Living tissue stimulation and recording techniques with local control of active sites

• US 6,038,480 A
• Filed: 02/17/1998
• Issued: 03/14/2000
• Est. Priority Date: 04/04/1996
• Status: Expired due to Term

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Hrdlicka, Gregory A., King, Gary W.
• Primary Examiner(s): SCHAETZLE, KENNEDY
• Application Number:
  US09/024,162
• Time in Patent Office: 756 Days
• Field of Search: 607/116, 607/122, 607/129, 607/117, 607/118, 607/148, 607/119, 607/46, 607/2, 600/393, 600/377, 600/374, 600/373, 600/378
• US Class Current: 607/116
• CPC Class Codes: A61N 1/05 for implantation or insertion into the body, e.g. heart electrode A61N1/06 takes precedence
• CPC Class Codes: A61N 1/0531 Brain cortex electrodes
• CPC Class Codes: A61N 1/0534 Electrodes for deep brain stimulation
• CPC Class Codes: A61N 1/0541 Cochlear electrodes
• CPC Class Codes: A61N 1/0543 Retinal electrodes
• 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 1/0587 Epicardial electrode systems; Endocardial electrodes piercing the pericardium
• CPC Class Codes: A61N 1/36017 with leads or electrodes penetrating the skin
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/36185 Selection of the electrode configuration

Abstract

Implantable electrodes adapted to interact with electrically excitable tissue are selected by an implantable, programmable controller that receives power from a main cable and data from a data conductor that identifies the stimulation and recording electrodes to be activated. The implantable controller enables electrical signals to be transmitted between a distal site of power generation and a selected subset of multiple electrodes with a minimum number of conductor wires.

Claims

1. Apparatus for interacting with electrically excitable tissue of a patient comprising:

a group of implantable electrodes adapted to interact with said tissue, said group of electrodes being arranged on at least one implantable lead to form at least one array wherein each electrode is adjacent at least one other of said electrodes;

a main cable having at least one power conductor adapted to extend to a site adjacent said tissue wherein the number of said power conductors is fewer than the number of said electrodes;

a source of data;

a data conductor adapted to extend to said site adjacent said tissue from said source of data; and

implantable controller means in communication with said source of data and responsive to said data for gating to said main cable at least one pair of nonadjacent electrodes within said group to establish an anode and cathode relationship between said pair of nonadjacent electrodes.

2. Apparatus, as claimed in claim 1, wherein said group of electrodes comprises stimulating electrodes for stimulating said tissue.

3. Apparatus, as claimed in claim 1, wherein said group of electrodes comprises recording electrodes for conducting potentials found in said tissue.

4. Apparatus, as claimed in claim 3, wherein said recording electrodes are connected in parallel to form at least one stimulating electrode.

5. Apparatus, as claimed in claim 1, wherein said source of data comprises adaptions at a site remote from said site adjacent to said tissue and wherein said data conductor comprises adaptions for extending from said remote site to said site adjacent said tissue.

6. Apparatus, as claimed in claim 1, wherein said controller means comprises a group of switchable gates interconnecting said main cable with said at least one selected electrode.

7. Apparatus, as claimed in claim 1, wherein said controller means comprises a group of at least one integrated circuit wherein each of said integrated circuit within said group is capable of interconnecting said main cable with said at least one electrode.

8. Apparatus, as claimed in claim 1, wherein said group of implantable electrodes comprises a first plurality of stimulating electrodes for stimulating said tissue and a second plurality of recording electrodes for conducting potentials in said tissue, wherein said main cable comprises a power conductor and a recording conductor, wherein said source of data comprises a first source identifying at least one of said stimulating electrodes and at least one of said recording electrodes, and wherein said controller means comprises means for gating said selected at least one stimulating electrode to said power conductor and for gating said selected at least one recording electrode to said recording conductor.

9. Apparatus, as claimed in claim 8, wherein said controller means comprises multiplex means for transmitting signals between said at least one recording electrode and said recording conductor by time division multiplexing.

