Method of electrically stimulating tissue of a patient by calibrating stimulation amplitude

• US 8,332,039 B1
• Filed: 07/29/2009
• Issued: 12/11/2012
• Est. Priority Date: 07/29/2008
• Status: Active Grant

• Current Assignee: Advanced Neuromodulation Systems Incorporated (Abbott Laboratories)
• Original Assignee: Advanced Neuromodulation Systems Incorporated (Abbott Laboratories)
• Inventors: Huynh, Jeffrey C., Cullen, Patrick M.
• Primary Examiner(s): Patel, Niketa
• Assistant Examiner(s): Lavert, Nicole F
• Application Number:
  US12/511,792
• Time in Patent Office: 1,231 Days
• Field of Search: 607/2, 607/59
• US Class Current: 607/59
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/36132 using patient feedback
• CPC Class Codes: A61N 1/3616 Voltage density or current density
• CPC Class Codes: A61N 1/36185 Selection of the electrode configuration

Abstract

A method comprises: selecting a plurality of electrodes of one or more stimulation leads, the selected plurality of electrodes defining a two-dimensional region; determining a calibration value for stimulation points defined by the plurality of electrodes; selecting a stimulation point within a boundary formed by the two-dimensional region; identifying points on the boundary that are axially displaced relative to the selected stimulation point; automatically calculating boundary calibration values for identified points, each boundary calibration value being calculated as a linear interpolation of calibration values of a pair of stimulation points determined for the plurality of electrodes; automatically assigning a calibration value to the selected stimulation point that is a summation of the calculated boundary calibration values; and using the automatically assigned calibration value for the stimulation point to control an amplitude of stimulation pulses applied to the patient.

Claims

1. A method of using one or more calibration values for one or more stimulation leads implanted within the epidural space of a patient to control electrical stimulation of the patient, the method comprising:

selecting a plurality of electrodes of the one or more stimulation leads, the selected plurality of electrodes defining a two-dimensional region of stimulation points;

determining a respective calibration value for each stimulation point defined by the plurality of electrodes;

selecting a stimulation point within a boundary formed by the two-dimensional region;

identifying points on the boundary that are axially displaced relative to the selected stimulation point;

automatically calculating boundary calibration values for identified points on the boundary, each boundary calibration value being calculated as a linear interpolation of calibration values of a pair of stimulation points determined for the plurality of electrodes;

automatically assigning a calibration value to the selected stimulation point that is a weighted summation of the calculated boundary calibration values; and

using the automatically assigned calibration value for the selected stimulation point to control an amplitude of stimulation pulses applied to the patient.

2. The method of claim 1 wherein the automatically assigned calibration value is a perception threshold value.

3. The method of claim 1 wherein the automatically assigned calibration value is a maximum tolerable value.

4. The method of claim 1 wherein the summation of the calculated boundary calibration values sums the calculated boundary calibration values using weighting factors that are related to distances between the selected stimulation point and the identified points on the boundary.

5. The method of claim 1 wherein the one or more stimulation leads comprise a plurality of percutaneous stimulation leads.

6. The method of claim 1 wherein the one or more stimulation leads comprise a paddle-style stimulation lead.

7. The method of claim 1 further comprising:

automatically assigning a calibration value to a stimulation point outside of the boundary that is equal to a linear interpolation of calibration values of a pair of stimulation points determined for the plurality of electrodes.

8. The method of claim 1 further comprising:

automatically assigning a calibration value to a stimulation point on the boundary that is equal to a linear interpolation of calibration values of a pair of stimulation points determined for the plurality of electrodes.

9. The method of claim 1 wherein the two-dimensional region has a rectangular form.

10. The method of claim 1 wherein the two-dimensional region has a non-rectangular form.