Techniques for current steering directional programming in a neurostimulation system

• US 10,232,181 B2
• Filed: 03/07/2014
• Issued: 03/19/2019
• Est. Priority Date: 03/15/2013
• 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
• Primary Examiner(s): Getzow, Scott M.
• Application Number:
  US14/200,702
• Publication Number:
  US 20140277262A1
• Time in Patent Office: 1,838 Days
• CPC Class Codes: A61N 1/36128 Control systems
• CPC Class Codes: A61N 1/36185 Selection of the electrode configuration
• CPC Class Codes: A61N 1/37241 providing test stimulations
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: G06F 3/04847 Interaction techniques to control parameter settings, e.g. interaction with sliders or dials

Abstract

A neurostimulation system comprises at least one neurostimulation lead configured for being implanted within tissue. The neurostimulation lead(s) carries a plurality of electrodes capable of being arranged in a two-dimensional pattern. The neurostimulation system further comprises a neurostimulator configured for delivering electrical stimulation energy to the electrodes to create a volume of activation, and an external control device including a current steering direction control element capable of being rotated about an axis. The external control device is configured for prompting the neurostimulator to deliver the electrical stimulation energy to the electrodes in a manner that gradually translates the volume of activation in a specific direction, and for defining the specific direction in which the volume of activation is translated in response to rotation of the direction control element about the axis.

Claims

1. An external control device for use with a two-dimensional array of electrodes implanted within tissue and a neurostimulator capable of delivering electrical stimulation energy to the electrodes to create a volume of activation, comprising:

a user interface including a current steering initiation control element and a current steering direction control element capable of being rotated about an axis;

a controller/processor configured for, in response to actuation of the initiation control element, generating a series of different combinations of the electrodes in a manner that the volume of activation gradually translates in a specific direction when the electrical stimulation energy is delivered to the different electrode combinations, the controller/processor further configured for, in response to rotation of the direction control element about the axis, defining the specific direction in which the volume of activation is translated; and

output circuitry configured for transmitting the different electrode combinations to the neurostimulator.

2. The external control device of claim 1, wherein the user interface includes a display screen configured for displaying the direction control element as a graphical element configured for being rotated by a pointing element.

3. The external control device of claim 1, wherein the direction control element takes the form of a knob.

4. The external control device of claim 1, wherein the direction control element takes the form of a wheel.

5. The external control device of claim 1, wherein the direction control element includes an arrow that indicates the specific direction in which the volume of activation is translated.

6. The external control device of claim 1, wherein the direction control element is capable of being selectively rotated about the axis in a clockwise direction and a counterclockwise direction, and the controller/processor is configured for, in response to rotation of the direction control element about the axis in the clockwise direction, adjusting the direction in which the volume of activation is translated in a first direction, and in response to rotation of the direction control element about the axis in the counterclockwise direction, adjusting the direction in which the volume of activation is translated in a second direction opposite to the first direction.

7. The external control device of claim 1, wherein the different electrode combinations are different fractionalized electrode combinations.

8. The external control device of claim 1, wherein the controller/processor is configured for defining the specific direction in response to the actuation of the direction control element prior to the generation of the series of different electrode combinations.

9. The external control device of claim 1, wherein the controller/processor is configured for defining the specific direction in response to the actuation of the direction control element while the series of different electrode combinations are being generated.

10. The external control device of claim 1, wherein the user interface includes a display screen configured for displaying the volume of activation relative to the electrode array, and the controller/processor is configured for estimating the volume of activation based on the different electrode combinations.

11. The external control device of claim 1, wherein the controller/processor is configured for translating an ideal multipole relative to the electrode array in response actuation of the initiation control element, and wherein the different electrode combinations emulate the translation of the ideal multipole.

12. The external control device of claim 1, wherein the user interface further includes a current steering speed control element, and the controller/processor is configured for, in response to actuation of the speed control element, modifying the manner in which the electrode combinations are generated to adjust the speed at which the volume of activation translates.

13. The external control device of claim 12, wherein the speed control element has an acceleration sub-element and a deceleration sub-element, and the controller/processor is configured for, in response to actuation of the acceleration sub-element, modifying the manner in which the electrode combinations are generated to increase the speed at which the volume of activation translates, and in response to actuation of the deceleration sub-element, modifying the manner in which the electrode combinations are generated to decrease the speed at which the volume of activation translates.

14. The external control device of claim 1, wherein the user interface further includes a current steering time control element, and the controller/processor is configured for, in response to actuation of the time control element, generating the series of different combinations of the electrodes for a specified time period, such that the translation of the volume of activation ceases when the time period has elapsed.

15. The external control device of claim 1, wherein the output circuitry comprises telemetry circuitry.

16. The external control device of claim 1, further comprising a housing containing the user interface, controller/processor, and output circuitry.

17. A neurostimulation system, comprising:

at least one neurostimulation lead configured for being implanted within tissue, the at least one neurostimulation lead carrying a plurality of electrodes capable of being arranged in a two-dimensional pattern;

a neurostimulator configured for delivering electrical stimulation energy to the electrodes to create a volume of activation; and

an external control device including a current steering direction control element capable of being rotated about an axis, the external control device configured for prompting the neurostimulator to deliver the electrical stimulation energy to the electrodes in a manner that gradually translates the volume of activation in a specific direction, and for defining the specific direction in which the volume of activation is translated in response to rotation of the direction control element about the axis.

18. The neurostimulation system of claim 17, wherein external control device is further configured for displaying the direction control element as a graphical element configured for being rotated by a pointing element.

19. The neurostimulation system of claim 17, wherein the direction control element takes the form of a knob.

20. The neurostimulation system of claim 17, wherein the direction control element takes the form of a wheel.

21. The neurostimulation system of claim 17, wherein the direction control element includes an arrow that indicates the specific direction in which the volume of activation is translated.

22. The neurostimulation system of claim 17, wherein the direction control element is cap able of being selectively maneuvered about the axis in a clockwise direction and a counterclockwise direction, and the external control device is configured for, in response to rotation of the direction control element about the axis in the clockwise direction, adjusting the direction in which the volume of activation is translated in a first direction;

and in response to rotation of the direction control element about the axis in the counterclockwise direction, adjusting the direction in which the volume of activation is translated in a second direction opposite to the first direction.

23. The neurostimulation system of claim 17, wherein the external control device is configured for defining the specific direction in response to the actuation of the direction control element prior to prompting the neurostimulator to deliver electrical stimulation energy to the electrodes in a manner that gradually translates the volume of activation in the specific direction.

24. The neurostimulation system of claim 17, wherein the external control device is configured for defining the specific direction in response to the actuation of the direction control element while the neurostimulator is delivering the electrical stimulation energy to the electrodes in a manner that gradually translates the volume of activation in the specific direction.

25. The neurostimulation system of claim 17, wherein the external control device is configured for adjusting the speed at which the volume of activation translates.

26. The neurostimulation system of claim 17, wherein the external control device is configured for defining a time period and automatically ceasing translation of the volume of activation when the time period has elapsed.