each pulse in mus), timing (e.g., continuous or clustered, which refers to discrete timing behavior of multiple process components), stimulation pattern (including one or more of current pattern, voltage pattern, timed stimulation pattern, and cyclic stimulation pattern), physician upper and lower control limits (physician adjustable range), and patient upper and lower control limits (patient autonomously adjustable range).

In some embodiments, the various stimulation parameters of the stimulator may be adjusted in either current mode or voltage mode.

The programming devices may include doctor programming devices (i.e., programming devices used by a doctor) and/or patient programming devices (i.e., programming devices used by a patient). The doctor program control device is, for example, an intelligent terminal device such as a tablet computer, a notebook computer, a desktop computer, a mobile phone, etc. loaded with program control software. The patient program control device is, for example, an intelligent terminal device such as a tablet computer, a notebook computer, a desktop computer, a mobile phone and the like loaded with program control software, and the patient program control device can also be other electronic devices with program control functions (for example, a charger with program control functions, an electrophysiology acquisition device and the like).

The data interaction between the doctor program control device and the stimulator is not limited, and when the doctor remotely programs, the doctor program control device can interact with the stimulator through the server and the patient program control device. When the doctor performs program control in a face-to-face manner with the patient, the doctor program control device can perform data interaction with the stimulator through the patient program control device, and the doctor program control device can also perform data interaction with the stimulator directly.

In some embodiments, the patient programming apparatus may include a host (in communication with the server) and a sub-machine (in communication with the stimulator), the host and the sub-machine being communicatively connected. The doctor program control equipment can conduct data interaction with the server through the 3G/4G/5G network, the server can conduct data interaction with the host through the 3G/4G/5G network, the host can conduct data interaction with the sub-machine through the Bluetooth protocol/WIFI protocol/USB protocol, the sub-machine can conduct data interaction with the stimulator through the 401MHz-406MHz working frequency band/2.4 GHz-2.48GHz working frequency band, and the doctor program control equipment can conduct data interaction with the stimulator directly through the 401MHz-406MHz working frequency band/2.4 GHz-2.48GHz working frequency band.

In the related art, when a doctor program-controls an IPG parameter for a patient, parameters such as a contact, an amplitude, a frequency, a pulse width and the like in a reasonable range are set through visual perception, and parameter adjustment such as amplitude increasing, pulse width decreasing, contact changing and the like is gradually performed through physiological feedback of the patient. When a state that the patient deems most comfortable is reached, the physician stops setting parameters and completes the program.

The above-mentioned manner has the following disadvantages: the tolerance stimulus values of different patients are different, and a doctor cannot accurately and quickly find the optimal parameter value of the patient by intuitively feeling that the setting parameters are not set; as the arrangement and combination of the stimulation parameters are more, the number of times of the doctor's attempts is also more, thus the workload of the doctor is increased intangibly; the program control parameters cannot mark; the physiological feedback of the patient after each parameter delivery is subjective and emotional expression, and lacks objective scoring standard, so that the optimal choice cannot be made among similar parameters; the lack of a complete record of each program control parameter and patient feedback does not allow extraction of data analysis to provide data values for reference for the next program control;

Based on at least one of the above shortcomings, the present application provides an IPG programming method, a programming device, a medical system, and a computer readable storage medium for solving the above problems in the prior art.

The IPG programming method will be described first, and the related devices will be described later.

Method embodiment.

Referring to fig. 1, fig. 1 is a schematic flow chart of an IPG program control method according to an embodiment of the present application.

The embodiment provides an IPG program control method, which comprises the following steps:

step S101, selecting a stimulation parameter set from a stimulation parameter set of a target object according to a preset sequence and taking the stimulation parameter set as a target stimulation parameter set, wherein the stimulation parameter set comprises a plurality of stimulation parameter sets;

step S102, parameter grading information corresponding to the target stimulation parameter group is obtained through an interaction device, and the parameter grading information is used for indicating grading of target personnel on a plurality of feedback dimensions of a target object respectively;

and step S103, taking the parameter scoring information acquired for each target stimulation parameter set as a parameter scoring information set, and acquiring an output graph according to the stimulation parameter set and the parameter scoring information set.

In step S102, from each of the target stimulation parameter sets, a scoring operation of a target person on the target stimulation parameter set may be received by using an interaction device, so as to obtain parameter scoring information corresponding to the target stimulation parameter set; the parameter scoring information is used for indicating the scoring of the target personnel on a plurality of feedback dimensions of the target object respectively.

