Neurostimulation system for defining ideal multipole configurations at lead boundary

• US 8,868,197 B2
• Filed: 03/14/2012
• Issued: 10/21/2014
• Est. Priority Date: 03/15/2011
• 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): DIETRICH, JOSEPH M
• Application Number:
  US13/420,258
• Publication Number:
  US 20120239115A1
• Time in Patent Office: 951 Days
• Field of Search: 607/45, 607/59
• US Class Current: 607/59
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/36185 Selection of the electrode configuration
• CPC Class Codes: A61N 1/37235 Aspects of the external programmer
• 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 system for an neurostimulator coupled to electrodes. The system comprises a input device configured for generating directional control signals, and memory storing ideal multipole configurations. The system further comprises control circuitry configured for defining the ideal multipole configurations relative to the electrodes in response to the directional control signals, determining a spatial relationship between at least one of the defined ideal multipole configurations and the maximum extent of the electrodes, modifying the defined ideal multipole configurations based on the determined spatial relationship, such that the modified ideal multipole configurations are spatially within the maximum extent of the electrodes, generating stimulation parameter sets respectively corresponding to the modified ideal multipole configurations, each stimulation parameter set defining relative amplitude values for the electrodes that emulate the respective modified ideal multipole configuration, and instructing the neurostimulator to convey electrical energy to the electrodes in accordance with the stimulation parameter sets.

Claims

1. A system for an electrical neurostimulator coupled to an array of electrodes having a maximum extent, the electrode array being implanted within tissue of a patient, the system comprising:

a user-controlled input device configured for generating directional control signals;

memory storing a plurality of ideal multipole configurations; and

control circuitry configured for defining the plurality of ideal multipole configurations relative to the electrode array in response to the directional control signals, determining a spatial relationship between at least one of the defined plurality of ideal multipole configurations and the maximum extent of the electrode array, modifying the defined plurality of the ideal multipole configurations based on the determined spatial relationship, such that the modified plurality of the ideal multipole configurations is spatially within the maximum extent of the electrode array, generating a plurality of stimulation parameter sets respectively corresponding to the modified plurality of ideal multipole configurations, each stimulation parameter set defining relative amplitude values for the electrode array that emulate the respective modified ideal multipole configuration, and instructing the electrical neurostimulator to convey electrical energy to the electrode array in accordance with the plurality of stimulation parameter sets, such that a locus of a volume of activation (VOA) will be incrementally displaced along the tissue of the patient.

2. The system of claim 1, wherein the electrode array is a linear electrode array, and the maximum extent is coincident with an electrode at the end of the linear electrode array.

3. The system of claim 1, wherein the ideal multipole configurations comprises at least one ideal bipole configuration and at least one ideal tripole configuration.

4. The system of claim 1, wherein the at least one defined ideal multipole configuration comprises more than one defined ideal multipole configuration.

5. The system of claim 1, wherein the control circuitry is configured for modifying the defined plurality of ideal multipole configurations by eliminating one or more of the at least one defined ideal multipole configuration.

6. The system of claim 1, wherein the control circuitry is configured for modifying the defined plurality of ideal multipole configurations by modifying when a pole of the same polarity is initially displaced during the at least one defined ideal multipole configuration.

7. The system of claim 1, wherein the control circuitry is configured for modifying the defined plurality of ideal multipole configurations by displacing a pole for one or more of the at least one defined ideal multipole configuration.

8. The system of claim 1, wherein the control circuitry is configured for modifying the defined plurality of ideal multipole configurations by displacing poles of different polarities relative to each other for one or more of the at least one defined ideal multipole configuration.

9. The system of claim 8, wherein the memory, for each of the at least one defined ideal multipole configuration, stores a variable value defining a spatial relationship between the poles of the different polarities, and the control circuitry is configured for displacing the poles of different polarities relative to each other for the at least one ideal multipole configuration by modifying the respective at least one variable value.

10. The system of claim 9, wherein the control circuitry is configured for modifying the respective one or more variable values by decreasing the one or more variable values.

11. The system of claim 1, wherein the user-control input device includes a control element, a continual actuation of which generates the directional control signals.

