Neurostimulation system for defining ideal multipole configurations at lead boundary

Patent metadata

Field	Value
Publication number	US-10207114-B2
Application number	US-201615202011-A
Country	US
Kind code	B2
Filing date	Jul 5, 2016
Priority date	Mar 15, 2011
Publication date	Feb 19, 2019
Grant date	Feb 19, 2019

Abstract

A system for an neurostimulator coupled to electrodes. The system comprises a input device configured for generating directional control signals, and memory storing ideal multipole configurations. The system further comprises control circuitry configured for defining the ideal multipole configurations relative to the electrodes in response to the directional control signals, determining a spatial relationship between at least one of the defined ideal multipole configurations and the maximum extent of the electrodes, modifying the defined ideal multipole configurations based on the determined spatial relationship, such that the modified ideal multipole configurations are spatially within the maximum extent of the electrodes, generating stimulation parameter sets respectively corresponding to the modified ideal multipole configurations, each stimulation parameter set defining relative amplitude values for the electrodes that emulate the respective modified ideal multipole configuration, and instructing the neurostimulator to convey electrical energy to the electrodes in accordance with the stimulation parameter sets.

First claim

What is claimed is:

1. A system for an electrical neurostimulator coupled to an array of electrodes having a maximum extent, comprising:
a user-controlled input device configured for generating directional control signals;
memory storing a plurality of target configurations, each target configuration having at least one pole that can be emulated with a fractionalized current or voltage applied to the array of electrodes; and
control circuitry configured for defining the plurality of target configurations relative to the electrode array in response to the directional control signals,
the control circuitry configured for determining a spatial relationship between at least one of the defined plurality of target configurations and the maximum extent of the electrode array,
the control circuitry configured for modifying the defined plurality of the target configurations based on the determined spatial relationship, such that the modified plurality of the target configurations is spatially within the maximum extent of the electrode array,
the control circuitry configured for generating a plurality of stimulation parameter sets respectively corresponding to the modified plurality of target configurations, each stimulation parameter set defining relative amplitude values for the electrode array that emulate the respective modified target configuration, and
the control circuitry configured for instructing the electrical neurostimulator to convey electrical energy to the electrode array in accordance with the plurality of stimulation parameter sets.

2. The system of claim 1 , wherein the electrode array is a linear electrode array, and the maximum extent is coincident with an electrode at the end of the linear electrode array.

3. The system of claim 1 , wherein the target configurations comprise at least one bipole configuration and at least one tripole configuration.

4. The system of claim 1 , wherein the at least one defined target configuration comprises more than one defined target configuration.

5. The system of claim 1 , wherein the control circuitry is configured for modifying the defined plurality of target configurations by eliminating one or more of the at least one defined target configuration.

6. The system of claim 1 , wherein the control circuitry is configured for modifying the defined plurality of target configurations by modifying when a pole of the same polarity is initially displaced during the at least one defined target configuration.

7. The system of claim 1 , wherein the control circuitry is configured for modifying the defined plurality of target configurations by displacing a pole for one or more of the at least one defined target configuration.

8. The system of claim 1 , wherein the control circuitry is configured for modifying the defined plurality of target configurations by displacing poles of different polarities relative to each other for one or more of the at least one defined target configuration.

9. The system of claim 8 , wherein the memory, for each of the at least one defined target configuration, stores a variable value defining a spatial relationship between the poles of the different polarities, and the control circuitry is configured for displacing the poles of different polarities relative to each other for the at least one target configuration by modifying the respective at least one variable value.

10. The system of claim 9 , wherein the control circuitry is configured for modifying the respective one or more variable values by decreasing the one or more variable values.

11. The system of claim 9 , wherein the variable value for each of the at least one defined target configuration defines an absolute distance between the poles of the different polarities.

12. The system of claim 9 , wherein the defined plurality of target configurations includes a defined plurality of wide bipole/tripole configurations and a defined plurality of narrow bipole/tripole configurations, the at least one defined target configuration includes the defined plurality of wide bipole/tripole configurations, and the control circuitry is configured for displacing the poles of different polarities relative to each other for the at least one target configuration by decreasing the respective at least one variable value.

13. The system of claim 12 , wherein the defined plurality of narrow bipole/tripole configurations initially comprises a narrow upper bipole configuration and a narrow lower bipole configuration, and the defined plurality of wide bipole/tripole configurations initially comprises two identical wide upper bipole configurations, a first wide tripole configuration, and two identical wide lower bipole configurations.

14. The system of claim 13 , wherein the control circuitry is configured for decreasing the variable values associated with a first one of the two identical wide upper bipole configurations and a first one of the two identical wide lower bipole configurations to a first identical value.

15. The system of claim 14 , wherein the control circuitry is configured for changing one of a second one of the two identical wide upper bipole configurations and a second one of the two identical wide lower bipole configurations to a second wide tripole configuration, and modifying a relative intensity between the poles of different polarities of the second wide tripole configuration.

16. The system of claim 15 , wherein the control circuitry is configured for decreasing the variable value associated with the second wide tripole configuration.

17. The system of claim 16 , wherein the control circuitry is configured for decreasing the variable value associated with the second wide tripole configuration to the first identical value.

18. The system of claim 1 , wherein the user-control input device includes a control element, a continual actuation of which generates the directional control signals.

19. The system of claim 1 wherein the control circuitry is further configured to deliver an electrical current to at least one electrode in the electrode array, the delivered current being independent of a current delivered to other electrodes in the electrode array.

20. A system for an electrical neurostimulator coupled to an array of electrodes having a maximum extent, comprising:
a user-controlled input device configured for generating directional control signals;
memory storing a plurality of target configurations, each target configuration having at least one pole that can be emulated with a fractionalized current or voltage applied to the array of electrodes; and
control circuitry configured for defining the plurality of target configurations relative to the electrode array in response to the directional control signals,
the control circuitry configured for determining a spatial relationship between at least one of the defined plurality of target configurations and the maximum extent of the electrode array, the control circuitry configured for modifying the defined plurality of the target configurations based on the determined spatial relationship, such that the modified plurality of the target configurations is spatially within the maximum extent of the electrode array,
the control circuitry configured for generating a plurality of stimulation parameter sets respectively corresponding to the modified plurality of target configurations, each stimulation parameter set defining relative amplitude values for the electrode array that emulate the respective modified target configuration, and
the control circuitry co

Assignees

• Boston Scient Neuromodulation Corp

Inventors

• Lee Dongchul

Classifications

• A61N1/36185 Primary

  Selection of the electrode configuration · CPC title

• A61N1/37247

  User interfaces, e.g. input or presentation means · CPC title

• G16H40/63

  for local operation · CPC title

• A61N1/37235

  Aspects of the external programmer · CPC title

• G06F19/00

  Physics · mapped topic