WO2014036079A3 - Parameter visualization, selection, and annotation interface - Google Patents

Parameter visualization, selection, and annotation interface Download PDF

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Publication number
WO2014036079A3
WO2014036079A3 PCT/US2013/056981 US2013056981W WO2014036079A3 WO 2014036079 A3 WO2014036079 A3 WO 2014036079A3 US 2013056981 W US2013056981 W US 2013056981W WO 2014036079 A3 WO2014036079 A3 WO 2014036079A3
Authority
WO
WIPO (PCT)
Prior art keywords
leadwire
stimulation
electrical
display
parameter
Prior art date
Application number
PCT/US2013/056981
Other languages
French (fr)
Other versions
WO2014036079A2 (en
Inventor
Stephen CARCIERI
Dean CHEN
Michael A. Moffitt
Original Assignee
Boston Scientific Neuromodulation Corporation
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Boston Scientific Neuromodulation Corporation filed Critical Boston Scientific Neuromodulation Corporation
Priority to AU2013308910A priority Critical patent/AU2013308910B2/en
Priority to EP13760181.1A priority patent/EP2890451B1/en
Publication of WO2014036079A2 publication Critical patent/WO2014036079A2/en
Publication of WO2014036079A3 publication Critical patent/WO2014036079A3/en

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/37211—Means for communicating with stimulators
    • A61N1/37235—Aspects of the external programmer
    • A61N1/37247—User interfaces, e.g. input or presentation means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/0526—Head electrodes
    • A61N1/0529—Electrodes for brain stimulation
    • A61N1/0534—Electrodes for deep brain stimulation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/36128—Control systems
    • A61N1/36146—Control systems specified by the stimulation parameters
    • A61N1/36182—Direction of the electrical field, e.g. with sleeve around stimulating electrode
    • A61N1/36185—Selection of the electrode configuration
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/63—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16Z—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS, NOT OTHERWISE PROVIDED FOR
    • G16Z99/00—Subject matter not provided for in other main groups of this subclass
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/3606—Implantable neurostimulators for stimulating central or peripheral nerve system adapted for a particular treatment
    • A61N1/36082—Cognitive or psychiatric applications, e.g. dementia or Alzheimer's disease

Abstract

According to an example, a system and method for providing a user interface by which to display and/or control stimulation parameter settings includes a processor displaying a ray at an angle from a predetermined direction, and about a point representing a leadwire, that corresponds to a direction at which an electrical field is produced by respective electrical settings of one or more directional electrodes of the leadwire, and whose ray length corresponds to an electrical amplitude of an electrical parameter of the one or more directional electrodes. According to an example, 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. According to an example, a system and method for outputting historical stimulation information includes a processor configured to assign individual display regions, e.g., pixels or voxels, (or a larger region) a score based on those volumes of activations (VOA) in which the individual display region had been included and the scores assigned to those VOAs, and display in a display device a map of varying graphical indicia based on the different scores assigned to the elemental display regions.
PCT/US2013/056981 2012-08-28 2013-08-28 Parameter visualization, selection, and annotation interface WO2014036079A2 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
AU2013308910A AU2013308910B2 (en) 2012-08-28 2013-08-28 Parameter visualization, selection, and annotation interface
EP13760181.1A EP2890451B1 (en) 2012-08-28 2013-08-28 Parameter visualization, selection, and annotation interface

Applications Claiming Priority (8)

Application Number Priority Date Filing Date Title
US201261693866P 2012-08-28 2012-08-28
US61/693,866 2012-08-28
US201261699135P 2012-09-10 2012-09-10
US201261699115P 2012-09-10 2012-09-10
US61/699,135 2012-09-10
US61/699,115 2012-09-10
US201361753232P 2013-01-16 2013-01-16
US61/753,232 2013-01-16

Publications (2)

Publication Number Publication Date
WO2014036079A2 WO2014036079A2 (en) 2014-03-06
WO2014036079A3 true WO2014036079A3 (en) 2014-10-23

Family

ID=49162241

Family Applications (3)

Application Number Title Priority Date Filing Date
PCT/US2013/056975 WO2014036075A1 (en) 2012-08-28 2013-08-28 Point-and-click programming for deep brain stimulation using real-time monopolar review trendlines
PCT/US2013/056981 WO2014036079A2 (en) 2012-08-28 2013-08-28 Parameter visualization, selection, and annotation interface
PCT/US2013/056984 WO2014036081A1 (en) 2012-08-28 2013-08-28 Capture and visualization of clinical effects data in relation to a lead and/or locus of stimulation

Family Applications Before (1)

Application Number Title Priority Date Filing Date
PCT/US2013/056975 WO2014036075A1 (en) 2012-08-28 2013-08-28 Point-and-click programming for deep brain stimulation using real-time monopolar review trendlines

Family Applications After (1)

Application Number Title Priority Date Filing Date
PCT/US2013/056984 WO2014036081A1 (en) 2012-08-28 2013-08-28 Capture and visualization of clinical effects data in relation to a lead and/or locus of stimulation

Country Status (6)

Country Link
US (11) US9248296B2 (en)
EP (3) EP2890454B1 (en)
JP (1) JP6224106B2 (en)
AU (3) AU2013308910B2 (en)
ES (1) ES2655549T3 (en)
WO (3) WO2014036075A1 (en)

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