System and method for converting tissue stimulation programs in a format usable by an electrical current steering navigator

• US 9,878,166 B2
• Filed: 02/17/2016
• Issued: 01/30/2018
• Est. Priority Date: 07/11/2008
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Thacker, James R., Moffitt, Michael A., Bradley, Kerry, Peterson, David K. L.
• Primary Examiner(s): Wu, Eugene T
• Application Number:
  US15/045,744
• Publication Number:
  US 20160158566A1
• Time in Patent Office: 713 Days
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/36146 specified by the stimulation parameters
• CPC Class Codes: A61N 1/3615 Intensity
• CPC Class Codes: A61N 1/36167 Timing, e.g. stimulation onset
• 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
• CPC Class Codes: G16H 40/63 for local operation

Abstract

A method, computer medium, and system for programming a controller is provided. The controller controls electrical stimulation energy output to electrodes, and stores a set of programmed stimulation parameters associated with the electrodes. The programmed stimulation parameter set is compared with sets of reference stimulation parameters, each of the reference sets of stimulation parameters being associated with the electrodes. If an identical match is determined between the programmed stimulation parameter set and any one of the reference stimulation parameter sets exists based on the comparison, the identically matched stimulation parameter set is selected as an initial stimulation parameter set. If an identical match does not exist, a best between the programmed stimulation parameter set and the reference stimulation parameter sets is determined and selected as the initial stimulation parameter set. The controller is then programmed with a new set of programmable stimulation parameters based on the initial stimulation parameter set.

Claims

1. A method of programming a controller that controls electrical stimulation energy output to a plurality of electrodes, the controller storing a programmed stimulation parameter set for the plurality of electrodes where the programmed stimulation parameter set includes a programmed set of parameter values that includes a respective programmed parameter value for each of the plurality of electrodes, the method comprising:

comparing the programmed stimulation parameter set with a plurality of reference stimulation parameter sets in a current steering table for use to gradually steer electrical current from one electrode combination to a different electrode combination in incremental steps, the plurality of reference stimulation parameter sets including a respective plurality of reference sets of parameter values where each of the plurality of reference sets includes a respective reference parameter value for each of the plurality of electrodes, wherein the comparing the programmed stimulation parameter set with the plurality of reference stimulation parameters sets includes comparing the programmed set of parameter values with each of the plurality of reference sets of parameter values;

determining that an identical match between the programmed stimulation parameter set and any one of the plurality of reference stimulation parameter sets in the current steering table does not exist based on the comparing the programmed set of parameter values with each of the plurality of reference sets of parameter values;

determining a best fit from the reference stimulation parameter sets to the programmed stimulation parameter set and selecting the best fit as an initial stimulation parameter set in the current steering table when the identical match does not exist; and

programming the controller with a new set of programmable stimulation parameters, including using the best fit as the initial stimulation parameter set in the current steering table and using the current steering table to gradually steer electrical current in incremental steps beginning with the initial stimulation parameter set.

2. The method of claim 1, wherein the comparing includes:

deriving a first set of data points from the programmed set of parameter values;

deriving a second set of data points from each of the plurality of reference sets of parameter values; and

computationally comparing the first set of data points with each of the second sets of data points, and

wherein the determining the best fit includes selecting one of the plurality of the reference stimulation parameter sets as the initial stimulation parameter set based on the computationally comparing the first set of data points with each of the second sets of data points.

3. The method of claim 2, wherein the computationally comparing is computationally performed using a comparison function selected from the group consisting of a correlation coefficient function, a least squares based function, and a cross-correlation function.

4. The method of claim 2, wherein each data point in the first and second sets of data points represents a magnitude of stimulation energy associated with a respective one of the plurality of electrodes.

5. The method of claim 2, wherein each data point in the first and second sets of data points represents a voltage as a neural activation function of the plurality of electrodes.

6. The method of claim 2, wherein the plurality of electrodes is less than all electrodes through which the controller can control electrical stimulation energy output such that the programming the controller with the new set of programmable stimulation parameters includes programming the controller to control electrical stimulation to less than all electrodes through which the controller can control electrical stimulation energy output.

7. A non-transitory computer readable medium for programming a controller that controls electrical stimulation energy output to a plurality of electrodes, the controller storing a programmed stimulation parameter set for the plurality of electrodes where the programmed stimulation parameter set includes a programmed set of parameter values that includes a respective programmed parameter value for each of the plurality of electrodes, the medium containing instructions, which when executed, comprise:

comparing the programmed stimulation parameter set with a plurality of reference stimulation parameter sets in a current steering table for use to gradually steer electrical current from one electrode combination to a different electrode combination in incremental steps, the plurality of reference stimulation parameter sets including a respective plurality of reference sets of parameter values where each of the plurality of reference sets includes a respective reference parameter value for each of the plurality of electrodes, wherein the comparing the programmed stimulation parameter set with the plurality of reference stimulation parameters sets includes comparing the programmed set of parameter values with each of the plurality of reference sets of parameter values;

determining that an identical match between the programmed stimulation parameter set and any one of the reference stimulation parameter sets does not exist based on the comparing the programmed set of parameter values with each of the plurality of reference sets of parameter values

determining a best fit from the reference stimulation parameter sets to the programmed stimulation parameter set and selecting the best fit as an initial stimulation parameter set in the current steering table when the identical match does not exist; and

programming the controller with a new set of programmable stimulation parameters, including using the best fit as the initial stimulation parameter set in the current steering table and using the current steering table to gradually steer electrical current in incremental steps beginning with the initial stimulation parameter set.

