Point-and-click programming for deep brain stimulation using real-time monopolar review trendlines

Patent metadata

Field	Value
Publication number	US-10946201-B2
Application number	US-201916284917-A
Country	US
Kind code	B2
Filing date	Feb 25, 2019
Priority date	Aug 28, 2012
Publication date	Mar 16, 2021
Grant date	Mar 16, 2021

Abstract

A system and method for selecting leadwire stimulation parameters includes a processor iteratively performing, for each of a plurality of values for a particular stimulation parameter, each value corresponding to a respective current field: (a) shifting the current field longitudinally and/or rotationally to a respective plurality of locations about the leadwire; and (b) for each of the respective plurality of locations, obtaining clinical effect information regarding a respective stimulation of the patient tissue produced by the respective current field at the respective location; and displaying a graph plotting the clinical effect information against values for the particular stimulation parameter and locations about the leadwire, and/or based on the obtained clinical effect information, identifying an optimal combination of a selected value for the particular stimulation parameter and selected location about the leadwire at which to perform a stimulation using the selected value.

First claim

What is claimed is:

1. A system for facilitating a selection of electrical stimulation parameters for stimulating patient tissue, the system comprising:
a display; and
a computer processor configured for:
displaying, on the display, a plurality of two-dimensional graphs arranged at different longitudinal levels along an axis corresponding to an axis of a leadwire, each of the two-dimensional graphs corresponds to stimulation at the corresponding longitudinal level;
receiving a user selection of a point on one of the two-dimensional graphs, wherein the point corresponds to a first value of a particular stimulation parameter and a first location on the leadwire; and
initiating a signal to program an implantable pulse generator with the first value of the particular stimulation parameter and a selection of one or more electrodes on the leadwire corresponding to the first location on the leadwire to produce a stimulation.

2. The system of claim 1 , wherein at least one of the two-dimensional graphs comprises a first shape representing estimated therapeutic minimum amplitude values.

3. The system of claim 2 , wherein at least one of the two-dimensional graphs further comprises a second shape representing estimated maximum amplitude values above which a side effect is estimated to occur.

4. The system of claim 3 , wherein the computer processor is further configured for graphically identifying by distinguishable indicia a region of within the second shape that lies outside the first shape to indicate an estimated region of suitable stimulation parameters.

5. The system of claim 1 , wherein at least one of the two-dimensional graphs comprises a shape representing estimated maximum amplitude values above which a side effect is estimated to occur.

6. The system of claim 1 , wherein the computer processor is further configured for displaying a model of the leadwire and electrodes of the leadwire.

7. The system of claim 6 , wherein the plurality of two-dimensional graphs are overlaid on the model of the leadwire.

8. The system of claim 1 , wherein the computer processor is further configured for displaying one or more view rotation controls and, in response to actuation of one of the view rotation controls, rotating the two-dimensional graphs about the axis.

9. A method for facilitating a selection of electrical stimulation parameters, the method comprising:
displaying a plurality of two-dimensional graphs arranged at different longitudinal levels along an axis corresponding to an axis of a leadwire, each of the two-dimensional graphs corresponds to stimulation at the corresponding longitudinal level;
receiving a user selection of a point on one of the two-dimensional graphs, wherein the point corresponds to a first value of a particular stimulation parameter and a first location on the leadwire; and
initiating a signal to program an implantable pulse generator with the first value of the particular stimulation parameter and a selection of one or more electrodes on the leadwire corresponding to the first location on the leadwire to produce a stimulation.

10. The method of claim 9 , wherein at least one of the two-dimensional graphs comprises a first shape representing estimated therapeutic minimum amplitude values.

11. The method of claim 9 , wherein at least one of the two-dimensional graphs further comprises a second shape representing estimated maximum amplitude values above which a side effect is estimated to occur.

12. The method of claim 11 , further comprising graphically identifying by distinguishable indicia a region of within the second shape that lies outside the first shape to indicate an estimated region of suitable stimulation parameters.

13. The method of claim 9 , wherein at least one of the two-dimensional graphs comprises a shape representing estimated maximum amplitude values above which a side effect is estimated to occur.

14. The method of claim 9 , further comprising displaying a model of the leadwire and electrodes of the leadwire.

15. The method of claim 14 , wherein the plurality of two-dimensional graphs are overlaid on the model of the leadwire.

16. The method of claim 9 , further comprising displaying one or more view rotation controls and, in response to actuation of one of the view rotation controls, rotating the two-dimensional graphs about the axis.

17. A non-transitory computer-readable medium containing instructions to perform a method for facilitating a selection of electrical stimulation parameters for stimulating patient tissue, the method comprising:
displaying, on a display, a plurality of two-dimensional graphs arranged at different longitudinal levels along an axis corresponding to an axis of a leadwire, each of the two-dimensional graphs corresponds to stimulation at the corresponding longitudinal level;
receiving a user selection of a point on one of the two-dimensional graphs, wherein the point corresponds to a first value of a particular stimulation parameter and a first location on the leadwire; and
initiating a signal to program an implantable pulse generator with the first value of the particular stimulation parameter and a selection of one or more electrodes on the leadwire corresponding to the first location on the leadwire to produce a stimulation.

18. The non-transitory computer-readable medium of claim 17 , wherein at least one of the two-dimensional graphs comprises a first shape representing estimated therapeutic minimum amplitude values.

19. The non-transitory computer-readable medium of claim 17 , wherein at least one of the two-dimensional graphs further comprises a second shape representing estimated maximum amplitude values above which a side effect is estimated to occur.

20. The non-transitory computer-readable medium of claim 17 , wherein the method further comprises displaying one or more view rotation controls and, in response to actuation of one of the view rotation controls, rotating the two-dimensional graphs about the axis.

Assignees

• Boston Scient Neuromodulation Corp

Inventors

• Carcieri Stephen
• Chen Dean
• Moffitt Michael A

Classifications

• G16Z99/00

  Subject matter not provided for in other main groups of this subclass · CPC title

• G16H40/63

  for local operation · CPC title

• A61N1/3605

  Implantable neurostimulators for stimulating central or peripheral nerve system · CPC title

• A61N1/36082

  Cognitive or psychiatric applications, e.g. dementia or Alzheimer's disease · CPC title

• A61N1/372

  Arrangements in connection with the implantation of stimulators · CPC title