The present disclosure relates to electronic circuits for providing, when in use, one or more electrical stimulations. More particularly, the present disclosure relates to an apparatus for providing bi-directional stimuli to a user.
It is known that electrical stimulation techniques have been used in various treatments to mitigate problems related to neuromuscular tissues, and also for improving physiological and mental well-being. Such stimulation techniques are beneficially implemented using apparatus comprising one or more modules, wherein a most relevant such module is a power or output stage, wherein the power or output stage is configured to deliver voltage or current signals of appropriate intensity to biological tissue, and wherein the signals can be applied to the biological tissue by at least one of non-invasive and invasive procedures.
Commonly known stimulation techniques include electrical muscle stimulation (EMS), temporal interference stimulation (TI), Russian electrical stimulation, neuromuscular electrical stimulation (NMES), functional electrical stimulation (FES), transcranial direct-current stimulation (tDCS), transcranial alternating-current stimulation (tACS), transcranial random noise stimulation (tRNS), transcutaneous electrical nerve stimulation (TENS) and more. Additionally, electrical stimulation can be combined with other stimulation methods, such as stimulation by applying magnetic fields, visual stimulation, audio stimulation and so forth. All of the above electrical stimulation methods refer to the same fundamental process, namely applying electricity to a living body to increase or decrease activity in a nervous system or in muscles of the living body. The aforesaid different names for commonly known stimulation techniques derive from applying an electrical current in mutually different ways, to mutually different parts of the living body, or for different purposes. Generally speaking, the different names reflect either the intended use of the electrical stimulation or the characteristics of the stimulation itself. For example, EMS and Russian electrical stimulation are both generally intended for athletic training, but Russian stimulation uses high frequency sinusoidal waveforms, whereas EMS typically uses lower frequency rectangular waveforms. As another example, TENS apparatus are typically used for pain relief, whereas NMES apparatus are used to retrain muscles after an injury, even though both TENS and NMES apparatus use mutually similar stimulation waveforms.
Furthermore, Transcranial direct current stimulation (tDCS) is a stimulation treatment, commonly used for cognitive enhancement, but also employed for treatment of various neurological disorders including Alzheimer's disease. tDCS uses direct electrical currents to stimulate specific parts of the brain. Specifically, in tDCS, a constant, low intensity current is passed between two electrodes placed over the head which modulates neuronal activity.
Furthermore, transcranial alternating current stimulation (tACS) is a stimulation treatment that uses alternating currents to stimulate specific parts of the brain. Specifically, in tACS, low-frequency currents (<100 Hz) are applied; in the case of closed-loop phase-locked tACS, the exogenous oscillations are synchronized with the brain's endogenous frequency.
Known existing circuits, employed in the aforesaid commonly used stimulation techniques, function by fixing a voltage at a first electrode to a specific value, while varying a voltage on a second electrode (as shown in
A necessity to operate at higher voltages creates further difficulties and limitations in the design of circuits of stimulation devices. One difficulty arises from there being required a plurality of high-precision circuitry components (for example, operational amplifiers) that are rated to work at higher voltages, wherein a range of choice of such components supplied as integrated circuit (IC's) from suppliers is restricted. This means that simpler and cheaper circuits, that perform well at lower supply voltages, might be impossible to implement at higher voltages due to necessary components not being commercially available. In order to circumvent such a lack of commercially available integrated circuits, a need would arise to construct more complicated and expensive circuits altogether.
Another possible disadvantage of using higher supply voltages is to do with the size and portability of the apparatus, especially when the apparatus is configured in battery-operated implementations. To provide higher supply voltage, it would be necessary to use more/higher voltage batteries; implement bulky (inverter) circuitry that would convert lower voltage into higher voltage, or combine the two. The higher the necessary voltage, the more prominent these problems become.
Moreover, on top of these limitations, there are certain requirements stipulated by the standard organisations, such as ISO60601-2-10, that require accurate measurement of the current and/or voltage delivered at the electrodes to ensure that the delivered current matches the desired current, and that the voltage doesn't exceed threshold. While in standard stationary stimulators with a full positive and negative high voltage power supply current and voltage can easily be measured using simple operational amplifiers or instrumentation amplifiers, in portable stimulators with optimised power supply, this is no longer possible and requires special circuitry.
