System for electrical modulation of neural conduction

• US 20090149911A1
• Filed: 02/15/2008
• Published: 06/11/2009
• Est. Priority Date: 12/05/2007
• Status: Active Grant

• Current Assignee: Soovu Labs, Inc.
• Original Assignee: Searete LLC (Intellectual Ventures LLC)
• Inventors: Ishikawa, Muriel Y., Smith, Michael A., Myhrvold, Nathan P., Goodall, Eleanor V., Wood, Lowell L. JR., Hyde, Roderick A., Kare, Jordin T., Wood, Victoria Y.H., Leuthardt, Eric C., Dacey, Ralph G. JR., Della Rocca, Gregory J., Dowling, Joshua L., Derdeyn, Colin P., Zipfel, Gregory J.
• Granted Patent: US 8,170,658 B2
• Time in Patent Office: Days
• US Class Current: 607/45
• CPC Class Codes: A61N 1/36014 External stimulators, e.g. with patch electrodes external pacemakers A61N1/3625
• CPC Class Codes: A61N 1/36017 with leads or electrodes penetrating the skin
• CPC Class Codes: A61N 1/3605 Implantable neurostimulators for stimulating central or peripheral nerve system
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/36189 using modulation techniques
• CPC Class Codes: A61N 1/36535 controlled by body position or posture
• CPC Class Codes: A61N 1/36542 controlled by body motion, e.g. acceleration
• CPC Class Codes: A61N 2/006 for magnetic stimulation of nerve tissue
• CPC Class Codes: A61N 2/02 using magnetic fields produced by coils, including single turn loops or electromagnets A61N2/12 takes precedence

Abstract

Methods and related systems for modulating neural activity by repetitively blocking conduction in peripheral neural structures with electrical stimuli are disclosed. Methods and systems for reversing effects of blocking stimuli and/or for producing substantially permanent conduction block are also disclosed.

Claims

1. A neural modulation system comprising:

a signal input structure configured to receive a signal indicative of an activity state of at least a portion of a body of a subject innervated by a peripheral neural structure;

a signal processing portion configured to;

distinguish a first activity state of the at least a portion of the body of the subject innervated by the peripheral neural structure from a second activity state of the at least a portion of the body of the subject innervated by the peripheral neural structure from the signal received at the signal input structure; and

generate a blocking stimulus control signal for driving production of an electrical field blocking stimulus configured to reversibly block conduction in the peripheral neural structure of the subject during at least a portion of the first activity state; and

a blocking stimulus source configured to produce an electrical field blocking stimulus responsive to the blocking stimulus control signal.

2. The neural modulation system of claim 1, including a sensor operatively connected to the signal input structure and configured to generate the signal indicative of the activity state of the at least a portion of the body of the subject innervated by the peripheral neural structure responsive to an activity of the at least a portion of the body of the subject.

9. The neural modulation system of claim 1, wherein the blocking stimulus source includes an electrical field source.

10. The neural modulation system of claim 1, wherein the signal processing portion is configured to:

determine the onset of the first activity state; and

generate the blocking stimulus control signal for driving production of an electrical field blocking stimulus configured to reversibly block conduction in the peripheral neural structure of the subject at least intermittently responsive to detecting the onset of a first activity state in the subject.

11. The neural modulation system of claim 10, wherein the signal processing portion is configured to generate the blocking stimulus control signal for driving production of an electrical field blocking stimulus configured to reversibly block conduction in the peripheral neural structure of the subject substantially immediately upon detecting the onset of the first activity state in the subject.

12. The neural modulation system of claim 10, wherein the signal processing portion is configured to generate the blocking stimulus control signal for driving production of an electrical field blocking stimulus configured to reversibly block conduction in the peripheral neural structure of the subject at a delay interval after detecting the onset of the first activity state in the subject.

13. The neural modulation system of claim 10, wherein the signal processing portion is configured to:

initiate a release period during which no blocking stimulus control signal is generated after an interval determined relative to the onset of generation of the blocking stimulus control signal.

21. The neural modulation system of claim 1, wherein the signal processing portion is configured to:

predict the onset of the second activity state in the subject; and

initiate a release period during which no blocking stimulus control signal is generated responsive to the predicted onset of the second activity state in the subject.

67. The neural modulation system of claim 21, wherein the signal processing portion is configured to:

initiate the release period at a time selected from a time at an interval prior to the predicted onset of the second activity state in the subject, a time simultaneous with the predicted onset of the second activity state in the subject, and a time at a delay interval after the predicted onset of the second activity state in the subject.

