METHODS, DEVICES AND SYSTEMS FOR EFFICIENTLY PROGRAMMING NEUROSTIMULATION

• US 20120277828A1
• Filed: 04/27/2012
• Published: 11/01/2012
• Est. Priority Date: 04/29/2011
• Status: Abandoned Application

• Current Assignee: St Jude Medical Luxembourg Holding SMI SARL (Abbott Laboratories)
• Original Assignee: Spinal Modulation, Inc. (Abbott Laboratories)
• Inventors: O'Connor, Richard W., Pixley, April C., Brounstein, Daniel M., Blaha, David C.
• Application Number:
  US13/458,898
• Publication Number:
  US 20120277828A1
• Time in Patent Office: Days
• US Class Current: 607/59
• CPC Class Codes: A61N 1/36132 using patient feedback
• CPC Class Codes: A61N 1/36185 Selection of the electrode configuration
• CPC Class Codes: A61N 1/37241 providing test stimulations
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: G16H 20/30 relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
• CPC Class Codes: G16H 40/63 for local operation

Abstract

Embodiments of the present invention generally relate to neurostimulation systems, methods for use with neurostimulation systems, and devices (e.g., programmers) of neurostimulation systems. Such a neurostimulation system can include, e.g., a neurostimulator, a programmer configured to communicate with and program the neurostimulator, and one or more leads connected to the neurostimulator, wherein each lead includes one or more electrodes. A method, according to an embodiment of the present invention, is for enabling efficient identification of one or more preferred sets of neurostimulation parameters from among numerous possible sets of neurostimulation parameters, wherein each set of neurostimulation parameters specifies a lead, an electrode configuration for the specified lead, and one or more pulse parameters (e.g., a pulse amplitude value, a pulse width value and/or a pulse frequency value).

Claims

1. A method for use with a system including a neurostimulator, a programmer configured to send instructions to the neurostimulator, and one or more leads connected to the neurostimulator, wherein each lead includes one or more electrodes,

wherein the method is for enabling efficient identification of one or more preferred sets of neurostimulation parameters from among numerous possible sets of neurostimulation parameters, wherein each set of neurostimulation parameters specifies a lead, an electrode configuration for the specified lead, and one or more pulse parameters,

the method, comprising:

(a) sending instructions to the neurostimulator to cause testing of each of a plurality of different sets of neurostimulation parameters;

(b) saving, within the programmer and/or neurostimulator, information corresponding to a sub-plurality of sets of neurostimulation parameters,

wherein the sub-plurality corresponds to those tested sets of neurostimulation parameters for which an indication is accepted from a user, via the programmer, that information is to be saved, and

wherein a number of sets of neurostimulation parameters in the sub-plurality of sets of neurostimulation parameters is less than a total number of sets of neurostimulation parameters for which testing is caused;

(c) displaying, via the programmer, a list indicative of at least some of the sub-plurality of sets of neurostimulation parameters;

(d) accepting from a user, via the programmer, a selection of one of the sub-plurality of sets of neurostimulation parameters from the displayed list; and

(e) in response to one of the sub-plurality of sets of neurostimulation parameters being selected from the displayed list, sending instructions to the neurostimulator to cause retesting of the set of neurostimulation parameters selected from the displayed list without requiring that a user specify, via the programmer, the lead, the electrode configuration and the one or more pulse parameters corresponding to the selected set.

2. The method of claim 1, further comprising:

(f) while the set of neurostimulation parameters selected from the displayed list is being retested, accepting from a user, via the programmer, one or more adjustments to one or more of the pulse parameters of the selected set.

3. The method of claim 2, further comprising:

(g) saving new information, or modifying previously saved information, corresponding to the set of neurostimulation parameters adjusted at step (f), in response to accepting an indication from a user, via the programmer, that information corresponding to the adjusted set of neurostimulation parameters is to be saved.

4. The method of claim 1, wherein:

step (b) includes accepting from a user, via the programmer, a name, rating and/or description of each set of neurostimulation parameters of the sub-plurality for which information is saved; and

step (c) includes displaying the list indicative of at least some of the sub-plurality of sets of neurostimulation parameters by displaying the corresponding names, ratings and/or descriptions accepted at step (b).

5. The method of claim 1, wherein:

step (b) includes accepting from a user, via the programmer, a rating of each set of neurostimulation parameters for which information is saved; and

step (c) includes ordering the list in dependence on the ratings accepted at step (b).

6. The method of claim 1, wherein the one or more pulse parameters, for each set of neurostimulation parameters, includes one or more of a pulse amplitude value, a pulse width value and a pulse frequency value.