These and other issues may hinder the development of miniaturised and portable devices and apparatus, limiting for example the magnitude of maximum deliverable current, restricting the potential range of available wavefunctions, increasing the weight, size and cost of the circuits used, and thus ultimately limiting the range of potential applications of the devices and apparatus.
Therefore, despite advancements that have been made to date in the aforementioned electrical stimulation techniques and circuits used in apparatus implementing the techniques, there exists a need to redesign the circuits to provide both monophasic and biphasic stimulation with a wider range of available waveforms and frequencies, increased stimulation amplitude and improved miniaturisation and lower implementation cost.
The present disclosure seeks to provide an easy-to-use current source arrangement for facilitating an increased (for example, maximum) bi-directional flow of current while using a single-rail power supply of as low voltage magnitude as practically possible.
According to a first aspect, the present disclosure provides a circuit arrangement for delivering stimuli to a user, wherein the circuit arrangement comprises a circuit including a pair of current pumps including a first current pump and a second current pump, and an inverting voltage mirror to provide an inverted signal to at least one of the first current pump and a second current pump to control its operation.
Embodiments of the disclosure are advantageous in terms of providing an easy-to-use circuit for providing bi-directional flow of current while using single-rail power supply while utilizing the full range of power supply voltage available for electrical stimulation in both forward and reverse current flow directions. Moreover, the circuit is based on simple electronic components such as operational amplifiers (op-amps), transistors, MOSFETs and so forth, thereby enabling the circuit to be cheaply manufactured, to have exceptional frequency range, to have good power efficiency and enable the circuit to be implemented in a spatially compact manner.
Optionally, in the circuit arrangement, the first current source and the second current source are located on same side of the electrodes that are in contact with a human body (i.e. constituting an electrical ‘load’) of the user.
Optionally, in the circuit arrangement, the inverting voltage mirror is configured to ensure a zero current flow in a rest state. By “zero” is meant substantially zero, for example less than 1% of a maximum current flow delivered by the circuit arrangement.
Optionally, the circuit arrangement is connected to a power source. More optionally, the power source includes at least one of a battery and a voltage boost circuit to increase voltage, for example, from 3.7V up to ˜30-50V.
Optionally, in the circuit arrangement, the inverting voltage mirror is configured to ensure a zero current flow in rest state.
Optionally, in the circuit arrangement, the inverting voltage mirror is located at other side of the load opposite to the first current pump and the second current pump.
Optionally, the circuit arrangement is configured to create a potential difference across the load required for supplying a predefined magnitude of stimuli to the user.
Optionally, the circuit arrangement is configured to deliver at least one of a transcranial direct current stimulation (tDCS), transcranial alternating current stimulation (tACS) and bipolar pulse stimulation.
Optionally, the circuit arrangement, when in operation, delivers electric stimuli to the user and receives signals from a portion of skin of the user, simultaneously. More optionally, the circuit arrangement includes a microprocessor configured to determine the parameters of stimulation.
Optionally, one or more components of the circuit arrangement are arranged on an integrated circuitry microchip.
According to a second aspect, there is provided a method for using the circuit arrangement of the first aspect to provide stimuli to a user via electrodes in electrical contact with the user.
Additional aspects, advantages, features and objects of the present disclosure would be made apparent from the drawings and the detailed description of the illustrative embodiments construed in conjunction with the appended claims that follow.
It will be appreciated that features of the present disclosure are susceptible to being combined in various combinations without departing from the scope of the present disclosure as defined by the appended claims.
The summary above, as well as the following detailed description of illustrative embodiments, is better understood when read in conjunction with the appended drawings. For the purpose of illustrating the present disclosure, exemplary embodiments of the disclosure are shown in the drawings. However, the present disclosure is not limited to specific methods and instrumentalities disclosed herein. Moreover, those skilled in the art will understand that the drawings are not to scale. Wherever possible, like elements have been indicated by identical numbers.
