METHOD AND APPARATUS FOR IDENTIFYING MIDDLE LEAD IN A TRI-LEAD CONFIGURATION

• US 20100137943A1
• Filed: 10/26/2009
• Published: 06/03/2010
• Est. Priority Date: 12/03/2008
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Zhu, Changfang
• Granted Patent: US 9,623,232 B2
• Time in Patent Office: Days
• US Class Current: 607/59
• CPC Class Codes: A61N 1/0531 Brain cortex electrodes
• CPC Class Codes: A61N 1/0534 Electrodes for deep brain stimulation
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes
• CPC Class Codes: A61N 1/0553 Paddle shaped electrodes, e.g. for laminotomy
• CPC Class Codes: A61N 1/36071 Pain

Abstract

A method and medical system for operating three electrodes electrically coupled to three proximal contacts carried by three lead bodies is provided. The electrodes are implanted adjacent tissue of a patient and include a middle electrode and a pair of electrodes flanking the middle electrode. Electrical energy is conveyed between three different pairs of the proximal contacts, thereby respectively generating three electrical fields in the tissue between three electrode pairs. A potential of each of the electrical fields is measured at the remaining electrodes via the remaining proximal contacts, respectively. The lead body associated with the middle electrode is identified based on the measured electrical field potentials.

Claims

1. A method of operating three electrodes electrically coupled to three proximal contacts carried by three lead bodies, respectively, the electrodes adjacent tissue of a patient and including a middle electrode and a pair of electrodes flanking the middle electrode, the method comprising:

conveying electrical energy between at least one pair of the proximal contacts, thereby generating at least one electrical field in the tissue between at least one pair of the electrodes, respectively;

measuring a potential of the at least one electrical field at least one remaining electrode via at least one remaining proximal contact, respectively; and

identifying the lead body associated with the middle electrode based on the at least one measured electrical field potential.

2. The method of claim 1, wherein the at least one pair of the proximal contacts comprises three pairs of proximal contacts, the at least one pair of the electrodes comprises three pairs of electrodes, the at least one electrical field comprises three electrical fields, and the at least one measured electrical field potential comprise three measured electrical field potentials.

3. The method of claim 2, wherein the lead body associated with the middle electrode is identified at least partially based on a polarity of at least one of the three measured electrical field potentials.

4. The method of claim 2, wherein the lead body associated with the middle electrode is identified at least partially based on an amplitude value of at least one of the three measured electrical field potentials.

5. The method of claim 2, wherein the lead body associated with the middle electrode is identified at least partially based on a highest amplitude value between the three measured electrical field potentials.

6. The method of claim 2, wherein one of the flanking electrodes is a greater distance than the other flanking electrode from the middle electrode, the method further comprising identifying the lead body associated with the one flanking electrode based on the three measured electrical field potentials.

7. The method of claim 1, wherein the three electrodes are respectively located within three electrode columns, the method further comprising determining a longitudinal stagger between the three electrode columns, and selecting the three electrodes from the respective electrode columns based on the determined longitudinal stagger.

8. The method of claim 7, wherein the electrodes selected from the respective electrode columns have the least amount of longitudinal stagger.

9. The method of claim 1, wherein the three lead bodies form a portion of a surgical paddle lead.

10. The method of claim 1, wherein the three lead bodies respectively form portions of three percutaneous leads.

11. The method of claim 1, wherein the identification of the lead body comprises comparing the at least one measured electrical field potential to each of a plurality of reference electrical field potential sets respectively corresponding to different lead body orientations, determining a match between the at least one measured electrical field potential and one of the reference electrical field potential sets, and identifying the lead body associated with the middle electrode from the matching reference electrical field potential set.

12. The method of claim 1, further comprising programming a neurostimulator with a plurality of stimulation parameters based on the identified lead body.

13. The method of claim 1, wherein the tissue is spinal cord tissue.

14. A medical system, comprising:

one or more electrical leads comprising three electrodes and three lead bodies carrying three proximal contacts electrically coupled to the three electrodes, respectively, the electrodes configured for being placed adjacent tissue as a middle electrode and a pair of electrodes flanking the middle electrode;

a controller configured for transmitting electrical energy conveying electrical energy between at least one pair of the proximal contacts, thereby generating at least one electrical field in the tissue between at least one pair of the electrodes, respectively;

monitoring circuitry configured for measuring a potential of the at least one electrical field at least one remaining electrode via at least one remaining proximal contact, respectively; and

at least one processor configured for identifying the lead body associated with the middle electrode based on the at least one measured electrical field potential.

15. The medical system of claim 14, wherein the at least one pair of the proximal contacts comprises three pairs of proximal contacts, the at least one pair of the electrodes comprises three pairs of electrodes, the at least one electrical field comprises three electrical fields, and the at least one measured electrical field potential comprise three measured electrical field potentials.

16. The medical system of claim 15, wherein the at least one processor is configured for identifying the lead body associated with the middle electrode at least partially based on a polarity of at least one of the three measured electrical field potentials.

17. The medical system of claim 15, wherein the at least one processor is configured for identifying the lead body associated with the middle electrode at least partially based on an amplitude value of at least one of the three measured electrical field potentials.

18. The medical system of claim 15, wherein the at least one processor is configured for identifying the lead body associated with the middle electrode at least partially based on a highest amplitude value between the three measured electrical field potentials.

19. The medical system of claim 15, wherein one of the flanking electrodes is configured for being located a greater distance than the other flanking electrode from the middle electrode, the at least one processor further configured for identifying the lead body associated with the one flanking electrode based on the three measured electrical field potentials.

20. The medical system of claim 14, wherein the three electrodes are respectively located within three electrode columns, the at least one processor further configured for determining a longitudinal stagger between the three electrode columns, and selecting the three electrodes from the respective electrode columns based on the determined longitudinal stagger.

21. The medical system of claim 20, wherein the at least one processor is configured for selecting the electrodes from the respective electrode columns that have the least amount of longitudinal stagger.

22. The medical system of claim 14, wherein the one or more electrical leads is a single surgical paddle.

23. The medical system of claim 14, wherein the one or more electrical leads are percutaneous leads.

24. The medical system of claim 14, further comprising memory storing a plurality of reference electrical field potential sets respectively corresponding to different lead body orientations, wherein the at least one processor is configured for identifying the lead body by comparing the at least one measured electrical field potential to each of the reference electrical field potential sets, determining a match between the at least one measured electrical field potential and one of the reference electrical field potential sets, and identifying the lead body associated with the middle electrode from the matching reference electrical field potential set.

25. The medical system of claim 14, further comprising an implantable device containing the controller and the at least one processor.

26. The medical system of claim 14, further comprising an implantable device containing the controller, and an external control device containing the at least one processor.