Implantable pulse generator that generates spinal cord stimulation signals for a human body

• US 10,226,628 B2
• Filed: 04/28/2017
• Issued: 03/12/2019
• Est. Priority Date: 03/15/2013
• Status: Active Grant

• Current Assignee: Cirtec Medical Corp.
• Original Assignee: Cirtec Medical Corp.
• Inventors: Khalil, Saif, Angara, Raghavendra, Curtis, Miles, Biele, Christopher, Fellmeth, Daniel
• Primary Examiner(s): Stice, Paula J
• Application Number:
  US15/581,178
• Publication Number:
  US 20170291029A1
• Time in Patent Office: 683 Days
• Field of Search: 607 46
• CPC Class Codes: A61N 1/025 Digital circuitry features of electrotherapy devices, e.g. memory, clocks, processors
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes
• CPC Class Codes: A61N 1/0553 Paddle shaped electrodes, e.g. for laminotomy
• CPC Class Codes: A61N 1/0558 Anchoring or fixation means therefor
• CPC Class Codes: A61N 1/36062 Spinal stimulation
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/36125 Details of circuitry or electric components
• CPC Class Codes: A61N 1/36178 Burst or pulse train parameters
• CPC Class Codes: A61N 1/37229 Shape or location of the implanted or external antenna
• CPC Class Codes: A61N 1/37235 Aspects of the external programmer
• CPC Class Codes: A61N 1/37241 providing test stimulations
• CPC Class Codes: A61N 1/3752 Details of casing-lead connections
• CPC Class Codes: A61N 1/3787 from an external energy source

Abstract

An implantable pulse generator (IPG) that generates spinal cord stimulation signals for a human body has a programmable signal generator that can generate the signals based on stored signal parameters without any intervention from a processor that controls the overall operation of the IPG. While the signal generator is generating the signals the processor can be in a standby mode to substantially save battery power.

Claims

1. A spinal cord stimulation system comprising:

an implantable pulse generator;

a plurality of electrodes for delivering electrical pulses to a patient;

a plurality of leads connecting the plurality of electrodes to the implantable pulse generator; and

an application-specific integrated circuit (ASIC) contained within the implantable pulse generator, the ASIC further comprising;

a control register bank;

a digital controller electronically coupled to the control register bank;

a current digital to analog converter block electronically coupled to the digital controller; and

an electrode driver block electronically coupled to the current digital to analog converter block,

wherein the plurality of electrodes receive current from the electrode driver block to produce the electrical pulses, with at least two electrodes of the plurality of electrodes being associated with at least one channel, and

wherein the at least one channel is active or inactive depending on channel arbitration performed by the digital controller.

2. The spinal cord stimulation system of claim 1, further comprising a microcontroller configured to electronically communicate with the ASIC via a communications interface.

3. The spinal cord stimulation system of claim 1, wherein the digital controller comprises a channel arbitrator configured to perform channel arbitration.

4. The spinal cord stimulation system of claim 3, wherein the at least one channel comprises a first channel and a second channel, and wherein channel arbitration includes providing precedence of the first channel over the second channel.

5. The spinal cord stimulation system of claim 3, wherein the digital controller further comprises one or more timing generators.

6. The spinal cord stimulation system of claim 1, wherein the at least two electrodes comprise a first electrode and a second electrode and wherein the electrode driver block comprises circuitry to activate a first current source or a first current sink for the first electrode and the electrode driver block comprises circuitry to active a second current source or a second current sink for the second electrode.

7. The spinal cord stimulation system of claim 6, wherein the electrode driver block receives a biphasic pulse train.

8. The spinal cord stimulation system of claim 7, wherein the first current source and the second current sink are active during a first phase of the biphasic pulse train and the first current sink and the second current source are active during a second phase of the biphasic pulse train.

9. The spinal cord stimulation system of claim 1, further comprising an analog multiplexer.

10. The spinal cord stimulation system of claim 9, further comprising an electrode multiplexer.

11. An application-specific integrated circuit (ASIC) for use in a spinal cord stimulation system and for cooperating with a microcontroller in the spinal cord simulation system, the ASIC further comprising:

a communications interface configured to electronically communicate with the microcontroller;

a control register bank;

a digital controller electronically coupled to the control register bank;

a current digital to analog converter block electronically coupled to the digital controller; and

an electrode driver block electronically coupled to the current digital to analog converter block and configured to provide current to at least two electrodes of a plurality of electrodes, and

wherein the at least two electrodes makes up at least one channel and the at least one channel is active or inactive depending on channel arbitration performed by the digital controller.

12. The ASIC of claim 11, wherein the digital controller comprises a channel arbitrator configured to perform channel arbitration.

13. The ASIC of claim 12, wherein channel arbitration includes providing precedence of a first channel over a second channel.

14. The ASIC of claim 12, wherein the digital controller further comprises one or more timing generators.

15. The ASIC of claim 11, wherein the electrode driver block comprises circuitry to activate a current source or a current sink.

16. The ASIC of claim 15, wherein the electrode driver block receives a biphasic pulse train.

17. The ASIC of claim 16, wherein the current source is active during a first phase of the biphasic pulse train and the current sink is active during a second phase of the biphasic pulse train.

18. The ASIC of claim 11, further comprising an analog multiplexer.

19. The ASIC of claim 18, further comprising an electrode multiplexer.