Method and apparatus for programming charge recovery in neurostimulation waveform

• US 9,737,714 B2
• Filed: 02/02/2016
• Issued: 08/22/2017
• Est. Priority Date: 02/04/2015
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Zottola, Dennis
• Primary Examiner(s): VOORHEES, CATHERINE M
• Application Number:
  US15/013,734
• Publication Number:
  US 20160220820A1
• Time in Patent Office: 567 Days
• CPC Class Codes: A61N 1/3605 Implantable neurostimulators for stimulating central or peripheral nerve system
• CPC Class Codes: A61N 1/36128 Control systems
• CPC Class Codes: A61N 1/36146 specified by the stimulation parameters
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means

Abstract

An example of a neurostimulation system may include a storage device to store a stimulation waveform, a programming control circuit to generate a plurality of stimulation parameters controlling delivery of neurostimulation pulses according to the stimulation waveform, and waveform definition circuit configured to create and adjust the stimulation waveform. The waveform definition circuit includes a charge recovery module that may include a stimulation to receive the stimulation waveform including charge injection phases, a charge recovery scheme input to receive a charge recovery scheme, and a waveform adjuster configured to identify a need for recovering charges injected during the charge injection phases and adjust the received stimulation waveform by automatically inserting charge recovery phases into the received stimulation waveform based on the identified need for recovering the injected charges and the received charge recovery scheme.

Claims

1. A neurostimulation system, comprising:

a programming control circuit configured to generate a plurality of stimulation parameters controlling delivery of the neurostimulation pulses according to a stimulation waveform representing a pattern of neurostimulation pulses during a stimulation period, the neurostimulation pulses each including a charge injection phase; and

a waveform definition circuit coupled to the control circuit and configured to adjust the stimulation waveform, the waveform definition circuit including a charge recovery module including;

a stimulation waveform input configured to receive the stimulation waveform;

a charge recovery scheme input configured to receive a charge recovery scheme; and

a waveform adjuster configured to identify a need for adding charge recovery phases to recover charges injected during the charge injection phases and adjust the received stimulation waveform by automatically inserting the needed charge recovery phases into the received stimulation waveform according to the received charge recovery scheme.

2. The system of claim 1, wherein the charge recovery scheme input is configured to display one or more parameters associated with the received charge recovery scheme and receive a value for each parameter of the displayed one or more parameters.

3. The system of claim 1, wherein the charge recovery scheme input is configured to display one or more questions associated with the received charge recovery scheme and receive an answer for each questions of the displayed one or more questions.

4. The system of claim 1, wherein the charge recovery scheme input configured to display a plurality of predefined charge recovery schemes and receive the charge recovery scheme by receiving a selection from the displayed plurality of predefined charge recovery schemes.

5. The system of claim 1, wherein the charge recovery module comprises a charge recovery parameter generator configured to generate a plurality of charge recovery parameters based on the received charge recovery scheme and predetermined default values, and the waveform adjuster is configured to adjust the received stimulation waveform by automatically inserting the charge recovery phases into the received stimulation waveform according to the plurality of charge recovery parameters.

6. The system of claim 5, wherein the waveform adjuster is further configured to adjust the received stimulation waveform by automatically adjusting existing charge recovery phases in the received stimulation waveform according to the plurality of charge recovery parameters.

7. The system of claim 5, wherein the charge recovery parameter generator is configured to generate the plurality of charge recovery parameters based on the received charge recovery scheme and one or more predetermined limiting values for one or more charge recovery parameters of the plurality of charge recovery parameters.

8. The system of claim 5, wherein the waveform adjuster is configured to produce a warning message in response to the adjusted stimulation waveform not having an acceptable level of charge balance after the charge recovery phases are automatically inserted into the received stimulation waveform.

9. The system of claim 1, comprising a graphical user interface (GUI) including the waveform definition circuit;

the GUI configured to display the stimulation waveform, allow for entry of the charge recovery scheme, and allow for adjustment of the stimulation waveform.

10. The system of claim 9, wherein the waveform adjuster is configured to allow adjustment of the stimulation waveform by graphically editing the stimulation waveform using the GUI.

11. The system of claim 9, further comprising:

an implantable stimulation device including;

a stimulation output circuit configured to deliver the neurostimulation pulses; and

a stimulation control circuit configured to control the delivery of the neurostimulation pulses using the plurality of stimulation parameters; and

a programming device communicatively coupled to the stimulation device and including the storage device, the programming circuit; and

the GUI.

12. A method for controlling neurostimulation by a user, comprising:

receiving a stimulation waveform representing a pattern of neurostimulation pulses during a stimulation period, each pulse in the pattern of the neurostimulation pulses including a charge injection phase;

receiving a charge recovery scheme from the user;

identifying a need for adding charge recovery phases to recover charges injected during the charge injection phases;

adjusting the received stimulation waveform by automatically inserting the needed charge recovery phases into the received stimulation waveform according to the received charge recovery scheme using a processing circuit of a programming device; and

generating a plurality of stimulation parameters based on the adjusted stimulation waveform, the plurality of stimulation parameters allowing for delivery of the neurostimulation from a stimulation device to be controlled according to the adjusted stimulation waveform.

13. The method of claim 12;

further comprising;

transmitting the plurality of stimulation parameters to an implantable stimulator; and

controlling delivery of the neurostimulation pulses from the implantable stimulator using the plurality of stimulation parameters.

14. The method of claim 12, wherein receiving the charge recovery scheme from the user comprises:

displaying a plurality of predefined charge recovery schemes; and

receiving a selection of a charge recovery scheme from the displayed plurality of predefined charge recovery schemes.

15. The method of claim 12, comprising generating a plurality of charge recovery parameters based on the received charge recovery scheme and one or more predetermined values of each parameter of one or more stored parameters of the plurality of charge recovery parameters.

16. The method of claim 15, wherein the one or more predetermined values of the each parameter of the one or more stored parameters comprise one or more limits each being a maximum or minimum value of the each parameter of the one or more stored parameters determined to ensure effective charge recovery.

17. The method of claim 15, further comprising:

displaying the adjusted stimulation waveform after the charge recovery phases are automatically inserted using a graphical user interface (GUI); and

allowing the user to adjust the displayed stimulation waveform.

18. The method of claim 17, further comprising indicating that an acceptable level of charge balance is not achieved based on the received stimulation waveform and the received charge recovery scheme.

19. The method of claim 18, further comprising allowing the user to graphically edit the automatically inserted charge recovery phases in the displayed stimulation waveform using the GUI.

20. The method of claim 18, further comprising allowing the user to graphically edit the charge injection phases in the displayed stimulation waveform using the GUI.