8. The non-transitory computer readable medium of claim 7, wherein the instructions, when executed, further comprises deriving an effective stimulation parameter set from the initial stimulation parameter set, wherein the effective stimulation parameter set is selected as the new programmable stimulation set.

9. The non-transitory computer readable medium of claim 8, wherein the deriving the effective stimulation parameter set comprises gradually changing the initial stimulation parameter set to the effective stimulation parameter set while stimulating tissue of a patient in accordance with the gradually changing stimulation parameter set.

10. The non-transitory computer readable medium of claim 9, wherein the initial stimulation parameter set comprises first electrical current values for the plurality of electrodes, the effective stimulation parameter set comprises second electrical current values for the plurality of electrodes, and the initial stimulation parameter set is gradually changed to the effective stimulation parameter set by gradually shifting the first electrical current values to the second electrical current values.

11. The non-transitory computer readable medium of claim 7, wherein the determining the best fit comprises prioritizing the electrodes, and narrowing the reference stimulation parameter sets down to a single stimulation parameter set based on the electrode prioritization, wherein the single stimulation parameter set is selected as the initial stimulation parameter set.

12. The non-transitory computer readable medium of claim 7, wherein the comparing includes:

deriving a first set of data points from the programmed set of parameter values;

deriving a second set of data points from each of the plurality of reference sets of parameter values; and

computationally comparing the first set of data points with each of the second sets of data points, and

wherein the determining the best fit includes selecting one of the plurality of reference stimulation parameter sets as the initial stimulation parameter set based on the computationally comparing the first set of data points with each of the second sets of data points.

13. The non-transitory computer readable medium of claim 7, further comprising the current steering table.

14. A tissue stimulation system, comprising:

a plurality of electrodes configured for being placed in contact with tissue of a patient;

an implantable device configured for conveying electrical stimulation energy to the plurality of electrodes, thereby creating a stimulation region in the tissue;

an external controller configured for controlling the stimulation energy output by the implantable device to the plurality of electrodes in accordance with a programmed stimulation parameter set where the programmed stimulation parameter set includes a programmed set of parameter values that includes a respective programmed parameter value for each of the plurality of electrodes; and

a computerized programming system configured for;

comparing the programmed stimulation parameter set with a plurality of reference stimulation parameter sets in a current steering table for use to gradually steer electrical current from one electrode combination to a different electrode combination in incremental steps, the plurality of reference stimulation parameter sets including a respective plurality of reference sets of parameter values where each of the plurality of reference sets includes a respective reference parameter value for each of the plurality of electrodes;

determining that an identical match between the programmed stimulation parameter set and any one of the plurality of reference stimulation parameter sets in the current steering table does not exist based on the comparing the programmed set of parameter values with each of the plurality of reference sets of parameter values;

determining a best fit from the reference stimulation parameter sets to the programmed stimulation parameter set and the reference stimulation parameter sets and selecting the best fit as an initial stimulation parameter set in the current steering table when the identical match does not exist; and

programming the controller with a new set of programmable stimulation parameters, including using the best fit as the initial stimulation parameter set in the current steering table and using the current steering table to gradually steer electrical current in incremental steps beginning with the initial stimulation parameter set.

15. The tissue stimulation system of claim 14, wherein the computerized programming system is further configured for deriving an effective stimulation parameter set from the initial stimulation parameter set, wherein the effective stimulation parameter set is selected as the new programmable stimulation set.

16. The tissue stimulation system of claim 15, wherein the deriving the effective stimulation parameter set comprises gradually changing the initial stimulation parameter set to the effective stimulation parameter set while directing the implantable device to stimulate tissue of a patient in accordance with the gradually changing stimulation parameter set.

17. The tissue stimulation system of claim 16, wherein the initial stimulation parameter set comprises first electrical current values for the plurality of electrodes, the effective stimulation parameter set comprises second electrical current values for the plurality of electrodes, and the initial stimulation parameter set is gradually changed to the effective stimulation parameter set by gradually shifting the first electrical current values to the second electrical current values.

18. The tissue stimulation system of claim 14, wherein the determining the best fit comprises prioritizing the electrodes, and narrowing the reference stimulation parameter sets down to a single stimulation parameter set based on the electrode prioritization, wherein the single stimulation parameter set is selected as the initial stimulation parameter set.

19. The tissue stimulation system of claim 14, wherein the comparing:

deriving a first set of data points from the programmed stimulation parameter set;

deriving a second set of data points from each of the plurality of reference sets of parameter values; and

computationally comparing the first set of data points with each of the second sets of data points, and

wherein the determining the best fit includes selecting one of the plurality of the reference stimulation parameter sets as the initial stimulation parameter set based on the computationally comparing the first set of data points with each of the second sets of data points.

20. The tissue stimulation system of claim 14, wherein the computerized programming system comprises the current steering table.