Method and apparatus for selective control of nerve fibers
First Claim
1. A method of reducing pain sensations resulting from the propagation of body-generated action potentials towards the central nervous system through small-diameter sensory fibers in a nerve bundle, without unduly reducing other sensations resulting from the propagation of body-generated action potentials towards the central nervous system through large-diameter sensory fibers in said nerve bundle, comprising:
- applying to said nerve bundle at least one electrode device capable, upon actuation, of generating unidirectional action potentials to be propagated through both the small-diameter and large-diameter sensory fibers in said nerve bundle away from said central nervous system; and
actuating said electrode device to generate said unidirectional action potentials to produce collision blocks with respect to said body-generated action potentials propagated through said small-diameter fibers.
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Abstract
A method and apparatus particularly useful for pain control by selectively blocking the propagation of body-generated action potentials travelling through a nerve bundle by using a tripolar electrode device to generate unidirectional action potentials to serve as collision blocks with the body-generated action potentials representing pain sensations in the small-diameter sensory fibers. In the described preferred embodiments there are a plurality of electrode devices spaced along the length of the nerve bundle which are sequentially actuated with delays corresponding to the velocity of propagation of the body-generated action potentials through the large-diameter fibers to produce a “green wave” effect which minimizes undesired anodal blocking of the large-diameter fibers while maximizing the collision blocking of the small-diameter fibers.
464 Citations
28 Claims
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1. A method of reducing pain sensations resulting from the propagation of body-generated action potentials towards the central nervous system through small-diameter sensory fibers in a nerve bundle, without unduly reducing other sensations resulting from the propagation of body-generated action potentials towards the central nervous system through large-diameter sensory fibers in said nerve bundle, comprising:
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applying to said nerve bundle at least one electrode device capable, upon actuation, of generating unidirectional action potentials to be propagated through both the small-diameter and large-diameter sensory fibers in said nerve bundle away from said central nervous system; and
actuating said electrode device to generate said unidirectional action potentials to produce collision blocks with respect to said body-generated action potentials propagated through said small-diameter fibers. - View Dependent Claims (2, 3, 4)
(a) generate said electrode-generated action potentials by cathodic stimulation;
(b) produce a complete anodal block on one side of the cathode to make said electrode-generated action potentials unidirectional; and
(c) produce a selective anodal block on the opposite side of the cathode to cause the electrode-generated action potentials to produce collision blocks with respect to the body-generated action potentials propagated through the small-diameter sensory fibers.
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3. The method according to claim 2, wherein said electrode device is a tripolar electrode device which includes a central cathode for producing said cathodic stimulation, a first anode on one side of the cathode for producing said complete anodal block, and a second anode on the opposite side of said cathode for producing said selective anodal block.
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4. The method according to claim 1, wherein there are a plurality of said electrode devices spaced along the length of the nerve bundle;
- and wherein said electrode devices are sequentially actuated with delays timed to the velocity of propagation of the body-generated action potentials through said large-diameter fibers to produce a “
green wave”
of electrode-generated anodal blocks, thereby increasing the number of EGAPs in the small diameter fibers producing collision blocks while minimizing anodal blocking of the BGAPs propagated through the large-diameter sensory fibers.
