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Boston Scientific Neuromodulation Corporation patents


Recent patent applications related to Boston Scientific Neuromodulation Corporation. Boston Scientific Neuromodulation Corporation is listed as an Agent/Assignee. Note: Boston Scientific Neuromodulation Corporation may have other listings under different names/spellings. We're not affiliated with Boston Scientific Neuromodulation Corporation, we're just tracking patents.

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Systems and methods for creating stimulation programs based on user-defined areas or volumes

A method for generating a stimulation program for electrical stimulation of a patient includes providing, by a processor on a display, a first grid of first pixels and a representation of a portion of an electrical stimulation lead with electrodes; obtaining, by the processor, a user selection of a first set of the first pixels in the first grid for stimulation; generating, by the processor, a stimulation program based, at least in part, on the user-selected first set of first pixels for stimulation using at least one of the electrodes of the electrical stimulation lead; and initiating, by the processor, a signal that provides an implantable pulse generator with the stimulation program. In other methods, instead of a grid of pixels, user-selectable primitives or selectable-objects are used to determine a desired stimulation region and generate the stimulation program.. ... Boston Scientific Neuromodulation Corporation

Patterned stimulation for deep brain stimulation

This document discusses medical device for coupling to a plurality of implantable electrodes. The medical device includes a therapy circuit configured to deliver electrical neurostimulation energy to the plurality of implantable electrodes; and a control circuit operatively coupled to the therapy circuit. ... Boston Scientific Neuromodulation Corporation

Pain management based on emotional expression measurements

This document discusses, among other things, systems and methods for managing pain in a subject. A system may include one or more sensors configured to sense from the subject information corresponding to emotional reaction to pain, such as emotional expression. ... Boston Scientific Neuromodulation Corporation

Pain management based on brain activity monitoring

This document discusses, among other things, systems and methods for managing pain of a subject. A system includes one or more physiological sensors configured to sense a physiological signal indicative of patient brain activity. ... Boston Scientific Neuromodulation Corporation

Pain management based on cardiovascular parameters

This document discusses, among other things, systems and methods for managing pain in a subject. A system may include a sensor circuit configured to sense one or more physiological signals. ... Boston Scientific Neuromodulation Corporation

Pain management based on muscle tension measurements

This document discusses, among other things, systems and methods for managing pain of a subject. A system may include one or more sensors configured to sense a signal indicative of muscle electrical or mechanical activity at a specific body location. ... Boston Scientific Neuromodulation Corporation

Patient-specific calibration of pain quantification

This document discusses, among other things, systems and methods for managing pain in a patient. A system may include sensors to sense physiological or functional signals, and a pain analyzer that generates a pain score using the sensed physiological or functional signals and a fusion model. ... Boston Scientific Neuromodulation Corporation

Pain management based on functional measurements

This document discusses, among other things, systems and methods for managing pain of a subject. A system may include a motion sensor configured to sense at least one functional signal indicative a physical state of the subject. ... Boston Scientific Neuromodulation Corporation

Pain management based on respiration-mediated heart rates

This document discusses, among other things, systems and methods for managing pain of a subject. A system may include a sensor circuit configured to sense a respiration signal and a heart rate signal. ... Boston Scientific Neuromodulation Corporation

Systems and methods for selecting mri-compatible stimulation parameters

Methods and systems for generating an mri-compatible stimulation program based at least in part on a first set of stimulation parameters of a first stimulation program are presented. For example, a method or system (via a processor) can include receiving the first set of stimulation parameters, wherein the first set of stimulation parameters indicates a first set of stimulation electrodes; modifying the first set of stimulation parameters to generate a second set of stimulation parameters of the mri-compatible stimulation program by at least one of 1) reducing a value of at least one stimulation parameter of the first set of stimulation parameters or 2) replacing, in the first set of electrodes, a case electrode with at least one electrode of the lead; and initiating a signal that provides the ipg with the mri-compatible stimulation program.. ... Boston Scientific Neuromodulation Corporation

Systems and methods for programming a neuromodulation system

A method of operating an implantable neuromodulator includes calculating an index for each of a plurality of modulation parameter sets, wherein each modulation parameter set includes a respective plurality of modulation parameters from which the respective index is calculated, serially conveying electrical modulation energy to a patient in accordance with each of the plurality of modulation parameter sets, causing the patient to perceive paresthesia in response to the conveyance of the electrical modulation energy to the tissue in accordance with one of the plurality of modulation parameter sets, identifying the calculated index for that one modulation parameter set as a perception threshold index based on the perceived paresthesia, and storing the identified perception threshold index. The method may also include determining a new modulation parameter set based on the identified perception threshold index, and conveying electrical modulation energy to the tissue in accordance with the new modulation parameter set.. ... Boston Scientific Neuromodulation Corporation

Enhanced dorsal horn stimulation using multiple electrical fields

A method of providing therapy to a patient having a medical condition comprises delivering electrical stimulation energy to the spinal cord of the patient in accordance with a stimulation program that preferentially stimulates dorsal horn neuronal elements over dorsal column neuronal elements in the spinal cord. The delivered electrical stimulation energy generates a plurality of electrical fields having different orientations that stimulate the dorsal horn neuronal elements.. ... Boston Scientific Neuromodulation Corporation

Force-decoupled and strain relieving lead and methods of making and using

An electrical stimulation lead includes a lead body having a distal end portion, a proximal end portion, and a longitudinal length; terminals disposed along the proximal end portion of the lead body; electrodes disposed along the distal end portion of the lead body; and conductors extending along the lead body and electrically coupling the terminals to the electrodes. The lead body includes an intermediate portion disposed between the proximal end portion and the distal end portion. ... Boston Scientific Neuromodulation Corporation

User interface for segmented neurostimulation leads

An external control device for use with a neurostimulation system having a plurality of electrodes capable of conveying an electrical stimulation field into tissue in which the electrodes are implanted is provided. The external control device comprises a user interface having one or more control elements, a processor configured for generating stimulation parameters designed to modify the electrical stimulation field relative to one or more neurostimulation lead carrying the electrodes. ... Boston Scientific Neuromodulation Corporation

06/28/18 / #20180178012

Current generation architecture for an implantable stimulator device having coarse and fine current control

A current generation architecture for an implantable stimulator device such as an implantable pulse generator (ipg) is disclosed. Current source and sink circuitry are both divided into coarse and fine portions, which respectively can provide coarse and fine current resolutions to a specified electrode on the ipg. ... Boston Scientific Neuromodulation Corporation

06/28/18 / #20180178003

Current output architecture for an implantable stimulator device

Disclosed herein are current output architectures for implantable stimulator devices. Current source and sink circuitry is divided into a plurality of stages, each of which is capable via an associated switch bank of sourcing or sinking an amount of current to or from any one of the electrodes of the device. ... Boston Scientific Neuromodulation Corporation

06/21/18 / #20180175658

External controller for an implantable medical device system with an external charging coil powered by an external battery

An integrated external controller/charger system for an implantable medical device is disclosed comprising an external controller/charger device with a graphical user interface (gui) and first battery, and an external charging coil assembly coupleable to the external controller/charger device and including or associated with a second battery. The second battery is used to energize a charging coil in the external charging coil assembly, while the first battery is used to power other aspects of the system (data telemetry circuitry, control circuitry, the gui, etc.). ... Boston Scientific Neuromodulation Corporation

06/21/18 / #20180169424

Timing channel circuitry for creating pulses in an implantable stimulator device

Timing channel circuitry for controlling stimulation circuitry in an implantable stimulator is disclosed. The timing channel circuitry comprises a addressable memory. ... Boston Scientific Neuromodulation Corporation

06/14/18 / #20180161573

Neurostimulation system and method for compounding current to minimize current sources

A neurostimulation system and method of providing therapy to a patient implanted with a plurality of electrodes using a plurality of electrical sources is provided. A source-electrode coupling configuration is determined from the electrical sources and electrodes. ... Boston Scientific Neuromodulation Corporation

06/07/18 / #20180154160

Implantable medical device for providing stimulation therapy

An electrical stimulation system provides stimulation therapy to a patient. The system includes a neurostimulation lead that contacts patient tissue and couples with an implantable stimulation device, such as an implantable pulse generator, that receives stimulation parameters for providing stimulation therapy to a patient. ... Boston Scientific Neuromodulation Corporation

