Systems and methods for active charge-balancing for high-frequency neural stimulation

Patent metadata

Field	Value
Publication number	US-10675470-B2
Application number	US-201715810781-A
Country	US
Kind code	B2
Filing date	Nov 13, 2017
Priority date	Nov 14, 2016
Publication date	Jun 9, 2020
Grant date	Jun 9, 2020

Abstract

Systems and methods for active charge-balancing for high frequency neural stimulation are disclosed. One illustrative method described herein includes: applying, through a pair of electrodes electrically coupled to a bundle of nerve fibers during a stimulation phase of a neural stimulation procedure, a first current to the bundle of nerve fibers; applying, through the pair of electrodes during a recovery phase of the neural stimulation procedure, a second current to the bundle of nerve fibers, the first current and the second current having opposite polarities; determining sampled voltages between the pair of electrodes during the stimulation phase, during the recovery phase, or between the stimulation phase and the recovery phase; determining a charge buildup in the bundle of nerve fibers based on the sampled voltages; applying, through the pair of electrodes during the stimulation phase or during the recovery phase, a delta current to the bundle of nerves based on the sampled voltages to minimize the charge build up.

First claim

What is claimed:

1. A method for actively balancing charges for a high-frequency neural stimulation device, the method comprising:
applying, through a pair of electrodes electrically coupled to a bundle of nerve fibers during a stimulation phase of a neural stimulation procedure, a first current to the bundle of nerve fibers;
applying, through the pair of electrodes during a recovery phase of the neural stimulation procedure, a second current to the bundle of nerve fibers, the first current and the second current having opposite polarities;
determining sampled voltages between the pair of electrodes during the stimulation phase, during the recovery phase, or between the stimulation phase and the recovery phase;
determining a charge buildup in the bundle of nerve fibers based on the sampled voltages, wherein determining the charge buildup includes routing samples of the voltages to a comparator device for identifying a positive charge buildup or a negative charge buildup based on a value of a voltage differential between the pair of electrodes, wherein the pair of electrodes are configured to be temporarily shorted together to allow the charge build up to dissipate;
applying, through the pair of electrodes during the stimulation phase or during the recovery phase, a delta current to the bundle of nerves based on the sampled voltages to minimize the charge build up.

2. The method of claim 1 , wherein applying the first current includes stimulating the bundle of nerve fibers at a frequency between 10 kilohertz and 50 kilohertz.

3. The method of claim 1 , wherein applying the first current includes stimulating the bundle of nerve fibers at a frequency between 1 hertz and 10 kilohertz.

4. The method of claim 1 , wherein applying the first current includes stimulating the bundle of nerve fibers at a frequency above 50 kilohertz.

5. The method of claim 1 , wherein applying the first current includes activating a current source by actuating a pair of switches to transition from an open position to a closed position, wherein the pair of switches in the closed position define a flow path for the first current.

6. The method of claim 5 , wherein applying the second current includes activating the current source by actuating a second pair of switches to transition from the open position to the closed position subsequent to the pair of switches transitioning from the closed position to the open position, wherein the second pair of switches in the closed position define a new flow path for the second current.

7. The method of claim 1 , wherein the comparator comprises an op-amp circuit.

8. The method of claim 1 , wherein applying the delta current includes:
routing a voltage output signal from a comparator device to a selection input of a multiplexer;
determining, by the multiplexer, a value corresponding to the voltage output signal; and
routing a first voltage or a second voltage to a switch of a stimulation circuit for actuating the switch to a closed position to activate a current source to apply the delta current.

9. The method of claim 8 , wherein the first voltage has a first value for actuating the switch to transition to the closed position concurrently with a pair of switches to define a current path for the first current, and wherein the second voltage has a second value for actuating the switch to transition to the closed position concurrently with a second pair of switches to define a second current path for the second current.

10. A system comprising:
a circuit configured to:
apply, through a pair of electrodes electrically coupled to a bundle of nerve fibers during a stimulation phase of a neural stimulation procedure, a first current to the bundle of nerve fibers;
apply, through the pair of electrodes during a recovery phase of the neural stimulation procedure, a second current to the bundle of nerve fibers, the first current and the second current having opposite polarities;
determine sampled voltages between the pair of electrodes during the stimulation phase, during the recovery phase, or between the stimulation phase and the recovery phase;
determine a charge buildup in the bundle of nerve fibers based on the sampled voltages, wherein determining the charge buildup includes routing samples of the voltages to a comparator device for identifying a positive charge buildup or a negative charge buildup based on a value of a voltage differential between the pair of electrodes, wherein the pair of electrodes are configured to be temporarily shorted together to allow the charge build up to dissipate; and
apply, through the pair of electrodes during the stimulation phase or during the recovery phase, a delta current to the bundle of nerves based on the sampled voltages to minimize the charge build up.

11. The system of claim 10 , wherein applying the first current includes stimulating the bundle of nerve fibers at a frequency between 10 kilohertz and 50 kilohertz.

12. The system of claim 10 , wherein applying the first current includes stimulating the bundle of nerve fibers at a frequency between 1 hertz and 10 kilohertz.

13. The system of claim 10 , wherein applying the first current includes stimulating the bundle of nerve fibers at a frequency above 50 kilohertz.

14. The system of claim 10 , wherein applying the first current includes activating a current source by actuating a pair of switches to transition from an open position to a closed position, wherein the pair of switches in the closed position define a flow path for the first current.

15. The system of claim 14 , wherein applying the second current includes activating the current source by actuating a second pair of switches to transition from the open position to the closed position subsequent to the pair of switches transitioning from the closed position to the open position, wherein the second pair of switches in the closed position define a new flow path for the second current.

16. The system of claim 10 , wherein the comparator comprises an op-amp circuit.

Assignees

• Verily Life Sciences Llc

Inventors

• Zou You
• Cong Peng
• Balachandran Ganesh

Classifications

• A61N1/36157 Primary

  Current (A61N1/3616 takes precedence) · CPC title

• A61N1/06

  for high-frequency therapy · CPC title

• A61N1/36171

  Frequency · CPC title

• A61N1/36167

  Timing, e.g. stimulation onset · CPC title

• A61N1/0551

  Spinal or peripheral nerve electrodes · CPC title