Neurostimulation system and method for rostro-caudally steering current using longitudinal ideal multipole configurations

• US 9,387,334 B2
• Filed: 09/17/2014
• Issued: 07/12/2016
• Est. Priority Date: 03/15/2011
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation), Dongchul Lee
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation), Dongchul Lee
• Inventors: Lee, Dongchul, Zhu, Changfang
• Primary Examiner(s): DIETRICH, JOSEPH M
• Application Number:
  US14/488,958
• Publication Number:
  US 20150005849A1
• Time in Patent Office: 664 Days
• Field of Search: 607/45, 607/49
• US Class Current: 1/1
• 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 for an electrical neurostimulator coupled to a plurality of electrodes. The system comprises a user-controlled input device configured for generating directional control signals. The system further comprises control circuitry configured for sequentially defining a plurality of different ideal bipole/tripole configurations relative to the plurality of electrodes in response to the directional control signals, generating a plurality of stimulation parameter sets respectively corresponding to the plurality of ideal bipole/tripole configurations, each stimulation parameter set defining relative amplitude values for the plurality of electrodes that emulate the respective ideal bipole/tripole configuration, and instructing the electrical neurostimulator to convey electrical energy to the plurality of electrodes in accordance with the plurality of stimulation parameter sets.

Claims

1. A system for an electrical neurostimulator coupled to a plurality of electrodes, comprising:

a user-controlled input device configured for generating directional control signals; and

control circuitry configured for sequentially defining a plurality of different ideal bipole/tripole configurations relative to the plurality of electrodes in response to the directional control signals, generating a plurality of stimulation parameter sets respectively corresponding to the plurality of ideal bipole/tripole configurations, each stimulation parameter set defining relative amplitude values for the plurality of electrodes that emulate the respective ideal bipole/tripole configuration, and instructing the electrical neurostimulator to convey electrical energy to the plurality of electrodes in accordance with the plurality of stimulation parameter sets, wherein each of the plurality of different ideal bipole/tripole configurations includes at least two ideal poles, and each of the plurality of different ideal bipole/tripole configurations differs from other ones of the plurality of different ideal bipole/tripole configurations in at least one value selected from the group of values consisting of;

a value for a number of ideal poles, a polarity value for at least one of the ideal poles;

a value defining a spatial relationship between at least two of the ideal poles; and

a value defining relative intensities of the ideal poles.

2. The system of claim 1, wherein one sequence of the different ideal bipole/tripole configurations begins with one of an ideal tripole configuration and an ideal bipole configuration and ends with the other of the ideal tripole configuration and the ideal bipole configuration.

3. The system of claim 2, wherein the one of the ideal tripole configuration and the ideal bipole configuration is an ideal tripole configuration, and the other of the ideal tripole configuration and the ideal bipole configuration is an ideal bipole configuration.

4. The system of claim 2, wherein the one of the ideal tripole configuration and the ideal bipole configuration is an ideal bipole configuration, and the other of the ideal tripole configuration and the ideal bipole configuration is an ideal tripole configuration.

5. The system of claim 2, wherein an ideal cathode at the beginning and end of the one sequence of different ideal bipole/tripole configurations has the same position relative to the plurality of electrodes.

6. The system of claim 5, wherein the control circuitry is configured for maintaining the same position of the ideal cathode relative to the plurality of electrodes throughout the one sequence of different ideal bipole/tripole configurations.

7. The system of claim 2, wherein an ideal cathode at the beginning and end of the one sequence of different ideal bipole/tripole configurations has different positions relative to the plurality of electrodes.

8. The system of claim 7, wherein the control circuitry is configured for incrementally changing the position of the ideal cathode relative to the plurality of electrodes in one direction throughout the one sequence of different ideal bipole/tripole configurations.

9. The system of claim 1, wherein the ideal bipole/tripole configurations comprise a tripole configuration having an ideal cathode and two ideal anodes that aligned along an axis.

10. The system of claim 1, wherein the ideal bipole/tripole configurations comprise a tripole configuration having an ideal cathode and two ideal anodes that are misaligned along an axis.

11. The system of claim 1, wherein the user-control input device includes a control element, a continual actuation of which generates the directional control signals.

