System for selectively performing local and radial peripheral stimulation

• US 8,718,780 B2
• Filed: 08/04/2011
• Issued: 05/06/2014
• Est. Priority Date: 08/13/2010
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Lee, Dongchul
• Primary Examiner(s): STOKLOSA, JOSEPH A
• Application Number:
  US13/197,949
• Publication Number:
  US 20120041511A1
• Time in Patent Office: 1,006 Days
• Field of Search: 607/46, 607/2
• US Class Current: 607/46
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/36175 Pulse width or duty cycle
• CPC Class Codes: A61N 1/37205 Microstimulators, e.g. implantable through a cannula
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: G16H 40/63 for local operation

Abstract

A control system for use with a neurostimulator comprises a user interface for receiving an input from a user and a controller. The user interface has a first control and a second control. The controller is configured for, in response to actuating the first control, operating the neurostimulation control system in a PNFS programming mode, and for, in response to actuating the second control, operating the neurostimulation control system in a PNS programming mode. A method of providing therapy to a patient comprises initially conveying pulsed electrical current at a pulse width into a peripheral tissue region of the patient to create a side effect via stimulation of one of a nerve ending and neural axon, and subsequently conveying pulsed electrical current at an adjusted pulse width into the peripheral tissue region to create a therapeutic effect via stimulation of the other one of the nerve ending and neural axon.

Claims

1. A neurostimulation control system for use with a neurostimulator, comprising:

a user interface configured for receiving an input from a user, the user interface having a peripheral stimulation selection control; and

a controller configured for, in response to a single actuation of the peripheral stimulation selection control, operating the neurostimulation control system in a dedicated peripheral nerve field stimulation (PNFS) programming mode that only allows the user to program the neurostimulator to convey pulsed anodic stimulation current at a pulse width below an upper limit, and for, in response to another single actuation of the peripheral stimulation selection control, operating the neurostimulation control system in a dedicated peripheral nerve stimulation (PNS) programming mode that only allows the user to program the neurostimulator to convey pulsed cathodic stimulation current at a pulse width above a lower limit.

2. The neurostimulation control system of claim 1, wherein the upper limit is less than 700 μ

s.

3. The neurostimulation control system of claim 1, wherein the lower limit is greater than 500 μ

s.

4. The neurostimulation control system of claim 1, wherein the peripheral stimulation selection control comprises at least one graphical icon.

5. The neurostimulation control system of claim 1, wherein the user interface and controller are contained within an external control device.

6. A neurostimulation control system for use with a neurostimulator, comprising:

a user interface configured for receiving an input from a user, the user interface having a peripheral stimulation selection control; and

a controller configured for, in response to a single actuation of the peripheral stimulation selection control, operating the neurostimulation control system in a PNFS programming mode that automatically programs the neurostimulator to convey pulsed anodic stimulation current at a first pulse width, and for, in response to another single actuation of the peripheral stimulation selection control, operating the neurostimulation control system in a PNS programming mode that automatically programs the neurostimulation to convey pulsed cathodic stimulation current at a second pulse width.

7. The neurostimulation control system of claim 6, wherein the first pulse width is less than 700 μ

s.

8. The neurostimulation control system of claim 6, wherein the second pulse width is greater than 500 μ

s.

9. A neurostimulation control system for use with a neurostimulator, comprising:

a user interface configured for receiving an input from a user; and

a controller configured for, in response to the user input, selectively operating the neurostimulation control system between a first programming mode that only allows the user to program the neurostimulator to convey pulsed anodic stimulation current at a pulse width below an upper limit, and a second programming mode that only allows the user to program the neurostimulator to convey pulsed cathodic stimulation current at a pulse width above a lower limit.

10. The neurostimulation control system of claim 9, wherein the upper limit is less than 700 μ

s.

11. The neurostimulation control system of claim 9, wherein the lower limit is greater than 500 μ

s.

12. The neurostimulation control system of claim 9, wherein the peripheral stimulation selection control comprises at least one graphical icon.

13. The neurostimulation control system of claim 9, wherein the user interface and controller are contained within an external control device.

14. The neurostimulation control system of claim 9, wherein the user interface comprises a control mechanism, and wherein the controller is configured for selectively operating the neurostimulation control system between the first programming mode and the second programming mode in response to a single actuation of the control mechanism.

15. A neurostimulation control system for use with a neurostimulator, comprising:

a user interface configured for receiving an input from a user; and

a controller configured for, in response to the user input, selectively operating the neurostimulation control system between a first programming mode that automatically programs the neurostimulator to convey pulsed anodic stimulation current at a first pulse width, and a second programming mode that automatically programs the neurostimulation to convey pulsed cathodic stimulation current at a second pulse width.

16. The neurostimulation control system of claim 15, wherein the first pulse width is less than 700 μ

s.

17. The neurostimulation control system of claim 15, wherein the second pulse width is greater than 500 μ

s.

18. The neurostimulation control system of claim 15, wherein the peripheral stimulation selection control comprises at least one graphical icon.

19. The neurostimulation control system of claim 15, wherein the user interface and controller are contained within an external control device.

20. The neurostimulation control system of claim 15, wherein the user interface comprises a control mechanism, and wherein the controller is configured for selectively operating the neurostimulation control system between the first programming mode and the second programming mode in response to a single actuation of the control mechanism.