System and method for displaying stimulation field generated by electrode array

• US 8,401,658 B2
• Filed: 11/17/2010
• Issued: 03/19/2013
• Est. Priority Date: 01/07/1999
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Woods, Carla Mann, Peterson, David K. L., Meadows, Paul M., Loeb, Gerald E.
• Primary Examiner(s): Gedeon, Brian T
• Application Number:
  US12/948,336
• Publication Number:
  US 20110060386A1
• Time in Patent Office: 853 Days
• Field of Search: 607/2, 607/27, 607/59, 607/60
• US Class Current: 607/59
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes
• CPC Class Codes: A61N 1/0553 Paddle shaped electrodes, e.g. for laminotomy
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/36185 Selection of the electrode configuration
• CPC Class Codes: A61N 1/37235 Aspects of the external programmer
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means

Abstract

An implantable pulse generator includes a current steering capability that allows a clinician or patient to quickly determine a desired electrode stimulation pattern, including which electrodes of a group of electrodes within an electrode array should receive a stimulation current, including the amplitude, width and pulse repetition rate of such current. Movement of the selected group of electrodes is facilitated through the use of remotely generated directional signals, generated by a pointing device, such as a joystick. As movement of the selected group of electrodes occurs, current redistribution amongst the various electrode contacts takes place. The redistribution of stimulus amplitudes utilizes re-normalization of amplitudes so that the perceptual level remains fairly constant. This prevents the resulting paresthesia from falling below the perceptual threshold or above the comfort threshold.

Claims

1. A programmer for a tissue stimulator that generates a stimulation field between electrodes, comprising:

a user-controlled input device configured for generating control signals; and

a processor configured for instructing the tissue stimulator to modify the stimulation field between the electrodes in response to the generated control signals, and for generating display signals that can be used to display a representation of a modified stimulation field relative to, and separate from, the electrodes.

2. The programmer of claim 1, further comprising a monitor configured for displaying the representation of the modified stimulation field relative to the electrodes.

3. The programmer of claim 1, wherein the representation of the modified stimulation field comprises a line that encircles selected ones of the electrodes.

4. The programmer of claim 1, wherein the processor is configured for generating stimulation parameter values that can be used by the tissue stimulator to modify the stimulation field between the electrodes, the programmer further comprising:

control circuitry configured for generating programming signals containing the stimulation parameter values; and

a transmitter configured for transmitting the programming signals to the tissue stimulator.

5. The programmer of claim 4, wherein the stimulation parameter values are stimulus current values.

6. The programmer of claim 5, wherein the processor is configured for shifting the stimulus current values between the electrodes in response to the control signals.

7. The programmer of claim 4, wherein the transmitter is a wireless transmitter.

8. The programmer of claim 1, wherein the user-controlled input device and processor are contained within a hand-held portable device.

9. The programmer of claim 1, wherein the user-controlled input device and processor are contained within a lap-top computer.

10. The programmer of claim 1, wherein the user-controlled input device comprises a joystick.

11. The programmer of claim 1, wherein the tissue stimulator is an implantable pulse generator.

12. The programmer of claim 1, wherein the display signals can be used to further display a representation of an anatomical structure relative to the electrodes.

13. The programmer of claim 12, wherein the anatomical structure is a spinal column.

14. A tissue stimulation system, comprising:

a plurality of electrodes;

a tissue stimulator configured for receiving the programming signals and generating a stimulation field between the electrodes in accordance with the programming signals; and

an external programmer configured for instructing the generating programming signals in response to user input to modify the stimulation field generated between the electrodes, the external programmer further configured for prompting a monitor to display a representation of the modified stimulation field relative to, and separate from, the electrodes.

15. The system of claim 14, further comprising a display configured for displaying the representation of the modified stimulation field relative to the electrodes.

16. The system of claim 14, wherein the representation of the modified stimulation field comprises a line that encircles selected ones of the electrodes.

17. The system of claim 14, wherein the tissue stimulator is configured for steering current-controlled stimulation energy between the electrodes in accordance with the programming signals.

18. The system of claim 14, wherein the external programmer is configured for wirelessly transmitting the programming signals to the tissue stimulator.

19. The system of claim 14, wherein the external programmer is a hand-held device.

20. The system of claim 14, wherein the external programmer is a laptop computer.

21. The system of claim 14, wherein the external programmer includes a user-controlled input device for receiving the user input.

22. The system of claim 21, wherein the user-controlled input device comprises a joystick.

23. The system of claim 14, wherein the external programmer is further configured for prompting a monitor to display a representation of an anatomical structure relative to the electrodes.

24. The system of claim 23, wherein the anatomical structure is a spinal column.