External presentation of electrical stimulation parameters

• US 8,233,984 B2
• Filed: 07/21/2009
• Issued: 07/31/2012
• Est. Priority Date: 09/08/2005
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Forsberg, John W., Michaels, Matthew J., Palm, Jeffry C.
• Primary Examiner(s): Layno, Carl H
• Assistant Examiner(s): Patel, Natasha
• Application Number:
  US12/506,972
• Publication Number:
  US 20090281601A1
• Time in Patent Office: 1,106 Days
• Field of Search: 600/393, 607/60, 607/63, 607/28
• US Class Current: 607/28
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes
• CPC Class Codes: A61N 1/36017 with leads or electrodes penetrating the skin
• CPC Class Codes: A61N 1/37241 providing test stimulations
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: G16H 20/30 relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
• CPC Class Codes: G16H 50/50 for simulation or modelling of medical disorders

Abstract

The invention is directed to a trial stimulation system and, more particularly, an indicator device within the trial stimulation system that measures and indicates energy amplitude levels for electrical stimulation therapy delivered to a patient. Specifically, the indicator device simultaneously indicates energy amplitude levels, such as electrical voltage, current, power, and electrical charge, as well as the polarity for each electrode in real-time without affecting the therapy delivered to the patient. For example, the indicator device may activate a number of lights in an array of lights in proportion to the measured energy amplitude level for each electrode and may activate a green LED or a red LED when a corresponding electrodes acts as a source or sink, respectively. In this manner, the indicator device allows a clinician to visualize the electrical fields produced by each electrode and, therefore, may assist stimulation steering, trouble shooting, and lead placement.

Claims

1. A method comprising:

measuring energy amplitude levels associated with electrical stimulation therapy delivered from an electrical stimulation generator to an array of implanted stimulation electrodes carried by one or more leads via a measurement circuit; and

indicating the measured energy amplitude levels delivered to one or more of the implanted electrodes within the array via a plurality of indicators, wherein each of the indicators corresponds to one of the electrodes, and the indicators are physically arranged to substantially correspond to the array of implanted stimulation electrodes carried by the one or more leads.

2. The method of claim 1, wherein the energy amplitude levels includes at least one of electrical voltage levels, electrical current levels, power levels, and electrical charge levels.

3. The method of claim 1, further comprising updating the measured energy amplitude levels and indicating the updated energy amplitude levels on a periodic basis.

4. The method of claim 1, wherein indicating includes, for each of the electrodes, activating a number of indicator lights within an array of indicator lights in proportion to the measured energy amplitude levels in real-time.

5. The method of claim 1, wherein the measurement circuit is placed in series with the electrical stimulation generator and the array of stimulation electrodes.

6. The method of claim 1, wherein indicating the measured energy amplitude levels includes simultaneously indicating the measured energy amplitude levels for each of the electrodes within the array.

7. The method of claim 1, wherein the electrical stimulation generator comprises an external electrical stimulation generator.

8. The method of claim 1, wherein the electrical stimulation generator comprises an implantable electrical stimulation generator.

9. An external indicator device comprising:

an external device housing; and

a plurality of indicators, carried by the external device housing, that indicate measured energy amplitude levels delivered from an electrical stimulation generator to an array of implanted stimulation electrodes carried by one or more leads, wherein the energy amplitude levels are measured via a measurement circuit,

wherein each of the indicators corresponds to one of the electrodes, and the indicators are physically arranged to substantially correspond to the array of implanted stimulation electrodes carried by the one or more leads.

10. The device of claim 9, wherein the energy amplitude levels include at least one of electrical voltage levels, electrical current levels, power levels, and electrical charge levels.

11. The device of claim 9, wherein the indicators indicate updated energy amplitude levels measured by the measurement circuit on a periodic basis.

12. The device of claim 9, wherein respective indicators include an array of indicator lights, and the indicator activates a number of indicator lights within the array of indicator lights in proportion to the measured energy amplitude level in real-time.

