System for recording electroneurographic activity

• US 9,107,636 B2
• Filed: 09/26/2011
• Issued: 08/18/2015
• Est. Priority Date: 09/24/2010
• Status: Active Grant

• Current Assignee: Nstim Services GmbH
• Original Assignee: Neurodan AS
• Inventors: Eder, Clemens Florian
• Primary Examiner(s): TOWA, RENE T
• Application Number:
  US13/823,864
• Publication Number:
  US 20130267816A1
• Time in Patent Office: 1,422 Days
• Field of Search: 600/26, 600/544, 607/48, 607115-118
• US Class Current: 1/1
• CPC Class Codes: A61B 5/0036 including treatment, e.g., using an implantable medical device, ablating, ventilating
• CPC Class Codes: A61B 5/24 Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
• CPC Class Codes: A61B 5/388 Nerve conduction study, e.g. detecting action potential of peripheral nerves
• CPC Class Codes: A61B 5/40 Detecting, measuring or recording for evaluating the nervous system A61B5/4806, A61B5/4821, A61B5/4824 take precedence
• CPC Class Codes: A61B 5/4851 Prosthesis assessment or monitoring
• CPC Class Codes: A61B 5/6877 Nerve
• CPC Class Codes: A61B 5/7203 for noise prevention, reduction or removal
• CPC Class Codes: A61F 2/72 Bioelectric control, e.g. myoelectric
• CPC Class Codes: A61N 1/0504 Subcutaneous electrodes
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes
• CPC Class Codes: A61N 1/0556 Cuff electrodes
• CPC Class Codes: A61N 1/36003 of motor muscles, e.g. for walking assistance
• CPC Class Codes: A61N 1/36007 of urogenital or gastrointestinal organs, e.g. for incontinence control

Abstract

A system for recording electroneurographic activity comprising at least three neurosense electrodes capable of sensing a nerve signal from a peripheral nerve and means for receiving and processing the sensed nerve signal to identify a signal indicative of a specific action being a movement of a body part performed by the patient and for producing a control signal in response thereto featuring means for rejection of signals originating from biological interference sources without affecting the electroneurographic activity measured.

Claims

1. A system for recording electroneurographic activity, comprising:

at least three electrodes, adapted to be placed along the longitudinal orientation of a peripheral nerve, said electrodes including end electrodes and a center electrode positioned between the end electrodes, the electrodes being capable of sensing a nerve signal, the end electrodes being connected to each other;

a control device comprising at least one circuit and being configured to measure a differential interference voltage between the end electrodes, receive and process the sensed nerve activity between the center electrode and one or more of the end electrodes, and produce a control signal in response thereto for controlling an external device;

a regulated bipolar current or voltage source that, based on the differential measured interference voltage between the end electrodes, applies a corresponding differential voltage or current of reverse polarity to the end electrodes to cancel the interference voltage, between the end electrodes without canceling nerve signals measured between the center electrode and one or more of the end electrodes such that the system actively rejects signals originating from biological interference sources that are separate from the sensed nerve signal without affecting a measurement of electroneurographic activity.

2. A system according to claim 1, wherein an additional pair of electrodes is arranged in the vicinity of the end electrodes.

3. A system according to claim 1, wherein the system includes at least one negative impedance converter arranged in series with each end electrode.

4. A system according to claim 3, wherein an impedance value of the at least one negative impedance converter is adjustable to partly or fully compensate the impedance of each end electrode.

5. A system according to claim 4, wherein a ratio between an actual end electrode impedance and an equivalent model impedance can be adjusted within a boundary that secures operation, despite unpredictable impedance variations in the end electrodes over time.

6. A system according to claim 1, wherein the system is adapted to be implanted in a human or animal body.

7. A system according to claim 1, wherein the electrodes in the system are arranged inside a cuff with a plurality of channels, each channel comprising at least three electrodes that include one center and two end electrodes arranged in the longitudinal direction of the cuff, the end electrodes of one channel are configured to estimate the interference voltage, and the system is configured to provide and feedback the interference voltage with opposite polarity into the end electrodes of another neighboring channel.

8. A system according to claim 1, wherein the system is incorporated in an implantable pulse generator for electrical nerve stimulation.

9. A system according to claim 8, wherein the system is specially adapted for providing input to a system for correcting gait related diseases.

10. A system according to claim 8, wherein the system is specially adapted for providing a control signal for facilitating prostheses where a specific nerve signal is isolated and amplified for controlling the movement of artificial limbs.

11. A system according to claim 8, wherein the system is specially adapted for providing an input signal to a system for treatment of incontinence.

12. A system according to claim 1, wherein at least one of the electrodes is arranged on a medical lead adapted to be placed along the longitudinal direction of the nerve.

13. A system for recording electroneurographic activity while rejecting signals originating from biological interference sources that are separate from the sensed nerve signal without affecting the measurement of electroneurographic activity, said system comprising:

a plurality of electrodes adapted to be placed along a longitudinal orientation of a peripheral nerve and configured to sense a nerve signal, the plurality of electrodes including end electrodes connected to each other and a center electrode positioned between the end electrodes;

a control device configured to;

measure a differential interference voltage of biological interference sources between the end electrodes;

receive and process the sensed nerve activity between the center electrode and one or more of the end electrodes;

produce a control signal in response to said sensed nerve activity for controlling an external device;

a regulated bipolar current or voltage source operable to apply a corresponding differential voltage or current of reverse polarity to the end electrodes to cancel the interference voltage between the end electrodes without canceling nerve signals measured between the center electrode and one or more of the end electrodes, the differential voltage or current of reverse polarity being based on the differential interference voltage of the biological interference sources measured between the end electrodes.

14. A system according to claim 13, wherein the plurality of electrodes includes at least two pairs of electrodes.