Programming techniques for peripheral nerve field stimulation

• US 9,498,622 B2
• Filed: 01/26/2009
• Issued: 11/22/2016
• Est. Priority Date: 05/09/2008
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: King, Gary W., Goetz, Steven M., Houchins, Andrew H., Keacher, Jeffrey T., Greenberg, Jordan J.
• Primary Examiner(s): Moran, Edward
• Assistant Examiner(s): MAHMOOD, NADIA AHMAD
• Application Number:
  US12/359,656
• Publication Number:
  US 20090281595A1
• Time in Patent Office: 2,857 Days
• Field of Search: 607/46
• US Class Current: 1/1
• CPC Class Codes: A61N 1/0553 Paddle shaped electrodes, e.g. for laminotomy
• CPC Class Codes: A61N 1/36021 for treatment of pain
• 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

Abstract

Peripheral nerve field stimulation (PNFS) delivered by medical device to a patient may be programmed by specifying one or more characteristics of a stimulation field generated by the IMD to provide the PNFS. The characteristics of the stimulation field may include, for example, a direction of stimulation within the field, a breadth of the stimulation field, a focus of stimulation within the stimulation field, a depth of the stimulation field relative to a reference point, such as the epidermis of the patient, or a nerve fiber diameter selection.

Claims

1. A method comprising:

receiving, by a processor, a stimulation field vector input from a user via a user interface, wherein the stimulation field vector input indicates a direction of peripheral nerve field electrical stimulation within a stimulation field that provides peripheral nerve field electrical stimulation in a region of a body of a patient in which the patient experiences pain, and wherein the stimulation field vector input comprises a vector beginning point and a vector end point;

receiving, by the processor, a stimulation breadth input from the user that indicates a breadth of the stimulation field;

receiving, by the processor, a stimulation depth input from the user that indicates a depth of the stimulation field relative to a reference point of the patient; and

determining, by the processor, an electrode configuration for generating the stimulation field based on the stimulation field vector input, the stimulation breadth input, and the stimulation depth input, wherein determining the electrode configuration comprises;

selecting, by the processor, a first active electrode from a three-dimensional electrode array implanted in the region of the body of the patient based on the vector beginning point,

selecting, by the processor, of a second active electrode from the three-dimensional electrode array based on the vector end point, the stimulation breadth input, and the stimulation depth input, and

selecting, by the processor, polarities of the first and second active electrodes.

2. The method of claim 1, wherein the first active electrode comprises an anode electrode and the second active electrode comprises a cathode electrode, and determining the electrode configuration comprises determining an arrangement of the cathode electrode and the anode electrode within the electrode array.

3. The method of claim 1, wherein the three-dimensional electrode array comprises at least one of electrodes coupled to a common lead body, electrodes coupled to a respective one of at least two lead bodies or electrodes coupled to a housing of an implantable medical device.

4. The method of claim 1, further comprising transmitting at least one of the electrode configuration or the stimulation field vector input to an implantable medical device.

5. The method of claim 1, wherein determining the electrode configuration comprises determining a distance between the first and second active electrodes based on the stimulation breadth input.

6. The method of claim 1, further comprising receiving, by the processor, a stimulation focus input from the user that indicates a size of a stimulation focus of the stimulation field, wherein determining the electrode configuration comprises determining the electrode configuration based on the stimulation field vector input, the stimulation breadth input, the stimulation depth input, and the stimulation focus input.

7. The method of claim 6, wherein determining the electrode configuration comprises determining a number of cathode electrodes based on the stimulation focus input.

8. The method of claim 1, further comprising controlling a medical device to deliver electrical stimulation to the region according to the electrode configuration.

9. The method of claim 1, further comprising presenting the electrode configuration to the user on a display.

10. The method of claim 1, further comprising determining at least one of a stimulation amplitude or a breadth of stimulation based on a magnitude of the stimulation field vector input.

24. The method of claim 1, wherein the stimulation depth input defines a desired depth relative to an epidermis of a patient.

11. A system comprising:

a user interface; and

a processor that;

receives a stimulation field vector input from a user via the user interface, wherein the stimulation field vector input comprises a vector beginning point and a vector end point and indicates a direction of peripheral nerve field electrical stimulation in a stimulation field that provides peripheral nerve field electrical stimulation in a region of a body of a patient in which the patient experiences pain;

receives a stimulation breadth input from the user via the user interface, the stimulation breadth input indicating a breadth of the stimulation field;

receives a stimulation depth input from the user via the user interface, the stimulation depth input indicating a depth of the stimulation field relative to a reference point of the patient; and

determines an electrode configuration for generating the stimulation field based on the stimulation field vector input, the stimulation breadth input, and the stimulation depth input, wherein the processor determines the electrode configuration by at least;

selecting a first active electrode from a three-dimensional electrode array implanted in the region of the body of the patient based on the vector beginning point,

selecting a second active electrode from the three-dimensional electrode array based on the vector end point, the stimulation breadth input, and the stimulation depth input, and

selecting polarities of the first and second active electrodes.

