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EP-4699643-A3 - CONFIGURATION OF NEUROSTIMULATION ELECTRODES AND PARAMETERS

EP4699643A3EP 4699643 A3EP4699643 A3EP 4699643A3EP-4699643-A3

Abstract

A system for providing electrostimulation to a neural target of a patient, the system comprising: an implantable stimulator configured to provide electro stimulation to the neural target via a lead comprising a plurality of electrodes; and a controller device configured to: receive (i) electrode position information of the plurality of electrodes relative to an anatomical region of interest at or about the neural target and (ii) physiological signals respectively sensed by the plurality of electrodes; select, from the plurality of electrodes, distinct first and second sets of electrodes based on at least one of the electrode position information or the sensed physiological signals; determine a first reliability associated with the first set of electrodes, and a second reliability associated with the second set of electrodes; identify a search space of electrode configurations and parameter values based on (i) the selection of the first and the second sets of electrodes and (ii) the determined first and second reliabilities, the search space comprising a subset of the plurality of electrodes and stimulation parameter values or value ranges associated with the subset of electrodes; determine a target stimulation setting based at least in part on a clinical response to electrostimulation delivered using electrodes and stimulation parameter values from the identified search space; and generate a control signal to cause the implantable stimulator to deliver electrostimulation to the neural target in accordance with the determined target stimulation setting.

Inventors

  • MOORE, LISA DENISE
  • MALEKMOHAMMADI, Mahsa

Assignees

  • Boston Scientific Neuromodulation Corporation

Dates

Publication Date
20260513
Application Date
20220426