This application claims the benefit of U.S. Provisional Application No. 60/891,641, filed 26 Feb. 2007.
This invention relates generally to the neural interface field, and more specifically to an improved neural interface system having an electrode array with a series of electrode sites.
Chronic Deep Brain Stimulation (DBS) devices—‘brain pacemakers’—have emerged in the last decade as a revolutionary new approach to the treatment of neurological and psychiatric disorders. Conventional DBS therapy involves controllable electrical stimulation through a lead having four relatively large electrodes that are implanted in the targeted region of the brain. While conventional DBS therapy is generally safe and effective for reducing cardinal symptoms of the approved diseases, it often has significant behavioral and cognitive side effects and limits on performance. Additionally, the therapeutic effect is highly a function of electrode position with respect to the targeted volume of tissue, and more specifically, a function of which neuronal structures are influenced by the charge being delivered. With conventional electrodes, there are limitations as to how the charge is delivered and stimulation fields are limited as all of the electrode sites involved with stimulation are positioned along a single axis. Thus, there is a need for an improved neural interface system to provide fine electrode positioning, selectivity, precise stimulation patterning, and precise lead location. This invention provides such an improved and useful neural interface system.
The following description of preferred embodiments of the invention is not intended to limit the invention to these embodiments, but rather to enable any person skilled in the art to make and use this invention.
As shown in
The electrode array 12 of the preferred embodiments functions to interface with the tissue, or any other suitable substance, that it has been implanted in or coupled to. The electrode array 12 includes a plurality of electrode sites 14 such that a group of the electrode sites 14 may be simultaneously activated to create an activation pattern. The electrode array 12 provides the capability of incorporating feedback control through neural recordings for eventual on-demand stimulation. The electrode array 12 may further include fluidic channels providing the capability to deliver therapeutic drugs, drugs to inhibit biologic response to the implant, or any other suitable fluid.
The electrode array 12 is preferably one of several variations. In a first variation, the electrode array 12 is a planar array. In this variation, the electrode array 12 would be particularly useful for stimulation of surface tissue such as surface stimulation of the brain or spinal cord. In a second variation, the electrode array 12 has a three dimensional geometry. The geometry preferably has a circular or semi-circular cross section, but may alternatively be any suitable geometry with any suitable cross section such as a v-shaped cross section. The planar electrode array 12 is preferably pre-formed into the three dimensional geometry. This is preferably completed by positioning the planar electrode array 12 in a mold and then placing the mold and electrode array 12 in a furnace to be tempered, but may alternatively be completed by any suitable process that alters the physical shape of the planar substrate. The electrode array 12 in this variation, may be wrapped directly around the tissue to be stimulated such as a peripheral nerve or spinal cord. The electrode array 12 of the second variation may be coupled to the carrier 16. The electrode array 12 is preferably coupled to the carrier 16 such that the plurality of electrode sites 14 are arranged both circumferentially around the carrier 16 and axially along the carrier 16. Although the electrode array 12 is preferably one of these variations, the electrode array 12 may be in any suitable configuration to interface with the tissue, or any other suitable substance, that it has been implanted in or coupled to.
The neural interface system 10 may include a single electrode array 12 with a plurality of electrode sites 14 or may alternatively include a series of electrode arrays 12, each with a plurality of electrode sites 14. The neural interface system 10 may further include a guiding element that positions the series of electrode arrays 12 in a three dimensional arrangement, or the electrode arrays 12 may alternatively be arranged in a three dimensional manner without an additional guiding element. The neural interface system 10 may include one guiding element for every electrode array 12, such that the ratio of guiding elements to electrode arrays 12 is 1:1. Alternatively, the neural interface system 10 may include one guiding element for every two or more electrode arrays 12, such that the ratio of guiding elements to first electrode arrays 12 is less than 1:1. Additionally, the guiding elements may be coupled to a chamber 26, as shown in
As shown in
The plurality of electrode sites 14 of the preferred embodiments functions to electrically communicate with the tissue, or any other suitable substance, that it has been implanted in or coupled to. The electrical communication is preferably a high-frequency, pulsed electric current; electrical stimulation in monopolar, bipolar, tripolar, and/or quadrapolar modes; a recording of electrical signals; data transmission; and/or any other suitable electrical communication.
