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

• US 20170246449A1
• Filed: 03/10/2017
• Published: 08/31/2017
• 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., Hegland, Michael T., Molnar, Gabriela C., Olsen, James M.
• Granted Patent: US 10,279,166 B2
• Time in Patent Office: Days
• 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

1-20. -20. (canceled)

21. A lead comprising:

a cylindrical lead housing defining a longitudinal axis and a circumference of the lead;

a first circumferential stimulation electrode disposed at a first axial position along the longitudinal axis of the lead, the first circumferential stimulation electrode encircling the circumference of the lead;

a first plurality of stimulation electrode segments disposed at a second axial position and disposed at first respective positions around the circumference of the lead, wherein the first plurality of stimulation electrode segments consists of three electrode segments at the second axial position, and wherein the second axial position is distal from the first axial position; and

a second plurality of stimulation electrode segments disposed at a third axial position and disposed at second respective positions around the circumference of the lead, wherein the second plurality of stimulation electrode segments consists of three electrode segments at the third axial position, wherein the third axial position is distal from the second axial position, and wherein the first circumferential stimulation electrode, the first plurality of stimulation electrode segments, and the second plurality of stimulation electrode segments are all configured to deliver electrical stimulation to a patient.

22. The lead of claim 21, further comprising a second circumferential stimulation electrode that encircles the circumference of the lead at a fourth axial position distal from the third axial position.

23. The lead of claim 22, wherein the fourth axial position is at a distal end of the lead.

24. The lead of claim 21, wherein the first respective positions around the circumference of the lead are circumferentially aligned with the second respective positions around the circumference of the lead.

25. The lead of claim 21, wherein the first respective positions around the circumference of the lead are circumferentially staggered with the second respective positions around the circumference of the lead.

26. The lead of claim 21, wherein:

each electrode segment of the first plurality of stimulation electrode segments and the second plurality of stimulation electrode segments comprises a respective arc-like segment, and

the respective arc-like segments being circumferentially separated from each other by a space of between approximately one degree and 20 degrees around the circumference of the lead housing.

27. The lead of claim 26, wherein the respective arc-like segments are circumferentially separated from each other by a space of between approximately five degrees and 15 degrees around the circumference of the lead housing.

28. The lead of claim 21, wherein each of the first, second, and third electrode segments at each of the second and third axial positions comprises a non-rectangular shape.

29. The lead of claim 21, wherein each electrode segment of the first plurality of stimulation electrode segments and the second plurality of stimulation electrode segments is configured to be independently utilized for delivery of electrical stimulation.

30. The lead of claim 21, wherein the lead housing comprises a radiopaque marker disposed at a circumferential location that identifies a rotational orientation of the lead.

31. The lead of claim 21, wherein the lead is configured to be implanted within a patient, and wherein the lead is configured to be coupled to an implantable medical device that is configured to generate electrical stimulation signals for deep brain stimulation therapy.

32. A system comprising:

a lead comprising;

a cylindrical lead housing defining a longitudinal axis and a circumference of the lead;

a first circumferential stimulation electrode disposed at a first axial position along the longitudinal axis of the lead, the first circumferential stimulation electrode encircling the circumference of the lead;

a first plurality of stimulation electrode segments disposed at a second axial position and disposed at first respective positions around the circumference of the lead, wherein the first plurality of stimulation electrode segments consists of three electrode segments at the second axial position, and wherein the second axial position is distal from the first axial position; and

a second plurality of stimulation electrode segments disposed at a third axial position and disposed at second respective positions around the circumference of the lead, wherein the second plurality of stimulation electrode segments consists of three electrode segments at the third axial position, wherein the third axial position is distal from the second axial position, and wherein the first circumferential stimulation electrode, the first plurality of stimulation electrode segments, and the second plurality of stimulation electrode segments are all configured to deliver electrical stimulation to a patient;

an implantable medical device configured to be coupled to the lead and deliver electrical stimulation to the patient via an electrode combination of the lead.