Embodiments of the present disclosure will now be described, by way of example only, with reference to the following diagrams wherein:
In the accompanying drawings, an underlined number is employed to represent an item over which the underlined number is positioned or an item to which the underlined number is adjacent. A non-underlined number relates to an item identified by a line linking the non-underlined number to the item. When a number is non-underlined and accompanied by an associated arrow, the non-underlined number is used to identify a general item to which the arrow is pointing.
The following detailed description illustrates embodiments of the present disclosure and ways in which they can be implemented. Although some modes of carrying out the present disclosure have been disclosed, those skilled in the art would recognise that other embodiments for carrying out or practising the present disclosure are also possible.
In an aspect, the present disclosure provides a circuit arrangement for delivering electrical stimulation/stimuli to a user, wherein the circuit arrangement comprises an electric circuit including a first current source, second current source and an inverting voltage mirror.
For example, the present disclosure provides a circuit arrangement for delivering stimuli to a user, wherein the circuit arrangement comprises a circuit including a pair of current pumps including a first current pump and a second current pump, and an inverting voltage mirror to provide an inverted signal to at least one of the first current pump and a second current pump to control its operation.
Throughout the present disclosure, the term “user” as used herein relates to any person (i.e., human being) using the aforesaid device. Optionally, the user may be a person having a certain physical or mental disorder such as epilepsy, a head injury, encephalitis, brain tumour, encephalopathy, memory related problems, sleep disorders, stroke, dementia, depression, etc. Alternatively, the user may be a person willing to achieve a specific state of mind, such as an enhanced concentration, relaxation, mental capabilities or, in general terms, enhanced performance for executing a task. For example, the user may be a person seeking relief from tinnitus.
Alternatively, the abovementioned circuitry may be used for delivering stimuli to muscles and/or tissues of animals, such as for scientific research, or for animal performance enhancement.
Throughout the present disclosure, the terms “stimuli”, “brain stimulus”, “brain stimuli” (plural of “stimulus”) or “stimulation” as used herein relates to an external electrical current or to a defined sequence or multiple sequences of electric current amplitudes between a pair of electrodes applied to the scalp and/or skin of other body parts of a user, in order to alter (referring to raising, lowering or otherwise modulating) levels of physiological or nervous activity in the brain/muscles or in the tissues spatially remote from the given user's brain/limbs that the current is able to reach. Optionally, the circuit arrangement is configured to deliver at least one of a transcranial direct current stimulation (tDCS), transcranial alternating current stimulation (tACS) and bipolar pulse stimulation.
Moreover, the circuit arrangement may be used to provide one or more stimuli to nerves, a vestibular system and so forth. Furthermore, in an example, stimuli applied to the user are analogue external electrical signals having a voltage in a range of, but not limited to, +/−1 milliVolt (mV) to +/−50 volts and having a current in a range of, but not limited to, +/−0.1 milliamperes (mA) to +/−20 milliamperes (mA).
Throughout the present disclosure, the terms “current source” and/or “current pump” as used herein relates to one or more components in an electric circuit or a circuit arrangement of components that drives electric current through a load, with a magnitude of the current being independent of the electric impedance of the load. Furthermore, the current source may include, but is not limited to, an independent current source that delivers a constant current and a dependent current source that delivers a current which is proportional to a control voltage or a control current.
Optionally, the current source may include constant current diodes, Zener diode current sources, transistor current sources, op-amp current sources, voltage regulator current sources, current mirrors or other current source circuits.
Throughout the present disclosure, the terms “inverting voltage mirror”, as used herein, relates to a circuit that is designed to monitor and/or detect changes in voltage at an input terminal of the inverting voltage mirror (for example, a given end/node of the device circuit) and accordingly modulate the voltage at an output terminal of the inverting voltage mirror (for example a second end/node of the device circuit) (as shown in an exemplary implementation of
Optionally, the inverting voltage mirror includes a voltage follower (as shown in
Furthermore, the inverting voltage mirror is a sub-circuit that is configured to be able to increase (for example, maximize) the potential difference across two ends/nodes of the primary circuit. The voltage being mirrored may be considered as the input of the sub-circuit. In some applications, high-gain high-speed operational amplifiers may be used to implement the inverting voltage mirror. Optionally, the voltage follower is also used to implement the inverting voltage mirror.
