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

• US 9,950,174 B2
• Filed: 07/06/2017
• Issued: 04/24/2018
• 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:
  US15/642,396
• Publication Number:
  US 20170304631A1
• Time in Patent Office: 292 Days
• Field of Search: 607 46
• CPC Class Codes: A61N 1/025 Digital circuitry features of electrotherapy devices, e.g. memory, clocks, processors
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes
• 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 1/37229 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. As such, the IPG provides the ability to generate both the low frequency and high frequency stimulation signals in different channels according to user programming.

Claims

1. An implantable pulse generator for delivering electrical stimulation signals for spinal cord stimulation, said pulse generator comprising:

a transceiver module;

a processor configured to be in electronic communication with the transceiver module, wherein the processor includes a memory storage device having a treatment control module;

a programmable signal generator in electronic communication with the processor;

a timing generator;

an arbitrator;

a frequency generator; and

an electrode driver,

wherein the programmable signal generator includes a plurality of control registers configured to store a plurality of stimulation signal parameters to drive electrodes electrically connected to the implantable pulse generator,

wherein the programmable signal generator is configured to generate timing signals corresponding to the electrical stimulation signals according to the stored stimulation signal parameters,

wherein the programmable signal generator is configured to determine whether to modulate the timing signals received from the timing generator and if it is determined that the timing signals are to be modulated, modulating the received timing signals at a burst frequency according to the stored burst parameters, and

wherein the processor is configured to transmit the stimulation signal parameters to the control registers and placing the processor in a standby mode, wherein the timing signals are generated by the programmable signal generator without intervention from the processor while the processor is in the standby mode.

2. The device of claim 1, wherein the programmable signal generator is configured to output the timing signals unaltered if the programmable signal generator determines that the timing signals are not to be modulated.

3. The device of claim 1, wherein the programmable signal generator is configured to select burst parameters associated with an active channel among a plurality of channels associated with the electrodes, wherein the programmable signal generator is configured to modulate the received timing signals according to the selected burst parameters.

4. The device of claim 1, wherein the processor is configured to receive an interrupt signal from the transceiver module to wake up the processor from the standby mode.

5. The device of claim 1, wherein the programmable signal generator is configured to continuously receive the generated timing signals and selecting one channel among the plurality of channels as an active treatment channel.

6. The device of claim 5, wherein the programmable signal generator is configured such that when the one channel is being selected as the active treatment channel, the programmable signal generator suppresses all other channels.

7. The device of claim 5, wherein the programmable signal generator is configured such that 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 programmable signal generator selects the one channel as the active treatment channel based on a predetermined priority of the two or more channels.

8. The device of claim 1, wherein the signal parameters include an identification of all electrodes that belong to each channel and in which each electrode can be associated with two or more channels.

9. The device of claim 1 further comprising delivering the stimulation signals to the electrodes.

10. A spinal cord stimulation device, comprising:

a plurality of electrodes configured to deliver electrical stimulation signals to the spinal cord; and

an implantable pulse generator, wherein the implantable pulse generator comprises;

a transceiver module;

a processor configured to be in electronic communication with the transceiver module, wherein the processor includes a memory storage device having a treatment control module;

a programmable signal generator in electronic communication with the processor,

wherein the programmable signal generator includes a plurality of control registers configured to store a plurality of stimulation signal parameters to drive the plurality of electrodes;

a timing generator,

an arbitrator;

a frequency generator; and

an electrode driver,

wherein the programmable signal generator is configured to generate timing signals corresponding to the electrical stimulation signals according to the stored stimulation signal parameters,

wherein the programmable signal generator is configured to determine whether to modulate the timing signals received from the timing generator and if it is determined that the timing signals are to be modulated, modulating the received timing signals at a burst frequency according to the stored burst parameters, and

wherein the processor is configured to transmit the stimulation signal parameters to the control registers and placing the processor in a standby mode, wherein the timing signals are generated by the programmable signal generator without intervention from the processor while the processor is in the standby mode.

11. The device of claim 10, wherein the programmable signal generator is configured to output the timing signals unaltered if the programmable signal generator determines that the timing signals are not to be modulated.

12. The device of claim 10, wherein the programmable signal generator is configured to select burst parameters associated with an active channel among a plurality of channels associated with the electrodes, wherein the programmable signal generator is configured to modulate the received timing signals according to the selected burst parameters.

13. The device of claim 10, wherein the processor is configured to receive an interrupt signal from the transceiver module to wake up the processor from the standby mode.

14. The device of claim 10, wherein the programmable signal generator is configured to continuously receive the generated timing signals and selecting one channel among the plurality of channels as an active treatment channel.

15. The device of claim 14, wherein the programmable signal generator is configured such that when the one channel is being selected as the active treatment channel, the programmable signal generator suppresses all other channels.

16. The device of claim 14, wherein the programmable signal generator is configured such that 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 programmable signal generator selects the one channel as the active treatment channel based on a predetermined priority of the two or more channels.

17. The device of claim 10, wherein the signal parameters include an identification of all electrodes that belong to each channel and in which each electrode can be associated with two or more channels.

18. The device of claim 10 further comprising delivering the stimulation signals to the electrodes.