Method and apparatus for application of a neural stimulus
A method of applying a neural stimulus with an implanted electrode array involves applying a sequence of stimuli configured to yield a therapeutic effect while suppressing psychophysical side effects. The stimuli sequence is configured such that a first stimulus recruits a portion of the fibre population, and a second stimulus is delivered within the refractory period following the first stimulus and the second stimulus being configured to recruit a further portion of the fibre population. Using an electrode array and suitable relative timing of the stimuli, ascending or descending volleys of evoked responses can be selectively synchronised or desynchronised to give directional control over responses evoked.
1. A method of applying a neural stimulus with an implanted electrode array, the method comprising:
using a first electrode of the electrode array to apply a sequence of stimuli configured to yield a therapeutic effect while suppressing psychophysical side effects, the stimuli sequence configured such that a first stimulus applied by the first electrode recruits a portion of the fibre population, and a second stimulus applied by the first electrode is delivered within the refractory period following the first stimulus and the second stimulus being configured to recruit a further portion of the fibre population, so as to reduce a correlation of an action potential volley across the stimulated fibre population in order to produce a reduced perceived sensation of stimulation, and wherein a further sequence of neural stimuli is applied sequentially by more than one electrode, the further sequence comprising a further stimulus which is delivered by a second electrode at a time after the first stimulus which allows for cessation of the first stimulus and allows for propagation of a first neural response evoked by the first stimulus from the first electrode to the second electrode, so that the second stimulus is delivered by the second electrode during a refractory period of neurons proximal to the second electrode after activation of those neurons by the evoked neural response from the first stimulus.
2. The method of claim 1 wherein the sequence of neural stimuli comprises more than two stimuli, each being delivered by the first electrode in the refractory period following a previous stimulus in the sequence.
3. The method of claim 1 wherein the sequence of neural stimuli comprises stimuli of ascending amplitude.
4. The method of claim 1 wherein the sequence of neural stimuli comprises stimuli of ascending charge.
5. The method of claim 1 wherein the further sequence of neural stimuli is applied by consecutive electrodes positioned along the electrode array.
6. The method of claim 1 further comprising applying a stimulus which is not applied during the refractory period of any preceding stimulus, and which is not closely followed by any subsequent stimulus in the refractory period of the single stimulus, in order to enable an evoked response measurement to be made following the single stimulus.
7. The method of claim 6 further comprising using the evoked response measurement for feedback control of stimulus parameters of the sequence of neural stimuli.
8. A device for applying a neural stimulus, the device comprising:
at least a first electrode configured to be positioned alongside a neural pathway; and
a control unit configured to apply a sequence of neural stimuli which are configured to yield a therapeutic effect while suppressing psychophysical side effects, the stimuli sequence configured such that a first stimulus delivered by the first electrode recruits a portion of the fibre population, and a second stimulus is delivered by the first electrode within the refractory period following the first stimulus and the second stimulus being configured to recruit a further portion of the fibre population, so as to reduce a correlation of an action potential volley across the stimulated fibre population in order to produce a reduced perceived sensation of stimulation, and wherein a further sequence of neural stimuli is applied sequentially by more than one electrode, the further sequence comprising a further stimulus which is delivered by a second electrode at a time after the first stimulus which allows for cessation of the first stimulus and allows for propagation of a first neural response evoked by the first stimulus from the first electrode to the second electrode, so that the second stimulus is delivered by the second electrode during a refractory period of neurons proximal to the second electrode after activation of those neurons by the evoked neural response from the first stimulus.
9. The device of claim 8 wherein the sequence of neural stimuli comprises more than two stimuli, each being delivered by the first electrode in the refractory period following a previous stimulus in the sequence.
10. The device of claim 8 wherein the sequence of neural stimuli comprises stimuli of ascending amplitude.
11. The device of claim 8 wherein the sequence of neural stimuli comprises stimuli of ascending charge.
12. The device of claim 8 wherein the further sequence of neural stimuli is applied by consecutive electrodes positioned along the electrode array.
13. The device of claim 8 wherein the control unit is further configured to apply a stimulus which is not applied during the refractory period of any preceding stimulus, and which is not closely followed by any subsequent stimulus in the refractory period of the single stimulus, in order to enable an evoked response measurement to be made following the single stimulus.
14. The device of claim 13 further comprising using the evoked response measurement for feedback control of stimulus parameters of the sequence of neural stimuli.