UNWRAPPED 2D VIEW OF A STIMULATION LEAD WITH COMPLEX ELECTRODE ARRAY GEOMETRY

• US 20140088666A1
• Filed: 09/16/2013
• Published: 03/27/2014
• 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., Ball, Warren W., Wahlstrand, Carl D.
• Granted Patent: US 9,199,090 B2
• Time in Patent Office: Days
• US Class Current: 607/59
• CPC Class Codes: A61N 1/0534 Electrodes for deep brain stimulation
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/36157 Current A61N1/3616 takes precedence
• 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 a side view of a lead and a cross-sectional 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, at a display, an unwrapped two-dimensional (2D) array view of a representation of an implantable lead having a complex electrode array geometry, wherein the implantable lead comprises a plurality of non-contiguous electrode segments located at different angular positions about a circumference of the lead, and the unwrapped 2D array view depicts each of the electrode segments.

2. The method of claim 1, wherein the plurality of non-contiguous electrode segments comprises a first level of non-contiguous electrode segments located at a first axial position along the length of the implantable lead and a second level of non-contiguous electrode segments located at a second axial position along the length of the implantable lead, and wherein the electrode segments of the first level are staggered at different angular positions from the electrode segments of the second level.

3. The method of claim 1, wherein the plurality of non-contiguous electrode segments comprises a first level of non-contiguous electrode segments located at a first axial position along the length of the implantable lead and a second level of non-contiguous electrode segments located at a second axial position along the length of the implantable lead, and wherein the electrode segments of the first level are aligned at the same angular positions as the electrode segments of the second level.

4. The method of claim 1, further comprising presenting, at the display and in conjunction with the unwrapped 2D array view, a representation of a stimulation field produced by a set of electrodes on the lead, wherein the set of electrodes corresponds to a selected subset of the plurality of non-contiguous electrode segments.

5. The method of claim 4, wherein the stimulation field comprises an electrical field that illustrates an area of propagation of an electrical field produced by the set of electrodes through tissue adjacent to the implantable lead.

6. The method of claim 4, wherein the stimulation field comprises an activation field that indicates a set of neurons activated by an electrical field that propagates through tissue from the set of electrodes on the lead, wherein the method further comprises generating the activation field based on a neuron model.

7. The method of claim 4, further comprising:

receiving, via interaction with the unwrapped 2D array view, user input defining the stimulation field; and

selecting, by a processor and based on the user input, at least one of an electrode combination and one or more stimulation parameter values to approximate the defined stimulation field, wherein electrical stimulation therapy is at least partially defined by the electrode combination and the one or more stimulation parameter values.

8. The method of claim 7, further comprising delivering stimulation energy via the electrode combination of the lead and based on the one or more stimulation parameter values 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. A system comprising:

a display; and

one or more processors configured to present, at the display, an unwrapped two-dimensional (2D) array view of a representation of an implantable lead having a complex electrode array geometry, wherein the implantable lead comprises a plurality of non-contiguous electrode segments located at different angular positions about a circumference of the lead, and the unwrapped 2D array view depicts each of the electrode segments.

10. The system of claim 9, wherein the plurality of non-contiguous electrode segments comprises a first level of non-contiguous electrode segments located at a first axial position along the length of the implantable lead and a second level of non-contiguous electrode segments located at a second axial position along the length of the implantable lead, and wherein the electrode segments of the first level are staggered at different angular positions from the electrode segments of the second level.

11. The system of claim 9, wherein the plurality of non-contiguous electrode segments comprises a first level of non-contiguous electrode segments located at a first axial position along the length of the implantable lead and a second level of non-contiguous electrode segments located at a second axial position along the length of the implantable lead, and wherein the electrode segments of the first level are aligned at the same angular positions as the electrode segments of the second level.

12. The system of claim 9, wherein the one or more processors are configured to present, at the display and in conjunction with the unwrapped 2D array view, a representation of a stimulation field produced by a set of electrodes on the lead, wherein the set of electrodes corresponds to a selected subset of the plurality of non-contiguous electrode segments.

13. The system of claim 12, wherein the stimulation field comprises an electrical field that illustrates an area of propagation of an electrical field produced by the set of electrodes through tissue adjacent to the implantable lead.

14. The system of claim 12, wherein the stimulation field comprises an activation field that indicates a set of neurons activated by an electrical field that propagates through tissue from the set of electrodes on the lead, wherein the one or more processors are configured to generate the activation field based on a neuron model.

15. The system of claim 12, further comprising a user interface configured to receive, via interaction with the unwrapped 2D array view, user input defining the stimulation field, wherein the one or more processors are configured to select, based on the user input, at least one of an electrode combination and one or more stimulation parameter values to approximate the defined stimulation field, wherein electrical stimulation therapy is at least partially defined by the electrode combination and the one or more stimulation parameter values.

16. The system of claim 15, further comprising transmitting the electrode combination and the one or more stimulation parameter values to a medical device configured to deliver stimulation energy via the electrode combination of the lead and based on the one or more stimulation parameter values to provide at least one of deep brain stimulation, spinal cord stimulation, pelvic nerve stimulation, gastric nerve stimulation, peripheral nerve stimulation, or muscle stimulation.

17. A system comprising:

means for presenting an unwrapped two-dimensional (2D) array view of a representation of an implantable lead having a complex electrode array geometry, wherein the implantable lead comprises a plurality of non-contiguous electrode segments located at different angular positions about a circumference of the lead, and the unwrapped 2D array view depicts each of the electrode segments.

18. The system of claim 17, wherein the plurality of non-contiguous electrode segments comprises a first level of non-contiguous electrode segments located at a first axial position along the length of the implantable lead and a second level of non-contiguous electrode segments located at a second axial position along the length of the implantable lead, and wherein the electrode segments of the first level are staggered at different angular positions from the electrode segments of the second level.

19. The system of claim 17, wherein the plurality of non-contiguous electrode segments comprises a first level of non-contiguous electrode segments located at a first axial position along the length of the implantable lead and a second level of non-contiguous electrode segments located at a second axial position along the length of the implantable lead, and wherein the electrode segments of the first level are aligned at the same angular positions as the electrode segments of the second level.

20. The system of claim 17, further comprising:

means for presenting, in conjunction with the unwrapped 2D array view, a representation of an activation field produced by a set of electrodes on the lead, wherein the set of electrodes corresponds to a selected subset of the plurality of non-contiguous electrode segments, and wherein the activation field indicates a set of neurons activated by an electrical field that propagates through tissue from the set of electrodes on the lead;

means for generating the activation field based on a neuron model;

means for receiving, via interaction with the unwrapped 2D array view, user input defining the activation field; and

means for selecting, based on the user input, at least one of an electrode combination and one or more stimulation parameter values to approximate the defined activation field, wherein electrical stimulation therapy is at least partially defined by the electrode combination and the one or more stimulation parameter values.