Technique for linking electrodes together during programming of neurostimulation system

• US 10,199,125 B2
• Filed: 11/25/2016
• Issued: 02/05/2019
• Est. Priority Date: 11/18/2011
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Rao, Prakash, Kothandaraman, Sridhar, Gould, Christopher Britton
• Primary Examiner(s): Manuel, George
• Application Number:
  US15/361,259
• Publication Number:
  US 20170091405A1
• Time in Patent Office: 802 Days
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes
• CPC Class Codes: A61N 1/3605 Implantable neurostimulators for stimulating central or peripheral nerve system
• CPC Class Codes: A61N 1/36185 Selection of the electrode configuration
• CPC Class Codes: A61N 1/37211 Means for communicating with stimulators
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

An external control device for use with a neurostimulator coupled to a plurality of electrodes capable of conveying electrical stimulation energy into tissue in which the electrodes are implanted. The external control device comprises a user interface including at least one control element, a processor configured for independently assigning stimulation amplitude values to a first set of the electrodes, for linking the first set of electrodes together in response to the actuation of the at least one control element, and for preventing the stimulation amplitude values of the first linked set of electrodes from being varied relative to each other, and output circuitry configured for transmitting the stimulation amplitude values to the neurostimulator.

Claims

1. A system for programming a neurostimulator that is configured to deliver neurostimulation using active ones of the plurality of electrodes and at least one fractionalized electrode combination to control a distribution of delivered electrical energy using the active ones of a plurality of electrodes, the system comprising:

a user interface configured to receive a user selection of a first electrode subset having at least one electrode in the plurality of electrodes, the user interface further configured to receive user input for user-directed amplitude adjustments for a second electrode subset, wherein the active ones of the plurality of electrodes include the first electrode subset, the second electrode subset and a third electrode subset, and each of the first, second and third electrode subsets are exclusive of the other ones of the first, second and third electrode subsets; and

a processor configured to;

lock the first electrode subset within the active ones of the plurality of electrodes from amplitude adjustments; and

respond to the received user input for user-directed amplitude adjustments for the second electrode subset by adjusting one or more amplitude values for the second electrode subset according to the user input, and compensating for the adjusted one or more amplitude values for the second electrode subset within the active ones of the plurality of electrodes by automatically adjusting one or more amplitude values for one or more electrodes in the third electrode subset without adjusting amplitude for any electrode in the locked first electrode subset within the active ones of the plurality of electrodes.

2. The system of claim 1 wherein the one or more amplitude values for one or more electrodes in the third electrode subset are automatically adjusted to compensate for the adjusted one or more amplitude values for the second electrode subset to conserve total electrical energy provided by the second and third electrical subsets.

3. The system of claim 1 wherein the processor is configured to automatically compensate for the changed amplitude for the at least one electrode in the second electrode subset by changing an amplitude for at least one other electrode in the second electrode subset to conserve total electrical energy when adjusting the one or more amplitude values for the second electrode subset.

4. The system of claim 1 wherein the processor is configured to globally, scale amplitude adjustments.

5. The system of claim 4 wherein the processor is configured to globally scale amplitude adjustments of the first electrode subset by adjusting a fractionalized current value of each electrode in the first electrode subset by a fixed amount.

6. The system of claim 5 wherein the processor is configured to independently adjust an amplitude of at least one electrode in the second electrode subset.

7. The system of claim 1 wherein the user interface is configured to receive an unlock user selection to unlock the first electrode subset from amplitude adjustments, and the processor is configured to unlock the first electrode subset from amplitude adjustments in response to the unlock user selection.

