SYSTEM AND METHOD FOR INTRODUCING TISSUE STIMULATION LEAD INTO PATIENT USING REAL-TIME COUPLING EFFICIENCY MEASUREMENTS

• US 20120101537A1
• Filed: 09/24/2011
• Published: 04/26/2012
• Est. Priority Date: 10/21/2010
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Peterson, David K.L., Bradley, Kerry
• Granted Patent: US 9,446,249 B2
• Time in Patent Office: Days
• US Class Current: 607/2
• 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 1/36185 Selection of the electrode configuration
• CPC Class Codes: A61N 1/372 Arrangements in connection with the implantation of stimulators
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means

Abstract

A system and method for locating an implantable tissue stimulation lead within a patient. A measurement indicative of a coupling efficiency between the tissue stimulation lead and tissue at a location is taken. The location of the tissue stimulation lead relative to the tissue is tracked. Coupling efficiency information based on the measurement from the monitoring device is generated, tracking information based on the tissue stimulation lead location is generated, and the coupling efficiency information and tracking information is concurrently conveyed to the user.

Claims

1. A system for locating an implantable tissue stimulation lead within a patient, comprising:

a monitoring device configured for taking a measurement indicative of a coupling efficiency between the tissue stimulation lead and tissue at a location;

a tracking system configured for tracking the location of the tissue stimulation lead relative to the tissue; and

an external control device configured for generating coupling efficiency information based on the measurement from the monitoring device, for generating tracking information based on the tissue stimulation lead location, and concurrently displaying the coupling efficiency information and tracking information to the user.

2. The system of claim 1, wherein the monitoring device is a neurostimulator further configured for delivering stimulation energy to the implantable tissue stimulation lead.

3. The system of claim 1, wherein the monitoring device is configured for taking the measurement by conveying an electrical signal between the tissue stimulation lead and the tissue, and measuring an electrical parameter in response to the conveyance of the electrical signal.

4. The system of claim 3, wherein the measured electrical parameter is one of an impedance and a field potential.

5. The system of claim 1, wherein the tissue stimulation lead is configured for being introduced within the patient at different locations along a trajectory path, the monitoring device is configured for taking measurements indicating the coupling efficiencies between the tissue stimulation lead and the tissue at the different locations, the tracking system is configured for tracking the different locations of the tissue stimulation lead, and the external control device is configured for generating the coupling efficiency information based on the measurements from the monitoring device, and for generating the tracking information based on the tissue stimulation lead locations.

6. The system of claim 5, wherein the displayed tracking information concurrently indicates the different locations of the tissue stimulation lead relative to the tissue.

7. The system of claim 5, wherein the tracking information is indicative of the different locations of the tissue stimulation lead relative to an anatomical structure of the patient.

8. The system of claim 1, wherein the external control device is configured for displaying the coupling efficiency information as one or more numerical values.

9. The system of claim 1, wherein the external control device is configured for displaying the coupling efficiency information as one or more graphs.

10. An external control device for use with an implantable tissue stimulation lead, a monitoring device configured for taking a measurement indicative of coupling efficiency between the tissue stimulation lead and tissue, and a tracking system configured for tracking a location of the tissue stimulation lead relative to the tissue, the external control device comprising:

input circuitry configured for obtaining the measurement from the monitoring device and the tissue stimulation lead location from the tracking system;

at least one processor configured for generating coupling efficiency information based on the measurement received by the input circuitry, for generating tracking information based on the tissue stimulation lead location received by the input circuitry, and for integrating the coupling efficiency information and tracking information together; and

a user interface configured for displaying the integrated coupling efficiency information and tracking information.

11. The external control device of claim 10, wherein the user interface is configured for displaying the coupling efficiency information as one or more numerical values.

12. The external control device of claim 10, wherein the user interface is configured for displaying the coupling efficiency information as one or more graphs.

13. A method of implanting a tissue stimulation lead within tissue of a patient, comprising:

advancing the tissue stimulation lead within the patient at different locations along a trajectory path;

generating coupling efficiency information indicative of coupling efficiencies between the tissue stimulation lead and the tissue when the tissue stimulation lead is respectively at the different locations;

conveying the coupling efficiency information to a user; and

affixing the tissue stimulation lead at a suitable one of the different locations based on the coupling efficiency information conveyed to the user.

14. The method of claim 13, further comprising conveying electrical signals between the tissue stimulation lead and tissue of the patient when the tissue stimulation lead is at the different locations, and measuring electrical parameters in response to the conveyance of the electrical signals, wherein the coupling efficiency information is generated based on the measured electrical parameters.

15. The method of claim 14, wherein each of the measured electrical parameters is one of an impedance and a field potential.

16. The method of claim 13, wherein the suitable location is the location at which the coupling efficiency information indicates the coupling efficiency between the tissue stimulation lead and the tissue as being the highest.

17. The method of claim 13, wherein the coupling efficiency information is displayed to the user.

18. The method of claim 17, further comprising:

generating tracking information indicative of the different locations of the tissue stimulation lead; and

displaying the tracking information with the coupling efficiency information.

19. The method of claim 18, wherein the displayed tracking information concurrently indicates the different locations of the tissue stimulation lead.

20. The method of claim 18, wherein the tracking information is indicative of the different locations of the tissue stimulation lead relative to an anatomical structure of the patient.

21. The method of claim 17, wherein the coupling efficiency information is displayed as one or more numerical values.

22. The method of claim 17, wherein the coupling efficiency information is displayed as one or more graphs.

23. The method of claim 13, wherein the tissue stimulation lead carries a plurality of electrodes, the method comprising determining raw coupling efficiency data between the electrodes and the tissue when the tissue stimulation lead is at each of the different locations, and the coupling efficiency information between the tissue stimulation lead and the tissue is derived from the determined raw coupling efficiency data.

24. The method of claim 13, wherein the time elapsed between the placement of the tissue stimulation lead at each of the different locations along the trajectory path and the conveyance of the coupling efficiency information at each respective location is less than one second.

25. The method of claim 13, wherein the trajectory path is within the epidural space of the patient.

26. The method of claim 13, further comprising:

conveying stimulation energy from the tissue stimulation lead into the tissue at the different locations along the trajectory path; and

performing a corrective action if the coupling efficiency information conveyed to the user indicates the coupling efficiency between the tissue stimulation lead and the tissue as being low at one of the different locations.

27. The method of claim 26, wherein the corrective action is one or more of repositioning the tissue stimulation lead and adjusting at least one stimulation parameter of the stimulation energy conveyed from the tissue stimulation lead into the tissue.