In step S103, the output graphic may be used for presentation to a target person or others via (the display part of) the interaction means. The target object in the present application may refer to a patient or a user for implantable pulse generator electrical stimulation, which is exemplified in the present embodiments by a patient. The target person may refer to a doctor, medical expert, etc. who observes and scores the response of the target subject to the set of stimulation parameters, which in the present embodiment is exemplified by a doctor. The process of generating the graphic may include mapping data onto coordinate axes of the graphic and using appropriate scales and colors to represent different sets or dimensions of parameters.

In an implantable pulse generator, a set of stimulation parameters of a patient includes a plurality of sets of stimulation parameters, the parameters in the sets of stimulation parameters may include current intensity, pulse width, frequency, and the like. For example, one stimulation parameter set includes a current intensity of 1.1 milliamp, a frequency of 110Hz. The target set of stimulation parameters may be determined from the set of sets of stimulation parameters in a predetermined order, which may be understood as a patient's stimulation feedback test performed by a predetermined test sequence. The preset sequence refers to a previously determined sequence representing the sequence of the sets of stimulation parameters in the testing phase, so that the different sets of parameters are tested one by one in this sequence. Scoring of the set of target stimulation parameters by a target person (e.g., doctor) is received using an interactive device (e.g., a computer, tablet, cell phone, etc., including a touch screen).

Different stimulation parameter sets can be sequentially selected from the stimulation parameter set sets according to a preset sequence, so that scoring operations of corresponding target personnel are recorded through different target stimulation parameter sets in different time periods, and a plurality of parameter scoring information corresponding to the target stimulation parameter sets is formed. It is believed that the multiple parameter scoring information reflects the feedback of the patient under different stimulation conditions. And by repeating the process, acquiring a plurality of parameter grading information for a plurality of target stimulation parameter groups and forming a parameter grading information set.

And combining the stimulation parameter set and the parameter scoring information set, and generating an output graph through a graph generation algorithm or other existing visualization methods. Since the parameter scoring information may be used to indicate the scoring of the patient by the target person, respectively, of the multiple feedback dimensions of the patient, the output pattern may be used to reflect the impact of different sets of stimulation parameters on the multiple feedback dimensions of the patient.

Benefits of doing so include: by acquiring physiological feedback of the patient in real time, the target personnel can adjust the stimulation parameters of the IPG according to individual differences, so that the treatment is more personalized. The stimulation parameters can be adjusted according to the multidimensional feedback of the patient in the later period, so that the comfort of the patient is improved, and the possible discomfort is relieved. The target person can quickly learn the response of the patient to different stimulation parameters through the output graph intuitively used for indicating a plurality of feedback dimensions so as to effectively select the optimal stimulation parameters.

As one example, different types of IPGs (identifications) correspond to different sets of stimulation parameters. And acquiring a stimulation parameter set of the patient according to the IPG identification of the current patient. After the automatic program control program is started, a timer is started to acquire and send the stimulation parameter set from the parameter queue in a fixed time period T. After each time period T a set of stimulation parameters is issued and the stimulation parameters are successful, the physician observes the physiological feedback of the patient and scores the current stimulation parameters. Multiple scoring dimensions may be set for a patient, each dimension having a fixed range of scores. For example, the score ranges are as follows: [ -5,5], initial score value was 0. The method comprises the following specific steps:

1. generating a permutation and combination of various stimulation parameters to be used as a parameter queue of an automatic program control program;

2. setting a time period for automatically issuing each group of parameters, such as issuing a group of stimulation parameters every ten seconds;

3. setting a plurality of scoring dimensions for different patients for scoring the stimulus feedback;

4. after each group of stimulation parameters is successfully delivered, the doctor observes the physiological feedback multidimensional scoring of the patient.

In a specific application, when the patient is out of order, the patient can actively stop the automatic program control program, and the doctor can stop the program.

Referring to fig. 2, fig. 2 is a schematic diagram of an output graph according to an embodiment of the present application.

As one example, parameter scoring information is obtained for the patient feedback on the target stimulation parameter set A1, the target stimulation parameter set A2, the target stimulation parameter set A3. The parameter scoring information is used for indicating scores of a doctor (namely a target person) on a plurality of feedback dimensions (dimension one, dimension two, dimension three, dimension four and dimension five) of the patient respectively, and the scores corresponding to the stimulus parameters of each group are counted to generate a radar chart, so that effect feedback of each stimulus parameter of each group on a certain dimension can be obtained through analysis of the radar chart, and the doctor is helped to make selection of the optimal stimulus parameters.

