The present invention relates to implantable medical devices and means for wireless receipt of power from an external charger.
Implantable stimulation devices are devices that generate and deliver electrical stimuli to body nerves and tissues for the therapy of various biological disorders, such as pacemakers to treat cardiac arrhythmia, defibrillators to treat cardiac fibrillation, cochlear stimulators to treat deafness, retinal stimulators to treat blindness, muscle stimulators to produce coordinated limb movement, spinal cord stimulators to treat chronic pain, cortical and deep brain stimulators to treat motor and psychological disorders, and other neural stimulators to treat urinary incontinence, sleep apnea, shoulder subluxation, etc. The description that follows will generally focus on the use of the invention within a Spinal Cord Stimulation (SCS) system, such as that disclosed in U.S. Pat. No. 6,516,227. However, the present invention may find applicability in any implantable medical device system, including a Deep Brain Stimulation (DBS) system.
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Transmission of the magnetic field 55 from either of chargers 40 or 60 to the IMD 10 occurs wirelessly and transcutaneously through a patient's tissue via inductive coupling.
The magnetic portion of the electromagnetic field 55 induces a current Icoil in the secondary charging coil 30 within the IMD 10, which current is received at power reception circuitry 81. Power reception circuitry 81 can include a tuning capacitor 80, which is used to tune the resonance of the LC circuit in the IMD to the frequency of the magnetic field. One skilled will understand that the capacitors 45 or 80 may be placed in series or in parallel with their respective coils (inductances) 44/66 or 30, although it is preferred that the capacitor 45 be placed in series with the coil 44/66 in the charger 40/60, while the capacitor 80 is placed in parallel with the coil 30 in the IMD 10. The power reception circuitry 81 further includes a rectifier 82 used to convert AC voltage across the coil 30 to DC a DC voltage Vdc. Power reception circuitry 81 may further include other conditioning circuitry such as charging and protection circuitry 84 to generate a Voltage Vbat which can be used to provide regulated power to the IMD 10, and to generate a current Ibat which is used to charge the battery 14. The frequency of the magnetic field 55 can be perhaps 80 kHz or so.
The IMD 10 can also communicate data back to the external charger 40 or 60, and this can occur in different manners. As explained in the above-incorporated 2017/0361113 publication, the IMD 10 may employ reflected impedance modulation to transmit data to the charger, which is sometimes known in the art as Load Shift Keying (LSK), and which involves modulating the impedance of the charging coil 30 with data bits provided by the IMD 10's control circuitry 86. The IMD may also use a communications channel separate from that used to provide power to transmit data to the charger, although such alternative channel and the antenna required are not shown for simplicity. The charger 40 or 60 can include demodulation circuitry 68 to recover the transmitted data, and to send such data to the charger's control circuitry 72. Such data as telemetered from to the charger 40/60 from the IMD 10 can include information useful for the charger to know during charging, such as the IMD's temperature (as sensed by temperature sensor 87), the voltage Vbat of the IMD's battery 14, or the charging current Ibat provided to the battery. Charger 40/60 can use such telemetered data to control production of the magnetic field 55, such as by increasing or decreasing the magnitude of the magnetic field 55 (by increasing or decreasing Icharge), or by starting or stopping generation of the magnetic field 55 altogether. As explained in the above-incorporated 2017/0361113 publication, the charger 40/60 may also be used to determine the alignment of the charging coil 44/66 to the IMD 10, and may include alignment indicators (LEDs or sounds) that a user can review to determine how to reposition the charger to be in better alignment with the IMD 10 for more efficient power transfer.