8. A method for using a user interface and a processor to program a neurostimulator that is configured to deliver neurostimulation using active ones of the plurality of electrodes and at least one fractionalized electrode combination to control a distribution of delivered electrical energy using the active ones of a plurality of electrodes, the method comprising:

receiving, using the user interface a user selection of a first electrode subset having at least one electrode in the plurality of electrodes, and receiving user input for user-directed amplitude adjustments for a second electrode subset, wherein the active ones of the plurality of electrodes include the first electrode subset, the second electrode subset and a third electrode subset, and each of the first, second and third electrode subsets are exclusive of the other ones of the first, second and third electrode subsets;

locking, using the processor, the first electrode subset within the active ones of the plurality of electrodes from amplitude adjustments; and

responding, using the processor, to the received user input for user-directed amplitude adjustments for the second electrode subset by adjusting one or more amplitude values for the second electrode subset according to the user input, and compensating for the adjusted one or more amplitude values for the second electrode subset within the active ones of the plurality of electrodes by automatically adjusting one or more amplitude values for one or more electrodes in the third electrode subset without adjusting amplitude for any electrode in the locked first electrode set within the active ones of the plurality of electrodes.

9. The method of claim 8 wherein the automatically adjusting one or more amplitude values for one or more electrodes in the third electrode subset includes compensating for adjusting the one or more amplitude values for the second electrode subset to conserve total electrical energy provided by the second and third electrical subsets.

10. The method of claim 9 further comprising automatically compensating for the changed amplitude for the at least one electrode in the second electrode subset by changing an amplitude for at least one other electrode in the second electrode subset to conserve total electrical energy when adjusting the one or more amplitude values for the second electrode subset.

11. The method of claim 8 further comprising globally scaling amplitude adjustments of the first electrode subset.

12. The method of claim 11 wherein the globally scaling amplitude adjustments of the first electrode subset includes adjusting a fractionalized current value of each electrode in the first electrode subset by a fixed amount.

13. The method of claim 12 further comprising independently adjusting an amplitude of at least one electrode in the second electrode subset.

14. The method of claim 8 further comprising unlocking the first electrode subset from amplitude adjustments.

15. A non-transitory machine-readable medium including instructions, which when executed by a machine, cause the machine to program a neurostimulator that is configured to deliver neurostimulation using active ones of the plurality of electrodes and at least one fractionalized electrode combination to control a distribution of delivered electrical energy using the active ones of a plurality of electrodes, including:

receive a user selection of a first electrode subset in a plurality of electrodes where the first electrode subset includes at least one of the plurality of electrodes but less than all of the plurality of electrodes, and receive user input for user-directed amplitude adjustments for a second electrode subset, wherein the active ones of the plurality of electrodes include the first electrode subset, the second electrode subset and a third electrode subset, and each of the first, second and third electrode subsets are exclusive of the other ones of the first, second and third electrode subsets;

lock the first electrode subset within the active ones of the plurality of electrodes from amplitude adjustments; and

respond to the received user input for user-directed amplitude adjustments for the second electrode subset by adjusting one or more amplitude values for the second electrode subset according to the user input, and compensate for the adjusted one or more amplitude values for the second electrode subset within the active ones of the plurality of electrodes by automatically adjusting one or more amplitude values for one or more electrodes in the third electrode subset without adjusting amplitude for any electrode in the first electrode set one or more amplitude values for the second electrode subset within the active ones of the plurality of electrodes.

16. The non-transitory machine-readable medium of claim 15, wherein the automatically adjusting one or more amplitude values for one or more electrodes in the third electrode subset includes compensating for adjusting the one or more amplitude values for the second electrode subset to conserve total electrical energy provided by the second and third electrical subsets.

17. The non-transitory machine-readable medium of claim 16, further comprising instructions, which when executed by the machine, cause the machine to:

automatically compensate for the changed amplitude for the at least one electrode in the second electrode subset by changing an amplitude for at least one other electrode in the second electrode subset to conserve total electrical energy when adjusting the one or more amplitude values for the second electrode subset.

18. The non-transitory machine-readable medium of claim 15, further comprising instructions, which when executed by the machine, cause the machine to globally scale amplitude adjustments of the first electrode subset.

19. The non-transitory machine-readable medium of claim 15, wherein globally scaling amplitude adjustments of the first electrode subset includes adjusting a fractionalized current value of each electrode in the first electrode subset by a fixed amount.

20. The non-transitory machine-readable medium of claim 19, further comprising instructions, which when executed by the machine, cause the machine to independently adjust an amplitude of at least one electrode in the second electrode subset.