Systems and methods of reducing artifact in neurological stimulation systems

• US 8,295,934 B2
• Filed: 11/14/2006
• Issued: 10/23/2012
• Est. Priority Date: 11/14/2006
• Status: Expired due to Fees

• Current Assignee: Cyberonics, Inc
• Original Assignee: NeuroVista Corporation
• Inventors: Leyde, Kent W.
• Primary Examiner(s): Layno, Carl H
• Assistant Examiner(s): Bays, Pamela M
• Application Number:
  US11/599,179
• Publication Number:
  US 20080114417A1
• Time in Patent Office: 2,170 Days
• Field of Search: 600/544, 607/45, 607/44, 607/2, 607/63
• US Class Current: 607/45
• CPC Class Codes: A61N 1/36082 Cognitive or psychiatric applications, e.g. dementia or Alzheimer's disease

Abstract

The present invention relates to neurological systems and methods of use which acquire physiological signals from a subject and stimulate the subject. The system is adapted to control the timing at which the system acquires the physiological signals from the subject and the timing of the stimulation signal to reduce the amount of stimulation induced artifact that is acquired by the system.

Claims

1. A system to reduce artifact in a signal acquired from a subject, the system comprising:

a sensing assembly adapted to acquire a signal from a subject indicative of the subject'"'"'s brain activity;

a stimulation assembly adapted to stimulate one or more neurons of the subject; and

a timing controller programmed to control the time the sensing assembly is powered to acquire the signal such that the sensing assembly is powered at a substantially different time than the time when the stimulation assembly stimulates the subject and that the sensing assembly is not powered to acquire the signal during the time the stimulation assembly stimulates the subject,

wherein the acquisition time and the stimulation time are variable based upon the subject'"'"'s predicted susceptibility to having a seizure.

2. The system of claim 1 wherein the timing controller is programmed to control the time at which the sensing assembly acquires the signal to be multiple discrete acquisition times and to control the time at which the stimulation assembly stimulates the one or more neurons to be multiple discrete stimulation times.

3. The system of claim 2 wherein the timing controller is programmed to control the sensing assembly to acquire the signal in between the stimulation assembly stimulating the one or more neurons.

4. The system of claim 2 wherein each of the multiple discrete acquisition times are about 0.25 seconds to about 5 minutes.

5. The system of claim 4 wherein each of the multiple discrete acquisition times are about 1 second to about 30 seconds.

6. The system of claim 2 wherein each of the multiple discrete stimulation times are about 0.5 seconds to about 5 minutes.

7. The system of claim 6 wherein each of the multiple discrete stimulation times are about 1 second to about 30 seconds.

8. The system of claim 2 wherein the system further comprises a control assembly adapted to adjust the multiple discrete acquisition times and the multiple discrete stimulation times.

9. The system of claim 8 wherein the control assembly is in communication with a device external to the subject, wherein the device is adapted to allow adjustment of the stimulation and acquisition times.

10. The system of claim 8 wherein the control assembly is adapted to dynamically adjust the stimulation or acquisition times.

11. The system of claim 1 wherein the acquisition time and the stimulation time provide an epoch of time between the acquisition time and stimulation time in which no acquisition or stimulation occurs.

12. The system of claim 11 wherein each epoch of time between the acquisition times and stimulation times in which no acquisition or stimulation occurs is about 0.25 seconds to about 10 seconds.

13. The system of claim 12 wherein each epoch of time between the acquisition times and stimulation times in which no acquisition or stimulation occurs is about 1 second to about 5 seconds.

14. The system of claim 1 wherein the sensing assembly and the stimulation assembly each comprise an electrode array.

15. The system of claim 14 wherein the same electrode array is used to stimulate the one or more neurons and acquire the signal from the subject.

16. The system of claim 14 wherein the stimulation assembly comprises an electrode array adapted to be coupled to a peripheral nerve.

17. The system of claim 16 wherein the peripheral nerve is a vagus nerve.

18. The system of claim 1 wherein the signal is an EEG signal from the subject.

19. The system of claim 1 wherein the subject'"'"'s brain activity is analyzed to predict an onset of a seizure.

20. The system of claim 1 further comprising a signal processor in communication with the sensing assembly adapted to process the signal to estimate an epileptic neural state.

21. The system of claim 20 wherein the signal processor comprises an observer algorithm operative when the sensing assembly is acquiring the signal.

22. The system of claim 21 wherein the observer algorithm comprises one or more feature extractors and a classifier.

23. The system of claim 1 wherein the timing controller is programmed to increase a parameter of the stimulation when the subject has a predicted elevated susceptibility for having a seizure.

24. The system of claim 23 wherein the timing controller is programmed to increase the stimulation frequency when the subject has a predicted elevated susceptibility for having a seizure.

