MULTI-SITE CRANIAL STIMULATION METHOD AND SYSTEM

• US 20110190846A1
• Filed: 10/13/2009
• Published: 08/04/2011
• Est. Priority Date: 08/13/2008
• Status: Active Grant

• Current Assignee: Starlab Barcelona S.L.
• Original Assignee: Starlab Barcelona S.L.
• Inventors: Grau, Carles, Ruffini, Giulio, Farres, Esteve
• Granted Patent: US 8,660,649 B2
• Time in Patent Office: Days
• US Class Current: 607/45
• CPC Class Codes: A61B 5/369 Electroencephalography [EEG] devices for psychotechnics A61B5/16
• CPC Class Codes: A61M 2021/0055 with electric or electro-magnetic fields
• CPC Class Codes: A61M 2021/0072 with application of electrical currents
• CPC Class Codes: A61M 21/00 Other devices or methods to cause a change in the state of consciousness; Devices for producing or ending sleep by mechanical, optical, or acoustical means, e.g. for hypnosis
• CPC Class Codes: A61M 2205/3569 sublocal, e.g. between console and disposable
• CPC Class Codes: A61M 2205/3592 using telemetric means, e.g. radio or optical transmission
• CPC Class Codes: A61M 2205/8206 battery-operated
• CPC Class Codes: A61M 2230/10 Electroencephalographic signals
• CPC Class Codes: A61N 1/0529 Electrodes for brain stimulation
• CPC Class Codes: A61N 1/0531 Brain cortex electrodes
• CPC Class Codes: A61N 1/36014 External stimulators, e.g. with patch electrodes external pacemakers A61N1/3625
• CPC Class Codes: A61N 1/36017 with leads or electrodes penetrating the skin
• CPC Class Codes: A61N 1/36025 for treating a mental or cerebral condition

Abstract

The method includes applying individual stimuli to different regions of a brain the application of specific stimulus signals to corresponding stimulation elements arranged adjacent to the regions of the brain. The method includes constructing one or more simplified models of the brain, or of one or more sectors of the brain, considering the brain or the sector thereof, as appropriate, as a non-linear coupled oscillating system, and includes determining the stimulus signals so that the latter are suitable for exciting one or more natural vibration modes of the non-linear coupled oscillating system. The system includes stimulation elements (E1, E2 . . . En) arranged adjacent to regions of a brain, and an electronic system in connection with the stimulation elements (E1, E2 . . . En) and intended for applying thereto corresponding stimulus signals and for determining same by applying the proposed method.

Claims

1-35. -35. (canceled)

36. A multi-site cranial stimulation method, comprising applying individual stimuli to different regions of a brain by means of the application of specific stimulus signals to corresponding stimulation elements arranged adjacent to said regions of said brain, wherein the method comprises constructing at least one simplified model of the brain or of a sector thereof, considering the brain or said sector thereof as a non-linear coupled oscillating system, and in that it comprises determining said stimulus signals so that they are suitable for exciting at least one natural vibration mode of said non-linear coupled oscillating system.

37. The method according to claim 36, wherein the method comprises performing said application of said stimulus signals in a manner coordinated in space and time.

38. The method according to claim 37, wherein the method comprises simultaneously applying at least part of said stimulus signals to produce the excitation of at least one natural vibration mode of the brain or of said section thereof by means of the application of said stimulus signals.

39. The method according to claim 37, wherein said regions to be stimulated extend substantially throughout the cerebral cortex of said brain

40. The method according to claim 36, wherein the method comprises monitoring the brain activity of said brain and controlling said stimulation by means of varying said stimulus signals depending on one or more signals obtained as a result of said monitoring, or the monitored signals.

41. The method according to claim 36, wherein the method comprises independently controlling the phase, frequency and amplitude of each of said stimulus signals to consequently vary the phase, frequency, and amplitude of the induced electric signals.

42. The method according claim 36, wherein the method comprises constructing a plurality of said simplified models for a corresponding plurality of sections of the brain, and in that it comprises determining and controlling said stimulus signals so that they are suitable for selectively exciting one or more natural vibration modes of one or more of the non-linear coupled oscillating systems corresponding to said simplified models of said sections of the brain.

43. The method according to claim 36, wherein said cranial stimulation is a stimulation from the group formed by the following types of stimulation:

multi-site transcranial magnetic stimulation, said stimulation elements being magnetic coils or emitters suitable for generating magnetic fields depending on the electric signal stimulus applied to them;

transcranial electrical stimulation wherein said stimulation elements used are noninvasive; and

intracranial electrical stimulation wherein said stimulation elements used are of the invasive type.

44. The method according claim 36, wherein the method comprises focusing the individual stimuli by means of a first step, or a guiding step, in which the stimulus signals to be applied to the stimulation elements are determined and controlled depending on the brain region with respect to which they are arranged adjacently, and the mentioned focusing is improved by means of a second step, or calibrating or adjusting step, in which said variation of the stimulus signals is carried out according to the monitored signals.

45. The method according claim 40, wherein the method comprises using one or more analysis techniques applied to said monitored signals to distinguish between the electric signals induced by the stimuli and natural bioelectric signals or response signals to said stimuli.

46. The method according to claim 45, wherein said analysis techniques are at least a technique from the group comprising the following techniques:

frequency separation technique, time separation technique and tomography technique, or a combination thereof.

47. The method according to claim 40, wherein the method comprises using spread spectrum techniques applied to said monitored signals to identify the activity associated with the stimulation in each stimulation element.

48. The method according to claim 45, wherein the method comprises associating a marking signal to each of the stimulus signals to improve the location of each signal induced by the application thereof, and to improve said distinction between the electric signals induced by the stimuli and the response signals to said stimuli upon analyzing the monitored signals.

49. The method according to claim 36, wherein the method comprises carrying out said determination of said stimulus signals from the calculation of the currents generated in a bipolar manner between two of said stimulation elements upon applying specific stimulus signals to them, and using superpositioning techniques for the calculation of generated multi-site currents.

50. The method according to claim 36, wherein the method comprises determining said stimulus signals to suppress a specific brain activity.

51. A multi-site cranial stimulation system which comprises:

a plurality of stimulation elements (E1, E2 . . . En) arranged adjacent to a corresponding plurality of different regions of a brain,

an electronic system in connection with said plurality of stimulation elements (E1, E2 . . . En) and provided for applying thereto corresponding stimulus signals for the purpose of individually stimulating said plurality of regions of said brain,

wherein said electronic system comprises at least one processing unit with access to at least one simplified model of the brain or of a sector thereof, being considered to be a non-linear coupled oscillating system, and provided for determining said stimulus signals so that they are suitable for exciting at least one natural vibration mode of said non-linear coupled oscillating system.

52. The system according to claim 51, wherein the system comprises a series of electrophysiological sensors (S1, S2 . . . Sn) arranged adjacent to specific regions of the brain and in connection with said processing unit of said electronic system for monitoring the brain activity of said brain.

53. The system according to claim 52, wherein said electronic system comprises at least one local system (SCM) supported by a support which also supports said stimulation elements (E1, E2 . . . En) and said electrophysiological sensors (S1, S2 . . . Sn), said support being configured to be attached on the head of a patient (H), positioning the stimulation elements (E1, E2 . . . En) and sensors (51, S2 . . . Sn) in the mentioned regions adjacent to said specific regions of the brain.

54. The system according to claim 53, wherein said local electronic system (SCM) comprises on-board data storage.

55. The system according to claim 53, wherein said local electronic system (SCM) comprises a communications module suitable for communicating wirelessly with a remote electronic system (SR) comprised by said electronic system.