Throughout the present disclosure, the term “electrode”, “at least one electrode”, “pair of electrodes” or “elongated electrode” as used herein relates to one or more electrical conductors, with these conductors are manufactured from materials including, but not limited to, steel, platinum, sliver chloride-coated silver, carbon rubber, as well as hydrogels, silicone, sponges, foam or any absorbent with a conducting medium, where necessary to be placed between the conductors and the scalp or skin of other body parts. Furthermore, the electrodes, when applied to scalp or skin of other body parts of the user, and the body of the user are configured to work together as the ‘load’ for the circuit.
Moreover, the electrodes are optionally minimally invasive (such as needle electrodes or micro electrodes) or non-invasive type (such as surface electrodes), or optionally both. Furthermore, the electrodes may optionally include invasive electrodes such as strips, grids, depth electrodes and so forth.
In an embodiment, the circuit may beneficially include one current source and an inverting voltage mirror, arranged on opposite sides of a load. Specifically, on opposite ends of the pair of electrodes applied to scalp or skin of other body parts of the user. In one configuration of such a circuit arrangement, the inverting voltage mirror functions as a drain, enabling current flow from the current source to the drain through the load i.e., through the pair of electrodes applied to the scalp or skin of other body parts of a user. In another configuration of such a circuit arrangement, the inverting voltage mirror functions as a source, enabling current flow from the inverting current mirror into current source (here acting as a current drain).
In another embodiment, the circuit may include two current sources including a first current source (
Furthermore, an imbalance across the first current source and the second current source is created to facilitate the flow of current through the load i.e., through the pair of electrodes applied to the scalp or skin of other body parts of the user. Specifically, in a situation in which the flow of current is required through the load in the forward direction (from two current sources into the inverting voltage mirror), the imbalance may be created in such a manner that the second current source provides more current than the first current source can sink, and the excess current ‘over-flows’ into the inverting voltage mirror through the load i.e., through the pair of electrodes, thus, supplying stimuli to the scalp or other body parts of the user.
Notably, to facilitate the flow of current in a reverse direction i.e., from the inverting voltage mirror into two current sources, the first current source has to sink more current than the second current source can supply. Therefore, the lacking current will be drawn from the inverting voltage mirror through the load, thereby supplying stimuli to the scalp or other body parts of the user. Thus, by controlling each current pump independently, such as to deliver stimuli to the user in a controlled manner, the disclosed invention has the advantage of delivering bidirectional current (including, but not limited to tACS, bipolar pulse stimulation, slow wave stimulation) without the necessity of using a negative voltage supply anywhere in the circuitry.
In an embodiment, the circuit includes a controller for controlling and processing one or more electric voltages and/or currents within the circuit arrangement for delivering brain stimuli to a user, a converter for converting digital signals to analogue signals within the circuit arrangement, and the pair of current sources to apply one or more stimuli to the electrodes of the circuit arrangement for delivering stimuli to the user.
Optionally, the first and the second current pumps collectively act as the source of the current performing brain/body stimulation and the inverting voltage mirror acts as the drain of the current performing brain/body stimulation.
Additionally, the first and the second current pumps collectively act as the drain of the current performing brain/body stimulation and the inverting voltage mirror acts as the source of the current performing brain/body stimulation.
Additionally, the stimulation circuit includes a monopolar voltage supply. More optionally, the monopolar voltage supply has a positive value.
Optionally, the circuit, when in use, includes components to measure and monitor the voltage and current applied across the load. In an exemplary embodiment (shown in
Furthermore, the stimulation circuit includes all, or a subset of, the aforementioned components all integrated inside a microchip. Such a microchip implementation is possible, because the circuit already includes operational amplifiers, diodes and transistors that are integrated-circuit-type components, as well as capacitors and resistors that are susceptible to being modelled with various technologies when designing such a microchip.
