User interface with 2D views for configuring stimulation therapy

• US 7,826,902 B2
• Filed: 10/31/2006
• Issued: 11/02/2010
• 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., Otten, Lynn M., Wahlstrand, Carl D., Ball, Warren W.
• Primary Examiner(s): Manuel; George
• Assistant Examiner(s): Wieland; Robert N
• Application Number:
  US11/591,178
• Publication Number:
  US 20070203539A1
• Time in Patent Office: 1,463 Days
• Field of Search: 345/660, 600/407, 600/424, 600/429, 600/434, 600/437, 606/1, 606/41, 307/116, 307/46, 307/48, 307/59, 307/62
• US Class Current: 607/59
• CPC Class Codes: A61N 1/0529 Electrodes for brain stimulation
• CPC Class Codes: A61N 1/0531 Brain cortex electrodes
• CPC Class Codes: A61N 1/0534 Electrodes for deep brain stimulation
• CPC Class Codes: A61N 1/0553 Paddle shaped electrodes, e.g. for laminotomy
• CPC Class Codes: A61N 1/3605 Implantable neurostimulators for stimulating central or peripheral nerve system
• CPC Class Codes: A61N 1/36082 Cognitive or psychiatric applications, e.g. dementia or Alzheimer's disease
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means

Abstract

The disclosure describes a method and system that allows a user to configure electrical stimulation therapy by defining a stimulation field. After a stimulation lead is implanted in a patient, a clinician manipulates a stimulation field on the display to encompass desired anatomical regions of the patient. In this manner, the clinician determines which anatomical regions to stimulate, and the system generates the necessary stimulation parameters. In some cases, a lead icon representing the implanted lead is displayed to show the clinician where the lead is relative to anatomical regions of the patient.

Claims

1. A method comprising:

representing an anatomical region on a display;

representing a stimulation field on the anatomical region;

receiving, stimulation field input from a user via at least one of the display or a pointing device on the displayed representation of the anatomical region, wherein the input defines the stimulation field; and

generating electrical stimulation parameters based on the defined stimulation field and a location of at least one electrode within the patient, wherein the electrical stimulation parameters comprise an electrode combination of a complex electrode array geometry of an electrical stimulation lead, wherein the stimulation lead comprises a plurality of non-contiguous electrode segments located at different angular positions about a circumference of the lead.

2. The method of claim 1, further comprising:

representing an electrical stimulation lead as a lead icon on the display; and

positioning the lead icon relative to the anatomical region based on the physical location of the electrical stimulation lead in the patient.

3. The method of claim 2, wherein positioning the lead icon comprises receiving directional user input specifying placement of the lead icon relative to the anatomical region on the display.

4. The method of claim 2, wherein positioning the lead icon comprises identifying electrodes of an imaged lead within the anatomical region.

5. The method of claim 3, wherein receiving directional user input comprises receiving input that specifies at least one of lateral or rotational movement of the lead icon on the display.

6. The method of claim 3, wherein representing an anatomical region of a patient on a display comprises representing a plurality of different two-dimensional, cross-sectional views of the anatomical region, and receiving directional user input comprises receiving directional input for each of the cross-sectional views.

7. The method of claim 6, wherein the views comprise at least one of a coronal view, a sagittal view, an axial view, and an oblique view.

8. The method of claim 1, further comprising imaging an anatomical structure of the patient to generate the anatomical region.

9. The method of claim 1, wherein receiving stimulation field input comprises receiving input that defines at least one of a size or shape of the stimulation field.

10. The method of claim 9, wherein receiving input that defines at least one of a size or shape of the stimulation field comprises receiving input that drags a boundary of the stimulation field.

11. The method of claim 9, wherein receiving input that defines a size of the stimulation field comprises receiving input via an analog adjustment mechanism represented on the display.

12. The method of claim 9, wherein receiving input that defines at least one of a size or shape of the stimulation field comprises receiving input highlighting a portion of the anatomical region.

13. The method of claim 1, wherein receiving stimulation field input comprises receiving input that drags the stimulation field to a desired location within the displayed anatomical region.

14. The method of claim 1, wherein representing the anatomical region of the patient comprises representing the anatomical region of the patient as a plurality of different two-dimensional, cross-sectional views of the anatomical region, and receiving stimulation field input comprises receiving stimulation field input that defines a cross-section of the stimulation field in each of the cross-sectional views.

15. The method of claim 14, wherein the views comprise at least one of a coronal view, a sagittal view, an axial view, and an oblique view.

16. The method of claim 14, further comprising estimating a 3D shape of the stimulation field based on the cross-sections, wherein generating electrical stimulation parameters comprises:

selecting at least one predefined volumetric stimulation field template that substantially fills the 3D shape; and

selecting electrical parameters corresponding to the predefined volumetric stimulation field.

17. The method of claim 1, further comprising:

determining an error value based on a volume of extraneous tissue that would be stimulated by delivery of stimulation according to the generated electrical stimulation parameters;

comparing the error value to a threshold value; and

prompting a user based on the comparison.

18. The method of claim 1, further comprising:

determining an error value based on a volume of tissue within the stimulation field that would not be stimulated by delivery of stimulation according to the generated electrical stimulation parameters;

comparing the error value to a threshold value; and

prompting a user based on the comparison.

19. The method of claim 1, wherein the anatomical region comprises at least one of the cerebrum, cerebellum, or brain stem.

20. The method of claim 19, wherein anatomical region comprises at least one of a substantia nigra, subthalamic nucleus, globus pallidus interna, ventral intermediate, and zona inserta.

