Seamless integration of different programming modes for a neurostimulator programming system

• US 9,205,266 B2
• Filed: 11/18/2014
• Issued: 12/08/2015
• Est. Priority Date: 12/16/2011
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Kothandaraman, Sridhar, Lee, Dongchul, Lui, Mun Pook
• Primary Examiner(s): Wieland, Robert N
• Application Number:
  US14/546,949
• Publication Number:
  US 20150073504A1
• Time in Patent Office: 385 Days
• US Class Current: 1/1
• CPC Class Codes: A61N 1/3605 Implantable neurostimulators for stimulating central or peripheral nerve system
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/36185 Selection of the electrode configuration
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: A61N 1/37264 Changing the program; Upgrading firmware

Abstract

A system and method for programming a neurostimulation device coupled to a plurality of electrodes implanted adjacent tissue of a patient are provided. A first electrode configuration corresponding to a first mode of programming the neurostimulation device is defined. A second programming mode of programming the neurostimulation device different from the first programming mode is selected. A second electrode configuration is defined based on the first electrode configuration in response to the selection of the second programming mode. The neurostimulation device is programmed using the second programming mode.

Claims

1. A method of operating a system that includes a plurality of electrodes and a neurostimulation device coupled to the plurality of electrodes, the method comprising:

actuating a programming selection control element on a user interface;

selecting one of different programming modes for the neurostimulation device in response to the actuation of the programming selection control element;

defining a first electrode configuration corresponding to the first programming mode;

actuating the programming selection control element on the user interface again;

selecting the second programming mode in response to the actuation of the programming selection control element again;

defining a second electrode configuration based on the first electrode configuration in response to the selection of the second programming mode, the second electrode configuration corresponding to the second programming mode;

generating a stimulation parameter set corresponding to the second electrode configuration; and

conveying electrical energy from the neurostimulation device to the plurality of electrodes in accordance with the stimulation parameter set.

2. The method of claim 1, wherein the first electrode configuration is not a valid electrode configuration for the second programming mode.

3. The method of claim 1, wherein the second electrode configuration approximates the first electrode configuration.

4. The method of claim 1, wherein each of the first and second electrode configurations is a fractionalized electrode configuration.

5. The method of claim 1, wherein the first programming mode is one of a manual programming mode and a semi-automated programming mode, and the second programming mode is the other of the manual programming mode and the semi-automated programming mode.

6. The method of claim 5, further comprising:

defining a virtual multipole relative to the plurality of electrodes when programming the neurostimulation device in the semi-automated mode; and

computing amplitude values for the plurality of electrodes that emulate the virtual multipole, wherein the stimulation parameter set includes the computed amplitude values.

7. The method of claim 6, wherein the semi-automated programming mode pans the virtual multipole across the plurality of electrodes.

8. The method of claim 6, wherein the virtual multipole includes at least one anode and a cathode, and the semi-automated programming mode displaces the at least one anode relative to the cathode as the cathode is gradually displaced across the plurality of electrodes.

9. The method of claim 5, wherein the first programming mode is the manual programming mode, and the second programming mode is the semi-automated programming mode.

10. The system of claim 9, wherein the second electrode configuration is defined by:

computing a centroid of cathodic current of the first electrode configuration;

defining a virtual multipole having a virtual cathode located at the centroid of the cathodic current; and

computing current amplitude values for the plurality of electrodes that emulates the virtual multipole, thereby defining the second electrode configuration.

11. The method of claim 5, wherein the first programming mode is the semi-automated programming mode, and the second programming mode is the manual programming mode.

12. The method of claim 11, wherein the first electrode configuration and the second electrode configuration are identical.

13. The method of claim 1, wherein the first programming mode is a first semi-automated programming mode, and the second programming mode is a second semi-automated programming mode.

14. The method of claim 13, wherein the second semi-automated programming mode has a limited number of electrode configurations, and wherein defining the second electrode configuration comprises selecting one of the limited number of electrode configurations that best matches the first electrode configuration, thereby defining the second electrode configuration.

15. The method of claim 14, further comprising, prior to defining the second electrode configuration, gradually adjusting at least one stimulation parameter from a first value corresponding to the first electrode configuration to a second value corresponding to the second electrode configuration.

16. The method of claim 15, wherein the at least one stimulation parameter comprises an electrical stimulation field focus.

17. A method of operating a system that includes a plurality of electrodes and a neurostimulation device coupled to the plurality of electrodes, the method comprising:

actuating a programming selection control element on a user interface;

selecting one of different programming modes for the neurostimulation device in response to the actuation of the programming selection control element;

defining a first electrode configuration corresponding to the first programming mode;

actuating the programming selection control element on the user interface again;

selecting the second programming mode in response to the actuation of the programming selection control element again;

defining a second electrode configuration based on the first electrode configuration in response to the selection of the second programming mode, the second electrode configuration corresponding to the second programming mode;

generating a stimulation parameter set corresponding to the second electrode configuration; and

conveying electrical energy from the neurostimulation device to the plurality of electrodes in accordance with the stimulation parameter set,

wherein the second electrode configuration approximates the first electrode configuration, and each of the first and second electrode configurations is a fractionalized electrode configuration.

18. The method of claim 17, wherein the first electrode configuration is not a valid electrode configuration for the second programming mode.

19. The method of claim 17, wherein the first programming mode is one of a manual programming mode and a semi-automated programming mode, and the second programming mode is the other of the manual programming mode and the semi-automated programming mode.

20. The method of claim 17, wherein the first programming mode is the manual programming mode, and the second programming mode is the semi-automated programming mode.