Where the radar chart is typically a polygon, the edges of which represent different dimensions. The generation process of the radar chart can be as follows:

1. a coordinate axis is established, a central point is selected to represent zero, and a plurality of radial coordinate axes start from the central point, each coordinate axis representing a dimension. The end of each coordinate axis corresponds to the maximum value of the score (typically a positive value) and the center point corresponds to the minimum value of the score (typically a zero value). And simultaneously determining the corresponding scale of the coordinate axis. For example, if the score range is 0 to 5, in order to properly map onto the coordinate axis of the radar chart, the data point with a score of 0 is at the center of the coordinate axis, and the data point with a score of 5 is at the end of the coordinate axis.

2. And a data mapping step, wherein the grading value of each parameter set is distributed to the edges corresponding to different vertexes of the polygon so as to represent the effect of each parameter set on each dimension on the radar chart.

3. After data mapping, the points of the scores of each dimension on the radar map are connected, and the radar map is generated.

In some embodiments, the method further comprises:

The first identification information is information for indicating the identity of the target object, such as a patient number, an identification card number, and the like.

Referring to fig. 3, fig. 3 is a schematic flow chart of acquiring a set of stimulation parameters according to an embodiment of the present application.

In some embodiments, the obtaining the set of stimulation parameters of the target object according to the first identification information of the target object includes:

step S201, IPG information corresponding to the first identification information of the target object is obtained;

step S202, generating a plurality of stimulation parameter sets according to the IPG information and using the stimulation parameter sets as a stimulation parameter set, where the stimulation parameter sets include a plurality of stimulation parameters and corresponding values thereof.

The IPG information may be used to indicate the model and specification of the IPG, i.e., the current intensity range, frequency range, mode type, etc. that the IPG may output. A plurality of sets of stimulation parameters based on specifications and characteristics of the IPG device are generated using the IPG information of the target object. Each stimulation parameter set contains a plurality of stimulation parameters, such as current intensity, frequency, pulse width, etc., as well as specific values of these parameters. The specific values may be considered to be determined based on the specifications of the IPG.

As one example, information about IPG model and specification including current intensity range, frequency range, different mode types is extracted from the provided IPG information. After the IPG information is extracted, the IPG information is used to determine the range of the stimulation parameters. For example, if the IPG supports a current intensity in the range of 1mA to 10mA, the parameters of each current intensity in the generated set of stimulation parameters range from 1mA to 10mA. The extracted parameter ranges are used to create and generate different parameter combinations by means of nested loops, recursive algorithms or random sampling. The generated parameters are combined into a set of stimulation parameters. Each stimulation parameter set created may be considered to represent one possible stimulation parameter setting, taking into account the model and specifications of the IPG.

In a specific application, medical record information of a target object corresponding to the first identification information can be acquired first, and a plurality of stimulation parameter sets are generated and used as a stimulation parameter set according to the medical record information of the target object.

The medical record information of the target object comprises past treatment records, medical history, medical examination results and the like of the patient, and the medical record information of the target object is utilized to generate a stimulation parameter set which is more matched with the individual condition of the patient, so that the personalized test scheme can be formulated. Generating the set of stimulation parameters using the medical record information can save time, allowing the physician to more quickly find the possible valid stimulation parameters. By generating the set of stimulation parameters from the medical record information, the set of stimulation parameters more closely conforms to the physiological characteristics and condition of the patient, and the risk of the patient being tested on the experimental stimulation parameters can be reduced. In particular, the case information also includes IPG information.

In some embodiments, the acquiring the set of stimulation parameters of the target object according to the first identification information of the target object may further include:

Therefore, the technical scheme of the embodiment does not need to manually search or input the stimulation parameters, can rapidly identify the target object and automatically acquire the corresponding parameter set, and improves the efficiency.

In some embodiments, the method further comprises:

And when the target personnel performs scoring operation on each target stimulation parameter set one by one, the obtained parameter scoring information and the corresponding stimulation parameter set are stored in the storage device. The scoring information may include an assessment of the patient's physiological feedback by the targeted personnel, satisfaction with the stimulation parameters, and the like. When the target personnel select any target stimulation parameter set through the interaction device, the selected target stimulation parameter set and the corresponding parameter scoring information thereof can be called from the storage device, and detailed information comprising the corresponding parameter scoring information is displayed to the target personnel through the interaction device, so that the target personnel can know the response condition of the patient to different stimulation parameters, and the treatment is guided better.

