Charge monitor
This disclosure relates to implantable neuro stimulation devices with a feedback loop to control an amount of energy delivered into a neural tissue based on a measured evoked neural response. Stimulation electrodes deliver stimulation energy to neural tissue and a stimulator comprises a microprocessor and program memory with program code, which causes the microprocessor to perform closed-loop control of the stimulation energy based on a feedback signal that is indicative of an evoked neural response. A charge monitor monitors the delivery of energy to the stimulation electrodes by determining an amount of charge delivered by the stimulation electrodes and connected to the stimulator to provide a status signal indicative of the charge delivered to the stimulator. The device adjusts the control of the stimulation energy in response to the status signal from the charge monitor indicating undesirable charge delivery to the stimulation electrodes.
1 . An implantable neuro-stimulation device comprising:
multiple stimulation electrodes configured to apply stimulation energy to neural tissue over a stimulus cycle;
an implantable stimulator comprising a controller, the controller configured to perform closed-loop control of the stimulation energy by controlling application of the stimulation energy to the neural tissue, the implantable stimulator further comprising
a charge monitor, the charge monitor comprising circuitry configured to determine an amount of charge delivered by the controller to the stimulation electrodes by the implantable stimulator, for each stimulus cycle of the stimulation energy during application of the stimulation energy to the neural tissue and prior to a subsequent stimulus cycle of the stimulation energy; the charge monitor circuitry being further configured to provide an error signal during the stimulus cycle when the amount of charge determined to be delivered to the stimulation electrodes exceeds a safe charge limit before the end of the stimulus cycle,
wherein
the controller is configured to perform the closed-loop control of the stimulation energy based on a feedback signal indicative of a neural response evoked by the applied stimulation energy; and
the controller is further configured to adjust the closed-loop control of the stimulation energy in response to the error signal, wherein the adjusting of the closed-loop control comprises stopping stimulation during the stimulus cycle or disabling closed loop control.
2 . The device of claim 1 , wherein
the implantable stimulator comprises a current source and the controller is configured to provide a current source activation signal to the current source to activate and de-activate the current source to thereby control the amount of charge delivered to the stimulation electrodes; and
the charge monitor is connected to the current source activation signal to monitor the delivery of energy to the stimulation electrodes by monitoring the current source activation signal.
3 . The device of claim 1 , wherein the implantable stimulator comprises a current source formed of a first and second transistor connected to each other by respective gate electrodes and the charge monitor is connected to the gate electrodes.
4 . The device of claim 3 , wherein the charge monitor comprises a third transistor with a gate electrode coupled to the gate electrodes of the first and second transistors, the third transistor providing through a source and drain electrode a current source activation signal.
5 . The device of claim 1 , wherein the charge monitor is configured to determine an integral of delivered current over a time period when stimulation is activated by the implantable stimulator.
6 . The device of claim 5 , wherein the charge monitor is further connected to a reference current signal indicative of an instant amplitude of a reference current and the integral over the time period is based on the reference current signal.
7 . The device of claim 1 , wherein the charge monitor is configured to monitor a stimulation activation signal from the implantable stimulator and the stimulation activation signal is a digital signal.
8 . The device of claim 1 , wherein the error signal is provided to the controller as an interrupt signal and the implantable stimulator is configured to adjust the control of the stimulation energy by way of an interrupt handling routine that adjusts the control of the stimulation energy.
9 . The device of claim 1 , wherein the implantable stimulator is configured to adjust the control of the stimulation energy by way of a hardware circuit that disables stimulation in response to the error signal.
10 . The device of claim 1 , wherein the implantable stimulator is configured to adjust the control of the stimulation energy by one or more of:
adjusting an amplifier gain of a feed-back loop;
adjust a stimulation level; and
enable/disable closed-loop therapy.
11 . The device of claim 1 , wherein the implantable stimulator is configured to create a data record on memory indicative of the error signal.
12 . The device of claim 1 , wherein the charge monitor is further configured to detect a charge imbalance error and in response, activate a charge imbalance status signal provided to the controller.
13 . The device of claim 12 wherein the charge imbalance status signal, an accumulated charge status signal and a charge waste status signal are combined with a status signal indicative of the amount of charge determined to be delivered to the stimulation electrodes into a single status signal.
14 . The device of claim 1 , wherein the charge monitor is further configured to detect an accumulated charge error and in response, activate an accumulated charge status signal provided to the controller, wherein the accumulated charge error is indicative of an accumulated charge estimate of one or more of the stimulation electrodes is non-zero during a shorting event.
15 . The device of claim 1 , wherein the charge monitor is further configured to detect a charge waste error and in response, activate a charge waste status signal provided to the controller, wherein the charge waste error is indicative of one or more of the stimulation electrodes being connected to both a sink and source at the same time.
16 . The implantable neurostimulator of claim 1 , wherein the controller is further configured to adjust the closed-loop control of the stimulation energy, by way of a hardware circuit that disables stimulation during application of the stimulus cycle, in response to the error signal.
17 . The implantable neurostimulator of claim 16 , wherein the hardware circuit comprises a switch in a power signal to the electrodes that is turned off by the error signal.
18 . A method for neuro-stimulation, the method comprising:
performing, using a controller of an implantable stimulator, closed-loop control of stimulation energy over a stimulation cycle;
delivering, using the implantable stimulator, the stimulation energy to multiple stimulation electrodes for application to neural tissue;
determining, by circuitry on the implantable stimulator, for each stimulus cycle of the stimulation energy during application of the stimulation energy to the neural tissue and prior to a subsequent stimulus cycle of the stimulation energy, an amount of charge delivered to the stimulation electrodes;
generating, by the implantable stimulator, a status signal indicative of the amount of charge determined to be delivered to the stimulation electrodes;
communicating, by the implantable stimulator, to the controller the status signal indicative of the amount of charge determined to be delivered to the stimulation electrodes;
performing, by the controller, the closed-loop control of the stimulation energy based on a feedback signal that is indicative of a neural response evoked by the delivered stimulation energy; and
adjusting, by the controller, the closed-loop control of the stimulation energy in response to the status signal comprising an error signal provided during the stimulus cycle, the error signal indicating that the determined amount of charge delivered to the stimulus electrodes exceeds a safe charge limit before the end of the stimulus cycle;
wherein the adjusting of the closed loop control comprises stopping stimulation during the stimulus cycle in which the error signal occurs, or disabling closed loop control.
19 . An implantable stimulator comprising:
a controller configured to control delivery of stimulation energy over a stimulus cycle to multiple stimulation electrodes, and
a charge monitor comprising circuitry of the implantable stimulator, the charge monitor configured to continuously determine during a stimulus cycle and prior to a subsequent stimulus cycle of the stimulation energy, an amount of charge delivered by the implantable stimulator to the stimulation electrodes,
wherein
the charge monitor circuitry is configured to set an error signal during the stimulus cycle, the error signal being indicative of the amount of charge determined to be delivered to the stimulation electrodes exceeding a safe charge limit before the end of the stimulus cycle;
the controller is configured to perform closed-loop control of the stimulation energy based on a feedback signal that is indicative of a neural response evoked by the delivered stimulation energy; and
the controller is further configured to disable the closed-loop control of the stimulation energy during the stimulus cycle in response to the error signal being set.