Stimulation Leadwire Electrode Visualization for DBS Therapy

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Solution Overview

Problem

Current systems for selecting stimulation parameters for anatomical regions, such as deep brain stimulation, are inefficient and time-consuming, relying on trial-and-error methods without visual aids or computational models, making it difficult to predict the volume of tissue influenced by stimulation and often resulting in suboptimal therapy.

Innovation Solution

A system and method that generate a graphical map representing stimulation leadwire electrodes with markings indicating significant electrodes for therapeutic or adverse effects, allowing clinicians to select optimal stimulation parameters based on recorded data and proximity to anatomical regions, facilitating the selection of electrodes and amplitude settings for effective tissue stimulation.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If trial-and-error methods are used for selecting stimulation parameters, then clinicians can eventually find effective settings, but the process becomes time-consuming and inefficient

Engineering Contradiction:
Improveeffectiveness of therapyVSAvoidtime for parameter selection
Core Design Contradiction:
ReliabilityVSLoss of time

Solution Approach 1:

The system performs preliminary computational modeling and volume of tissue activation predictions before actual stimulation, allowing clinicians to pre-evaluate different electrode configurations and parameter settings. This preliminary analysis provides a roadmap for effective parameter selection, reducing the need for extensive trial-and-error during clinical procedures.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The patent introduces computational models and visualization interfaces as intermediaries between the clinician and the complex electro生理 effects. These tools translate complex electrical field interactions into intuitive visual representations, enabling clinicians to make informed decisions without extensive trial-and-error testing.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Measurement precision

If no visual aids or computational models are provided, then the system remains simple, but it becomes difficult to predict the volume of tissue influenced by stimulation

Engineering Contradiction:
Improveprediction of volume of tissue influencedVSAvoidcomplexity of system
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The system creates visual copies and representations of the electrical fields and tissue activation volumes through computational modeling. These visual models replicate the complex electro生理 interactions in an accessible format, allowing clinicians to predict and evaluate the volume of tissue influenced without directly measuring it during surgery.

Inventive Principle:
Principle #26Copying

Solution Approach 2:

The patent transforms three-dimensional electrical field distributions and tissue activation volumes into two-dimensional visual representations that can be displayed on screens. This dimensional transformation makes complex spatial information accessible and interpretable for clinical decision-making.

Inventive Principle:
Principle #17Another dimension (Dimensionality change)

3Adaptability or versatility

If multiple electrodes are available for stimulation, then therapeutic options increase, but it becomes more difficult to identify the most effective electrodes

Engineering Contradiction:
Improvetherapeutic optionsVSAvoidease of electrode selection
Core Design Contradiction:
Adaptability or versatilityVSEase of operation

Solution Approach 1:

The system provides localized information about each electrode's potential effectiveness by displaying individualized volume of tissue activation predictions for each electrode contact. This allows clinicians to quickly identify which specific electrodes are most likely to be effective for the target pathology, rather than having to evaluate all electrodes through trial-and-error.

Inventive Principle:
Principle #3Local quality

Data Source

PatentUS9592389B2Visualization of relevant stimulation leadwire electrodes relative to selected stimulation information
Publication Date: 2017.03.14 BOSTON SCI NEUROMODULATION CORP
  • US9592389B2 patent drawing
  • US9592389B2 patent drawing
  • US9592389B2 patent drawing

AI summary

A system and method for graphically identifying candidate electrodes of a leadwire for stimulation of a patient anatomy includes a processor obtaining data corresponding to an anatomic region, identifying a spatial relationship between electrodes of the leadwire to the anatomic region, based on the identifying, selecting a subset of the electrodes of the leadwire, generating, based on the obtained data and the selected subset, a graphical output arrangement that includes a model of the leadwire including graphical representations of at least some of the electrodes and a graphical selection marking identifying the selected subset of the electrodes.