Balance prosthesis

• US 6,546,291 B2
• Filed: 02/16/2001
• Issued: 04/08/2003
• Est. Priority Date: 02/16/2000
• Status: Expired due to Term

• Current Assignee: Charles Stark Draper Laboratory Incorporated, Massachusetts Eye And Ear Infirmary (Foundation of The Massachusetts Eye and EAR Infirmary Incorporated)
• Original Assignee: Charles Stark Draper Laboratory Incorporated, Massachusetts Eye And Ear Infirmary (Foundation of The Massachusetts Eye and EAR Infirmary Incorporated)
• Inventors: Rauch, Steven D., Wall, Conrad III, Merfeld, Daniel M., Weinberg, Marc
• Primary Examiner(s): Getzow, Scott M.
• Application Number:
  US09/785,803
• Publication Number:
  US 20020010497A1
• Time in Patent Office: 781 Days
• Field of Search: 607/48, 607/49, 607/62, 600/595
• US Class Current: 607/62
• CPC Class Codes: A61B 2503/08 Elderly
• CPC Class Codes: A61B 2562/0219 Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
• CPC Class Codes: A61B 2562/043 in a linear array
• CPC Class Codes: A61B 5/1112 Global tracking of patients, e.g. by using GPS
• CPC Class Codes: A61B 5/1116 Determining posture transitions
• CPC Class Codes: A61B 5/4023 Evaluating sense of balance
• CPC Class Codes: A61B 5/6829 Foot or ankle
• CPC Class Codes: A61N 1/36036 of the outer, middle or inner ear

Abstract

A wearable balance prosthesis provides a information indicative of a wearer'"'"'s spatial orientation. The balance prosthesis includes an motion sensing system to be worn by the wearer and a signal processor in communication with the motion sensing system. The signal processor provides an orientation signal to an encoder. The encoder generates a feedback signal on the basis of the estimate of the spatial orientation provides that signal to a stimulator coupled to the wearer'"'"'s nervous system.

Claims

1. An apparatus for providing a wearer with information indicative of spatial orientation of a body part of said wearer, said apparatus comprising:

a motion sensing system to be worn by a wearer, said motion sensing system generating a motion signal indicative of motion experienced by said body part of said wearer;

a signal processor in communication with said motion sensing system for generating an estimate of said spatial orientation of said body part on the basis of said motion signal;

a stimulator configured to provide a signal to a nervous system of said wearer in response to a feedback signal, said stimulator including an electrode adapted to be inserted proximate to a nerve in said wearer; and

an encoder in communication with said signal processor and said electrode, said encoder configured to generate said feedback signal on the basis of said estimate of said spatial orientation and to introduce noise into said electrode, said noise being selected to enhance sensitivity of said nerve to a signal indicative of spatial orientation.

2. An apparatus for providing a wearer with information indicative of spatial orientation of a body part of said wearer, said apparatus comprising:

a motion sensing system to be worn by a wearer, said motion sensing system generating a motion signal indicative of motion experienced by said body part of said wearer;

a signal processor in communication with said motion sensing system for generating an estimate of said spatial orientation of said body part on the basis of said motion signal;

a stimulator including

a transmitting electrode adapted to be inserted proximate to a nerve in said wearer and configured to provide a signal to a nervous system of said wearer in response to a feedback signal, and

a measurement electrode in communication with said encoder for detecting an endogenous signal in said nerve; and

an encoder in communication with said signal processor, said transmitting electrode and said measurement electrode, said encoder being configured to generate said feedback signal on the basis of said endogenous signal and said estimate of said spatial orientation.

3. An apparatus for providing a wearer with information indicative of spatial orientation of a body part of said wearer, said apparatus comprising:

a motion sensing system to be worn by said wearer, said motion sensing system including a micro-mechanical rotation sensor configured to generate a motion signal that includes information indicative of rotational motion experienced by said wearer;

a signal processor in communication with said motion sensing system for generating an estimate of said spatial orientation of said body part on the basis of said motion signal;

an encoder in communication with said signal processor, said encoder configured to generate a feedback signal on the basis of said estimate of said spatial orientation; and

a stimulator responsive to said feedback signal from said encoder, said stimulator configured to provide a signal to a nervous system of said wearer in response to said feedback signal.

4. The apparatus of claim 3, wherein said micro-mechanical rotation sensor comprises a micro-mechanical device having a proof mass that undergoes a periodic motion susceptible to disturbance by a rotational motion.

5. The apparatus of claim 4, wherein said micro-mechanical device includes a tuning fork having a tine integrated with said proof mass, and a capacitor coupled to said proof mass, said capacitor having a capacitance that depends on a position of said proof mass relative to said capacitor.