06/07/18 / #20180154156

Methods and systems for selecting stimulation parameters for electrical stimulation devices

Methods and systems for selecting electrical stimulation parameters for an electrical stimulation device implanted in a patient can use an iterative process for identifying electrodes for stimulation, as well as suitable stimulation parameters. The process begins with an initial set of electrode combinations to identify regions of the nerve or other tissue for stimulation. ... Boston Scientific Neuromodulation Corporation

06/07/18 / #20180154153

Devices and methods to use power spectrum or signal association for pain management

Methods and systems for electrical stimulation can include obtaining a biosignal of the patient; altering at least one stimulation parameter of an electrical stimulation system in response to the biosignal; and delivering an electrical stimulation current to one or more selected electrodes of the electrical stimulation system using the at least one stimulation parameter. In some embodiments, a power spectrum is determined from the biosignal. ... Boston Scientific Neuromodulation Corporation

06/07/18 / #20180154139

Distally curved electrical stimulation lead and methods of making and using

An implantable electrical stimulation lead including a lead body having a distal end, a proximal end, and a longitudinal length, wherein the distal end of the lead body is formed into a hook or coil shape; a plurality of electrodes disposed along the hook or coil at the distal end of the lead body; a plurality of terminals disposed on the proximal end of the lead body; and a plurality of conductors, each conductor electrically coupling at least one of the electrodes to at least one of the terminals. The lead can be used to stimulate, for example, a dorsal root ganglion with the hook-shaped or coil-shaped distal end disposed around a portion of the dorsal root ganglion.. ... Boston Scientific Neuromodulation Corporation

05/31/18 / #20180152025

Determining and forecasting end of life for an implantable medical device having a rechargeable battery

An algorithm programmed into the control circuitry of a rechargeable-battery implantable medical device (imd) is disclosed that can quantitatively forecast and determine the timing of an early replacement indicator (teoli) and an imd end of life (teol). These forecasts and determinations of teoli and teol occur in accordance with one or more parameters having an effect on rechargeable battery capacity, such as number of charging cycles, charging current, discharge depth, load current, and battery calendar age. ... Boston Scientific Neuromodulation Corporation

05/31/18 / #20180147413

Use of a dedicated remote control as an intermediary device to communicate with an implantable medical device

Systems and methods are disclosed in which an external device such as a consumer mobile device (e.g., smart phone) is used as an external controller to bi-directionally communicate with an implantable medical device (imd) using a dedicated patient remote control (rc) as an intermediary device to translate communications between the two. The dedicated rc contains a graphical user interface allowing for control and monitoring of the imd even if the mobile device is not present in the system, which is useful as a back-up should the mobile device experience problems. ... Boston Scientific Neuromodulation Corporation

05/31/18 / #20180147407

Features in increased surface area on neuromodulation leads

A stimulation lead includes a lead body; terminals disposed along the proximal end portion of the lead body; electrodes disposed along the distal end portion of the lead body, the electrodes including segmented electrodes. Each of the segmented electrodes includes a base and at least one finned arrangement radially extending from the base. ... Boston Scientific Neuromodulation Corporation

05/24/18 / #20180140854

System and method for providing fluid real-time visualization of region of tissue activation

A system for a tissue stimulator coupled to an array of electrodes. The system comprises a user-controlled input device configured for generating control signals, and at least one processor configured for generating a plurality of stimulation parameter sets in response to the control signals that, when applied to the electrodes, will shift electrical current between electrodes to modify a region of tissue activation. ... Boston Scientific Neuromodulation Corporation

05/24/18 / #20180140845

Systems and methods for programming neuromodulation therapy

This document discusses, among other things, systems and methods for programming a neuromodulation therapy to treat neurological or cardiovascular diseases. A system includes an ambulatory medical device (amd) and at least one computer-readable storage medium including instructions executable on an external system. ... Boston Scientific Neuromodulation Corporation

05/24/18 / #20180140831

Pulsed passive charge recovery circuitry for an implantable medical device

The problem of a potentially high amount of supra-threshold charge passing through the patient's tissue at the end of an implantable pulse generator (ipg) program is addressed by circuitry that periodically dissipates only small amount of the charge stored on capacitances (e.g., dc-blocking capacitors) during a pulsed post-program recovery period. This occurs by periodically activating control signals to turn on passive recovery switches to form a series of discharge pulses each dissipating a sub-threshold amount of charge. ... Boston Scientific Neuromodulation Corporation

05/24/18 / #20180140830

Systems and methods for programming neuromodulation waveform

This document discusses, among other things, systems and methods for programming neuromodulation therapy to treat neurological or cardiovascular diseases. A system includes an input circuit that receives a modulation magnitude representing a level of stimulation intensity, a memory that stores a plurality of gain functions associated with a plurality of modulation parameters, and a electrostimulator that may generate and deliver an electrostimulation therapy. ... Boston Scientific Neuromodulation Corporation

05/17/18 / #20180133492

Neurostimulation system and method for constructing stimulation programs

A device for use with a stimulation system comprises a user interface for receiving input from a user, displaying graphical parameter objects respectively corresponding to stimulation parameter sets, and displaying graphical program objects corresponding to stimulation programs. The device further comprises a controller/processor for selecting a graphical parameter object, dragging the graphical parameter object, dropping the graphical parameter object into a graphical program object, and storing the stimulation parameter set corresponding to the graphical parameter object in association with the stimulation program corresponding to the graphical program object. ... Boston Scientific Neuromodulation Corporation

05/17/18 / #20180133480

Method and apparatus for controlling spinal cord stimulation to treat hypertension

An example of a system for modulating blood pressure may include a blood pressure monitoring circuit, a blood pressure modulation device, and a control circuit. The blood pressure monitoring circuit may be configured to sense signals and generate one or more blood pressure parameters indicative of the blood pressure and/or a vascular resistance and one or more activity parameters indicative of an activity level and/or a postural change using the sensed signals. ... Boston Scientific Neuromodulation Corporation

05/10/18 / #20180126153

Neurostimulation system for providing lateral spinal cord stimulation without stimulating spinal cord midline

A neurostimulation paddle lead, method of neurostimulation, and neurostimulation system are provided. The neurostimulation paddle lead carries a plurality of electrodes comprising at least four columns of electrodes having a spacing between two inner electrode columns less than a spacing between the inner electrode columns and adjacent outer electrode columns. ... Boston Scientific Neuromodulation Corporation

05/10/18 / #20180126152

Electrical stimulation leads, systems and methods for stimulation of dorsal root ganglia

An implantable electrical stimulation lead includes a lead body having a proximal portion and a distal portion; electrodes disposed along the distal portion of the lead body; terminals disposed along the proximal portion of the lead body; conductor extending along the lead body and electrically coupling the electrodes to the terminals; and a flexible hinge forming part of the distal portion of the lead body and disposed proximal to the electrodes, wherein the flexible hinge is structurally distinguishable from adjacent regions of the lead body and more flexible than the adjacent regions.. . ... Boston Scientific Neuromodulation Corporation

05/03/18 / #20180117343

System and method for estimating location and depth of stimulation leads

A method and external control device for performing a medical procedure on a patient in which at least one stimulation lead is implanted. An electrical signal is conveyed from the stimulation lead into tissue of the patient. ... Boston Scientific Neuromodulation Corporation

04/19/18 / #20180104500

Systems and methods for closed-loop determination of stimulation parameter settings for an electrical simulation system

A method or system for facilitating the determining and setting of stimulation parameters for programming an electrical stimulation system using closed loop programming is provided. For example, pulse generator feedback logic is executed by a processor to interface with control instructions of an implantable pulse generator by incorporating one or more machine learning engines to automatically generate a proposed set of stimulation parameter values that each affect a stimulation aspect of the implantable pulse generator, receive one or more clinical responses and automatically generate a revised set of values taking into account the received clinical responses, and repeating the automated receiving of a clinical response and adjusting the stimulation parameter values taking the clinical response into account, until or unless a stop condition is reach or the a therapeutic response is indicated within a designated tolerance.. ... Boston Scientific Neuromodulation Corporation

