Selective activation of electrodes within an inplantable lead

• US 6,473,653 B1
• Filed: 03/02/2000
• Issued: 10/29/2002
• Est. Priority Date: 04/04/1996
• Status: Expired due to Fees

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Schallhorn, Rick S., Hrdlicka, Gregory A., King, Gary W.
• Primary Examiner(s): Schaetzle, Kennedy
• Application Number:
  US09/517,422
• Time in Patent Office: 971 Days
• Field of Search: 607/116, 607/117, 607/119, 607/122, 607/123, 607/129, 607/148, 600/373, 600/374, 600/377, 600/378, 600/393
• 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

Percutaneously implantable multi-electrode lead adapted to interact with electrically excitable tissue. Electrodes are selected by a signal generator having a main controller that identifies via unique key values electrodes to be activated to stimulate electrically excitable tissue. Electrodes and their associated controllers are coupled such that relatively few wires are used to couple each electrode to the main controller.

Claims

1. An apparatus for selectively interacting with electrically excitable tissue of a patient comprising in combination:

(A) at least one implantable percutaneous lead;

(B) at least two implantable electrodes adapted to interact with the tissue of the patient and being arranged on at least one of the leads;

(C) each electrode adjacent to and coupled to a corresponding controller;

(D) a signal generator coupled to each electrode and capable of providing stimulation energy to at least one of the electrodes; and

(E) an implantable main controller coupled to each corresponding controller, the main controller identifying which of the electrodes are to deliver electrical stimulation to the tissue of the patient.

2. An apparatus as claimed in claim 1, wherein the corresponding controller is an integrated circuit.

3. Apparatus, as claimed in claim 1, wherein the corresponding controller comprises at least one switchable gate interconnecting the signal generator with at least one of the selected electrodes.

4. Apparatus, as claimed in claim 3, wherein the at least one switchable gate is a three-position switch.

5. Apparatus, as claimed in claim 1, wherein the corresponding controller comprises at least one integrated circuit wherein the integrated circuit within is capable of interconnecting the signal generator with at least one of the selected electrodes.

6. An apparatus as claimed in claim 1, wherein the corresponding controller uniquely identifies the electrode to which the contoller corresponds.

7. An apparatus as claimed in claim 6, wherein the main controller specifies a corresponding polarity for at least one of the identified electrodes.

8. An apparatus claimed in claim 1, further comprising:

(F) at least one power conductor coupling the signal generator to the electrodes, wherein the number of the power conductors is fewer than the number of the electrodes.

9. An apparatus claimed in claim 1, further comprising:

(F) a data conductor coupling the main controller to at least one of the correponding controllers.

10. A percutaneous lead for selectively providing electrical therapeutic treatment to a patient comprising in combination:

(A) at least two implantable electrodes adapted to interact with tissue of the patient;

(B) each electrode adjacent to and coupled to a corresponding controller;

(C) a power conductor coupling at least two of the electrodes to a signal generator; and

(D) a data conductor coupling at least one of the corresponding controllers to a main controller.

11. A method of selectively providing electrical therapeutic treatment to a patient using a percutaneous lead comprising the steps of:

(A) surgically implanting at least one implantable percutaneous lead near electrically excitable tissue of the patient, the lead having at least two implantable electrodes adapted to interact with the tissue of the patient, each electrode being adjacent to and coupled to a corresponding controller;

(B) delivering a control signal to each corresponding controller indicating which of the electrodes on the lead should deliver electrical stimulation to the tissue; and

(C) delivering stimulation energy to the selected electrodes from a signal generator.

12. A method of selectively activating a plurality of electrodes for interacting with electrically excitable tissue of a patient, the method comprising:

(A) implanting the electrodes such that the electrodes are arranged on a percutaneous lead;

(B) coupling the electrodes, via a single pair of power conductors, to a signal generator;

(C) coupling a plurality of electrode-activation controllers, via a single data conductor, to a main controller associated with the signal generator;

(D) transmitting from the main controller to the plurality of electrode-activation controllers information for selecting at least one of the electrodes to be activated; and

(E) activating the at least one selected electrode in accordance with the information transmitted from the main controller so that electrical energy is transmitted to the tissue using relatively few conductors.

13. The method of claim 12 further comprising:

using hard-coded key information for decoding the information transmitted from the main controller.

14. A method of selectively activating a plurality of electrodes of a surgically-implantable neurostimulation lead, the method comprising the steps of:

(A) at a plurality of controllers corresponding to the plurality of electrodes, receiving, via a data conductor, an encoded control signal;

(B) using a plurality of hard-coded keys to decode, from the control signal, information specifying which of the electrodes should be activated;

(C) receiving stimulation pulses at the electrodes from a pair of power conductors; and

(D) activating a plurality of selected electrodes by coupling the received stimulation pulses to the plurality of selected electrodes based on the information decoded from received control signal.

15. The method of claim 14, wherein each of the plurality of controllers is adjacent to a corresponding electrode of the plurality of electrodes.