Stimulation templates for configuring stimulation therapy

• US 8,543,217 B2
• Filed: 10/31/2006
• Issued: 09/24/2013
• Est. Priority Date: 02/24/2006
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Stone, Richard T., Ball, Warren W., Wahlstrand, Carl D., Goetz, Steven M., Otten, Lynn M.
• Primary Examiner(s): Lavert, Nicole F
• Application Number:
  US11/591,193
• Publication Number:
  US 20070203543A1
• Time in Patent Office: 2,520 Days
• Field of Search: 607/2, 607/59, 607/62
• US Class Current: 607/62
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means

Abstract

The disclosure describes a method and system that generates stimulation parameters by selecting one or more stimulation parameters according to a stimulation field defined by a user. The system includes a memory that stores a plurality of stimulation templates for multiple electrode configurations of an electrical lead. A processor selects one or more volumetric stimulation templates that best match, e.g., fill, the three-dimensional stimulation field defined by the clinician. Each stimulation template is associated with a set of stimulation parameters that can be used to deliver stimulation therapy to a patient.

Claims

1. A method comprising:

storing a plurality of predefined volumetric stimulation templates in a memory, wherein each of the plurality of predefined volumetric stimulation templates is a predetermined stimulation volume that is defined by a respective set of electrical stimulation parameters;

subsequent to storing the plurality of predefined volumetric stimulation templates in the memory, receiving stimulation input from a user defining a stimulation field within a visual representation of an anatomical region of a patient;

responsive to receiving the stimulation input from the user, selecting, by a processor and based on the stimulation field, a set of multiple predefined volumetric stimulation templates from among the plurality of predefined volumetric stimulation templates stored in the memory, wherein the selected set of multiple predefined volumetric stimulation templates approximate the stimulation field defined by the user;

displaying the selected set of multiple predefined volumetric stimulation templates in conjunction with the stimulation field defined by the user over the visual representation of the anatomical region of the patient; and

controlling delivery of electrical stimulation therapy to the patient according to the respective sets of electrical stimulation parameters that define the selected set of multiple volumetric stimulation templates.

2. The method of claim 1, further comprising:

generating at least one volumetric stimulation template for each electrode of an electrical stimulation lead based upon at least one of modeled data, experimental data, and analytical calculations; and

storing the generated volumetric stimulation template in the memory for selection based on the stimulation field.

3. The method of claim 1, wherein selecting the set of multiple volumetric stimulation templates comprises selecting the set of multiple volumetric stimulation templates based on a comparison of at least one of the volumes and shapes of the set of multiple volumetric stimulation templates and the user-defined stimulation field.

4. The method of claim 1, wherein selecting the set of multiple volumetric stimulation templates comprises selecting the set of multiple volumetric stimulation templates that fill at least a portion of the stimulation field without covering any portion of the anatomical region not included in the stimulation field.

5. The method of claim 1, wherein selecting the set of multiple volumetric stimulation templates comprises selecting the set of multiple volumetric stimulation templates that fill at least the entire stimulation field.

6. The method of claim 1, wherein selecting the set of multiple volumetric stimulation templates comprises selecting the set of multiple volumetric stimulation templates that maximize the portion of the stimulation filled by the set of multiple volumetric stimulation templates while minimizing covering any portion of the anatomical region not include in the stimulation field.

7. The method of claim 1, further comprising displaying the anatomical region of the patient as a plurality of different two-dimensional, cross-sectional views of the anatomical region, wherein receiving stimulation input comprises receiving stimulation field input that defines a cross-section of the stimulation field in each of the cross-sectional views, the method further comprising estimating the stimulation field in three dimensions based on the cross-sections of the stimulation field.

8. The method of claim 1, further comprising presenting a message to the user in response to determining that the selected set of multiple stimulation templates fails to match the stimulation field by an error that is greater than a predetermined error threshold.

9. The method of claim 1, wherein each of the plurality of predefined volumetric stimulation templates corresponds to a respective one or more electrodes of a plurality of electrodes carried by an electrical stimulation lead.

10. The method of claim 9, wherein the electrical stimulation lead has a complex electrode array geometry that comprises the plurality of electrodes as non-contiguous electrode segments located at different angular positions about a circumference of the electrical stimulation lead.

11. The method of claim 9, wherein the respective one or more electrodes comprise a unipolar electrode.

12. The method of claim 9, wherein the respective one or more electrodes comprise a bipolar electrode combination, and wherein a first electrode of the bipolar electrode combination is a cathode and a second electrode of the bipolar electrode combination is an anode.

13. A system comprising:

a memory configured to store a plurality of predefined volumetric stimulation templates, wherein each of the plurality of predefined volumetric stimulation templates is a predetermined stimulation volume that is defined by a respective set of electrical stimulation parameters;

a user interface configured to, subsequent to storing the plurality of predefined volumetric stimulation templates in the memory, receive stimulation input from a user defining a stimulation field within a visual representation of an anatomical region of a patient; and

a processor configured to, in response to the user interface receiving the stimulation input from the user, select, based on the user-defined stimulation field, a set of multiple predefined stimulation templates from among the plurality of predefined volumetric stimulation templates stored in the memory, wherein the selected set of multiple predefined volumetric stimulation templates approximate the stimulation field defined by the user,

wherein the user interface is configured to display the selected set of multiple predefined volumetric stimulation templates in conjunction with the stimulation field defined by the user over the visual representation of the anatomical region of the patient, and

wherein the processor is configured to control delivery of electrical stimulation therapy to the patient according to the respective sets of electrical stimulation parameters that define the selected set of multiple selected volumetric stimulation templates.