04/19/18 / #20180104499

Battery management for an implantable medical device

Battery management circuitry for an implantable medical device such as an implantable neurostimulator is described. The circuitry has a t-shape with respect to the battery terminal, with charging circuitry coupled between rectifier circuitry and the battery terminal on one side of the t, and load isolation circuitry coupled between the load and the battery terminal on the other side. ... Boston Scientific Neuromodulation Corporation

04/19/18 / #20180104498

Selectable boost converter and charge pump for compliance voltage generation in an implantable stimulator device

Compliance voltage generation circuitry for a medical device is disclosed. The circuitry in one embodiment comprises a boost converter and a charge pump, either of which is capable of generating an appropriate compliance voltage from the voltage of the battery in the device. ... Boston Scientific Neuromodulation Corporation

04/19/18 / #20180104496

System and method for delivering modulated sub-threshold therapy to a patient

A neuromodulation system configured for providing sub-threshold neuromodulation therapy to a patient. The neuromodulation system comprises a neuromodulation lead having at least one electrode configured for being implanted along a spinal cord of a patient, a plurality of electrical terminals configured for being respectively coupled to the at least one electrode, modulation output circuitry configured for delivering sub-threshold modulation energy to active ones of the at least one electrode, and control/processing circuitry configured for selecting a percentage from a plurality of percentages based on a known longitudinal location of the neuromodulation lead relative to the spinal cord, computing an amplitude value as a function of the selected percentage, and controlling the modulation output circuitry to deliver sub-threshold modulation energy to the patient at the computed amplitude value.. ... Boston Scientific Neuromodulation Corporation

04/19/18 / #20180104493

Methods to program sub-perception spinal cord stimulation

This document discusses, among other things, systems and methods to provide a sub-perception spinal cord stimulation (scs) to a patient. Some system examples include a stimulation device configured to deliver electrical stimulation to a patient and a control circuit configured to adjust at least one parameter of the electrical stimulation in response to a feedback signal from the patient.. ... Boston Scientific Neuromodulation Corporation

04/19/18 / #20180104489

Neuromodulation system and method for reducing energy requirements using feedback

An electrical neuromodulation system and method of meeting a therapeutic goal for a patient using a neuromodulation device. A modulation parameter value is varied by a step size. ... Boston Scientific Neuromodulation Corporation

04/19/18 / #20180104488

Neuromodulation using stochastically-modulated stimulation parameters

An example of a system may include an electrode arrangement and a neuromodulation device configured to use electrodes in the electrode arrangement to generate a neuromodulation field. The neuromodulation device may include a neuromodulation generator, a neuromodulation control circuit and a storage. ... Boston Scientific Neuromodulation Corporation

04/19/18 / #20180104482

Systems and methods for determining orientation of an implanted lead

A method and system for identifying a rotational orientation of an implanted electrical stimulation lead utilize radiological images of the lead. The lead has an asymmetric marker with a longitudinal band extending around a portion of the circumference of the lead. ... Boston Scientific Neuromodulation Corporation

04/19/18 / #20180104480

Methods and devices for neuromodulation of the adrenal gland

Aspects of the present disclosure are directed toward apparatuses, systems, and methods for delivering therapy to an adrenal gland of a patient. The apparatuses, systems, and methods may include a housing and a plurality of electrodes arranged with the housing. ... Boston Scientific Neuromodulation Corporation

04/19/18 / #20180104472

Orientation marker for implantable leads and leads, systems, and methods utilizing the orientation marker

An implantable electrical stimulation lead includes a lead body; terminals disposed along the proximal portion of the lead body; electrodes disposed along the distal portion of the lead body, the electrodes including at least one segmented electrode; and an asymmetric marker disposed along the distal portion of the lead body and including a first ring and a longitudinal band extending longitudinally from the first ring. The asymmetric marker and lead body are formed of different materials that are distinguishable from each other in the radiological images to facilitate radiological determination of the rotational orientation of the lead when implanted. ... Boston Scientific Neuromodulation Corporation

04/19/18 / #20180104468

Current generation architecture for an implantable medical device including controllable slew rate

Digital-to-analog converter (master dac) circuitry is disclosed that is programmable to set a controlled slew rate for pulses that are otherwise defined as having sharp amplitude transitions. For example, when producing a biphasic pulse, the constant amplitude and duration of first and second pulses phases can be defined and provided to the dac in traditional fashion. ... Boston Scientific Neuromodulation Corporation

04/12/18 / #20180099146

External powering of implantable medical device dependent on energy of provided therapy

An implantable medical device system includes an implantable medical device for providing stimulation therapy and two external power sources. A first external power source is used to power the implantable medical device when the stimulation therapy is low energy therapy. ... Boston Scientific Neuromodulation Corporation

04/05/18 / #20180093098

Connector assemblies with bending limiters for electrical stimulation systems and methods of making and using same

A connector assembly includes an elongated connector housing defining a port at the second end of the connector housing for receiving a proximal end of a lead or lead extension; a lumen that extends from the port along at least a portion of the length of the connector housing; connector contacts axially spaced-apart and disposed along the lumen; and non-conductive spacers disposed between adjacent connector contacts, at least one of the non-conductive spacers includes a first region. One or more additional features are included to resist bending of the connector assembly. ... Boston Scientific Neuromodulation Corporation

04/05/18 / #20180093097

System and method for mapping arbitrary electric fields to pre-existing lead electrodes

A system for a neurostimulator coupled to electrodes, and a method of providing therapy to a patient using the electrodes implanted within the patient. A target multipole relative to the electrodes is defined. ... Boston Scientific Neuromodulation Corporation

03/29/18 / #20180085584

Systems and methods for closed-loop pain management

Systems and methods for managing pain in patient are described. A system may include sensors configured to sense physiological or functional signals, and a pain analyzer to generate signal metrics from the physiological or functional signals. ... Boston Scientific Neuromodulation Corporation

03/29/18 / #20180085583

Anatomical targeting of neuromodulation

A neuromodulation targeting system includes a gui that facilitates selection of one or more neuromodulation target regions. The gui provides an interactive display representing anatomy of a patient with user-selectable portions corresponding to a plurality of predefined anatomical regions associated with distinct localized clinical effects of neuromodulation. ... Boston Scientific Neuromodulation Corporation

03/29/18 / #20180085055

Method and apparatus for pain management using objective pain measure

An example of a system for managing pain may include a pain monitoring circuit, a pain relief device, and a control circuit. The pain monitoring circuit may include a parameter analyzer and a pain score generator. ... Boston Scientific Neuromodulation Corporation

03/22/18 / #20180078776

Systems and methods for steering electrical stimulation of patient tissue and determining stimulation parameters

A method for determining a set of stimulation parameters for an electrical stimulation lead or steering electrical stimulation includes receiving a target geometrical parameter describing a stimulation field; receiving a first programming state; determining a first stimulation parameter for the first programming state that achieves the target geometrical parameter within at least 10% of the target geometrical parameter; and outputting set of stimulation parameters to be received by an electrical stimulation device for delivery of electrical stimulation to a patient via an electrical stimulation lead, wherein the set of stimulation parameters comprises the first stimulation parameter and represents the first programming state. In other embodiments, the target geometrical parameter is determined from either i) a first set of stimulation parameters or ii) a starting programming state and starting first stimulation parameter.. ... Boston Scientific Neuromodulation Corporation

03/22/18 / #20180078768

Method and apparatus for pain management using heart sounds

An example of a pain management system may include a heart sound sensor, a heart sound sensing circuit, a heart sound detector, a parameter generator, and a pain analyzer. The heart sound sensor may be configured to sense a heart sound signal. ... Boston Scientific Neuromodulation Corporation

03/22/18 / #20180078759

Insertion tool for implanting a paddle lead and methods and systems utilizing the tool

An insertion tool for a paddle lead includes an insertion tool body having a receiving end portion; a stylet channel extending along the insertion tool body; a stylet disposed in the stylet channel; and an actuator assembly disposed along the handling end portion of the insertion tool body and coupled to the stylet. The actuator assembly controls transitioning of the stylet between a first position and a second position. ... Boston Scientific Neuromodulation Corporation

