Point-and-click programming for deep brain stimulation using real-time monopolar review trendlines
First Claim
1. A computer-implemented method for selecting electrical stimulation parameters for a leadwire implanted in patient tissue, the method comprising:
- iteratively performing the following for each of a plurality of values for a particular stimulation parameter, each value corresponding to a respective current field;
positioning, by a computer processor, the current field at each of a respective plurality of locations about the leadwire; and
for each of the respective plurality of locations, obtaining, by the processor, clinical effect information regarding a respective stimulation of the patient tissue produced by the respective current field at the respective location; and
based on the obtained clinical effect information, identifying an optimal combination of a selected value for the particular stimulation parameter and selected location about the leadwire at which to perform a stimulation using the selected value using a graph that plots the obtained clinical effect information against values for the particular stimulation parameter and against locations about the leadwire including the locations to which the current fields had been positioned in the positioning steps.
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Accused Products
Abstract
A system and method for selecting leadwire stimulation parameters includes a processor iteratively performing, for each of a plurality of values for a particular stimulation parameter, each value corresponding to a respective current field: (a) shifting the current field longitudinally and/or rotationally to a respective plurality of locations about the leadwire; and (b) for each of the respective plurality of locations, obtaining clinical effect information regarding a respective stimulation of the patient tissue produced by the respective current field at the respective location; and displaying a graph plotting the clinical effect information against values for the particular stimulation parameter and locations about the leadwire, and/or based on the obtained clinical effect information, identifying an optimal combination of a selected value for the particular stimulation parameter and selected location about the leadwire at which to perform a stimulation using the selected value.
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Citations
20 Claims
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1. A computer-implemented method for selecting electrical stimulation parameters for a leadwire implanted in patient tissue, the method comprising:
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iteratively performing the following for each of a plurality of values for a particular stimulation parameter, each value corresponding to a respective current field; positioning, by a computer processor, the current field at each of a respective plurality of locations about the leadwire; and for each of the respective plurality of locations, obtaining, by the processor, clinical effect information regarding a respective stimulation of the patient tissue produced by the respective current field at the respective location; and based on the obtained clinical effect information, identifying an optimal combination of a selected value for the particular stimulation parameter and selected location about the leadwire at which to perform a stimulation using the selected value using a graph that plots the obtained clinical effect information against values for the particular stimulation parameter and against locations about the leadwire including the locations to which the current fields had been positioned in the positioning steps. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10)
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11. A computer-implemented method for selecting electrical stimulation parameters for a leadwire implanted in patient tissue, the method comprising:
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iteratively performing the following for each of a plurality of values for a particular stimulation parameter, each value corresponding to a respective current field; positioning, by a computer processor, the current field at each of a respective plurality of locations about the leadwire; and for each of the respective plurality of locations, obtaining, by the processor, clinical effect information regarding a respective stimulation of the patient tissue produced by the respective current field at the respective location, wherein the obtained clinical effect information includes therapeutic effect values and adverse side effect values; and based on the obtained clinical effect information, identifying an optimal combination of a selected value for the particular stimulation parameter and selected location about the leadwire at which to perform a stimulation using the selected value, wherein the identifying includes, within a graph that plots the obtained therapeutic effect and adverse side effect values against values for the particular stimulation parameter and against locations about the leadwire including the locations to which the current fields had been positioned in the positioning steps, identifying a region whose plotted therapeutic effect values are lower than its adverse side effect values, with a greatest distance between plotted values of the therapeutic effect and adverse side effect. - View Dependent Claims (12, 13, 14, 15, 16, 17, 18, 19, 20)
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Specification