CLINICAL GUIDANCE USER INTERFACES FOR NEUROSTIMULATOR PROGRAMMING

• US 20170239486A1
• Filed: 02/15/2017
• Published: 08/24/2017
• Est. Priority Date: 02/19/2016
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Suryavanshi, Annasaheb
• Granted Patent: US 10,315,038 B2
• Time in Patent Office: Days
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/36146 specified by the stimulation parameters
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: A61N 1/37264 Changing the program; Upgrading firmware
• CPC Class Codes: G16H 40/40 for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades

Abstract

An example of a system may include a processor and a memory device comprising instructions, which when executed by the processor, cause the processor to receive, in a graphical user interface, a clinician input of physiological information and therapy information for neurostimulation treatment of a human subject using a neurostimulation device, and request a neurostimulation program corresponding to the physiological information and the therapy information from a remote programming guidance information system. For example, program data of a neurostimulation program may be provided from the programming guidance information system, selected on the basis of a best match to the physiological information and the therapy information. A representation of the program data and the parameters of the neurostimulation program may be displayed in the graphical user interface, including ratings, comments, and other characteristics of the neurostimulation program that are maintained by the remote programming guidance information system.

Claims

1. A device, comprising:

user interface processing circuitry, implemented with a processor and a memory, the user interface processing circuitry to perform electronic operations with the device to;

receive, in a graphical user interface, a clinician input of physiological information and therapy information for neurostimulation treatment of a human subject using a neurostimulation device;

request, from a programming guidance information system, a neurostimulation program corresponding to the physiological information and the therapy information;

receive, from the programming guidance information system, program data of the neurostimulation program corresponding to the physiological information and the therapy information; and

output, in the graphical user interface, a representation of the program data of the neurostimulation program corresponding to the physiological information and the therapy information;

wherein the neurostimulation program includes a plurality of programmable parameter settings for operational control of the neurostimulation device, and wherein the program data includes respective parameter values established for the plurality of programmable parameter settings.

2. The device of claim 1,

wherein the request for the neurostimulation program is communicated to the programming guidance information system, the request including data that represents the physiological information and data that represents the therapy information,

wherein the physiological information indicates one or more of:

a medical condition, pain, or medical symptoms of the human subject, and

wherein the therapy information indicates one or more of;

a type of the neurostimulation device, a state of the neurostimulation device, respective locations for placements of leads of the neurostimulation device in the human subject, or a type of the leads and a number of the leads of the neurostimulation device in the human subject.

3. The device of claim 1, wherein the plurality of programmable parameter settings include settings for one or more of:

pulse patterns, pulse shapes, or a spatial location, of pulses of modulated energy provided with a plurality of leads of the neurostimulation device.

4. The device of claim 1, wherein the plurality of programmable parameter settings include settings for two or more of:

a frequency, a pulse width, a number of pulses within a burst or train of pulses, the train-to-train interval, the burst frequency of trains of pulses, a pulse duty cycle, or a burst duty cycle, of the pulses of modulated energy provided with a plurality of leads of the neurostimulation device.

5. The device of claim 1, the user interface processing circuitry to further perform electronic operations with the device to:

receive, from the programming guidance information system, rating data and comment data for the neurostimulation program corresponding to the physiological information and the therapy information; and

wherein the representation of the program data includes a representation of the rating data and the comment data in the graphical user interface, the representation to depict respective clinician ratings and comments provided for respective implementations of the neurostimulation program.

6. The device of claim 5,

wherein the representation of the program data includes a listing of the neurostimulation program and a plurality of additional neurostimulation programs, the additional neurostimulation programs corresponding to the physiological information and the therapy information, and

wherein the listing is ordered based on the respective clinician ratings and comments for the respective neurostimulation programs.

7. The device of claim 1,

wherein the programming guidance information system is accessible via a network connection, and wherein the programming guidance information system includes a data interface accessible via the network connection to receive the request for the neurostimulation program and transmit the program data of the neurostimulation program in response to the request, and

wherein the programming guidance information system is operable to select the neurostimulation program from among a plurality of candidate neurostimulation programs represented in remote data storage accessible to the programming guidance information system.

8. The device of claim 7,

wherein the neurostimulation program is selected by the programming guidance information system based on a number of matches of a plurality of characteristics of the physiological information and the therapy information to characteristics of the neurostimulation program, and

wherein the number of matches for the neurostimulation program exceeds a number of matches of the plurality of candidate neurostimulation programs with the plurality of characteristics for the physiological information and the therapy information.

