Laser-based nerve stimulators for, E.G., hearing restoration in cochlear prostheses and method

• US 8,792,978 B2
• Filed: 09/24/2010
• Issued: 07/29/2014
• Est. Priority Date: 05/28/2010
• Status: Active Grant

• Current Assignee: Nurotone Medical Ltd.
• Original Assignee: Lockheed Martin Corporation (Martin Marietta Corporation)
• Inventors: Wells, Jonathon D., Xing, Andrew, Bendett, Mark P., Keller, Matthew D., Norton, Bryan J., Owen, James M., Yuan, Shuming, Royse, Robert W., Lemaire, Charles A.
• Primary Examiner(s): Jackson, Gary
• Assistant Examiner(s): Nganga, Boniface N
• Application Number:
  US12/890,602
• Publication Number:
  US 20110295331A1
• Time in Patent Office: 1,404 Days
• Field of Search: 607/3, 607/88, 607/89
• US Class Current: 607/3
• CPC Class Codes: A61N 1/0541 Cochlear electrodes
• CPC Class Codes: A61N 1/36038 Cochlear stimulation
• CPC Class Codes: A61N 1/36039 fitting procedures
• CPC Class Codes: A61N 1/361 Phantom sensations, e.g. tinnitus
• CPC Class Codes: A61N 2005/005 for cooling the radiator
• CPC Class Codes: A61N 2005/0605 Ear
• CPC Class Codes: A61N 2005/063 comprising light transmitting means, e.g. optical fibres
• CPC Class Codes: A61N 2005/0631 using crystals
• CPC Class Codes: A61N 2005/0652 Arrays of diodes
• CPC Class Codes: A61N 2005/0659 infrared
• CPC Class Codes: A61N 2005/0665 Reflectors
• CPC Class Codes: A61N 2005/0666 for redirecting light to the treatment area
• CPC Class Codes: A61N 5/0601 Apparatus for use inside the body
• CPC Class Codes: A61N 5/0603 for treatment of body cavities
• CPC Class Codes: A61N 5/0613 Apparatus adapted for a specific treatment
• CPC Class Codes: A61N 5/0622 Optical stimulation for exciting neural tissue
• CPC Class Codes: A61N 5/067 using laser light

Abstract

Apparatus and method for optical- or optical-and-electrical stimulation of e.g., auditory nerve pathways, for example spiral ganglion in the cochlea or neurons in the cochlear nerve. Several configurations for guiding and directing the optical stimulation are disclosed. Several configurations for guiding and directing the electrical field (used in some embodiments, for sensitization) in and through the destination tissue to which the optical stimulation is directed are disclosed. In some embodiments, and array of IR VCSELs emit stimulation light, in particular to tissue in the cochlea for restoring hearing. In some embodiments, an electrical signal is also applied in a manner that reduces the amount of light in a pulse that is otherwise needed to elicit a NAP. In some embodiments, a heat dissipater is used to spread the heat generated by operation of the lasers and their circuits, to avoid heat damage to the tissue.

Claims

1. A method for stimulating neurons of a plurality of auditory nerve pathways of a person to provide sensations for the person, the plurality of auditory nerve pathways including a first auditory nerve pathway and a second auditory nerve pathway, the method comprising:

generating a plurality of stimulation light signals, including a first stimulation light signal and a second stimulation light signal, that, when applied to a neuron of the person while the neuron is sensitized, each will stimulate a nerve action potential (NAP) in the neuron;

generating a first electrical sensitizing signal, that, when applied to the neuron of the person, will sensitize the neuron to trigger a NAP in the neuron upon application of one or more of the plurality stimulation light signals to the neuron;

delivering, during a first time period, the first electrical sensitizing signal to a plurality of neurons of the plurality of auditory nerve pathways of the person;

delivering, during a second time period that starts after a start time of the first time period, the first stimulation light signal to one or more neurons of the first auditory nerve pathway of the person;

delivering, during the second time period, the second stimulation light signal to one or more neurons of the second auditory nerve pathway of the person;

selectively controlling the plurality of stimulation light signals to provide controlled optical stimulation in order to trigger NAPs in the one or more neurons in the first auditory nerve pathway independently from triggering NAPs in the one or more neurons in the second auditory nerve pathway;

receiving an audio signal;

determining whether a first temporal period of the received audio signal includes wideband audio-spectral content; and

based on the determination of the wideband audio-spectral content, delivering an electrical-stimulation signal corresponding to the first temporal period to the plurality of auditory nerve pathways simultaneously, with sufficient current to trigger NAPs in the plurality of auditory nerve pathways without use of the light signals.

