System and method for compensating for shifting of neurostimulation leads in a patient

Patent metadata

Field	Value
Publication number	US-9345878-B2
Application number	US-49544209-A
Country	US
Kind code	B2
Filing date	Jun 30, 2009
Priority date	Jun 30, 2009
Publication date	May 24, 2016
Grant date	May 24, 2016

Abstract

A method for determining a change in position of a neurostimulation lead relative to a stimulation target tissue of a patient is provided. The method comprises implanting a first proximity sensor on a surface of the patient, implanting a second proximity sensor on the surface of the patient, measuring a change in a distance between the first and second proximity sensors, and inferring the change in position of the lead relative to the stimulation target tissue from the measured change in distance. The method further comprises inferring an increase in a distance between the lead and the stimulation target tissue when the distance between the first and second proximity sensors increases. The method also comprises conveying electrical stimulation energy to therapeutically stimulate the stimulation target tissue, and modulating a stimulation parameter in response to the measured change in distance.

First claim

What is claimed is:

1. A method for determining a change in position of a neurostimulation lead relative to a stimulation target tissue of a patient, comprising:
affixing a first proximity sensor on a surface of the patient;
affixing a second proximity sensor on the surface of the patient;
measuring a change in a distance between the first and second proximity sensors; and
inferring the change in position of the lead relative to the stimulation target tissue from the measured change in distance.

2. The method of claim 1 , further comprising inferring an increase in a distance between the lead and the stimulation target tissue when the distance between the first and second proximity sensors increases.

3. The method of claim 1 , further comprising: conveying electrical stimulation energy to therapeutically stimulate the stimulation target tissue; and modulating a stimulation parameter in response to the measured change in distance.

4. The method of claim 3 , wherein modulating a stimulation parameter in response to the inferred change in position comprises increasing an amplitude of a stimulation current when the distance between the first and second proximity sensors increases.

5. The method of claim 3 , further comprising automatically modulating the stimulation parameter in response to the inferred change in position.

6. The method of claim 3 , wherein the step of modulating a stimulation parameter comprises adjusting an amplitude of the stimulus applied to selected electrodes during the conveyance of the stimulation energy.

7. The method of claim 3 , further comprising conveying electrical stimulation energy via a combination of electrodes to therapeutically stimulate the stimulation target tissue via electrodes, wherein the step of modulating a stimulation parameter comprises changing the combination of the electrodes.

8. A system for determining a change in position of a neurostimulation lead relative to a stimulation target tissue of a patient, comprising:
a first proximity sensor configured to be placed on a surface of the patient;
a second proximity sensor configured to be placed on the surface of the patient;
monitoring circuitry configured to measure a change in a distance between the first and second proximity sensors; and
processing circuitry configured to infer the change in position of the lead relative to the stimulation target tissue from the measured change in distance.

9. The system of claim 8 , wherein the processing circuitry is configured to infer an increase in a distance between the lead and the stimulation target tissue when the distance between the first and second proximity sensors increases.

10. The system of claim 8 , further comprising: an implantable pulse generator configured to be coupled to the lead and to convey electrical stimulation energy to therapeutically stimulate the stimulation target tissue; and control circuitry configured to modulate a stimulation parameter in response to the inferred change in position.

11. The system of claim 10 , wherein the control circuitry is configured to increase an amplitude of a stimulation current when the distance between the first and second proximity sensors increases.

12. The system of claim 10 , wherein the control circuitry is configured to automatically modulate the stimulation parameter in response to the measured change in distance.

13. The system of claim 10 , wherein the control circuitry is configured to adjust an amplitude of the stimulus applied to selected electrodes during the conveyance of the stimulation energy in response to the inferred change in position.

14. The system of claim 10 , further comprising a plurality of electrodes configured to be coupled to the lead and to convey electrical stimulation energy to therapeutically stimulate the stimulation target tissue via a combination of electrodes, wherein the control circuitry is configured to change the combination of the electrodes in response to the inferred change in position.

Assignees

• Digiore Andrew
• Jaax Kristen
• Lane Courtney
• Boston Scient Neuromodulation

Inventors

• Digiore Andrew
• Jaax Kristen
• Lane Courtney

Classifications

• A61N1/08 Primary

  Arrangements or circuits for monitoring, protecting, controlling or indicating {(for external stimulators A61N1/3603; for implantable neurostimulators A61N1/36128; for heart stimulators A61N1/37; for defibrillators A61N1/3925)} · CPC title

• A61N2001/083

  Monitoring integrity of contacts, e.g. by impedance measurement · CPC title

• A61N1/36139

  with automatic adjustment · CPC title

• A61N1/36128 Primary

  Control systems · CPC title

• A61N1/36071

  Pain · CPC title