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Automatic selection of lead configuration for a neural stimulation lead

  • US 9,050,472 B2
  • Filed: 05/13/2013
  • Issued: 06/09/2015
  • Est. Priority Date: 09/15/2010
  • Status: Active Grant
First Claim
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1. A neurostimulation system comprising:

  • a neural stimulation lead having a plurality of electrodes, the plurality of electrodes configured for positioning proximate a portion of the autonomic nervous system;

    a neural stimulation circuit, coupled to the plurality of electrodes, to deliver neural stimulation pulses to the plurality of electrodes;

    a user interface, the user interfacing including a display; and

    a processor and controller configured to;

    control the neural stimulation circuit to deliver first neural stimulation pulses to each of a plurality of electrode configurations, each electrode configuration comprising one or more of the plurality of electrodes,receive information related to motor fiber activity that is induced in response to delivery of the first neural stimulation pulses to each of the plurality of electrode configurations,prioritize the plurality of electrode configurations based on a first capture threshold of the motor fiber activity,control the neural stimulation circuit to deliver second neural stimulation pulses to induce additional physiological activity to a subset of the plurality of electrode configurations identified with a lowest capture threshold for motor fiber activity, the second neural stimulation pulses having an amplitude greater than the first neural stimulation pulses,receive information related to one or more physiological responses induced in response to delivery of the second neural stimulation pulses to the subset of electrode configurations, the one or more physiological responses including intended physiological activity and undesirable physiological activity,prioritize the subset of electrode configurations that avoid the undesirable physiological activity and induce intended physiological activity based on the amplitude being above a second capture threshold for the intended physiological activity, andrepresent the prioritization of the subset of electrode configurations as a recommendation on the display.

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