User interface for segmented neurostimulation leads

• US 9,931,512 B2
• Filed: 07/12/2016
• Issued: 04/03/2018
• Est. Priority Date: 08/18/2010
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Moffitt, Michael A., Kothandaraman, Sridhar, Makous, James Carl
• Primary Examiner(s): Carey, Michael
• Assistant Examiner(s): Patel, Natasha
• Application Number:
  US15/208,413
• Publication Number:
  US 20160317824A1
• Time in Patent Office: 630 Days
• CPC Class Codes: A61N 1/0534 Electrodes for deep brain stimulation
• CPC Class Codes: A61N 1/36064 Epilepsy
• CPC Class Codes: A61N 1/36067 Movement disorders, e.g. tremor or Parkinson disease stimulating motor muscle A61N1/36003
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/36082 Cognitive or psychiatric applications, e.g. dementia or Alzheimer's disease
• CPC Class Codes: A61N 1/36182 Direction of the electrical field, e.g. with sleeve around stimulating electrode
• 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: G16H 40/63 for local operation

Abstract

An external control device for use with a neurostimulation system having a plurality of electrodes capable of conveying an electrical stimulation field into tissue in which the electrodes are implanted is provided. The external control device comprises a user interface having one or more control elements, a processor configured for generating stimulation parameters designed to modify the electrical stimulation field relative to one or more neurostimulation lead carrying the electrodes. The external control device further comprises output circuitry configured for transmitting the stimulation parameters to the neurostimulation system.

Claims

1. An external control device for use with a neurostimulation system having one or more neurostimulation leads carrying a plurality of electrodes capable of conveying an electrical stimulation field into tissue in which the electrodes are implanted, comprising:

a user interface including a representation of the electrodes, an indicator associated with each electrode and indicating an amount of current through the electrode in terms of a fractionalized current value for a displayed set of stimulation parameters, and a circumferential modification control element configured for being actuated, the circumferential modification control element including an indication of a direction and the fractionalized current value representing a percentage, assigned to the electrode, of stimulation energy;

a processor configured for generating a set of stimulation parameters to circumferentially displace a locus of the electrical stimulation field about a single one of the one or more neurostimulation leads in the direction indicated by the circumferential modification control element by controlling a selection of one or more electrodes from the plurality of electrodes and controlling an adjustable fractionalization of current flowing through the selected one or more electrodes when the circumferential modification control element is actuated; and

output circuitry configured for transmitting the set of stimulation parameters to the neurostimulation system.

2. The external control device of claim 1, wherein the user interface includes a marker associated with the circumferential modification control element, wherein the marker indicates a circumferential position of the locus of the electrical stimulation field.

3. The external control device of claim 1, wherein the circumferential modification control element is a rotational control element configured for being actuated by rotating the rotational control element about a point.

4. The external control device of claim 3, wherein the rotational control element is a mechanical dial.

5. The external control device of claim 3, wherein the user interface includes a radial modification control element, the processor is configured for generating another set of stimulation parameters designed to radially displace the locus of the electrical stimulation field when the radial modification control element is actuated, and the output circuitry is configured for transmitting the other set of stimulation parameters to the neurostimulation system.

6. The external control device of claim 5, wherein the radial modification control element is located on the rotational control element, the radial modification control element configured for being radially displaced toward and away from the point of the rotational control element.

7. A neurostimulation system for conveying an electrical stimulation field into tissue, comprising:

a neurostimulation lead carrying a plurality of electrodes configured to be implanted in the tissue and capable of conveying the electrical stimulation field into the tissue, the plurality of electrodes circumferentially arranged around the neurostimulation lead; and

an external control device including;

a user interface including a representation of the electrodes, an indicator associated with each electrode and indicating an amount of current through the electrode in terms of a fractionalized current value for a displayed set of stimulation parameters, and a circumferential modification control element configured for being actuated, the circumferential modification control element including an indication of a direction and the fractionalized current value representing a percentage, assigned to the electrode, of stimulation energy;

a processor configured for generating a set of stimulation parameters to circumferentially displace a locus of the electrical stimulation field about an axis of the neurostimulation lead in the direction indicated by the circumferential modification control element by controlling a selection of one or more electrodes from the plurality of electrodes and controlling an adjustable fractionalization of current flowing through the selected one or more electrodes when the circumferential modification control element is actuated; and

output circuitry configured for transmitting the set of stimulation parameters to the neurostimulation system.

