Neuromodulation with burst stimulation

• US 10,391,315 B2
• Filed: 08/24/2017
• Issued: 08/27/2019
• Est. Priority Date: 09/23/2014
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Moffitt, Michael A., Zhu, Changfang
• Primary Examiner(s): Hulbert, Amanda K
• Assistant Examiner(s): Edwards, Philip C
• Application Number:
  US15/685,916
• Publication Number:
  US 20170348532A1
• Time in Patent Office: 733 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 1/36189 using modulation techniques

Abstract

An example of a system may include electrodes on at least one lead configured to be operationally positioned for use in modulating neural tissue where the neural tissue including dorsal horn tissue or nerve root tissue, a neural modulation generator, and a controller. The neural modulation generator may be configured to use at least some electrodes to generate a modulation field. The neural modulation generator maybe configured to use a programmed modulation parameter set to promote uniformity of the modulation field in the dorsal horn tissue. The controller may be configured to control the neural modulation generator to generate the modulation field in pulse trains of at least two pulses.

Claims

1. A non-transitory machine-readable medium including instructions, which when executed by a machine operably connected to electrodes positioned proximate to dorsal horn tissue or nerve root tissue, cause the machine to:

modulate the dorsal horn tissue or the nerve root tissue by delivering modulation energy using the electrodes to promote a uniform modulation field along a span of a lead where the span includes at least two of the electrodes, wherein the delivered modulation energy includes pulse trains of at least two pulses, and wherein the uniform modulation field includes a constant E field, a constant |E| field or a constant V field in the dorsal horn tissue or the nerve root tissue along the span of the lead.

2. The non-transitory machine-readable medium of claim 1, wherein each pulse train has a duration less than 100 ms.

3. The non-transitory machine-readable medium of claim 1, wherein each pulse train has a duration more than 2 ms and less than 50 ms.

4. The non-transitory machine-readable medium of claim 1, wherein a time between successive pulse trains is more than a duration of each of the successive pulse trains.

5. The non-transitory machine-readable medium of claim 1, wherein each pulse train has less than 10 pulses.

6. The non-transitory machine-readable medium of claim 1, wherein each pulse train has an interpulse duration within a range of 2 ms to 5 ms.

7. The non-transitory machine-readable medium of claim 1, wherein the uniform modulation field includes the constant E field in one or more orientations within the dorsal horn tissue or the nerve root tissue.

8. The non-transitory machine-readable medium of claim 1, wherein generating the modulation field includes using the modulation parameter set to control current contributions of the electrodes to provide the uniform modulation field in the neural tissue.

9. A non-transitory machine-readable medium including instructions, which when executed by a machine operably connected to electrodes positioned proximate to dorsal horn, cause the machine to:

modulate the dorsal horn tissue using the electrodes to promote a constant electric field in the dorsal horn tissue along the electrodes in pulse trains of at least two pulses with a pulse train duration of less than 100 ms according to a programmed modulation parameter set that includes fractionalized current settings for controlling anodic or cathodic current contributions of the electrodes to promote the constant electric field in the dorsal horn tissue.

10. The non-transitory machine-readable medium of claim 9, wherein the pulse train duration of each pulse train is more than 2 ms and less than 50 ms.

11. The non-transitory machine-readable medium of claim 9, wherein a total number of pulses in each pulse train is less than 10 pulses in each pulse train.

12. The non-transitory machine-readable medium of claim 9, wherein each pulse train has an interpulse duration within a range of 2 ms to 5 ms, and a time between successive pulse trains is more than the interpulse duration of each pulse train, and wherein the constant electric field includes more than one orientation within the dorsal horn tissue.

13. A system operably connectable to electrodes positioned proximate to dorsal horn tissue or nerve root tissue, the system comprising:

a neural modulation generator configured to use at least some of the electrodes to promote a uniform modulation field in the dorsal horn tissue or the nerve root tissue according to a programmed modulation parameter set that includes fractionalized current settings for controlling anodic or cathodic current contributions of the electrodes to promote the uniform modulation field; and

a controller configured to control the neural modulation generator to generate the modulation field in pulse trains of at least two pulses.

14. The system of claim 13, wherein a time between successive pulse trains is more than the duration of each pulse train.

15. The system of claim 13, wherein the duration of each pulse train is less than 100 ms.

16. The system of claim 13, wherein the duration of each pulse train is more than 2 ms and less than 50 ms.

17. The system of claim 13, wherein each pulse train has less than 10 pulses.

18. The system of claim 13, wherein each pulse train has an interpulse duration within a range of 2 ms to 5 ms, and a time between successive pulse trains is more than the interpulse duration of each pulse train.

19. The system of claim 13, wherein the uniform modulation field includes an approximately constant electric field in the dorsal horn tissue.

20. The system of claim 13, wherein the uniform modulation field includes more than one orientation within the dorsal horn tissue or the nerve root tissue.