12. The system of claim 1, wherein the user-controlled input device comprises one or more of a graphical arrow, a joystick, a touchpad, a button pad, a group of keyboard arrow keys, a mouse, a roller ball tracking device, and horizontal and vertical rocker-type arm switches for generating the directional control signals.

13. The system of claim 1, further comprising telemetry circuitry, wherein the control circuitry is configured for transmitting the plurality of stimulation parameter sets to the neurostimulation device via the telemetry circuitry.

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

15. A system for an electrical neurostimulator coupled to an array of electrodes having a maximum extent, comprising:

a user-controlled input device configured for generating directional control signals;

memory storing a plurality of ideal multipole configurations; and

control circuitry configured for defining the plurality of ideal multipole configurations relative to the electrode array in response to the directional control signals, determining a spatial relationship between at least one of the defined plurality of ideal multipole configurations and the maximum extent of the electrode array, modifying the defined plurality of the ideal multipole configurations based on the determined spatial relationship, such that the modified plurality of the ideal multipole configurations is spatially within the maximum extent of the electrode array, generating a plurality of stimulation parameter sets respectively corresponding to the modified plurality of ideal multipole configurations, each stimulation parameter set defining relative amplitude values for the electrode array that emulate the respective modified ideal multipole configuration, and instructing the electrical neurostimulator to convey electrical energy to the electrode array in accordance with the plurality of stimulation parameter sets, wherein the memory, for each of the at least one defined ideal multipole configuration, stores a variable value defining an absolute distance between the poles of the different polarities, and the control circuitry is configured for modifying the defined plurality of ideal multipole configurations by displacing the poles of different polarities relative to each other for one or more of the at least one defined ideal multipole configuration by respectively decreasing one or more of the at least one variable value.

16. A system for an electrical neurostimulator coupled to an array of electrodes having a maximum extent, comprising:

a user-controlled input device configured for generating directional control signals;

memory storing a plurality of ideal multipole configurations; and

control circuitry configured for defining the plurality of ideal multipole configurations relative to the electrode array in response to the directional control signals, determining a spatial relationship between at least one of the defined plurality of ideal multipole configurations and the maximum extent of the electrode array, modifying the defined plurality of the ideal multipole configurations based on the determined spatial relationship, such that the modified plurality of the ideal multipole configurations is spatially within the maximum extent of the electrode array, generating a plurality of stimulation parameter sets respectively corresponding to the modified plurality of ideal multipole configurations, each stimulation parameter set defining relative amplitude values for the electrode array that emulate the respective modified ideal multipole configuration, and instructing the electrical neurostimulator to convey electrical energy to the electrode array in accordance with the plurality of stimulation parameter sets, wherein the memory, for each of the at least one defined ideal multipole configuration, stores a variable value defining a spatial relationship between the poles of the different polarities, wherein the defined plurality of ideal multipole configurations includes a defined plurality of wide ideal bipole/tripole configurations and a defined plurality of narrow ideal bipole/tripole configurations, the at least one defined ideal multipole configuration includes the defined plurality of wide ideal bipole/tripole configurations, and the control circuitry is configured for displacing the poles of different polarities relative to each other for one or more of the at least one ideal multipole configuration by respectively decreasing one or more of the at least one variable value.

17. The system of claim 16, wherein the defined plurality of narrow ideal bipole/tripole configurations initially comprises a narrow upper ideal bipole configuration and a narrow lower ideal bipole configuration, and the defined plurality of wide ideal bipole/tripole configurations initially comprises two identical wide upper ideal bipole configurations, a first wide ideal tripole configuration, and two identical wide lower ideal bipole configurations.

18. The system of claim 17, wherein the control circuitry is configured for decreasing the variable values associated with a first one of the two identical wide upper ideal bipole configurations and a first one of the two identical wide lower ideal bipole configurations to a first identical value.

19. The system of claim 18, wherein the control circuitry is configured for changing one of a second one of the two identical wide upper ideal bipole configurations and a second one of the two identical wide lower ideal bipole configurations to a second wide ideal tripole configuration, and modifying a relative intensity between the poles of different polarities of the second wide ideal tripole configuration.

20. The system of claim 19, wherein the control circuitry is configured for decreasing the variable value associated with the second wide ideal tripole configuration.

21. The system of claim 20, wherein the control circuitry is configured for decreasing the variable value associated with the second wide ideal tripole configuration to the first identical value.