User interface for neuromodulation lead

• US 10,456,584 B2
• Filed: 09/13/2016
• Issued: 10/29/2019
• Est. Priority Date: 09/15/2015
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Howard, Joshua Dale, Steinke, G. Karl, Mustakos, Richard
• Primary Examiner(s): Dietrich, Joseph M
• Application Number:
  US15/264,474
• Publication Number:
  US 20170072207A1
• Time in Patent Office: 1,141 Days
• CPC Class Codes: A61N 1/0534 Electrodes for deep brain stimulation
• 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 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: G16H 40/63 for local operation

Abstract

Systems and methods for determining a parameter set and programming a neuromodulation system with the parameter set are disclosed. The system includes a user interface having a display screen to display simplified graphical representations (SGRs) of the lead with at least one virtual electrode (VE) that represents one or more electrodes, and control elements. The SGRs of the lead can provide longitudinal and circumferential representations of the VE, respectively representing longitudinal or circumferential position, size, shape, or spread of the VE. The control elements may include longitudinal and circumferential control elements to enable the user to respectively adjust the longitudinal or circumferential position, size, shape, or spread of the VE. The system may generate the neuromodulation parameter set using the longitudinal and circumferential representations of the VE, and program the neuromodulation system with the neuromodulation parameter set.

Claims

1. A system for use with a neuromodulation system that includes a physical lead having one or more electrodes at least partially surrounding a circumference of the physical lead for electrically modulating a target tissue of a patient, the system comprising:

a user interface including a display screen configured to display;

simplified graphical representations of the physical lead with at least one user-modifiable virtual electrode (VE) on the graphical representation of the physical lead, wherein the user-modifiable VE represents, as a single VE conforming to the lead representation, a combination of at least two physical electrodes on the physical lead, the simplified graphical representations including one or more of;

at least a first view of the lead representation to provide a longitudinal representation of the VE representing a longitudinal position of the VE along a length of the lead representation;

or

at least a second view of the lead representation to provide a circumferential representation of the VE representing a circumferential position of the VE around at least a portion of a circumference of the lead representation;

control elements to enable a user to adjust the simplified graphical representations of the lead, the control elements including;

longitudinal control elements to enable the user to adjust the longitudinal representation of the VE including the longitudinal position of the VE along the length of the lead representation; and

circumferential control elements to enable the user to adjust the circumferential representation of the VE including the circumferential position of the VE; and

a programmer coupled to the user interface, configured to use the longitudinal representation of the VE and the circumferential representation of the VE to generate a neuromodulation parameter set.

2. The system of claim 1, wherein:

the first view of the lead representation is a view illustrating a longitudinal length of a portion of the lead representation, and the second view is a sectional view of the lead representation; and

the control elements include one or more view control elements to enable a user to select between at least the first and second views of the lead representation.

3. The system of claim 1, wherein the simplified graphical representations of the lead include two or more VEs, and wherein the control elements include at least one VE activation control element to selectively activate, deactivate, show, or hide at least one of the two or more VEs.

4. The system of claim 1, wherein:

the first view of the lead representation further provides a representation of longitudinal size, shape, or spread of the VE along the length of the lead representation; and

the longitudinal control elements further enable the user to adjust the longitudinal size, shape, or spread of the VE.

5. The system of claim 4, wherein the longitudinal control elements include:

at least one longitudinal position icon with a longitudinal direction indicator, the longitudinal position icon enabling a user to incrementally adjust the longitudinal representation of the VE along the lead representation in a direction according to the at least one longitudinal direction indicator; and

at least one longitudinal spread icon with a longitudinal spread indicator, the longitudinal spread icon enabling a user to incrementally adjust a longitudinal size, shape, or spread of the longitudinal representation of the VE in the first view.

