Patents by Inventor Stephen CARCIERI

Stephen CARCIERI has filed for patents to protect the following inventions. This listing includes patent applications that are pending as well as patents that have already been granted by the United States Patent and Trademark Office (USPTO).

  • Publication number: 20220176135
    Abstract: Methods and systems can facilitate visualizing cathodic and anodic stimulation separately. Alternately, the methods and systems may separately visualize stimulation of different neural elements, such as nerve fibers and neural cells. These methods and systems can further facilitate programming an electrical stimulation system for stimulating patient tissue.
    Type: Application
    Filed: March 1, 2022
    Publication date: June 9, 2022
    Inventors: Stephen Carcieri, Vikrant Venkateshwar Gunna Srinivasan, Chirag Shah, Peter J. Yoo, Michael A. Moffitt, Sridhar Kothandaraman
  • Patent number: 11298553
    Abstract: Methods and systems can facilitate identifying effective electrodes and other stimulation parameters, as well as determining whether to use cathodic and anodic stimulation. Alternately, the methods and systems may identify effective electrodes and other stimulation parameters based on preferential stimulation of different types of neural elements. These methods and systems can further facilitate programming an electrical stimulation system for stimulating patient tissue.
    Type: Grant
    Filed: April 26, 2019
    Date of Patent: April 12, 2022
    Assignee: Boston Scientific Neuromodulation Corporation
    Inventors: Michael A. Moffitt, Stephen Carcieri
  • Patent number: 11298545
    Abstract: An example of a system for delivering neurostimulation may include a programming control circuit and a user interface. The programming control circuit may be configured to generate stimulation parameters controlling delivery of neurostimulation pulses according to one or more stimulation waveforms associated with areas of stimulation each defined by a set of electrodes. The neurostimulation pulses are each delivered to an area of stimulation. The user interface may include a display screen and an interface control circuit. The interface control circuit may be configured to define the one or more stimulation waveforms and the areas of stimulation, and may include a stimulation frequency module configured to display a stimulation rate table on the display screen. The stimulation rate table may present stimulation frequencies associated with each of the areas of stimulation for selection by a user.
    Type: Grant
    Filed: December 23, 2019
    Date of Patent: April 12, 2022
    Assignee: Boston Scientific Neuromodulation Corporation
    Inventors: Stephen Carcieri, Michael A. Moffitt, Peter J. Yoo, Dennis Allen Vansickle, Sridhar Kothandaraman, Michael Andrew Caruso, Dean Chen
  • Patent number: 11285329
    Abstract: Methods and systems can facilitate visualizing cathodic and anodic stimulation separately. Alternately, the methods and systems may separately visualize stimulation of different neural elements, such as nerve fibers and neural cells. These methods and systems can further facilitate programming an electrical stimulation system for stimulating patient tissue.
    Type: Grant
    Filed: April 26, 2019
    Date of Patent: March 29, 2022
    Assignee: Boston Scientific Neuromodulation Corporation
    Inventors: Stephen Carcieri, Vikrant Venkateshwar Gunna Srinivasan, Chirag Shah, Peter J. Yoo, Michael A. Moffitt, Sridhar Kothandaraman
  • Publication number: 20220054843
    Abstract: A neurostimulation system comprising stimulation output circuitry configured for delivering stimulation pulses to target tissue in accordance with a set of stimulation parameters.
    Type: Application
    Filed: October 11, 2021
    Publication date: February 24, 2022
    Inventor: Stephen Carcieri
  • Publication number: 20210387006
    Abstract: A system for adjusting neuromodulation parameters used by a neuromodulator operably connected to a plurality of electrodes to modulate a neural target, may comprise a translation trigger detector configured to determine that a translation trigger has occurred, a first parameter setting storage configured to store first parameter settings for use by the neuromodulator to modulate the neural target, and a neuromodulation parameter translator. The neuromodulation parameter translator may be operably connected to the translation trigger detector to automatically translate the first parameter settings into a second parameter settings in response to determining the translation trigger has occurred, and replace the first parameter settings with the second parameter settings, or store the second parameter settings in a second parameter setting storage.
    Type: Application
    Filed: August 30, 2021
    Publication date: December 16, 2021
    Inventors: Richard Mustakos, Stephen Carcieri, Chirag Shah, Peter J. Yoo
  • Patent number: 11195609
    Abstract: This document discusses, among other things, systems and methods for delivering electrostimulation to specific tissue of a patient. An example of a system can receive a three-dimensional voxelized model representing a plurality of regions each specified as a target region or an avoidance region. The system includes control circuitry to determine a metric value using the voxelized model. The metric value indicates a clinical effect of electrostimulation on the plurality of regions according to a stimulation current and a current fractionalization. The control circuitry can determine a desired stimulation current that results in a first metric value satisfying a clinical effect condition. The system can generate a stimulation configuration including the desired stimulation current and the current fractionalization corresponding to the first metric value, and deliver tissue stimulation according to the stimulation configuration.