12. The system of claim 11, wherein the first electrode comprises an anode electrode and the second electrode comprises a cathode electrode, and wherein the processor determines an arrangement of the cathode electrode and the anode electrode within the electrode array.

13. The system of claim 11, further comprising a programmer, wherein the programmer comprises the user interface and the processor.

14. The system of claim 13, wherein the programmer further comprises a telemetry module that transmits at least one of the electrode configuration or the stimulation field vector input to an implantable medical device.

15. The system of claim 11, further comprising a programmer and an implantable medical device, wherein the programmer comprises the user interface and the implantable medical device comprises the processor.

16. The system of claim 11, wherein the three-dimensional electrode array comprises at least one of electrodes coupled to a common lead, electrodes coupled to a respective one of at least two lead bodies or electrodes coupled to a housing of an implantable medical device.

17. The system of claim 11, wherein the user interface comprises a touch screen configured to receive the stimulation field vector input from the user.

18. The system of claim 11, wherein the user interface comprises a display, and wherein the processor presents the electrode configuration to the user via the display.

19. The system of claim 11, wherein the processor receives a stimulation focus input from the user that indicates a size of a stimulation focus of the stimulation field and determines the electrode configuration based on the stimulation field vector input, the stimulation breadth input, the stimulation depth input, and the stimulation focus input.

20. The system of claim 11, wherein the processor determines at least one of a stimulation amplitude or a breadth of stimulation based on a magnitude of the stimulation field vector input.

25. The system of claim 11, wherein the stimulation depth input defines a desired depth relative to an epidermis of a patient.

21. A system comprising:

means for receiving a stimulation field vector input from a user via a user interface, wherein the stimulation field vector input indicates a direction of peripheral nerve field electrical stimulation within a stimulation field that provides peripheral nerve field electrical stimulation in a region of a body of a patient in which the patient experiences pain, and wherein the stimulation field vector input comprises a vector beginning point and a vector end point;

means for receiving a stimulation breadth input from the user that indicates a breadth of the stimulation field;

means for receiving a stimulation depth input from the user that indicates a depth of the stimulation field relative to a reference point of the patient; and

means for determining an electrode configuration for generating the stimulation field based on the stimulation field vector input, wherein the means for determining determines the electrode configuration by at least;

selecting a first active electrode from a three-dimensional electrode array implanted in the region of the body of the patient based on the vector beginning point,

selecting a second active electrode from the three-dimensional electrode array based on the vector end point, the stimulation breadth input, and the stimulation depth input, and

selecting polarities of the first and second active electrodes.

22. The system of claim 21, wherein the first active electrode comprises an anode electrode and the second active electrode comprises a cathode electrode, and wherein the means for determining determines an arrangement of the cathode electrode and the anode electrode within the three-dimensional electrode array.

26. The system of claim 21, wherein the stimulation depth input defines a desired depth relative to an epidermis of a patient.

23. A non-transitory computer-readable medium comprising instructions that cause a processor to:

receive a stimulation field vector input from a user, wherein the stimulation field vector input indicates a direction of peripheral nerve field electrical stimulation within a stimulation field that provides peripheral nerve field electrical stimulation in a region of a body of a patient in which the patient experiences pain, and wherein the stimulation field vector input comprises a vector beginning point and a vector end point;

receive a stimulation breadth input from the user that indicates a breadth of the stimulation field;

receive a stimulation depth input from the user that indicates a depth of the stimulation field relative to a reference point of the patient; and

determine an electrode configuration for generating the stimulation field in the region based on the stimulation field vector input, wherein the instructions cause the processor to determine the electrode configuration by at least;

selecting a first active electrode from a three-dimensional electrode array implanted in the region of the body of the patient based on the vector beginning point,

selecting a second active electrode from the three-dimensional electrode array based on the vector end point, the stimulation breadth input, and the stimulation depth input, and

selecting polarities of the first and second active electrodes.

27. The non-transitory computer-readable medium of claim 23, wherein the stimulation depth input defines a desired depth relative to an epidermis of a patient.