03/15/18 / #20180071527

Passive charge recovery circuitry for an implantable medical device

Recovery circuitry for passively recovering charge from capacitances at electrodes in an implantable pulse generator (ipg) is disclosed. The passive recovery circuitry includes passive recovery switches intervening between each electrode node and a common reference voltage, and each switch is in series with a variable resistance that may be selected based on differing use models of the ipg. ... Boston Scientific Neuromodulation Corporation

03/15/18 / #20180071522

Implantable stimulator device with magnetic field sensing circuit

An implantable pulse generator (ipg) for an implantable medical device is disclosed herein. The ipg is capable of sensing the presence of an external magnetic field, such as a magnetic field associated with magnetic resonance imaging (mri). ... Boston Scientific Neuromodulation Corporation

03/15/18 / #20180071521

Use models for a current generation architecture for an implantable medical device

Current generation circuitry for an implantable pulse generator (ipg) is disclosed. The ipg comprises a plurality of pdacs and ndacs for souring currents to electrode nodes. ... Boston Scientific Neuromodulation Corporation

03/15/18 / #20180071520

Current generation architecture for an implantable medical device

An implantable pulse generator (ipg) is disclosed having a plurality of electrode nodes, each electrode node configured to be coupled to an electrode to provide stimulation pulses to a patient's tissue. The ipg includes a digital-to-analog converter configured to amplify a reference current to a first current specified by first control signals; a first resistance configured to receive the first current, wherein a voltage across the first resistance is held to a reference voltage at a first node; a plurality of branches each comprising a second resistance and configured to produce a branch current, wherein a voltage across each second resistance is held to the reference voltage at second nodes; and a switch matrix configurable to selectively couple any branch current to any of the electrode nodes via the second nodes.. ... Boston Scientific Neuromodulation Corporation

03/15/18 / #20180071516

Pulse definition circuitry for creating stimulation waveforms in an implantable pulse generator

Improved stimulation circuitry for controlling the stimulation delivered by an implantable stimulator is disclosed. The stimulation circuitry includes memory circuitry that stores pulse programs that define pulse shapes, steering programs that define electrode configurations, and aggregate programs that link a selected pulse program with a selected steering program. ... Boston Scientific Neuromodulation Corporation

03/15/18 / #20180071515

Pulse definition circuitry for creating stimulation waveforms in an implantable pulse generator

Improved stimulation circuitry for controlling the stimulation delivered by an implantable stimulator is disclosed. The stimulation circuitry includes memory circuitry that stores pulse programs that define pulse shapes, steering programs that define electrode configurations, and aggregate programs that link selected pulse programs with selected steering programs. ... Boston Scientific Neuromodulation Corporation

03/15/18 / #20180071514

Measurement circuitry for measuring analog values in an implantable pulse generator

Improved circuitry for measuring analog values in an implantable pulse generator is disclosed. The measurement circuitry executes instructions that define the timing and parameters of measurements to be taken. ... Boston Scientific Neuromodulation Corporation

03/15/18 / #20180071513

Pulse definition circuitry for creating stimulation waveforms in an implantable pulse generator

Improved stimulation circuitry for controlling the stimulation delivered by an implantable stimulator is disclosed. The stimulation circuitry includes memory circuitry that stores pulse programs that define pulse shapes, steering programs that define electrode configurations, and aggregate programs that link a selected pulse program with a selected steering program. ... Boston Scientific Neuromodulation Corporation

03/15/18 / #20180071512

Compliance voltage monitoring and adjustment in an implantable medical device

An architecture is disclosed for an implantable pulse generator having improved compliance voltage monitoring and adjustment software and hardware. Software specifies which stimulation pulses are to be measured as relevant to monitoring and adjusting the compliance voltage. ... Boston Scientific Neuromodulation Corporation

03/15/18 / #20180071511

Biasing of a current generation architecture for an implantable medical device

Digital-to-analog converter (dac) circuitry for providing currents at electrodes of an implantable pulse generator (ipg) is disclosed. The dac circuitry includes at least one pdac for sourcing current to the electrodes, and at least one ndac for sinking current from the electrodes. ... Boston Scientific Neuromodulation Corporation

03/08/18 / #20180064946

External controller/charger system for an implantable medical device capable of automatically providing data telemetry through a charging coil during a charging session

An external controller/charger system for an implantable medical device is disclosed, in which the external controller/charger system provides automatic switching between telemetry and charging without any manual intervention by the patient. The external controller/charger system includes an external controller which houses a telemetry coil and an external charging coil coupled to the external controller. ... Boston Scientific Neuromodulation Corporation

03/08/18 / #20180064930

Systems and methods for visualizing and directing stimulation of neural elements

Method and systems for determining a set of stimulation parameters for an implantable stimulation device include receiving a set of stimulation parameters including at least one electrode for delivery of stimulation and a stimulation amplitude for each electrode; determining, using the set of stimulation parameters, an axial stimulation field for neural elements oriented axially with respect to a longitudinal axis of the lead; and outputting the first axial stimulation field for viewing by a user; receiving, by the computer processor. The methods and systems can be used to model other neural elements oriented non-orthogonally with respect to the longitudinal axis of the lead and determine a non-orthogonal stimulation field.. ... Boston Scientific Neuromodulation Corporation

03/01/18 / #20180056078

Customized targeted fields for electrotherapy applications

A neuromodulation customization system includes a field definition user interface, a neuromodulation signaling engine, and a supervisor engine. The field definition user interface is to facilitate entry of a customized electrotherapy field definition, with the field definition user interface including a set of input controls for defining field shape, field intensity, and field steering parameters of the customized electrotherapy field. ... Boston Scientific Neuromodulation Corporation

03/01/18 / #20180056071

Leadless neuromodulation of the adrenal gland

Aspects of the present disclosure are directed towards apparatuses, systems, and methods that include at least one implantable medical device. The implantable medical device may include a leadless body portion configured to engage an adrenal gland of a patient and at least one electrode, arranged within the leadless body portion, configured to deliver stimulation energy to modulate catecholamine release from chromaffin cells within the adrenal gland.. ... Boston Scientific Neuromodulation Corporation

03/01/18 / #20180056068

Systems and methods for spatially selective spinal cord stimulation

A system may include electrodes on at least one lead configured to be operationally positioned for use in modulating a volume of neural tissue, a neural modulation generator configured to deliver energy using at least some electrodes to modulate the volume of neural tissue, a programming system configured to program the programmed modulation parameter set, including determine electrode fractionalizations for the electrodes based on a target multipole. The programmed parameter set may include the determined electrode fractionalizations. ... Boston Scientific Neuromodulation Corporation

03/01/18 / #20180056062

Methods and devices for neuromodulation of the adrenal gland

Aspects of the present disclosure are directed toward apparatuses, systems, and methods for delivering therapy to an adrenal gland of a patient. The apparatuses, systems, and methods may include a lead body that attaches to a portion of the adrenal gland of the patient; and a plurality of electrodes arranged along the lead body. ... Boston Scientific Neuromodulation Corporation

02/22/18 / #20180050205

Devices and methods using a pathological frequency in electrical stimulation for pain management

An electrical stimulation system includes an implantable control module configured and arranged for implantation in a body of a patient. The implantable control module includes a processor that generates and delivers electrical stimulation pulses or pulse bursts at a pathological frequency or with a temporal separation between pulses or pulse bursts individually selected based on a pre-determined distribution function based on a pre-selected pathological frequency.. ... Boston Scientific Neuromodulation Corporation

02/22/18 / #20180050204

Systems and methods for delivering spinal cord stimulation therapy

This document discusses, among other things, systems and methods to provide a paresthesia therapy to a patient using an implantable neuromodulation system, wherein providing the paresthesia therapy may include delivering to the patient an electrical waveform having a duration and a distribution of frequencies in the range of 0.001 khz to 20 khz, wherein the distribution of frequencies includes a first frequency group of one or more frequencies and a second frequency group of one or more frequencies, and wherein the patient continuously experiences paresthesia throughout the duration of the electrical waveform.. . ... Boston Scientific Neuromodulation Corporation

02/15/18 / #20180043172

Patient-guided programming algorithms and user interfaces for neurostimulator programming