Benefits of doing so include: the scoring information of the target personnel for each stimulation parameter set is stored in the storage device, and a complete scoring record can be established so as to help the medical professional review and analyze the feedback of the patient in subsequent work and provide basis for adjusting or selecting the treatment scheme. After the target personnel select any stimulation parameter group, the corresponding parameter scoring information of the group can be displayed to the target personnel in real time, and the real-time feedback is helpful for the target personnel to know the physiological response and satisfaction of the patient more timely, so that the test can be adjusted in real time.

In some embodiments, the method further comprises:

and receiving the identification operation of the target personnel aiming at the target stimulation parameter set by utilizing the interaction device so as to acquire second identification information corresponding to the target stimulation parameter set.

The manner of displaying the corresponding parameter scoring information and/or the stimulation parameter set to the target personnel by utilizing the interaction device comprises the following steps:

And when the target personnel performs the identification operation through the interaction device, acquiring second identification information corresponding to the target stimulation parameter set. The second identifying information may be a label, number or other identifiable indicia, which is not limited in this application. And the interaction device is used for displaying a plurality of target stimulation parameter sets and corresponding identification information thereof to target personnel, so that the target personnel can better distinguish different stimulation parameter sets when evaluating. The target personnel performs selection operation on the displayed multiple stimulation parameter sets through the interaction device to determine the stimulation parameter sets to be displayed. And displaying parameter scoring information corresponding to the stimulation parameter set to be displayed to the target personnel by using the interaction device, so that the target personnel can be helped to more comprehensively know the effect of the currently selected stimulation parameter set.

Benefits of doing so include: the plurality of stimulation parameter sets with the second identification information are displayed, and the second identification information provides a simple identification means, so that a target person can better distinguish and understand each parameter set. The target person can select among the displayed multiple stimulation parameter groups, and respond and display the parameter scoring information of the selected groups in real time, namely, instant decision support is provided, so that the medical professional can adjust the scheme more quickly. The use of the interactive device provides a visual parameter selection interface that allows the medical professional to more clearly understand the multi-dimensional effects of each stimulation parameter set, helping to make more informed decisions.

In some embodiments, the feedback dimension includes at least two of:

It is believed that each dimension represents feedback of a different aspect of the patient that the patient may have during the test. Multidimensional assessment provides an objective way to quantify patient feedback, not just relying on subjective descriptions, helping to assess the effect of treatment more systematically.

The comfort dimension can be used to measure, among other things, whether a patient is comfortable during treatment or uncomfortable. As an example, the comfort during the stimulation may be represented by a numerical score or symbol, e.g. a score of 1 to 10, where 10 indicates very comfort and 1 indicates very discomfort.

The pain dimension may be used to gauge whether a patient is painful. As one example, pain level may be expressed by a pain score, e.g., 0 for no pain and 10 for extreme pain. Physicians can score the pain properties described by the patient, such as stinging, distending pain, soreness, etc., and their corresponding degrees.

The emotional dimension may be used to measure the emotional state of the patient under treatment, including emotion, anxiety, pleasure, and the like. As one example, a doctor may describe their emotion by observing a patient, e.g., pleasure for 10 points, tension for 7 points, fear for 3 points, etc.

The attention dimension may be used to measure the concentration of a patient, including whether attention is readily distracted. As one example, the patient may describe the extent to which attention can be maintained, distraction is easy, or drowsiness is felt during treatment.

The memory dimension can be used to measure the memory and cognitive functions of a patient, including determining memory status. As one example, scoring may be based on the patient's specific gravity describing whether to remember things after treatment.

In some embodiments, the output graphic is any one of a radar map, a line graph, a scatter graph.

Output patterns of the type described above may be used to visually demonstrate the performance of different sets of stimulation parameters in various feedback dimensions. The process of generating an output graph such as a radar chart, a line graph or a scatter chart generally includes mapping scores in various dimensions onto coordinate axes of the graph to form an intuitive visual effect. The output graph provides an intuitive way to compare the effects of different stimulation parameter sets in multiple dimensions, so that a target person can quickly know which parameter sets perform better or worse in which dimensions through the graph, thereby being helpful for better understanding feedback of a patient and providing more comprehensive support for subsequent decisions.