3-8. -8. (canceled)

14-20. -20. (canceled)

22-24. -24. (canceled)

25. A neural modulation system comprising:

a signal input structure configured to receive a signal indicative of an activity state of at least a portion of a body of a subject innervated by a peripheral neural structure;

a signal processing portion configured to;

distinguish a first activity state of the at least a portion of the body of the subject innervated by the peripheral neural structure from a second activity state of the at least a portion of the body of the subject innervated by the peripheral neural structure from the signal received at the signal input structure; and

generate a blocking stimulus control signal for driving production of an electrical field blocking stimulus configured to reversibly block conduction in the peripheral neural structure of the subject during at least a portion of the first activity state; and

a blocking stimulus source configured to be worn on the body of the subject, and to produce an electrical field blocking stimulus responsive to the blocking stimulus control signal.

29. The neural modulation system of claim 25, wherein the signal processing portion is configured to be located at a location remote from the body of the subject.

30. The neural modulation system of claim 25, wherein the signal processing portion is configured to be worn on the body of the subject.

31. The neural modulation system of claim 30, wherein the signal processing portion is packaged with the blocking stimulus source in a package configured to be worn on the body of the subject.

68. The neural modulation system of claim 25, wherein the blocking stimulus source is located in or on at least one of a wrap adapted to be positioned around at least a portion of the body of the subject, a bracelet configured to be worn on a limb of the subject, an anklet configured to be worn on a limb of the subject, a cuff configured to be worn on a limb of the subject, collar configured to be worn on a neck of the subject, or necklace configured to be worn on a neck of the subject.

26-28. -28. (canceled)

32. A neural modulation system comprising:

a signal input structure configured to receive a signal indicative of an activity state of at least a portion of a body of a subject innervated by a peripheral neural structure;

a signal processing portion configured to;

distinguish a first activity state of the at least a portion of the body of the subject innervated by the peripheral neural structure from a second activity state of the at least a portion of the body of the subject innervated by the peripheral neural structure from the signal received at the signal input structure; and

generate a blocking stimulus control signal for driving production of an electrical field blocking stimulus configured to reversibly block conduction in the peripheral neural structure of the subject during at least a portion of the first activity state; and

a blocking stimulus source configured to be positioned beneath at least a portion of the body of the subject and to produce an electrical field blocking stimulus responsive to the blocking stimulus control signal.

69. The neural modulation system of claim 32, wherein the blocking stimulus source is configured to be located in or on at least one of a chair, a bed, a pad or a cushion.

33-35. -35. (canceled)

36. A neural modulation system comprising:

a signal input structure configured to receive a signal indicative of an activity state of at least a portion of a body of a subject innervated by a peripheral neural structure;

a signal processing portion configured to;

distinguish a first activity state of the at least a portion of the body of the subject innervated by the peripheral neural structure from a second activity state of the at least a portion of the body of the subject innervated by the peripheral neural structure from the signal received at the signal input structure; and

generate a blocking stimulus control signal for driving production of an electrical field blocking stimulus configured to reversibly block conduction in the peripheral neural structure of the subject during at least a portion of the first activity state; and

a blocking stimulus source configured to be implanted within the body of the subject and to produce an electrical field blocking stimulus responsive to the blocking stimulus control signal.

37. A neural modulation system comprising:

a signal input structure configured to receive a signal indicative of an activity state of at least a portion of a body of a subject innervated by a peripheral neural structure;

a signal processing portion configured to;

distinguish a first activity state of the at least a portion of the body of the subject innervated by the peripheral neural structure from a second activity state of the at least a portion of the body of the subject innervated by the peripheral neural structure from the signal received at the signal input structure;

generate a blocking stimulus control signal for driving production of an electrical field blocking stimulus configured to reversibly block conduction in the peripheral neural structure of the subject during at least a portion of the first activity state; and

generate a release stimulus control signal for controlling discontinuation of production of the electrical field blocking stimulus when the subject is in the second activity state; and

a blocking stimulus source configured to produce an electrical field blocking stimulus responsive to the blocking stimulus control signal.

38. The neural modulation system of claim 37, including a sensor operatively connected to the signal input structure and configured to generate the signal indicative of an activity state of at least a portion of a body of a subject innervated by a peripheral neural structure responsive to an activity of the at least a portion of the body of the subject.

39. The neural modulation system of claim 37, wherein the signal processing portion is configured to repetitively generate the blocking stimulus control signal for driving production of an electrical field blocking stimulus configured to reversibly block conduction in the peripheral neural structure of the subject during at least a portion of the first activity state and the release stimulus control signal for controlling discontinuation of production of the blocking stimulus when the subject is in the second activity state.

