Neurostimulation system for defining ideal multipole configurations at lead boundary

Patent metadata

Field	Value
Publication number	US-11865347-B2
Application number	US-202117141701-A
Country	US
Kind code	B2
Filing date	Jan 5, 2021
Priority date	Mar 15, 2011
Publication date	Jan 9, 2024
Grant date	Jan 9, 2024

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 method performed using a system including control circuitry, a user-controlled input device and memory storing variable values defining a generalized ideal multipole, wherein the generalized ideal multipole multiple includes a reference ideal pole of a first polarity and a plurality of ideal poles of a second polarity, wherein the variable values define at least one of (1) one or more spatial relationships for at least one of the reference ideal pole or the plurality of ideal poles or (2) fractionalized values for the plurality of ideal poles, wherein the method includes:
generating directional control signals using the user-controlled device;
moving the generalized ideal multipole in response to the control signals by modifying, using the control circuitry, at least some of the variable values, and
instructing an electrical neurostimulator to convey electrical energy to the plurality of electrodes in accordance with the modified variable values.

2. The method of claim 1 , wherein the variable values define both:
(1) spatial relationships the reference ideal pole and the plurality of ideal poles; and
(2) fractionalized values for the plurality of ideal poles.

3. The method of claim 1 , wherein the variable values define spatial relationships of the reference ideal pole and the plurality of ideal poles by defining a spatial relationship of the reference ideal pole to the plurality of electrodes and spatial relationships of the plurality of ideal poles to the reference ideal pole.

4. The method of claim 1 , wherein the first polarity is negative and the second polarity is positive.

5. The method of claim 1 , wherein the variable values define the spatial relationships using a two-dimensional or three-dimensional rectilinear coordinate system, or using a two-dimensional polar coordinate system, a three-dimensional cylindrical coordinate system or a three-dimensional cylindrical coordinate system.

6. The method of claim 1 , wherein the variable values define the spatial relationships using an absolute distance between each of the plurality of ideal poles to the reference ideal pole.

7. The method of claim 1 , wherein the moving the generalized ideal multipole in response to the control signals includes stepping through a sequence of multipole configurations, wherein each step in the sequence of multipole configurations includes a modification of at least one of the spatial relationships or the fractionalized values for the plurality of ideal poles.

8. The method of claim 7 , wherein the sequence of multipole configurations includes at least one bipole configuration and at least one tripole configuration.

9. The method of claim 7 , wherein the sequence of multipole configurations includes different distances between poles in a bipole or tripole configuration.

10. The method of claim 7 , wherein the moving the generalized ideal multipole in response to the control signals includes moving the generalized ideal multipole in at least one of the rostro-caudal direction and a medio-lateral direction.

11. The method of claim 7 , wherein the moving the generalized ideal multipole in response to the control signals includes modifying the generalized ideal multipole to account for a maximum extent of the plurality of electrodes when moving the generalized ideal multipole.

12. The method of claim 1 , wherein the system includes a spinal cord stimulation (SCS) system having a least one SCS lead, wherein the at least one SCS lead includes the plurality of electrodes.

13. The method of claim 1 , wherein the system includes a deep brain stimulation (DBS) system having a least one DBS lead, wherein the at least one DBS lead includes the plurality of electrodes.

14. The method of claim 1 , wherein the electrical neurostimulator includes an independent current source for each electrode in the plurality of electrodes.

15. A non-transitory machine-readable medium including instructions, which when executed by a machine, cause the machine to implement a method, wherein the method includes:
receiving user-controlled directional control signals;
providing a graphical representation of moving a generalized ideal multipole in response to the directional control signals by modifying variable values, wherein the generalized ideal multiple includes a reference ideal pole of a first polarity and a plurality of ideal poles of a second polarity, and wherein the variable values define at least one of (1) one or more spatial relationships for at least one of the reference ideal pole or the plurality of ideal poles or (2) fractionalized values for the plurality of ideal poles; and
instructing an electrical neurostimulator to convey electrical energy to a plurality of electrodes in accordance with the modified variable values.

16. The non-transitory machine-readable medium of claim 15 , wherein the variable values define the spatial relationships using a two-dimensional or three-dimensional rectilinear coordinate system.

17. The non-transitory machine-readable medium of claim 15 , wherein the variable values define the spatial relationships using a two-dimensional polar coordinate system, a three-dimensional cylindrical coordinate system or a three-dimensional cylindrical coordinate system.

18. A system for an electrical neurostimulator coupled to a plurality of electrodes, comprising:
a user-controlled input device configured for generating directional control signals;
memory storing variable values to define a generalized ideal multipole, wherein the generalized ideal multiple includes a reference ideal pole of a first polarity and a plurality of ideal poles of a second polarity, wherein the variable values define at least one of (1) spatial relationships for at least one of the reference ideal pole or the plurality of ideal poles or (2) fractionalized values for the plurality of ideal poles; and
control circuitry configured for moving the generalized ideal multipole in response to the control signals by modifying at least some of variable values to modify at least one of the spatial relationships or the fractionalized values for the plurality of ideal poles, and instructing the electrical neurostimulator to convey electrical energy to the plurality of electrodes in accordance with the modified variable values.

19. The system of claim 18 , wherein the moving the generalized ideal multipole in response to the control signals includes stepping through a sequence of multipole configurations, wherein the sequence of multipole configurations includes at least one bipole configuration and at least one tripole configuration.

20. The system of claim 18 , wherein the moving the generalized ideal multipole in response to the control signals includes stepping through a sequence of multipole configurations, wherein the sequence of multipole configurations include different distances between poles in a bipole or tripole configuration.

Assignees

• Boston Scient Neuromodulation Corp

Inventors

• Lee Dongchul

Classifications

• A61N1/36185 Primary

  Selection of the electrode configuration · CPC title

• A61N1/36071

  Pain · CPC title

• A61N1/37235

  Aspects of the external programmer · CPC title

• A61N1/37247

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

• G16H40/63

  for local operation · CPC title