The present invention relates to a data telemetry and/or power transfer technique having particular applicability to implantable medical device systems.
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 sublaxation, etc. The present invention may find applicability in all such applications, although 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, which is incorporated herein by reference in its entirety.
Spinal cord stimulation is a well-accepted clinical method for reducing pain in certain populations of patients. As shown in
As shown in
As just noted, an external controller 12, such as a hand-held programmer or a clinician's programmer, is used to wirelessly send data to and receive data from the IPG 100. For example, the external controller 12 can send programming data to the IPG 100 to dictate the therapy the IPG 100 will provide to the patient. Also, the external controller 12 can act as a receiver of data from the IPG 100, such as various data reporting on the IPG's status. The external controller 12, like the IPG 100, also contains a PCB 70 on which electronic components 72 are placed to control operation of the external controller 12. A user interface 74 similar to that used for a computer, cell phone, or other hand held electronic device, and including touchable buttons and a display for example, allows a patient or clinician to operate the external controller 12. The communication of data to and from the external controller 12 is enabled by a coil 17, which is discussed further below.
The external charger 50, also typically a hand-held device, is used to wirelessly convey power to the IPG 100, which power can be used to recharge the IPG's battery 26. The transfer of power from the external charger 50 is enabled by a coil 17′, which is discussed further below. For the purpose of the basic explanation here, the external charger 50 is depicted as having a similar construction to the external controller 12, but in reality they will differ in accordance with their functionality as one skilled in the art will appreciate. However, given the basic similarities between the external controller 12 and the external charger 50 as concerns this disclosure, they are depicted as a single external device 60 in
Wireless data transfer and/or power transfer between the external device 60 and the IPG 100 takes place via inductive coupling, and specifically magnetic inductive coupling. To implement such functionality, and as alluded to above, both the IPG 100 and the external device 60 have coils which act together as a pair. When the external device 60 is an external controller 12, the relevant pair of coils comprises coil 17 from the controller and coil 13 from the IPG. When the external device 60 is an external charger 50, the relevant pair of coils comprises coil 17′ from the external charger and coil 18 from the IPG. In the generic external device 60 depicted in
When data is to be sent from the external device 60 to the IPG 100 for example, coil 62 is energized with an alternating current (AC). Such energizing of the coil 62 to transfer data can occur using a Frequency Shift Keying (FSK) protocol for example, such as disclosed in U.S. patent application Ser. No. 11/780,369, filed Jul. 19, 2007, which is incorporated herein by reference in its entirety. Energizing the coil 62 induces an electromagnetic field 29, which in turn induces a current in the IPG's coil 64, which current can then be demodulated to recover the original data.
When power is to be transmitted from the external device 60 to the IPG 100, coil 62 is again energized with an alternating current. Such energizing is generally of a constant frequency, and of a larger magnitude than that used during the transfer of data, but otherwise the physics involved are similar.
Regardless of whether the external device 60 is transferring data or power, the energy used to energize the coil 62 can come from a battery in the external device 60 (not shown in
As is well known, inductive transmission of data or power can occur transcutaneously, i.e., through the patient's tissue 25, making it particular useful in a medical implantable device system. During the transmission of data, the coils 62 and 64 preferably lie in planes that are parallel, along collinear axes, and with the coils in as close as possible to each other, such as is shown generally in
However, realization of this ideal orientation condition necessarily relies on successful implementation by the user of the external device 60. For example, and as shown in
The non-ideal orientations depicted in
Further exacerbating the potential problem of improper external device-to-IPG orientation is the recognition that improper orientations are not necessarily always the result of user inadvertence. It has so far been assumed that it is relatively easy for the user to understand or infer the positioning of the coils 62 and 64. For example, when both the external device 60 and the IPG 100 are basically flat, placing the coils 62, 64 close to the ideal orientation depicted in
From the foregoing, it should be clear that the art of magnetically-coupled implantable medical device systems would benefit from improved techniques for ensuring good coupling between the external device and the IPG, even during conditions of non-ideal alignment. This disclosure provides embodiments of such a solution.
The description that follows relates to use of the invention within a spinal cord stimulation (SCS) system. However, the invention is not so limited. Rather, the invention may be used with any type of implantable medical device system that could benefit from improved coupling between an external device and the implanted device. For example, the present invention may be used as part of a system employing an implantable sensor, an implantable pump, a pacemaker, a defibrillator, a cochlear stimulator, a retinal stimulator, a stimulator configured to produce coordinated limb movement, a cortical and deep brain stimulator, or in any other neural stimulator configured to treat any of a variety of conditions.
As shown in the simplified illustration of
As shown in
As shown in
Thereafter, the modulated square wave data signal is split into two legs that ultimately drive the two coils 62a and 62b. Each leg receives the square wave output at a clocking input (CLK) of DQ flip flops 96a and 96b, although the data received at the lower leg is inverted by an inverter 94. The inverter essentially works a 180 degree shift in the square wave data signal. The complimentary output Q′ of each flip flop 96a and 96b is coupled to the corresponding input D. Given this arrangement, and appreciating that the flip flops 96a and 96b can only change data states upon a rising edge of its clock input, the effect is that the outputs (Q/Q′) of the flip flops 96a and 96 comprise a square wave signal at half the frequency (i.e., frequencies of f0=121 kHz and f1=129 kHz), but in which the signal driving the lower leg lags by 90 degrees. This approximately 90 degree shift in the lower frequency (fc=125 kHz) signal stems from the approximately 180 degree shift imparted by the inverter 94 at the higher frequency (fc′=250 kHz) signal.