33. The system of claim 32, wherein the lead comprises a second circumferential stimulation electrode that encircles the circumference of the lead at a fourth axial position distal from the third axial position.

34. The system of claim 32, wherein the implantable medical device comprises a stimulation generator configured to generate electrical stimulation signals configured for deep brain stimulation and deliverable to a patient via the lead.

35. The system of claim 34, wherein the implantable medical device is configured to shape a stimulation field for the electrical stimulation signals by selecting one or more electrode segments from at least one of the first plurality of stimulation electrode segments or the second plurality of stimulation electrode segments.

36. The system of claim 34, wherein the implantable medical device is configured to independently utilize each electrode segment of the first plurality of stimulation electrode segments and the second plurality of stimulation electrode segments to deliver the electrical stimulation signals.

37. The system of claim 34, wherein the implantable medical device is configured to control a current amplitude from the stimulation generator for the electrical stimulation signals.

38. The system of claim 32, further comprising an external programmer comprising a display, the external programmer configured to:

generate a stimulation field model that represents where electrical stimulation will propagate from at least one electrode segment of the first plurality of stimulation electrode segments and the second plurality of stimulation electrode segments;

display, via the display, the stimulation field model in conjunction with a representation of the first plurality of stimulation electrode segments and the second plurality of stimulation electrode segments; and

receive stimulation field input from a user that modifies at least one of a size, shape, or location of the stimulation field model relative to the representation of the first plurality of stimulation electrode segments and the second plurality of stimulation electrode segments.

39. A method comprising:

determining an electrode combination of a lead for delivery of electrical stimulation therapy, wherein the electrode combination identifies one or more electrodes from the lead, the lead comprising;

a cylindrical lead housing defining a longitudinal axis and a circumference of the lead;

a first circumferential stimulation electrode disposed at a first axial position along the longitudinal axis of the lead, the first circumferential stimulation electrode encircling the circumference of the lead;

a first plurality of stimulation electrode segments disposed at a second axial position and disposed at first respective positions around the circumference of the lead, wherein the first plurality of stimulation electrode segments consists of three electrode segments at the second axial position, and wherein the second axial position is distal from the first axial position; and

a second plurality of stimulation electrode segments disposed at a third axial position and disposed at second respective positions around the circumference of the lead, wherein the second plurality of stimulation electrode segments consists of three electrodes at the third axial position, wherein the third axial position is distal from the second axial position, and wherein the first circumferential stimulation electrode, the first plurality of stimulation electrode segments, and the second plurality of stimulation electrode segments are all configured to deliver electrical stimulation to a patient; and

delivering, by an implantable medical device, the electrical stimulation therapy to a patient via the electrode combination of the lead.

40. The method of claim 39, wherein the lead comprises a second circumferential stimulation electrode that encircles the circumference of the lead at a fourth axial position distal from the third axial position.

41. The method of claim 39, wherein delivering the electrical stimulation therapy comprises generating, by a stimulation generator, electrical stimulation signals configured for deep brain stimulation and deliverable to a patient via the lead.

42. The method of claim 41, further comprising shaping a stimulation field for the electrical stimulation signals by selecting the electrode combination.

43. The method of claim 41, further comprising independently utilizing each electrode segment of the first plurality of stimulation electrode segments and the second plurality of stimulation electrode segments to deliver the electrical stimulation signals.

44. The method of claim 41, further comprising controlling a current amplitude from the stimulation generator during delivery of the electrical stimulation signals.

45. The method of claim 39, further comprising:

generating, for display by an external programmer, a stimulation field model that represents where electrical stimulation will propagate from at least one electrode segment of the first plurality of stimulation electrode segments and the second plurality of stimulation electrode segments;

generating, for display by the external programmer, the stimulation field model in conjunction with a representation of the first plurality of stimulation electrode segments and the second plurality of stimulation electrode segments; and

receiving, via the external programmer, stimulation field input from a user that modifies at least one of a size, shape, or location of the stimulation field model relative to the representation of the first plurality of stimulation electrode segments and the second plurality of stimulation electrode segments.