An example of a system may include a processor and a memory device comprising instructions, which when executed by the processor, cause the processor to generate a user interface to receive a therapy efficacy indication from a human subject for an neurostimulation treatment, receive user input in the user interface to select a therapy efficacy indication of the neurostimulation treatment, and identify a modification to a neurostimulation program based on the user input. For example, a therapy efficiency indication received in the user interface may indicate a perceived stimulation intensity, a perceived pain level, and a perceived location characteristic of the neurostimulation treatment. ... Boston Scientific Neuromodulation Corporation

02/15/18 / #20180043166

External device for determining an optimal implantable medical device for a patient using information determined during an external trial stimulation phase

An external controller is disclosed for communicating with an external trial stimulator (ets) for an implantable medical device. The external controller is programmed with a battery algorithm able to assist a clinician in choosing a suitable implant for the patient based on battery performance parameters estimated for a number of implants during an external trial stimulation phase that precedes implantation of the implant. ... Boston Scientific Neuromodulation Corporation

02/01/18 / #20180028826

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

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.. . ... Boston Scientific Neuromodulation Corporation

02/01/18 / #20180028820

Biased ball-spring contacts for electrical stimulation systems and methods of making and using same

A connector assembly includes a connector housing having longitudinal axis and a port for receiving a proximal end of a lead having terminals electrically insulated from one another. A lumen extends along the longitudinal axis. ... Boston Scientific Neuromodulation Corporation

02/01/18 / #20180028815

Perception calibration of neural tissue using field troll

An example of a system may include an electrode arrangement, a neural modulation generator configured to use electrodes in the electrode arrangement to generate a modulation field, a communication module configured to receive commands, a memory configured to store modulation field parameter data, and a controller configured to control the neural modulation generator to generate the modulation field. The controller may be configured to implement a trolling routine to troll the modulation field through neural tissue positions, and implement a marking routine multiple times as the modulation field is trolled through the neural tissue positions to identify when the modulation field provides patient-perceived modulation. ... Boston Scientific Neuromodulation Corporation

02/01/18 / #20180028804

Systems and methods for making and using an electrical stimulation system for peripheral nerve stimulation

An electrical stimulation lead includes a lead body; a terminal disposed along the proximal end portion of the lead body; a single electrode disposed at the distal end of the lead body; a conductor extending along the lead body and electrically coupling the terminal to the single electrode; and an adjustable sheath disposed over a portion of the lead body to cover a selected portion of the single electrode by displacing the sheath forwards or backwards relative to the single electrode to control a size of a portion of the electrode exposed for stimulation of tissue. Another electrical stimulation lead has a low-profile distal portion that has a smaller lateral width in at least one direction than a remainder of the lead body. ... Boston Scientific Neuromodulation Corporation

01/25/18 / #20180026470

External charger for an implantable medical device having a conductive layer printed or deposited on an inside housing surface

A charging system for an implantable medical device (imd) is disclosed having a charging coil and one or more sense coils. The charging coil and one or more sense coils are preferably housed in a charging coil assembly coupled to an electronics module by a cable. ... Boston Scientific Neuromodulation Corporation

01/25/18 / #20180021569

Systems and methods for making and using an electrical stimulation system for stimulation of dorsal root ganglia

A method for implanting a lead for stimulation of a dorsal root ganglion of a patient includes advancing a distal portion of a guidewire using an introducer into an epidural space of the patient and through a foramen of the patient to a position near the dorsal root ganglion, the guidewire including an electrode in the distal portion of the guidewire; mapping a region around the dorsal root ganglion using the electrode of the guidewire to identify a lead implantation site; removing the introducer; and advancing the lead over the guidewire, with a portion of the guidewire disposed in a lumen of the lead, to position a distal portion of the lead at the lead implantation site.. . ... Boston Scientific Neuromodulation Corporation

01/18/18 / #20180015289

Holder for an implantable medical device

A holder for an implantable medical device (imd) is disclosed. The holder is configured to hold the imd in a single, operational orientation when the holder containing the imd is implanted in a patient. ... Boston Scientific Neuromodulation Corporation

01/11/18 / #20180008832

Threaded connector assembly and methods of making and using the same

A connector assembly includes a lead with a lead body having proximal and distal portions. The lead body defines a longitudinal axis. ... Boston Scientific Neuromodulation Corporation

01/04/18 / #20180001092

Display of region of activation in neurostimulation programming screen

A system for use with a neurostimulator coupled to one or more electrodes implanted adjacent neural tissue of a patient. The system comprises a user input device configured for allowing a user to select different nerve fiber diameters and to select a set of stimulation parameters. ... Boston Scientific Neuromodulation Corporation

12/28/17 / #20170372039

Systems and methods for visual analytics of clinical effects

A system for visualizing clinical effects can perform the following actions: obtain, for each of multiple stimulation instances, an estimation of a region stimulated during the stimulation instance and at least one assessment for at least one stimulation effect or stimulation side effect; assign, for each of the stimulation instances, a tag, selected from multiple tags, to each one of multiple voxels within the region stimulated during the stimulation instance, where the tag is selected based on the at least one assessment for the stimulation instance; and assign a voxel type, selected from multiple voxel types, to each of multiple voxels based on the tags assigned to the voxels. Optionally, the actions can also include display, on a display, a representation of multiple voxels with each of the displayed voxels having a graphical feature associated with the voxel type assigned to that voxel.. ... Boston Scientific Neuromodulation Corporation

12/28/17 / #20170368355

Fractionalized stimulation pulses in an implantable stimulator device

A method for configuring stimulation pulses in an implantable stimulator device having a plurality of electrodes is disclosed, which method is particularly useful in adjusting the electrodes by current steering during initialization of the device. In one aspect, a set of ideal pulses for patient therapy is determined, in which at least two of the ideal pulses are of the same polarity and are intended to be simultaneous applied to corresponding electrodes on the implantable stimulator device during an initial duration. ... Boston Scientific Neuromodulation Corporation

12/21/17 / #20170361117

External charger for an implantable medical device for determining position using phase angle or a plurality of parameters as determined from at least one sense coil

A charging system for an implantable medical device (imd) is disclosed having a charging coil and one or more sense coils preferably housed in a charging coil assembly coupled to an electronics module by a cable. The charging coil is preferably a wire winding, while the sense coils are preferably formed in one or more traces of a circuit board. ... Boston Scientific Neuromodulation Corporation

12/21/17 / #20170361116

External charger for an implantable medical device for adjusting charging power based on determined position using at least one sense coil

A charging system for an implantable medical device (imd) is disclosed having a charging coil and one or more sense coils preferably housed in a charging coil assembly coupled to an electronics module by a cable. The charging coil is preferably a wire winding, while the sense coils are preferably formed in one or more traces of a circuit board. ... Boston Scientific Neuromodulation Corporation

12/21/17 / #20170361115

External charger for an implantable medical device for determining position and optimizing power transmission using resonant frequency as determined from at least one sense coil

A charging system for an implantable medical device (imd) is disclosed having a charging coil and one or more sense coils. The charging coil and one or more sense coils are preferably housed in a charging coil assembly coupled to an electronics module by a cable. ... Boston Scientific Neuromodulation Corporation

12/21/17 / #20170361114

External charger for an implantable medical device having alignment and centering capabilities

A charging system for an implantable medical device (imd) is disclosed having a charging coil and one or more sense coils. The charging coil and one or more sense coils are preferably housed in a charging coil assembly coupled to an electronics module by a cable. ... Boston Scientific Neuromodulation Corporation

12/21/17 / #20170361113

External charger for an implantable medical device having at least one sense coil concentric with a charging coil for determining position

A charging system for an implantable medical device (imd) is disclosed having a charging coil and one or more sense coils. The charging coil and one or more sense coils are preferably housed in a charging coil assembly coupled to an electronics module by a cable. ... Boston Scientific Neuromodulation Corporation

12/21/17 / #20170361112

External charger for an implantable medical device having a multi-layer magnetic shield

An external charger for an implantable medical device (imd) includes a multi-layer shield to direct the magnetic field generated by its charging coil towards the imd. Each of the shield's multiple layers includes a ferromagnetic material that increases the permeance of the magnetic field's flux paths. ... Boston Scientific Neuromodulation Corporation

12/21/17 / #20170361111

Split coil for uniform magnetic field generation from an external charger for an implantable medical device