21. A system comprising:

a user interface comprising a display that displays a representation of an anatomical region of a patient, wherein the user interface receives stimulation field input from a user via at least one of the display or a pointing device on the displayed representation of the anatomical region, wherein the input defines a stimulation field; and

a processor that generates electrical stimulation parameters based on the defined stimulation field and a location of at least one electrode within the patient, wherein the electrical stimulation parameters comprise an electrode combination of a complex electrode array geometry of an electrical stimulation lead, wherein the stimulation lead comprises a plurality of non-contiguous electrode segments located at different angular positions about a circumference of the lead.

22. The system of claim 21, wherein the processor selects an electrode combination of the complex electrode array geometry of the electrical stimulation lead based on a location of the defined stimulation field.

23. The system of claim 21, wherein the user interface displays a representation of an electrical stimulation lead as a lead icon, and the processor positions the lead icon relative to the anatomical region based on the physical location of the electrical stimulation lead in the patient.

24. The system of claim 23, wherein the processor receives directional user input specifying placement of the lead icon relative to the anatomical region via the user interface.

25. The system of claim 24, wherein the processor receives input that specifies at least one of lateral or rotational movement of the lead icon.

26. The system of claim 24, wherein the user interface displays a plurality of different two-dimensional, cross-sectional views of the anatomical region, and the processor receives directional input for each of the cross-sectional views.

27. The system of claim 26, wherein the views comprise at least one of a coronal view, a sagittal view, an axial view, and an oblique view.

28. The system of claim 21, further comprising an imaging device that generates images of the anatomy of the patient, wherein the user interface displays the anatomical region based on the images.

29. The system of claim 21, wherein the processor receives input that defines at least one of a size or shape of the stimulation field as stimulation field input.

30. The system of claim 29, wherein the processor receives input that drags a boundary of the stimulation field to define at least one of a size or shape of the stimulation field.

31. The system of claim 29, wherein the user interface displays an analog adjustment mechanism, and the processor receives input that defines a size of the stimulation field via the analog adjustment mechanism.

32. The system of claim 29, wherein the processor receives input highlighting a portion of the anatomical region as input that defines of the stimulation field.

33. The system of claim 21, wherein the processor receives input that drags the stimulation field to a desired location within the displayed anatomical region.

34. The system of claim 21, wherein the user interface displays a plurality of different two-dimensional, cross-sectional views of the anatomical region, and the processor receives stimulation field input that defines a cross-section of the stimulation field in each of the cross-sectional views.

35. The system of claim 34, wherein the views comprise a coronal view, a sagittal view, and an axial view.

36. The system of claim 34, wherein the processor estimates a 3D shape of the stimulation field based on the cross-sections, selects at least one predefined volumetric stimulation field template that substantially fills the 3D shape, and selects electrical parameters corresponding to the predefined volumetric stimulation field.

37. The system of claim 21, wherein the processor determines an error value based on a volume of extraneous tissue that would be stimulated by delivery of stimulation according to the generated electrical stimulation parameters, comparing the error value to a threshold value, and prompts a user via the user interface based on the comparison.

38. The system of claim 21, further comprising a programming device for programming an implantablc medical device that includes the user interface and the processor.

39. A computer-readable storage medium comprising instructions that cause a processor to:

represent an anatomical region on a display;

represent a stimulation field on the anatomical region;

receive stimulation field input from a user via at least one of the display or a pointing device on the displayed representation of the anatomical region, wherein the input defines the stimulation field; and

generate electrical stimulation parameters based on the defined stimulation field and a location of at least one electrode within the patient, wherein the electrical stimulation parameters comprise an electrode combination of a complex electrode array geometry of an electrical stimulation lead, wherein the stimulation lead comprises a plurality of non-contiguous electrode segments located at different angular positions about a circumference of the lead.

40. The computer-readable storage medium of claim 39, further comprising instructions that cause a processor to:

represent an electrical stimulation lead as a lead icon on the display; and

position the lead icon relative to the anatomical region based on the physical location of the electrical stimulation lead in the patient.

41. The computer-readable storage medium of claim 39, wherein the instructions that cause a processor to receive stimulation field input comprise instructions that cause a processor to receive input that defines at least one of a size or shape of the stimulation field.

42. The computer-readable storage medium of claim 41, wherein the instructions that cause a processor to receive input that defines at least one of a size or shape of the stimulation field comprise instructions that cause a processor to receive input that drags a boundary of the stimulation field.

43. The computer-readable storage medium of claim 41, wherein the instructions that cause a processor to receive input that defines a size of the stimulation field comprise instructions that cause a processor to receive input via an analog adjustment mechanism represented on the display.

44. The computer-readable storage medium of claim 41, wherein the instructions that cause a processor to receive input that defines at least one of a size or shape of the stimulation field comprise instructions that cause a processor to receive input highlighting a portion of the anatomical region.

45. The computer-readable storage medium of claim 39, wherein the instructions that cause a processor to receive stimulation field input comprise instructions that cause a processor to receive input that drags the stimulation field to a desired location within the displayed anatomical region.

46. The computer-readable storage medium of claim 39, wherein the instructions that cause a processor to represent the anatomical region of the patient comprise instructions that cause a processor to represent the anatomical region of the patient as a plurality of different two-dimensional, cross-sectional views of the anatomical region, and the instructions that cause a processor to receive stimulation field input comprise instructions that cause a processor to receive stimulation field input that defines a cross-section of the stimulation field in each of the cross-sectional views.

47. The computer-readable storage medium of claim 46, wherein the views comprise at least one of a coronal view, a sagittal view, an axial view, and an oblique view.