8. The external control device of claim 7, wherein the user interface includes a display screen and the control element is an icon located on the display screen.

9. The external control device of claim 7, wherein the output circuitry comprises telemetry circuitry.

10. The external control device of claim 7, wherein the external control device comprises a housing containing the user interface, processor, and output circuitry.

11. An external control device for use with a neurostimulation system having one or more neurostimulation leads carrying a plurality of electrodes capable of conveying an electrical stimulation field into tissue in which the electrodes are implanted, comprising:

a user interface including a representation of the electrodes, an indicator associated with each electrode and indicating an amount of current through the electrode in terms of a fractionalized current value for a displayed set of stimulation parameters, and a circumferential modification control element configured for being continually actuated, the circumferential modification control element including an indication of a direction and the fractionalized current value representing a percentage, assigned to the electrode, of stimulation energy;

a processor configured for generating sets of stimulation parameters to circumferentially displace a locus of the electrical stimulation field about a single one of the one or more neurostimulation leads in a first rotational direction, as indicated by the circumferential modification control element, at respective different angular positions by controlling a selection of one or more electrodes from the plurality of electrodes and controlling an adjustable fractionalization of current flowing through the selected one or more electrodes as the circumferential modification control element is continually actuated, the sets of stimulation parameters each corresponding to an angular position of the different angular positions; and

output circuitry configured for transmitting the sets of stimulation parameters to the neurostimulation system.

12. The external control device of claim 11, wherein the circumferential modification control element is configured for being continuously actuated, and the sets of stimulation parameters are designed to circumferentially displace the electrical stimulation field about the single one of the one or more neurostimulation leads in the first rotational direction at the different angular positions as the circumferential modification control element is continuously actuated.

13. The external control device of claim 11, wherein the circumferential modification control element is configured for being repeatedly actuated, and the sets of stimulation parameters are designed to circumferentially displace the electrical stimulation field about the single one of the one or more neurostimulation leads in the first rotational direction at the different angular positions as the circumferential modification control element is repeatedly actuated.

14. The external control device of claim 11, wherein the user interface further includes another circumferential modification control element configured for being continually actuated, the processor is configured for generating other sets of stimulation parameters designed to circumferentially displace the locus of the electrical stimulation field about the single one of the one or more neurostimulation leads in a second rotational direction opposite to the first rotational direction at respective different angular positions as the other circumferential modification control element is continually actuated, and the output circuitry configured for transmitting the other sets of stimulation parameters to the neurostimulation system.

15. The external control device of claim 14, wherein the user interface includes a display screen and the circumferential modification control element is an icon located on the display screen.

16. The external control device of claim 11, wherein the user interface includes a radial modification control element, the processor is configured for generating another set of stimulation parameters designed to radially displace the locus of the electrical stimulation field when the circumferential modification control element is actuated, and the output circuitry is configured for transmitting the other set of stimulation parameters to the neurostimulation system.

17. The external control device of claim 11, wherein the user interface includes a radial modification control element, the processor is configured for generating another set of stimulation parameters designed to radially expand or contract the electrical stimulation field when the radial modification control element is actuated, and the output circuitry is configured for transmitting the other set of stimulation parameters to the neurostimulation system.

18. The external control device of claim 11, wherein the single one of the one or more neurostimulation leads comprises the plurality of electrodes circumferentially arranged around the single one of the one or more neurostimulation leads.

19. The external control device of claim 11, wherein the output circuitry comprises telemetry circuitry.

20. The external control device of claim 11, further comprising a housing containing the user interface, processor, and output circuitry.