2. The method of claim 1, the method further comprising:

processing the received audio signal to obtain frequency and intensity information, wherein the delivering of the first and second stimulation light signals includes delivering the first and second stimulation light signals to an auditory portion of a cochlea of the person, and wherein the selectively controlling of the plurality of stimulation light signals includes selectively controlling the generating and delivering of the first and second stimulation light signals such that the first and second stimulation light signals are delivered to selected locations of the cochlea of the person based on the frequency information and at selected pulse-repetition rates based on the intensity information.

3. The method of claim 1, wherein the delivering of the first light signal occurs inside a cochlea of the person and the delivering the second light signal to one or more neurons occurs inside the cochlea of the person.

4. The method of claim 1, wherein the delivering of light signals further includes delivering infrared light from a laser.

5. The method of claim 1, wherein the delivering of light signals further includes delivering infrared light from a vertical-cavity surface-emitting laser (VCSEL).

6. The method of claim 1, wherein the delivering of light signals further includes delivering the light signals to central portions of the neurons.

7. The method of claim 1, wherein the delivering of the light signals further includes obtaining a plurality of light signals from one or more laser light sources and delivering the obtained light signals to discrete portions of excitable tissues, said signals being interpretable by the person'"'"'s brain as sensory responses.

8. The method of claim 1, wherein the delivering of the electrical-stimulation signal to the plurality of auditory nerve pathways includes delivering the electrical-stimulation signal to auditory nerve pathways for perceived frequencies of 50 Hertz (Hz), 75 Hz, 100 Hz, 400 Hz, and 500 Hz.

9. An apparatus comprising:

a plurality of independently controllable light sources that are configured to generate a plurality of stimulation light signals, including a first stimulation light signal and a second stimulation light signal, that, when applied to a neuron of the person while the neuron is sensitized, each will stimulate a nerve action potential (NAP) in the neuron;

electrical driver electronics that generate a first electrical sensitizing signal, that, when applied to the neuron of the person, will sensitize the neuron to trigger a NAP in the neuron upon application of one or more of the plurality of stimulation light signals to the neuron;

a first transmission medium configured to transmit, during a first time period, the first electrical sensitizing signal to a plurality of neurons of a plurality of auditory nerve pathways of the person including a first auditory nerve pathway and a second auditory nerve pathway;

a second transmission medium configured to transmit, during a second time period that starts after a start time of the first time period, the first stimulation light signal from the plurality of light sources to one or more neurons of the first auditory nerve pathway of the person, and to transmit, during the second time period, the second stimulation light signal from the plurality of light sources to one or more neurons of the second auditory nerve pathway of the person;

a controller operatively coupled to the plurality of light sources to selectively control the plurality of stimulation light signals, and operatively coupled to the electrical driver electronics to selectively control the first electrical sensitizing signal, such that in combination with the first electrical sensitizing signal the first stimulation light signal provides controlled optical stimulation to-trigger nerve action potentials (NAPs) produced by the one or more neurons in the first auditory nerve pathway but not the second auditory pathway, and the second stimulation light signal provides controlled optical stimulation to trigger NAPs by the one or more neurons in the second auditory nerve pathway but not the first auditory pathway, in order to provide auditory sensations for the person;

a microphone configured to receive an audio signal;

an audio-signal processor that determines whether a first temporal period of the received audio signal includes a wideband audio-spectral content, wherein the controller is further configured to, based on the determination of the wideband audio-spectral content, cause the electrical driver electronics to deliver an electrical-stimulation signal corresponding to the first temporal period to the plurality of auditory nerve pathways simultaneously, with sufficient current to trigger NAPs in the plurality of auditory nerve pathways without use of the light signals.

10. The apparatus of claim 9, wherein the audio-signal processor processes the received audio signal to obtain frequency and intensity information, wherein the second transmission medium is further configured to transmit the first and second light signals to an auditory portion of a brainstem or midbrain of the person, and wherein the controller is further configured to selectively control the plurality of independently controllable light sources and the second transmission medium such that the first and second stimulation light signals are transmitted to selected locations of the brainstem or midbrain of the person based on the frequency information and at selected pulse-repetition rates based on the intensity information.

