Neurostimulation system with default MRI-mode

• US 9,561,379 B2
• Filed: 06/03/2013
• Issued: 02/07/2017
• Est. Priority Date: 06/05/2012
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Carbunaru, Rafael, Murtonen, Salomo, Parramon, Jordi, Venook, Ross
• Primary Examiner(s): DIETRICH, JOSEPH M
• Application Number:
  US13/908,764
• Publication Number:
  US 20130325085A1
• Time in Patent Office: 1,345 Days
• Field of Search: 607/62
• US Class Current: 1/1
• CPC Class Codes: A61N 1/08 Arrangements or circuits for monitoring, protecting, controlling or indicating for external stimulators A61N1/3603; for implantable neurostimulators A61N1/36128; for heart stimulators A61N1/37; for defibrillators A61N1/3925
• CPC Class Codes: A61N 1/086 Magnetic resonance imaging [MRI] compatible leads
• CPC Class Codes: A61N 1/3718 Monitoring of or protection against external electromagnetic fields or currents
• CPC Class Codes: A61N 1/37211 Means for communicating with stimulators

Abstract

A neurostimulation device capable of being placed between a stimulation state and an EMI protection state. The neurostimulation device comprises a plurality of electrical terminals configured for being respectively coupled to a plurality of stimulation electrodes, stimulation output circuitry configured for being selectively activated during the stimulation state to output a plurality of stimulation pulses to the plurality of electrical terminals, electromagnetic protection circuitry configured for being selectively activated during the EMI protection state to prevent at least a portion of the electrical current induced on at least one of the electrical terminals by an electromagnetic field entering the stimulation output circuitry, and a controller configured for automatically defaulting the neurostimulation device to the EMI protection state.

Claims

1. A neurostimulation device capable of being placed between a stimulation state and an electromagnetic interference (EMI) protection state, comprising:

a plurality of electrical terminals configured for being respectively coupled to a plurality of stimulation electrodes;

stimulation output circuitry configured for being selectively activated during the stimulation state to output a plurality of stimulation pulses to the plurality of electrical terminals;

electromagnetic protection circuitry configured for being selectively activated during the EMI protection state to prevent at least a portion of an electrical current induced on at least one of the electrical terminals by an electromagnetic field from entering the stimulation output circuitry; and

a controller configured for automatically defaulting the neurostimulation device from the stimulation state to the EMI protection state in response to a non-user initiated event selected from the group consisting of a drop in a power supply output below a predetermined level and a termination of a system test.

2. The neurostimulation device of claim 1, wherein the electromagnetic protection circuitry, when activated, is configured for preventing the at least a portion of the induced electrical current from entering the stimulation output circuitry by applying a high compliance voltage between the at least one of the electrical terminals and a ground reference.

3. The neurostimulation device of claim 1, wherein the electromagnetic protection circuitry, when activated, is configured for preventing the at least a portion of the induced electrical current from entering the stimulation output circuitry by introducing a high impedance between the at least one of the electrical terminals and the stimulation output circuitry.

6. The neurostimulation device of claim 1, wherein the stimulation output circuitry comprises at least one stimulation source, and the electromagnetic protection circuitry, when activated, is configured for preventing the at least a portion of the induced electrical current from entering the at least one stimulation source.

7. The neurostimulation device of claim 1, wherein the electromagnetic protection circuitry, when activated, is configured for preventing the at least a portion of the induced electrical current from being conveyed from the at least one electrical terminal to at least one other of the electrical terminals.

8. The neurostimulation device of claim 1, wherein the electromagnetic protection circuitry, when activated, is configured for preventing all of the induced electrical current from entering the stimulation output circuitry.

13. The neurostimulation device of claim 1, wherein the controller is configured for automatically defaulting the neurostimulation device to the EMI protection state in response to a user command to terminate the plurality of stimulation pulses.

14. A method of switching the neurostimulation device of claim 1 between a stimulation state and an EMI protection state, the method comprising:

outputting a plurality of stimulation pulses from the stimulation output circuitry of the neurostimulation device to at least one stimulation lead when the neurostimulation device is in the stimulation state;

exposing the at least one stimulation lead with an electromagnetic field, thereby inducing an electrical current on the at least one stimulation lead;

defaulting the neurostimulation device to the EMI protection state; and

preventing at least a portion of the induced electrical current from entering the stimulation output circuitry during the EMI protection state.

15. The method of claim 14, wherein the at least a portion of the induced electrical current is prevented from entering the stimulation output circuitry by applying a high compliance voltage between at least one electrode carried by the at least one stimulation lead and a ground reference.