    Type: Grant
    Filed: December 13, 2018
    Date of Patent: December 7, 2021
    Assignee: Boston Scientific Neuromodulation Corporation
    Inventors: Richard Mustakos, Tianhe Zhang, G. Karl Steinke, Stephen Carcieri
  • Publication number: 20210361947
    Abstract: A system or method for identifying sets of stimulation parameters can include receiving at least one image of a region of a patient; registering the at least one image with an anatomical or physiological atlas that identifies different anatomical or physiological structures; identifying a desired stimulation region using the at least one image; comparing the desired stimulation region with each of a plurality of predetermined estimated stimulation regions, where each of the estimated stimulation regions is a calculated estimate of a stimulation volume for a corresponding set of electrical stimulation parameters; selecting one of the predetermined estimated stimulation regions based on the comparing; and providing the corresponding set of electrical stimulation parameters for the selected one of the predetermined estimated stimulation regions to a user or an electrical stimulation device.
    Type: Application
    Filed: August 4, 2021
    Publication date: November 25, 2021
    Inventors: Stephen Carcieri, G. Karl Steinke, Richard Mustakos
  • Patent number: 11160981
    Abstract: A system or method for identifying sets of stimulation parameters can include receiving at least one image of a region of a patient; registering the at least one image with an anatomical or physiological atlas that identifies different anatomical or physiological structures; identifying a desired stimulation region using the at least one image; comparing the desired stimulation region with each of a plurality of predetermined estimated stimulation regions, where each of the estimated stimulation regions is a calculated estimate of a stimulation volume for a corresponding set of electrical stimulation parameters; selecting one of the predetermined estimated stimulation regions based on the comparing; and providing the corresponding set of electrical stimulation parameters for the selected one of the predetermined estimated stimulation regions to a user or an electrical stimulation device.
    Type: Grant
    Filed: August 9, 2019
    Date of Patent: November 2, 2021
    Assignee: Boston Scientific Neuromodulation Corporation
    Inventors: Stephen Carcieri, G. Karl Steinke, Richard Mustakos
  • Patent number: 11123563
    Abstract: A system for adjusting neuromodulation parameters used by a neuromodulator operably connected to a plurality of electrodes to modulate a neural target, may comprise a translation trigger detector configured to determine that a translation trigger has occurred, a first parameter setting storage configured to store first parameter settings for use by the neuromodulator to modulate the neural target, and a neuromodulation parameter translator. The neuromodulation parameter translator may be operably connected to the translation trigger detector to automatically translate the first parameter settings into a second parameter settings in response to determining the translation trigger has occurred, and replace the first parameter settings with the second parameter settings, or store the second parameter settings in a second parameter setting storage.
    Type: Grant
    Filed: April 26, 2019
    Date of Patent: September 21, 2021
    Assignee: Boston Scientific Neuromodulation Corporation
    Inventors: Richard Mustakos, Stephen Carcieri, Chirag Shah, Peter J. Yoo
  • Publication number: 20210162224
    Abstract: 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.
    Type: Application
    Filed: February 8, 2021
    Publication date: June 3, 2021
    Inventors: Stephen Carcieri, Dean Chen, Michael A. Moffitt
  • Publication number: 20210113844
    Abstract: An example of a system for delivering neurostimulation may include a programming control circuit and a stimulation control circuit. The programming control circuit may be configured to generate stimulation parameters controlling delivery of the neurostimulation according to a stimulation configuration. The stimulation control circuit may be configured to specify the stimulation configuration, and may include volume definition circuitry and stimulation configuration circuitry. The volume definition circuitry may be configured to determine one or more test volumes, determine a clinical effect resulting from the one or more test volumes each being activated by the neurostimulation, and determine a target volume using the determined clinical effect. The stimulation configuration circuitry may be configured to generate the specified stimulation configuration for activating the target volume.
    Type: Application
    Filed: December 30, 2020
    Publication date: April 22, 2021
    Inventors: Tianhe Zhang, Michael A. Moffitt, Richard Mustakos, Stephen Carcieri
  • Patent number: 10960214
    Abstract: A system for programming electrical stimulation by a lead includes a processor coupled to a display. The processor presents an interface on the display with user-selectable controls to define stimulation fields and repeating stimulation patterns for delivering the stimulation fields temporally-coordinated with each other. The user-selectable controls include a field control to define the number of stimulation fields, a location control to define locations of the stimulation fields relative to the lead, a repetition control to define a repetition frequency of the stimulation patterns, and a temporal-adjustment control to define temporal adjustments of the stimulation fields.
    Type: Grant
    Filed: July 30, 2018
    Date of Patent: March 30, 2021
    Assignee: Boston Scientific Neuromodulation Corporation
    Inventors: G. Karl Steinke, Stephen Carcieri, Richard Mustakos, Hemant Bokil
  • Patent number: 10946201
    Abstract: 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.
