The present invention relates to transceiver circuitry useable in an implantable medical device system.
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 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.
Wireless data transfer between the IPG 100 and the external controller 12 takes place via inductive coupling. To implement such functionality, both the IPG 100 and the external controller 12 have coils 13 and 17 respectively. Either coil can act as the transmitter or the receiver, thus allowing for two-way communication between the two devices. When data is to be sent from the external controller 12 to the IPG 100 for example, coil 17 is energized with alternating current (AC), which generates a magnetic field 29, which in turn induces a voltage in the IPG's telemetry coil 13. The power used to energize the coil 17 can come from a battery 76, which like the IPG's battery 26 is preferably rechargeable, but power may also come from plugging the external controller 12 into a wall outlet plug (not shown), etc. The induced voltage in coil 13 can then be transformed at the IPG 100 back into the telemetered data signals. To improve the magnetic flux density, and hence the efficiency of the data transfer, the IPG's telemetry coil 13 may be wrapped around a ferrite core 13′.
As is well known, inductive transmission of data from coil 17 to coil 13 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 13 and 17 lie in planes that are preferably parallel. Such an orientation between the coils 13 and 17 will generally improve the coupling between them, but deviation from ideal orientations can still result in suitably reliable data transfer.
To communicate a serial stream of digital data bits via inductive coupling, some form of modulation is generally employed. In a preferred embodiment, Frequency Shift Keying (FSK) can be employed, in which the logic state of a bit (either a logic ‘0’ or a logic ‘1’) corresponds to the frequency of the induced magnetic field 29 at a given point in time. Typically, this field has a center frequency (e.g., fc=125 kHz), and logic ‘0’ and ‘1’ signals comprise offsets from that center frequency (e.g., f0=121 kHz and f1=129 kHz respectively). Once the data is modulated in this manner at the transmitting device (e.g., the external controller 12), it is then demodulated at the receiving device (e.g., the IPG 100) to recover the original data. While FSK modulation may be preferred for a given application, one skilled in the art will recognize that other forms of data modulation (e.g., amplitude modulation, On-Off-Keying (OOK), etc.) can be used as well. These modulation schemes as used in a medical implantable device system are disclosed in U.S. Pat. No. 7,177,698, which is incorporated herein by reference in its entirety, and because they are well known, they are not further discussed.
Typical transceiver circuits 150 and 151 for effecting the transmission and reception of data in the manners just described are shown in
In either case, transmission and reception is effected in essentially the same way. As shown in the example of
Each of these series and parallel tank circuits has advantages and disadvantages. For example, the series-connected L-C tank 150 is capable of forming large voltages across the inductor, L during transmission. In other words, the voltage produced at the node between the inductor and the capacitor, VA, is amplified by the Q (quality factor) of the tank which can equal about +/−50V or so. This improves the magnitude of the magnetic field 29 which is produced, and thus ultimately improves the transmitter performance. As a result, a low voltage drive transmitter 160 can be used that drives the resonant circuit with smaller voltage signals compatible with standard CMOS integrated circuit technology. By contrast, the receiver RX in the series configuration is generally desired to have a relatively low input impedance 164 (e.g., <10 ohms) to enhance detection of the voltage induced in the resonant circuit by the received magnetic field 29. Unfortunately, the simultaneous desires for a high transmit field and low receiver input impedance increases the power consumption in the receiver RX. Increased receiver power consumption in the IPG 100 is especially problematic due when one considers that IPG batteries 26 (
By contrast, the transmit field in the parallel-connected transceiver circuit 151 is not as high, because the voltages across the inductor are limited to the magnitude of the drive signals. As a result, a high drive transmitter 162 is required, which requires drive signals of greater magnitude (+/−50V or so), and which is not compatible with standard CMOS integrated circuit technology. However, the benefit to the parallel configuration occurs on the receiver side. Specifically, the receiver can have a relatively high input impedance 166 (e.g., >10 k ohms) compared to the low impedance receiver 164 used in the series configuration, resulting in lower power consumption and increased detection sensitivity in the receiver.
The description that follows relates to use of the invention within a spinal cord stimulation (SCS) system. However, it is to be understood that the invention is not so limited. Rather, the invention may be used with any type of implantable medical device system that could benefit from more-efficient communications between an external controller and the 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.
