Implantable pulse generator that generates spinal cord stimulation signals for a human body

• US 9,511,232 B2
• Filed: 07/22/2015
• Issued: 12/06/2016
• Est. Priority Date: 03/15/2013
• Status: Active Grant

• Current Assignee: Cirtec Medical Corp.
• Original Assignee: Globus Medical, Inc.
• Inventors: Biele, Christopher, Angara, Raghavendra, Khalil, Saif
• Primary Examiner(s): Stice, Paula J
• Application Number:
  US14/805,626
• Publication Number:
  US 20160015981A1
• Time in Patent Office: 503 Days
• US Class Current: 1/1
• CPC Class Codes: A61N 1/025 Digital circuitry features of electrotherapy devices, e.g. memory, clocks, processors
• CPC Class Codes: A61N 1/0553 Paddle shaped electrodes, e.g. for laminotomy
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/36125 Details of circuitry or electric components
• CPC Class Codes: A61N 1/36178 Burst or pulse train parameters
• CPC Class Codes: A61N 1/36185 Selection of the electrode configuration
• CPC Class Codes: A61N 1/37229 Shape or location of the implanted or external antenna
• CPC Class Codes: A61N 1/37235 Aspects of the external programmer
• CPC Class Codes: A61N 1/3752 Details of casing-lead connections
• CPC Class Codes: A61N 1/3787 from an external energy source

Abstract

An implantable pulse generator (IPG) that generates spinal cord stimulation signals for a human body includes a timing generator and high frequency generator. The timing generator generates timing signals that represent stimulation signals for multiple channels. The high frequency generator determines whether to modulate the timing signals and modulates them at a burst frequency according to stored burst parameters if the decision is yes. The high frequency generator can also independently control the pulse frequency of each channel according to the stored parameters. As such, the IPG provides the ability to generate both the low frequency and high frequency stimulation signals at different frequencies in different channels according to user programming in order to provide maximum flexibility in treatment.

Claims

1. An implantable pulse generator (IPG) that generates spinal cord stimulation signals for a human body, comprising:

a signal generator for generating stimulation signals, said signal generator comprising;

control registers storing stimulation signal parameters for a plurality of channels with each channel capable of being associated with at least two electrodes among a plurality of electrodes, each channel representing a stimulation signal pattern of the associated electrodes, the signal parameters including burst parameters that specify a frequency of the stimulation signal for each channel;

a timing generator adapted to generate timing signals representing stimulation signals for the plurality of channels according to the stored signal parameters;

a high frequency generator adapted to determine whether to modulate the timing signals received from the timing generator and modulate the received timing signals at a burst frequency according to the stored burst parameters so as to enable independent frequency control of the stimulation signals for each channel;

an arbitrator; and

an electrode driver for each electrode,

wherein a registration bus electronically connects each of the control registers, the timing generator, the high frequency generator, the arbitrator, and the electrode driver for each electrode;

a treatment control module configured to instruct the signal generator to generate the stimulation signals while a microcontroller electrically connected to the signal generator is in standby mode.

2. The IPG of claim 1, wherein the electrode driver for each of the plurality of electrodes is adapted to adjust the amplitude of the timing signals from the timing generator according to the stored signal parameters so as to enable independent amplitude control of the stimulation signals for each channel.

3. The IPG of claim 1, wherein when the high frequency generator has determined not to modulate the received timing signals, the high frequency generator outputs the received timing signals whose frequency is unaltered.

4. The IPG of claim 1, wherein the high frequency generator includes a burst multiplexer that:

receives the burst parameters stored in the control registers;

selects the burst parameters associated with an active channel; and

outputs the selected burst parameters.

5. The IPG of claim 4, wherein the high frequency generator includes a burst generator that receives the selected burst parameters from the burst multiplexer and modulates the received timing signals according to the received burst parameters.

6. The IPG of claim 1, further comprising a transceiver module adapted to wirelessly communicate with a remote control and to transmit an interrupt signal to the microcontroller to wake up the microcontroller from the standby mode.

7. The IPG of claim 1, wherein the arbitrator continuously receives the generated timing signals and selects one channel among the plurality of channels as an active treatment channel.

8. The IPG of claim 7, wherein when the one channel is being selected as the active treatment channel, the arbitrator is adapted to suppress all other channels.

9. The IPG of claim 7, wherein when the generated timing signals indicate that two or more channels are about to become active at the same time when no active channel has been selected, the arbitrator is adapted to select the one channel as the active treatment channel based on a predetermined priority of the two or more channels.