40. The neural modulation system of claim 37, wherein the signal processing portion is configured to repetitively generate the blocking stimulus control signal for driving production of an electrical field blocking stimulus configured to reversibly block conduction in the peripheral neural structure of the subject during at least a portion of the first activity state and the release stimulus control signal for controlling discontinuation of production of the electrical field blocking stimulus when the subject is in the second activity state over a period of time sufficient to produce modulation of an immune response in a region innervated by the peripheral neural structure.

41. The neural modulation system of claim 37, wherein the signal processing portion is configured to generate the blocking stimulus control signal for driving production of an electrical field blocking stimulus configured to reversibly block conduction in the peripheral neural structure of the subject during at least a portion of the first activity state and the release stimulus control signal for controlling discontinuation of production of the electrical field blocking stimulus when the subject is in the second activity state cyclically, wherein each cycle includes a blocking period during which an electrical field blocking stimulus sufficient to produce reversible conduction block in a peripheral neural structure of a subject is produced while the subject is in a first activity state and a release period during which no electrical field blocking stimulus is delivered.

42. The neural modulation system of claim 41, wherein the signal processing portion is configured to generate the blocking stimulus control signal for driving production of an electrical field blocking stimulus configured to reversibly block conduction in the peripheral neural structure of the subject during at least a portion of the first activity state and the release stimulus control signal for controlling discontinuation of production of the electrical field blocking stimulus when the subject is in the second activity state cyclically at a rate of one cycle per day.

43. The neural modulation system of claim 37, wherein the signal processing portion is configured to generate the electrical field blocking stimulus control signal for driving production of an electrical field blocking stimulus configured to reversibly block conduction in the peripheral neural structure of the subject during at least a portion of the first activity state and generate the release stimulus control signal for controlling discontinuation of production of the electrical field blocking stimulus when the subject is in the second activity state in alternation according to a pre-set schedule.

44. A neural modulation system comprising:

a signal input structure configured to receive a signal indicative of an activity state of at least a portion of a body of a subject innervated by a peripheral neural structure;

a signal processing portion configured to;

distinguish a first activity state of the at least a portion of the body of the subject innervated by the peripheral neural structure from a second activity state of the at least a portion of the body of the subject innervated by the peripheral neural structure from the signal received at the signal input structure;

generate a blocking stimulus control signal for driving production of an electrical field blocking stimulus configured to reversibly block conduction in the peripheral neural structure of the subject during at least a portion of the first activity state; and

generate a reversing stimulus control signal for driving production of a reversing stimulus to counter the electrical field blocking stimulus used to produce the reversible conduction block in the peripheral neural structure of the subject;

a blocking stimulus source configured to produce an electrical field blocking stimulus responsive to the blocking stimulus control signal; and

a reversing stimulus source configured to produce a reversing stimulus responsive to the reversing stimulus control signal.

45. The neural modulation system of claim 44, wherein the reversing stimulus source includes at least a portion of the blocking stimulus source.

70. The neural modulation system of claim 44, wherein the reversing stimulus source includes at least one of a heating element, a cooling element, an electric field source, a magnetic field source, an electromagnetic transducer, an optical photon source, an acoustic energy source, or a chemical agent source.

46-53. -53. (canceled)

54. A neural modulation system comprising:

a signal input structure configured to receive a signal indicative of an activity state of at least a portion of a body of a subject innervated by a peripheral neural structure;

a signal processing portion configured to;

distinguish a first activity state of the at least a portion of the body of the subject innervated by the peripheral neural structure from a second activity state of the at least a portion of the body of the subject innervated by the peripheral neural structure from the signal received at the signal input structure;

generate a blocking stimulus control signal for driving production of an electrical field blocking stimulus configured to reversibly block conduction in the peripheral neural structure of the subject during at least a portion of the first activity state;

determine that producing the reversible conduction block in the peripheral neural structure of the subject while the subject is in a first activity state results in a desired effect in the subject; and

generate a non-reversible blocking source control signal for driving a non-reversible blocking source to perform an action adapted for producing a non-reversible conduction block in the peripheral neural structure of the subject;

a blocking stimulus source configured to produce an electrical field blocking stimulus responsive to the blocking stimulus control signal; and

a non-reversible blocking source configured to perform an action adapted for producing a non-reversible conduction block in the peripheral neural structure of the subject responsive to the non-reversible blocking source control signal.

71. The neural modulation system of claim 54, wherein the non-reversible blocking source includes at least one of a heat source, a cooling source, an electrical current source, an acoustic energy source, a photon source, a chemical agent source, or a surgical transection mechanism.

55-66. -66. (canceled)