Stimulation electrode selection

Patent metadata

Field	Value
Publication number	US-9814885-B2
Application number	US-76840310-A
Country	US
Kind code	B2
Filing date	Apr 27, 2010
Priority date	Apr 27, 2010
Publication date	Nov 14, 2017
Grant date	Nov 14, 2017

Abstract

One or more stimulation electrodes may be selected based on a bioelectrical signal sensed in a brain of a patient with a sense electrode combination that comprises at least one electrode and a physiological model that indicates one or more anatomical structures of the brain of the patient that are proximate the implanted at least one electrode. In some examples, the bioelectrical brain signal indicates which electrodes are located closest to a target tissue site. The physiological model can be generated based on a location of implanted at least one electrode within a patient and patient anatomy data, which can, for example, indicate one or more characteristics of patient tissue proximate to the implanted at least one electrode. In some example, the physiological model includes a therapy field model that represents a region of the tissue of the patient to which therapy is delivered via a selected set of electrodes.

First claim

The invention claimed is:

1. A method comprising:
sensing a plurality of bioelectrical signals in a brain of a patient with respective sense electrode combinations that each comprise at least one electrode;
selecting one of the sense electrode combinations based on a signal characteristic of each of the sensed bioelectrical signals, the signal characteristic indicating a location of the at least one electrode of the respective sense electrode combination relative to a target tissue site;
accessing a physiological model that indicates one or more characteristics of tissue proximate the at least one electrode within the brain of the patient; and
selecting, based on the signal characteristic of the bioelectrical signal sensed with the selected sense electrode combination and the physiological model, a stimulation electrode combination for delivering electrical stimulation to the brain of the patient.

2. The method of claim 1 , wherein the physiological model comprises at least one of an electrical field model that indicates where electrical stimulation propagates from the selected stimulation electrode combination, an activation field model that indicates neurons of the brain of the patient that will be activated by the electrical stimulation delivered by the selected stimulation electrode combination, or a voltage gradient or current density model that indicates a distribution of the electrical stimulation delivered via the selected stimulation electrode combination.

3. The method of claim 1 , wherein the physiological model indicates one or more anatomical structures of the brain of the patient proximate the at least one electrode within the brain of the patient.

4. The method of claim 1 , wherein accessing the physiological model compromises:
generating the physiological model, wherein generating the physiological model compromises:
determining a stereotactic coordinate of a lead comprising the at least one electrode within the brain of the patient;
determining one or more anatomical structures of the brain of the patient proximate the lead based on the stereotactic coordinate; and
generating the physiological model that indicates the one or more anatomical structures of the brain of the patient proximate the lead.

5. The method of claim 1 , wherein selecting one of the sense electrode combinations based on the sensed bioelectrical signals comprises:
determining a frequency domain characteristic for each bioelectrical signal of the plurality of bioelectrical signals, the signal characteristic comprising the frequency domain characteristic;
determining a plurality of relative values of the frequency domain characteristic, wherein each relative value of the plurality of relative values is based on at least two of the frequency domain characteristics; and
selecting at least one electrode of the plurality of electrodes for delivering stimulation to the patient based on the plurality of relative values.

6. The method of claim 1 , wherein selecting one of the sense electrode combinations based on the sensed bioelectrical signals comprises:
comparing a pattern of the each of the sensed bioelectrical signals to a template, the signal characteristic comprising the pattern; and
selecting one or more sense electrode combinations that correspond to sensed bioelectrical signals that substantially match the template.

7. The method of claim 1 , wherein selecting one of the sense electrode combinations comprises selecting the sense electrode combination based on a variability of the respective sensed bioelectrical signal, the signal characteristic comprising the variability.

8. The method of claim 1 , wherein selecting one of the sense electrode combinations comprises:
determining at least one of a mean, median, peak or lowest amplitude of each of the sensed bioelectrical signals, the signal characteristic comprising the at least one of the mean, median, peak or lowest amplitude; and
selecting the sense electrode combination based on the mean, median, peak or lowest amplitude of the respective sensed bioelectrical signal.

9. The method of claim 1 , wherein the physiological model comprises a therapy field model that indicates where stimulation will propagate from electrodes of the stimulation electrode combination, and wherein selecting the stimulation electrode combination comprises:
determining whether the therapy field at least partially overlaps with a target anatomical structure of the brain of the patient or one or more anatomical structures of the brain associated with stimulation-induced side effects; and
selecting the sense electrode combination as the stimulation electrode combination in response to determining the therapy field at least one of at least partially overlaps with a target anatomical structure of the brain of the patient or does not overlap with the one or more anatomical structures of the brain associated with stimulation-induced side effects.

10. The method of claim 1 , further comprising displaying the physiological model via a display of a device, and wherein selecting the stimulation electrode combination comprises, after displaying the physiological model, receiving user input selecting the stimulation electrode combination.

11. The method of claim 1 , wherein the physiological model indicates one or more characteristics of tissue proximate electrodes of the sense electrode combination, the method further comprising displaying the physiological model via a display of a device, wherein selecting the stimulation electrode combination comprises, after displaying the physiological model, receiving user input selecting the sense electrode combination as the stimulation electrode combination.

12. A method comprising:
sensing a bioelectrical signal in a brain of a patient with a sense electrode combination that comprises at least one electrode;
accessing a physiological model that indicates one or more characteristics of tissue proximate the at least one electrode within the brain of the patient;
selecting, based on a signal characteristic of the bioelectrical signal, a stimulation electrode combination for delivering electrical stimulation to the brain of the patient, the signal characteristic indicating a location of the at least one electrode relative to a target tissue site; and
confirming the stimulation electrode combination based on the physiological model.

13. The method of claim 12 , wherein confirming the stimulation electrode combination based on the physiological model comprises determining whether the electrical stimulation delivered to the brain of the patient via the stimulation electrode combination at least one of stimulates tissue in a target anatomical structure of the brain of the patient or stimulates one or more anatomical structures of the brain associated with stimulation-induced side effects.

14. The method of claim 13 , wherein the physiological model comprises a therapy field model that indicates where stimulation will propagate from electrodes of the stimulation electrode combination, and wherein determining whether the electrical stimulation delivered to the brain of the patient via the stimulation electrode combination at least one of stimulates tissue in the target anatomical structure of the brain of the patient or stimulates one or more anatomical structures of the brain associated with stimulation-induced side effects comprises determining whether the therapy field at least partially overlaps with the target anatomical structure or the one or more anatomical structures of the brain associated with stimulation-induced side effects.

15. A method comprising:
sens

Assignees

• Molnar Gabriela C
• Goetz Steven M
• Csavoy Andrew N
• Medtronic Inc

Inventors

• Molnar Gabriela C
• Goetz Steven M
• Csavoy Andrew N

Classifications

• A61N1/0529

  Electrodes for brain stimulation · CPC title

• A61N1/37247

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

• A61N1/36185 Primary

  Selection of the electrode configuration · CPC title

• A61N1/08

  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