System and method for displaying stimulation field generated by electrode array

• US 8,805,524 B2
• Filed: 01/30/2012
• Issued: 08/12/2014
• Est. Priority Date: 01/07/1999
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Woods, Carla Mann, Peterson, David K. L., Meadows, Paul M., Loeb, Gerald E.
• Primary Examiner(s): STOKLOSA, JOSEPH A
• Application Number:
  US13/361,669
• Publication Number:
  US 20120130448A1
• Time in Patent Office: 925 Days
• Field of Search: 607 59- 60, 607/46
• US Class Current: 607/59
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes
• CPC Class Codes: A61N 1/0553 Paddle shaped electrodes, e.g. for laminotomy
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/36185 Selection of the electrode configuration
• CPC Class Codes: A61N 1/37235 Aspects of the external programmer
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means

Abstract

An implantable pulse generator includes a current steering capability that allows a clinician or patient to quickly determine a desired electrode stimulation pattern, including which electrodes of a group of electrodes within an electrode array should receive a stimulation current, including the amplitude, width and pulse repetition rate of such current. Movement of the selected group of electrodes is facilitated through the use of remotely generated directional signals, generated by a pointing device, such as a joystick. As movement of the selected group of electrodes occurs, current redistribution amongst the various electrode contacts takes place. The redistribution of stimulus amplitudes utilizes re-normalization of amplitudes so that the perceptual level remains fairly constant. This prevents the resulting paresthesia from falling below the perceptual threshold or above the comfort threshold.

Claims

1. A programmer for a tissue stimulator that generates a stimulation field adjacent an array of electrodes, comprising:

a user-controlled input device configured for generating control signals;

a processor configured for generating stimulation parameter values that can be used by the tissue stimulator to modify the stimulation field adjacent the electrodes, the processor further configured for generating display signals that can be used to display the modified stimulation field, the displayed modified stimulation field comprising at least one line surrounding at least a portion of selected ones of the electrodes;

control circuitry configured for generating programming signals containing the stimulation parameter values; and

a transmitter configured for transmitting the programming signals to the tissue stimulator.

2. The programmer of claim 1, further comprising a monitor configured for displaying the modified stimulation field relative to the electrodes.

3. The programmer of claim 1, wherein the line is dashed.

4. The programmer of claim 1, wherein the stimulation parameter values are stimulus current values.

5. The programmer of claim 4, wherein the processor is configured for shifting the stimulus current values between the electrodes in response to the control signals.

6. The programmer of claim 1, wherein the transmitter is a wireless transmitter.

7. The programmer of claim 1, wherein the user-controlled input device comprises a joystick.

8. The programmer of claim 1, wherein the tissue stimulator is an implantable pulse generator.

9. The programmer of claim 1, wherein the at least one line encircles the selected electrodes.

10. The programmer of claim 1, wherein the at least one line completely surrounds the selected electrodes.

11. The programmer of claim 1, wherein the electrodes are configured for being implanted adjacent a spinal cord of a patient, such that the stimulation field stimulates the spinal cord, and the processor is configured for generating the display signals that can be used to display the modified stimulation field that stimulates the spinal cord.

12. The programmer of claim 1, wherein the processor is configured for generating the display signals as the stimulation field is modified.

13. A tissue stimulation system, comprising:

an implantable array of electrodes;

an external programmer configured for generating programming signals in response to user input to modify a stimulation field generated adjacent the electrodes, the external programmer further configured for prompting a monitor to display the modified stimulation field, the displayed modified stimulation field comprising at least one line surrounding at least a portion selected electrodes; and

a tissue stimulator configured for receiving the programming signals and generating the modified stimulation field adjacent the electrodes in accordance with the programming signals.

14. The system of claim 13, further comprising a display configured for displaying the modified stimulation field.

15. The system of claim 13, wherein the line is dashed.

16. The system of claim 13, wherein the tissue stimulator is configured for steering current-controlled stimulation energy between the electrodes in accordance with the programming signals.

17. The system of claim 13, wherein the external programmer is configured for wirelessly transmitting the programming signals to the tissue stimulator.

18. The system of claim 13, wherein the external programmer includes a user-controlled input device for receiving the user input.

19. The system of claim 18, wherein the user-controlled input device comprises a joystick.

20. The system of claim 13, wherein the tissue stimulator is an implantable pulse generator.

21. The system of claim 13, wherein the at least one line encircles the selected electrodes.

22. The of claim 13, wherein the at least one line completely surrounds the selected electrodes.

23. The system of claim 13, wherein the electrodes are configured for being implanted adjacent a spinal cord of a patient, such that the stimulation field stimulates the spinal cord, and the external programmer is configured for generating the display signals that can be used to display the modified stimulation field that stimulates the spinal cord.

24. The system of claim 13, wherein the external programmer is configured for generating the display signals as the stimulation field is modified.