Current Steering Neurostimulator Device with Unidirectional Current Sources

• US 20130310894A1
• Filed: 07/17/2013
• Published: 11/21/2013
• Est. Priority Date: 04/29/2011
• Status: Active Grant

• Current Assignee: Cirtec Medical Corp.
• Original Assignee: Greatbatch Limited (Greatbatch Incorporated)
• Inventors: Trier, Stephen C.
• Granted Patent: US 9,031,664 B2
• Time in Patent Office: Days
• US Class Current: 607/59
• 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

1-34. -34. (canceled)

35. 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 electrically coupled to the second terminal of the programmable switch, wherein the unidirectional current source is electrically uncoupled to the power source when the programmable switch is open, the unidirectional current source having a tunable current level;

an electrode contact electrically coupled to the second terminal of the programmable switch and to the unidirectional current source, the electrode contact being configured for contact with a living body; and

a microcontroller electrically coupled to the programmable switch and to the unidirectional current source, wherein the microcontroller is configured to;

control an opening and a closing of the programmable switch;

set the current level of the unidirectional current source; and

cause the electrode contact to deliver current drawn from the unidirectional current source while the programmable switch is open.

36. The electrical stimulation apparatus of claim 35, wherein the power source includes a voltage source;

and wherein the electrode contact is implantable in a human body tissue.

37. The electrical stimulation apparatus of claim 35, further comprising a protective component that is electrically coupled between the electrode contact and the unidirectional current source.

38. The electrical stimulation apparatus of claim 37, wherein the protective component includes a direct current (DC) blocking capacitor.

39. The electrical stimulation apparatus of claim 35, wherein:

the electrical stimulation apparatus is a neurostimulator device;

the programmable switch, the unidirectional current source, and the electrode contact are portions of a channel of the neurostimulator device; and

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

40. The electrical stimulation apparatus of claim 35, further comprising a charge balance switch electrically coupled between the unidirectional current source and a common bus.

41. The electrical stimulation apparatus of claim 35, wherein the unidirectional current source includes a plurality of current mirrors that can each sink a different amount of current.

42. The electrical stimulation apparatus of claim 41, 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 from the microcontroller, 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.

43. A medical stimulation device, comprising:

a power source;

a transceiver configured to conduct telecommunications with one or more external devices;

a microcontroller configured to generate control signals in response to the telecommunications with the one or more external devices; and

a plurality of individually-controllable electrical stimulation paths, wherein each stimulation path includes;

a programmable switch having a first terminal and a second terminal, wherein the first terminal is coupled to the power source, and wherein the programmable switch is configured to open or close in response to the control signals generated by the microcontroller;

a unidirectional current source electrically coupled to the second terminal of the programmable switch, wherein the unidirectional current source is electrically uncoupled to the power source when the programmable switch is open, the unidirectional current source having a current level that is tunable in response to the control signals generated by the microcontroller;

an electrode contact electrically coupled to the second terminal of the programmable switch and to the unidirectional current source, the electrode contact being configured to deliver, to a body tissue, current drawn from the unidirectional current source while the programmable switch is programmed to be open.

44. The medical stimulation device of claim 43, wherein each electrical stimulation path further includes a direct current (DC)-blocking capacitor electrically coupled between the electrode contact and the unidirectional current source.

45. The medical stimulation device of claim 43, wherein the microcontroller is configured to generate control signals so that a subset of the electrical stimulation paths are turned on while a different subset of the electrical stimulation paths are turned off.

46. The medical stimulation device of claim 43, further comprising a charge balance switch electrically coupled between the unidirectional current source and a common bus.

47. The medical stimulation device of claim 43, wherein the unidirectional current source includes a plurality of current mirrors that can each sink a different amount of current.

48. The medical stimulation device of claim 47, 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 from the microcontroller, 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.

49. A method, comprising:

providing a neurostimulator that includes a microcontroller and an anodic channel and a cathodic channel, the anodic channel and the cathodic channel including respective programmable unidirectional current sources and respective programmable switches, wherein a current level of the unidirectional current sources and an open/close position of the switches are programmable in response to control signals generated by the microcontroller;

generating stimulation current by putting the neurostimulator in a stimulation phase of operation; and

thereafter ceasing generation of the stimulation current by putting the neurostimulator in a recovery phase of operation, wherein at least the cathodic channel is programmed to have different configurations with respect to the current level and the open/close switch position during the stimulation and recovery phases of operation.

50. The method of claim 49, wherein the recovery phase of operation lasts longer than the stimulation phase of operation.

51. The method of claim 49, further comprising:

repeating the stimulation and recovery phases of operation for the neurostimulator.

52. The method of claim 49, wherein:

during the stimulation phase of operation;

the switch of the cathodic channel is programmed to be open, and the unidirectional current source of the cathodic channel is programmed to be drawing current;

during the recovery phase of operation;

the switch of the cathodic channel is programmed to be closed, and the unidirectional current source of the cathodic channel is programmed to be drawing no current; and

during both the stimulation and recovery phases of operation, the switch of the anodic channel is programmed to be closed, and the unidirectional current source of the anodic channel is programmed to be drawing no current.

53. The method of claim 49, wherein the providing the neurostimulator is performed so that the neurostimulator includes a plurality of anodic channels and cathodic channels.

54. The method of claim 53, wherein the providing the neurostimulator comprises implementing a plurality of anode electrodes and a plurality of cathode electrodes on a paddle lead, wherein the anode electrodes are components of the anodic channels, respectively, and wherein the cathode electrodes are components of the cathodic channels, respectively.

55. The method of claim 54, wherein the implementing is performed such that the plurality of cathodic electrodes are collectively encircled by the plurality of anodic electrodes on the paddle lead.