Neural stimulation techniques with feedback

• US 5,702,429 A
• Filed: 04/04/1996
• Issued: 12/30/1997
• Est. Priority Date: 04/04/1996
• Status: Expired due to Term

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: King, Gary William
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): EVANISKO, GEORGE ROBERT
• Application Number:
  US08/628,020
• Time in Patent Office: 635 Days
• Field of Search: 607/2, 607/11, 607/43, 607/46, 607/48, 607/62, 607/117, 607/118, 607/72, 607/116, 128/733, 128/642, 128/741
• US Class Current: 607/46
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes
• CPC Class Codes: A61N 1/0553 Paddle shaped electrodes, e.g. for laminotomy
• CPC Class Codes: A61N 1/36071 Pain

Abstract

Feedback is used to control a pulse generator that stimulates electrically excitable tissue. An implanted lead includes stimulation electrode(s) that are spaced from recording electrode(s). The compound action potential received by the recording electrode(s) is processed and integrated over a time window in order to control the amplitude of the pulse generator to maintain more uniform effect from the stimulation.

Claims

1. Apparatus for automatically adjusting action potentials generated in electrically excitable tissue of a living organism by electrical stimulation of said tissue, said apparatus comprising:

a stimulation driver for generating in response to a control signal a stimulation pulse having a pulse period and an amplitude;

stimulation electrode means for coupling said stimulation pulse to said tissue, wherein at least one of said pulse period and said amplitude determines said action potentials generated in said tissue;

recording electrode means displaced from said stimulation electrode means by a predetermined distance for receiving said action potentials transmitted by said tissue;

an amplifier for generating a processing signal responsive to said action potentials received by said recording electrode means; and

a controller for generating said control signal in response to said processing signal, said control signal being adapted for use by said stimulation driver to adjust at least one of said pulse period and said amplitude to maintain said action potentials generated in said tissue at substantially a predetermined action potential level that results in reduced pain experienced by said living organism uniformly with time, wherein said controller comprises means for integrating said processing signal over a predetermined time period beginning at a predetermined time in generating said control signal.

2. Apparatus, as claimed in claim 1, wherein said means for integrating comprises:

means for converting said processing signal to a digital processing signal; and

a microcontroller programmed to integrate said digital processing signal over said predetermined time period beginning at said predetermined time.

3. A method of automatically adjusting action potentials in electrically excitable tissue of a living organism by electrical stimulation of said tissue, said method comprising the steps of:

generating in response to a control signal a stimulation pulse having a pulse period and an amplitude;

causing action potentials at a first site in said tissue in response to said stimulation pulse, wherein at least one of said pulse period and said amplitude determines said action potentials generated in said tissue;

receiving said action potentials transmitted by said tissue at a recording locus displaced from said first site by a predetermined distance;

generating a processing signal responsive to said action potentials received at said recording locus; and

generating said control signal in response to said processing signal, said control signal being adapted for use in adjusting at least one of said pulse period and said amplitude to maintain said action potentials generated in said tissue at substantially a predetermined action potential level that results in reduced pain experienced by said living organism uniformly with time, wherein said step of generating said control signal includes the step of integrating said processing signal over a predetermined time period beginning at a predetermined time.

4. A method, as claimed in claim 3, wherein said step of integrating comprises the steps of:

converting said processing signal to a digital processing signal; and

integrating said digital processing signal over said predetermined time period beginning at said predetermined time.

5. Apparatus for automatically adjusting an effect resulting from electrical stimulation of electrically excitable tissue, comprising:

a lead defining a longitudinal axis;

a stimulation driver for generating in response to a control signal a stimulation pulse having a predetermined pulse period and a predetermined amplitude;

stimulation electrode means responsive to said stimulation pulse for causing action potentials in said tissue, said stimulation electrode means comprising a first portion of said lead comprising a paddle carrying a plurality of stimulation electrodes;

recording electrode means carried on said lead and displaced from said stimulation electrode means by a predetermined distance for receiving said action potentials transmitted by said tissue;

an amplifier for generating a processing signal responsive to said action potentials received by said recording electrode means; and

a controller for generating said control signal in response to said processing signal, said control signal being related to a predetermined property of said action potentials, whereby said effect has improved uniformity.