- and wherein said electrode devices are sequentially actuated with delays timed to the velocity of propagation of the body-generated action potentials through said large-diameter fibers to produce a “
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5. A method of selectively suppressing the propagation of body-generated action potentials propagated in a predetermined direction at a first velocity through a first group of nerve fibers in a nerve bundle without unduly suppressing the propagation of body-generated action potentials propagated in said predetermined direction at a different velocity through a second group of nerve fibers in said nerve bundle, comprising:
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applying a plurality of electrode devices to, and spaced along the length of, the nerve bundle, each electrode device being capable of outputting, when actuated, unidirectional electrode-generated action potentials producing collision blocks with respect to the body-generated action potentials propagated through said second type of nerve fibers;
and sequentially actuating said electrode devices with delays timed to said first velocity to produce a “
green wave”
of anodal blocks minimizing undesired blocking of said body-generated action potentials propagated through said first group of nerve fibers, while maximizing the generation rate of said unidirectional electrode-generated action potentials producing collision blocks with respect to the body-generated action potentials propagated through said second type of nerve fibers.- View Dependent Claims (6, 7, 8, 9)
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10. A method of selectively controlling nerve fibers in a nerve bundle having fibers of different diameters propagating action potentials at velocities corresponding to their respective diameters, comprising:
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applying a plurality of electrode devices to, and spaced along the length of, the nerve bundle, each electrode device being capable of producing, when actuated, unidirectional electrode-generated action potentials;
and sequentially actuating said electrode devices with delays timed to the velocity of propagation of action potentials through the fibers of one of said diameters. - View Dependent Claims (11, 12, 13, 14, 15, 16)
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17. Apparatus for blocking pain sensations resulting from the propagation of body-generated action potentials towards the central nervous system through a nerve bundle having small-diameter sensory fibers and large-diameter sensory fibers, comprising:
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an electrical device adapted to be applied to said nerve bundle and having at least one electrode device capable, upon actuation, of generating unidirectional action potentials to be propagated through both the small-diameter and large-diameter sensory fibers in said nerve bundle away from said central nervous system;
and a stimulator controlled to actuate said electrode device to generate said unidirectional action potentials to produce collision blocks of the body-generated action potentials in said small-diameter sensory fibers such as to selectively block pain sensations resulting from the propagation of body-generated action potentials towards the central nervous system through said small-diameter sensory fibers in the nerve bundle, without unduly reducing other sensations resulting from the propagation of body-generated action potentials towards the central nervous system through said large-diameter sensory fibers in said nerve bundle;
wherein said electrode device includes electrodes which, when actuated by said stimulator;
(i) generate said electrode-generated action potentials by cathodic stimulation;
(ii) produce a complete anodal block on one side of the cathode to make said electrode-generated action potentials unidirectional; and
(iii) produce a selective anodal block on the opposite side of the cathode to block the electrode-generated action potentials propagated through the large-diameter sensory fibers to a greater extent than those propagated through the small-diameter sensory fibers;
wherein said electrode device is a tripolar electrode which includes a central cathode for producing said cathodic stimulation, a first anode on one side of the cathode for producing said complete anodal block, and a second anode on the opposite side of said cathode for producing said selective anodal block; and
wherein there are a plurality of said electrode devices spaced along the length of the nerve bundle; and
wherein said electrode devices are sequentially actuated by said stimulator with delays corresponding to the velocity of propagation of the body-generated action potentials through said large-diameter fibers to produce a “
green wave”
of electrode-generated action potentials collision blocking with the body-generated action potentials propagated through the small-diameter fibers while minimizing anodal blocking of action potentials propagating through the large-diameter fibers.
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18. Apparatus for suppressing the propagation of body-generated action potentials propagated at first and second velocities through first and second types of nerve fibers in a nerve bundle, comprising:
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a plurality of electrodes adapted to be spaced along the length of the nerve bundle, each capable of producing, when actuated, unidirectional electrode-generated action potentials and a selective anodal block of the latter action potentials propagated through said first type of nerve fibers to a greater extent than those propagated through said second type of nerve fibers;
and a stimulator for sequentially actuating said electrode devices with delays timed to said first velocity to produce a “
green wave”
of anodal blocks minimizing undesired blocking of said body-generated action potentials propagated through said first type of nerve fibers, while maximizing the generation rate of said unidirectional electrode-generated action potentials producing collision blocks with respect to the body-generated action potentials propagated through said second type of nerve fibers, such that the apparatus selectively suppresses the propagation of body-generated action potentials propagated at said first velocity through said first type of nerve fibers in the nerve bundle without unduly suppressing the propagation of body-generated action potentials propagated at said second velocity through the second type of nerve fibers in said nerve bundle.- View Dependent Claims (19, 20, 21, 22, 23, 24)
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25. Apparatus for selectively controlling nerve fibers in a nerve bundle having fibers of different diameters propagating action potentials at velocities corresponding to their respective diameters, comprising:
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a plurality of electrode devices adapted to be applied to, and spaced along the length of, the nerve bundle, each electrode device being capable of producing, when actuated, unidirectional electrode-generated action potentials;
and a stimulator for sequentially actuating said electrode devices with delays timed to the velocity of propagation of action potentials through the fibers of one of said diameters. - View Dependent Claims (26, 27, 28)
and said stimulator sequentially actuates said electrode devices to generate unidirectional action potentials to serve as motor action potentials to be propagated from the central nervous system to the peripheral nervous system to replace motor action potentials failed to be generated by the body.
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Specification