System and method for defining stimulation programs including burst and tonic stimulation

• US 9,144,679 B2
• Filed: 12/17/2012
• Issued: 09/29/2015
• Est. Priority Date: 04/14/2008
• Status: Active Grant

• Current Assignee: Advanced Neuromodulation Systems Incorporated (Abbott Laboratories Incorporated)
• Original Assignee: Advanced Neuromodulation Systems Incorporated (Abbott Laboratories Incorporated)
• Inventors: Cullen, Patrick M., Erickson, John H.
• Primary Examiner(s): Patel, Niketa
• Assistant Examiner(s): Hankins, Lindsey G
• Application Number:
  US13/716,968
• Publication Number:
  US 20130211477A1
• Time in Patent Office: 1,016 Days
• Field of Search: 607/45, 607/46, 607 68- 71, 607/30, 607/32, 607/59
• US Class Current: 1/1
• 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 1/36128 Control systems
• CPC Class Codes: A61N 1/36178 Burst or pulse train parameters
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: G16H 40/63 for local operation

Abstract

In one embodiment, a method for defining a stimulation program for electrical stimulation of a patient, the method comprising: providing a single screen user interface that comprises a first plurality of controls and a second plurality of controls, the first plurality of controls allowing selection of multiple stimulation parameters for a plurality of stimulation sets, the second plurality of controls allowing selection of multiple stimulation parameters defining burst stimulation and tonic stimulation; receiving user input in one or more of the second plurality of controls; and automatically modifying parameters for one or more stimulation sets in response to receiving the user input in one or more of the second plurality of controls and modifying values displayed in one or more controls of the first plurality of controls according to the modified parameters, the modified parameters reflecting a stimulation program that includes an interleaved pattern of burst stimulation and tonic stimulation for delivery to the patient.

Claims

1. A method for defining a stimulation program for electrical stimulation of a patient to treat chronic pain of a patient, the method comprising:

providing a single screen user interface that comprises a first plurality of controls and a second plurality of controls, the first plurality of controls allowing selection of multiple stimulation parameters for application to multiple stimulation pulses of a complex pulse pattern, wherein (i) the first plurality of controls comprises controls for defining a burst subset of pulses within the complex pulse pattern and at least one tonic pulse within the complex pulse pattern and (ii) each control of the second plurality of controls allows selection of at least one stimulation parameter of one respective pulse within the complex pulse pattern, wherein (A) the complex pulse pattern produces a repeating pattern of multiple pulses at a fixed pulse rate followed in sequence by a first delay, a tonic pulse, and a second delay before repeating, and (B) the first delay and the second delay are constant in the repeating pattern;

receiving user input in one or more of the first plurality of controls;

automatically modifying parameters for respective pulses in the complex pulse pattern in response to receiving the user input in one or more of the first plurality of controls and automatically modifying values displayed in one or more controls of the second plurality of controls according to the modified parameters, wherein the automatically modifying values displayed in one or more controls of the second plurality of controls comprises automatically adjusting at least one of the first delay and the second delay in the complex pattern according to an overall pattern frequency rate defined using the first plurality of controls;

creating a stimulation program employing the complex pulse pattern for electrical stimulation of the patient for storage in an implantable pulse generator; and

operating the implantable pulse generator to deliver stimulation with the complex pulse pattern to the patient using spinal cord stimulation to treat chronic pain of the patient.

2. The method of claim 1 wherein the automatically modifying comprises:

calculating a plurality of amplitudes for multiple pulses of the burst subset of pulses to define pulse ramping in response to selection of a single amplitude value for the burst stimulation in the first plurality of controls.

3. The method of claim 1 wherein the modified parameters are stored in a plurality of stimulation sets and the automatically modifying parameters for respective pulses comprises:

modifying a plurality of parameter values for respective stimulation sets in response to selection of a number of pulses for the burst stimulation in the first plurality of controls.

4. The method of claim 1 wherein the plurality of first controls comprises a control for controlling a pulse width of pulses of the burst stimulation.

5. The method of claim 1 wherein the first plurality of controls comprises a control for controlling an amplitude of the tonic stimulation.

6. The method of claim 1 further comprising:

generating a waveform display of the stimulation program.

7. The method of claim 1 wherein the modified parameters are stored in a plurality of stimulation sets and the method further comprising:

communicating parameter values for stimulation sets of the stimulation program to an implantable pulse generator for execution of the stimulation program by the implantable pulse generator.