A charging system for an implantable medical device (imd) includes a split charging coil for generating a magnetic field to provide power to the imd. The split charging coil includes a first coil portion and a second coil portion, each of which can be formed as a mechanical winding of an insulated conductor. ... Boston Scientific Neuromodulation Corporation

12/21/17 / #20170361110

Multi-conductor cable in an external charger for an implantable medical device

A charging system for an implantable medical device (imd) is disclosed. The charging system features an electronics module connected to a charging coil by a cable. ... Boston Scientific Neuromodulation Corporation

12/21/17 / #20170361108

Threaded connector assembly and methods of making and using the same

A connector assembly includes a receptacle body that defines a portion of a connector lumen and further includes connector contacts disposed within the receptacle body along the connector lumen. The connector assembly further includes a rotational member that defines another portion of the connector lumen and includes a head portion and an elongated portion. ... Boston Scientific Neuromodulation Corporation

12/21/17 / #20170361104

Method and apparatus for programming neuromodulation devices

An example of a system for delivering neurostimulation pulses to a patient using a plurality of electrodes and controlling the delivery of the neurostimulation pulses by a user may include a programming control circuit and a user interface. The programming control circuit may be configured to generate a plurality of stimulation parameters controlling delivery of neurostimulation pulses according to one or more stimulation waveforms. ... Boston Scientific Neuromodulation Corporation

12/07/17 / #20170348540

Priming-assisted neuromodulation therapy

A neuromodulation device generates a therapeutic neuromodulation field to produce a therapeutic effect in therapy-targeted neural tissue, and a priming field to produce a priming effect in priming-targeted neural tissue. The priming effect causes a change in sensitization of the priming-targeted neural tissue to the therapeutic neuromodulation field. ... Boston Scientific Neuromodulation Corporation

12/07/17 / #20170348535

Customized priming by neuromodulation device

A neuromodulation device is configured with a set of testing program configuration instructions including therapeutic neuromodulation field-setting parameters. The device determines a custom priming program in response to the testing program configuration instructions. ... Boston Scientific Neuromodulation Corporation

12/07/17 / #20170348532

Neuromodulation with burst stimulation

An example of a system may include electrodes on at least one lead configured to be operationally positioned for use in modulating neural tissue where the neural tissue including dorsal horn tissue or nerve root tissue, a neural modulation generator, and a controller. The neural modulation generator may be configured to use at least some electrodes to generate a modulation field. ... Boston Scientific Neuromodulation Corporation

12/07/17 / #20170348530

Automatic initiation of priming at startup of neuromodulation device

A neuromodulation system executes a set of startup operations. In response to completion of the startup operations, a priming field is automatically initiated. ... Boston Scientific Neuromodulation Corporation

12/07/17 / #20170348522

Leads for electrostimulation of peripheral nerves and other targets

An electrical stimulation lead includes at least one lead body having a distal end portion, a proximal end portion, and a longitudinal length. The lead further includes a paddle body extending from the distal end portion of the at least one lead body, electrodes disposed along the paddle body, terminals disposed along the proximal end portion of the at least one lead body, and conductors electrically coupling the terminals to the electrodes. ... Boston Scientific Neuromodulation Corporation

11/30/17 / #20170340889

Systems and methods for making and using improved connector contacts for electrical stimulation systems

A connector for an implantable electrical medical device includes a connector lumen defined in an elongated connector housing and adapted for receiving a portion of a lead. Connector-contact assemblies are disposed in the connector lumen and adapted to couple to terminals of the lead when the lead is received by the connector lumen. ... Boston Scientific Neuromodulation Corporation

11/30/17 / #20170340886

Multi-electrode implantable stimulator device with a single current path decoupling capacitor

Disclosed herein are circuits and methods for a multi-electrode implantable stimulator device incorporating one decoupling capacitor in the current path established via at least one cathode electrode and at least one anode electrode. In one embodiment, the decoupling capacitor may be hard-wired to a dedicated anode on the device. ... Boston Scientific Neuromodulation Corporation

11/30/17 / #20170340875

Automatic lead identification using electric field fingerprinting

A method, programmer for a neurostimulator, and neurostimulation kit are provided. The kit comprises a neurostimulator, and a plurality of elongated lead bodies configured for being coupled to the neurostimulator, each having a plurality of proximal contacts and a plurality of distal electrodes respectively electrically coupled to the proximal contacts, wherein an in-line connectivity between the electrodes and proximal contacts carried by the different lead bodies differs from each other. ... Boston Scientific Neuromodulation Corporation

11/23/17 / #20170333719

Pulse-by-pulse compliance voltage generation for an implantable stimulator

Circuitry for generating a compliance voltage (v+) for the current sources and/or sinks in an implantable stimulator device in disclosed. The circuitry assesses whether v+ is optimal for a given pulse, and if not, adjusts v+ for the next pulse. ... Boston Scientific Neuromodulation Corporation

11/23/17 / #20170333718

Graphical user interface for programming neurostimulation pulse patterns

An example of a neurostimulation system may include a storage device, a programming control circuit, and a graphical user interface (gui). The storage device may be configured to store individually definable waveforms. ... Boston Scientific Neuromodulation Corporation

11/23/17 / #20170333717

Method and apparatus for programming charge recovery in neurostimulation waveform

An example of a neurostimulation system may include a storage device to store a stimulation waveform, a programming control circuit to generate a plurality of stimulation parameters controlling delivery of neurostimulation pulses according to the stimulation waveform, and waveform definition circuit configured to create and adjust the stimulation waveform. The waveform definition circuit includes a charge recovery module that may include a stimulation to receive the stimulation waveform including charge injection phases, a charge recovery scheme input to receive a charge recovery scheme, and a waveform adjuster configured to identify a need for recovering charges injected during the charge injection phases and adjust the received stimulation waveform by automatically inserting charge recovery phases into the received stimulation waveform based on the identified need for recovering the injected charges and the received charge recovery scheme.. ... Boston Scientific Neuromodulation Corporation

11/23/17 / #20170333702

Systems and method for anchoring a lead for neurostimulation of a target anatomy

A lead having proximal and distal ends. At the distal end, a first branch includes a first biasing member and a first insulation covering. ... Boston Scientific Neuromodulation Corporation

11/23/17 / #20170333692

Lead for electrostimulation of a target stimulation region

Various aspects of the present disclosure are directed toward apparatuses, systems and methods that include a lead for at least partially surrounding a target stimulation region. In certain instances, the lead may include a first portion, a second portion that is configured to connect with the first portion to at least partially surround the target stimulation region, and at least one electrode arranged with one of the first portion and the second portion.. ... Boston Scientific Neuromodulation Corporation

11/16/17 / #20170326375

System and method for storing and retrieving data from neurostimulation systems

Implantable medical device system configured to use removable memory media or wireless communication to avoid having to store charging and other data on the implantable device itself. Some examples include systems of external devices such as an external charger, external patient controller, and/or clinician programmer, that communicate with one another the details of a given implantable device operation using removable memory such as a usb memory drive.. ... Boston Scientific Neuromodulation Corporation

11/16/17 / #20170326367

Multiple tunable central cathodes on a paddle for increased medial-lateral and rostral-caudal flexibility via current steering

A neurostimulation paddle lead, method of neurostimulation, and neurostimulation system are provided. The neurostimulation paddle lead carries a plurality of electrodes comprising at least four columns of electrodes having a spacing between two inner electrode columns less than a spacing between the inner electrode columns and adjacent outer electrode columns. ... Boston Scientific Neuromodulation Corporation

11/16/17 / #20170326365

Methods to avoid frequency locking in a multi-channel neurostimulation system using pulse shifting

A method and neurostimulation system for treating a patient are provided. A plurality of pulsed electrical waveforms are respectively delivered within a plurality of timing channels of the neurostimulation system, thereby treating the patient. ... Boston Scientific Neuromodulation Corporation

11/16/17 / #20170326364

Computationally efficient technique for determining electrode current distribution from a virtual multipole

A system and method of providing therapy to a patient using a plurality of electrodes implanted within the patient. A virtual multipole configuration is defined relative to the plurality of electrodes. ... Boston Scientific Neuromodulation Corporation