13. The device of claim 9, wherein the measurement circuit is placed in series with the electrical stimulation generator and the array of stimulation electrodes.

14. The device of claim 9, wherein the indicators simultaneously indicate the measured energy amplitude levels for each of the electrodes within the array.

15. The device of claim 9, wherein the electrical stimulation generator comprises an external electrical stimulation generator.

16. The device of claim 9, wherein the electrical stimulation generator comprises an implantable electrical stimulation generator.

17. A system comprising:

an electrical stimulation generator that generates stimulation energy associated with electrical stimulation therapy;

an array of implantable stimulation electrodes coupled to the electrical stimulation generator and carried by one or more leads;

a circuit to deliver the stimulation energy to selected electrodes within the array of electrodes;

a measurement circuit that measures energy amplitude levels of the stimulation energy delivered from the electrical stimulation generator to the implantable electrodes; and

a plurality of indicators that indicate the measured energy amplitude levels delivered to respective electrodes within the array,

wherein each of the indicators corresponds to one of the electrodes, and the indicators are physically arranged to correspond to the array of implantable stimulation electrodes carried by the one or more leads.

18. The system of claim 17, wherein the energy amplitude levels include at least one of electrical voltage levels, electrical current levels, power levels, and electrical charge levels.

19. The system of claim 17, wherein the measurement circuit updates the measured energy amplitude levels, and the indicators indicate the updated energy amplitude levels on a periodic basis.

20. The system of claim 17, wherein respective indicators include an array of indicator lights, and the indicator activates a number of indicator lights within the array of indicator lights in proportion to the measured energy amplitude level in real-time.

21. The system of claim 17, wherein the measurement circuit is placed in series with the electrical stimulation generator and the array of stimulation electrodes.

22. The system of claim 17, wherein the indicators simultaneously indicate the measured energy amplitude levels for each of the electrodes within the array.

23. The system of claim 17, wherein the electrical stimulation generator comprises an external electrical stimulation generator.

24. The system of claim 17, wherein the electrical stimulation generator comprises an implantable electrical stimulation generator.

25. A system comprising:

means for measuring energy amplitude levels associated with electrical stimulation therapy delivered from means for generating electrical stimulation signals to an array of implanted stimulation electrodes carried by one or more leads; and

means for indicating the measured energy amplitude levels delivered to one or more of the implanted electrodes within the array, wherein the means for indicating comprises a plurality of indicators, wherein each of the indicators corresponds to one of the electrodes, and the indicators are physically arranged to substantially correspond to the array of implanted stimulation electrodes carried by the one or more leads.

26. The system of claim 25, wherein the means for generating electrical stimulation signals comprises an electrical stimulation generator.

27. The system of claim 26, wherein the electrical stimulation generator includes one of an external electrical stimulation generator, and an implantable electrical stimulation generator.

28. The system of claim 25, wherein the one or more leads comprises one or more percutaneously implanted leads.

29. The system of claim 25, wherein the means for measuring the energy amplitude levels comprises a measurement circuit.

30. The system of claim 25, wherein the means for measuring energy amplitude levels is in an external device housing, the external device housing including a first electrical connection from the means for measuring energy amplitude levels to the means for generating electrical stimulation signals and a second electrical connection from means for measuring energy amplitude levels to the implanted electrodes.

31. The system of claim 25, wherein the means for measuring energy amplitude levels updates the measured energy amplitude levels, and the indicators indicate the updated energy amplitude levels on a periodic basis.

32. The system of claim 25, wherein respective indicators include an array of indicator lights, and the indicator activates a number of indicator lights within the array of indicator lights in proportion to the measured energy amplitude level in real-time.

33. The system of claim 25, wherein the means for measuring the energy amplitude levels is placed in series with the means for generating electrical stimulation signals and the array of stimulation electrodes.

34. The system of claim 25, wherein the indicators simultaneously indicate the measured energy amplitude levels for each of the electrodes within the array.