7. The method of claim 1, wherein the saving information corresponding to the sub-plurality of sets of neurostimulation parameters at step (b) includes:

for each of the plurality of different sets of neurostimulation parameters for which instructions are sent to the neurostimulator to cause testing,

(b.1) determining whether or not an indication is received from a user that information is to be saved for the set being tested at the time;

(b.2) if the indication is received from the user, then saving information corresponding to the set being tested at the time; and

(b.3) if the indication is not received from the user, then not saving information corresponding to the set being tested at the time.

8. The method of claim 7, wherein:

accepting an indication from a user that information is to be saved comprises accepting, via the programmer, a user selection of a predetermined button.

9. The method of claim 8, wherein:

step (b) includes binning the saved information based on how many times the predetermined button is selected by a user to indicate that information corresponding to the set of neurostimulation parameters being tested is to be saved; and

step (c) includes ordering and displaying the list in dependence on results of the binning.

10. The method of claim 1, further comprising:

(f) generating one or more groups in response to a user, via the programmer, grouping together two or more of the sets of neurostimulation parameters for which corresponding information was saved;

(g) displaying, via the programmer, a list of the one or more groups;

(h) accepting from a user, via the programmer, a selection of one of the one or more displayed groups; and

(i) in response to one of the one or more displayed groups being selected, sending instructions to the neurostimulator to cause the neurostimulator to deliver neurostimulation in accordance with all of the sets of neurostimulation parameters included within the selected group.

11. The method of claim 1, further comprising:

(f) generating two or more groups in response to a user, via the programmer, grouping together sets of neurostimulation parameters for which corresponding information was saved;

(g) accepting from a user, via the programmer, an adjustment to one or more pulse parameters associated with one of the sets of neurostimulation parameters included in at least two of the groups generated at step (f); and

(h) saving new information, or modifying previously saved information, corresponding to the set of neurostimulation parameters adjusted at step (g), in response to accepting an indication from a user, via the programmer, that information corresponding to the adjusted set of neurostimulation parameters is to be saved;

wherein after step (h), each of the groups that had included the adjusted set saved at step (h) prior to its adjustment, includes the adjusted set as saved at step (h).

12. The method of claim 1, wherein:

step (a) comprises sending instructions to the neurostimulator to test the plurality of different sets of neurostimulation parameters in response to a user manually specifying, via the programmer, the lead, the electrode configuration and the one or more pulse parameters corresponding to each of the sets of neurostimulation parameters to be tested.

13. The method of claim 1, wherein:

step (a) comprises sending instructions to the neurostimulator to test the plurality of different sets of neurostimulation parameters in response to the programmer at least partially automatically selecting one or more of the lead, the electrode configuration and the one or more pulse parameters corresponding to each of the sets of neurostimulation parameters to be tested.

14. A method of claim 1, wherein the neurostimulator comprises one of an implantable neurostimulator (INS), a non-implantable neurostimulator, and an at least partially non-implantable neurostimulator.

15. The method of claim 1, further comprising:

(f) accepting from a user, via the programmer, an indication that at least one of the sets of neurostimulation parameters for which information is saved is not for patient use.

16. The method of claim 1, further comprising:

(f) accepting from a user, via the programmer, an indication that information corresponding to one of the sets of neurostimulation parameters, for which information was saved, is to be deleted.

17. A programmer configured to communicate with a neurostimulator to which one or more leads are connected, wherein each lead includes one or more electrodes, the programmer comprising:

a controller configured to generate or accept a plurality of different sets of neurostimulation parameters to be tested, wherein each set of neurostimulation parameters specifies a lead, an electrode configuration for the specified lead, and one or more pulse parameters;

telemetry circuitry configured to send instructions to the neurostimulator to cause testing of each of the plurality of different sets of neurostimulation parameters;

memory;

a display; and

a user interface configured to accept, from a user, indications that information corresponding to a sub-plurality of sets of neurostimulation parameters being tested are to be saved in the memory of the programmer and/or within memory of the neurostimulator,

wherein a number of sets of neurostimulation parameters in the sub-plurality of sets of neurostimulation parameters is less than a total number of sets of neurostimulation parameters for which testing is caused;

wherein the controller is also configured to cause a list, indicative of at least some of the sub-plurality of tested sets of neurostimulation parameters for which a user indicated information is to be saved, to be displayed on the display;

wherein the user interface is also configured to accept, from a user, a selection of one of the tested sets of neurostimulation parameters from the displayed list; and

wherein the controller is also configured to cause, in response one of the tested sets of neurostimulation parameters being selected from the displayed list, the telemetry circuitry to send instructions to the neurostimulator to cause retesting of the set of neurostimulation parameters selected from the displayed list without requiring that a user specify the lead, the electrode configuration and the one or more pulse parameters corresponding to the selected set.

