Fractionalized stimulation pulses in an implantable stimulator device

• US 10,293,166 B2
• Filed: 09/07/2017
• Issued: 05/21/2019
• Est. Priority Date: 05/15/2008
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Parramon, Jordi, Carbunaru, Rafael, Haller, Matt I.
• Primary Examiner(s): Schaetzle, Kennedy
• Application Number:
  US15/698,038
• Publication Number:
  US 20170368355A1
• Time in Patent Office: 621 Days
• Field of Search: None
• CPC Class Codes: A61N 1/05 for implantation or insertion into the body, e.g. heart electrode A61N1/06 takes precedence
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/36125 Details of circuitry or electric components
• CPC Class Codes: A61N 1/36171 Frequency
• CPC Class Codes: A61N 1/36175 Pulse width or duty cycle
• CPC Class Codes: A61N 1/36178 Burst or pulse train parameters
• CPC Class Codes: A61N 1/37235 Aspects of the external programmer

Abstract

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. These pulses are reconstructed into fractionalized pulses, each comprised of pulse portions. The fractionalized pulses are applied to the corresponding electrodes on the device during a final duration, but the pulse portions of the fractionalized pulses are not simultaneously applied during the final duration.

Claims

1. An implantable medical device, comprising:

source circuitry configured to convert first stimulation parameters into a current that is sourced to a first electrode;

sink circuitry configured to convert second stimulation parameters into a current that is sunk from a second electrode; and

control logic configured to provide the first stimulation parameters to one of the source or sink circuitry, and to provide the second stimulation parameters to the other of the source or sink circuitry,

wherein the first stimulation parameters define a first group of a plurality of first pulses that occurs during a duration, wherein the plurality of first pulses have a first frequency of greater than or equal to 2,000 Hz within the first group, and

wherein the second stimulation parameters define a constant current during the duration.

2. The implantable medical device of claim 1, wherein the control logic is configured to provide a second frequency, wherein the first stimulation parameters thereby define during successive durations a plurality of first groups of the plurality of first pulses at the second frequency, and wherein the second stimulation parameters thereby define during the successive durations second pulses of the constant current at the second frequency.

3. The implantable medical device of claim 2, wherein, at times between the successive durations, no current is sourced or sunk from the source or sink circuitry.

4. The implantable medical device of claim 1, further comprising a receiver configured to wirelessly receive the first and second stimulation parameters from a device external to the implantable medical device.

5. The implantable medical device of claim 1, the first stimulation parameters define times in the first group between consecutive ones of the first pulses during which no current is sourced or sunk.

6. The implantable medical device of claim 1, wherein the control logic is configured to provide the first and second stimulation parameters within a single timing channel.

7. The implantable medical device of claim 1, wherein the first frequency is less than or equal to 10,000 Hz.

8. The implantable medical device of claim 1, wherein the source circuitry and the sink circuitry comprise constant current circuitry.

9. The implantable medical device of claim 1, further comprising first and second leads coupled to the implantable medical device, wherein the first and second electrodes are carried on one of the first and second leads, or wherein the first electrode is carried on the first lead and the second electrode is carried on the second lead.

10. The implantable medical device of claim 9, wherein the first and second leads are configured to be implanted on either side of a physiological midline of a patient'"'"'s spinal cord.

11. The implantable medical device of claim 9, wherein the first and second leads are configured to be positioned within an epidural space of a patient'"'"'s spinal cord.

12. The implantable medical device of claim 1, wherein the current that is sourced to the first electrode during the duration and the current that is sunk from the second electrode during the duration are equivalent in electrical charge.

13. The implantable medical device of claim 1, wherein the source or sink circuitry is further configured to convert third stimulation parameters into a current that is respectively sourced to or sunk from a third electrode.

14. The implantable medical device of claim 13, wherein the third stimulation parameters define a second group of a plurality of second pulses that occur during the duration.

15. The implantable medical device of claim 14, wherein the control logic is configured to provide the third stimulation parameters to the one of the source or sink circuitry to which the first stimulation parameters are provided, and wherein the second plurality of pulses are interleaved with the first plurality of pulses during the duration.

16. A method, comprising:

providing, with control circuitry in an implantable medical device, first stimulation parameters to one of source or sink circuitry in the implantable medical device and second stimulation parameters to the other of the source or sink circuitry, wherein the first stimulation parameters define a first group of a plurality of first pulses that occurs during a duration, wherein the plurality of first pulses have a first frequency of greater than or equal to 2,000 Hz within the first group, and wherein the second stimulation parameters define a constant current during the duration;

converting, with the source or sink circuitry, the first stimulation parameters into a current that is sourced to or sunk from a first electrode during the duration; and

converting, with the other of the source or sink circuitry, the second stimulation parameters into the constant current that is the other of is sourced to or sunk from a second electrode during the duration.

17. The method of claim 16, wherein the first stimulation parameters define during successive durations a plurality of first groups of the plurality of first pulses at a second frequency, and wherein the second stimulation parameters define during the successive durations second pulses of the constant current at the second frequency.

18. The method of claim 17, wherein, at times between the successive durations, no current is sourced or sunk from the source or sink circuitry.