16. The method of claim 14, wherein the at least a portion of the induced electrical current is prevented from entering the stimulation output circuitry by introducing a high impedance between at least one electrode carried by the at least one stimulation lead and the stimulation output circuitry.

17. The method of claim 14, wherein the at least a portion of the induced electrical current is prevented from entering the stimulation output circuitry by introducing a low impedance between at least one electrode carried by the at least one stimulation lead and a ground reference.

18. The method of claim 14, wherein the at least a portion of the induced electrical current is prevented from entering the stimulation output circuitry by preventing power from being supplied by a power supply to the stimulation output circuitry.

19. The method of claim 14, wherein the stimulation output circuitry comprises at least one stimulation source, and the at least a portion of the induced electrical current is prevented from entering the at least one stimulation source during the EMI protection state.

20. The method of claim 14, wherein the at least a portion of the induced electrical current is prevented from being conveyed from at least one electrode carried by the at least one stimulation lead and at least another electrode carried by the at least one stimulation lead.

21. The method of claim 14, wherein all of the induced electrical current is prevented from entering the stimulation output circuitry during the EMI protection state.

26. The method of claim 14, wherein the neurostimulation device is automatically defaulted to the EMI protection state in response to a user command to terminate the plurality of stimulation pulses.

27. The method of claim 14, wherein the electromagnetic field is generated by a Magnetic Resonance Imaging (MRI) scanner.

28. The method of claim 14, wherein the neurostimulation device is implanted within a patient.

4. A neurostimulation device capable of being placed between a stimulation state and an electromagnetic interference (EMI) protection state, comprising:

a plurality of electrical terminals configured for being respectively coupled to a plurality of stimulation electrodes;

stimulation output circuitry configured for being selectively activated during the stimulation state to output a plurality of stimulation pulses to the plurality of electrical terminals;

electromagnetic protection circuitry configured for being selectively activated during the EMI protection state to prevent at least a portion of an electrical current induced on at least one of the electrical terminals by an electromagnetic field from entering the stimulation output circuitry, wherein the electromagnetic protection circuitry, when activated, is configured for preventing the at least a portion of the induced electrical current from entering the stimulation output circuitry by introducing a low impedance between the at least one of the electrical terminals and a ground reference; and

a controller configured for automatically defaulting the neurostimulation device to the EMI protection state.

9. The neurostimulation device of claim 4, wherein the controller is configured for automatically defaulting the neurostimulation device to the EMI protection state in response to a non-user initiated event.

10. The neurostimulation device of claim 9, wherein the non-user initiated event is one or more of a reset of the neurostimulation device, a fault in the neurostimulation device, a drop in a power supply output below a predetermined level, and a termination of a system test.

11. The neurostimulation device of claim 9, wherein the non-user initiated event is a termination of each of the stimulation pulses.

12. The neurostimulation device of claim 9. wherein the non-user initiated event is a termination of a predetermined burst of stimulation pulses.

5. A neurostimulation device capable of being placed between a stimulation state and an electromagnetic interference (EMI) protection state, comprising:

a plurality of electrical terminals configured for being respectively coupled to a plurality of stimulation electrodes;

stimulation output circuitry configured for being selectively activated during the stimulation state to output a plurality of stimulation pulses to the plurality of electrical terminals;

electromagnetic protection circuitry configured for being selectively activated during the EMI protection state to prevent at least a portion of an electrical current induced on at least one of the electrical terminals by an electromagnetic field from entering the stimulation output circuitry;

a controller configured for automatically defaulting the neurostimulation device to the EMI protection state; and

a power supply configured for providing power to the stimulation output circuitry, wherein the electromagnetic protection circuitry, when activated, is configured for preventing the at least a portion of the induced electrical current from entering the stimulation output circuitry by preventing the power from being supplied by the power supply to the stimulation output circuitry.

22. The neurostimulation device of claim 5, wherein the neurostimulation device is automatically defaulted to the EMI protection state in response to a non-user initiated event.

23. The neurostimulation device of claim 22, wherein the non-user initiated event is one of a reset of the neurostimulation device, a fault in the neurostimulation device, a drop in a power supply output below a predetermined level, and a termination of a system test.

24. The neurostimulation device of claim 22, wherein the non-user initiated event is a termination of each of the stimulation pulses.

25. The neurostimulation device of claim 22, wherein the non-user initiated event is a termination of a predetermined burst of stimulation pulses.