System and method of developing a program for providing therapeutic electrical stimulation for treating a patient
First Claim
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1. A method of developing a program for providing therapeutic electrical stimulation for treating a patient with a stimulation system, the stimulation system comprising an electrical stimulation generator, an implanted medical lead coupled to the electrical stimulation generator, the implanted medical lead including a plurality of electrodes, and a programmer configured to communicate with the electrical stimulation generator, the method comprising:
- communicating first stimulation parameters to the stimulation generator resulting in a first stimulation with the stimulation generator using the first stimulation parameters, the first stimulation parameters including assigned first amplitude values and first polarities for a first set of the electrodes of the plurality of electrodes;
displaying, on a user interface of the programmer, a first user-controllable input and a second user-controllable input that is different from the first user-controllable input;
determining that a user is attempting to perform a discrete migration from the first set of the electrodes to a second set of electrodes of the plurality of electrodes, the second set being different from the first set, the determining including;
receiving a first input defining a percentage of amplitude change for the migration, wherein the first input is received via a user engagement with the first user-controllable input, andreceiving a second input defining a direction for the migration, wherein the second input is received via a user engagement with the second user-controllable input, wherein the first user-controllable input and the second user-controllable input are simultaneously accessible via a same screen of the user interface,calculating, in response to the determining that the user is attempting to perform the discrete migration, second stimulation parameters using the first stimulation parameters, the first input, and the second input, wherein the second stimulation parameters include automatically assigned second amplitude values and second polarities for the second set of the electrodes; and
communicating the second stimulation parameters to the stimulation generator resulting in a cessation of the first stimulation and initiation of a second stimulation with the stimulation generator using the second stimulation parameters.
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Abstract
A stimulation system, such as a spinal cord stimulation (SCS) system, having a programmer for establishing a program to treat a patient. The programmer uses a discretized, interrupted, and safe spatial electrode migration process for establishing the stimulation program.
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Citations
28 Claims
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1. A method of developing a program for providing therapeutic electrical stimulation for treating a patient with a stimulation system, the stimulation system comprising an electrical stimulation generator, an implanted medical lead coupled to the electrical stimulation generator, the implanted medical lead including a plurality of electrodes, and a programmer configured to communicate with the electrical stimulation generator, the method comprising:
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communicating first stimulation parameters to the stimulation generator resulting in a first stimulation with the stimulation generator using the first stimulation parameters, the first stimulation parameters including assigned first amplitude values and first polarities for a first set of the electrodes of the plurality of electrodes; displaying, on a user interface of the programmer, a first user-controllable input and a second user-controllable input that is different from the first user-controllable input; determining that a user is attempting to perform a discrete migration from the first set of the electrodes to a second set of electrodes of the plurality of electrodes, the second set being different from the first set, the determining including; receiving a first input defining a percentage of amplitude change for the migration, wherein the first input is received via a user engagement with the first user-controllable input, and receiving a second input defining a direction for the migration, wherein the second input is received via a user engagement with the second user-controllable input, wherein the first user-controllable input and the second user-controllable input are simultaneously accessible via a same screen of the user interface, calculating, in response to the determining that the user is attempting to perform the discrete migration, second stimulation parameters using the first stimulation parameters, the first input, and the second input, wherein the second stimulation parameters include automatically assigned second amplitude values and second polarities for the second set of the electrodes; and communicating the second stimulation parameters to the stimulation generator resulting in a cessation of the first stimulation and initiation of a second stimulation with the stimulation generator using the second stimulation parameters. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16)
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17. A method of developing a program for providing therapeutic electrical stimulation for treating a patient with a stimulation system, the stimulation system comprising an electrical stimulation generator, an implanted medical lead coupled to the electrical stimulation generator, the implanted medical lead including a plurality of electrodes, and a programmer configured to communicate with the electrical stimulation generator, the method comprising:
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communicating first stimulation parameters to the stimulation generator resulting in a first stimulation with the stimulation generator using the first stimulation parameters, the first stimulation parameters including assigned first amplitude values and first polarities for a first set of the electrodes of the plurality of electrodes; displaying, on a user interface of the programmer, a migration discretized amount selector and a directional input device that is different from the migration discretized amount selector, wherein the directional input device includes a plurality of arrows that correspond to different migrational directions; determining that a user is attempting to perform a migration from the first set of the electrodes to a second set of electrodes of the plurality of electrodes, the second set being different from the first set, the determining including; receiving, via a user engagement with the migration discretized amount selector, a first input defining a percentage of amplitude change for the migration; and receiving, via a user engagement with the directional input device that is different from the migration discretized amount selector, a second input defining a direction for the migration, wherein the migration discretized amount selector and the directional input device are simultaneously accessible via a same screen of the user interface; calculating, in response to the determining that the user is attempting to perform the migration, second stimulation parameters using the first stimulation parameters, the first input, and the second input, wherein the second stimulation parameters include automatically assigned second amplitude values and second polarities for the second set of the electrodes; and communicating the second stimulation parameters to the stimulation generator resulting in a cessation of the first stimulation and initiation of a second stimulation with the stimulation generator using the second stimulation parameters. - View Dependent Claims (18, 19)
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20. A method, comprising:
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communicating, via an electronic programmer, first stimulation parameters to a stimulation generator, thereby resulting in a first stimulation with the stimulation generator using the first stimulation parameters, the first stimulation parameters including first amplitude values and first polarities for a first set of the electrodes of a plurality of electrodes, wherein the first amplitude values and the first polarities are specified by a user; displaying, on a user interface of the electronic programmer, a first user-controllable input and a second user-controllable input that is different from the first user-controllable input; determining that the user is attempting to perform a migration from the first set of the electrodes to a second set of electrodes of the plurality of electrodes different from the first set, wherein the migration is performed in a plurality of steps, and wherein the determining comprises; receiving a first input defining a percentage of amplitude change for each step of the migration, wherein the first input is received via a first user engagement with the first user-controllable input; and receiving a second input defining a direction for the migration, wherein the second input is received via a second user engagement with the second user-controllable input, wherein the first user-controllable input and the second user-controllable input are simultaneously accessible via a same screen of the user interface; and calculating, in response to the determining that the user is attempting to perform the migration, second stimulation parameters using, wherein the calculating comprises automatically calculating the second stimulation parameters as a function of the first input, the second input, and the first stimulation parameters. - View Dependent Claims (21, 22, 23, 24, 25, 26, 27, 28)
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Specification