Systems and methods for steering electrical stimulation of patient tissue and determining stimulation parameters

• US 10,780,282 B2
• Filed: 09/15/2017
• Issued: 09/22/2020
• Est. Priority Date: 09/20/2016
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Mustakos, Richard, Steinke, G. Karl
• Primary Examiner(s): Flory, Christopher A
• Application Number:
  US15/706,004
• Publication Number:
  US 20180078776A1
• Time in Patent Office: 1,103 Days
• Field of Search: 607 59
• 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 1/36082 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 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: G16H 20/30 relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 50/50 for simulation or modelling of medical disorders

Abstract

A method for determining a set of stimulation parameters for an electrical stimulation lead or steering electrical stimulation includes receiving a target geometrical parameter describing a stimulation field; receiving a first programming state; determining a first stimulation parameter for the first programming state that achieves the target geometrical parameter within at least 10% of the target geometrical parameter; and outputting set of stimulation parameters to be received by an electrical stimulation device for delivery of electrical stimulation to a patient via an electrical stimulation lead, wherein the set of stimulation parameters comprises the first stimulation parameter and represents the first programming state. In other embodiments, the target geometrical parameter is determined from either i) a first set of stimulation parameters or ii) a starting programming state and starting first stimulation parameter.

Claims

1. A method for determining a set of electrical stimulation parameters for an electrical stimulation lead and delivering electrical stimulation, the method comprising:

a) receiving, by a computer processor, a target geometrical parameter describing an electrical stimulation field, wherein the target geometrical parameter is a target maximum radius;

b) receiving, by the computer processor, one of the following;

an angle, a range of angles, an axial position, or a range of axial positions;

c) receiving, by the computer processor, a first programming state;

d) determining, by the computer processor, a first electrical stimulation parameter for the first programming state that achieves the target geometrical parameter within at least 10% of the target geometrical parameter at the angle when the angle is received in step b), within the range of angles when the range of angles is received in step b), at the axial position when the axial position is received in step b) or within the range of axial positions when the range of axial positions is received in step b);

e) outputting, by the computer processor, a set of electrical stimulation parameters to be received by an electrical stimulation device for delivery of electrical stimulation to a patient via an electrical stimulation lead, wherein the set of electrical stimulation parameters comprises the first electrical stimulation parameter and represents the first programming state; and

f) delivering the electrical stimulation to the patient using the set of electrical stimulation parameters.

2. The method of claim 1, wherein the angle is received in step b).

3. The method of claim 1, wherein the range of angles is received in step b).

4. The method of claim 1, wherein the axial position or the range of axial positions is received in step b).

5. The method of claim 1, further comprising repeating steps c)-e) for at least one additional programming state.

14. A system for determining a set of electrical stimulation parameters for an electrical stimulation lead and delivering electrical stimulation, the system comprising:

a display;

a computer processor coupled to the display; and

an electrical stimulation device comprising an electrical stimulation lead and in communication with the computer processor;

wherein the electrical stimulation system is configured and arranged to perform the method of claim 1.

16. A non-transitory computer-readable medium having processor-executable instructions for determining a set of electrical stimulation parameters and delivering electrical stimulation, the processor-executable instructions when installed onto a device enable the device to perform the method of claim 1.

6. A method for determining a set of electrical stimulation parameters for an electrical stimulation lead and delivering electrical stimulation, the method comprising:

a) receiving, by a computer processor, a target geometrical parameter describing an electrical stimulation field;

b) receiving, by the computer processor, a first programming state;

c) determining, by the computer processor, a first electrical stimulation parameter for the first programming state that achieves the target geometrical parameter within at least 10% of the target geometrical parameter, wherein determining the first electrical stimulation parameter comprises determining, by the computer processor, the first electrical stimulation parameter using a look-up table with previously determined first electrical stimulation parameters for a plurality of programming states;

d) outputting, by the computer processor, a set of electrical stimulation parameters to be received by an electrical stimulation device for delivery of electrical stimulation to a patient via an electrical stimulation lead, wherein the set of electrical stimulation parameters comprises the first electrical stimulation parameter and represents the first programming state; and

e) delivering the electrical stimulation to the patient using the set of electrical stimulation parameters.

7. The method of claim 6, wherein the target geometrical parameter is a target volume.

17. A system for determining a set of electrical stimulation parameters for an electrical stimulation lead and delivering electrical stimulation, the system comprising:

a display;

a computer processor coupled to the display; and

an electrical stimulation device comprising an electrical stimulation lead and in communication with the computer processor;

wherein the electrical stimulation system is configured and arranged to perform the method of claim 6.

18. A non-transitory computer-readable medium having processor-executable instructions for determining a set of electrical stimulation parameters and delivering electrical stimulation, the processor-executable instructions when installed onto a device enable the device to perform the method of claim 6.

8. A method for determining a set of electrical stimulation parameters for an electrical stimulation lead, the method comprising:

a) receiving, by a computer processor, either i) a first set of electrical stimulation parameters or ii) a starting programming state and starting first electrical stimulation parameter;

b) the computer processor, one of the following;

an angle, a range of angles, an axial position, or a range of axial positions;

c) determining, by the computer processor and from either i) the first set of electrical stimulation parameters or ii) the starting programming state and starting first electrical stimulation parameter, a target geometrical parameter describing an electrical stimulation field, wherein the target geometrical parameter is a target maximum radius;

d) receiving, by the computer processor, a first programming state;

e) determining, by the computer processor, a first electrical stimulation parameter for the first programming state that achieves the target geometrical parameter within at least 10% of the target geometrical parameter at the angle when the angle is received in step b), within the range of angles when the range of angles is received in step b), at the axial position when the axial position is received in step b) or within the range of axial positions when the range of axial positions is received in step b);

f) outputting, by the computer processor, a second set of electrical stimulation parameters to be received by an electrical stimulation device for delivery of electrical stimulation to a patient via an electrical stimulation lead, wherein the set of electrical stimulation parameters comprises the first electrical stimulation parameter for the first programming state and represents the first programming state; and

g) delivering the electrical stimulation to the patient using the set of electrical stimulation parameters.

9. The method of claim 8, wherein the angle is received in step b), wherein determining the target geometrical parameter comprises determining, by the computer processor, the target maximum radius at the angle.

10. The of claim 8, wherein the range of angles is received in step b), wherein determining the target geometrical parameter comprises determining, by the computer processor, the target maximum radius within the range of angles.

11. The method of claim 8, wherein the axial position or a range of axial positions is received in step b), wherein determining the target geometrical parameter comprises determining, by the computer processor, the target maximum radius at the axial position or within the range of axial positions.

12. The method of claim 8, further comprising repeating steps d)-f) for at least one additional programming state.

13. The computer-implemented method of claim 8, wherein determining the first electrical stimulation parameter comprises determining, by the computer processor, the first electrical stimulation parameter using a look-up table with previously determined first electrical stimulation parameters for a plurality of programming states.

15. A system for determining a set of electrical stimulation parameters for an electrical stimulation lead and delivering electrical stimulation, the system comprising:

a display;

a computer processor coupled to the display; and

an electrical stimulation device comprising an electrical stimulation lead and in communication with the computer processor;

wherein the electrical stimulation system is configured and arranged to perform the method of claim 8.

19. A non-transitory computer-readable medium having processor-executable instructions for determining a set of electrical stimulation parameters and delivering electrical stimulation, the processor-executable instructions when installed onto a device enable the device to perform the method of claim 8.