Electrical stimulation system and method for stimulating multiple locations of target nerve tissue in the brain to treat multiple conditions in the body

• US 20060161219A1
• Filed: 01/18/2006
• Published: 07/20/2006
• Est. Priority Date: 11/20/2003
• Status: Abandoned Application

• Current Assignee: Advanced Neuromodulation Systems Incorporated (Abbott Laboratories Incorporated)
• Original Assignee: Advanced Neuromodulation Systems Incorporated (Abbott Laboratories Incorporated)
• Inventors: Mock, W. Alan, Chavez, Christopher G., Cameron, Tracy L., Erickson, John H.
• Application Number:
  US11/335,436
• Publication Number:
  US 20060161219A1
• Time in Patent Office: Days
• US Class Current: 607/45
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/36082 Cognitive or psychiatric applications, e.g. dementia or Alzheimer's disease
• CPC Class Codes: A61N 1/361 Phantom sensations, e.g. tinnitus

Abstract

An electrical stimulation system is provided for electrically stimulating nerve tissue in multiple locations in a person'"'"'s brain to treat multiple conditions in the person'"'"'s body. The system includes first electrodes and second electrodes adapted to be implanted within a person'"'"'s skull. The first electrodes are adapted to be positioned proximate first nerve tissue in the brain associated with a first condition in the person'"'"'s body for delivering electrical stimulation pulses to the first nerve tissue to treat the first condition. The second electrodes are adapted to be positioned proximate second nerve tissue in the brain associated with a second condition in the person'"'"'s body for delivering electrical stimulation pulses to the second nerve tissue to treat the second condition. The system also includes a stimulation source operable to generate the first electrical stimulation pulses according to one or more first stimulation programs for delivery to the first nerve tissue and to generate the second electrical stimulation pulses according to one or more second stimulation programs for delivery to the second nerve tissue.

Claims

1. An electrical stimulation system for electrically stimulating target nerve tissue at multiple locations in the brain to treat multiple conditions in the body, comprising:

one or more first electrodes adapted to be implanted inside a person'"'"'s skull and positioned proximate first target nerve tissue in the brain associated with a first condition in the person'"'"'s body and to deliver first electrical stimulation pulses to the first target nerve tissue according to one or more first stimulation programs to treat the first condition in the person'"'"'s body; and

one or more second electrodes adapted to be implanted inside a person'"'"'s skull and positioned proximate second target nerve tissue in the brain associated with a second condition in the person'"'"'s body and to deliver second electrical stimulation pulses to the second target nerve tissue according to one or more second stimulation programs to treat the second condition in the person'"'"'s body; and

a stimulation source operable to;

generate the first electrical stimulation pulses according to the one or more first stimulation programs for transmission to the one or more first electrodes to cause the one or more first electrodes to deliver the first electrical stimulation pulses to the first target nerve tissue to treat the first condition in the person'"'"'s body; and

generate the second electrical stimulation pulses according to the one or more second stimulation programs for transmission to the one or more second electrodes to cause the one or more second electrodes to deliver the second electrical stimulation pulses to the second target nerve tissue to treat the second condition in the person'"'"'s body.

2. The system of claim 1, wherein:

the first target nerve tissue in the brain comprises nerve tissue at a first location in the brain; and

the second target nerve tissue in the brain comprises nerve tissue at a second location in the brain different from the first location in the brain.

3. The system of claim 2, wherein the first target nerve tissue in the brain comprises nerve tissue associated with a first one of the following and the second target nerve tissue in the brain comprises nerve tissue associated with a second one of the following:

the frontal lobe;

the occipital lobe;

the parietal lobe;

the temporal lobe;

the cerebellum; and

the brain stem.

4. The system of claim 2, wherein the first target nerve tissue in the brain comprises nerve tissue associated with a first one of the following and the second target nerve tissue in the brain comprises nerve tissue associated with a second one of the following:

the primary auditory cortex;

the secondary auditory cortex;

the remote projection region;

Brodman'"'"'s area 41;

Brodman'"'"'s area 42;

Brodman'"'"'s area 22; and

Brodman'"'"'s area 52.

5. A method for electrically stimulating target nerve tissue in the brain to treat a condition in the body, comprising:

using a stimulation source to generate first electrical stimulation pulses according to one or more first stimulation programs for transmission to a plurality of first electrodes implanted inside the person'"'"'s skull to cause the first electrodes to deliver the first electrical stimulation pulses to the first target nerve tissue in the person'"'"'s brain associated with a first condition in the person'"'"'s body;

using the stimulation source to generate second electrical stimulation pulses according to one or more second stimulation programs for transmission to a plurality of second electrodes implanted inside the person'"'"'s skull to cause the second electrodes to deliver the second electrical stimulation pulses to the second target nerve tissue in the person'"'"'s brain associated with a second condition in the person'"'"'s body;

in response to receiving the first electrical stimulation pulses transmitted from the stimulation source, using the first implanted electrodes to deliver the first electrical stimulation pulses to the first target nerve tissue in the brain according to the one or more first stimulation programs to treat the first condition in the person'"'"'s body; and

in response to receiving the second electrical stimulation pulses transmitted from the stimulation source, using the second implanted electrodes to deliver the second electrical stimulation pulses to the second target nerve tissue in the brain according to the one or more second stimulation programs to treat the second condition in the person'"'"'s body.