In a specific application scenario, the embodiment of the application also provides an IPG program control method, which includes:

generating a plurality of stimulation parameter sets according to the IPG information and taking the stimulation parameter sets as stimulation parameter sets, wherein the stimulation parameter sets comprise a plurality of stimulation parameters and corresponding values thereof;

selecting a stimulation parameter set from the stimulation parameter set according to a preset sequence and taking the stimulation parameter set as a target stimulation parameter set;

for each target stimulation parameter set, receiving scoring operation of target personnel for the target stimulation parameter set by using an interaction device to obtain parameter scoring information corresponding to the target stimulation parameter set, wherein the parameter scoring information is used for indicating the scoring of the target personnel to a plurality of feedback dimensions of the target object respectively; the feedback dimension includes at least two of: comfort dimension, pain dimension, mood dimension, attention dimension, and memory dimension;

taking the parameter scoring information acquired for each target stimulation parameter set as a parameter scoring information set, and acquiring an output graph according to the stimulation parameter set and the parameter scoring information set, wherein the output graph is used for being displayed to target personnel through an interaction device; the output graph is any one of a radar graph, a line graph and a scatter graph;

the parameter scoring information obtained by scoring operation of the target personnel aiming at each target stimulation parameter set is stored in a storage device; associating the acquired one or more identification information with the corresponding stimulation parameter group and storing the associated stimulation parameter group into a storage device;

displaying a plurality of target stimulation parameter sets with second identification information to the target person using (display means of) the interaction means;

and displaying parameter scoring information and/or a stimulation parameter set corresponding to the stimulation parameter set to be displayed to the target person by using (a display part of) the interaction device.

Apparatus embodiments.

The embodiment of the application also provides an IPG program control device, and the specific embodiment of the IPG program control device is consistent with the embodiment described in the method embodiment and the achieved technical effect, and some of the embodiments are not repeated.

The IPG programming device comprises a memory storing a computer program and at least one processor configured to implement the following steps when executing the computer program:

In some embodiments, prior to selecting the set of stimulation parameters from the set of stimulation parameters of the target subject in a preset order and as the set of target stimulation parameters, the at least one processor is configured to implement the following steps when executing the computer program:

In some embodiments, the at least one processor is configured to obtain the set of stimulation parameter sets of the target object from the first identification information of the target object when executing the computer program in the following manner:

In some embodiments, the at least one processor is further configured to implement the following steps when executing the computer program:

In some embodiments, the feedback dimension includes at least two of:

It is believed that each dimension represents feedback of a different aspect of the patient's likely course of the test. Multidimensional assessment provides an objective way to quantify patient feedback, not just relying on subjective descriptions, helping to assess the effect of treatment more systematically.

As one example, for each set of stimulation parameters, a scoring operation of the patient in different dimensions by a doctor is received through an interaction device.

Program controlled device embodiments.

Referring to fig. 4, fig. 4 is a block diagram of a program control apparatus according to an embodiment of the present application.

The embodiment of the application also provides program control equipment which comprises the interaction device and the IPG program control device. The interaction device can be a computer, a tablet, a mobile phone or projection equipment with display and interaction functions.

System embodiments.

Referring to fig. 5, fig. 5 is a block diagram of a medical system according to an embodiment of the present application.

The embodiment of the application also provides a medical system, which comprises:

the program control device described in the device embodiment;

Storage medium embodiments.

The embodiment of the application also provides a computer readable storage medium, and the specific embodiment of the computer readable storage medium is consistent with the embodiment described in the embodiment of the method and the achieved technical effects, and some of the contents are not repeated.

The computer readable storage medium stores a computer program which, when executed by at least one processor, performs the steps of any of the methods described above, or performs the functions of any of the apparatus described above.

The computer readable medium may be a computer readable signal medium or a computer readable storage medium. In the context of the present application, a computer-readable storage medium may be any tangible medium that can contain, or store a program for use by or in connection with an instruction execution system, apparatus, or device. The computer readable storage medium can be, for example, but not limited to, an electronic, magnetic, optical, electromagnetic, infrared, or semiconductor system, apparatus, or device, or a combination of any of the foregoing. More specific examples (a non-exhaustive list) of the computer-readable storage medium would include the following: an electrical connection having one or more wires, a portable disk, a hard disk, random Access Memory (RAM), read-only memory (ROM), erasable programmable read-only memory (EPROM or flash memory), optical fiber, portable compact disk read-only memory (CD-ROM), an optical storage device, a magnetic storage device, or any suitable combination of the foregoing.

