US 20140067354A1
(19) United States
(12) Patent Application Publication (10) Pub. No.: US 2014/0067354 A1
Kaula et al.
(54)
(71)
METHOD AND SYSTEM OF SUGGESTING
SPINAL CORD STIMULATION REGION
BASED ON PAIN AND STIMULATION MAPS
WITH A CLINICIAN PROGRAMMER
(43) Pub. Date:
Mar. 6, 2014
Publication Classi?cation
(51)
[UL Cl
G06F 19/00
(52)
US. Cl.
Applicant: Greatbatch Ltd" Clarence, NY (Us)
(2006.01)
CPC ................................ .. G06F19/3437(2013.01)
USPC
.......................................................... ..
703/11
(72) Inventors: Norbert Kaula, Arvada, CO (US);
Yohannes Iyassu, Denver, CO (U S)
(57)
(21) Appl' N05 13/973,268
The present disclosure involves a method of determining
_
(22)
_
Flled'
ABSTRACT
stimulation lead placements for a healthcare professional
Aug‘ 22’ 2013
. .
Related U's' Apphcatlon Data
With respect to an implant of a neurostimulator device in a
target patient. A human body model is provided. A pain map
is generated over the human body model in response to user
(60) Provisional application No. 61/695,425, ?led on Aug.
input. The pain map visually represents body regions of the
31, 2012, provisional application No. 61/695,407,
target patient that are experiencing pain. A dermatome map is
?led on Aug. 31, 2012, provisional application No.
61/695,721, ?led on Aug. 31, 2012, provisional appli
cation No. 61/695,676, ?led on Aug. 31, 2012, provi
sional application No. 61/824,296, ?led on May 16,
provided. The dermatome map includes a visual correlation
between regions of a human body and segments of a spinal
2013.
lator device are displayed in response to the comparing.
ff GE»)
cord. The pain map is compared With the dermatome map.
Recommendations regarding the implant of the neurostimu
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C6 C 7
Con
Fig. 2A-2
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110D
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K Fig. 2B-1
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350
355 \
HEALTHCARE PROFESSIONAL INSERTS
LEAD INTO PATIENT'S EPIDURAL SPACE
v=
HEALTHCARE PROFESSIONAL MOVES LEAD
ALONG SPINAL CORD AND TESTS PARAMETERS
I
365 \
PATIENT MAKES STIMULATION MAPS
FINISHED
MAPPING?
370
375 /
HEALTHCARE PROFESSIONAL SAVES
CUSTOM MAP DATA AND UPLOADS TO CLOUD
Fig. 8
400
405\ HEALTHCARE PROFESSIONAL COLLECTS DATA
410\ HEALTHCARE PROFESSIONAL UPLOADS DATA
415 /
DATA USED TO UPDATE
EXISTING DERMATOME MAPS
420 /
HEALTHCARE PROFESSIONAL ACCESSES
MAPS TO IDENTIFY IMPLANT DETAILS
Fig. 9
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430
’/
432\
USER ENTERS DATA
USER
AUTHORIZED TO UPDATE
DATABASE
?
V
436 /
UPLOAD DATA VIA
WiFi OR ETHERNET
EVENT RECORDED
LOCALLY ON CP \ 438
E
4 40
|
v‘
FINISH
Fig. 1 O
'i50
452 \ USER REQUESTS DATA
USER
AUTHORIZED TO ACCESS
DATABASE
V
456 /
DOWNLOAD DATA VIA
WiFi OR ETHERNET
ERROR
MESSAGE \ 458
<—|
460 /( FIN‘IVSH )
Fig. 11
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470
472 \
PATIENT EXPERIENCES PAIN
PATIENT
ALREADY HAS
LEADS AND PULSE
GENERATOR
YES
476 \
PATIENT/H EALTHCARE
PROFESSIONAL CREATES PAIN MAP
478 \
HEALTHCARE PROFESSIONAL INPUTS
PATIENT SPECIFICS TO PATIENT RECORD
I
I
480 \
STIMULATION REGION AND PARAMETERS
AUTOMATICALLY SUGGESTED
I
REGION AND PARAMETERS ADJUSTED
482 / USING PERSONAL EXPERIENCE/KNOWLEDGE
I
484 f
LEAD(S) IMPLANTED
v:
486 _/ HEALTHCARE PROFESSIONAL TRIES PULSES
PATIENT
PAIN RELIEVED
TO MAXIMUM
EXTENT
N
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500
505 \
510 \
@D
PROVIDE A HUMAN BODY MODEL
GENERATE, IN RESPONSE TO USER INPUT, A PAIN
MAP OVER THE HUMAN BODY MODEL, WHEREIN THE
PAIN MAP VISUALLY REPRESENTS BODY REGIONS OF
THE TARGET PATIENT THAT ARE EXPERIENCING PAIN
I
515 _/
PROVIDE A DERMATOME MAP, WHEREIN THE DERMATOME
MAP INCLUDES A VISUAL CORRELATION BETWEEN REGIONS
OF A HUMAN BODY AND SEGMENTS OF A SPINAL CORD
I
520 /
COMPARE THE PAIN MAP WITH THE DERMATOME MAP
I
DISPLAY RECOMMENDATIONS REGARDING THE IMPLANT OF THE
525 / NEUROSTIMULATOR DEVICE IN RESPONSE TO THE COMPARING
@
Fig. 13
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550
Ci)
RECEIVE A PLURALITY OF DERMATOME MAPS THAT ARE EACH
CUSTOMIZED TO A DIFFERENT PATIENT, WHEREIN EACH
555
DERMATOME MAP INCLUDES A VISUAL CORRELATION BETWEEN
\ REGIONS OF A HUMAN BODY AND SEGMENTS OF A SPINAL CORD,
AND WHEREIN EACH DERMATOME IS ASSOCIATED WITH A SET OF
PATIENT PHYSIOLOGICAL CHARACTERISTICS BUT IS DEVOID OF
PATIENT BIOGRAPHICAL IDENTIFICATION INFORMATION
I
560 \
ESTABLISH A DERMATOME MAP DATABASE BASED
ON THE PLURALITY OF RECEIVED DERMATOME MAPS
I
565 /
IDENTIFY A RECOMMENDED DERMATOME
MAP IN RESPONSE TO A USER REQUEST
I
570 f
SEND THE RECOMMENDED DERMATOME MAP TO
A REMOTE ELECTRONIC DEVICE OF THE USER
II
( FINISH )
Fig. 14
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