11. The apparatus of claim 9, wherein the control of the light signals provided by the controller includes selective control of a wavelength of the plurality of light signals.

12. The apparatus of claim 9, wherein the second transmission medium includes a plurality of parallel optical-signal-transmission channels.

13. The apparatus of claim 12, wherein the second transmission medium includes a plurality of optical fibers each of which transmits a different signal.

14. The apparatus of claim 9, wherein the microphone has a signal output operatively coupled to a wireless transmitter that is configured to transmit information based on the signal output to the controller.

15. The apparatus of claim 14, wherein the audio-signal processor generates the information transmitted by the wireless transmitter to the controller, wherein the information includes frequency information and intensity information, and wherein the controller is further configured to selectively control the optical stimulation to be interpretable by a living animal'"'"'s brain as having one or more frequency components and an intensity, in order to encode hearing.

16. The apparatus of claim 9, wherein the plurality of light sources includes a plurality of vertical-cavity surface-emitting lasers (VCSELs).

17. The apparatus of claim 9, wherein the delivered electrical-stimulation signal due to the detected wideband audio-spectral content triggers auditory nerve pathways for perceived frequencies of 50 Hertz (Hz), 75 Hz, 100 Hz, 400 Hz, and 500 Hz.

18. An apparatus for stimulating neurons of a plurality of auditory nerve pathways, of a person to provide sensations for the person, the plurality of auditory nerve pathways including a first auditory nerve pathway and a second auditory nerve pathway, the apparatus comprising:

means for generating a plurality of stimulation light signals, including a first stimulation light signal and a second stimulation light signal, that, when applied to a neuron of the person while the neuron is sensitized, each will stimulate a nerve action potential (NAP) in the neuron;

means for generating a first electrical sensitizing signal, that, when applied to the neuron of the person, will sensitize the neuron to trigger a NAP in the neuron upon application of one or more of the plurality of stimulation light signals to the neuron;

means for delivering, during a first time period, the first electrical sensitizing signal to a plurality of neurons of the plurality of auditory nerve pathway of the person;

means for delivering, during a second time period that starts after a start time of the first time period, the first stimulation light signal to one or more neurons of the first auditory nerve pathway of the person;

means for delivering, during the second time period, the second stimulation light signal to one or more neurons of the second auditory nerve pathway of the person;

means for selectively controlling the plurality of stimulation light signals to provide controlled optical stimulation in order to trigger NAPs in the one or more neurons in the first auditory nerve pathway independently from triggering NAPs in the one or more neurons in the second auditory nerve pathway;

means for receiving an audio signal;

means for determining whether a first temporal period of the received audio signal includes a wideband audio-spectral content; and

means for, based on the determination of the wideband audio-spectral content, delivering an electrical-stimulation signal corresponding to the first temporal period to the plurality of auditory nerve pathways simultaneously, with sufficient current to trigger NAPs in the plurality of auditory nerve pathways without use of the light signals.

19. The apparatus of claim 18, the apparatus further comprising:

means for processing the received audio signal to obtain frequency and intensity information, wherein the means for delivering the first stimulation light signal delivers the first light signal to an auditory portion of a cochlea of the person, and wherein the means for selectively controlling the plurality of stimulation light signals controls the means for generating the plurality of stimulation light signals and the means for delivering the first stimulation light signal such that the first stimulation light signal is delivered to selected locations of the cochlea of the person based on the frequency information and at selected pulse-repetition rates based on the intensity information.

20. The apparatus for of claim 18, wherein the means for selectively controlling provides the controlled optical stimulation based on detected narrow-band content in an analyzed audio signal, but provides threshold-level electrical stimulation based on detected broadband audio content in the analyzed audio signal.

21. The apparatus of claim 18, wherein the means for generating the plurality of stimulation light signals includes a hexagonal-shaped vertical-cavity surface-emitting laser (VCSEL) array.

22. The apparatus of claim 18, wherein the delivered electrical-stimulation signal due to the detected wideband audio-spectral content triggers auditory nerve pathways for perceived frequencies of 50 Hertz (Hz), 75 Hz, 100 Hz, 400 Hz, and 500 Hz.