6. An apparatus for providing a wearer with information indicative of spatial orientation of a body part of said wearer, said apparatus comprising:

a motion sensing system to be worn by a wearer, said motion sensing system including a micro-mechanical translation sensor configured to generate a motion signal that includes information indicative of linear acceleration experienced by said wearer;

a signal processor in communication with said motion sensing system for generating an estimate of said spatial orientation of said body part on the basis of said motion signal;

an encoder in communication with said signal processor, said encoder configured to generate a feedback signal on the basis of said estimate of said spatial orientation; and

a stimulator responsive to said feedback signal from said encoder, said stimulator configured to provide a signal to a nervous system of said wearer in response to said feedback signal.

7. The apparatus of claim 6, wherein said micro-mechanical translation sensor comprises a micro-mechanical device having a proof mass, said proof mass having a position susceptible to displacement from an equilibrium position by a linear acceleration.

8. The apparatus of claim 7, wherein said micro-mechanical device includes a cantilevered beam having a proof mass integrated onto a distal end, said proof mass being coupled to a capacitor, said capacitor having a capacitance that depends on a position of said proof mass relative to said capacitor.

9. An apparatus for providing a wearer with information indicative of spatial orientation of a body part of said wearer, said apparatus comprising:

a motion sensing system to be worn by a wearer, said motion sensing system generating a motion signal indicative of motion experienced by said body part of said wearer;

a signal processor in communication with said motion sensing system for generating an estimate of said spatial orientation of said body part on the basis of said motion signal, said signal processing system being configured to resolve said estimate into at least a component arising from linear acceleration due to gravity and a component arising from linear acceleration resulting in translation;

an encoder in communication with said signal processor, said encoder configured to generate a feedback signal on the basis of said estimate of said spatial orientation; and

a stimulator responsive to said feedback signal from said encoder, said stimulator configured to provide a signal to a nervous system of said wearer in response to said feedback signal.

10. The apparatus of claim 9, wherein said signal processing system comprises a low-pass filter to filter a first inertial guidance signal and a high-pass filter to filter a second inertial guidance signal, said low-pass filter and said high-pass filter having complementary filter transfer functions.

11. The apparatus of claim 9, wherein said signal processing system is configured to determine a current direction of a gravity vector on the basis of an information provided by said motion sensing system and to remove the effect of said gravity vector from a translation sensor output.

12. The apparatus of claim 9, wherein the signal processing system comprises a low-pass filter and a high-pass filter, the low-pass filter and the high-pass filter being configured to distinguish between linear acceleration and acceleration due to gravity.

13. The apparatus of claim 9, wherein the signal processing system is configured to distinguish between linear acceleration and acceleration due to gravity on the basis of rotational cues.

14. The apparatus of claim 9, wherein the signal processing system comprises a Kalman filter.

15. The apparatus of claim 9, wherein the signal processing system comprises a filter other than a Kalman filter.

16. An apparatus for providing a wearer with information indicative of spatial orientation of a body part of said wearer, said apparatus comprising:

a motion sensing system to be worn by a wearer, said motion sensing system generating a motion signal indicative of motion experienced by said body part of said wearer;

a signal processor in communication with said motion sensing system for generating an estimate of said spatial orientation of said body part on the basis of said motion signal;

a GPS receiver to be worn by the wearer;

an encoder in communication with said signal processor and with said receiver, said encoder configured to generate a feedback signal on the basis of said estimate of said spatial orientation and an additional signal from said receiver; and

a stimulator responsive to said feedback signal from said encoder, said stimulator configured to provide a signal to a nervous system of said wearer in response to said feedback signal.

17. An apparatus for providing a wearer with information indicative of spatial orientation of a body part of said wearer, said apparatus comprising:

a motion sensing system to be worn by a wearer, said motion sensing system generating a motion signal indicative of motion experienced by said body part of said wearer;

a signal processor in communication with said motion sensing system for generating an estimate of said spatial orientation of said body part on the basis of said motion signal;

a receiver to be worn by the wearer, said receiver being adapted to detect a signal indicative of a quantity selected from a group consisting of a joint angle measurement, a tactile pressure, a location of said wearer, and a location of a body part of said wearer

an encoder in communication with said signal processor and with said receiver, said encoder configured to generate a feedback signal on the basis of said estimate of said spatial orientation and an additional signal from said receiver; and

a stimulator responsive to said feedback signal from said encoder, said stimulator configured to provide a signal to a nervous system of said wearer in response to said feedback signal.