10. Apparatus, as claimed in claim 8, wherein said first plurality of said stimulating electrodes comprises a first array of stimulating electrodes and a second array of stimulating electrodes spaced from said first array, said first array being connected to said controller means by a first cable and said second array being connected to said controller means by a second cable.

11. Apparatus, as claimed in claim 8, and further comprising a third plurality of stimulating electrodes spaced from said first plurality of stimulating electrodes and a second controller means displaced from said controller means for gating said third plurality of stimulating electrodes, said controller means and said second controller means being connected by a second main cable.

12. Apparatus, as claimed in claim 1, wherein said implantable controller means is further adapted for gating to said main cable a first plurality of adjacent electrodes to together provide a first combined electrode adapted to cooperate in said anode and cathode relationship with at least one electrode within said group.

13. Apparatus, as claimed in claim 12, wherein said implantable controller means is further adapted for gating to said main cable a second plurality of adjacent electrodes to together provide a second combined electrode adapted to cooperate in said anode and cathode relationship with said first combined electrode.

14. Apparatus, as claimed in claim 1, wherein said group of implantable electrodes comprises a first plurality of stimulating electrodes, wherein said first plurality of said stimulating electrodes comprises a first array of stimulating electrodes and a second array of stimulating electrodes spaced from said first array, said first array being connected to said controller means by a first cable and said second array being connected to said controller means by a second cable.

15. Apparatus for interacting with electrically excitable tissue of a patient comprising:

a group of implantable electrodes adapted to interact with said tissue, said group of electrodes being arranged on at least one implantable lead to form at least one array wherein each electrode is adjacent at least one other of said electrodes;

a main cable adapted to extend to a site adjacent said tissue and having at least one power conductor, a data conductor and a multiplexor for coupling at least one of said power conductors and said data conductor, wherein the number of said power conductors is fewer than the number of said electrodes;

a source of data; and

implantable controller means in communication with said source of data and responsive to said data for gating to said main cable at least one pair of nonadjacent electrodes within said group to establish an anode and cathode relationship between said pair of nonadjacent electrodes.

16. Apparatus for interacting with electrically excitable tissue of a patient, comprising:

a group of implantable electrodes adapted to interact with said tissue, said group of implantable electrodes comprising a first plurality of stimulating electrodes for stimulating said tissue and a second plurality of recording electrodes for conducting potentials in said tissue, said first plurality of stimulating electrodes comprising a first array of stimulating electrodes and a second array of stimulating electrodes spaced from said first array;

a main cable adapted to extend to a site adjacent said tissue, said main cable comprising a power conductor and a recording conductor;

a source of data comprising a first source identifying at least one of said stimulating electrodes and at least one of said recording electrodes;

a data conductor adapted to extend to said site adjacent said tissue from said source of data; and

implantable controller means in communication with said source of data and responsive to said data for gating said selected at least one stimulating electrode to said power conductor and for gating said selected at least one recording electrode to said recording conductor, said controller means being connected to said first array of stimulating electrodes by a first cable and to said second array of stimulating electrodes by a second cable, whereby electrical signals can be transmitted between said first site and said at least one selected electrode with a minimum number of conductors.

17. Apparatus for interacting with electrically excitable tissue of a patient, comprising:

a group of implantable electrodes adapted to interact with said tissue, said group of implantable electrodes comprising a first plurality of stimulating electrodes for stimulating said tissue, a second plurality of recording electrodes for conducting potentials in said tissue, and a third plurality of stimulating electrodes spaced from said first plurality of stimulating electrodes;

a main cable adapted to extend to a site adjacent said tissue, said main cable comprising a power conductor and a recording conductor;

a source of data comprising a first source identifying at least one of said stimulating electrodes and at least one of said recording electrodes;

a data conductor adapted to extend to said site adjacent said tissue from said source of data;

implantable controller means in communication with said source of data and responsive to said data for gating said at least one of said electrodes to said main cable, said controller means comprising means for gating said selected at least one stimulating electrode to said power conductor and for gating said selected at least one recording electrode to said recording conductor;

a second controller means displaced from said controller means for gating said third plurality of stimulating electrodes; and

a second main cable connecting said controller means and said second controller means, whereby electrical signals can be transmitted between said first site and said at least one selected electrode with a minimum number of conductors.

