High frequency stimulation to block laryngeal stimulation during vagal nerve stimulation

• US 9,370,654 B2
• Filed: 01/27/2009
• Issued: 06/21/2016
• Est. Priority Date: 01/27/2009
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Scheiner, Avram, Euler, David E.
• Primary Examiner(s): VOORHEES, CATHERINE M
• Application Number:
  US12/360,680
• Publication Number:
  US 20100191311A1
• Time in Patent Office: 2,702 Days
• Field of Search: 607/48, 607/62, 607/66, 607 69- 72, 607/118
• US Class Current: 1/1
• CPC Class Codes: A61B 5/4035 Evaluating the autonomic nervous system
• CPC Class Codes: A61B 5/4047 afferent nerves, i.e. nerves that relay impulses to the central nervous system
• CPC Class Codes: A61B 5/7217 of noise originating from a therapeutic or surgical apparatus, e.g. from a pacemaker
• CPC Class Codes: A61N 1/0556 Cuff electrodes
• CPC Class Codes: A61N 1/36114 Cardiac control, e.g. by vagal stimulation stimulating the heart A61N1/362

Abstract

An implantable medical device and associated method deliver a therapy to an autonomic nerve. The therapy delivery includes delivering therapeutic low frequency (LF) electrical stimulation pulses to the autonomic nerve and delivering a high frequency electrical signal to the autonomic nerve during the LF frequency stimulation pulse delivery. The high frequency stimulation signal blocks activation of autonomic nerve fibers innervating a non-targeted tissue during the therapeutic LF stimulation pulse delivery.

Claims

1. An implantable medical device for electrically stimulating an autonomic nerve, comprising;

an electrode pair adapted for positioning along the autonomic nerve;

a therapy delivery module coupled to the electrode pair, the therapy delivery module comprising

an electrical stimulation pulse generator for delivering stimulation pulses at a first frequency to the autonomic nerve via the electrode pair;

a high frequency signal source for delivering a high frequency electrical signal at a second frequency higher than the first frequency to the autonomic nerve via the electrode pair; and

a control module configured to control the therapy delivery module to deliver the first frequency stimulation pulses to excite a target tissue innervated by the autonomic nerve and deliver the high frequency signal during the first frequency stimulation pulse delivery; and

wherein the pulse generator and the high frequency signal source are coupled to the electrode pair.

2. The device of claim 1 further comprising:

a first sensor generating a signal corresponding to activation of a non-targeted tissue innervated by the autonomic nerve;

the control module receiving the first sensor signal and adjusting the high frequency electrical signal delivered by the therapy module in response to the first sensor signal.

3. The device of claim 1 further comprising a first sensor generating a signal corresponding to a response of the targeted tissue to the first frequency stimulation pulses, the control module receiving the second sensor signal, adjusting the delivery of the first frequency stimulation pulses in response to the first sensor signal, and adjusting the delivery of the high frequency electrical signal in response to the adjustment of the first frequency stimulation pulse delivery.

4. The device of claim 1 wherein the control module initiates the delivery of the high frequency electrical signal and initiates the delivery of the first frequency stimulation pulses after a delay following the high frequency electrical signal initiation.

5. The device of claim 1 wherein the control module terminates the delivery of the high frequency electrical signal and terminates the delivery of the first frequency stimulation pulses after a delay following the high frequency electrical signal termination.

6. The device of claim 1 wherein the control module controls the therapy delivery module to deliver intermittent bursts of the high frequency electrical signal during the first frequency stimulation pulse delivery.

7. The device of claim 6 wherein the therapy delivery module delivers the pulses at the first frequency during intervals between the bursts of the high frequency electrical signal.

8. A method for delivering electrical stimulation to an autonomic nerve for use in an implantable medical device, comprising:

delivering electrical stimulation pulses at a first frequency to an autonomic nerve;

delivering a high frequency electrical signal at a second frequency higher than the first frequency to the autonomic nerve during the first frequency stimulation pulse delivery; and

wherein the first frequency stimulation pulses and the high frequency signal are delivered using a same electrode pair.

9. The method of claim 8 further comprising:

sensing a signal corresponding to activation of a non-targeted tissue innervated by the autonomic nerve; and

adjusting the high frequency electrical signal in response to a first sensor signal.

10. The method of claim 8 further comprising:

sensing a signal corresponding to a response of the targeted tissue to the first frequency stimulation pulses;

adjusting the delivery of the first frequency stimulation pulses in response to a first sensor signal; and

adjusting the delivery of the high frequency electrical signal in response to the adjustment of the first frequency stimulation pulse delivery.

11. The method of claim 8 further comprising:

initiating the high frequency stimulation signal delivery; and

initiating the delivery of the first frequency stimulation pulses after a delay following the initiation of the high frequency electrical signal.

12. The method of claim 8 further comprising:

terminating the delivery of the high frequency electrical signal; and

terminating the delivery of the first frequency stimulation pulses after a delay following the high frequency stimulation signal termination.

13. The method of claim 8 wherein the high frequency stimulation signal delivery comprises delivering intermittent bursts of the high frequency electrical signal during the first frequency stimulation pulse delivery.

14. The method of claim 13 wherein delivering the first frequency stimulation pulses comprises delivering the stimulation pulses during an interval between the bursts of the high frequency electrical signal.