# US 11,110,280 B2 · Systems and methods for selecting stimulation parameters by targeting and steering

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- Number: US 11,110,280 B2
- Document ID: US11110280B2
- Status: Granted
- Kind: B2
- Application number: 16/537,210
- Filed: 2019-08-09
- Published: 2019-11-28
- Granted: 2021-09-07
- Earliest claimed: 2015-06-29
- Assignees: Boston Scientific Neuromodulation Corporation
- Applicants: Boston Scientific Neuromodulation Corporation
- Inventors: G. Karl Steinke
- Web page: https://patentgrep.com/patent/US11110280B2

## CPC

- A61N 1/37247: {User interfaces, e.g. input or presentation means}
- A61N 1/0551: {Spinal or peripheral nerve electrodes}
- A61N 1/3605: {Implantable neurostimulators for stimulating central or peripheral nerve system}
- A61N 1/36185: {Selection of the electrode configuration}
- A61N 1/37241: {providing test stimulations}
- A61N: ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY (measurement of bioelectric currents A61B; surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body A61B18/00; anaesthetic apparatus in general A61M; incandescent lamps H01K; infrared radiators for heating H05B)

## Abstract

Methods and systems for selecting stimulation parameters using targeting and steering techniques are presented. For example, a method or system (via actions performed by a processor) can include receiving a name of an anatomical or physiological target or a name of a disease or disorder; receiving a clinical goal; and using at least 1) the anatomical or physiological target or disease or disorder and 2) the clinical goal, selecting a set of stimulation parameters. Another method or system (via actions performed by its processor) can include receiving a first set of stimulation parameters; receiving a command to alter the first set of stimulation parameters that does not include, or is not composed exclusively of, a numerical value for any of the stimulation parameters; and modifying the first set of stimulation parameters to create a second set of stimulation parameters based on the command.

## Claims

### Claim 1

A system for identifying a set of stimulation parameters, the system comprising:
a computer processor configured and arranged to perform the following actions:
providing a model of a lead comprising a plurality of electrodes, wherein the plurality of electrodes comprises a plurality of segmented electrodes forming at least one set of segmented electrodes, wherein each set of segmented electrodes comprises two or more of the segmented electrodes disposed around a circumference of the lead at a same longitudinal position along the lead;
receiving a selection of a target point external to the model of the lead;
projecting a straight line from the target point onto a surface of the model of the lead to identify a virtual electrode on the model of the lead; and
selecting a set of stimulation parameters for at least one of the electrodes to approximate an electrical field generated from the virtual electrode.

### Claim 2 (depends on 1)

The system of claim 1, wherein projecting the target point comprises projecting the target point onto a nearest point of the surface of the model of the lead to identify the virtual electrode.

### Claim 3 (depends on 1)

The system of claim 1, wherein the actions further comprise calculating the electrical field in a region that does not overlap with the lead and is bounded by a plane tangent to the lead at the virtual electrode.

### Claim 4 (depends on 1)

The system of claim 1, wherein the electrical field is a scalar potential field, a vector field, or a field of Hamiltonians of a divergence of an electrical field.

### Claim 5 (depends on 1)

The system of claim 1, wherein the actions further comprise receiving a user modification of at least one of the stimulation parameters.

### Claim 6 (depends on 1)

The system of claim 1, wherein the actions further comprise defining at least one guarding electrode adjacent the virtual electrode.

### Claim 7 (depends on 6)

The system of claim 6, wherein defining at least one guarding electrode comprises defining two guarding electrodes circumferentially disposed on opposite sides of the virtual electrode.

### Claim 8 (depends on 1)

The system of claim 1, wherein the virtual electrode is modeled as a monopolar point source.

### Claim 9 (depends on 1)

The system of claim 1, wherein the actions further comprise receiving a user modification to modify the electrical field radially.

### Claim 10 (depends on 1)

The system of claim 1, wherein the actions further comprise receiving a user modification to modify the electrical field longitudinally.

### Claim 11 (depends on 1)

The system of claim 1, wherein selecting the set of stimulation parameters comprises selecting two or more of the electrodes to approximate the electrical field generated by the virtual electrode.

### Claim 12 (depends on 9)

The system of claim 9, wherein receiving a user modification comprises receiving the user modification to spread the electrical field radially.

### Claim 13 (depends on 9)

The system of claim 9, wherein receiving a user modification comprises receiving the user modification to focus the electrical field radially.

### Claim 14 (depends on 10)

The system of claim 10, wherein receiving a user modification comprises receiving the user modification to spread the electrical field longitudinally.

### Claim 15 (depends on 10)

The system of claim 10, wherein receiving a user modification comprises receiving the user modification to focus the electrical field longitudinally.

### Claim 16

A method for identifying a set of stimulation parameters, the method comprising:
providing a model of a lead comprising a plurality of electrodes, wherein the plurality of electrodes comprises a plurality of segmented electrodes forming at least one set of segmented electrodes, wherein each set of segmented electrodes comprises two or more of the segmented electrodes disposed around a circumference of the lead at a same longitudinal position along the lead;
receiving a selection of a target point external to the model of the lead;
projecting a straight line from the target point onto a surface of the model of the lead to identify a virtual electrode on the model of the lead; and
selecting a set of stimulation parameters for at least one of the electrodes to approximate an electrical field generated from the virtual electrode.

### Claim 17 (depends on 16)

The method of claim 16, wherein the actions further comprise calculating the electrical field in a region that does not overlap with the lead and is bounded by a plane tangent to the lead at the virtual electrode.

### Claim 18 (depends on 16)

The method of claim 16, wherein the actions further comprise receiving a user modification of at least one of the stimulation parameters.

### Claim 19 (depends on 16)

The method of claim 16, wherein the actions further comprise defining at least one guarding electrode adjacent the virtual electrode.

### Claim 20

A non-transitory computer-readable medium having processor-executable instructions for identifying a set of stimulation parameters, the processor-executable instructions when installed onto a device enable the device to perform actions, including:
providing a model of a lead comprising a plurality of electrodes, wherein the plurality of electrodes comprises a plurality of segmented electrodes forming at least one set of segmented electrodes, wherein each set of segmented electrodes comprises two or more of the segmented electrodes disposed around a circumference of the lead at a same longitudinal position along the lead;
receiving a selection of a target point external to the model of the lead;
projecting a straight line from the target point onto a surface of the model of the lead to identify a virtual electrode on the model of the lead; and
selecting a set of stimulation parameters for at least one of the electrodes to approximate an electrical field generated from the virtual electrode.
