METHOD AND SYSTEM TO FACILITATE NEUROSTIMULATOR PROGRAMMING BASED ON PRE-EXISTING THERAPY PROFILES

• US 20130023950A1
• Filed: 07/18/2012
• Published: 01/24/2013
• Est. Priority Date: 07/19/2011
• Status: Active Grant

• Current Assignee: Advanced Neuromodulation Systems Incorporated (Abbott Laboratories)
• Original Assignee: Advanced Neuromodulation Systems Incorporated (Abbott Laboratories)
• Inventors: Gauthier, Marc
• Granted Patent: US 8,918,177 B2
• Time in Patent Office: Days
• US Class Current: 607/46
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: A61N 1/37282 characterised by communication with experts in remote locations using a network

Abstract

A method and system are provided to assist in programming of a neurostimulator based on a collection of pre-existing therapy profiles. The method and system access a collection of pre-existing therapy profiles derived from prior actual patients or patient models. The pre-existing therapy profiles include stimulation programs mapped to pre-existing patient profiles. The pre-existing patient profiles have at least one of i) prior lead attribute, ii) prior pain maps, and iii) prior stimulation maps for prior patients or models of patients. The method and system further compare the new patient profile with at least a portion of the collection of pre-existing patient profiles to generate profile matching scores indicating an amount of similarity between the pre-existing patient and the new therapy profile.

Claims

1. A method to assist in programming of a neurostimulator based on a collection of pre-existing therapy profiles, the method comprising:

obtaining a new patient profile for a new patient receiving a neurostimulator, the new therapy profile including at least one of i) a planned lead attribute, ii) a new pain map, and iii) a new stimulation map for the new patient receiving the neurostimulator;

accessing a collection of pre-existing therapy profiles derived from prior actual patients or patient models, the pre-existing therapy profiles including stimulation programs mapped to pre-existing patient profiles, the pre-existing patient profiles having at least one of i) prior lead attribute, ii) prior pain maps, and iii) prior stimulation maps for prior patients or models of patients;

comparing the new patient profile with at least a portion of the collection of pre-existing patient profiles to generate profile matching scores indicating an amount of similarity between the pre-existing patient and the new therapy profile; and

producing a list of candidate therapy profiles that includes at least one potential stimulation program that is mapped to at least one pre-existing patient profile having a profile matching score that satisfied a match threshold.

2. The method of claim 1, wherein the accessing includes querying at least one database that stores the collection of pre-existing therapy profiles.

3. The method of claim 1, wherein the obtaining includes:

displaying a virtual lead and a graphical representation of an anatomy of interest, and

permitting a clinician to at least one of position and orient the virtual lead on the anatomy of interest at a corresponding placement or orientation representative of a position or an orientation at which an actual lead was implanted in the new patient.

4. The method of claim 1, wherein the anatomy of interest includes a virtual representation of a series of vertebra locations, the method permitting the clinician to locate electrodes of the virtual lead at desired angular orientations with respect to a reference axis on a select vertebra location.

5. The method of claim 3, further comprising displaying at least one of position and orientation markers relative to the graphical representation, the markers subdividing the anatomical structure into multiple sections, the clinician at least one of positioning and orienting the virtual lead relative to the position markers.

6. The method of claim 1, wherein the obtaining includes:

displaying at least one of position and orientation markers; and

permitting a clinician to enter the planned lead attribute relative to the markers.

7. The method of claim 1, wherein the planned and prior lead attributes include at least one of lead type, lead placement and lead orientation.

8. The method of claim 1, wherein the obtaining includes recording, as the planned lead attribute, at least one of a new lead type, new lead placement and new lead orientation after implantation of the lead relative to anatomical structure in a manner that is independent of variations in patient dimensions.

9. The method of claim 1, wherein the comparing includes utilizing a matching function to generate similarity ratings between the planned and prior lead attributes of the new patient profile and the pre-existing patient profiles, and utilizing the similarity ratings to generate the profile matching scores.

10. The method of claim 9, wherein the matching function forms the similarity ratings between at least one of i) a planned lead placement and prior lead placements and ii) a planned lead orientation and prior lead orientations.

11. The method of claim 1, wherein the comparing includes utilizing a matching function to form pain overlap scores between the new pain map and the prior pain maps, and utilizing the pain overlap scores to generate the profile matching scores.

12. A system to assist in programming a neurostimulator based on a collection of pre-existing therapy profiles, the system comprising:

an input device to obtain a new patient profile for a new patient receiving a neurostimulator, the new therapy profile including at least one of i) a planned lead attribute, ii) a new pain map, and iii) a new stimulation map for the new patient receiving the neurostimulator;

a storage storing a collection of pre-existing therapy profiles derived from prior actual patients or patient models, the pre-existing therapy profiles including stimulation programs mapped to pre-existing patient profiles, the pre-existing patient profiles having at least one of i) prior lead attributes, ii) prior pain maps, and iii) prior stimulation maps for prior patients or models of patients;

a comparator module to compare the new patient profile with at least a portion of the collection of pre-existing patient profiles to generate profile matching scores indicating an amount of similarity between the pre-existing patient profiles and the new therapy profile; and

a candidate module to produce a list of candidate therapy profiles that includes at least one potential stimulation program that is mapped to at least one pre-existing patient profile having a profile matching score that satisfied a match threshold.

13. The system of claim 12, wherein the storage includes a database that stores the collection of pre-existing therapy profiles.

14. The system of claim 12, wherein the input device includes:

a display to display a virtual lead and a graphical representation of an anatomy of interest, and

a user interface to permit a clinician to at least one of position and orient the virtual lead on the anatomy of interest at a position or orientation representative of a planned vertebra location at which an actual lead was implanted in the new patient.

15. The system of claim 14, wherein the display displays, as the anatomy of interest, a virtual representation of a series of vertebra, the user interface to permit the clinician to locate electrodes of a virtual lead at a desired horizontal, vertical or orientation alignments on the planned vertebra location.

16. The system of claim 12, wherein the input device includes:

a display to display at least one of position and orientation markers relative to a graphical representation of an anatomy of interest, the markers subdividing the anatomy of interest into multiple sections; and

a user interface to permit a clinician to enter the planned lead attribute relative to the markers to designate at least one of position and orientation at which an actual lead was implanted in the new patient.

17. The system of claim 16, wherein the display displays, on the patient anatomy of interest, the markers in a non-linear scaled manner proportioned to a size of the anatomy of interest, thereby decoupling lead placement from a size of the anatomy of interest.

18. The system of claim 12, wherein the input device records at least one of the new lead type and new lead placement after implantation of the lead relative to anatomical structure in a manner that is independent of variations in patient dimensions.

19. The system of claim 12, wherein the comparator module utilizes a matching function to generate similarity ratings between the planned and prior lead attributes of the new patient profile and the pre-existing patient profiles, and utilizing the similarity ratings to generate the profile matching scores.

20. The system of claim 19, wherein the matching function forms similarity ratings between at least one of i) a planned lead placement and prior lead placements, and ii) a planned lead orientation and prior lead orientation, the candidate module utilizing the similarity ratings to product the list of candidate therapy profiles.

21. The system of claim 12, wherein the comparator module utilizes a matching function to form pain overlap scores between the new pain map and the prior pain maps, the candidate module utilizing the pain overlap scores to produce the list of candidate therapy profiles.

22. The system of claim 12, wherein the planned and prior lead attributes include at least one of lead type, lead placement and lead orientation.