Disclosed herein is an implantable medical device (IMD) configured to wirelessly receive power from an electromagnetic field, comprising: a case housing control circuitry and power reception circuitry for the IMD, a non-conductive header affixed to the case, the header comprising a front side, a back side, and a top side, a feedthrough between the header and the case, a first loop antenna contained within the header proximate to and parallel with the front side of the header, a second loop antenna contained within the header proximate to and parallel with the back side of the header, and a third loop antenna contained within the header proximate to and parallel with the top of the header. According to some embodiments, the first, second, and third loop antennas are connected with each other to form a three-dimensional cage. According to some embodiments, the first loop antenna terminates on a first end at a first affixed terminal that is affixed to the case, and terminates on a second end at a first floating terminal that is not affixed to the case and which is connected to the power reception circuitry via a first antenna feedthrough wire that passes through the feedthrough. According to some embodiments, the second loop antenna terminates on a first end at a second affixed terminal that is affixed to the case, and terminates on a second end at a second floating terminal that is not affixed to the case and which is connected to the power reception circuitry via a second antenna feedthrough wire that passes through the feedthrough. According to some embodiments, the third loop antenna terminates of a first end at the first floating terminal and terminates on a second end at the second floating terminal. According to some embodiments, the power reception circuitry is configured to use current induced by the electromagnetic field in any of the first, second, and third loop to provide power to the IMD. According to some embodiments, the power reception circuitry comprises rectifier circuitry configured to convert the current to a DC voltage that is used to provide power to the IMD. According to some embodiments, the IMD further comprises a battery within the case, wherein the power reception circuitry is configured to use the current to charge the battery. According to some embodiments, the case comprises a conductive material. According to some embodiments, the IMD is configured to use eddy currents induced by the electromagnetic field in the case to provide power to the IMD. According to some embodiments, the first loop antenna further comprises a first contact point affixed to the case and wherein the second loop antenna further comprises a second contact point affixed to the case. According to some embodiments, the first and second affixed terminals and the first and second contact points are each welded or brazed to the case. According to some embodiments, the first and second affixed terminals and the first and second contact points are configured to divert eddy currents induced by the electromagnetic field in the case into the first loop antenna and/or the second loop antenna. According to some embodiments, the power reception circuitry comprises tank circuitry configured to maintain resonance between the first, second, and third loop antennas when the electromagnetic field is provided having a predetermined frequency. According to some embodiments, the predetermined frequency comprises a frequency from 6.765 MHz to 6.795 MHz. According to some embodiments, the tank circuitry comprises a first capacitor in parallel with the first loop antenna, a second capacitor in parallel with the second loop antenna, and a third capacitor in parallel with the third loop antenna. According to some embodiments, the IMD further comprises one or more lead connectors configured in an interior of the three- dimensional cage. According to some embodiments, the IMD further comprises a plurality of electrode feedthrough wires that connect to contacts in the lead connectors, pass through the feedthrough, and connect to the control circuitry.
The inventors see room for improvement in wireless charging of IMDs. In particular, the inventors find unfortunate that traditional IMDs like IMD 10 require a mechanically wire- wound secondary coil 30 to pick up the magnetic field 55. Such coils are relatively expensive, difficult to work with, and can suffer from reliability problems. Typically, such charging coils 30 are made from multi-stranded copper Litz wire, which increases wire conductivity and improves AC performance, but is complicated and expensive. Such coils 30 are typically wound and formed on a mandrel prior to being assembled in the IMD 10. It can be difficult to connect the coil 30 to the PCB 29, and this connection can break and become unreliable. Further, a coil 30 can take significant volume in the IMD's case 12, which can hamper making IMDs 10 smaller and more convenient for patients. The inventors desire to provide an IMD that is capable of wirelessly receiving power from an external charger, but which does not include a wire-wound coil 30.
The inventors notice that the IMD 10′s case 12 is typically conductive as already mentioned, and as such it is reactive to the incoming magnetic field 55. Specifically, the magnetic portion of the AC magnetic field 55 will induce AC eddy currents in the case 12. As is known, eddy currents comprise loops of electrical current induced within conductive materials, in accordance with Faraday's law of induction. Eddy currents flow in closed loops in planes perpendicular to the magnetic field 55, and as such will flow significantly in the outside case portion 12o of the IMD that faces the external charger. The magnitude of the current in a given loop is proportional to the strength of the magnetic field, the area of the loop, and the rate of change of flux, and is proportional to the conductivity of the material. Eddy currents flow in conductive materials with a skin depth, and as such are more prevalent at the outside surface of the outer case portion 12o that face the impinging magnetic field 55.