The plurality of electrode sites 14 can be activated individually or in selectable groups of electrode sites. The simultaneous activation of a group of electrode sites 14 creates an activation pattern, generates an electric field in the tissue medium having a spatial distribution of current density, and influences the pattern of neural excitation. This will provide dynamic tunable electrical stimulation ranging from macroscale activation, as shown in
As shown in
As shown in
The excitation of tissue surrounding an electrode site 14 is determined by electrochemical properties of the individual electrode site and by geometric properties of the entire electrode array and carrier assembly. For an electrode array 12 with several electrode sites 14 activated simultaneously, the activation pattern, and therefore the current flow surrounding the electrode, is complex resulting in an equally complex pattern of tissue excitation. At a basic level, the spreading resistance of an electrode site may determine the ability of the site to deliver charge to excitable tissue. When several electrode sites 14 on an electrode array 12 are activated simultaneously there is an interaction of the electrode sites and activation patterns. For example, the second activation pattern, as shown in
In one specific variation of the electrode array 12, as shown in
The electrode array 12 is preferably made from a thin-film polymer substrate (or any other suitable material) such that there is high density of electrode sites 14 at a first end of the array (the distal end) and bonding regions at a second end of the array (the proximal end). The proximal end is preferably thicker than the distal end of the electrode array 12 to accommodate the bonding regions or the integration of a second electrical subsystem. The polymer substrate is preferably parylene or some combination of parylene and inorganic dielectrics, but may alternatively be made out of any suitable material. The distal end of the array is preferably coupled to a carrier 16 to provide structural support. Additionally, the distal end will be in direct contact with the tissue and so will preferably be made from suitable materials for both biocompatibility and dielectrics.
In general, the fabrication techniques for the electrode array 12 are preferably similar to those used to create integrated circuits and therefore preferably utilize similar substrate, conductor and insulating materials. Fabrication of the electrode array 12 preferably starts on a wafer substrate and the electrode sites 14 and additional features are preferably added using a number of photolithographically patterned thin-film layers that are preferably defined by etching. The electrode arrays 12 produced in this manner are preferably reproducible, batch-processed devices that have features preferably defined to within less than +/−1 μm. In addition, many of the fabrication techniques are preferably compatible with the inclusion of an integrated flexible ribbon cable or connector 34 and a second electrical subsystem such as on-chip circuitry for signal conditioning and/or stimulus generation.
Polymer electrode arrays preferably include metal traces sandwiched between upper and lower layers of insulating polymer. One such polymer is parylene (parylene-C, Specialty Coating Systems, Indianapolis, Ind., USA). The polymer is vapor phase deposited onto an oxidized silicon wafer that acts as a carrier. A layer of photoresist is then spun on and patterned in preparation for metal lift-off. Layers of titanium and platinum are preferably next deposited and patterned using lift-off. The top layer of polymer is then vapor phase deposited. The wafers are then preferably patterned and dry-etched to form the final electrode shape and create openings to the underlying metal. These metal surfaces form the electrode sites and additional features such as conductive interconnects and bond pads. HF dissolution of the oxide release layer is used to remove the devices from the wafer. The devices are finally cleaned using multiple soaks and rinses in DI water. Presently, the process requires only two photolithographic masks resulting in rapid turn-around for easy design iteration.
The electrode sites 14 are preferably patterned directly onto the polymer substrate. The electrode sites 14 are preferably metal such as iridium, platinum, gold, but may alternatively be any other suitable material. Iridium oxide is preferably used for the electrode sites 14 due to its high charge capacity (3 mC/cm2). The targeted charge injection limit for the activation pattern 46 as shown in
The electrode array 12 preferably further includes conductive interconnects disposed between layers of dielectrics that insulate the interconnects on top and bottom sides. Preferably a group of the conductive interconnects terminate with electrode sites 14 on the distal end and/or with bond pads for electrical connection to external instrumentation and/or hybrid chips on the proximal end. The conductive interconnects are preferably metal or polysilicon, but may alternatively be any other suitable material. Polyimide, parylene, inorganic dielectrics, or a composite stack of silicon dioxide and silicon nitride is preferably used for the dielectrics, however any other suitable materials may alternatively be used.
