User interface for custom patterned electrical stimulation

• US 10,335,601 B2
• Filed: 06/13/2016
• Issued: 07/02/2019
• Est. Priority Date: 07/30/2015
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Wechter, David Ernest
• Primary Examiner(s): Evanisko, George R
• Application Number:
  US15/180,980
• Publication Number:
  US 20170050033A1
• Time in Patent Office: 1,114 Days
• CPC Class Codes: A61B 5/24 Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
• CPC Class Codes: A61B 5/4035 Evaluating the autonomic nervous system
• CPC Class Codes: A61B 5/7475 User input or interface means, e.g. keyboard, pointing device, joystick
• CPC Class Codes: A61N 1/0556 Cuff electrodes
• CPC Class Codes: A61N 1/36053 adapted for vagal stimulation A61N1/36114 takes precedence
• CPC Class Codes: A61N 1/36114 Cardiac control, e.g. by vagal stimulation stimulating the heart A61N1/362
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: A61N 1/37264 Changing the program; Upgrading firmware
• CPC Class Codes: G06F 3/0483 Interaction with page-structured environments, e.g. book metaphor
• CPC Class Codes: G06F 3/04842 Selection of displayed objects or displayed text elements G06F3/0482 takes precedence
• CPC Class Codes: G06F 3/0488 using a touch-screen or digitiser, e.g. input of commands through traced gestures
• CPC Class Codes: G16H 40/63 for local operation

Abstract

A neurostimulation system includes a programming control circuit and a user interface. The programming control circuit may be configured to generate a plurality of stimulation parameters controlling delivery of neurostimulation pulses according to one or more neurostimulation programs each specifying a pattern of the neurostimulation pulses. The user interface includes a display screen, a user input device, and a neurostimulation program circuit. The neurostimulation program circuit may be configured to allow for construction of one or more pulse trains (PTs) and one or more train groupings (TGs) of the one or more neurostimulation programs, and to allow for scheduling of delivery of the one or more neurostimulation programs, using the display screen and the user input device. Each PT includes one or more pulse blocks each including a plurality of pulses of the neurostimulation pulses. Each TG includes one or more PTs.

Claims

1. A neurostimulation system, comprising:

a stimulation device configured to deliver neurostimulation pulses and to control the delivery of the neurostimulation pulses using a plurality of stimulation parameters;

a programming device configured to transmit the plurality of stimulation parameters to the stimulation device, the programming device including a programming control circuit configured to generate the plurality of stimulation parameters according to scheduled one or more neurostimulation programs each specifying a pattern of the neurostimulation pulses; and

a user interface coupled to the programming control circuit and including a display screen, a user input device, and a neurostimulation program circuit coupled to the display screen and the user input device, the neurostimulation program circuit configured to display a program creation area including a pulse train (PT) construction area and a train grouping (TG) construction area on the display screen, to create building blocks of the one or more neurostimulation programs including constructing PTs by temporally arranging one or more pulse blocks (PBs) in the PT construction area using the user input device and constructing TGs by temporally arranging one or more PTs selected from the constructed PTs in the TG construction area using the user input device, wherein constructing the TGs further includes receiving an order and a number of repetitions of the one or more PBs in each PT of the one or more PTs in the TG construction area using the user input device, to display a program scheduling area on the display screen, to schedule the one or more neurostimulation programs by temporally arranging one or more TGs selected from the constructed TGs for each program of the one or more neurostimulation programs and specifying one or more delivery times for the each program in the program scheduling area using the user input device, and to transmit the scheduled one or more neurostimulation programs to the programming device, the one or more PBs each including a plurality of pulses of the neurostimulation pulses.

2. The system of claim 1, wherein the display screen comprises a touchscreen, and a portion of the user input device is integrated into the touchscreen.

3. The system of claim 1, wherein the neurostimulation program circuit is configured to receive a neurostimulation programming command using the user input device, to display a neurostimulation program area on the display screen in response to the neurostimulation programming command, to receive user commands including a program creation command and a program scheduling command using the user input device while the neurostimulation program area is displayed, to display the program creation are in response to the program creation command, and to display the program scheduling area in response to the program scheduling command.

4. The system of claim 3, wherein the neurostimulation program circuit is configured to display the PT construction area and the TG construction area on the screen in response to the program creation command.

5. The system of claim 4, wherein the neurostimulation program circuit is configured to display the program scheduling area on the screen in response to the program scheduling command.

6. The system of claim 5, wherein the one or more neurostimulation programs comprise a plurality of programs, and the neurostimulation program circuit is configured to allow scheduling of the plurality of programs to be delivered simultaneously.

7. The system of claim 1, wherein the neurostimulation program circuit is configured to display a program creation tab and a program scheduling tab on the screen, to receive a program creation command when the program creation tab is selected, and to receive a program scheduling command when the program scheduling tab is selected.

