Integration of neurostimulator programming modes

• US 9,533,154 B2
• Filed: 12/02/2015
• Issued: 01/03/2017
• 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:
  US14/956,752
• Publication Number:
  US 20160082267A1
• Time in Patent Office: 398 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 system, comprising:

a neurostimulation device configured to be coupled to a plurality of electrodes; and

an external control device having a programming selection control element to receive user input via the programming selection control element to select between or among at least two different programming modes for the neurostimulation device,

wherein a first programming mode has a first electrode configuration, and the external control device is configured to respond to the user input by switching from the first programming mode to another programming mode, and

wherein the external control device is further configured to define another electrode configuration for the other programming mode based on the first electrode configuration, generate a stimulation parameter set corresponding to the second electrode configuration, and instruct the neurostimulation device to convey electrical energy to the plurality of electrodes in accordance with the stimulation parameter set.

2. The system of claim 1, wherein the at least two different programming modes includes a manual programming mode and at least one semi-automatic programming mode.

3. The system of claim 2, wherein the at least one semi-automatic programming mode includes at least one mode selected from the group consisting of an e-troll mode and a navigation mode.

4. The system of claim 2, wherein the external control device is configured to define a virtual multipole relative to the plurality of electrodes when programming the neurostimulation device in the semi-automated mode, and compute amplitude values for the plurality of electrodes that emulate the virtual multipole, wherein the stimulation parameter set includes the computed amplitude values.

5. The system of claim 4, wherein the plurality of electrodes are arranged in an electrode array and the semi-automated programming mode includes a e-troll mode, wherein the virtual multipole is panned across a portion of the electrode array.

6. The system of claim 4, wherein the plurality of electrodes are arranged in an electrode array and the virtual multipole includes at least one anode and a cathode, and the semi-automated programming mode includes a navigation mode, wherein the at least one anode is displaced relative to the cathode as the cathode is gradually displaced across a portion of the electrode array.

7. The system of claim 2, wherein the first programming mode is the manual programming mode, and the other programming mode is the semi-automated programming mode, wherein the external control device is configured to define the other electrode configuration by:

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

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

compute current amplitude values for the plurality of electrodes that emulate the virtual multipole.

8. The system of claim 2, wherein the first programming mode is a first semi-automated programming mode, and the other programming mode is a second semi-automated programming mode, wherein the second semi-automated programming mode has a limited number of electrode configurations, and defining the other electrode configuration comprises selecting one of the limited number of electrode configurations that best matches the first electrode configuration.

9. The system of claim 8, wherein the external control device is configured for, prior to defining the second electrode configuration, gradually adjusting an electrical stimulation field focus from a first value corresponding to the first electrode configuration to a second value corresponding to the second electrode configuration.

10. The system of claim 1, wherein each of the electrode configurations is a fractionalized electrode configuration.

11. The system of claim 1, wherein the first electrode configuration is not a valid electrode configuration for the other programming mode, and wherein the external control device is configured to estimate the other electrode configuration to define the other electrode configuration for the other programming mode.

12. The system of claim 11, wherein the external control device is configured to estimate the other electrode configuration by selecting a virtual multipole that is a valid electrode configuration for the other programming mode that matches a virtual multiple for the first electrode configuration.

13. A method of operating a system that includes a plurality of electrodes and a neurostimulation device coupled to the plurality of electrodes, and an external control device that includes a user interface, the method comprising:

receiving, via a programming selection control element on the user interface of the external control device, user input to select one of different programming modes for the neurostimulation device;

responding to the user input by switching from another one of the different programming modes with a first electrode configuration to the selected one of the different programming modes with another electrode configuration, wherein each of the electrode configurations is a fractionalized electrode configuration;

defining, using the external control device, the other electrode configuration for the other programming mode based on the first electrode configuration;

generating, using the external control device, a stimulation parameter set corresponding to the second electrode configuration; and

instructing, using the external control device, the neurostimulation device to convey electrical energy to the plurality of electrodes in accordance with the stimulation parameter set.

14. The method of claim 13, wherein defining the other electrode configuration includes approximating the first electrode configuration.

15. The method of claim 13, wherein the at least two different programming modes includes a manual programming mode and at least one semi-automatic programming mode, and the at least one semi-automatic programming mode includes at least one mode selected from the group consisting of an e-troll mode and a navigation mode.

16. The method of claim 15, wherein the external control device is configured to define a virtual multipole relative to the plurality of electrodes when programming the neurostimulation device in the at least semi-automated mode, and compute amplitude values for the plurality of electrodes that emulate the virtual multipole, wherein the stimulation parameter set includes the computed amplitude values.

17. The method of claim 16, wherein:

the plurality of electrodes are arranged in an electrode array;

the virtual multipole includes at least one anode and a cathode; and

the semi-automated programming mode includes;

the e-troll mode, wherein the virtual multipole is panned across a portion of the electrode array;

or

the navigation mode, wherein the at least one anode is displaced relative to the cathode as the cathode is gradually displaced across a portion of the electrode array.

18. The method of claim 15, wherein:

the first programming mode is the manual programming mode;

the other programming mode is the semi-automated programming mode; and

defining the other electrode configuration includes;

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 emulate the virtual multipole.

19. The method of claim 15, wherein:

the first programming mode is a first semi-automated programming mode;

the other programming mode is a second semi-automated programming mode;

the second semi-automated programming mode has a limited number of electrode configurations; and

defining the other electrode configuration includes selecting one of the limited number of electrode configurations that matches the first electrode configuration.

20. The system of claim 19, further comprising gradually adjusting an electrical stimulation field focus from a first value corresponding to the first electrode configuration to another value corresponding to the other electrode configuration.