    Type: Grant
    Filed: February 25, 2019
    Date of Patent: March 16, 2021
    Assignee: Boston Scientific Neuromodulation Corporation
    Inventors: Stephen Carcieri, Dean Chen, Michael A. Moffitt
  • Publication number: 20210069512
    Abstract: 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: access a patient metric of a subject; use the patient metric as an input to a machine learning algorithm, the machine learning algorithm to search a plurality of neuromodulation parameter sets and to identify a candidate neuromodulation parameter set of the plurality of neuromodulation parameter sets, the candidate neuromodulation parameter set designed to produce a non-regular waveform that varies over a time domain and a space domain; and program a neuromodulator using the candidate neuromodulation parameter set to stimulate the subject.
    Type: Application
    Filed: September 21, 2020
    Publication date: March 11, 2021
    Inventors: Michael A. Moffitt, Natalie A. Brill, Jianwen Gu, Juan Gabriel Hincapie Ordonez, Changfang Zhu, Hemant Bokil, Stephen Carcieri
  • Patent number: 10905887
    Abstract: An example of a system for delivering neurostimulation may include a programming control circuit and a stimulation control circuit. The programming control circuit may be configured to generate stimulation parameters controlling delivery of the neurostimulation according to a stimulation configuration. The stimulation control circuit may be configured to specify the stimulation configuration, and may include volume definition circuitry and stimulation configuration circuitry. The volume definition circuitry may be configured to determine one or more test volumes, determine a clinical effect resulting from the one or more test volumes each being activated by the neurostimulation, and determine a target volume using the determined clinical effect. The stimulation configuration circuitry may be configured to generate the specified stimulation configuration for activating the target volume.
    Type: Grant
    Filed: February 22, 2018
    Date of Patent: February 2, 2021
    Assignee: Boston Scientific Neuromodulation Corporation
    Inventors: Tianhe Zhang, Michael A. Moffitt, Richard Mustakos, Stephen Carcieri
  • Patent number: 10842997
    Abstract: 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: access a patient metric of a subject; use the patient metric as an input to a machine learning algorithm, the machine learning algorithm to search a plurality of neuromodulation parameter sets and to identify a candidate neuromodulation parameter set of the plurality of neuromodulation parameter sets, the candidate neuromodulation parameter set designed to produce a non-regular waveform that varies over a time domain and a space domain; and program a neuromodulator using the candidate neuromodulation parameter set to stimulate the subject.
    Type: Grant
    Filed: August 23, 2016
    Date of Patent: November 24, 2020
    Assignee: Boston Scientific Neuromodulation Corporation
    Inventors: Michael A. Moffitt, Natalie A. Brill, Jianwen Gu, Juan Gabriel Hincapie Ordonez, Changfang Zhu, Hemant Bokil, Stephen Carcieri
  • Publication number: 20200129768
    Abstract: An example of a system for delivering neurostimulation may include a programming control circuit and a user interface. The programming control circuit may be configured to generate stimulation parameters controlling delivery of neurostimulation pulses according to one or more stimulation waveforms associated with areas of stimulation each defined by a set of electrodes. The neurostimulation pulses are each delivered to an area of stimulation. The user interface may include a display screen and an interface control circuit. The interface control circuit may be configured to define the one or more stimulation waveforms and the areas of stimulation, and may include a stimulation frequency module configured to display a stimulation rate table on the display screen. The stimulation rate table may present stimulation frequencies associated with each of the areas of stimulation for selection by a user.
    Type: Application
    Filed: December 23, 2019
    Publication date: April 30, 2020
    Inventors: Stephen Carcieri, Michael A. Moffitt, Peter J. Yoo, Dennis Allen Vansickle, Sridhar Kothandaraman, Michael Andrew Caruso, Dean Chen
  • Patent number: 10589104
    Abstract: 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.
    Type: Grant
    Filed: January 8, 2018
    Date of Patent: March 17, 2020
    Assignee: BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
    Inventors: Tianhe Zhang, G. Karl Steinke, Stephen Carcieri
  • Patent number: 10518093
    Abstract: 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. The interface may include a display screen and an interface control circuit. The interface control circuit may be configured to define the one or more stimulation waveforms, and may include an impedance presentation module. The impedance presentation module may be configured to determine values of impedances each between two electrodes of the plurality of electrodes for all of combinations of two electrodes available from the plurality of electrodes and display the determined values of impedances on the display screen.
    Type: Grant
    Filed: August 30, 2017
    Date of Patent: December 31, 2019
    Assignee: Boston Scientific Neuromodulation Corporation
    Inventors: Stephen Carcieri, Michael A. Moffitt, Peter J. Yoo, Dennis Allen Vansickle, Sridhar Kothandaraman, Michael Andrew Caruso, Dean Chen