Programming interface with an unwrapped 2D view of a stimulation lead with complex electrode array geometry

• US 20070203537A1
• Filed: 10/31/2006
• Published: 08/30/2007
• Est. Priority Date: 02/24/2006
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Goetz, Steven M., Stone, Richard T., Wahlstrand, Carl D., Ball, Warren W.
• Granted Patent: US 7,657,319 B2
• Time in Patent Office: Days
• US Class Current: 607/59
• CPC Class Codes: A61N 1/0529 Electrodes for brain stimulation
• CPC Class Codes: A61N 1/0531 Brain cortex electrodes
• CPC Class Codes: A61N 1/0534 Electrodes for deep brain stimulation
• CPC Class Codes: A61N 1/0553 Paddle shaped electrodes, e.g. for laminotomy
• CPC Class Codes: A61N 1/36082 Cognitive or psychiatric applications, e.g. dementia or Alzheimer's disease
• 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

The disclosure is directed to programming implantable stimulators to deliver stimulation energy via one or more implantable leads having complex electrode array geometries. The disclosure also contemplates guided programming to select electrode combinations and parameter values to support efficacy. The techniques may be applied to a programming interface associated with a clinician programmer, a patient programmer, or both. A user interface permits a user to view electrodes from different perspectives relative to the lead. For example, the user interface provides an unwrapped two-dimensional array view of a lead and a concentric axial view of the lead. The user interface may include an axial control medium to select and/or view electrodes at different axial positions along the length of a lead, and a rotational control medium to select and/or view electrodes at different angular positions around a circumference of the lead.

Claims

1. A method comprising:

presenting on a display an unwrapped two-dimensional (2D) array view of a representation an implantable lead having a complex electrode array geometry; and

receiving user input via interaction with the unwrapped 2D array view defining stimulation for delivery by a medical device via the lead.

2. The method of claim 1, wherein receiving user input comprises receiving selection of one or more electrodes from the lead on the unwrapped 2D array view.

3. The method of claim 1, wherein receiving user input comprises receiving user input outlining a stimulation field with respect to the unwrapped 2D array view.

4. The method of claim 3, further comprising automatically selecting an electrode combination and stimulation parameter values based on the outlined stimulation field.

5. The method of claim 1, further comprising presenting on the display a representation of a stimulation field produced by a set of electrodes on the lead in conjunction with the unwrapped 2D array view.

6. The method of claim 5, wherein receiving user input comprises receiving user input manipulating the representation of the stimulation field.

7. The method of claim 6, further comprising:

presenting a representation of a modified stimulation field based on the manipulation; and

automatically adjusting an electrode combination and stimulation parameter values based on the manipulation to approximate the modified stimulation field.

8. The method of claim 1, further comprising delivering stimulation energy via an electrode combination of the lead based on the user input to provide at least one of deep brain stimulation, spinal cord stimulation, pelvic nerve stimulation, gastric nerve stimulation, peripheral nerve stimulation, or muscle stimulation.

9. The method of claim 1, further comprising permitting the user to transition between an electrode view of the representation of the lead that permits manual selection of electrodes, and a field view of the representation of the lead that permits manipulation of a representation of a stimulation field produced by the lead.

10. A programmer comprising:

a user interface; and

a processor that presents an unwrapped two-dimensional (2D) array view of a representation of an implantable lead having a complex electrode array geometry via the user interface, and receives user input via interaction with the unwrapped 2D array view on the user interface defining stimulation for delivery by a medical device via the lead.

11. The programmer of claim 10, wherein the processor receives selection of one or more electrodes from the lead via interaction with the unwrapped 2D array view on the user interface.

12. The programmer of claim 10, wherein the processor receives user input v outlining a stimulation field with respect to the unwrapped 2D array view on the user interface.

13. The programmer of claim 12, wherein the processor automatically selects an electrode combination and stimulation parameter values based on the outlined stimulation field.

14. The programmer of claim 10, wherein the user interface presents a representation of a stimulation field produced by a set of electrodes on the lead in conjunction with the unwrapped 2D array view.

15. The programmer of claim 14, wherein the processor receives user input manipulating the representation of the stimulation field via the user interface.

16. The programmer of claim 15, wherein the processor presents a representation of a modified stimulation field via the user interface based on the modification, and automatically adjusts an electrode combination and stimulation parameter values based on the modification to approximate the modified stimulation field.

17. The programmer of claim 10, wherein the user interface permits the user to transition between an electrode view of the representation of the lead that permits manual selection of electrodes, and a field view of the representation of the lead that permits manipulation of a representation of a stimulation field produced by the lead.

18. The programmer of claim 10, wherein the user interface comprises at least one of a touchscreen display and a pointing device.

19. The programmer of claim 10, wherein the programmer is at least one of a patient programmer or a clinician programmer.

20. A computer-readable medium comprising instructions to cause a processor to:

present on a display an unwrapped two-dimensional (2D) array view of a representation of an implantable lead having a complex electrode array geometry; and

receive user input via interaction with the unwrapped 2D array view defining stimulation for delivery by a medical device via the lead.

21. The computer-readable medium of claim 20, wherein the instructions that cause the processor to receive user input comprise instructions that cause the processor to receive selection of one or more electrodes from the lead via interaction with the unwrapped 2D array view.

22. The computer-readable medium of claim 20, wherein the instructions that cause the processor to receive user input comprise instructions that cause the processor to receive user input outlining a stimulation field with respect to the unwrapped 2D array view.

23. The computer-readable medium of claim 22, further comprising instructions that cause the processor to automatically select an electrode combination and stimulation parameter values based on the outlined stimulation field.

24. The computer-readable medium of claim 20, further comprising instructions that cause the processor to present via the display a representation of a stimulation field produced by a set of electrodes on the lead in conjunction with the unwrapped 2D array view.

25. The computer-readable medium of claim 24, wherein the instructions that cause the processor to receive user input comprise instructions that cause the processor to receive user input manipulating the representation of the stimulation field.

26. The computer-readable medium of claim 25, further comprising instructions that cause the processor to:

present via the display a representation of a modified stimulation field based on the manipulation; and

automatically adjust an electrode combination and stimulation parameter values based on the manipulation to approximate the modified stimulation field.

27. The computer-readable medium of claim 20, further comprising instructions that cause the processor to permit the user to transition between an electrode view of the representation of the lead that permits manual selection of electrodes, and a field view of the representation of the lead that permits manipulation of a representation of a stimulation field produced by the lead.