Method and apparatus for programming complex neurostimulation patterns

• US 9,802,052 B2
• Filed: 10/29/2015
• Issued: 10/31/2017
• Est. Priority Date: 11/04/2014
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Marnfeldt, Goran N.
• Primary Examiner(s): Carey, Michael
• Application Number:
  US14/926,725
• Publication Number:
  US 20160121126A1
• Time in Patent Office: 733 Days
• Field of Search: 607 2, 607 59, 607 60, 607 66, 607 68
• CPC Class Codes: A61N 1/3605 Implantable neurostimulators for stimulating central or peripheral nerve system
• CPC Class Codes: A61N 1/36167 Timing, e.g. stimulation onset
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: G16H 40/63 for local operation

Abstract

An example of a neurostimulation system may include a storage device, a programming control circuit, and a graphical user interface (GUI). The storage device may be configured to store a stimulation waveform representing a pattern of neurostimulation pulses. The programming control circuit may be configured to generate stimulation parameters controlling delivery of the neurostimulation pulses according to the stimulation waveform. The GUI may be configured to define the stimulation waveform as a function of one or more adjustable parameter curves each being a function of time. The one or more adjustable parameter curves each represent a user-programmable parameter. The GUI includes a waveform definition module that may be configured to present the stimulation waveform, present each parameter curve of the one or more adjustable parameter curves, allow for adjustment of the each parameter curve, and update the stimulation waveform in response to the adjustment of the each parameter curve.

Claims

1. A neurostimulation system configured to allow for control of neurostimulation by a user, comprising:

a storage device configured to store a stimulation waveform representing a pattern of neurostimulation pulses during a stimulation period;

a programming control circuit configured to generate a plurality of stimulation parameters controlling delivery of the neurostimulation pulses according to the stimulation waveform; and

a graphical user interface (GUI) coupled to the storage device and the control circuit and configured to define the stimulation waveform as a function of one or more adjustable parameter curves each being a function of time during the stimulation period, the one or more adjustable parameter curves each representing a user-programmable parameter, the GUI including a waveform definition module configured to;

present the stimulation waveform;

present each parameter curve of the one or more adjustable parameter curves as a graphically adjustable curve;

allow for adjustment of the each parameter curve using a graphical method performed by the user; and

update the stimulation waveform in response to the adjustment of the each parameter curve.

2. The system of claim 1, further comprising a 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.

3. The system of claim 2, wherein the stimulation device comprises an implantable stimulator including an implant telemetry circuit configured to receive the plurality of stimulation parameters, and the programming device comprises an external programmer including an external telemetry circuit configured to transmit the plurality of stimulation parameters to the implantable stimulator via a wireless telemetry link.

4. The system of claim 1, wherein the waveform definition module is further configured to:

present one or more handles each placed on a parameter curve of the one or more adjustable parameter curves, the one or more handles each corresponding to a value of the user-programmable parameter represented by the parameter curve; and

allow for adjustment of the parameter curve by moving a handle of the one or more handles.

5. The system of claim 4, wherein the waveform definition module is further configured to allow for addition of a new handle to the one or more handles placed on the parameter curve and deletion of a handle from the one or more handles placed on the parameter curve.

6. The system of claim 5, wherein the storage device is further configured to store a pattern library including one or more template waveforms, and the waveform definition module is further configured to select a template waveform from the template library and present the selected template waveform as the stimulation waveform.

7. The system of claim 1, wherein waveform definition module is configured to present the stimulation waveform as an envelope curve with pulse type indicators, the envelope curve specifying on-periods each including one or more pulses of the neurostimulation pulses and off-periods including none of the neurostimulation pulses, the on-periods each assigned to a pulse type of the one of more pulse types, the pulse type indicators each specifying the pulse type to which one of the on-periods is assigned to.

8. The system of claim 7, wherein the storage device is further configured to store a pulse library including one or more pulse types, and the waveform definition module is further configured to allow for selection of one or more on-periods of the on-periods in the envelope curve and assignment of the selected one or more on-periods to the specified pulse type.

9. The system of claim 8, wherein the waveform definition module is further configured to allow for creation of a new pulse type to be added to the pulse library and adjustment of each pulse type of the one or more pulse types in the pulse library.

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

presenting a stimulation waveform on a graphical user interface (GUI), the stimulation waveform representing a pattern of neurostimulation pulses during a stimulation period and being a function of one or more adjustable parameter curves each being a function of time during the stimulation period, the one or more adjustable parameter curves each representing a user-programmable parameter;

presenting the one or more adjustable parameter curves each as a graphically adjustable curve on the GUI;

allowing the user to graphically adjust each parameter curve of the one or more adjustable parameter curves using the GUI;

updating the stimulation waveform in response to the adjustment of the each parameter curve; and

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

11. The method of claim 10, wherein presenting the stimulation waveform comprises presenting a template waveform, and further comprising:

creating one or more template waveforms;

storing the one or more template waveforms; and

selecting the template waveform from the stored one or more waveforms.

12. The method of claim 11, wherein creating the one or more template waveforms comprises creating one or more therapy-specific template waveforms for one or more types of neurostimulation therapy.

13. The method of claim 11, further comprising:

presenting one or more handles on the GUI, the one or more handles each placed on a parameter curve of the one or more adjustable parameter curves, the one or more handles each corresponding to a value of the user-programmable parameter represented by the parameter curve;

allowing the user to select a handle of the one or more handles placed on the parameter curve; and

allowing the user to adjust the parameter curve by moving the selected handle.

14. The method of claim 13, further comprising:

allowing the user to add a new handle to the one or more handles placed on the parameter curve; and

allowing the user to delete a handle of the one or more handles placed on the parameter curve.

15. The method of claim 13, wherein presenting the one or more adjustable parameter curves comprises presenting one or more of a frequency curve representing a pulse frequency, a duration curve representing a pulse width, and an amplitude curve representing a pulse amplitude.

16. The method of claim 10, wherein presenting the stimulation waveform comprises presenting an envelope curve with pulse type indicators, the envelope curve specifying on-periods each including one or more pulses of the neurostimulation pulses and off-periods including none of the neurostimulation pulses, the on-periods each assigned to a pulse type of the one of more pulse types, the pulse type indicators each specifying the pulse type to which one of the on-periods is assigned to.

17. The method of claim 16, further comprising:

storing the one or more pulse types;

allowing the user to select one or more on-periods of the on-periods in the envelope curve;

allowing the user to select a pulse type from the stored one or more pulse types; and

allowing the user to assign the selected one or more on-periods to the selected pulse type.

18. The method of claim 17, further comprising:

allowing the user to create a new pulse type using the GUI to add to the stored one or more pulse types; and

allowing the user to modify each pulse type of the one or more pulse types using the GUI.

19. The method of claim 18, wherein allowing the user to modify the each pulse type comprises:

presenting a pulse waveform of the each pulse type on the GUI;

presenting one or more handles each placed on the pulse waveform of the each pulse type;

allowing the user to select a handle from the one or more handles placed on the pulse waveform; and

allowing the user to modify the pulse waveform by moving the selected handle.

20. The method of claim 10, 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.