Neurostimulation system and method for compounding current to minimize current sources

• US 9,913,975 B2
• Filed: 09/15/2016
• Issued: 03/13/2018
• Est. Priority Date: 11/23/2009
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Carbunaru, Rafael, Jaax, Kristen, DiGiore, Andrew
• Primary Examiner(s): LEVICKY, WILLIAM J
• Application Number:
  US15/266,561
• Publication Number:
  US 20170001002A1
• Time in Patent Office: 544 Days
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes
• CPC Class Codes: A61N 1/36185 Selection of the electrode configuration
• CPC Class Codes: A61N 1/37223 Circuits for electromagnetic coupling
• CPC Class Codes: A61N 1/37241 providing test stimulations
• CPC Class Codes: A61N 1/37288 Communication to several implantable medical devices within one patient

Abstract

A neurostimulation system and method of providing therapy to a patient implanted with a plurality of electrodes using a plurality of electrical sources is provided. A source-electrode coupling configuration is determined from the electrical sources and electrodes. Electrical current is respectively conveyed between active ones of the plurality of electrical sources and active subsets of the plurality of electrodes in accordance with the determined source-electrode coupling configuration. The total number of the electrodes in the active electrode subsets is greater than the total number of the active electrical sources.

Claims

1. A neurostimulation system, comprising a plurality of electrodes:

a plurality of electrical terminals configured for being coupled to a respective ones of the plurality of electrodes;

a plurality of electrical sources, each of the plurality of electrical sources including digital-to-analog circuitry (DAC) to deliver current determined in accordance with input bits, each of the plurality of electrical sources including a reconfigurable electric source that includes a source/sink pair, the source/sink pair including an anodic current source, a cathodic current source, and a common node connected to an output of the anodic current source and connected to an output of the cathodic current source;

processing circuitry configured for determining a source-electrode coupling configuration from the electrical sources and electrodes; and

control circuitry configured for respectively conveying electrical current between active ones of the plurality of electrical sources and active subsets of the plurality of electrodes at the same time in accordance with the determined source-electrode coupling configuration, wherein at least two of the active electrode subsets include at least one common electrode, and the total number of the electrodes in the active electrode subsets is greater than the total number of the active electrical sources.

2. The neurostimulation system of claim 1, wherein at least one of the active electrical sources has a variable absolute output.

3. The neurostimulation system of claim 2, wherein at least two of the active electrode subsets are different.

4. The neurostimulation system of claim 2, wherein at least one of the active electrical sources has a fixed absolute output.

5. The neurostimulation system of claim 2, wherein at least one of the active electrical sources is a current source.

6. The neurostimulation system of claim 2, wherein the processing circuitry is further configured for selecting electrical current values for the plurality of electrodes, and determining the source-electrode coupling configuration based on the selected electrical current values.

7. The neurostimulation system of claim 6, wherein the processing circuitry is configured for determining the source-electrode coupling configuration to best meet the selected electrical current values for the plurality of electrodes.

8. The neurostimulation system of claim 2, further comprising monitoring circuitry configured for measuring impedances adjacent the electrodes, wherein the processing circuitry is configured for determining the source-electrode coupling configuration based on the measured impedances.

9. The neurostimulation system of claim 2, further comprising a switching network coupled between the plurality of electrical sources and the plurality of electrical terminals, wherein the control circuitry is configured for operating the switching network to implement the determined source-electrode coupling configuration.

10. The neurostimulation system of claim 2, further comprising an implantable device containing the plurality of electrical terminals and control circuitry, and an external programmer containing the processing circuitry.

11. The neurostimulation system of claim 2, further comprising an implantable device containing the plurality of electrical terminals, processing circuitry, and control circuitry.

12. A method of providing therapy to a patient implanted with a plurality of electrodes using a plurality of electrical sources, each of the plurality of electrical sources including digital-to-analog circuitry (DAC) and configured to deliver current determined in accordance with input bits, each of the plurality of electrical sources including a reconfigurable electric source that includes a source/sink pair, the source/sink pair including an anodic current source, a cathodic current source, and a common node connected to an output of the anodic current source and connected to an output of the cathodic current source, the method comprising:

determining a source-electrode coupling configuration from the electrical sources and electrodes; and

respectively conveying electrical current between active ones of the plurality of electrical sources and active subsets of the plurality of electrodes at the same time in accordance with the determined source-electrode coupling configuration, wherein at least two of the active electrode subsets include at least one common electrode, and the total number of the electrodes in the active electrode subsets is greater than the total number of the active electrical sources.

13. The method of claim 12, wherein at least two of the active electrode subsets include at least one common electrode.

14. The method of claim 12, wherein at least one of the active electrical sources has a variable absolute output.

15. The method of claim 14, wherein at least two of the active electrode subsets are different.

16. The method of claim 14, wherein at least one of the active electrical sources has a fixed absolute magnitude.

17. The method of claim 14, wherein at least one of the active electrical sources is a current source.

18. The method of claim 14, further comprising:

selecting electrical current values for the plurality of electrodes; and

determining the source-electrode coupling configuration based on the selected electrical current values.

19. The method of claim 18, wherein the source-electrode coupling configuration is determined to best meet the selected electrical current values for the plurality of electrodes.

20. The method of claim 14, further comprising measuring impedances adjacent the electrodes, wherein the source-electrode coupling configuration is determined based on the measured impedances.