Technique for adjusting the locus of excitation of electrically excitable tissue

• US 20060079937A1
• Filed: 11/14/2005
• Published: 04/13/2006
• Est. Priority Date: 04/04/1996
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: King, Gary W., Baudino, Michael D., Leinders, Robert, Hrdlicka, Greg
• Granted Patent: US 7,657,318 B2
• Time in Patent Office: Days
• US Class Current: 607/2
• CPC Class Codes: A61N 1/0531 Brain cortex electrodes
• CPC Class Codes: A61N 1/0534 Electrodes for deep brain stimulation
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes
• CPC Class Codes: A61N 1/36017 with leads or electrodes penetrating the skin
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/36164 Sub-threshold or non-excitatory signals non-excitatory signals to the heart A61N1/3628
• CPC Class Codes: A61N 1/36167 Timing, e.g. stimulation onset

Abstract

The locus of electrically excitable tissue where action potentials are induced can be controlled using the physiological principle of electrotonus. In one embodiment, first and second pulses are applied to first and second electrodes, respectively, to generate first and second subthreshold potential areas, respectively, within the tissue. The locus within the tissue where action potentials are induced is determined by a superposition of the first and second subthreshold areas according to the physiological principle of electrotonus. In another embodiment, a two-dimensional array of electrodes are formed. The cathode may be positioned near the center of the two-dimensional array or may be left out. The first and second subthreshold areas may thereby be steered. An array of anodal rings may be used to contain the field of excitation.

Claims

1. An apparatus for inducing action potentials at an adjustable locus of electrically excitable tissue of an organism, comprising in combination:

(A) a plurality of electrodes forming an array adapted to be implanted adjacent to the tissue, the array having a first group of electrodes and a second group of electrodes, the second group of electrodes located at an outer position relative to the first group of electrodes;

(B) a first set of at least one electrode of the first group of electrodes capable of being driven with a first pulse, the first pulse having a pulse parameter to generate a first subthreshold potential area in the tissue;

(C) a second set of at least one electrode of the second group of electrodes capable of being driven with a second pulse, the second pulse having a pulse parameter to generate a second subthreshold potential in the tissue;

(D) a generator configured to provide the first and second pulses to the first and second sets to cause a steerable electric field; and

wherein a superposition of the first subthreshold potential area with the second subthreshold potential area results in a suprathreshold potential area of the adjustable locus where the action potentials are induced.

2. The apparatus of claim 1, wherein the first group of electrodes forms an inner ring of electrodes and the second group of electrodes forms an outer ring of electrodes.

3. The apparatus of claim 2, wherein the first group of electrodes that forms the inner ring are more cathodal with respect to the second group of electrodes that forms the outer ring thereby causing the steerable electric field to be contained within a certain region and causing outer tissue to be shielded from activation.

4. The apparatus of claim 1, wherein the apparatus further comprises in combination a metallic case, the metal case holding the generator and serving as the return electrode.

5. The apparatus of claim 1, wherein the first pulse and the second pulse are simultaneous in time.

6. The apparatus of claim 1, wherein the first pulse and second pulse are current pluses.

7. The apparatus of claim 1, wherein the first pulse and second pulse are voltage pulses.

8. The apparatus of claim 1, wherein the corresponding pulse parameter is selected from the group consisting of pulse width, pulse amplitude, pulse frequency, pulse rise time, pulse fall time, and pulse shape.

9. The apparatus of claim 1, wherein an increase of a first pulse width results in an increase of the first subthreshold area and an increase of the suprathreshold area toward the second set of electrodes.

10. The apparatus of claim 1, further comprising at least one return electrode capable of being disposed within the organism.

11. An apparatus for inducing action potentials at an adjustable locus of electrically excitable tissue of an organism, comprising in combination:

(A) a plurality of electrodes forming a two dimensional array adapted to be implanted adjacent to the tissue, the two dimensional array having a first group of electrodes and a second group of electrodes, the second group of electrodes being located at a more lateral position relative to the first group of electrodes;

(B) a first set of at least one electrode of the first group of electrodes capable of being driven with a first pulse, the first pulse having a pulse parameter to generate a first subthreshold potential area in the tissue;

(C) a second set of at least one electrode of the second group of electrodes capable of being driven with a second pulse, the second pulse having a pulse parameter to generate a second subthreshold potential in the tissue;

(D) a generator configured to provide the first and second pulses to the first and second sets to cause a steerable electric field; and

wherein a superposition of the first subthreshold potential area with the second subthreshold potential area results in a suprathreshold potential area of the adjustable locus where the action potentials are induced.

12. The apparatus of claim 11, further comprising at least one return electrode capable of being disposed within the organism.

13. The apparatus of claim 12, wherein the apparatus further comprises in combination a metallic case, the metal case holding the generator and serving as the at least one return electrode.

14. The apparatus of claim 11, wherein the first pulse and the second pulse are simultaneous in time.

15. The apparatus of claim 11, wherein the first pulse and second pulse are current pluses.

16. The apparatus of claim 11, wherein the first pulse and second pulse are voltage pulses.

17. The apparatus of claim 11, wherein the corresponding pulse parameter is selected from the group consisting of pulse width, pulse amplitude, pulse frequency, pulse rise time, pulse fall time, and pulse shape.

18. The apparatus of claim 11, wherein an increase of a first pulse width results in an increase of the first subthreshold area and an increase of the suprathreshold area toward the second set of electrodes.

19. An apparatus for inducing action potentials at an adjustable locus of electrically excitable tissue of an organism, comprising in combination:

(A) a plurality of electrodes forming an array adapted to be implanted adjacent to the tissue, the array having a first group of electrodes and a second group of electrodes, the first group of electrodes in an inner ring formation, the second group of electrodes in an outer ring formation;

(B) at least one electrode of the first group of electrodes capable of being driven with a first pulse, the first pulse having a first pulse width to generate a first subthreshold potential area in the tissue;

(D) at least one electrode of the second group of electrodes capable of being driven with a second pulse, the second pulse having a second pulse width to generate a second subthreshold potential in the tissue;

(E) a generator configured to provide the first and second pulses to cause a steerable electric field; and

wherein a superposition of the first subthreshold potential area with the second subthreshold potential area results in a suprathreshold potential area of the adjustable locus where the action potentials are induced.

20. The apparatus of claim 19, wherein the first pulse and the second pulse are simultaneous in time.

21. The apparatus of claim 19, wherein an increase of a first pulse width results in an increase of the first subthreshold area and an increase of the suprathreshold area toward the second group of electrodes.

22. The apparatus of claim 19, further comprising at least one return electrode capable of being disposed within the organism.