6. The system of claim 4, wherein the longitudinal control elements enable a user to:

adjust the longitudinal position using a selection and control method to select a first portion of the longitudinal representation of the VE and edit the longitudinal representation of the VE along the lead representation; and

adjust the longitudinal size, shape, or spread using the selection and control method to select a second portion of the longitudinal representation of the VE and edit an edge of the longitudinal representation of the VE along the lead representation to adjust a longitudinal dimension of the longitudinal representation of the VE in the first view.

7. The system of claim 1, wherein the longitudinal control elements are further configured to enable a user to adjust, in the first view, one or more of:

a polarity of the longitudinal representation of the VE;

a modulation vector configuration;

or

a distance between the longitudinal representation of the VE and a longitudinal representation of a reference electrode.

8. The system of claim 1, wherein:

the second view of the lead representation further provides a representation of circumferential size, shape, or spread of the VE around the length of the lead representation; and

the circumferential control elements further enable the user to adjust the circumferential size, shape, or spread of the VE.

9. The system of claim 8, wherein the circumferential control elements include:

at least one circumferential position icon with a circumferential direction indicator, the circumferential position icon enabling a user to incrementally rotate the circumferential representation of the VE around the circumference of the lead representation in a direction according to the circumferential direction indicator; and

at least one circumferential spread icon with a circumferential spread indicator, the circumferential spread icon enabling a user to incrementally adjust a circumferential size, shape, or spread of the circumferential representation of the VE in the second view.

10. The system of claim 8, wherein the circumferential control elements enable a user to:

adjust the circumferential position using a selection and control method to select a first portion of the circumferential representation of the VE and edit the circumferential representation of the VE around the circumference of the lead representation; and

adjust the circumferential size, shape, or spread using the selection and control method to select a second portion of the circumferential representation of the VE and edit an edge of the circumferential representation of the VE around the circumference of the lead representation to adjust the circumferential dimension of the circumferential representation of the VE in the second view.

11. The system of claim 8, wherein the circumferential representation of the VE includes a ring or an arc around the lead representation, and wherein the circumferential spread of the VE includes an angle of the ring or the arc.

12. The system of claim 1, further comprising:

a neuromodulation system including an electrostimulation generator configured to be operably connected to the physical lead to deliver neuromodulation using the physical lead; and

a programming system including the programmer and the user interface, the programming system communicatively coupled to the neuromodulation system, and configured to program the neuromodulation system with the neuromodulation parameter set.

13. A system, comprising:

a neuromodulation system including an electrostimulation generator configured to be operably connected to a physical lead that includes a plurality of electrodes along a longitudinal direction of the physical lead, at least some of the plurality of electrodes including electrodes at least partially surrounding a circumference of the physical lead;

a programming system communicatively coupled to the neuromodulation system, the programming system including a display screen and configured to display on the display screen (1) simplified graphical representations of the physical lead with at least one user-modifiable virtual electrode (VE) on the graphical representation of the physical lead, wherein the user-modifiable VE represents, as a single VE conforming to the lead representation, a combination of at least two physical electrodes on the physical lead, and (2) control elements to enable a user to adjust the simplified graphical representations of the lead,

wherein the simplified graphical representations include one or more of;

at least a first view of the lead representation to provide a longitudinal representation of the VE representing a longitudinal position of the VE along a length of the lead representation, and a longitudinal size, shape, or spread of the VE along the length of the lead representation;

or

at least a second view of the lead representation to provide a circumferential representation of the VE representing a circumferential position of the VE around at least a portion of a circumference of the lead representation, and a circumferential size, shape, or spread of the VE around the circumference of the lead representation;

wherein the control elements include;

longitudinal control elements to enable the user to adjust the longitudinal representation of the VE including the longitudinal position and the longitudinal size, shape, or spread of the VE; and

circumferential control elements to enable the user to adjust the circumferential representation of the VE including the circumferential position and the circumferential size, shape, or spread of the VE; and

wherein the programming system is configured to use the longitudinal representation of the VE and the circumferential representation of the VE to determine a neuromodulation parameter set, and program the neuromodulation system using the neuromodulation parameter set.