The conductive interconnects are preferably made as wide as possible to reduce the resistance. The conductive interconnects will vary in length as they terminate at different locations, and so in order to equalize the resistance across all leads, the line widths are preferably adjusted accordingly. These conductive interconnects, as well as the connections will be preferably buried in silicone and thus not be at risk to leakage, as shown in
The carrier 16 of the preferred embodiments, as shown in
The carrier 16 is preferably one of several variations. In a first variation, the carrier 16 is a polymeric carrier 16. The carrier 16 is preferably made of a polymer such as polyimide or silicone, but may be alternatively made from any other suitable material. The carrier 16 is preferably flexible, but may alternatively be rigid or semi rigid. In a second variation, the carrier 16 is a metal carrier. The carrier in this variation may be a solid metal tube or cylinder, or it may alternatively be perforated or not solid in any other suitable fashion. In a third variation, the carrier 16 is resorbable carrier 16, which is resorbed into tissue after a period of time, and upon resorption, the electrode array 12 will be left to float freely in the brain or other suitable tissue or material. The resorbable carrier 16 is preferably made of implantable medical fabric woven or knitted from a bioresorbable polymer. The bioresorbable polymer is preferably polyglycolide or polylactide, but may alternatively be made from any suitable bioresorbable material. Although the carrier 16 is preferably one of these three variations, the carrier 16 may be any suitable element to shuttle the electrode array 12 and the connector 34 into tissue or other substances and provide structural support.
Additionally, the system 10 may further include a second electrical subsystem. The second electrical subsystem of the preferred embodiments functions to operate with the electrode array 12. The second electrical subsystem may include multiple different electrical subsystems or a series of the same subsystems. The second electrical subsystem may be integrated into the proximal end of the electrode array 12 or may be coupled to the electrode array 12 via a connector 34 as described below. The second electrical subsystem is preferably at least one of several variations of suitable electronic subsystems to operate with the electrode array 12 or any combination thereof The second electrical subsystem may be a printed circuit board with or without on-board integrated circuits and/or on-chip circuitry for signal conditioning and/or stimulus generation, an Application Specific Integrated Circuit (ASIC), a multiplexer chip, a buffer amplifier, an electronics interface, an implantable pulse generator (produces a high-frequency, pulsed electric current), an implantable rechargeable battery, integrated electronics for either real-time signal processing of the input (recorded) or output (stimulation) signals, integrated electronics for control of the fluidic components, any other suitable electrical subsystem, or any combination thereof. In one specific variation, as shown in
Additionally, the system 10 may further include a connector 34. The connector 34 of the preferred embodiments functions to couple the electrode array 12 to the second electrical subsystem. The connector 34 is preferably one of several variations. As shown in
The ribbon cable may be encased in silicone or any other suitable material, as shown in
Additionally, the system 10 may further include a stylet. The stylet of the preferred embodiments functions to penetrate the tissue or other material and/or functions to provide structural support to the system during implantation. The stylet is preferably inserted into a lumen of a carrier 16, but may alternatively be located and inserted into any suitable component of the system in any suitable manner. The stylet may include a sharpened end adapted to penetrate the tissue and aid in the insertion of the stylet, the carrier 16, and/or the electrode array 12 into the tissue. The stylet is preferably removed from the tissue following the placement of the electrode array 12, but may alternatively be adapted to remain in the tissue while still allowing the implanted electrode array 12 to float freely in the brain. This may be accomplished by the stylet being selectively flexible (through electrical stimulus or other suitable method) or by being resorbable into the tissue after a period of time. The stylet is preferably made from a stiff material such as metal, but may alternatively be made from any suitable material. In one variation, the metal is preferably insulated metal wire. In this variation, the insulated metal wire may not have insulation covering a sharpened tip, and thus can be used as a conventional single-channel microelectrode.
Additionally, the system 10 may further include a guide tube. The guide tube of the preferred embodiments functions to facilitate the insertion of the electrode array 12 and/or functions to provide structural support to the system during implantation. The guide tube may be further adapted to allow the electrode array 12 to move freely in the tissue, allowing the placement of the electrode array 12 without disconnecting the second electrical subsystem. The guide tube is preferably made of a rigid material, which can be inserted into tissue or other substances without buckling and can maintain a generally straight trajectory through the tissue. The material may be uniformly rigid, or rigid only in a particular direction (such as the axial direction). The material is preferably plastic such as a medical grade plastic, but may alternatively be any suitable material such as metal or a combination of materials. The guide tube may further include a sharpened end adapted to penetrate the tissue and aid in the insertion of the guide tube into the tissue. The guide tube may also include alignment and or fixation features to facilitate positioning and stabilizing the series of electrode array 12 in the tissue, particularly during removal of the guide tube.
As shown in
The electrode array 12 and carrier 16 are preferably assembled by a method, as shown in
A method of implanting an neural interface system 10, as shown in
Although omitted for conciseness, the preferred embodiments include every combination and permutation of the various electrode arrays, the various carriers, the various electrical subsystems and connectors, and the various guide tubes and stylets.
As a person skilled in the art will recognize from the previous detailed description and from the figures and claims, modifications and changes can be made to the preferred embodiments of the invention without departing from the scope of this invention defined in the following claims.
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