Eddy currents are generally viewed as an unwanted effect when charging an IMD. Some of the power in the field 55 is lost in the case 12 when eddy current are induced, thus reducing the power that reaches the charging coil 30 inside the case. In short, the case 12 generally attenuates the power that is able to reach the coil 30 to useful effect to charge the IMD's battery 14. Further, eddy currents generated in the case 12 are generally lost as heat, and thus charging by magnetic induction runs the risk that the case may overheat, which is a unique safety problem when one considers that the IMD 10 is designed for implantation inside of a patient.
International Application No. PCT/2020/36668 (“the '668 Application), filed Jun. 6, 2020, the entire contents of which are incorporated herein by reference, describes examples of improved IMDs configured to harness the power of eddy currents generated at least in part in the IMD's case 12 during magnetic inductive charging, and to use such harnessed power to charge the IMD's battery 14 (or more generally to provide power to the IMD). The IMD designs described in the '668 Application do not require a wire-wound secondary charging coil 30, which alleviates manufacturing cost and complexity and reduces reliability issues inherent when using wire-wound coils. Further, the lack of a secondary charging coil 30 allows the IMDs to be made smaller and more convenient for patients.
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While the IMDs described in the '668 Application provide several improvements over prior art IMDs, the inventors see room for even further improvements. As mentioned above, in the IMDs described in the '668 Application (such as IMD 100), the antenna is typically offset towards the outside of the case so as to bring the antenna closer to the external charger's magnetic field. However, that configuration depends on the IMD being implanted in the proper orientation and remaining in the proper orientation. It is known in the art that surgeons sometimes inadvertently flip the orientation of the IMD when they perform the implantation procedure. Likewise, even if the IMD is properly implanted, it may become flipped within the patient's tissue before the IMD becomes fully incapsulated within the patient's tissue. Both of those situations can result in the IMD's antenna not being in an optimum configuration to receive the external charger's magnetic field.
The cage antenna 602 can be thought of as comprising an integration of three directional antennas 612a, 612b, and 612c, each of which are configured to couple with magnetic fields presented from different directions. For example, as illustrated, the directional antenna 612a comprises a loop antenna configured parallel with the front side of the IMD case and header (header not shown). For convenience, the directional antenna 612a is referred to herein as the front antenna. The front antenna 612a is parallel and proximate to the side of the IMD that is configured to face the outside of the patient when the IMD is correctly implanted. The front antenna 612a is configured to couple strongly with a magnetic field presented from the positive X direction. So, when the IMD is correctly implanted, the front antenna 612a will couple strongly with a magnetic field provided by the external charger placed against the patient's skin. As shown in
The directional antenna 612b comprises a loop antenna configured parallel with the back side of the IMD case and header. The directional antenna 612b is referred to herein as the back antenna. The back antenna 612b is configured parallel and proximate to the side of the IMD that is configured to face the inside of the patient when the IMD is correctly implanted, but which will face the outside of the patient if the IMD is flipped during implantation of afterwards. Directional antenna 612b is configured to couple strongly with a magnetic field presented from the negative X direction. So, if the IMD is flipped, the back antenna 612b will couple strongly with a magnetic field provided by the external charger placed against the patient's skin. As shown in
The directional antenna 612c comprises a loop antenna configured perpendicular to the front and back sides of the IMD case and header. The directional antenna 612c is proximate to and may be essentially parallel to the top of the header and is referred to herein as the top antenna. Directional antenna 612c is configured to couple strongly with a magnetic field presented from the positive Z direction. As shown in
It will be appreciated that the tank and rectifier circuitry of the power reception circuitry 800 should be configured to maintain resonance between the three directional antennas, 612a, 612b, and 612c. Accordingly, the tank and rectifier circuitry comprises a first parallel resonant tank comprising the front antenna L(612a) and a capacitor C2, a second parallel resonant tank comprising the back antenna L(612b) and a capacitor C3, and a third parallel resonant tank comprising the top antenna L(612c) and a capacitor C4. The illustrated circuit 800 also comprises two rectification diodes D1 and D2. The rectification diodes may comprise Schottky diodes, for example. It is within the ability of a person of skill in the art to determine the relevant parameters, such as the inductances of the directional antennas L(612a-c), and thus the capacitances of the capacitors C2-4 needed to tune the circuit for a desired charging frequency. According to some embodiments, the charging frequency may be tuned for the 6.78 MHz industrial, scientific, and medical (ISM) band, which has a range from 6.765 to 6.795 MHz. According to one embodiment L(612a) and L(612b) where each determined to be 37 nH and L(612c) was determined to be 50 nH. In that embodiment, tuning the circuit for a charging frequency of 6.78 MHz entailed C2 and C3 each being 10 nF and C4 being 15 nF. Of course, other charging frequencies could be used, and the values of the relevant inductances and capacitances will vary based on the implementation. Moreover, other tank and rectifier circuit designs will be apparent to a person of skill in the art.
