Neuromodulation using energy-efficient waveforms

• US 8,509,903 B2
• Filed: 06/05/2009
• Issued: 08/13/2013
• Est. Priority Date: 06/05/2009
• Status: Active Grant

• Current Assignee: IntElect Medical, Inc. (Boston Scientific Corporation)
• Original Assignee: IntElect Medical, Inc. (Boston Scientific Corporation)
• Inventors: York, Randall, Kokones, Scott, Carlton, Keith, Greszler, Alan
• Primary Examiner(s): Lavert, Nicole F
• Application Number:
  US12/479,067
• Publication Number:
  US 20100312303A1
• Time in Patent Office: 1,530 Days
• Field of Search: 607/2, 607/45, 607/68, 607/71
• US Class Current: 607/45
• CPC Class Codes: A61N 1/0534 Electrodes for deep brain stimulation
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes
• CPC Class Codes: A61N 1/3605 Implantable neurostimulators for stimulating central or peripheral nerve system
• CPC Class Codes: A61N 1/36067 Movement disorders, e.g. tremor or Parkinson disease stimulating motor muscle A61N1/36003
• CPC Class Codes: A61N 1/36082 Cognitive or psychiatric applications, e.g. dementia or Alzheimer's disease
• CPC Class Codes: A61N 1/36103 Neuro-rehabilitation; Repair or reorganisation of neural tissue, e.g. after stroke
• CPC Class Codes: A61N 1/3615 Intensity

Abstract

Methods of neuromodulation in a live mammalian subject, such as a human patient. The method comprises applying an electrical signal to a target site in the nervous system, such as the brain, where the electrical signal comprises a series of pulses. The pulses includes a waveform shape that is more energy-efficient as compared to a corresponding rectangular waveform. Non-limiting examples of such energy-efficient waveforms include linear increasing, linear decreasing, exponential increasing, exponential decreasing, and Gaussian waveforms. Also described are apparatuses for neuromodulation and software for operating such apparatuses.

Claims

1. A method for neuromodulation in a live mammalian subject, comprising:

applying an electrical signal to a site in a nervous system of the subject, wherein the electrical signal comprises pulses consisting of an energy-efficient waveform selected from the group consisting of exponential increasing, exponential decreasing, and Gaussian.

2. The method of claim 1, wherein the energy-efficient waveform is exponential decreasing or Gaussian.

3. The method of claim 1, wherein the energy-efficient waveform is exponential decreasing or exponential increasing.

4. The method of claim 1, wherein the pulses are current-controlled pulses.

5. The method of claim 1, wherein the pulses are voltage-controlled pulses.

6. The method of claim 1, wherein the pulses are both current-controlled and voltage-controlled.

7. The method of claim 1, wherein the amount of charge injected by the energy-efficient waveform is one-half or less of the amount of charge injected by a corresponding rectangular waveform having the same peak amplitude and same pulse width.

8. The method of claim 1, wherein the nervous system site is a site in the brain involved in motor function.

9. The method of claim 8, wherein the brain site is the thalamus or subthalamic nucleus.

10. The method of claim 1, wherein the energy-efficient waveform is analog or digitally generated.

11. A method of treating a neurologic condition in a live mammalian subject, comprising the method of claim 1.

12. The method of claim 11, wherein the neurologic condition is traumatic brain injury, stroke, a neurodegenerative disease, a movement disorder, or a psychiatric disorder.

13. The method of claim 11, wherein the neurologic condition involves an impairment of motor function.

14. The method of claim 11, wherein the neurologic condition is Parkinson'"'"'s disease, the site in the nervous system is the subthalamic nucleus, and the energy-efficient waveform is exponential decreasing.

15. The method of claim 11, wherein the neurologic condition involves a motor dysfunction.

16. The method of claim 1, wherein the nervous system site is a site in the brain involved in arousal or cognitive function.

17. The method of claim 16, wherein the brain site is the central thalamus, intralaminar nuclei, or subthalamic nuclei.

18. The method of claim 11, wherein the nervous system site is selected from the group consisting of:

basal ganglia, subthalamic nuclei, globus pallidus, internal globus pallidus, external globus pallidus, thalamus, central thalamus, intralaminar nuclei, ventral anterior nuclei, ventral lateral nuclei, ventral posteriolateral nuclei, ventral intermediate nuclei, medial dorsal nuclei, cerebellum, dentatothalamocortical pathway, dentate nuclei, superior cerebellar peduncle, and corpus callosum.

19. The method of claim 11, wherein the neurologic condition is selected from the group consisting of:

stroke, traumatic brain injury, neurodegenerative disease, Alzheimer'"'"'s disease, Parkinson'"'"'s disease, movement disorder, essential tremor, tardive dyskinesia, Tourette'"'"'s syndrome, psychiatric disorder, and depression.

20. A neuromodulation apparatus comprising:

an electrode comprising an electrode contact; and

an implantable pulse generator coupled to the electrode;

wherein the pulse generator is programmed to apply an electrical signal to the electrode contact, the electrical signal comprising pulses consisting of an energy-efficient waveform selected from the group consisting of exponential increasing, exponential decreasing, and Gaussian.

21. The apparatus of claim 20, wherein the pulse generator includes a battery as a power source, and wherein the pulse generator has a battery-operated lifetime of more than 7 years when providing a continuous electrical signal to the electrode contact.

22. The apparatus of claim 20, wherein the electrode contact has a surface area of 1.25 mm² or less.

23. The apparatus of claim 20, wherein the pulse generator generates the energy-efficient waveform digitally.

24. The apparatus of claim 20, wherein the energy-efficient waveform is exponential increasing or exponential decreasing.

25. The apparatus of claim 20, wherein the energy-efficient waveform is exponential decreasing or Gaussian.

26. A non-transitory computer-readable storage medium that stores executable instructions for performing the following:

obtaining a set of numeric values that define an energy-efficient waveform; and

controlling a pulse generator to apply an electrical signal to an electrode contact, the electrical signal comprising pulses consisting of an energy-efficient waveform selected from the group consisting of exponential increasing, exponential decreasing and Gaussian.