Current Steering Neurostimulator Device with Unidirectional Current Sources

• US 20120277822A1
• Filed: 04/29/2011
• Published: 11/01/2012
• Est. Priority Date: 04/29/2011
• Status: Active Grant

• Current Assignee: Cirtec Medical Corp.
• Original Assignee: Greatbatch Incorporated
• Inventors: Trier, Stephen C.
• Granted Patent: US 8,515,545 B2
• Time in Patent Office: Days
• US Class Current: 607/46
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/36125 Details of circuitry or electric components
• CPC Class Codes: A61N 1/36185 Selection of the electrode configuration

Abstract

The present disclosure provides a medical device that includes a neurostimulator. The neurostimulator includes one or more channels. Each channel includes a digitally-controlled switch coupled to a voltage source. The switch is in one of an “on” state and an “off” state in response to a first control signal. Each channel also includes a digitally-controlled current sink coupled to the switch. The current sink is coupled between the switch and the voltage source. The current sink draws a variable amount of electrical current in response to a second control signal. Each channel further includes a conductor coupled to the switch and the current sink. The conductor is configured to be coupled to an electrode that is operable to deliver the electrical current drawn by the current sink to a target tissue area.

Claims

1. An electrical stimulation apparatus, comprising:

a power source;

a programmable switch having a first terminal and a second terminal, wherein the first terminal is coupled to the power source;

a unidirectional current source coupled to the second terminal of the switch, the unidirectional current source having a tunable current level; and

a lead conductor coupled to the second terminal of the switch and the unidirectional current source, wherein the lead conductor is operable to deliver current drawn from the unidirectional current source through an electrode contact configured for contact with a living body.

2. The electrical stimulation apparatus of claim 1, wherein the power source includes a voltage source;

and wherein the electrode contact is implantable in the human body tissue and is detachably coupled to the lead conductor.

3. The electrical stimulation apparatus of claim 1, further including a protective component that is coupled between the electrode contact and the unidirectional current source.

4. The electrical stimulation apparatus of claim 3, wherein the protective component includes a direct current (DC) blocking capacitor.

5. The electrical stimulation apparatus of claim 1, wherein the apparatus is a neurostimulator device, the neurostimulator device further including a microcontroller that controls opening and closing of the switch and sets the current level of the unidirectional current source.

6. The electrical stimulation apparatus of claim 5, wherein the switch, the unidirectional current source, and the lead conductor are portions of a channel of the neurostimulator device;

and wherein the neurostimulator device includes a plurality of additional channels that can each deliver a variable amount of electrical stimulation to a different area of the body tissue in which the electrode contacts of the respective channels are implanted.

7. The electrical stimulation apparatus of claim 1, further including a charge balance switch coupled between the unidirectional current source and a common bus.

8. The electrical stimulation apparatus of claim 1, wherein the unidirectional current source includes a plurality of current mirrors that can each sink a different amount of current.

9. The electrical stimulation apparatus of claim 8, wherein the unidirectional current source further includes a plurality of current switches that are each coupled to a respective one of the current mirrors, and wherein in response to a control signal, the current switches can individually turn on to allow the respective current mirror to sink current, or turn off to prevent the respective current mirror from sinking current.

10. A medical device, comprising:

a neurostimulator that includes one or more channels, wherein each channel includes;

a digitally-controlled switch coupled to a voltage source, wherein the switch is in one of;

an “

on”

state and an “

off”

state in response to a first control signal;

a digitally-controlled current sink coupled to the switch in a manner such that the switch is coupled between the current sink and the voltage source, wherein the current sink draws a variable amount of electrical current in response to a second control signal; and

a conductor coupled to the switch and the current sink, wherein the conductor is configured to be coupled to an electrode that is operable to deliver the electrical current drawn by the current sink to a target tissue area.

11. The medical device of claim 10, wherein each channel further includes a capacitor that is operable to filter out a direct current (DC) component in the electrical current delivered by the electrode.

12. The medical device of claim 10, wherein the neurostimulator further includes:

power circuitry that supplies the voltage source;

transceiver circuitry that facilitates communication with one or more external devices; and

control circuitry that generates the first and second control signals in response to the communication with the one or more external devices.

13. The medical device of claim 12, wherein the control circuitry is operable to generate and send different versions of the first and second control signals to each of the channels in a manner so that a subset of the channels are turned on while a different subset of the channels are turned off.

14. The medical device of claim 12, wherein the control circuitry generates the first and second control signals in a manner such that the switch is never turned on when the current sink is drawing current.

15. The medical device of claim 10, further including a charge balance switch coupled between the current sink and a common bus, the common bus being tied to one of:

a floating node, a voltage reference, and an electrical ground.

16. The medical device of claim 10, wherein:

the second control signal includes a plurality of bits;

the current sink includes a plurality of first transistors and a plurality of second transistors;

the first transistors are each coupled to the switch through a respective one of the second transistors;

the first transistors are each operable to draw a current that is an integer multiple of a reference current; and

the second transistors are operable to be individually turned on or off by a corresponding bit of the second control signal, thereby enabling the respectively-coupled first transistor to draw current or preventing such first transistor from drawing current.