11/09/17 / #20170319856

Systems and methods for receiving user-provided selection of electrode lists

An example of a system may include an arrangement of electrodes configured to be operationally positioned for use in modulating targeted neural tissue, a neural modulator, a communication module, and a controller. The neural modulator may be configured to use at least some electrodes within the arrangement of electrodes to generate a modulation field. ... Boston Scientific Neuromodulation Corporation

10/26/17 / #20170304637

Techniques for logging and using programming history in a neurostimulation system

An external control device, a neurostimulation system, and a method for providing therapy to a patient are provided. A plurality of stimulation parameter sets are defined, electrical stimulation energy is serially conveyed to tissue of the patient in accordance with the plurality of stimulation parameter sets, a historical log file is stored, and the plurality of stimulation parameter sets are logged in the historical log file.. ... Boston Scientific Neuromodulation Corporation

10/26/17 / #20170304636

System for increased temporal flexibility in a medical device

In various embodiments, the present system allows for custom definition of waveforms and waveform segments for neurotherapy. Such custom definition is achieved by using a waveform composer with a user interface that makes it possible for the user to perform the custom definition of potentially very complex patterns of neurostimulation waveforms by creating and editing graphical representations of relatively simple individual building blocks for each of the patterns.. ... Boston Scientific Neuromodulation Corporation

10/26/17 / #20170304635

Plug-in accessory for configuring a mobile device into an external controller for an implantable medical device

Disclosed is a plug-in accessory for operating a mobile device as an external controller for an implantable medical device (imd). The accessory includes a connector insertable into a port on the mobile device. ... Boston Scientific Neuromodulation Corporation

10/26/17 / #20170304633

System and methods for directional steering of electrical stimulation

Method and systems for determining a set of stimulation parameters for an implantable stimulation device include performing the following steps or actions: receiving a stimulation target; determining a target stimulation field based on the stimulation target; receiving a weighting for a plurality of spatial regions defined relative to a lead including a plurality of electrodes, where a weighting for at least one of the spatial regions is different from a weighting for another one of the spatial regions; and determining, using the weightings for the plurality of spatial regions, a set of stimulation parameters to produce a generated stimulation field that approximates the target stimulation field.. . ... Boston Scientific Neuromodulation Corporation

10/26/17 / #20170304627

Circuitry for charging a battery in an implantable medical device in accordance with historical parameters impacting battery capacity

An algorithm programmed into the control circuitry of a rechargeable-battery implantable medical device (imd) is disclosed that can adjust the charging current (ibat) provided to the rechargeable battery over time (e.g., the life of the imd) in accordance with one or more of the parameters having an effect on rechargeable battery capacity, such as number of charging cycles, charging current, discharge depth, load current, and battery calendar age. The algorithm consults such parameters as stored over the history of the operation of the imd in a parameter log, and in conjunction with a battery capacity database reflective of the effect of these parameters on battery capacity, estimates a change in the capacity of the battery, and adjust the charging current in one or both of trickle and active charging paths to slow the loss of battery capacity and extend the life of the imd.. ... Boston Scientific Neuromodulation Corporation

10/26/17 / #20170304626

Power supply disconnect current measurement for an implantable medical device

An implantable medical device (imd) is disclosed having measurement circuitry for measuring one or more currents in the imd, such as the currents drawn from various power supply voltages. Such currents are measured without disrupting normal imd operation, and can be telemetered from the imd for review. ... Boston Scientific Neuromodulation Corporation

10/26/17 / #20170304610

Adjunctive therapy delivery using a dbs lead

Various aspects of the present disclosure are directed toward apparatuses, systems and methods for treating an ischemic brain injury. Certain aspects include delivering the treatment substrate to a therapy region in a patient's brain. ... Boston Scientific Neuromodulation Corporation

10/12/17 / #20170291023

Electrode array assembly and method of making same

A lead assembly and a method of making a lead are provided. The method of making a multi-contact lead assembly comprises placing monofilament placed in the void spaces not occupied by the plurality of conductor wires and, in one embodiment, thermally fusing the monofilament to the like material spacer by applying heat just below the melting temperature of the monofilament and spacer material. ... Boston Scientific Neuromodulation Corporation

10/05/17 / #20170281959

System to estimate the location of a spinal cord physiological midline

Techniques for determining the location of a physiological midline are disclosed. A first technique evaluates the response to stimulation of spinal electrodes at peripheral electrodes on different sides of the body. ... Boston Scientific Neuromodulation Corporation

10/05/17 / #20170281958

System to estimate the location of a spinal cord physiological midline

Techniques for determining the location of a physiological midline are disclosed. A first technique evaluates the response to stimulation of spinal electrodes at peripheral electrodes on different sides of the body. ... Boston Scientific Neuromodulation Corporation

10/05/17 / #20170281957

Far-field short-range radio-frequency antenna on the side of an implantable medical device case

An implantable medical device (imd) is disclosed having a bi-directional short-range far-field radio-frequency (rf) data antenna, operable in accordance with a short-range rf standard such as bluetooth for example. The antenna is neither located inside the conductive case of the imd, nor in the non-conductive header of the imd that includes the lead connectors. ... Boston Scientific Neuromodulation Corporation

10/05/17 / #20170281956

External charger with customizable magnetic charging field

Improved external chargers for charging an implantable medical device, and particularly useful in charging a plurality of such devices, are disclosed. Each of the various embodiments include a plurality of field customization coils for customizing the magnetic charging field generated by the external charger such that the magnetic charging field is not radially symmetric. ... Boston Scientific Neuromodulation Corporation

10/05/17 / #20170281950

Battery protection and zero-volt battery recovery system for an implantable medical device

Circuitry useable to protect and reliably charge a rechargeable battery, even from a zero-volt state, is disclosed, and is particularly useful when employed in an implantable medical device. The circuit includes two charging paths, a first path for trickle charging the battery at a relatively low current when the battery voltage is below a threshold, and a second path for charging the battery at relatively higher currents that the battery voltage is above a certain threshold. ... Boston Scientific Neuromodulation Corporation

10/05/17 / #20170281948

Neuromodulation system and method for providing multiple modulation patterns in a single channel

A neuromodulation system and method includes delivering first electrical modulation energy to a patient through a timing channel at a relatively high energy level (e.g., at a frequency in the range of 2 khz-50 khz) during a first time period in accordance with a stored modulation energy delivery schedule, delivering second electrical modulation energy to the patient through the same timing channel at a relatively low energy level (e.g., at a frequency in the range of 2 hz to 1500 hz) during a second time period in accordance with the stored modulation energy delivery schedule.. . ... Boston Scientific Neuromodulation Corporation

10/05/17 / #20170281936

Convertible implantable stimulator

A convertible implantable stimulator that provides electrical stimulation therapy during an extended trial stimulation period (or permanently, if desired) in a fully implanted solution is disclosed. The convertible implantable stimulator preferably does not include an internal power supply and is therefore continuously powered by an external charger, such as a powering patch, in a first mode of operation. ... Boston Scientific Neuromodulation Corporation

10/05/17 / #20170281929

Neurostimulation lead with conductive elements and methods for making the same

A lead includes a ribbon cable comprising a distal end portion and a proximal end portion. The ribbon cable has a plurality of conductors disposed within an insulating body and a plurality of electrode apertures selectively disposed along the distal end portion of the insulating body. ... Boston Scientific Neuromodulation Corporation

10/05/17 / #20170281928

Optical stimulation implant

An implantable medical device for providing phototherapy to a patient's brain is disclosed. The device includes a housing containing a light source for providing phototherapy to a patient. ... Boston Scientific Neuromodulation Corporation

10/05/17 / #20170281927

Skull-mounted optical implant

A skull-mountable medical device is disclosed. The device includes a housing containing a light source for providing phototherapy to a patient. ... Boston Scientific Neuromodulation Corporation

09/21/17 / #20170266455

Method and apparatus for interlocking stimulation parameters for neuromodulation

An example of a system for delivering neurostimulation may include a display and an interface control circuit. The interface control circuit may be configured to define a stimulation waveform according to which the neurostimulation is delivered. ... Boston Scientific Neuromodulation Corporation

09/21/17 / #20170266449

Automatic anode and cathode fractional control and location to selectively avoid dorsal root stimulation

