Systems and methods for programming a neuromodulation system

• US 10,300,278 B2
• Filed: 02/28/2018
• Issued: 05/28/2019
• Est. Priority Date: 12/12/2013
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Grandhe, Sarvani
• Primary Examiner(s): Lavert, Nicole F
• Application Number:
  US15/908,217
• Publication Number:
  US 20180185647A1
• Time in Patent Office: 454 Days
• Field of Search: 607 46
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/36132 using patient feedback
• 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

Abstract

A method of operating an implantable neuromodulator includes calculating an index for each of a plurality of modulation parameter sets, wherein each modulation parameter set includes a respective plurality of modulation parameters from which the respective index is calculated, serially conveying electrical modulation energy to a patient in accordance with each of the plurality of modulation parameter sets, causing the patient to perceive paresthesia in response to the conveyance of the electrical modulation energy to the tissue in accordance with one of the plurality of modulation parameter sets, identifying the calculated index for that one modulation parameter set as a perception threshold index based on the perceived paresthesia, and storing the identified perception threshold index. The method may also include determining a new modulation parameter set based on the identified perception threshold index, and conveying electrical modulation energy to the tissue in accordance with the new modulation parameter set.

Claims

1. A method, comprising:

determining a change factor for a first perception threshold index and a second perception threshold index;

determining a modulation signal index based on the change factor; and

determining a set of one or more programs based on the modulation signal index.

2. The method of claim 1, further comprising identifying the first perception threshold index and the second perception threshold index before determining the change factor.

3. The method of claim 1, wherein the set of one or more programs includes a program for delivering a subthreshold neuromodulation therapy.

4. The method of claim 1, wherein each of the first perception threshold index;

the second perception threshold index and the modulation signal index are determined as a function of a corresponding plurality of neuromodulation parameters.

5. The method of claim 1, wherein each of the first perception threshold index, the second perception threshold index and the modulation signal index are energy indices determined by multiplying respective amplitudes, pulse widths, and frequencies.

6. The method of claim 1, wherein each of the first perception threshold index, the second perception threshold index and the modulation signal index are charge indices determined by multiplying respective amplitudes and pulse widths.

7. The method of claim 1, wherein the determining the set of one or more programs includes determining an absolute value of the at least one of a plurality of neuromodulation parameters.

8. A non-transitory machine-readable medium including instructions, which when executed by a machine, cause the machine to:

determine a change factor for a first perception threshold index and a second perception threshold index;

determine a modulation signal index based on the change factor; and

determine a set of one or more programs based on the modulation signal index.

9. The non-transitory machine-readable medium of claim 8, wherein the instructions further comprise instructions, which when executed by the machine, cause the machine to identify the first perception threshold index and the second perception threshold index before determining the change factor.

10. The non-transitory machine-readable medium of claim 8, wherein the set of one or more programs includes a program for delivering a subthreshold neuromodulation therapy.

11. The non-transitory machine-readable medium of claim 8, wherein each of the first perception threshold index, the second perception threshold index and the modulation signal index are determined as a function of a corresponding plurality of neuromodulation parameters.

12. The non-transitory machine-readable medium of claim 8, wherein each of the first perception threshold index, the second perception threshold index and the modulation signal index are energy indices determined by multiplying respective amplitudes, pulse widths, and frequencies.

13. The non-transitory machine-readable medium of claim 8, wherein each of the first perception threshold index, the second perception threshold index and the modulation signal index are charge indices determined by multiplying respective amplitudes and pulse widths.

14. The non-transitory machine-readable medium of claim 8, wherein the determine the set of one or more programs includes determine an absolute value of the at least one of a plurality of neuromodulation parameters.

15. A neuromodulation system for use with a plurality of electrodes to provide therapy to a patient, the neuromodulation system comprising:

an electrical neurostimulator configured to be coupled to the plurality of electrodes; and

an external control device configured to;

determine a change factor for a first perception threshold index and a second perception threshold index;

determine a modulation signal index based on the change factor; and

determine a set of one or more programs based on the modulation signal index.

16. The system of claim 15, wherein the set of one or more programs includes a program for delivering a subthreshold neuromodulation therapy.

17. The system of claim 15, wherein each of the first perception threshold index, the second perception threshold index and the modulation signal index are determined as a function of a corresponding plurality of neuromodulation parameters.

18. The system of claim 15, wherein each of the first perception threshold index, the second perception threshold index and the modulation signal index are energy indices determined by multiplying respective amplitudes, pulse widths, and frequencies.

19. The system of claim 15, wherein each of the first perception threshold index, the second perception threshold index and the modulation signal index are charge indices determined by multiplying respective amplitudes and pulse widths.

20. The system of claim 15, wherein the external control device is configured to determine the set of one or more programs by determining an absolute value of the at least one of a plurality of neuromodulation parameters.