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Now consider a situation wherein an external magnetic field is provided from the negative X direction. That external magnetic field will couple strongly with the back directional antenna 612b, as described above. The external magnetic field will also couple moderately with the front directional antenna 612a (though not as strongly as with 612b). Moreover, current will be induced in the adjacent top antenna 612c. In sum, the charging voltage provided by a magnetic field from the negative X direction will be essentially equal to that provided by a magnetic field from the positive X direction. When an external magnetic field is provided from the negative X direction to an IMD having only a front antenna, the charging efficiency is decreased (moderate coupling) because the antenna is further away, and the lead connectors interfere. The inventor's calculations show that that, according to some embodiments, the charging voltage induced by an external electric field provided from the negative X direction using the cage antenna is about twice the charging voltage induced in an IMD having only a front antenna.
When an external magnetic field is provided to an IMD having a cage antenna 602 from the positive Z direction, the magnetic field couples with the top directional antenna 612c as described above. The magnetic field does not couple with the front or back antennas, 612a and 612b, respectively. The inventor's calculations show that that, according to some embodiments, the charging voltage induced by an external electric field provided from the positive Z direction is essentially the same as voltages induced by fields provided from the positive and negative X directions. By contrast, with an IMD having only a front antenna, a magnetic field provided from the positive Z direction exhibits essentially no coupling with the antenna and therefore provides essentially no charging voltage.
As mentioned above, the '668 Application describes IMDs configured with a charging antenna located in the header of the IMD and wherein eddy currents generated in at least a portion of the IMD's case during charging are harnessed to provide power for charging the IMD's battery. Embodiments of the presently disclosed IMDs configured with a cage antenna 602 in the header may also be configured so that eddy currents induced in the IMD's case can be harnessed for charging. Referring to
According to some embodiments, the antenna 602 may be formed from materials that are higher in conductivity (lower in resistance) than the materials used to form the case, which facilitates the flow of the eddy current I(case) into the antenna. For example, the case may be formed from titanium, whereas the antenna may be formed from higher conductivity materials, such as silver, copper, or gold, or combinations of materials. According to some embodiments, the antenna material may be affixed to one or more tabs of case material, such as titanium, to facilitate the attachment of the antenna to the case. Any of the embodiments described in the incorporated '668 Application for enhancing the recovery of the eddy current for charging power may be used in the instantly disclosed embodiments.
It should be noted that, according to some embodiments, it may be desirable that the eddy currents I(case) not flow between the case and the antenna. For example, it may be desirable that the potential of the case be independent of any potentials induced in the antenna. In such embodiments, the antenna may not be attached directly the conductive case material, but instead, there may be an intervening insulating material disposed between the antenna and the conductive case material.
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Although particular embodiments of the present invention have been shown and described, it should be understood that the above discussion is not intended to limit the present invention to these embodiments. It will be obvious to those skilled in the art that various changes and modifications may be made without departing from the spirit and scope of the present invention. Thus, the present invention is intended to cover equivalents that may fall within the spirit and scope of the present invention as defined by the claims.
This application is a non-provisional of U.S. Provisional Patent Application Ser. No. 63/217,551, filed Jul. 1, 2021, which is incorporated herein by reference in its entirety, and to which priority is claimed.
Number | Date | Country | |
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63217551 | Jul 2021 | US |