Point-and-click programming for deep brain stimulation using real-time monopolar review trendlines

摘要

A system and method for selecting leadwire stimulation parameters includes a processor iteratively performing, for each of a plurality of values for a particular stimulation parameter, each value corresponding to a respective current field: (a) shifting the current field longitudinally and/or rotationally to a respective plurality of locations about the leadwire; and (b) for each of the respective plurality of locations, obtaining clinical effect information regarding a respective stimulation of the patient tissue produced by the respective current field at the respective location; and displaying a graph plotting the clinical effect information against values for the particular stimulation parameter and locations about the leadwire, and/or based on the obtained clinical effect information, identifying an optimal combination of a selected value for the particular stimulation parameter and selected location about the leadwire at which to perform a stimulation using the selected value.

主权项

1. A computer-implemented method for selecting electrical stimulation parameters for a leadwire implanted in patient tissue, the method comprising:
receiving, by a computer processor, user input of a point within a graph, the user input provided by point and click within the graph, the graph plotting obtained therapeutic effect and adverse side effect values for a plurality of values of a particular stimulation parameter against locations about the leadwire, the user-input point corresponding to a single value for the particular stimulation parameter and a single location about the leadwire; determining, by the processor, a combination of values for the particular stimulation parameter for each of a plurality of electrodes of the leadwire; and at least one of (a) displaying on a monitor, by the processor, the determined values of the particular stimulation parameter or (b) initiating, a signal, by the processor, to apply the determined values of the particular stimulation parameter to an implanted pulse generator that causes the leadwire to produce a stimulation.