The lower frequency square wave signals are in turn used to resonant the coils 62a and 62b, again, with the signals arriving at coil 62b with a 90 degree lag. Resonance is achieved for each coil 62a and 62b through a serial connection to a tuning capacitor 98a, 98b, making a resonant LC circuit. As one skilled in the art will appreciate, the N-channel (NCH) and P-channel (PCH) transistors are gated by either the output (Q) or the complementary output (Q′) of the flip flops 96a and 96b to apply the voltage, Vbat, needed to energize the coils 62a and 62b. Such voltage Vbat comes from the battery (or other power source) with the external device 60. One skilled in the art will appreciate that the disclosed arrangement reverses the polarity of this battery voltage Vbat across the series-connected LC circuit (+Vbat followed by −Vbat followed by +Vbat, etc.), which in turn causes the coils to resonate and therefore broadcast at the frequencies of interest (f0=125 kHz; f1=129 kHz). It should be understood that transmitter circuitry 210 as depicted in
As shown, the external device (controller) 60 comprises a printed circuit board (PCB) 120, whose front side carries the user interface, including a display 124 and buttons 122. In the depicted embodiment, the operative circuitry, including the coils 62a and 62b and the battery 126, are located on the back side of the PCB 120, along with other integrated and discrete components necessary to implement the functionality of the external controller. As seen in the back and side views, the two coils 62a and 62b are respectively wrapped around axes 54a and 54b which are orthogonal. More specifically, coil 62a is wrapped in a racetrack configuration around the back of the PCB 120, while coil 62b is wrapped around a ferrite core 128 and affixed to the PCB 120 by epoxy.
With the transmitter circuitry 210 and the physical construction of the external device (controller) 60 set forth, the theory of operation of the device is briefly explained. By causing the input signals to the two coils to be 90 degrees out of synchronization, the magnetic field produced by the two coils will effectively rotate around a third axis 54c (
Fortunately, use of the disclosed dual-coil technique does not require any changes in the receiver circuitry used in conjunction with the receiving coil 64 within the IPG 100. This results from the understanding that current can be induced in the receiving coil 64 either by changing the magnitude of the produced magnetic field (as occurs in traditional signal transmitter coil systems), or by changing the direction of the magnetic field (as occurs with the disclosed dual transmitter coil technique). In either case, one skilled in the art should appreciate that Faraday's law illustrates that the current induced in the receiving coil will be equivalent whether a single transmitter coil is used, or two orthogonal transmitter coils are used but driven 90 degrees out of phase. This assumes however that each of the coils 62a and 62b in the dual-coil system are capable of generating a magnetic field of the same strength as that produce by the singular coil in a single coil system. Designing the coils 62a and 62b (number of turns, etc.) and the transmitter circuitry 210 to achieve equal magnetic strength from the two contributing magnetic fields is therefore desirable, but not absolutely necessary. The benefits of the use of dual transmitter coils are still realized even if the coils do not contribute equally to the produced magnetic field.
From the foregoing, and because of the desire to maintain a consistent magnitude of induced current in the receiving coil, the disclosed dual coil approach may take more power (e.g., twice the power) than approaches using single coils. This additional power requirement is generally not problematic, as the battery power within the external device is not critical and can be easily recharged during periods in which the external device 60 is not used. In any event, it is clearly beneficial that implementation of the dual-coil technique does not require any re-tooling of the IPG or its receiver circuitry.
While the receiver circuitry in the IPG 100 does not require modification, the receiver circuitry in the external device 60 may be changed to account for the two coils 62a and 62b, assuming that such coils are used as the antennas for so-called “back telemetry” (e.g., status data) received from the IPG 100. (Obviously, the external device 60 would contain no receiver circuitry in an IPG system lacking back telemetry capability).
Exemplary receiver circuitry 220 useable with the dual coils 62a and 62b in the external device 60 and for receiving a wireless modulated data signal from the IPG 100 is shown in
Thereafter, the amplified signals, with the phase shift applied between them, are added together at a summer circuit 134, which again can comprise any well known analog summer circuitry known in the art. The resulting signal is then subject to a band pass filter (BPF) 136, which removes frequencies component from the signal outside of the frequency band of interest (e.g., outside of the range from 121 to 129 kHz). This signal is then demodulated back into digital bits at a demodulator block 138 operating under the control of a local oscillator 140. Noise is removed from these digital bits at a low pass filter block 142, which then allows the received data to be input to the external controller's microcontroller 150 for interpretation and processing. One skilled in the art will appreciate that summer 134, the BPF 136, demodulation block 138, local oscillator 140, and LPF 142, or any combination of these blocks, can collectively comprise demodulation circuitry.
Receiver circuitry 220 of
Other embodiments of the invention can be varied from the preferred embodiments disclosed. For example, and as noted earlier, neither the physical angle between the axes 54a and 54b of the transmitter coils 62a and 62b, nor the phase angle between the signal driving them, need be exactly 90 degrees.
While disclosed in the context of a medical implantable device system for which the invention was originally contemplated, it should be recognized that the improved dual-coil approach herein is not so limited, and can be used in other contexts employing communications via magnetic inductive coupling, such as in Radio-Frequency Identification (RFID) systems, etc. The disclosed circuitry can further be used in any context in which magnetic inductive coupling could be used as a means of communication, even if not so used before.
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 alternatives, modifications, and equivalents that may fall within the spirit and scope of the present invention as defined by the claims.