Neurostimulation system for implementing model-based estimate of neurostimulation effects

• US 8,706,250 B2
• Filed: 09/24/2011
• Issued: 04/22/2014
• Est. Priority Date: 12/23/2010
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Zhu, Changfang, Lee, Dongchul
• Primary Examiner(s): Layno, Carl H
• Assistant Examiner(s): GHAND, JENNIFER LEIGH-STEWAR
• Application Number:
  US13/244,388
• Publication Number:
  US 20120165900A1
• Time in Patent Office: 941 Days
• Field of Search: 607/59
• US Class Current: 607/59
• CPC Class Codes: A61N 1/36128 Control systems
• CPC Class Codes: A61N 1/36185 Selection of the electrode configuration
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 50/50 for simulation or modelling of medical disorders

Abstract

A neurostimulation system for use in providing therapy to a patient comprises a user input device configured for receiving input from a user, and processing circuitry configured for selecting an electrode configuration in response to receiving the input from the user, providing an electrical model of a neuronal element of the patient, providing a discrete approximation of a differential equation of a neural response parameter (e.g., a transmembrane voltage potential) of the electrical model as a function of discrete space (e.g., nodes along the electrical model) and as a function of a finite time difference, computing the neural response parameter in the differential equation approximation at a specified time for each of a plurality of points on a membrane of the neuronal element, and performing a human-discernible function based on the computed neural response parameters.

Claims

1. A neurostimulation system for use in providing therapy to a patient, comprising:

a user input device configured for receiving input from a user; and

processing circuitry configured for selecting an electrode configuration in response to receiving the input from the user, providing an electrical model of a neuronal element of the patient, providing a discrete approximation of a differential equation of a neural response parameter of the electrical model as a function of discrete space and as a function of a finite time difference, computing the neural response parameter in the differential equation approximation at a specified time for each of a plurality of points on a membrane of the neuronal element, and performing a human-discernible function based on the computed neural response parameters.

2. The neurostimulation system of claim 1, wherein the discrete approximation of the differential equation of the neural response parameter of the electrical model is a function of nodes along the electrical model, and the neural response parameter of the differential equation approximation is computed for each of the nodes.

3. The neurostimulation system of claim 1, wherein the neural response parameter is a transmembrane voltage potential.

4. The neurostimulation system of claim 1, wherein the neuronal element is a neural axon.

5. The neurostimulation system of claim 2, wherein the electrical model is an electrical cable model of the neural axon, and the processing circuitry is further configured for estimating extracellular field potentials, induced by pulsed electrical energy theoretically conveyed by the electrode configuration, at the nodes along the electrical cable model, and computing a total equivalent driving function of the extracellular field potentials at at least one of the nodes, wherein each of the total equivalent driving functions comprises a plurality of activating functions that are respectively weighted using the computed neural response parameters, and the human-discernible function is performed based on the total equivalent driving function.

6. The neurostimulation system of claim 5, wherein the processing circuitry is configured for selecting a pulse width of the electrical energy in response to the input from the user, and computing the neural response parameters at the end of the pulse width.

7. The neurostimulation system of claim 5, wherein the differential equation approximation has a unit intracellular step current.

8. The neurostimulation system of claim 1, wherein the finite time difference is one of a forward time difference, a backward time difference, and a central time difference.

9. The neurostimulation system of claim 1, wherein the finite time difference is in the range of 0.05 μ

s-10 μ

s.

10. The neurostimulation system of claim 1, wherein the human-discernible function is instructing a neurostimulation device to deliver electrical energy to the patient at a specified amplitude.

11. The neurostimulation system of claim 10, further comprising output circuitry, wherein the processing circuitry is configured for instructing the neurostimulation device to deliver the electrical energy via the output circuitry.

12. The neurostimulation system of claim 1, wherein the human-discernible function is instructing a monitor to display a volume of tissue activation.

13. The neurostimulation system of claim 12, further comprising the monitor.

14. The neurostimulation system of claim 1, further comprising a housing containing the user input device and the processing circuitry.

15. The neurostimulation system of claim 14, further comprising an external control device comprising the housing, user input device, and the processing circuitry.