8. The system of claim 1, further comprising a storage device including a PT library having one or more stored PTs, and the neurostimulation program circuit is configured to allow use of the one or more stored PTs in the construction of the one or more PTs, and to allow each newly constructed PT of the one or more PTs to be added to the one or more stored PTs in the PT library.

9. The system of claim 1, wherein the storage device further comprises a TG library having one or more stored TGs, and the neurostimulation program circuit is configured to allow use of the one or more stored TGs in the construction of the one or more TGs, and to allow each newly constructed TG of the one or more TGs to be added to the one or more stored TGs in the TG library.

10. The system of claim 1, wherein the storage device further comprises a program library having one or more scheduled programs, and the neurostimulation program circuit is configured to allow to schedule a new program by rescheduling a scheduled program of the one or more scheduled programs and to allow each newly scheduled program to be added to the one or more scheduled programs in the program library.

11. A method for delivering neurostimulation pulses, comprising:

creating building blocks of one or more neurostimulation programs each specifying a pattern of the neurostimulation pulses, including;

displaying a program creation area including a pulse train (PT) construction area and a train grouping (TG) construction area on a display screen of a user interface; and

constructing PTs by temporally arranging one or more pulse blocks (PBs) in the PT construction area using a user input device of the user interface and constructing TGs by temporally arranging one or more PTs selected from the constructed PTs in the TG construction area using the user input device, wherein constructing the TGs further includes receiving an order and a number of repetitions of the one or more PBs in each PT of the one or more PTs in the TG construction area using the user input device, the one or more PBs each including a plurality of pulses of the neurostimulation pulses; and

scheduling the one or more neurostimulation programs, including;

displaying a program scheduling area on the display screen; and

scheduling the delivery of the one or more neurostimulation programs by temporally arranging one or more TGs selected from the constructed TGs for each program of the one or more neurostimulation programs and scheduling one or more delivery times for the each program in the programming scheduling area using the user input device;

generating a plurality of stimulation parameters based on the scheduled one or more neurostimulation programs;

transmitting the plurality of stimulation parameters to a stimulation device;

delivering the neurostimulation pulses from the stimulation device; and

controlling the delivery of the neurostimulation pulses using the plurality of stimulation parameters.

12. The method of claim 11, further comprising delivering the neurostimulation pulses from an implantable medical device.

13. The method of claim 11, further comprising receiving user commands from the user using the user interface, the user commands including a program creation command and a program scheduling command.

14. The method of claim 13, further comprising:

displaying a program creation tab and a program scheduling tab on the screen;

receiving the program creation command when the program creation tab is selected; and

receiving the program scheduling command when the program scheduling tab being selected.

15. The method of claim 14, further comprising:

displaying the PT construction area and the TG construction area on the screen in response to the program creation command;

receiving from the user a selection of a PT from the PTs;

displaying the selected PT in the PT construction area;

allowing the user to define the plurality of pulses in each PB of the one or more PBs of the selected PT;

receiving from the user a selection of a TG from the TGs;

displaying the selected TG in the TG construction area; and

allowing the user to define the TG as a sequence of PTs each selected from the PTs.

16. The method of claim 14, further comprising:

displaying the program scheduling area on the screen in response to the programming scheduling command;

receiving from the user a selection of a program from the one or more neurostimulation programs;

displaying the selected program in the program scheduling area; and

allowing the user to schedule the selected program, including specifying time of delivery for each TG of the one or more TGs in the each program.

17. The method of claim 16, further comprising allowing the user to specify a frequency of delivery of the each program.

18. The method of claim 16, further comprising receiving from the user a selection of a plurality of neurostimulation programs from the one or more neurostimulation programs to be run simultaneously.

19. The method of claim 11, wherein receiving the order of the one or more PBs in each PT comprises receiving a selection between a predetermined order and a randomized order.

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

create building blocks of one or more neurostimulation programs each specifying a pattern of the neurostimulation pulses by displaying a program creation area including a pulse train (PT) construction area and a train grouping (TG) construction area on a display screen and constructing PTs by temporally arranging one or more pulse blocks (PBs) in the PT construction area and constructing TGs by temporally arranging one or more PTs selected from the constructed PTs in the TG construction area using the user input device, wherein constructing the TGs further includes receiving an order and a number of repetitions of the one or more PBs in each PT of the one or more PTs in the TG construction area, the one or more PBs each including a plurality of pulses of the neurostimulation pulses; and

schedule the one or more neurostimulation programs by displaying a program scheduling area on the display screen and scheduling the delivery of the one or more neurostimulation programs by temporally arranging one or more TGs selected from the constructed TGs for each program of the one or more neurostimulation programs and scheduling one or more delivery times for the each program in the programming scheduling area;

generate a plurality of stimulation parameters based on the scheduled one or more neurostimulation programs; and

transmit the plurality of stimulation parameters to a stimulation device configured to deliver the neurostimulation pulses and to control the delivery of the neurostimulation pulses using the plurality of stimulation parameters.