WO2007112061A3 - Guided programming with feedback - Google Patents

Guided programming with feedback

Info

Publication number
WO2007112061A3
WO2007112061A3 PCT/US2007/007368 US2007007368W WO2007112061A3 WO 2007112061 A3 WO2007112061 A3 WO 2007112061A3 US 2007007368 W US2007007368 W US 2007007368W WO 2007112061 A3 WO2007112061 A3 WO 2007112061A3
Authority
WO
Grant status
Application
Patent type
Prior art keywords
stimulation
programs
tested
programming
test
Prior art date
Application number
PCT/US2007/007368
Other languages
French (fr)
Other versions
WO2007112061A2 (en )
Inventor
Delight D Demulling
Debbie A Mcconnell
Wende L Dewing
Cari Herman
Steven M Goetz
Original Assignee
Medtronic Inc
Delight D Demulling
Debbie A Mcconnell
Wende L Dewing
Cari Herman
Steven M Goetz
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

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372Arrangements in connection with the implantation of stimulators
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/36128Control systems
    • A61N1/36146Control systems specified by the stimulation parameters
    • A61N1/36182Direction of the electrical field, e.g. with sleeve around stimulating electrode
    • A61N1/36185Selection of the electrode configuration
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372Arrangements in connection with the implantation of stimulators
    • A61N1/37211Means for communicating with stimulators
    • A61N1/37235Aspects of the external programmer
    • A61N1/37241Aspects of the external programmer providing test stimulations
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372Arrangements in connection with the implantation of stimulators
    • A61N1/37211Means for communicating with stimulators
    • A61N1/37235Aspects of the external programmer
    • A61N1/37247User interfaces, e.g. input or presentation means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372Arrangements in connection with the implantation of stimulators
    • A61N1/37211Means for communicating with stimulators
    • A61N1/37252Details of algorithms or data aspects of communication system, e.g. handshaking, transmitting specific data or segmenting data
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36003Applying electric currents by contact electrodes alternating or intermittent currents for stimulation of motor muscles, e.g. for walking assistance
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/3606Implantable neurostimulators for stimulating central or peripheral nerve system adapted for a particular treatment
    • A61N1/36071Pain
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/3606Implantable neurostimulators for stimulating central or peripheral nerve system adapted for a particular treatment
    • A61N1/36082Cognitive or psychiatric applications, e.g. dementia or Alzheimer's disease
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362Heart stimulators
    • A61N1/365Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • A61N1/368Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions
    • A61N1/3688Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions configured for switching the pacing mode, e.g. from AAI to DDD
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372Arrangements in connection with the implantation of stimulators
    • A61N1/37211Means for communicating with stimulators
    • A61N1/37252Details of algorithms or data aspects of communication system, e.g. handshaking, transmitting specific data or segmenting data
    • A61N1/37264Changing the program; Upgrading firmware

Abstract

Techniques that involve generating test stimulation programs based upon specific patient feedback to guide the programming process for stimulation therapy are described. The patient describes positive effects and adverse effects of the test stimulation by listing and/or rating specific types of effects, both positive and adverse, and the location of each effect. In this manner, a programming device, i.e. a programmer, uses the feedback to generate subsequent test stimulation programs. Initially, programs with unipolar electrode configurations are tested, but the programmer may generate bipolar electrode configurations to test if the patient rates the unipolar electrode combinations poorly. After the stimulation programs are tested and rated, the programmer sorts the tested programs based upon the feedback and presents the tested programs to the user. The user selects the best tested program to use for chronic stimulation therapy. Additionally, the patient may utilize the guided programming technique for continued therapy optimization.
PCT/US2007/007368 2006-03-23 2007-03-23 Guided programming with feedback WO2007112061A3 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
US78510706 true 2006-03-23 2006-03-23
US60/785,107 2006-03-23

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
EP20070753952 EP1998848B1 (en) 2006-03-23 2007-03-23 Guided programming with feedback

Publications (2)

Publication Number Publication Date
WO2007112061A2 true WO2007112061A2 (en) 2007-10-04
WO2007112061A3 true true WO2007112061A3 (en) 2007-11-22

Family

ID=38458459

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2007/007368 WO2007112061A3 (en) 2006-03-23 2007-03-23 Guided programming with feedback

Country Status (3)

