Automatic current balancing with lock control for a clinician programmer

• US 10,159,843 B2
• Filed: 09/02/2016
• Issued: 12/25/2018
• Est. Priority Date: 05/16/2013
• Status: Active Grant

• Current Assignee: Cirtec Medical Corp.
• Original Assignee: Nuvectra Corporation
• Inventors: Kaula, Norbert, Iyassu, Yohannes
• Primary Examiner(s): Lee, Erica
• Application Number:
  US15/256,149
• Publication Number:
  US 20170050034A1
• Time in Patent Office: 844 Days
• Field of Search: None
• CPC Class Codes: A61N 1/36185 Selection of the electrode configuration
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: G06F 3/0482 Interaction with lists of selectable items, e.g. menus
• CPC Class Codes: G06F 3/0484 for the control of specific functions or operations, e.g. selecting or manipulating an object, an image or a displayed text element, setting a parameter value or selecting a range
• CPC Class Codes: G06F 3/04842 Selection of displayed objects or displayed text elements G06F3/0482 takes precedence
• CPC Class Codes: G06F 3/04847 Interaction techniques to control parameter settings, e.g. interaction with sliders or dials
• CPC Class Codes: G06F 3/0485 Scrolling or panning
• CPC Class Codes: G16H 20/30 relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 50/50 for simulation or modelling of medical disorders
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

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.

Claims

1. A method of performing electrical stimulation programming, the method comprising:

in response to a plurality of electrodes being in an unlocked state, automatically allocating an electrical stimulation substantially evenly among the plurality of electrodes;

in response to a user engagement with a first electrode of the plurality of electrodes, putting the first electrode in a locked state, while one or more second electrodes of the plurality of electrodes remain in the unlocked state;

while the first electrode is in the locked state, allocating a first fraction of the electrical stimulation to the first electrode, where the locked state of the first electrode at least temporarily fixes the first fraction of the electrical stimulation to the first electrode such that the first fraction is user-adjustable but cannot be automatically changed;

in response to the first electrode being put in the locked state, automatically allocating a respective second fraction of the electrical stimulation to the one or more second electrodes, wherein the second fraction is a function of the first fraction and a total number of the one or more second electrodes;

thereafter adding a new electrode to the one or more second electrodes or deleting one of the one or more second electrodes, wherein the adding or the deleting is performed while the first fraction is still at least temporarily fixed to the first electrode;

automatically adjusting the respective second fractions in response to the adding or the deleting, wherein the automatically adjusting is performed without affecting the first fraction of the electrical stimulation that has been at least temporarily fixed to the first electrode; and

while the first electrode is in the locked state, adjusting the first fraction of the electrical stimulation in response to user input.

2. The method of claim 1, wherein the electrical stimulation comprises:

a total anodic electrical stimulation current;

a total cathodic electrical stimulation current;

a total anodic electrical stimulation voltage;

or

a total cathodic electrical stimulation voltage.

3. The method of claim 1, wherein the first electrode and the one or more second electrodes have a same electrode polarity.

4. The method of claim 1, wherein the automatically allocating the respective second fractions is performed such that the respective second fractions are substantially equal to one another.

5. The method of claim 1, wherein:

the automatically allocating the respective second fractions is performed such that each of the respective second fractions is substantially equal to;

(a total electrical stimulation−

the first fraction of the electrical stimulation) I the total number of the one or more second electrodes; and

the automatically adjusting the respective second fractions is performed such that each of the adjusted respective second fractions is substantially equal to;

(a total electrical stimulation−

the first fraction of the electrical stimulation) I a total number of the one or more second electrodes after the adding or deleting.

6. The method of claim 1, further comprising:

releasing the first electrode from being at least temporarily fixed to the first fraction of the electrical stimulation; and

in response to the releasing, automatically allocating a substantially same amount of electrical stimulation to the first electrode and each of the one or more second electrodes.

7. The method of claim 1, further comprising:

automatically re-allocating the respective second fractions for each of the one or more second electrodes in response to the adjusted first fraction.

8. An electronic device for programming electrodes on a lead, the electronic device comprising:

a memory storage component configured to store programming code; and

a computer processor configured to execute the programming code to perform operations that include;

in response to a plurality of electrodes being in an unlocked state, automatically allocating an electrical stimulation substantially evenly among the plurality of electrodes;

in response to a user engagement with a first electrode of the plurality of electrodes, putting the first electrode in a locked state, while one or more second electrodes of the plurality of electrodes remain in the unlocked state;

while the first electrode is in the locked state, allocating a first fraction of the electrical stimulation to the first electrode, where the locked state of the first electrode at least temporarily fixes the first fraction of the electrical stimulation to the first electrode such that the first fraction is user- adjustable but cannot be automatically changed;

in response to the first electrode being put in the locked state, automatically allocating a respective second fraction of the electrical stimulation to the one or more second electrodes, wherein the second fraction is a function of the first fraction and a total number of the one or more second electrodes;

thereafter adding a new electrode to the one or more second electrodes or deleting one of the one or more second electrodes, wherein the adding or the deleting is performed while the first fraction is still at least temporarily fixed to the first electrode;

automatically adjusting the respective second fractions in response to the adding or the deleting, wherein the automatically adjusting is performed without affecting the first fraction of the electrical stimulation that has been at least temporarily fixed to the first electrode; and

while the first electrode is in the locked state, adjusting the first fraction of the electrical stimulation in response to user input.