14. A method for generating a neuromodulation parameter set to program a neuromodulation system that includes a physical lead having one or more electrodes at least partially surrounding a circumference of the physical lead for electrically modulating a target tissue of a patient, the method comprising:

providing a user interface that includes a display screen;

displaying on the display screen;

simplified graphical representations of the physical lead with at least one user-modifiable virtual electrode (VE) on the graphical representation of the physical lead, wherein the user-modifiable VE represents, as a single VE conforming to the lead representation, a combination of at least two physical electrodes on the physical lead, the simplified graphical representations including one or more of (1) at least a first view of the lead representation to provide a longitudinal representation of the VE representing a longitudinal position of the VE along a length of the lead representation, and a longitudinal size, shape, or spread of the VE along the length of the lead representation;

or (2) at least a second view of the lead representation to provide a circumferential representation of the VE representing a circumferential position of the VE around at least a portion of a circumference of the lead representation, and a circumferential size, shape, or spread of the VE around the circumference of the lead representation; and

control elements to enable a user to adjust the simplified graphical representations of the lead, the control elements including (1) longitudinal control elements to enable the user to adjust the longitudinal representation of the VE including the longitudinal position and the longitudinal size, shape, or spread of the VE, and (2) circumferential control elements to enable the user to adjust the circumferential representation of the VE including the circumferential position and the circumferential size, shape, or spread of the VE;

determining, for the at least one VE, one or more of a desired longitudinal position, a desired longitudinal size, shape, or spread, a desired circumferential position, a desired circumferential size, shape, or spread; and

generating a neuromodulation parameter set using the longitudinal representation of the VE and the circumferential representation of the VE for delivering neuromodulation using the physical lead.

15. The method of claim 14, wherein:

the first view of the lead representation is a view illustrating a longitudinal length of a portion of the lead representation, and the second view is a sectional view of the lead representation; and

the control elements include one or more view control elements to enable a user to select between at least the first and second views of the lead representation.

16. The method of claim 14, wherein the longitudinal control elements include:

at least one longitudinal position icon with a longitudinal direction indicator, the longitudinal position icon enabling a user to incrementally adjust the longitudinal representation of the VE along the lead representation in a direction according to the at least one longitudinal direction indicator; and

at least one longitudinal spread icon with a longitudinal spread indicator, the longitudinal spread icon enabling a user to incrementally adjust a longitudinal size, shape, or spread of the longitudinal representation of the VE in the first view.

17. The method of claim 14, wherein the longitudinal control elements enable a user to:

adjust the longitudinal position using a selection and control method to select a first portion of the longitudinal representation of the VE and edit the longitudinal representation of the VE along the lead representation; and

adjust the longitudinal size, shape, or spread using the selection and control method to select a second portion of the longitudinal representation of the VE and edit an edge of the longitudinal representation of the VE along the lead representation to adjust a longitudinal dimension of the longitudinal representation of the VE in the first view.

18. The method of claim 14, wherein the circumferential control elements include:

at least one circumferential position icon with a circumferential direction indicator, the circumferential position icon enabling a user to incrementally rotate the circumferential representation of the VE around the circumference of the lead representation in a direction according to the circumferential direction indicator; and

at least one circumferential spread icon with a circumferential spread indicator, the circumferential spread icon enabling a user to incrementally adjust a circumferential size, shape, or spread of the circumferential representation of the VE in the second view.

19. The method of claim 14, wherein the circumferential control elements enable a user to:

adjust the circumferential position using a selection and control method to select a first portion of the circumferential representation of the VE and edit the circumferential representation of the VE around the circumference of the lead representation; and

adjust the circumferential size, shape, or spread using the selection and control method to select a second portion of the circumferential representation of the VE and edit an edge of the circumferential representation of the VE around the circumference of the lead representation to adjust the circumferential dimension of the circumferential representation of the VE in the second view.

20. The method of claim 14, further comprising:

programming the neuromodulation system with the neuromodulation parameter set; and

;

delivering neuromodulation using neuromodulation system according to the neuromodulation parameter set.