Computationally efficient technique for determining electrode current distribution from a virtual multipole

• US 8,594,797 B2
• Filed: 12/17/2012
• Issued: 11/26/2013
• Est. Priority Date: 12/19/2011
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Lee, Dongchul
• Primary Examiner(s): KAHELIN, MICHAEL WILLIAM
• Application Number:
  US13/717,298
• Publication Number:
  US 20130158630A1
• Time in Patent Office: 344 Days
• Field of Search: 607/46
• US Class Current: 607/46
• CPC Class Codes: A61N 1/3605 Implantable neurostimulators for stimulating central or peripheral nerve system
• CPC Class Codes: A61N 1/3616 Voltage density or current density
• CPC Class Codes: A61N 1/36185 Selection of the electrode configuration
• CPC Class Codes: A61N 1/37264 Changing the program; Upgrading firmware

Abstract

A system and method of providing therapy to a patient using a plurality of electrodes implanted within the patient. A virtual multipole configuration is defined relative to the plurality of electrodes. The distance between each of a group of the electrodes and a virtual pole of the virtual multipole configuration is determined. A stimulation amplitude distribution is determined for the electrode group based on the determined distances, thereby emulating the virtual multipole configuration. Electrical energy is conveyed from the electrode group in accordance with the computed stimulation amplitude distribution.

Claims

1. A system for an electrical neurostimulator coupled to a plurality of electrodes, comprising:

a processor configured for defining a virtual multipole configuration relative to the plurality of electrodes, determining a distance between each of a group of the electrodes and a virtual pole of the virtual multipole configuration, and determining a stimulation amplitude distribution for the electrode group based on the determined distances, thereby emulating the virtual multipole configuration; and

a controller configured for instructing the electrical neurostimulator to convey electrical energy to the electrode group in accordance with the computed stimulation amplitude distribution.

2. The system of claim 1, wherein the virtual pole is one of a virtual cathode and a virtual anode.

3. The system of claim 1, wherein the virtual multipole configuration is one of a virtual bipole configuration and a virtual tripole configuration.

4. The system of claim 1, wherein the processor is further configured for limiting the number of electrodes in the electrode group to a maximum number.

5. The system of claim 4, wherein the processor is further configured for varying the maximum number of the electrodes in the electrode group in response to a user input.

6. The system of claim 1, wherein the processor is further configured for comparing a function of a distance between each of the plurality of electrodes and the virtual pole to a threshold value, and excluding the each electrode from the electrode group based on the comparison.

7. The system of claim 6, wherein the function of the distance is a proportional function.

8. The system of claim 6, wherein the function of the distance is one of a higher order power function and an exponential function.

9. The system of claim 1, wherein the processor is configured for determining the stimulation amplitude distribution for the electrode group by computing weights as decreasing functions of the distances, and computing stimulation amplitude values respectively for the electrode group as a function of the computed weights.

10. The system of claim 9, wherein each of the weights is computed as an inverse proportional function of the respective distance.

11. The system of claim 9, wherein each of the weights is computed as one of an inverse higher order power function of the respective distance and an inverse exponential function of the respective distance.

12. The system of claim 9, wherein the stimulation amplitude values are fractionalized current values, and the processor is configured for computing a fractionalized current value for each electrode of the electrode group as the quotient of the weight for the each electrode divided by the sum of the weights for the electrode group.

13. The system of claim 1, further comprising a user interface configured for generating directional control signals, wherein the processor is further configured for modifying the virtual multipole configuration relative to the plurality of electrodes in response to the directional control signals, and repeating the distance determination and stimulation amplitude distribution steps for the modified virtual multipole configuration, and the controller is further configured for repeating the electrical energy conveyance step for the modified virtual multipole configuration.

14. The system of claim 1, further comprising telemetry circuitry, wherein the controller is further configured for transmitting stimulation parameter sets defining the computed stimulation amplitude distribution to the neurostimulation device via the telemetry circuitry.

15. The system of claim 1, further comprising a housing containing the processor and controller.

16. A method of providing therapy to a patient using a plurality of electrodes implanted within the patient, comprising:

defining a virtual multipole configuration relative to the plurality of electrodes;

determining a distance between each of a group of the electrodes and a virtual pole of the virtual multipole configuration;

determining a stimulation amplitude distribution for the electrode group based on the determined distances, thereby emulating the virtual multipole configuration; and

conveying electrical energy from the electrode group in accordance with the computed stimulation amplitude distribution.

17. The method of claim 16, wherein the virtual pole is one of a virtual cathode and a virtual anode.

18. The method of claim 16, wherein the virtual multipole configuration is one of a virtual bipole configuration and a virtual tripole configuration.

19. The method of claim 16, further comprising limiting the number of electrodes in the electrode group to a maximum number.

20. The method of claim 19, further comprising varying the maximum number of the electrodes in the electrode group in response to a user input.

21. The method of claim 16, further comprising comparing a function of a distance between each of the plurality of electrodes and the virtual pole to a threshold value, and excluding the each electrode from the electrode group based on the comparison.

22. The method of claim 21, wherein the function of the distance is a proportional function.

23. The method of claim 21, wherein the function of the distance is one of a higher order power function and an exponential function.

24. The method of claim 16, wherein determining the stimulation amplitude distribution for the electrode group comprises computing weights as decreasing functions of the distances, and computing stimulation amplitude values respectively for the electrode group as a function of the computed weights.

25. The method of claim 24, wherein each of the weights is computed as an inverse proportional function of the respective distance.

26. The method of claim 24, wherein each of the weights is computed as one of an inverse higher order power function of the respective distance and an inverse exponential function of the respective distance.

27. The method of claim 24, wherein the stimulation amplitude values are fractionalized current values, and the fractionalized current value for each electrode of the electrode group is computed as the quotient of the weight for the each electrode divided by the sum of the weights for the electrode group.

28. The method of claim 16, further comprising:

generating directional control signals;

modifying the virtual multipole configuration relative to the plurality of electrodes in response to the directional control signals; and

repeating the distance determination, stimulation amplitude distribution, and electrical energy conveyance steps for the modified virtual multipole configuration.