Methods and devices for modulating cellular activity using ultrasound

• US 8,858,440 B2
• Filed: 09/12/2013
• Issued: 10/14/2014
• Est. Priority Date: 07/14/2008
• Status: Active Grant

• Current Assignee: Arizona Board of Regents (University of Arizona)
• Original Assignee: Arizona Board of Regents (University of Arizona)
• Inventors: Tyler, William James P.
• Primary Examiner(s): Cattungal, Sanjay
• Application Number:
  US14/025,586
• Publication Number:
  US 20140094720A1
• Time in Patent Office: 397 Days
• Field of Search: 600437-469
• US Class Current: 600/439
• CPC Class Codes: A61B 5/0036 including treatment, e.g., using an implantable medical device, ablating, ventilating
• CPC Class Codes: A61B 5/369 Electroencephalography [EEG] devices for psychotechnics A61B5/16
• CPC Class Codes: A61B 5/372 Analysis of electroencephalograms
• CPC Class Codes: A61B 5/4836 Diagnosis combined with treatment in closed-loop systems or methods A61B5/0036 takes precedence
• CPC Class Codes: A61N 2005/0651 Diodes
• CPC Class Codes: A61N 2005/0652 Arrays of diodes
• CPC Class Codes: A61N 2005/0653 Organic light emitting diodes
• CPC Class Codes: A61N 2007/0021 Neural system treatment
• CPC Class Codes: A61N 2007/0026 Stimulation of nerve tissue
• CPC Class Codes: A61N 2007/0073 using multiple frequencies
• CPC Class Codes: A61N 2007/0078 with multiple treatment transducers
• CPC Class Codes: A61N 5/0613 Apparatus adapted for a specific treatment
• CPC Class Codes: A61N 5/062 Photodynamic therapy, i.e. excitation of an agent
• CPC Class Codes: A61N 5/0622 Optical stimulation for exciting neural tissue
• CPC Class Codes: A61N 5/067 using laser light
• CPC Class Codes: A61N 7/00 Ultrasound therapy lithotripsy A61B17/22, A61B17/225; massage using supersonic vibration A61H23/00 ; using ultrasound for introducing media into the body A61M37/0092
• CPC Class Codes: C12N 13/00 Treatment of microorganisms or enzymes with electrical or wave energy, e.g. magnetism, sonic waves
• CPC Class Codes: C12N 5/0619 Neurons

Abstract

The present invention comprises methods and devices for modulating the activity or activities of living cells, such as cells found in or derived from humans, animals, plants, insects, microorganisms and other organisms. Methods of the present invention comprise use of the application of ultrasound, such as low intensity, low frequency ultrasound, to living cells to affect the cells and modulate the cells'"'"' activities. Devices of the present invention comprise one or more components for generating ultrasound waves, such as ultrasonic emitters, transducers or piezoelectric transducers, composite transducers, CMUTs, and which may be provided as single or multiple transducers or in an array configurations. The ultrasound waves may be of any shape, and may be focused or unfocused.

Claims

1. An ultrasound wave generating device for modulating neuronal cellular activity of a neuronal cellar site in a subject, comprising

at least one component for generating an ultrasound wave, adapted to deliver a stimulus waveform to the neuronal cellular site;

and

a controller coupled to the at least one component, the controller comprising a process to determine the stimulus waveform delivered to the neuronal cells, wherein the controller is configured with the process to provide the stimulus waveform comprising a plurality of pulses, each pulse of the plurality comprising a plurality of cycles having one or more frequencies in a range from about 0.02 MHz to about 100 MHz at the site of the cells to be modulated, wherein said each pulse of the plurality of pulses comprises a plurality of frequencies and wherein pulses of the plurality are repeated at a pulse repetition frequency ranging from about 0.001 to about 100 kHz to produce spatial-peak temporal-average intensities ranging from 0.0001 to 900 mW/cm².

2. A device as in claim 1, wherein the at least one component for generating ultrasound waves comprises an ultrasonic emitter, an ultrasound transducer, a piezoelectric ultrasound transducer, a composite transducer, a capacitive micromachined ultrasound transducer, or combinations thereof, or an array configuration.

3. A device as in claim 1, wherein the at least one component for generating an ultrasound wave comprises an ultrasound transducer, having a center frequency, the ultrasound transducer configured to be driven at a fundamental frequency off its center frequency to introduce off-resonant energy, thereby allowing the at least one component for generating an ultrasound wave to generate the stimulus waveform wherein each of the single pulses introduces multiple frequency components.

4. A device as in claim 3, wherein the multiple frequency components comprise the fundamental frequency and at least one of a beat frequency of the fundamental frequency or a harmonic frequency of the fundamental frequency.

5. A device as in claim 1 wherein the stimulus waveform is delivered in a focused or unfocused manner.

6. A device as in claim 1, wherein the stimulus waveform comprises squarewaves, sine waves, saw-tooth waveforms, sweeping waveforms, or arbitrary waveforms, or combinations of one or more waveforms.

7. A device of as in claim 1, wherein the at least one component for generating ultrasound waves comprises 1 to 1000 ultrasound transducer elements.

8. A device as in claims 1, wherein the stimulus waveform comprises pulses of varying frequencies and durations.

9. A device as in claim 1 adapted to form a component for generating ultrasound waves to form at least one stimulus waveform, for use in modulating cellular activity in treating a subject who has a traumatic brain injury or a traumatic spinal cord injury, a brain tumor, migraines, a cardiac arrhythmia, back pain, diabetes, Parkinson'"'"'s disease, essential tremor, Alzheimer'"'"'s disease, obsessive compulsive disorder, schizophrenia, bipolar disorder, depression, locked in syndrome, or other central nervous system disease or condition, or is in a minimally conscious state, a coma, or a vegetative state, wherein:

(i) the component is acoustically coupled to the subject, and

(ii) wherein at the site of neuronal cells to be modulated the stimulus waveform comprises one or more of the following intensities;

450 mW/cm², 400 mW/cm², 350 mW/cm², 300 mW/cm², 250 mW/cm², 200 mW/cm², 150 mW/cm²100 mW/cm², 50 mW/cm², or levels within these stated amounts; and

(iii) wherein the stimulus waveform comprises one or more frequencies in a range of 0.02 to 1 MHz.

10. A device as in claim 1, wherein the single pulses of the stimulus waveform each comprise multiple frequencies in a range of 0.1 to 0.9 MHz.

11. A device as in claim 1, wherein a Fourier transform of said each pulse of the plurality of pulses at the neuronal cellular site comprises the plurality of frequencies, each of the plurality of frequencies having an identifiable peak.

12. A device as in claim 11, wherein the plurality of peaks of the Fourier transform of the stimulus waveform comprises a center frequency and one or more of a beat frequency or a harmonic frequency of the center frequency.

13. A device as in claim 1, the stimulus waveform modulates neuronal cellular activity at the site without inertial cavitation.

14. A device as in claim 1, the stimulus waveform modulates neuronal cellular activity at the site without cellular damage.

15. A device as in claim 1, wherein the pulse repetition frequency is within a range from about 0.001 to about 10 kHz.

16. A device as in claim 1, wherein the pulse repetition frequency is within a range from about 1.2 to about 3 kHz.

17. A device as in claim 1, wherein the subject comprises neuronal circuits and wherein the neuronal cells comprise cells of the neural circuits.

18. A device as in claim 17, wherein the waveform is configured for said each pulse of the plurality to be delivered transcranially to the site of neuronal cells.