12. The system of claim 1, wherein the user-controlled input device comprises one or more of a graphical arrow, a joystick, a touchpad, a button pad, a group of keyboard arrow keys, a mouse, a roller ball tracking device, and horizontal and vertical rocker-type arm switches for generating the directional control signals.

13. The system of claim 1, further comprising telemetry circuitry, wherein the control circuitry is configured for transmitting the stimulation parameter sets to the neurostimulation device via the telemetry circuitry.

14. A system for an electrical neurostimulator coupled to a plurality of electrodes, comprising:

a user-controlled input device configured for generating directional control signals; and

control circuitry configured for sequentially defining a plurality of different ideal bipole/tripole configurations relative to the plurality of electrodes in response to the directional control signals, generating a plurality of stimulation parameter sets respectively corresponding to the plurality of ideal bipole/tripole configurations, each stimulation parameter set defining relative amplitude values for the plurality of electrodes that emulate the respective ideal bipole/tripole configuration, and instructing the electrical neurostimulator to convey electrical energy to the plurality of electrodes in accordance with the plurality of stimulation parameter sets,

wherein one sequence of the different ideal bipole/tripole configurations begins with one of a narrow ideal bipole configuration and a wide ideal bipole configuration and ends with the other of the narrow ideal bipole configuration and the wide ideal bipole configuration.

15. The system of claim 14, wherein the one of the narrow ideal bipole configuration and the wide ideal bipole configuration is a narrow ideal bipole configuration, and the other the narrow ideal bipole configuration and the wide ideal bipole configuration is a wide ideal bipole configuration.

16. The system of claim 14, wherein the one of the narrow ideal bipole configuration and the wide ideal bipole configuration is a wide ideal bipole configuration, and the other the narrow ideal bipole configuration and the wide ideal bipole configuration is a narrow ideal bipole configuration.

17. The system of claim 14, wherein an ideal cathode at the beginning and end of the one sequence of different ideal bipole/tripole configurations has the same position relative to the plurality of electrodes.

18. The system of claim 17, wherein the control circuitry is configured for maintaining the same position of the ideal cathode relative to the plurality of electrodes throughout the one sequence of different ideal bipole/tripole configurations.

19. A system for an electrical neurostimulator coupled to a plurality of electrodes, comprising:

a user-controlled input device configured for generating directional control signals; and

control circuitry configured for sequentially defining a plurality of different ideal bipole/tripole configurations relative to the plurality of electrodes in response to the directional control signals, generating a plurality of stimulation parameter sets respectively corresponding to the plurality of ideal bipole/tripole configurations, each stimulation parameter set defining relative amplitude values for the plurality of electrodes that emulate the respective ideal bipole/tripole configuration, and instructing the electrical neurostimulator to convey electrical energy to the plurality of electrodes in accordance with the plurality of stimulation parameter sets,

wherein the control circuitry is configured for sequentially defining the different ideal bipole/tripole configurations in the following order;

a narrow ideal tripole configuration, a narrow upper ideal bipole configuration, a wide upper ideal bipole configuration, a wide ideal tripole configuration, a wide lower ideal bipole configuration, a narrow lower ideal bipole configuration, and back to the narrow ideal tripole configuration.

20. The system of claim 19, wherein the control circuitry is configured for maintaining the same position of an ideal cathode relative to the plurality of electrodes between the narrow ideal tripole configuration and the wide upper ideal bipole configuration, incrementally changing the position of the ideal cathode relative to the plurality of electrodes in one direction between the wide upper ideal bipole configuration and the wide lower ideal bipole configuration, and maintaining the same position of the ideal cathode relative to the plurality of electrodes between the wide lower ideal bipole configuration and the narrow ideal tripole configuration.

21. The system of claim 19, wherein the control circuitry is configured for maintaining the same position of an ideal cathode relative to the plurality of electrodes between the wide ideal tripole configuration and the narrow lower ideal bipole configuration, incrementally changing the position of the ideal cathode relative to the plurality of electrodes in one direction between the narrow lower ideal bipole configuration and the narrow upper ideal bipole configuration, and maintaining the same position of the ideal cathode relative to the plurality of electrodes between the narrow upper ideal bipole configuration and the wide ideal tripole configuration.