Patent ID: 11890465
Assignee: BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Field: Medical technology (Instruments)
Classification: CPC A | IPC A

Claim 0:
1. A neuromodulation system comprising:
a first device configured to control a plurality of electrodes configured to be implanted in a patient's spinal column, wherein each electrode is configurable to provide electrical stimulation to the patient's spinal cord and/or to sense action potentials in the patient's spinal cord, wherein the first device comprises a microcontroller and a non-transitory computer-readable medium comprising instructions configured to cause the microcontroller to:
cause a first one or more of the electrodes to issue first waveforms to the patient's spinal cord, wherein the first waveforms are configured to evoke action potentials in the patient's spinal cord,
cause a second one or more of the electrodes to record the evoked action potentials evoked in the patient's spinal cord by the first waveforms,
determine at least one feature of the evoked action potentials,
based on the at least one feature, determine whether to issue second waveforms at a third one or more of the electrodes, wherein the third one or more of the electrodes are different than the first one or more of the electrodes,
if it is determined to issue second waveforms:
determine if the second waveforms are enhancing waveforms comprising a pre-pulse component configured to enhance the evoked action potentials or inhibiting waveforms comprising a pre-pulse component configured to inhibit the evoked action potentials, and
trigger the third one or more electrodes to issue the enhancing or inhibiting waveforms to the patient's spinal cord, and

not issue second waveforms if it is determined not to issue second waveforms.