17. A method, comprising:

providing a neurostimulator having different first and second channels, the first channel including a first tunable unidirectional current source, the first and second channels also including;

respective first and second switches each coupled to a power supply, wherein the first current source is coupled to the power supply through the first switch; and

respective first and second electrodes coupled to the first and second switches, respectively;

entering a stimulation phase by;

opening the first switch;

closing the second switch; and

tuning the first current source in a manner such that it sinks a programmable amount of electrical current; and

entering a recovery phase by;

closing both the first and second switches; and

tuning the first current source in a manner such that it does not sink any electrical current.

18. The method of claim 17, wherein the providing the neurostimulator is carried out in a manner such that the second channel further includes a second tunable unidirectional current source that is operable to sink a different amount of electrical current than the first current source;

wherein the entering the stimulation phase further includes tuning the second current source in a manner such that it sinks no electrical current during the stimulation phase; and

wherein the entering the recovery phase further includes tuning the second current source in a manner such that it sinks no electrical current during the recovery phase.

19. The method of claim 17, wherein the providing the neurostimulator is carried out in a manner such that the first channel includes a direct current (DC) blocking capacitor;

and

wherein the recovery phase is carried out in a manner such that the DC blocking capacitor discharges during the recovery phase.

20. The method of claim 17, wherein the enter the stimulation phase and the entering the recovery phase are carried out in a manner such that an operating period for the recovery phase is at least multiple times longer than an operating period for the stimulation phase.

21. An electrical stimulation device, comprising:

a voltage supply means for delivering a steady voltage;

a switching means for selectively opening and closing a circuit path coupled to the voltage supply means;

a current sink means for sinking a programmably-adjustable amount of current, the current sink means being coupled to the voltage supply means through the switching means; and

a conductor means for stimulating a living body, the conductor means being coupled to both the switching means and the current sink means.

22. The electrical stimulation device of claim 21, further including an electrode means for carrying out the stimulating of the living body by delivering current drawn from the current sink means to a designated region of the body, the electrode means being coupled to the conductor means.

23. The electrical stimulation device of claim 22, further including a protective means for removing a direct current (DC) component from the current delivered to the body, the protective means being coupled between the electrode means and the current sink means.

24. The electrical stimulation device of claim 21, further including a microcontroller means for:

putting the switching means in one of;

an “

open”

state and a “

closed”

state; and

setting the amount of current sunk by the current sink means.

25. The electrical stimulation device of claim 24, further including a plurality of additional current sink means being coupled to the voltage supply means through a respective additional switching means;

wherein the microcontroller means is operable to;

put a subset of the switching means to the “

open”

state while putting a different subset of the switching means to the “

closed”

state; and

set a subset of the current sink means to sink a respective amount of current while setting a different subset of the current sink means to sink no current.

26. The electrical stimulation device of claim 21, wherein the current sink means includes:

a plurality of current mirror means for sinking currents that are different integer multiples of a reference current; and

a plurality of current mirror switch means for selectively allowing a subset of the current mirror means to sink current while preventing a different subset of the current mirror means from sinking current;

wherein each of the current mirror means is coupled to a respective one of the current mirror switch means.

27. An electrical stimulation device, comprising:

an anodic channel that includes an anode electrode coupled to a steady voltage supply; and

a cathodic channel that includes a current sink that sinks a programmably-determined amount of current and a cathode electrode coupled to the current sink;

wherein the anode electrode and the cathode electrode are both implemented on a lead that is operable to carry out electrical stimulation of a neural tissue.

28. The electrical stimulation device of claim 27, further including a plurality of additional anodic channels;

wherein the anode electrodes of all the anodic channels are positioned on the lead in a manner such that the cathode electrode is at least partially encircled by the anode electrodes.

29. The electrical stimulation device of claim 28, wherein all the anode electrodes have identical voltage potentials.

30. The electrical stimulation device of claim 27, wherein the lead includes a paddle-style lead.

31. The electrical stimulation device of claim 27, wherein:

the anodic channel and the cathodic channel each include a programmable switch through which the anode electrode and the cathode electrode are each coupled to the voltage supply;

the switch of the anodic channel is programmed to be in a closed position; and

the switch of the cathodic channel is programmed to be in an open position.

32. The electrical stimulation device of claim 31, wherein:

the current sink of the cathodic channel is coupled to the voltage supply through the open-position switch of the cathodic channel;

the anodic channel includes a current sink that is coupled to the voltage supply through the closed-position switch of the anodic channel; and

the current sink of the anodic channel sinks no current while the current sink of the cathodic channel sinks a non-zero amount of current.

33. The electrical stimulation device of claim 27, further including a microcontroller that is operable to:

program the amount of current sunk by the current sink of the cathodic channel;

set the switch of the anodic channel to be in the closed position; and

set the switch of the cathodic channel to be in the open position.

34. The electrical stimulation device of claim 27, wherein:

the anodic channel includes a direct-current-blocking capacitor that is coupled between the anode electrode and the voltage supply; and

the cathodic channel includes a direct-current-blocking capacitor that is coupled between the cathode electrode and the current sink.