Methods for programming a deep brain stimulation system and a clinician programmer device
Inactive Publication Date: 2019-05-02
ADVANCED NEUROMODULATION SYST INC
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Benefits of technology
The patent describes a clinician programmer device that controls a deep brain stimulation (DBS) system. The device has a display, user input circuitry, memory, and a processor for controlling the system. The device can conduct wireless communications with the implantable pulse generator after implantation. The device can also compare therapeutic window parameters for different electrode configurations and automatically adjust the pulse amplitude accordingly. The device can also guide the user through testing different electrode configurations and provide information on the optimal electrode configuration for the patient. Overall, the device simplifies the process of programming and optimizing the DBS system for patients.
Problems solved by technology
Stimulation of undesired portions of the STN or immediately surrounding tissue can result in undesired side effects.
Although DBS stimulation leads with segmented electrodes provide an opportunity to tailor the stimulation therapy in a manner that is not possible with conventional leads, programming DBS systems that include segmented electrodes may be challenging for neurologists and other health care professionals.
Specifically, clinicians responsible for programming DBS systems are allocated a limited amount of time to select DBS program parameters for a patient's DBS therapy.
The increased number of active electrode possibilities in combination with other DBS parameters increases the complexity of determining an optimal DBS therapy for a given patient.
Method used
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[0028]The present application is generally related to systems and methods for providing deep brain stimulation (DBS) therapy to a patient using a DBS system that includes one or more directional leads. In some embodiments, a clinician programmer device includes clinician software that permits a neurologist or other health care clinician to evaluate a patient's response to deep brain stimulation applied through various conventional ring and segmented electrodes of directional lead. The clinician programmer guides the health care professional through electrodes and electrode combinations in an efficient manner while permitting the clinician to monitor beneficial therapeutic results and avoiding adverse or unwanted side effects. The review of the patient response using the various electrodes and electrode combinations enables the clinician to arrive at an optimal DBS program to treat the patient's neurological disorder,
[0029]FIG. 1 depicts a distal portion of deep brain stimulation lea...
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In some embodiments, a clinician programmer device for controlling a deep brain stimulation (DBS) system is adapted to assist a clinician to conduct an electrode screening review for the DBS system including screening of segmented electrodes. The clinician programmer stores software code for conducting a screening review in memory. The software code may comprise: code for providing one or more interface screens for guiding the user of the device through testing of electrode configurations of the implantable stimulation lead, wherein the code for providing applies at least one testing progression for guiding the user of the device through a defined testing order.
Description
TECHNICAL FIELD[0001]This application is generally related to methods for programming a deep brain stimulation system and a clinician programmer device.BACKGROUND INFORMATION[0002]Deep brain stimulation (DBS) refers to the delivery of electrical pulses into one or several specific sites within the brain of a patient to treat various neurological disorders. For example, deep brain stimulation has been proposed as a clinical technique for treatment of chronic pain, essential tremor, Parkinson's disease (PD), dystonia, epilepsy, depression, obsessive-compulsive disorder, and other disorders.[0003]A deep brain stimulation procedure typically involves first obtaining preoperative images of the patient's brain (e.g., using computer tomography (CT) or magnetic resonance imaging (MRI)). Using the preoperative images, the neurosurgeon can select a target region within the brain, an entry point on the patient's skull, and a desired trajectory between the entry point and the target region. In ...
Claims
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Login to View More IPC IPC(8): A61N1/05A61N1/372G06F3/0482G16H40/40G16H10/60A61N1/378
CPCA61N1/0534A61N1/37247G06F3/0482G16H40/40G16H10/60A61N1/378A61N1/36132A61N1/36135A61N1/36146A61N1/36157A61N1/36164A61N1/36192A61N1/37252A61N1/37241
InventorCHEERAN, BINITH J.AVEDIKIAN, JONATHAN P.BOUDREAU, BRITTANY L.POUNDS, JASON
OwnerADVANCED NEUROMODULATION SYST INC