Country Link
US (2) US8010203B2 (en)
EP (1) EP1998848B1 (en)
WO (1) WO2007112061A3 (en)

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US8849632B2 (en) 2008-05-15 2014-09-30 Intelect Medical, Inc. Clinician programmer system and method for generating interface models and displays of volumes of activation
US9248296B2 (en) 2012-08-28 2016-02-02 Boston Scientific Neuromodulation Corporation Point-and-click programming for deep brain stimulation using real-time monopolar review trendlines
US9545510B2 (en) 2008-02-12 2017-01-17 Intelect Medical, Inc. Directional lead assembly with electrode anchoring prongs

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US8209027B2 (en) 2004-07-07 2012-06-26 The Cleveland Clinic Foundation System and method to design structure for delivering electrical energy to tissue
US7346382B2 (en) * 2004-07-07 2008-03-18 The Cleveland Clinic Foundation Brain stimulation models, systems, devices, and methods
US8180601B2 (en) * 2006-03-09 2012-05-15 The Cleveland Clinic Foundation Systems and methods for determining volume of activation for deep brain stimulation
US8606360B2 (en) * 2006-03-09 2013-12-10 The Cleveland Clinic Foundation Systems and methods for determining volume of activation for spinal cord and peripheral nerve stimulation
WO2007112061A3 (en) * 2006-03-23 2007-11-22 Medtronic Inc Guided programming with feedback
EP2056928A1 (en) * 2006-08-28 2009-05-13 Medtronic, Inc. Operational electrode impedance measurement for an implantable medical stimulator
US8644930B2 (en) 2006-08-28 2014-02-04 Medtronic, Inc. Operational electrode impedance measurement for an implantable medical stimulator
US9037239B2 (en) 2007-08-07 2015-05-19 Cardiac Pacemakers, Inc. Method and apparatus to perform electrode combination selection
US8265736B2 (en) 2007-08-07 2012-09-11 Cardiac Pacemakers, Inc. Method and apparatus to perform electrode combination selection
US20090118786A1 (en) * 2007-11-02 2009-05-07 Advanced Bionics Corporation Automated fitting system for deep brain stimulation
US8838242B2 (en) 2008-04-30 2014-09-16 Medtronic, Inc. Pre-configuration of electrode measurement of an implantable medical device, system and method therefore
US9238135B2 (en) 2008-04-30 2016-01-19 Medtronic, Inc. Flagging of electrodes of an implantable medical device, controller, system and method therefore
US8195294B2 (en) 2008-04-30 2012-06-05 Medtronic, Inc. Multi-stage testing of electrodes of implantable medical device, system and method
US7890182B2 (en) 2008-05-15 2011-02-15 Boston Scientific Neuromodulation Corporation Current steering for an implantable stimulator device involving fractionalized stimulation pulses
US9272153B2 (en) 2008-05-15 2016-03-01 Boston Scientific Neuromodulation Corporation VOA generation system and method using a fiber specific analysis
JP2012510877A (en) 2008-12-04 2012-05-17 ザ クリーブランド クリニック ファウンデーション System and method for defining a target volume for brain stimulation
RU2011145962A (en) * 2009-04-24 2013-05-20 Кэафьюжн 2200, Инк. The method and apparatus of the cortical stimulator
US20110202112A1 (en) * 2009-08-19 2011-08-18 Jonathan Ruais System and method for detecting intermittent interruptions in electrical stimulation therapy of a patient
US8532757B2 (en) 2009-12-16 2013-09-10 Medtronic, Inc. Stimulation electrode selection
US8538513B2 (en) 2009-12-16 2013-09-17 Medtronic, Inc. Stimulation electrode selection
US9814885B2 (en) * 2010-04-27 2017-11-14 Medtronic, Inc. Stimulation electrode selection
US8364272B2 (en) 2010-04-30 2013-01-29 Medtronic, Inc. Brain stimulation programming
CA2802708A1 (en) 2010-06-14 2011-12-22 Boston Scientific Neuromodulation Corporation Programming interface for spinal cord neuromodulation
US20120083857A1 (en) * 2010-10-05 2012-04-05 Boston Scientific Neuromodulation Corporation Tissue stimulation system and method with anatomy and physiology driven programming
US20130054270A1 (en) 2011-03-29 2013-02-28 Boston Scientific Neuromodulation Corporation Communication interface for therapeutic stimulation providing systems
US8406890B2 (en) 2011-04-14 2013-03-26 Medtronic, Inc. Implantable medical devices storing graphics processing data