14. The system of claim 13, wherein the processor is configured to select the set of multiple volumetric stimulation templates based on a comparison of at least one of the volumes and shapes of the set of multiple volumetric stimulation templates and the user-defined stimulation field.

15. The system of claim 13, wherein the processor is configured to select the set of multiple volumetric stimulation templates based on a determination that the one or more templates fill at least a portion of the stimulation field without covering any portion of the anatomical region not included in the stimulation field.

16. The system of claim 13, wherein the processor is configured to select the set of multiple volumetric stimulation templates based on a determination that the one or more templates fill at least the entire stimulation field.

17. The system of claim 13, wherein the processor is configured to select the set of multiple volumetric stimulation templates that maximize the portion of the stimulation filled by the volumetric stimulation templates while minimizing covering any portion of the anatomical region not include in the stimulation field.

18. The system of claim 13, wherein the user interface is configured to display the anatomical region of the patient as a plurality of different two-dimensional, cross-sectional views of the anatomical region, and the processor is configured to receive stimulation input that defines a cross-section of the stimulation field in each of the cross-sectional views and estimates the stimulation field in three dimensions based on the cross-sections of the stimulation field.

19. The system of claim 13, wherein the processor is configured to present a message to the user via the user interface in response to determining that the set of multiple selected stimulation templates fails to match the stimulation field by an error that is greater than a predetermined error threshold.

20. The system of claim 13, further comprising a programmer for programming an implantable medical device that includes the user interface, the memory and the processor.

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

store a plurality of predefined volumetric stimulation templates in a memory, wherein each of the plurality of predefined volumetric stimulation templates is a predetermined stimulation volume that is defined by a respective set of electrical stimulation parameters;

subsequent to storing the plurality of predefined volumetric stimulation templates in the memory, receive stimulation input from a user defining a stimulation field within a visual representation of an anatomical region of a patient;

responsive to receiving the stimulation input from the user, select, by a processor and based on the stimulation field, a set of multiple predefined volumetric stimulation templates from among the plurality of predefined volumetric stimulation templates stored in the memory, wherein the selected set of multiple predefined volumetric stimulation templates approximate the stimulation field defined by the user;

display, on a user interface, the selected set of multiple predefined volumetric stimulation templates in conjunction with the stimulation field defined by the user over the visual representation of the anatomical region of the patient; and

control delivery of electrical stimulation therapy to the patient according to the respective set of electrical stimulation parameters that define the selected set of multiple volumetric stimulation templates.

22. The computer-readable storage medium of claim 21, further comprising instructions that cause a processor to:

generate at least one volumetric stimulation template for each electrode of an electrical stimulation lead based upon at least one of modeled data, experimental data, and analytical calculations; and

store the generated volumetric stimulation template in the memory for selection based on the stimulation field.

23. The computer-readable storage medium of claim 21, wherein the instructions that cause the processor to select the set of multiple volumetric stimulation templates comprise instructions that cause the processor to select the set of multiple volumetric stimulation templates based on a comparison of at least one of the volumes and shapes of the set of multiple volumetric stimulation templates and the user-defined stimulation field.

24. The computer-readable storage medium of claim 21, wherein the instructions that cause the processor to select the set of multiple volumetric stimulation templates comprise instructions that cause the processor to select the set of multiple volumetric stimulation templates that fill at least a portion of the stimulation field without covering any portion of the anatomical region not included in the stimulation field.

25. The computer-readable storage medium of claim 21, wherein the instructions that cause the processor to select the set of multiple volumetric stimulation templates comprise instructions that cause the processor to select the set of multiple volumetric stimulation templates that fill at least the entire stimulation field.

26. The computer-readable storage medium of claim 21, wherein the instructions that cause the processor to select the set of multiple volumetric stimulation templates comprise instructions that cause the processor to select the set of multiple volumetric stimulation templates that maximize the portion of the stimulation filled by the set of volumetric stimulation templates while minimizing covering any portion of the anatomical region not include in the stimulation field.

27. The computer-readable storage medium of claim 21, further comprising instructions that cause the processor to display the anatomical region of the patient as a plurality of different two-dimensional, cross-sectional views of the anatomical region, wherein the instructions that cause the processor to receive stimulation input comprises receiving stimulation field input that defines a cross-section of the stimulation field in each of the cross-sectional views, the medium further comprising instructions that cause the processor to estimate the stimulation field in three dimensions based on the cross-sections of the stimulation field.

28. The computer-readable storage medium of claim 21, further comprising instructions that cause the processor to present a message to the user in response to determining that the selected set of multiple stimulation templates fails to match the stimulation field by an error that is greater than a predetermined error threshold.