An external control device for use with a neurostimulator coupled to electrodes. The external control device comprises a user interface configured for receiving input from a user, and including a display screen configured for displaying graphical representations of the electrodes. The external control device further comprises a controller/processor configured for, in response to the input from the user, linking a subset of the electrodes together, and globally assigning at least one of the same stimulation amplitude value and same on/off state to each of the electrodes. The controller/processor may also be configured for, in response to the input from the user, assigning at least one stimulation parameter value to one of the electrodes, copying/cutting the at least one stimulation parameter value from the one electrode, and pasting the at least one stimulation parameter value to the other electrode and modifying current values of other electrodes to maintain 100% current.

Systems, methods and devices to facilitate insertion of a lead for cardiac therapy into an intercostal space associated with the cardiac notch of a patient are described including devices, methods and medical procedure templates to facilitate insertion proximate to a lateral margin of the patient's sternum.

Techniques for modeling therapy fields for therapy delivered by medical devices are described. Each therapy field model is based on a set of therapy parameters and represents where therapy will propagate from the therapy system delivering therapy according to the set of therapy parameters. Therapy field models may be useful in guiding the modification of therapy parameters. As one example, a processor compares an algorithmic model of a therapy field to a reference therapy field and adjusts at least one therapy parameter based on the comparison. As another example, a processor adjusts at least one therapy parameter to increase an operating efficiency of the therapy system while substantially maintaining the modeled therapy field.

Systems and methods are provided for treating a sexual disorder such as erectile dysfunction (ED) or female sexual arousal disorder (FSAD). An electrical stimulation system may include an implantable stimulation unit, an external patient controller, and an external physician controller. The implantable stimulation unit has an array of electrodes disposed on one or more flexible substrates configured to conform to a patient's anatomy at the pelvic plexus. Post-implantation, the physician controller may direct the stimulation unit to stimulate with select electrode(s) of the array to determine which electrode configuration provides optimal sexual arousal. The patient controller may be used to cause the stimulation unit to stimulate using the optimal electrode configuration at desired times.

A medical device and associated method for detecting and treating tachyarrhythmias acquires a cardiac signal using electrodes coupled to a sensing module. During an initial detection process, a shockable cardiac rhythm is detected by a processing module configured to compare the cardiac signal to a first set of detection criteria. By analyzing the cardiac signal, the processing module establishes at least one patient-specific detection threshold during the initial detection process. Upon establishing the at least one patient-specific detection threshold, the initial detection process is stopped, and a next detection process is started which includes comparing the cardiac signal to a second set of detection criteria including the at least one patient-specific detection threshold. In some embodiments, user programming of tachyarrhythmia detection parameters is not required.

The disclosure relates to an electrical stimulation therapy method. The method includes applying a variable frequency stimulation pulse to target nerve tissue of the patient suffering from dysfunction of a nerve circuit in the brain selected from the group consisting of motor circuit, associative circuit and limbic circuit, wherein the variable frequency stimulation pulse comprises at least two kinds of electrical stimulation pulse trains at different frequencies; and each of the at least two kinds of alternate electrical stimulation pulse trains in each of the plurality of pulse train periods has a duration in a range from about 0.1 seconds to about 60 minutes. The target nerve tissue is a part of the nerve circuit. The different frequencies of the electrical stimulation pulse trains are in a range from about 10 Hz to about 250 Hz.

A method for operating a hearing prosthesis is provided. A plurality of settings are provided, each setting providing a different operating functionality for the hearing prosthesis suitable for different situations. A signal analysis is executed on input signals to the hearing prosthesis. The signal analysis monitors characteristics of a current situation to detect any change and, in the case of detecting change, classifies the current situation into one of a plurality of predefined states. The suitability of the settings is compared with the determined state. One or more optimal choice(s) of setting(s) is identified for the current situation. The one or more optimal choice(s) of setting(s) is presented to a user . The user is then allowed to make a selection from the presented choice(s) of setting(s). If a selection is received from the user, the selected setting is executed. A hearing prosthesis is also provided.

Techniques for managing stored information in an implantable medical device system using multiple user accounts are described. An implantable medical device system may provide a general user account and a set of authenticable user accounts. In some examples, the general user account does not require a user of a programmer in an implantable medical device system to enter user identity information to manage information stored in the implantable medical device system. The general user account may be permitted to perform a subset of actions available to an authenticable user account. In some examples, an authenticable user account may rollback changes made to the stored information by the general user account. An authenticable user account may also be able to synchronize changes made to the stored information across all or some of the user accounts.

An example of a system may include a processor and a memory device comprising instructions, which when executed by the processor, cause the processor to receive, in a graphical user interface, a clinician input of physiological information and therapy information for neurostimulation treatment of a human subject using a neurostimulation device, and request a neurostimulation program corresponding to the physiological information and the therapy information from a remote programming guidance information system. For example, program data of a neurostimulation program may be provided from the programming guidance information system, selected on the basis of a best match to the physiological information and the therapy information. A representation of the program data and the parameters of the neurostimulation program may be displayed in the graphical user interface, including ratings, comments, and other characteristics of the neurostimulation program that are maintained by the remote programming guidance information system.

A patch for a therapeutic electrical stimulation device includes a shoe connected to the first side of the patch, the shoe including a body extending in a longitudinal direction from a first end to a second end, and having first and second surfaces, the first end of the shoe defining at least two ports, and the first surface of the shoe defining a connection member. The patch also includes at least one conductor positioned in the ports of the first end of the shoe. The shoe is configured for sliding insertion into a receptacle defined by a controller so that the conductor is connected to the controller to deliver electrical current from the controller, through the conductor, and to the electrodes, and the connection member is at least partially captured by a detent defined by the controller in the receptacle to retain the shoe within the receptacle.