WO2012148845A1 (en) * 2011-04-25 2012-11-01 Cardiac Pacemakers, Inc. Systems to account for neck movement during nerve stimulation
US8355784B2 (en) 2011-05-13 2013-01-15 Medtronic, Inc. Dynamic representation of multipolar leads in a programmer interface
US9592389B2 (en) 2011-05-27 2017-03-14 Boston Scientific Neuromodulation Corporation Visualization of relevant stimulation leadwire electrodes relative to selected stimulation information
WO2012166656A3 (en) 2011-05-27 2013-04-11 Boston Scientific Neuromodulation Corporation Collection of clinical data for graphical representation and analysis
EP2742450A2 (en) 2011-08-09 2014-06-18 Boston Scientific Neuromodulation Corporation Systems and methods for stimulation-related volume analysis, creation, and sharing
US9254387B2 (en) 2011-08-09 2016-02-09 Boston Scientific Neuromodulation Corporation VOA generation system and method using a fiber specific analysis
WO2013023076A3 (en) 2011-08-09 2013-07-11 Boston Scientific Neuromodulation Corporation Control and/or quantification of target stimulation volume overlap and interface therefor
CA2844072A1 (en) 2011-08-09 2013-02-14 Boston Scientific Neuromodulation Corporation System and method for weighted atlas generation
WO2013033539A1 (en) 2011-09-01 2013-03-07 Boston Scientific Neuromodulation Corporation Methods and system for targeted brain stimulation using electrical parameter maps
US9081488B2 (en) 2011-10-19 2015-07-14 Boston Scientific Neuromodulation Corporation Stimulation leadwire and volume of activation control and display interface
US20130150918A1 (en) * 2011-12-08 2013-06-13 Boston Scientific Neuromodulation Corporation System and method for automatically training a neurostimulation system
DE102012002437B4 (en) * 2012-02-08 2014-08-21 Forschungszentrum Jülich GmbH An apparatus for calibration of an invasive electrical and desynchronized neurostimulation
US20130268020A1 (en) 2012-04-09 2013-10-10 Stuart Rosenberg System for nerve sensing and stimulation employing multi-electrode array
US9436481B2 (en) * 2012-04-23 2016-09-06 Medtronic, Inc. Restoration of medical device programming
EP2879757A1 (en) 2012-08-04 2015-06-10 Boston Scientific Neuromodulation Corporation Techniques and methods for storing and transferring registration, atlas, and lead information between medical devices
US9792412B2 (en) 2012-11-01 2017-10-17 Boston Scientific Neuromodulation Corporation Systems and methods for VOA model generation and use
US9474903B2 (en) 2013-03-15 2016-10-25 Boston Scientific Neuromodulation Corporation Clinical response data mapping
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US9959388B2 (en) 2014-07-24 2018-05-01 Boston Scientific Neuromodulation Corporation Systems, devices, and methods for providing electrical stimulation therapy feedback
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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9545510B2 (en) 2008-02-12 2017-01-17 Intelect Medical, Inc. Directional lead assembly with electrode anchoring prongs
US8849632B2 (en) 2008-05-15 2014-09-30 Intelect Medical, Inc. Clinician programmer system and method for generating interface models and displays of volumes of activation
US9302110B2 (en) 2008-05-15 2016-04-05 Intelect Medical, Inc. Clinician programmer system and method for steering volumes of activation
US9248296B2 (en) 2012-08-28 2016-02-02 Boston Scientific Neuromodulation Corporation Point-and-click programming for deep brain stimulation using real-time monopolar review trendlines
US9561380B2 (en) 2012-08-28 2017-02-07 Boston Scientific Neuromodulation Corporation Point-and-click programming for deep brain stimulation using real-time monopolar review trendlines

Also Published As

Publication number Publication date Type
EP1998848A2 (en) 2008-12-10 application
EP1998848B1 (en) 2014-09-17 grant
US20110313485A1 (en) 2011-12-22 application
WO2007112061A2 (en) 2007-10-04 application
US8010203B2 (en) 2011-08-30 grant
US8527059B2 (en) 2013-09-03 grant
US20080027514A1 (en) 2008-01-31 application

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