A therapeutic neurostimulation system configured for providing therapy to a patient. The neurostimulation system comprises a neurostimulation lead having an array of electrodes arranged along a longitudinal axis configured for being implanted along a spinal cord of a patient, a neurostimulation device configured for delivering electrical stimulation energy to active ones of the electrode array, and control/processing circuitry for instructing the neurostimulation device to configure an active electrode as a cathode, and two active electrodes longitudinally flanking and laterally offset from the cathode as anodes, selecting a ratio of stimulation amplitude values for the two anodes based on a known longitudinal location of the implanted neurostimulation lead relative to the spinal cord, and instructing the neurostimulation device to distribute the electrical stimulation energy between the two anodes in accordance with the selected stimulation amplitude value ratio.. ... Boston Scientific Neuromodulation Corporation

09/21/17 / #20170266447

Neuromodulation using modulated pulse train

A neuromodulation system comprises a plurality of electrical terminals configured for being respectively coupled to a plurality of electrodes, a user interface configured for receiving input from a user that selects one of a plurality of different shapes of a modulating signal and/or selects one of a plurality of different electrical pulse parameters of an electrical pulse train, neuromodulation output circuitry configured for outputting an electrical pulse train to the plurality of electrical terminals, and pulse train modulation circuitry configured for modulating the electrical pulse train in accordance with the selected shape of the modulating signal and/or selected electrical pulse parameter of the electrical pulse train.. . ... Boston Scientific Neuromodulation Corporation

09/14/17 / #20170259078

Implantable optical stimulation leads and methods of making and using

An optical stimulation lead including a lead body including a distal portion and a proximal portion; an optical fiber disposed within the lead body to emit light from a distal portion of the optical fiber; and at least one flex zone disposed along the distal portion of the lead body. Each flex zone includes an elastomeric structure that is made of a flexible material different from the lead body. ... Boston Scientific Neuromodulation Corporation

09/14/17 / #20170259062

Enhanced dorsal horn stimulation using multiple electrical fields

A method of providing therapy to a patient having a medical condition comprises delivering electrical stimulation energy to the spinal cord of the patient in accordance with a stimulation program that preferentially stimulates dorsal horn neuronal elements over dorsal column neuronal elements in the spinal cord. The delivered electrical stimulation energy generates a plurality of electrical fields having different orientations that stimulate the dorsal horn neuronal elements.. ... Boston Scientific Neuromodulation Corporation

09/14/17 / #20170258419

System to detect lead location from medical image

An external control system for use with a neurostimulation device and at least one neurostimulation lead implanted within the tissue of a patient is provided. The external control system comprises a user interface configured for receiving input from a user, output circuitry configured for communicating with the neurostimulation device, and control/processing circuitry configured for receiving a medical image of the neurostimulation lead(s) relative to an anatomical structure, processing the medical image to detect the location of the neurostimulation lead(s) relative to the anatomical structure, generating a set of stimulation parameters based on the user input and the detected location of the neurostimulation lead(s) relative to the anatomical structure, and directing the output circuitry to transmit instructions to the neurostimulation device to convey electrical stimulation energy in accordance with the stimulation parameter set.. ... Boston Scientific Neuromodulation Corporation

09/07/17 / #20170252570

Systems and methods for communication during remote programming

A system or method for programming an electrical stimulation system can utilize any combination of a number of aids to facilitate communication between the patient and the programmer or clinician. For example, a three dimensional model or two dimensional representation of the human body or portion of the human body can be used by the patient to indicate sites of symptoms, stimulation effects or side effects. ... Boston Scientific Neuromodulation Corporation

08/31/17 / #20170246454

Lead anchor for an electrical stimulation system

A lead anchor includes an anchor body having a band section, guide members and a support section. The guide members and the support section are spaced apart from each other and define a band channel. ... Boston Scientific Neuromodulation Corporation

08/24/17 / #20170239486

Clinical guidance user interfaces for neurostimulator programming

An example of a system may include a processor and a memory device comprising instructions, which when executed by the processor, cause the processor to receive, in a graphical user interface, a clinician input of physiological information and therapy information for neurostimulation treatment of a human subject using a neurostimulation device, and request a neurostimulation program corresponding to the physiological information and the therapy information from a remote programming guidance information system. For example, program data of a neurostimulation program may be provided from the programming guidance information system, selected on the basis of a best match to the physiological information and the therapy information. ... Boston Scientific Neuromodulation Corporation

08/24/17 / #20170239462

Electrical stimulation cuff devices and systems

An electrical stimulation lead includes a stimulation cuff having an exterior surface and an interior surface that defines a nerve channel having a nerve channel axis. A plurality of electrodes are disposed on the interior surface of the cuff. ... Boston Scientific Neuromodulation Corporation

08/17/17 / #20170232265

Monitoring electrode voltages in an implantable medical device system having daisy-chained electrode-driver integrated circuits

Electrode voltage monitoring circuitry for an implantable neurostimulator system having a plurality of electrode-driver integrated circuits (ics) in provided. Electrodes from either or both ics can be chosen to provide stimulation, and one of the ic acts as the master while the other acts as the slave. ... Boston Scientific Neuromodulation Corporation

08/17/17 / #20170232264

Micro extension connector for electrical stimulation systems

An electrical stimulation system includes a lead having lead conductors, electrodes, a lead extension having conductors, and terminals. The system includes a connector having a first and second connection elements that each have sealing members and contacts at least partially disposed within the sealing members. ... Boston Scientific Neuromodulation Corporation

08/10/17 / #20170228510

Overlay graphical user interface for medical devices

Disclosed in some examples are methods, systems, and machine readable mediums for operation of an overlay graphical user interface (gui). The overlay gui controls a neurostimulation system by translating inputs entered into the overlay gui into commands that are sent as inputs to the standard gui of the standard neurostimulation configuration application. ... Boston Scientific Neuromodulation Corporation

08/10/17 / #20170225007

Implantable optical stimulation lead and methods of making and using

An optical stimulation lead includes a lead body including a distal end, a distal portion, and a proximal portion; and an optical assembly attached to the distal end of the lead body. The optical assembly includes a light emitter; a feedthrough assembly including at least one ceramic block, at least one feedthrough pin extending through the at least one ceramic block and electrically coupled to the light emitter, and a metal housing attached to the at least one ceramic block; a metal tube attached to the feedthrough assembly and disposed around the light emitter; and an emitter cover disposed over the light emitter and coupled to the metal tube.. ... Boston Scientific Neuromodulation Corporation

08/10/17 / #20170224999

Method for automation of therapy-based programming in a tissue stimulator user interface

A method for programming a neurostimulator includes automatically performing a series of steps. One or more control elements may be actuated to select the series of steps from a plurality of series of steps stored in a memory of an external control device. ... Boston Scientific Neuromodulation Corporation

08/10/17 / #20170224982

Slotted sleeve neurostimulation device

An electrical stimulation lead for a target nerve includes a sleeve having an inner surface and an outer surface, the inner surface defines a nerve channel. A longitudinal slit extends from the outer surface to the nerve channel and along an entire length of the sleeve. ... Boston Scientific Neuromodulation Corporation

08/03/17 / #20170216604

Systems and methods for making and using connector contact arrays for electrical stimulation systems

A connector for an implantable electrical medical device includes an elongated connector body; a connector lumen to receive a lead or lead extension; a non-conductive carrier disposed in the connector body and including at least two rails extending parallel to the connector lumen and pairs of contact holders spaced-apart along the rails; contacts with each contact disposed between one of the pairs of contact holders; and connector conductors coupled to the contacts. Instead of carrier and contacts, the connector can include contact assemblies, each contact assembly including a non-conductive contact carrier defining two nodes, and two contacts, each contact disposed in one of the two nodes, each contact including a coil and a sheath disposed around at least a portion of the coil. ... Boston Scientific Neuromodulation Corporation

08/03/17 / #20170216600

Architectures for an implantable stimulator device having a plurality of electrode driver integrated circuits with shorted electrode outputs

Disclosed is a new architecture for an ipg having a master and slave electrode driver integrated circuits. The electrode outputs on the integrated circuits are wired together. ... Boston Scientific Neuromodulation Corporation








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