18. The programmer of claim 17, wherein:

the display and the user interface collectively comprise a touch screen controlled by the controller.

19. The programmer of claim 18, wherein:

a screen displayed via the touch screen includes at least one predetermined button that, when selected by a user, provides the indication that information corresponding to the set of neurostimulation parameters being tested is to be saved in the memory of the programmer and/or within the memory of the neurostimulator.

20. A system comprising:

a neurostimulator including memory;

one or more leads connected to the neurostimulator, wherein each lead includes one or more electrodes;

a programmer including a controller, memory, telemetry circuitry, a display and a user interface;

wherein the controller of the programmer is configured to generate or accept a plurality of different sets of neurostimulation parameters to be tested, wherein each set of neurostimulation parameters specifies a lead, an electrode configuration for the specified lead, and one or more pulse parameters;

wherein the telemetry circuitry of the programmer is configured to send instructions to the neurostimulator to cause testing of each of the plurality of different sets of neurostimulation parameters;

wherein the user interface of the programmer is configured to accept, from a user, an indication that information corresponding to a set of neurostimulation parameters being tested is to be saved in the memory of the programmer and/or within the memory of the neurostimulator;

wherein the controller of the programmer is also configured to cause a list, indicative of a sub-plurality of the tested sets of neurostimulation parameters for which a user indicated information is to be saved, to be displayed on the display of the programmer,

wherein a number of sets of neurostimulation parameters in the sub-plurality of sets of neurostimulation parameters is less than a total number of sets of neurostimulation parameters for which testing is caused;

wherein the user interface of the programmer is also configured to accept, from a user, a selection of one of the tested sets of neurostimulation parameters from the displayed list; and

wherein the controller of the programmer is also configured to cause, in response one of the tested sets of neurostimulation parameters being selected from the displayed list, the telemetry circuitry of the programmer to send instructions to the neurostimulator to cause retesting of the set of neurostimulation parameters selected from the displayed list without requiring that a user specify the lead, the electrode configuration and the one or more pulse parameters corresponding to the selected set.

21. A method for use with a system including a neurostimulator, a programmer configured to send instructions to the neurostimulator, and one or more leads connected to the neurostimulator, wherein each lead includes one or more electrodes,

wherein the method is for enabling efficient identification of one or more preferred sets of neurostimulation parameters from among numerous possible sets of neurostimulation parameters, wherein each set of neurostimulation parameters specifies a lead, an electrode configuration for the specified lead, and one or more pulse parameters,

the method, comprising:

(a) effecting testing of a plurality of different sets of neurostimulation parameters;

(b) during the testing effected at step (a), saving, within the programmer and/or neurostimulator, information corresponding to a sub-plurality of sets of neurostimulation parameters being tested, in response to accepting indications from a user that the sub-plurality of sets of neurostimulation parameters being tested are of interest,

wherein a number of sets of neurostimulation parameters in the sub-plurality of sets of neurostimulation parameters is less than a total number of sets of neurostimulation parameters for which testing is effected at step (a);

(c) accepting, from a user, a selection of a previously tested set of neurostimulation parameters for which information was saved at step (b); and

(d) in response one of the previously tested sets of neurostimulation parameters being selected at step (c), effecting retesting of the set of neurostimulation parameters selected at step (c) without requiring that a user specify the lead, the electrode configuration and the one or more pulse parameters corresponding to the selected set.

22. A non-transitory computer readable medium, including instructions stored thereon which when read and executed by one or more processors cause the one or more processors to perform the steps comprising:

(a) sending instructions to a neurostimulator to cause testing of each of a plurality of different sets of neurostimulation parameters;

(b) saving information corresponding to a sub-plurality of sets of neurostimulation parameters,

wherein the sub-plurality corresponds to those tested sets of neurostimulation parameters for which an indication is accepted that information is to be saved, and

wherein a number of sets of neurostimulation parameters in the sub-plurality of sets of neurostimulation parameters is less than a total number of sets of neurostimulation parameters for which testing is caused;

(c) displaying a list indicative of at least some of the sub-plurality of sets of neurostimulation parameters;

(d) accepting a selection of one of the sub-plurality of sets of neurostimulation parameters from the displayed list; and

(e) in response to one of the sub-plurality of sets of neurostimulation parameters being selected from the displayed list, sending instructions to the neurostimulator to cause retesting of the set of neurostimulation parameters selected from the displayed list without requiring that a user specify, via the programmer, the lead, the electrode configuration and the one or more pulse parameters corresponding to the selected set.