9. The device of claim 1, the user interface processing circuitry to further perform electronic operations with the device to:

receive, in the graphical user interface, a clinician input of a rating and a comment for an update to the neurostimulation program;

transmit, to the programming guidance information system, updated program data for the update to the neurostimulation program; and

transmit, to the programming guidance information system, data representing the rating and the comment for the update to the neurostimulation program;

wherein the program data is used in an initial programming of the neurostimulation device, and wherein the update to the neurostimulation program is provided from clinician modification of one or more of the plurality of programmable parameter settings of the neurostimulation program.

10. The device of claim 1, wherein the graphical user interface provides an input screen to receive the clinician input of the physiological information and the therapy information and an output screen to output the representation of the program data of the neurostimulation program.

11. The device of claim 1, the user interface processing circuitry to further perform electronic operations with the device to:

transmit the plurality of programmable parameter settings to a programming device, the programming device to program the neurostimulator device using the plurality of programmable parameter settings.

12. A method, comprising a plurality of electronic operations executed with a processor and memory of a computer system, the plurality of electronic operations including:

receiving, in a graphical user interface, a clinician input of physiological information and therapy information for neurostimulation treatment of a human subject using a neurostimulation device;

requesting, from a programming guidance information system, a neurostimulation program corresponding to the physiological information and the therapy information;

receiving, from the programming guidance information system, program data for the neurostimulation program corresponding to the physiological information and the therapy information; and

outputting, in the graphical user interface, a representation of the program data of the neurostimulation program corresponding to the physiological information and the therapy information;

wherein the neurostimulation program includes a plurality of programmable parameter settings for operational control of the neurostimulation device.

13. The method of claim 12,

wherein the request for the neurostimulation program is communicated to the programming guidance information system, the request including data that represents the physiological information and data that represents the therapy information,

wherein the physiological information indicates one or more of:

a medical condition, pain, or medical symptoms of the human subject, and

wherein the therapy information indicates one or more of;

a type of the neurostimulation device, a state of the neurostimulation device, respective locations for placements of leads of the neurostimulation device in the human subject, or a type of the leads and a number of the leads of the neurostimulation device in the human subject.

14. The method of claim 12, wherein the plurality of programmable parameter settings include settings for one or more of:

pulse patterns, pulse shapes, or a spatial location, of pulses of modulated energy provided with a plurality of leads of the neurostimulation device.

15. The method of claim 12, the electronic operations further including:

receiving, from the programming guidance information system, rating data and comment data for the neurostimulation program corresponding to the physiological information and the therapy information;

wherein the representation of the program data includes a representation of the rating data and the comment data in the graphical user interface, the representation to depict respective clinician ratings and comments provided for respective implementations of the neurostimulation program.

16. The method of claim 15,

wherein the representation of the program data includes a listing of the neurostimulation program and a plurality of additional neurostimulation programs, the additional neurostimulation programs corresponding to the physiological information and the therapy information, and

wherein the listing is ordered based on the respective clinician ratings and comments for the respective neurostimulation programs.

17. The method of claim 12,

wherein the programming guidance information system is accessible to the computer system via a network connection, and wherein the programming guidance information system includes a data interface accessible via the network connection to receive the request for the neurostimulation program and transmit the program data of the neurostimulation program to the computer system in response to the request, and

wherein the neurostimulation program is selected by the programming guidance information system based on matching a plurality of characteristics of the physiological information and the therapy information to characteristics of the neurostimulation program.

18. The method of claim 12, the electronic operations further including:

receiving, in the graphical user interface, a clinician input of a rating and a comment for an update to the neurostimulation program;

transmitting, to the programming guidance information system, updated program data for the update to the neurostimulation program; and

transmitting, to the programming guidance information system, data representing the rating and the comment for the update to the neurostimulation program;

wherein the program data is used in an initial programming of the neurostimulation device, and wherein the update to the neurostimulation program is provided from clinician modification of one or more of the plurality of programmable parameter settings of the neurostimulation program.

19. The method of claim 12, the electronic operations further including:

transmitting the plurality of programmable parameter settings to a programming device, the programming device to program the neurostimulator device using the plurality of programmable parameter settings.

20. A non-transitory machine-readable medium including instructions, which when executed by a machine, cause the machine to:

receive, in a graphical user interface, a clinician input of physiological information and therapy information for neurostimulation treatment of a human subject using a neurostimulation device;

request, from a programming guidance information system, a neurostimulation program corresponding to the physiological information and the therapy information;

receive, from the programming guidance information system, program data for the neurostimulation program corresponding to the physiological information and the therapy information; and

output, in the graphical user interface, a representation of the program data of the neurostimulation program corresponding to the physiological information and the therapy information;

wherein the neurostimulation program includes a plurality of programmable parameter settings for operational control of the neurostimulation device.