The computer readable storage medium may include a data signal propagated in baseband or as part of a carrier wave, with readable program code embodied therein. Such a propagated data signal may take any of a variety of forms, including, but not limited to, electro-magnetic, optical, or any suitable combination of the foregoing. A computer readable storage medium may also be any computer readable medium that can transmit, propagate, or transport a program for use by or in connection with an instruction execution system, apparatus, or device. Program code embodied on a computer readable storage medium may be transmitted using any appropriate medium, including but not limited to wireless, wireline, optical fiber cable, RF, etc., or any suitable combination of the foregoing. Program code for carrying out operations of the present invention may be written in any combination of one or more programming languages, including an object oriented programming language such as Java, C++ or the like and conventional procedural programming languages, such as the C programming language or similar programming languages. The program code may execute entirely on the user's computing device, partly on the user's device, as a stand-alone software package, partly on the user's computing device, partly on a remote computing device, or entirely on the remote computing device or server. In the case of remote computing devices, the remote computing device may be connected to the user computing device through any kind of network, including a Local Area Network (LAN) or a Wide Area Network (WAN), or may be connected to an external computing device (e.g., connected via the Internet using an Internet service provider).

Program product embodiments.

The embodiment of the application also provides a computer program product, and the specific embodiment of the computer program product is consistent with the embodiment and the achieved technical effect recorded in the embodiment of the method, and part of the contents are not repeated.

The computer program product comprises a computer program which, when executed by at least one processor, performs the steps of any of the methods or performs the functions of any of the apparatus described above.

Referring to fig. 6, fig. 6 is a schematic structural diagram of a computer program product according to an embodiment of the present application.

The computer program product is adapted to carry out the steps of any of the methods or to carry out the functions of any of the apparatuses described above. The computer program product may employ a portable compact disc read only memory (CD-ROM) and comprise program code and may run on a terminal device, such as a personal computer. However, the computer program product of the present invention is not limited thereto, and the computer program product may employ any combination of one or more computer readable media.

The present application is directed to functional enhancement and use elements, which are emphasized by the patent laws, such as the description and drawings, of the present application, but are not limited to the preferred embodiments of the present application, and therefore, all equivalents and modifications, equivalents, and modifications, etc. of the structures, devices, features, etc. of the present application are included in the scope of the present application.

Claims

1. An IPG programming device, the IPG programming device comprising a memory and at least one processor, the memory storing a computer program, the at least one processor being configured to implement the following steps when executing the computer program:

acquiring parameter scoring information corresponding to the target stimulation parameter set through an interaction device, wherein the parameter scoring information is used for indicating scores of target personnel on multiple feedback dimensions of the target object respectively;

2. The IPG programming device of claim 1, wherein prior to selecting the set of stimulation parameters from the set of stimulation parameters of the target subject in a preset order and as the set of target stimulation parameters, the at least one processor is configured to perform the following steps when executing the computer program:

3. The IPG programming device of claim 2, wherein the at least one processor is configured to, when executing the computer program, obtain the set of stimulation parameter sets for the target object based on the first identification information of the target object by:

and generating a plurality of stimulation parameter sets according to the IPG information and taking the stimulation parameter sets as a stimulation parameter set, wherein each stimulation parameter set comprises a plurality of stimulation parameters and corresponding values thereof.

4. The IPG programming device of claim 2, wherein the at least one processor is configured to, when executing the computer program, obtain the set of stimulation parameter sets for the target object based on the first identification information of the target object by:

5. The IPG programming device of claim 1, wherein the at least one processor is further configured to implement the following steps when executing the computer program:

6. The IPG programming device of claim 5, wherein the at least one processor is further configured to implement the following steps when executing the computer program:

7. The IPG programming device of claim 1, wherein the feedback dimensions comprise at least two of:

8. The IPG programming device of claim 1, wherein the output pattern is any one of a radar map, a line graph, and a scatter plot.

9. An IPG programming method, the method comprising:

10. The IPG programming method of claim 9, further comprising:

11. The IPG programming method of claim 10, wherein the obtaining the set of stimulation parameters of the target object based on the first identification information of the target object comprises:

12. The IPG programming method of claim 9, further comprising:

13. A programming device comprising interaction means and an IPG programming means as claimed in claims 1-8.

14. A medical system, the medical system comprising:

the programming device of claim 13;

15. A computer readable storage medium, characterized in that it stores a computer program which, when executed by a processor, implements the functions of the apparatus of any of claims 1-8, or implements the steps of the method of any of claims 9-12.