9. The electronic device of claim 8, wherein the electrical stimulation comprises:

a total anodic electrical stimulation current;

a total cathodic electrical stimulation current;

a total anodic electrical stimulation voltage;

or

a total cathodic electrical stimulation voltage.

10. The electronic device of claim 8, wherein the first electrode and the one or more second electrodes have a same electrode polarity.

11. The electronic device of claim 8, wherein the automatically allocating the respective second fractions is performed such that the respective second fractions are substantially equal to one another.

12. The electronic device of claim 8, wherein:

the automatically allocating the respective second fractions is performed such that each of the respective second fractions is substantially equal to;

(a total electrical stimulation−

the first fraction of the electrical stimulation) I the total number of the one or more second electrodes; and

the automatically adjusting the respective second fractions is performed such that each of the adjusted respective second fractions is substantially equal to;

(a total electrical stimulation−

the first fraction of the electrical stimulation) I a total number of the one or more second electrodes after the adding or deleting.

13. The electronic device of claim 8, further comprising:

releasing the first electrode from being at least temporarily fixed to the first fraction of the electrical stimulation; and

in response to the releasing, automatically allocating a substantially same amount of electrical stimulation to the first electrode and each of the one or more second electrodes.

14. The electronic device of claim 8, wherein the operation further comprise:

automatically re-allocating the respective second fractions for each of the second electrodes in response to the adjusted first fraction.

15. A medical system, comprising:

an implantable medical device, the implantable medical device including a lead having a plurality of electrodes, wherein the implantable medical device is configured to deliver an electrical stimulation to a patient at least in part via the electrodes; and

an electronic programmer that is configured to perform operations that include;

in response to the plurality of electrodes being in an unlocked state, automatically allocating the electrical stimulation substantially evenly among the plurality of electrodes;

in response to a user engagement with a first electrode of the plurality of electrodes, putting the first electrode in a locked state, while one or more second electrodes of the plurality of electrodes remain in the unlocked state;

while the first electrode is in the locked state, allocating a first fraction of the electrical stimulation to a first electrode, where the locked state of the first electrode at least temporarily fixes the first fraction of the electrical stimulation to the first electrode such that the first fraction is user-adjustable but cannot be automatically changed;

in response to the first electrode being put in the locked state, automatically allocating a respective second fraction of the electrical stimulation to the one or more second electrodes, wherein the second fraction is a function of the first fraction and a total number of the one or more second electrodes;

thereafter adding a new electrode to the one or more second electrodes or deleting one of the one or more second electrodes, wherein the adding or the deleting is performed while the first fraction is still at least temporarily fixed to the first electrode;

automatically adjusting the respective second fractions in response to the adding or the deleting, wherein the automatically adjusting is performed without affecting the first fraction of the electrical stimulation that has been at least temporarily fixed to the first electrode; and

while the first electrode is in the locked state, adjusting the first fraction of the electrical stimulation in response to user input.

16. The medical system of claim 15, wherein the electrical stimulation comprises:

a total anodic electrical stimulation current;

a total cathodic electrical stimulation current;

a total anodic electrical stimulation voltage;

or

a total cathodic electrical stimulation voltage.

17. The medical system of claim 15, wherein the first electrode and the one or more second electrodes have a same electrode polarity.

18. The medical system of claim 15, wherein the automatically allocating the respective second fractions is performed such that the respective second fractions are substantially equal to one another.

19. The medical system of claim 15, wherein:

the automatically allocating the respective second fractions is performed such that each of the respective second fractions is substantially equal to;

(a total electrical stimulation−

the first fraction of the electrical stimulation) I the total number of the one or more second electrodes; and

the automatically adjusting the respective second fractions is performed such that each of the adjusted respective second fractions is substantially equal to;

(a total electrical stimulation−

the first fraction of the electrical stimulation) I a total number of the one or more second electrodes after the adding or deleting.

20. The medical system of claim 15, wherein the operations further comprise:

releasing the first electrode from being at least temporarily fixed to the first fraction of the electrical stimulation;

in response to the releasing, automatically allocating a substantially same amount of electrical stimulation to the first electrode and each of the one or more second electrodes;

and

automatically re-allocating the respective second fractions for each of the second electrodes in response to the adjusted first fraction.