25. The system of claim 1 wherein the timing controller is programmed to initiate stimulation when the subject has a predicted elevated susceptibility for having a seizure.

26. The system of claim 1 wherein the timing controller is programmed to decrease a parameter of the stimulation when the subject has a predicted reduced susceptibility for having a seizure.

27. A method of reducing artifact in a signal acquired from a subject, the method comprising:

powering signal acquisition circuitry to acquire a signal from a subject indicative of the subject'"'"'s brain activity;

stimulating the subject;

controlling the time during which the powering signal acquisition circuitry occurs such that the signal acquisition circuitry is powered at a substantially different time than the time during which stimulating the subject occurs and that the signal acquisition circuitry is not powered to acquire the signal during said stimulating the subject; and

varying the acquiring time and the stimulating time based upon the subject'"'"'s predicted susceptibility to having a seizure.

28. The method of claim 27 wherein the powering comprises acquiring the signal at multiple discrete acquisition times and the stimulating comprises stimulating the one or more neurons at multiple discrete stimulation times.

29. The method of claim 28 wherein the powering occurs between the stimulating the subject.

30. The method of claim 29 further comprising adjusting the multiple discrete acquisition times and/or the multiple discrete stimulation times.

31. The method of claim 28 wherein each of the multiple discrete acquisition times are about 0.25 seconds to about 5 minutes.

32. The method of claim 31 wherein each of the multiple discrete acquisition times are about 1 to about 30 seconds.

33. The method of claim 28 wherein each of the multiple discrete stimulation times are about 0.5 seconds to about 5 minutes.

34. The method of claim 33 wherein the multiple discrete stimulation times are about 1 to about 30 seconds.

35. The method of claim 28 wherein the acquiring comprises acquiring an EEG signal from the subject.

36. The method of claim 28 wherein the stimulating comprises stimulating a peripheral nerve.

37. The method of claim 36 wherein the peripheral nerve is a vagus nerve.

38. The method of claim 28 wherein the subject'"'"'s brain activity is processed to measure the subject'"'"'s susceptibility to a seizure.

39. The method of claim 28 further comprising processing the signal to estimate an epileptic neural state.

40. The method of claim 28 wherein each epoch of time between acquisition times and stimulation times in which no acquisition or stimulation occurs is about 0.25 seconds to about 10 seconds.

41. The method of claim 40 wherein each epoch of time between acquisition times and stimulation times in which no acquisition or stimulation occurs is about 1 second to about 5 seconds.

42. The method of claim 27 wherein the varying step comprises increasing a stimulating parameter based upon a predicted elevated susceptibility to having a seizure.

43. The method of claim 42 wherein increasing a stimulating parameter based upon an elevated predicted susceptibility to having a seizure comprises increasing the stimulation frequency based upon a predicted elevated susceptibility to having a seizure.

44. The method of claim 27 wherein the varying step comprises initiating stimulation based upon a predicted elevated susceptibility to having a seizure.

45. The method of claim 27 wherein the varying step comprises decreasing a stimulation parameter based upon a predicted reduced susceptibility to having a seizure.

46. A method of managing seizures, the method comprising:

acquiring an EEG signal from a subject during multiple discrete acquisition times;

stimulating one or more neurons of the subject during multiple discrete stimulation times;

controlling the time during which signal acquisition circuitry is powered to acquire the EEG signal such that the signal acquisition circuitry is powered at a substantially different time than the time during which the stimulating occurs and that the signal acquisition circuitry is not powered to acquire the EEG signal during the time the stimulating occurs; and

varying the acquisition times and the stimulation times based upon the subject'"'"'s predicted susceptibility to having a seizure.

47. The method of claim 46 wherein the varying step comprises increasing a stimulating parameter based upon a predicted elevated susceptibility to having a seizure.

48. The method of claim 46 wherein the varying step comprises decreasing a stimulating parameter based upon a predicted reduced susceptibility to having a seizure.

49. The method of claim 46 wherein each of the multiple discrete acquisition times are about 0.25 seconds to about 5 minutes.

50. The method of claim 49 wherein each of the multiple discrete acquisition times are about 1 to about 30 seconds.

51. The method of claim 46 wherein each of the multiple discrete stimulation times are about 0.5 seconds to about 5 minutes.

52. The method of claim 51 wherein each of the multiple discrete stimulation times are about 1 to about 30 seconds.

53. The method of claim 46 wherein epochs of time between acquisition times and stimulation times in which no acquisition or stimulation occurs are about 0.25 seconds to about 10 seconds each.

54. The method of claim 53 wherein epochs of time between acquisition times and stimulation times in which no acquisition or stimulation occurs are about 1 second to about 5 seconds each.