Neural stimulation system and method responsive to collateral neural activity

• US 7,831,305 B2
• Filed: 10/15/2002
• Issued: 11/09/2010
• Est. Priority Date: 10/15/2001
• Status: Expired due to Fees

• Current Assignee: Advanced Neuromodulation Systems Incorporated (Abbott Laboratories Incorporated)
• Original Assignee: Advanced Neuromodulation Systems Incorporated (Abbott Laboratories Incorporated)
• Inventors: Gliner, Bradford Evan
• Primary Examiner(s): KAHELIN, MICHAEL WILLIAM
• Application Number:
  US10/271,394
• Publication Number:
  US 20030074032A1
• Time in Patent Office: 2,947 Days
• Field of Search: 607 44- 46, 607/1, 607/2, 607/62
• US Class Current: 607/45
• CPC Class Codes: A61B 5/1104 induced by stimuli or drugs; A61B5/1102 takes precedence; investigating medicinal preparations G01N33/15
• CPC Class Codes: A61B 5/377 using evoked responses
• CPC Class Codes: A61B 5/389 Electromyography [EMG]
• CPC Class Codes: A61B 5/4094 Diagnosing or monitoring seizure diseases, e.g. epilepsy
• CPC Class Codes: A61N 1/0531 Brain cortex electrodes
• CPC Class Codes: A61N 1/0534 Electrodes for deep brain stimulation
• 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 1/36017 with leads or electrodes penetrating the skin
• CPC Class Codes: A61N 1/36025 for treating a mental or cerebral condition
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/36082 Cognitive or psychiatric applications, e.g. dementia or Alzheimer's disease
• CPC Class Codes: A61N 1/36185 Selection of the electrode configuration
• CPC Class Codes: A61N 1/3756 Casings with electrodes thereon, e.g. leadless stimulators

Abstract

A neural stimulation system responsive to collateral neural activity that may arise in association with a neural stimulation procedure includes a stimulation interface configured to deliver stimulation signals to a target neural population, a monitoring interface positioned to receive signals corresponding to a neural activity within the target neural population, a stimulus unit coupled to deliver stimulation signals to the stimulation interface, and a sensing unit coupled to the monitoring device and the stimulus unit. The neural stimulation procedure may be directed toward rehabilitating, restoring, and/or enhancing one or more neural functions by facilitating and/or effectuating a neuroplastic change or reorganization; and/or affecting a neurological condition that exists on a continuous or essentially continuous basis absent the stimulation procedure. The sensing unit determines whether evidence of an collateral neural activity exists, whereupon the stimulus unit attempts to abate the collateral neural activity.

Claims

1. A neural stimulation method, comprising:

applying a first electrical stimulation signal to a target neural population within a patient, the first electrical stimulation signal directed towards treating pain or neurodegenerative disorders;

determining whether counterproductive collateral neural activity exists, the counterproductive collateral neural activity being induced by the first electrical stimulation signal and including at least one of seizure activity and migraine activity; and

responding to the counterproductive collateral neural activity when it is determined to exist such that the counterproductive collateral neural activity is inhibited.

2. The method of claim 1 wherein the neurodegenerative disorder comprises involuntary movements.

3. The method of claim 1 wherein the neurodegenerative disorder comprises Parkinson'"'"'s disorder.

4. The method of claim 1 wherein the neurodegenerative disorder comprises symptoms associated with Parkinson'"'"'s disorder.

5. The method of claim 1, wherein responding to the collateral neural activity comprises discontinuing application of the first electrical stimulation signal.

6. The method of claim 1, wherein responding to the collateral neural activity comprises applying a second stimulation signal to the patient.

7. The method of claim 6, wherein the second stimulation signal is applied to the target neural population and/or a neural population adjacent to a portion of the target neural population.

8. The method of claim 1, wherein determining whether collateral neural activity exists comprises monitoring an electrophysiological signal and/or a patient behavior.

9. The method of claim 1, wherein determining whether collateral neural activity exists comprises monitoring an EEG signal, a cerebral bloodflow signal, an EMG signal, an accelerometer signal, a motion sensor signal, and/or a neural imaging signal.

10. The method of claim 1, wherein applying the first electrical stimulation signal occurs while the patient is performing a behavioral therapy.

11. The method of claim 1, further comprising:

interrupting application of the first electrical stimulation signal; and

resuming application of the first electrical stimulation signal in the event that evidence of the collateral neural activity is absent.

12. The method of claim 1 wherein automatically determining whether collateral neural activity exists includes automatically determining whether collateral neural activity causally linked to the first electrical stimulation signal exists.

13. The method of claim 1 wherein:

applying the first electrical stimulation signal includes applying the first electrical stimulation signal at a sub-threshold level from an electrode positioned within the patient'"'"'s skull and external to a cortical surface of the patient'"'"'s brain, as part of a treatment regimen that also includes directing the patient to engage in a behavorial therapy; and

wherein

responding to collateral neural activity includes discontinuing application of the first electrical stimulation signal and applying a second signal to inhibit the collateral neural activity.

14. The method of claim 13 wherein the behavioral therapy includes a cognitive task.

15. The method of claim 13 wherein the first electrical simulation signal is delivered from an electrode, and wherein the method further comprises receiving an indication of the collateral neural activity via the electrode.

16. The method of claim 13 wherein the electrode is positioned to be in contact with the patient'"'"'s dura matter.

17. The method of claim 13 wherein the electrode is positioned to be in contact with the patient'"'"'s pia matter.