6. The method of claim 5, wherein:

the first target nerve tissue in the brain correlates to a first painful region of the person'"'"'s body; and

the first electrical stimulation pulses are delivered to the first target nerve tissue in the brain to adjust a level of activity in the first target nerve tissue in the brain to provide pain relief to the first painful region of the person'"'"'s body.

7. The method of claim 6, wherein:

the second target nerve tissue in the brain correlates to a second painful region of the person'"'"'s body; and

the second electrical stimulation pulses are delivered to the second target nerve tissue in the brain to adjust a level of activity in the second target nerve tissue in the brain to provide pain relief to the second painful region of the person'"'"'s body.

8. The method of claim 5, wherein:

the first target nerve tissue is overactive; and

the first electrical stimulation pulses are delivered to the first target nerve tissue in the brain to decrease activity in the first target nerve tissue to treat the first condition in the person'"'"'s body.

9. The method of claim 5, wherein:

the first target nerve tissue is underactive; and

the first electrical stimulation pulses are delivered to the first target nerve tissue in the brain to increase activity in the first target nerve tissue to treat the first condition in the person'"'"'s body.

10. The method of claim 5, wherein the one or more first electrodes are implanted into an extradural region adjacent the brain.

11. The method of claim 5, wherein the first and second conditions in the person'"'"'s body are substantially unrelated.

12. The method of claim 5, wherein:

the first target nerve tissue in the brain comprises nerve tissue at a first location in the brain; and

the second target nerve tissue in the brain comprises nerve tissue at a second location in the brain different from the first location in the brain.

13. The method of claim 12, wherein the first target nerve tissue in the brain comprises nerve tissue associated with a first one of the following and the second target nerve tissue in the brain comprises nerve tissue associated with a second one of the following:

the frontal lobe;

the occipital lobe;

the parietal lobe;

the temporal lobe;

the cerebellum; and

the brain stem.

14. The method of claim 12, wherein the first target nerve tissue in the brain comprises nerve tissue associated with a first one of the following and the second target nerve tissue in the brain comprises nerve tissue associated with a second one of the following:

the primary auditory cortex;

the secondary auditory cortex;

the remote projection region;

Brodman'"'"'s area 41;

Brodman'"'"'s area 42;

Brodman'"'"'s area 22; and

Brodman'"'"'s area 52.

15. The method of claim 5, wherein:

each of the one or more first stimulation programs comprises one or more first stimulation sets, each first stimulation set specifying a plurality of first stimulation parameters; and

each of the one or more second stimulation programs comprises one or more second stimulation sets, each second stimulation set specifying a plurality of second stimulation parameters.

16. The method of claim 15, wherein:

the first stimulation parameters for a particular first stimulation set comprise a polarity for each of the one or more first electrodes at each of one or more times within a stimulation pulse for that particular first stimulation set; and

the second stimulation parameters for a particular second stimulation set comprise a polarity for each of the one or more second electrodes at each of one or more times within a stimulation pulse for that particular second stimulation set.

17. The method of claim 15, wherein:

at least one first stimulation set accomplishes electrical stimulation of the first target nerve tissue in the brain for treating the first condition in the person'"'"'s body; and

at least one other first stimulation set accomplishes electrical stimulation of the first target nerve tissue in the brain for modifying neuroplasticity.

18. The method of claim 17, wherein modifying neuroplasticity effects in the person'"'"'s brain comprises reducing neuroplasticity effects in the person'"'"'s brain.

19. The method of claim 17, wherein modifying neuroplasticity effects in the person'"'"'s brain comprises enhancing neuroplasticity effects in the person'"'"'s brain.

20. The method of claim 15, comprising using the stimulation source to generate, substantially concurrently with the generation of the first electrical stimulation pulses for treating the first condition in the person'"'"'s body, electrical stimulation pulses for transmission to the one or more first electrodes of the lead to cause the one or more first electrodes to deliver electrical stimulation pulses to the first target nerve tissue in the brain to treat neuroplasticity effects associated with the condition-treating electrical stimulation of the first target nerve tissue in the brain, the neuroplasticity-treating electrical stimulation being randomized about the condition-treating electrical stimulation, the neuroplasticity-treating electrical stimulation making it more difficult for the brain to dynamically reorganize itself to overcome effects of the condition-treating electrical stimulation;

wherein one or more first stimulation sets accomplish electrical stimulation of the first target nerve tissue in the brain for treating the first condition in the person'"'"'s body and one or more other first stimulation sets accomplish electrical stimulation of the first target nerve tissue in the brain for treating neuroplasticity, each condition-treating electrical stimulation set being separated from a next condition-treating electrical stimulation set by a number of neuroplasticity-treating stimulation sets that is greater than or equal to zero.