System for determining relative position between neurostimulation leads

• US 8,738,155 B2
• Filed: 05/28/2013
• Issued: 05/27/2014
• Est. Priority Date: 08/28/2009
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Zhu, Changfang, Moffitt, Michael
• Primary Examiner(s): MANUEL, GEORGE C
• Application Number:
  US13/903,713
• Publication Number:
  US 20130261718A1
• Time in Patent Office: 364 Days
• Field of Search: 607/117
• US Class Current: 607/117
• CPC Class Codes: A61B 5/053 Measuring electrical impedance or conductance of a portion of the body
• CPC Class Codes: A61B 5/065 Determining position of the probe employing exclusively positioning means located on or in the probe, e.g. using position sensors arranged on the probe
• CPC Class Codes: A61N 1/05 for implantation or insertion into the body, e.g. heart electrode A61N1/06 takes precedence
• CPC Class Codes: A61N 1/0553 Paddle shaped electrodes, e.g. for laminotomy
• CPC Class Codes: A61N 1/3603 Control systems
• CPC Class Codes: A61N 1/36182 Direction of the electrical field, e.g. with sleeve around stimulating electrode
• CPC Class Codes: A61N 1/37241 providing test stimulations
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means

Abstract

A method and neurostimulation control system for operating two leads disposed adjacent tissue of a patient are provided. A plurality of cross-lead electrical parameters are measured to generate a measured electrical profile of the electrode leads. A plurality of cross-lead electrical parameters are estimated to generate a first reference electrical profile for the electrode leads in a first known staggered configuration. The first reference electrical profile is spatially shifted to generate a second reference electrical profile for the electrode leads in a second known staggered configuration. The measured electrical profile is compared to the first and second reference electrical profiles, and a longitudinal stagger between the electrode leads is quantified based on the comparison.

Claims

1. A medical system for use with electrode leads, comprising:

memory configured for storing a first reference electrical profile for the electrode leads in a first known staggered configuration, the first reference electrical profile containing a plurality of reference cross-electrode lead electrical parameters; and

at least one processor configured for generating instructions to measure a plurality of cross-electrode lead electrical parameters, generating a measured electrical profile of the electrode leads from the measured cross-electrode lead electrical parameters, spatially shifting the first reference electrical profile to generate a second reference electrical profile for the electrode leads in a second known staggered configuration, comparing the measured electrical profile to the first and second reference electrical profiles, and quantifying a longitudinal stagger between the electrode leads based on the comparison.

2. The medical system of claim 1, further comprising:

analog output circuitry configured for being coupled to the electrode leads; and

monitoring circuitry configured for being coupled to the electrode leads;

wherein the at least one processor is configured for generating the measured electrical profile by generating instructions that direct the analog output circuitry to activate at least one electrode carried by one of the electrodes, and that direct the monitoring circuitry to measure an amplitude of the electrical parameter in response to the generated electrical field at each of a plurality of electrodes carried by another of the electrode leads.

3. The medical system of claim 2, wherein the first set of the electrodes comprises an end one of the electrodes carried by the other electrode lead.

4. The medical system of claim 1, wherein the first and second electrode lead stagger configurations are offset from each other by one center-to-center electrode spacing, and the plurality of reference cross-electrode lead electrical parameters is spatially shifted by one center-to-center electrode spacing.

5. The medical system of claim 4,

wherein the memory is further configured for storing a third reference electrical profile for the electrode leads in a third known staggered configuration offset from the first known staggered configuration a distance less than one center-to-center electrode spacing, the third reference profile containing another plurality of reference cross-electrode lead electrical parameters;

and

wherein the at least one processor is further configured for spatially shifting the other plurality of reference cross-electrode lead electrical parameters the single electrode spacing to generate a fourth reference electrical profile for the electrode leads in a fourth known staggered configuration that is offset from the third known staggered configuration by one center-to-center electrode spacing, comparing the measured electrical profile to the first, second, third, and fourth reference electrical profiles quantifying the longitudinal stagger between the electrode leads based on the comparison between the measured electrical profile and the first, second, third, and fourth reference electrical profiles.

6. The medical system of claim 1,

wherein the memory is further configured for storing an additional plurality of reference electrical profiles for the electrode leads in an additional plurality of known staggered configurations offset from each other by a distance less than one center-to-center electrode spacing, each of the additional reference electrical profiles containing an additional plurality of reference cross-electrode lead electrical parameters;

and

wherein the at least one processor is further configured for comparing the measured electrical profile to the additional reference electrical profiles, and quantifying the longitudinal stagger between the electrode leads based on the comparison between the measured electrical profile and the first, second, and additional reference electrical profiles.

7. The medical system of claim 6, wherein the distance that the additional known staggered configurations are offset from each other is predetermined by the at least one processor.

8. The medical system of claim 6, wherein the at least one processor is configured for dynamically selecting the distance that the additional known staggered configurations are offset from each other based on the comparison between the measured electrical profile and at least some of the additional reference electrical profiles.

9. The medical system of claim 1, wherein the second reference electrical profile is generated subsequent to comparing the measured electrical profile to the first reference electrical profile.

10. The medical system of claim 1, wherein the at least one processor is further configured for estimating the plurality of reference cross-electrode lead electrical parameters by generating an analytical model of the electrode leads.

11. The medical system of claim 10, wherein the analytical model is an optimal fit to a numerical integration model of the electrode leads and tissue.

12. The medical system of claim 1, wherein the at least one processor is configured for selecting the known stagger configuration corresponding to the reference electrical profile that best matches the measured electrical profile as the quantified longitudinal stagger.

13. The medical system of claim 1, wherein the electrical parameter is a field potential of the generated electrical field.

14. The medical system of claim 1, further comprising a display for displaying a graphical representation of the electrode leads with the quantified longitudinal stagger.

15. The medical system of claim 1, further comprising an external control device containing the memory and the at least one processor.

16. The medical system of claim 1, further comprising an implantable medical device comprising a biocompatible casing containing the memory and the at least one processor.

17. The medical system of claim 16, wherein the implantable medical device is an implantable neurostimulation device.

18. The medical system of claim 1, further comprising analog output circuitry configured for delivering electrical stimulation energy to the electrode leads.