In an embodiment, the circuit may be used in a brain interfacing apparatus that provides simultaneous brain activity monitoring and stimulation of the brain of a user.
Throughout the present disclosure, the term “brain activity monitoring” relates to monitoring electrical signals received from a brain by a method including use of electroencephalography (EEG). Optionally, the brain activity monitoring may include detection of signals which include, but are not limited to, signals, or a combination of signals, obtained using electric field encephalography (EFEG), near infrared spectroscopy (NIRS), magnetoencephalography (MEG), electromyography (EMG) including signals generated from electrodes located spatially remotely from the given user's scalp, electrocardiography (ECG), eye tracking, functional magnetic resonance imaging (fMRI) and/or magnetic resonance imaging (MRI). More optionally, the brain activity monitoring relates to monitoring a change in electrical activity of the brain of a user, upon providing external electrical stimulus to the brain of the user. More optionally, the electrical activity of the brain of the user may be indicative of biological parameters related to the mental and physical health of the user including, but not limited to, a heart rate, a breathing rate and a skin conductance.
Optionally, the pair of electrodes may include separate electrodes configured for EEG recording and electrical stimulation respectively. Alternatively, the pair of electrodes may include a separate electrode for each location at which it is desirable to detect EEG signals and/or provide electrical stimulation.
Optionally, the brain interfacing apparatus includes a data processing arrangement. Specifically, the data processing arrangement is configured to generate a brain stimulation using a protocol that is implemented using one or more adaptive learning algorithms or other computational algorithms after analysing the electrical signals received from the input/output arrangement. Specifically, the brain stimulation protocol may include, but is not limited to, using at least one of the following stimulation parameters: an amplitude, a phase, stimulation location, one or more frequencies with corresponding power for the brain stimuli to be generated, where these parameters are derived using one or more adaptive learning algorithms or other computational algorithms. Optionally, the brain stimulation protocol can give rise to brain stimuli in a form of a discrete signal or an arbitrary continuous waveform.
In an embodiment, the circuit, when in operation, may deliver electric stimuli to the user and simultaneously receive signals from skin of the user, at the point of contact of the electrodes.
Conventionally, a single current source with positive and negative (“bipolar”) voltage supply was utilized to generate inverting and non-inverting output signals. Beneficially as compared to conventional approach, the circuit 200 of the present disclosure includes two separate and stable current sources, such as the first current source 202 and the second current source 204 so as to achieve the flow of current in the forward or the reverse direction. Moreover, the circuit 200 can be used to control each current source independently, such as to deliver stimuli to a user in a controlled manner, which can be useful in certain stimulation (e.g., related to cranial and other nerves), where a precise control over the current in each current source and bi-directional current delivery is required, while a bipolar voltage supply and/or bipolar current source is not practical. In addition, as the current sources are located on the same side of the load, therefore, the circuit 200 can be used to receive signals from skin of the user without any risk of electrical shock or other hazards to the user.
Modifications to embodiments of the present disclosure described in the foregoing are possible without departing from the scope of the present disclosure as defined by the accompanying claims. Expressions such as “including”, “comprising”, “incorporating”, “have”, “is” used to describe and claim the present disclosure are intended to be construed in a non-exclusive manner, namely allowing for items, components or elements not explicitly described also to be present. Reference to the singular is also to be construed to relate to the plural where appropriate.
Additional aspects, advantages, features and objects of the present disclosure would be made apparent from the drawings and the detailed description of the illustrative embodiments construed in conjunction with the appended claims that follow.
It will be appreciated that features of the present disclosure are susceptible to being combined in various combinations or replaced by other components without departing from the scope of the present disclosure as defined by the appended claims.
| Number | Date | Country | Kind |
|---|---|---|---|
| 2119050.9 | Dec 2021 | GB | national |
| Filing Document | Filing Date | Country | Kind |
|---|---|---|---|
| PCT/IB2022/062840 | 12/28/2022 | WO |