System and method for providing fluid real-time visualization of region of tissue activation

• US 9,855,432 B2
• Filed: 09/24/2011
• Issued: 01/02/2018
• Est. Priority Date: 10/28/2010
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Yoo, Peter J., Moffitt, Michael A., Bradley, Kerry
• Primary Examiner(s): Bertram, Eric D.
• Application Number:
  US13/244,415
• Publication Number:
  US 20120109257A1
• Time in Patent Office: 2,292 Days
• Field of Search: 607 59
• CPC Class Codes: A61N 1/36135 using physiological parameters
• 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

A system for a tissue stimulator coupled to an array of electrodes. The system comprises a user-controlled input device configured for generating control signals, and at least one processor configured for generating a plurality of stimulation parameter sets in response to the control signals that, when applied to the electrodes, will shift electrical current between electrodes to modify a region of tissue activation. The processor(s) is further configured for computing an estimate of the region of tissue activation, and for generating display signals capable of prompting a monitor to display an animated graphical representation of the computed estimate of the region of tissue activation.

Claims

1. A system for an electrical tissue stimulator coupled to an array of electrodes, comprising:

processor-readable memory that stores a stimulation programming package; and

at least one processor that, when executing the stimulation programming package, is configured for generating a programming screen that comprises a stimulation field representation window and a control window that is separate and distinct from the stimulation field representation window, wherein the control window comprises at least two axial displacement control elements and actuation of a single one of the at least two axial displacement control elements generates an axial displacement control signal, wherein the at least two axial displacement control elements comprises a proximal displacement control element and a distal displacement control element, wherein actuation of the proximal displacement control element axially shifts electrical current between the electrodes in a proximal direction to modify a region of tissue activation and actuation of the distal displacement control element axially shifts the electrical current between the electrodes in a distal direction to modify the region of tissue activation; and

wherein the at least one processor, when executing the stimulation programming package, is further configured for generating a stimulation parameter set in response to the axial displacement control signal generated by the actuation of the single one of the at least two axial displacement control elements that, when applied to the electrodes, will axially shift the electrical current between the electrodes, in response to the actuation of the single one of the at least two axial displacement control elements, to modify the region of tissue activation, and

the at least one processor, when executing the stimulation programming package, is further configured for computing an estimate of the modified region of tissue activation, and for generating display signals capable of prompting a monitor to display, in the stimulation field representation window, an animated graphical representation of a shift of the region of tissue activation to the computed estimate of the modified region of tissue activation such that a viewer perceives the shift as movement, in a continuous or flickering manner, of the region of tissue acitivation through a series of intermediate depictions to the computed estimate of the modified region of tissue activation.

2. The system of claim 1, wherein control window includes at least one additional control element, a continual actuation of which generates control signals.

3. The system of claim 1, wherein a shape of the animated graphical representation changes as the monitor displays the series of intermediate depictions while shifting to the computed estimate of the modified region of tissue activation.

4. The system of claim 1, wherein a locus position of the animated graphical representation changes as the monitor displays the series of intermediate depictions while shifting to the computed estimate of the modified region of tissue activation.

5. The system of claim 1, wherein a size of the animated graphical representation changes as the monitor displays the series of intermediate depiction while shifting to the computed estimate of the modified region of tissue activation.

6. The system of claim 1, wherein a shade of the animated graphical representation changes as the monitor displays the series of intermediate depictions while shifting to the computed estimate of the modified region of tissue activation.

7. The system of claim 1, wherein a transparency of the animated graphical representation changes as the monitor displays the series of intermediate depictions while shifting to the computed estimate of the modified region of tissue activation.

8. The system of claim 1, wherein a color of the animated graphical representation changes as the monitor displays the series of intermediate depictions while shifting to the computed estimate of the modified region of tissue activation.

9. The system of claim 1, wherein the animated graphical representation is displayed as being three-dimensional.

10. The system of claim 1, wherein the electrical current is cathodic electrical current.

11. The system of claim 10, wherein the array of electrodes is a one-dimensional array of electrodes.

12. The system of claim 10, wherein the array of electrodes is a two-dimensional array of electrodes.

13. The system of claim 10, wherein the array of electrodes is a three-dimensional array of electrodes.

14. The system of claim 1, further comprising a telemetry circuitry, wherein the at least one processor is further configured for programming a neurostimulator with the generated stimulation parameter set via the telemetry circuitry.

15. The system of claim 1, wherein the stimulation parameter set comprises one or more pulse amplitudes and an electrode combination.

16. The system of claim 15, wherein the electrode combination is a fractionalized electrode combination.

17. The system of claim 1, wherein the at least one axial displacement control element further comprises at least one axial shape control element and actuation of a single one of the at least one axial shape control element generates an axial shape control signal;

and the at least one processor, when executing the stimulation programming package, is further configured for generating a stimulation parameter set in response to the axial shape control signal generated by the actuation of the single one of the at least one axial shape control element that, when applied to the electrodes, will axially shift electrical current between the electrodes, in response to the actuation of the single one of the at least one axial shape control element, to modify a region of tissue activation by expanding or contracting an axial extent of the region of tissue activation, the at least one processor, when executing the stimulation programming package, is further configured for computing an estimate of the modified region of tissue activation, and for generating display signals capable of prompting a monitor to display an animated graphical representation of a shift of the region of tissue activation to the computed estimate of the modified region of tissue activation.

18. The system of claim 17, wherein the at least one axial shape control element comprises an expansion control element and a contraction control element.