IP Library Granted Patent US 9,867,989
Granted Patent B2
US 9,867,989 · App. 14/537,299 · Granted Jan 16, 2018

Programming interface for spinal cord neuromodulation

Inventors: David Arthur Blum (Boston, MA); Gregory T. Schulte (Minneapolis, MN); Scott Kokones (Boston, MA); Keith Carlton (Boston, MA)
Assignee: Boston Scientific Neuromodulation Corporation
A61N1/36182A61B6/12A61B90/37A61N1/36071A61N1/36132A61N1/37235G06F19/3437A61B6/506A61B2090/368A61B2090/376A61N1/37247G06F19/321G06F19/324
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Quick Facts
Patent No.
US 9,867,989
App. No.
14/537,299
Granted
Jan 16, 2018
Kind
B2
Abstract

A tool for assisting in the planning or performing of electrical neuromodulation of a patient's spinal cord. The tool may have various functions and capabilities, including calculating a volume of activation, registering an electrode(s) shown in a radiologic image, constructing functional images of the patient's spinal anatomy, targeting of neuromodulation, finding a functional midline between multiple electrodes, determining the three-dimensional position of multiple electrodes, and/or accommodating for electrode migration. In certain embodiments, the tool can be embodied as computer software or a computer system.

Claims (42)

1. A method for assisting planning or performing of neuromodulation in a patient, comprising:

receiving a first radiologic image showing an electrode and an anatomic region of the patient;

receiving a second radiologic image showing the electrode and the anatomic region of the patient, wherein the second radiologic image provides a different view than the first radiologic image;

using the first radiologic image and the second radiologic image to determine a three-dimensional position of the electrode in relation to the anatomic region; and

displaying the electrode and a display image of the anatomic region on a display screen.

2. The method of claim 1 , wherein the first radiologic image and second radiologic image show multiple electrodes, and further comprising:

using the first radiologic image and the second radiologic image to determine the three-dimensional position of the multiple electrodes in relation to each other.

3. The method of claim 1 , wherein the first radiologic image and second radiologic image are x-ray images.

4. The method of claim 3 , wherein the first radiologic image is an anterior-posterior view x-ray image and the second radiologic image is a lateral view x-ray Image.

5. The method of claim 1 , wherein the anatomic region is a spinal anatomy of the patient.

6. The method of claim 1 , further comprising:

determining a functional midline for the electrode; and

displaying on the display screen, an image of the anatomic region and the electrode such that the functional midline of the electrode is aligned to a physiologic midline of the anatomic region.

7. The method of claim 6 , wherein the anatomic region is a spinal cord.

8. A computer system that is programmed to perform steps that comprise:

receiving a first radiologic image showing an electrode and an anatomic region of the patient;

receiving a second radiologic image showing the electrode and the anatomic region of the patient, wherein the second radiologic image provides a different view than the first radiologic image; and

using the first radiologic image and the second radiologic image to determine a three-dimensional position of the electrode in relation to the anatomic region.

9. The method of claim 8 , wherein the anatomic region is a spinal anatomy of the patient.

10. The method of claim 6 , wherein determining the functional midline comprises:

receiving information about a first relative electrical neuromodulation intensity between a first electrode contact among multiple electrode contacts and a first counterpart electrode contact among the multiple electrode contacts; and

based on the first relative electrical neuromodulation intensity, determining a first midpoint between the first electrode contact and the first counterpart electrode contact.

11. The method of claim 10 , wherein determining the functional midline further comprises:

receiving information about a second relative electrical neuromodulation intensity between a second electrode contact among the multiple electrode contacts and a second counterpart electrode contact among the multiple electrode contacts;

based on the second relative electrical neuromodulation intensity, determining a second midpoint between the second electrode contact and the second counterpart electrode contact; and

establishing the functional midline as a line between the first midpoint and the second midpoint.

12. The method of claim 10 , wherein multiple electrodes are located in the first radiologic image; and wherein the first electrode contact is on a first one of the multiple electrodes and the first counterpart electrode contact is on a second one of the multiple electrodes.

13. The method of claim 12 , wherein determining the functional midline further comprises:

receiving information about a second relative electrical neuromodulation intensity between a second electrode contact on the first one of the multiple electrodes and a second counterpart electrode contact on the second one of the multiple electrodes;

based on the second relative electrical neuromodulation intensity, determining a second midpoint between the second electrode contact and the second counterpart electrode contact; and

establishing the functional midline as a line between the first midpoint and the second midpoint.

14. The method of claim 12 , further comprising determining a relative position of the multiple electrodes in relation to each other.

15. The method of claim 10 , wherein the first relative electrical neuromodulation intensity between the first electrode contact and the first counterpart electrode contact is an electrode neuromodulation setting that produces a parasthesia that is centered on the patient's body.

16. The computer system of claim 8 , wherein the computer system is further programmed to perform actions that comprise:

determining a functional midline for the electrode.

17. A non-transitory computer-readable storage medium comprising instructions executable by a computer processor, the instructions which, when executed by the processor, cause the processor to perform a method, the method comprising:

receiving a first radiologic image showing an electrode and an anatomic region of the patient;

receiving a second radiologic image showing the electrode and the anatomic region of the patient, wherein the second radiologic image provides a different view than the first radiologic image; and

using the first radiologic image and the second radiologic image to determine a three-dimensional position of the electrode in relation to the anatomic region.

18. The method of claim 17 , wherein the anatomic region is a spinal anatomy of the patient.

19. The non-transitory computer-readable storage medium of claim 17 , wherein the instructions, when executed by the processor, further cause the processor to perform actions, the actions comprising:

determining a functional midline for the electrode.

Continuity (4)
Division 13160104 · Jun 14, 2011
Provisional Application 61354576 · Jun 14, 2010
Provisional Application 61376439 · Aug 24, 2010
Related Publication 20150066111A1 · Mar 5, 2015