18. A method of interacting with electrically excitable tissue of a patient by means of a main cable comprising the steps of:

implanting a group of electrodes adapted to interact with said tissue, said group of electrodes being arranged to form at least one array wherein at least one electrode is adjacent at least one other of said electrodes;

extending a main cable having at least one power conductor from a site adjacent said tissue to a site remote from said site adjacent said tissue wherein the number of said power conductors is fewer than the number of said electrodes;

selecting at least one of said electrodes within said group; and

gating said selected electrode to said main cable to establish an anode and cathode relationship between at least one pair of nonadjacent electrodes, whereby electrical signals can be transmitted to or from said tissue with a minimum number of conductors.

19. A method, as claimed in claim 18, wherein said group of electrodes comprises stimulating electrodes for stimulating said tissue.

20. A method, as claimed in claim 18, wherein said group of electrodes comprises recording electrodes for conducting potentials found in said tissue.

21. A method, as claimed in claim 18, wherein said group of electrodes comprises a first plurality of stimulating electrodes for stimulating said tissue and a second plurality of recording electrodes for conducting potentials in said tissue, wherein said main cable comprises a power conductor and a recording conductor, wherein said step of selecting comprises the step of selecting at least one of said stimulating electrodes and at least one of said recording electrodes, and wherein said step of gating comprises the step of gating said selected at least one stimulating electrode to said power conductor and the step of gating said selected at least one recording electrode to said recording conductor.

22. A method, as claimed in claim 21, wherein said step of gating comprises the step of transmitting signals between said at least one recording electrode and said recording conductor by time division multiplexing.

23. A method, as claimed in claim 18, wherein a first plurality of adjacent electrodes are gated to said main cable to together provide a first combined electrode adapted to cooperate in said anode and cathode relationship with at least one electrode within said group that is non-adjacent said first combined electrode.

24. A method, as claimed in claim 23, wherein a second plurality of adjacent electrodes that are each non-adjacent said first combined electrode are gated to said main cable to together provide a second combined electrode adapted to cooperate in said anode and cathode relationship with said first combined electrode.

25. A method of interacting with electrically excitable tissue of a patient by means of a main cable, comprising the steps of:

implanting a group of electrodes adapted to interact with said tissue;

extending a main cable having at least one power conductor from a site adjacent said tissue to a site remote from said site adjacent said tissue wherein the number of said power conductors is fewer than the number of said electrodes;

selecting at least two of said electrodes within said group; and

gating said selected electrodes to said main cable, whereby electrical signals can be transmitted to or from said tissue with a minimum number of power conductors.

26. A method, as claimed in claim 25, wherein said group of electrodes comprises stimulating electrodes for stimulating said tissue.

27. A method, as claimed in claim 25, wherein said group of electrodes comprises recording electrodes for conducting potentials found in said tissue.

28. A method, as claimed in claim 25, wherein said group of electrodes comprises a first plurality of stimulating electrodes for stimulating said tissue and a second plurality of recording electrodes for conducting potentials in said tissue, wherein said main cable comprises a power conductor and a recording conductor, wherein said step of selecting comprises the step of selecting at least one of said stimulating electrodes and at least one of said recording electrodes, and wherein said step of gating comprises the step of gating said selected at least one stimulating electrode to said power conductor and the step of gating said selected at least one recording electrode to said recording conductor.

29. A method, as claimed in claim 28, wherein said step of gating comprises the step of transmitting signals between said at least one recording electrode and said recording conductor by time division multiplexing.

30. A method, as claimed in claim 25, wherein a first plurality of adjacent electrodes are gated to said main cable to together provide a first combined electrode adapted to cooperate in an anode and cathode relationship with at least one electrode within said group that is non-adjacent said first combined electrode.

31. A method, as claimed in claim 30, wherein a second plurality of adjacent electrodes that are each non-adjacent said first combined electrode are gated to said main cable to together provide a second combined electrode adapted to cooperate in said anode and cathode relationship with said first combined electrode.