The inventors realize from the prior art transceiver circuits 150 and 151 of
The disclosed solution therefore comprises an improved transceiver circuit 200 that is switchable to assume a serial L-C configuration in the transmit mode and a parallel L-C configuration in the receive mode, but does not require high voltage switches. An embodiment of the improved transceiver circuit 200 is shown in
Shown further in
Because the improved transceiver circuit 200 uses both a low drive transmitter 160 and a high impedance receiver 166, it is respectful of receiver power consumption, and hence well suited for implementation in an IPG 100, in which power capacity is limited as mentioned previously. At the same time, the transmitter can generate high voltage across the coil, due to the circuit's ability to switch between a series or parallel connection of the inductor L and capacitor C in the resonant circuit.
Configuration of the improved transceiver circuit 200 while acting as a transmitter or receiver is respectively illustrated in
Referring to
Although the series connection of the inductor L and the capacitor C permit high voltages to form at VA, note that none of the switches are exposed to high voltages. For example, opened switches Sr1 and Sr2 (see
As was the case in transmission mode, none of the switches in reception mode are subject to high voltages. Given typical values for the different components, none of nodes in the circuit of
In summary, the disclosed transceiver circuitry has significant advantages: it can transmit a higher magnetic field with a low drive signal and without excessive current draw through the receiver; it can receive with good sensitivity and low power consumption, and it does so without the needs for specialized or discrete high-voltage components.
Although it is preferred to use a transmitter 160 with complementary drive signal outputs, and a receiver 166 with differential inputs, such is not required. Other suitable transmitters 260 useable in the context of the invention can have single drive signal outputs, and other suitable receivers 266 can have single inputs, such as is shown in the alternative embodiment of the improved transceiver circuitry 300 shown in
Although designed primarily for incorporation into an IPG 100 because of its high efficiency and low power consumption, the improved transceiver circuitry 200 can also be used as the transceiver circuitry in the external controller 12.
While disclosed in the context of a medical implantable device system, it should be recognized that the improved transceiver circuitry disclosed herein is not so limited, and can be used in other contexts employing communications via electromagnetic inductive coupling, such as in Radio-Frequency Identification (RFID) systems, etc. The disclosed circuitry can further be used in any context in which electromagnetic 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.
Number | Name | Date | Kind |
---|---|---|---|
4847617 | Silvian | Jul 1989 | A |
5264843 | Silvian | Nov 1993 | A |
5999857 | Weijand et al. | Dec 1999 | A |
6023641 | Thompson | Feb 2000 | A |
6091987 | Thompson | Jul 2000 | A |
6115636 | Ryan | Sep 2000 | A |
6163721 | Thompson | Dec 2000 | A |
6167303 | Thompson | Dec 2000 | A |
6185454 | Thompson | Feb 2001 | B1 |
6185460 | Thompson | Feb 2001 | B1 |
6223080 | Thompson | Apr 2001 | B1 |
6236888 | Thompson | May 2001 | B1 |
6324426 | Thompson | Nov 2001 | B1 |
6434425 | Thompson | Aug 2002 | B1 |
6438422 | Schu et al. | Aug 2002 | B1 |
6496729 | Thompson | Dec 2002 | B2 |
6516227 | Meadows et al. | Feb 2003 | B1 |
6535766 | Thompson et al. | Mar 2003 | B1 |
6539253 | Thompson et al. | Mar 2003 | B2 |
6567703 | Thompson et al. | May 2003 | B1 |
6868288 | Thompson | Mar 2005 | B2 |
6889084 | Thompson et al. | May 2005 | B2 |
7177698 | Klosterman et al. | Feb 2007 | B2 |
20020026224 | Thompson et al. | Feb 2002 | A1 |
20020035383 | Thompson | Mar 2002 | A1 |
20020045920 | Thompson | Apr 2002 | A1 |
20020173825 | Thompson | Nov 2002 | A1 |
20030014082 | Schu et al. | Jan 2003 | A1 |
20040015199 | Thompson et al. | Jan 2004 | A1 |
20040039423 | Dolgin | Feb 2004 | A1 |
20050111682 | Essabar et al. | May 2005 | A1 |
Number | Date | Country |
---|---|---|
9116696 | Oct 1991 | WO |
0024456 | May 2000 | WO |
Number | Date | Country | |
---|---|---|---|
20090281597 A1 | Nov 2009 | US |