Methods and systems for programming neuromodulation devices

Patent metadata

Field	Value
Publication number	US-9750939-B2
Application number	US-201615134212-A
Country	US
Kind code	B2
Filing date	Apr 20, 2016
Priority date	Apr 22, 2015
Publication date	Sep 5, 2017
Grant date	Sep 5, 2017

Abstract

An example of a system for delivering neurostimulation may include a programming control circuit and a user interface. The programming control circuit may be configured to generate stimulation parameters controlling delivery of neurostimulation pulses according to one or more stimulation waveforms associated with areas of stimulation each defined by a set of electrodes. The neurostimulation pulses are each delivered to an area of stimulation. The user interface may include a display screen and an interface control circuit. The interface control circuit may be configured to define the one or more stimulation waveforms and the areas of stimulation, and may include a stimulation frequency module configured to display a stimulation rate table on the display screen. The stimulation rate table may present stimulation frequencies associated with each of the areas of stimulation for selection by a user.

First claim

What is claimed is:

1. A system for delivering neurostimulation to a patient using a plurality of electrodes and controlling the delivery of the neurostimulation by a user, the system comprising:
a programming control circuit configured to generate a plurality of stimulation parameters controlling delivery of neurostimulation pulses according to one or more stimulation waveforms associated with a plurality of areas of stimulation each defined by a set of electrodes selected from the plurality of electrodes, the neurostimulation pulses each to be delivered to an area of stimulation of the plurality of areas of stimulation; and
a user interface including:
a display screen; and
an interface control circuit configured to define the one or more stimulation waveforms and the plurality of areas of stimulation, the interface control circuit including a stimulation frequency module configured to display a stimulation rate table on the display screen, the stimulation rate table presenting a plurality of stimulation frequencies associated with each area of the plurality of areas of stimulation, configured to receive a selection of a stimulation frequency from the presented plurality of stimulation frequencies for that area of the plurality of areas of stimulation, and configured to allow the user to select between a single frequency mode and a multiple frequency mode, the single frequency mode allowing for adjustment of the stimulation frequency for an area of the plurality of areas of stimulation with adjustment of the stimulation frequency for another area of the plurality of areas of stimulation, the multiple frequency mode allowing for adjustment of the stimulation frequency for an area of the plurality of areas of stimulation without adjustment of the stimulation frequency for another area of the plurality of areas of stimulation.

2. The system of claim 1 , wherein the stimulation frequency module is configured to compute compatible frequencies for each area of the plurality of areas of stimulation to avoid simultaneous delivery of pulses of the neurostimulation pulses in response to a selection of the multiple frequency mode.

3. The system of claim 2 , wherein the stimulation frequency module is configured to identify one or more compatible frequencies for each area of the plurality of areas of stimulation from a plurality of predetermined stimulation frequencies to avoid simultaneous delivery of pulses of the neurostimulation pulses, and to indicate the identified one or more compatible frequencies in the stimulation rate table.

4. The system of claim 3 , wherein the stimulation frequency module is configured to present the plurality of stimulation frequencies with visual indications for the identified one or more compatible frequencies in the stimulation rate table.

5. The system of claim 4 , wherein the stimulation frequency module is configured to allow a selection of a stimulation frequency only from the identified one or more compatible frequencies.

6. The system of claim 4 , wherein the stimulation frequency module is configured to perform an arbitration for each stimulation frequency of the plurality of stimulation frequencies that is not identified as one of the one or more compatible frequencies, the arbitration modifying a time of delivery of each neurostimulation pulse associated with that stimulation frequency to avoid the simultaneous delivery of pulses of the neurostimulation pulses.

7. The system of claim 6 , wherein the stimulation frequency module is configured to present the plurality of stimulation frequencies with visual indications for one or more of stimulation frequencies of the plurality of stimulation frequencies to which the arbitration is performed or a degree to which the arbitration is performed for these stimulation frequencies.

8. The system of claim 1 , wherein the user interface comprises a graphical user interface.

9. The system of claim 1 , comprising:
an implantable stimulator including:
a stimulation output circuit configured to deliver the neurostimulation pulses; and
a stimulation control circuit configured to control the delivery of the neurostimulation pulses using the plurality of stimulation parameters; and
an external programming device configured to be communicatively coupled to the implantable stimulator via a wireless communication link, the external programming device including the programming control circuit and the user interface.

10. A method for delivering neurostimulation to a patient using a plurality of electrodes, the method comprising:
displaying a stimulation rate table on a display screen of a user interface, the stimulation rate table presenting a plurality of stimulation frequencies associated with each area of a plurality of areas of stimulation each defined by a set of electrodes selected from the plurality of electrodes;
receiving a selection of a stimulation frequency from the presented plurality of stimulation frequencies for each area of the plurality of areas of stimulation;
generating a plurality of stimulation parameters controlling delivery of neurostimulation pulses using the stimulation frequencies selected for the plurality of areas of stimulation; and
allowing the user to select between a single frequency mode and a multiple frequency mode using the user interface, the single frequency mode allowing for adjustment of the stimulation frequency for an area of the plurality of areas of stimulation with adjustment of the stimulation frequency for another area of the plurality of areas of stimulation, the multiple frequency mode allowing for adjustment of the stimulation frequency for an area of the plurality of areas of stimulation without adjustment of the stimulation frequency for another area of the plurality of areas of stimulation.

11. The method of claim 10 , further comprising computing compatible frequencies for each area of the plurality of areas of stimulation to avoid simultaneous delivery of pulses of the neurostimulation pulses in response to a selection of the multiple frequency mode.

12. The method of claim 11 , comprising:
identifying one or more compatible frequencies for each area of the plurality of areas of stimulation from a plurality of predetermined stimulation frequencies to avoid simultaneous delivery of pulses of the neurostimulation pulses; and
indicating the identified one or more compatible frequencies in the stimulation rate table.

13. The method of claim 12 , wherein displaying the stimulation rate table comprises presenting the plurality of stimulation frequencies with visual indications for the identified one or more compatible frequencies.

14. The method of claim 13 , further comprising allowing a selection of a stimulation frequency only from the identified one or more compatible frequencies.

15. The method of claim 13 , further comprising performing an arbitration for each stimulation frequency of the plurality of stimulation frequencies that is not identified as one of the one or more compatible frequencies, the arbitration modifying a time of delivery of each neurostimulation pulse associated with that stimulation frequency to avoid the simultaneous delivery of pulses of the neurostimulation pulses.

16. The method of claim 15 , wherein displaying the stimulation rate table comprises presenting the plurality of stimulation frequencies with visual indications for each stimulation frequency to which the arbitration is performed.

17. The method of claim 10 , wherein generating the plurality of stimulation parameters comprises:
defining the plurality of areas of stimulation

Assignees

• Boston Scient Neuromodulation Corp

Inventors

• Carcieri Stephen
• Moffitt Michael A
• Yoo Peter J
• Vansickle Dennis Allen
• Kothandaraman Sridhar
• Caruso Michael Andrew
• Chen Dean

Classifications

• G16H20/40

  relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture · CPC title

• A61N1/36128

  Control systems · CPC title

• A61N1/0534

  Electrodes for deep brain stimulation · CPC title

• G16H40/63

  for local operation · CPC title

• A61N1/0551

  Spinal or peripheral nerve electrodes · CPC title