6. Apparatus, as claimed in claim 5, wherein said stimulation electrodes are arranged parallel to said longitudinal axis.

7. Apparatus, as claimed in claim 6, wherein said lead has a second generally cylindrical portion, and wherein said recording electrode means is located on said second generally cylindrical portion of said lead and comprises a plurality of recording electrodes.

8. Apparatus, as claimed in claim 7, wherein said recording electrodes are arranged parallel to said longitudinal axis.

9. Apparatus for automatically adjusting an effect resulting from electrical stimulation of electrically excitable tissue, comprising:

a stimulation driver for generating in response to a control signal a stimulation pulse having a pulse period and an amplitude;

stimulation electrode means responsive to said stimulation pulse for causing action potentials in said tissue;

recording electrode means displaced from said stimulation electrode means by a predetermined distance for receiving said action potentials transmitted by said tissue;

an amplifier for generating a processing signal responsive to said action potentials received by said recording electrode means; and

a controller for generating said control signal in response to said processing signal, said controller comprising means for establishing a summation of said action potentials received at said recording electrode means over a predetermined time period beginning at a predetermined time, and said control signal being related to said summation of said action potentials, whereby said effect has improved uniformity.

10. Apparatus as claimed in claim 9, wherein said controller comprises means for integrating said processing signal over said predetermined time period beginning at said predetermined time.

11. Apparatus, as claimed in claim 10, wherein said means for integrating comprises:

means for converting said processing signal to a digital processing signal; and

a microcontroller programmed to integrate said digital processing signal over said predetermined time period beginning at said predetermined time.

12. A method for automatically adjusting an effect resulting from electrical stimulation of electrically excitable tissue, comprising the steps of:

generating in response to a control signal a stimulation pulse having a predetermined pulse period and a predetermined amplitude;

causing action potentials at a first site in said tissue in response to said stimulation pulse;

receiving said action potentials transmitted by said tissue at a recording locus displaced from said first site by a predetermined distance;

generating a processing signal responsive to said action potentials received at said recording locus;

generating said control signal in response to said processing signal including the step of summing said action potentials received at said recording locus over a predetermined time period beginning at a predetermined time to create a summation, said control signal being related to said summation of said action potentials, whereby said effect has improved uniformity.

13. A method, as claimed in claim 12, wherein said step of generating said control signal includes the step of integrating said processing signal over said predetermined time period beginning at said predetermined time.

14. A method as claimed in claim 13, wherein said step of integrating comprises the steps of:

converting said processing signal to a digital processing signal; and

integrating said digital processing signal over said predetermined time period beginning at said predetermined time.

15. Apparatus for reducing, uniformly with time, pain experienced by a living organism having electrically excitable tissue, said apparatus comprising:

means for applying a stimulation pulse at a first locus of said tissue to affect an action potential generated in said tissue, wherein said stimulation pulse has a pulse period and an amplitude, and wherein said action potential is determined by at least one of said pulse period and said amplitude of said stimulation pulse, wherein said means for applying a stimulation pulse includes at least one stimulation electrode;

a controller for adjusting at least one of said pulse period and said amplitude in response to said action potential generated in said tissue such that said action potential is maintained at a predetermined action potential level that results in reduced pain experienced by said living organism, uniformly with time;

means for measuring said action potential transmitted through said tissue at a second locus of said tissue at a predetermined distance from said first locus to adjust at least one of said pulse and said amplitude in response to said action potential measured at said second locus, wherein said means for measuring includes at least one recording electrode; and

a lead carrying said at least one recording electrode, and said lead having a paddle carrying said at least one stimulation electrode.