Display of region of activation in neurostimulation programming screen

• US 9,764,140 B2
• Filed: 05/17/2012
• Issued: 09/19/2017
• Est. Priority Date: 05/17/2011
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Lee, Dongchul, Zhu, Changfang
• Primary Examiner(s): Koharski, Christopher D
• Assistant Examiner(s): Dinga, Roland
• Application Number:
  US13/506,832
• Publication Number:
  US 20120296392A1
• Time in Patent Office: 1,951 Days
• Field of Search: 607 46, 607117
• 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

A system for use with a neurostimulator coupled to one or more electrodes implanted adjacent neural tissue of a patient. The system comprises a user input device configured for allowing a user to select different nerve fiber diameters and to select a set of stimulation parameters. The system further comprises processing circuitry configured estimating regions of activation within the neural tissue of the patient based on the selected nerve fiber diameters and the selected stimulation parameter set. The system further comprises a display device configured for displaying the estimated regions of tissue activation. The user input device may further be configured for allowing the user to select different tissue regions of therapy, in which case, the display device may display the different tissue region on a human body map, and different indicia associating the displayed tissue regions for therapy to displayed estimated regions of tissue activation.

Claims

1. A system for use with a neurostimulator coupled to one or more electrodes implanted adjacent neural tissue of a patient, comprising:

a user input device configured for allowing a user to select at least one nerve fiber diameter and to select a set of stimulation parameters;

processing circuitry configured for providing a grid of uniformly spaced nodes for the neural tissue and estimating a region of activation within the neural tissue of the patient based on the selected at least one nerve fiber diameter and the selected stimulation parameter set by determining activated nodes in the grid; and

a display device configured for displaying the estimated region of tissue activation and displaying a representation of the activated nodes.

2. The system of claim 1, wherein the user input device is configured for allowing the user to select a plurality of different nerve fiber diameters;

the processing circuitry is configured for estimating regions of tissue activation respectively based on the selected different nerve fiber diameters and the selected stimulation parameter set, and the display device is configured for concurrently displaying the regions of tissue activation with different indicia.

3. The system of claim 2, wherein the different indicia comprises different colors.

4. The system of claim 1, wherein the user input device is configured for allowing a user to select a resolution of the grid of nodes, and wherein the processing circuitry is configured for estimating the region of tissue activation at the selected resolution of the grid of nodes.

5. The system of claim 1, wherein the representation of the activated nodes comprises discrete geometric shapes coincident with the activated nodes.

6. The system of claim 5, wherein the geometric shapes are circles.

7. The system of claim 1, wherein the representation of the activated nodes comprises a polygon having vertices coincident with the activated nodes.

8. The system of claim 1, wherein the processing circuitry is configured for estimating an activation of one or more nerve fibers based on the selected at least one nerve fiber diameter and the selected stimulation parameter set, and the display device is configured for displaying a representation of the activated one or more nerve fibers.

9. The system of claim 1, wherein the neural tissue is spinal cord tissue.

10. The system of claim 9, wherein the spinal cord tissue comprises dorsal column (DC) nerve fibers.

11. The system of claim 10, wherein the processing circuitry is further configured for determining the intensity of activation within the estimated region of activation at points transversely spaced relative to the DC nerve fibers, and the display device is further configured for displaying a plurality of parallel lines intersecting the points, wherein the parallel lines respectively represent the DC nerve fibers and comprise indicia of the activation intensities determined at the corresponding points.

12. The system of claim 11, wherein the indicia comprise different thicknesses for the lines.

13. The system of claim 12, wherein the thicknesses of the lines are in proportion to the intensities determined at the corresponding points.

14. The system of claim 9, wherein the spinal cord tissue comprises dorsal root (DR) nerve fibers, the processing circuitry is further configured for estimating an activation of the DR nerve fibers based on the selected at least one nerve fiber diameter and the selected stimulation parameter set, and the display device is further configured for displaying a representation of the estimated activated DR nerve fibers.

15. The system of claim 14, wherein the displayed representation of the estimated activated DR nerve fibers comprises a polygon defining the boundary of the estimated activated dorsal roots.

16. The system of claim 14, wherein the displayed representation of the estimated activated DR nerve fibers comprises parallel lines corresponding to the estimated activated DR nerve fibers.

17. The system of claim 1, wherein the selected stimulation parameter set comprises an electrode combination, wherein the user input device is further configured for allowing a user to define an ideal target pole relative to the one or more electrodes, the processing circuitry is further configured for determining the electrode combination based on the defined ideal target pole, and the display device is further configured for displaying the ideal target pole relative to the estimated region of tissue activation.

18. The system of claim 1, further comprising output circuitry configured for transmitting the stimulation parameter set to the neurostimulator.

19. The system of claim 1;

further comprising an external control device comprising the user input device and the processing circuitry.

20. A system for use with a neurostimulator coupled to one or more electrodes implanted adjacent neural tissue of a patient, comprising:

a user input device configured for allowing a user to select a set of stimulation parameters;

processing circuitry configured for providing a grid of uniformly spaced nodes for the neural tissue and estimating regions of activation within the neural tissue of the patient respectively based on different nerve fiber diameters and the selected stimulation parameter set by determining activated nodes in the grid; and

a display device configured for concurrently displaying the regions of tissue activation and displaying a representation of the activated nodes with different indicia.

21. The system of claim 20, wherein the different indicia comprises different colors.

22. The system of claim 20, wherein the selected stimulation parameter set comprises an electrode combination, wherein the user input device is configured for allowing a user to define an ideal target pole relative to the one or more electrodes, the processing circuitry is configured for determining the electrode combination based on the defined ideal target pole, and the display device is configured for displaying the ideal target pole relative to the estimated regions of tissue activation.

23. The system of claim 20, further comprising output circuitry configured for transmitting the stimulation parameter set to the neurostimulator.

24. The system of claim 20, further comprising an external control device comprising the user input device and the processing circuitry.

25. The system of claim 20, wherein the representation of the activated nodes for the each region of tissue activation comprises discrete geometric shapes coincident with the activated nodes.

26. The system of claim 25, wherein the geometric shapes are circles.

27. The system of claim 20, wherein the representation of the activated nodes for the each representation of the activated nodes comprises a polygon having vertices coincident with the activated nodes.

28. A system for use with a neurostimulator coupled to one or more electrodes implanted adjacent neural tissue of a patient, comprising:

a user input device configured for allowing a user to select a plurality of stimulation parameter sets and a plurality of different tissue regions for therapy;

processing circuitry configured for providing a grid of uniformly spaced nodes for the neural tissue and estimating a region of activation within the neural tissue of the patient for each of the selected stimulation parameter sets by determining activated nodes in the grid; and

a display device configured for displaying the estimated regions of tissue activation, displaying the plurality of different tissue regions on a human body map, and displaying a representation of the activated nodes with different indicia associating the displayed tissue regions for therapy to the displayed estimated regions of tissue activation.

29. The system of claim 28, wherein the different indicia comprises different colors.

30. The system of claim 28, wherein the representation of the activated nodes for the each region of tissue activation comprises discrete geometric shapes coincident with the activated nodes.

31. The system of claim 30, wherein the geometric shapes are circles.

32. The system of claim 28, wherein the representation of the activated nodes for the each representation of the activated nodes comprises a polygon having vertices coincident with the activated nodes.

33. The system of claim 28, further comprising output circuitry configured for transmitting the stimulation parameter sets to the neurostimulator.

34. The system of claim 28, further comprising an external control device comprising the user input device and the processing circuitry.