Method and apparatus for determining relative positioning between neurostimulation leads

• US 9,119,958 B2
• Filed: 01/20/2013
• Issued: 09/01/2015
• Est. Priority Date: 12/03/2008
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Zhu, Changfang
• Primary Examiner(s): Gedeon, Brian T
• Application Number:
  US13/745,826
• Publication Number:
  US 20130138192A1
• Time in Patent Office: 954 Days
• Field of Search: 600/547
• US Class Current: 1/1
• CPC Class Codes: A61B 5/06 Devices, other than using radiation, for detecting or locating foreign bodies for removing same A61B17/50 ; determining position of probes within or on the body of the patient
• CPC Class Codes: A61B 5/063 using impedance measurements
• CPC Class Codes: A61B 5/407 Evaluating the spinal cord A61B5/4896 takes precedence
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes
• CPC Class Codes: A61N 1/36185 Selection of the electrode configuration
• CPC Class Codes: A61N 1/3787 from an external energy source

Abstract

A method and medical system for operating two leads disposed adjacent tissue of a patient are provided. A first one of a pair of electrodes respectively carried by the two leads is activated to generate an electrical field within the tissue. An electrical parameter in response to the generated electrical field is measured at a second one of the pair of electrodes. A reference electrical parameter is measured in response to the generated electrical field at a reference electrode carried by the same one of the two leads that carries the first electrode. A reference distance between the first electrode and the reference electrode is known prior to the generation of the electrical field. The ratio between the measured electrical parameter and the measured reference electrical parameter is computed, and the distance between the pair of electrodes is computed as a function of the computed ratio and the reference distance.

Claims

1. A medical system for use with first and second leads configured for being placed adjacent tissue of a patient, the medical system comprising:

a controller configured for activating a first electrode carried by the first lead to generate an electrical field within the tissue;

monitoring circuitry configured for measuring an electrical parameter in response to the generated electrical field at a second electrode carried by the second lead, and

measuring a reference electrical parameter in response to the generated electrical field at a reference electrode carried by the first lead, wherein a reference distance between the first electrode and the reference electrode is known prior to generation of the electrical field; and

at least one processor configured for computing a ratio between the measured electrical parameter and the measured reference electrical parameter, and computing a distance between the first and second electrodes as a function of the computed ratio and the reference distance.

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

3. The medical system of claim 1, wherein the measured electrical parameter is a measured impedance.

4. The medical system of claim 1, wherein the at least one processor is configured for computing ratio by dividing the measured electrical parameter by the measured reference electrical parameter.

5. The medical system of claim 1, wherein the at least one processor is configured for determining the relative positioning between the two leads at least partially based on the computed distance.

6. The medical system of claim 5, wherein the relative positioning is the distance between the two leads.

7. The medical system of claim 5, wherein the relative positioning is the angle between the two leads.

8. The medical system of claim 5, wherein the controller is configured for activating a third electrode carried by the first lead to generate another electrical field within the tissue, the monitoring circuitry is configured for repeating the electrical parameter, and measuring the reference electrical parameter with respect to a fourth electrode carried by the second lead and another reference electrode carried by the first lead, and the at least one processor is configured for performing the ratio computing and distance computing to determine another distance between the third and fourth electrodes.

9. The medical system of claim 8, wherein the at least one processor is configured for plotting the first and second distances, fitting a straight line or a curve to the first and second plotted distances, and determining the relative positioning between the two leads based on the fitted straight line or curve.

10. The medical system of claim 1 for use with a third lead configured for being placed adjacent tissue of a patient, wherein the first, second, and third leads are configured to be arranged as a middle lead and two leads flanking the middle leads, and the at least one processor is configured for identifying the middle lead based on the computed distance.

11. The medical system of claim 10, further comprising a neurostimulator including first, second, and third ports to which the first, second, and third leads are mapped, wherein the at least one processor is configured for remapping first, second, and third leads to the first, second, and third ports based on the computed distance.

12. The medical system of claim 1, wherein the at least one processor is configured for determining a longitudinal stagger between the first and second leads, and selecting the first and second electrodes having the least amount of longitudinal stagger based on the determined longitudinal stagger.

13. The medical system of claim 1, further comprising a monitor configured for displaying the relative positioning of the first and second leads based on the computed distance.

14. The medical system of claim 1, further comprising a neurostimulator, wherein the at least one processor is configured for programming the neurostimulator with a plurality of stimulation parameters based on the computed distance.

15. The medical system of claim 1, further comprising an implantable device and an external device, wherein the implantable device contains the controller, and the external control device contains one or more of the at least one processor.

16. The medical system of claim 1, further comprising an implantable device containing the controller, the monitoring circuitry, and the at least one processor.