IP Library Granted Patent US 12,168,134
Granted Patent B2
US 12,168,134 · App. 17/400,306 · Granted Dec 17, 2024

System and method for locating an implantation site in the brain

Inventors: Nuri F. Ince (Humble, TX); Musa Ozturk (Houston, TX); Ashwin Viswanathan (Houston, TX)
Assignee: UNIVERSITY OF HOUSTON SYSTEM
A61N1/36171A61N1/0534A61N1/36067
View Patent ↗
Loading inventors, assignments & file history…
Monitor This Case
Get email alerts when status or documents change.
Order Certified Copies
Most orders are placed with the USPTO same day — all within 24 business hours.
Order via The Patent Place →
Pre-filled with this patent's details
Quick Facts
Patent No.
US 12,168,134
App. No.
17/400,306
Granted
Dec 17, 2024
Kind
B2
Abstract

A method of locating an implantation site in the brain includes inserting a plurality of multi-contact electrodes into a region of a target structure in an individual's brain. High Frequency Stimulation (HFS) is applied to a contact of a multi-contact electrode of the plurality of multi-contact electrodes. High Frequency Oscillations (HFO) evoked in the region of the target structure by the HFS are measured. Evoked Compound Activity (ECA) evoked in the region of the target structure by the HFS is measured. It is determined if at least one of the HFO and the ECA is above a predetermined threshold. If at least one of the HFO and the ECA is above the predetermined threshold, a location of the contact of the multi-contact electrode is identified as a site for electrode implantation in the individual's brain.

Claims (45)

1. A method of locating an implantation site in the brain, the method comprising:

inserting a plurality of multi-contact electrode probes into a region of a target structure in an individual's brain, each multi-contact electrode probe of the plurality of multi-contact electrode probes being simultaneously inserted into the region of the target structure to a discrete depth, each multi-contact electrode probe of the plurality of multi-contact electrode probes including a plurality of contacts spaced apart from each other along a length of the multi-contact electrode probe;

applying High Frequency Stimulation (HFS) to a subset of contacts of a multi-contact electrode probe of the plurality of multi-contact electrode probes;

measuring High Frequency Oscillations (HFO) evoked in the region of the target structure by the HFS;

measuring Evoked Compound Activity (ECA) waveform evoked in the region of the target structure by the HFS;

determining if the HFO is above a predetermined threshold;

determining if the ECA waveform is above a predetermined threshold;

if at least one of the HFO or the ECA is above the predetermined threshold, identifying a location of the subset of contacts of the multi-contact electrode probe as a site for electrode implantation in the individual's brain;

determining an amplitude, a phase, and a resonance duration of the measured ECA waveform;

extracting a phase space from the ECA waveform;

determining a stimulation frequency range based on the extracted phase space;

delivering stimulation within the stimulation frequency range;

determining a corresponding power of each frequency of the HFO that is within the stimulation frequency range; and

selecting for treatment a frequency within the stimulation frequency range, wherein the frequency is associated with a maximum power of the powers corresponding to each frequency of the HFO that is within the stimulation frequency range.

2. The method of claim 1 , wherein if the HFO and the ECA is below the predetermined threshold, applying a second high frequency stimulation to a second subset of contacts of the multi-contact electrode probe of the plurality of multi-contact electrode probes.

3. The method of claim 2 , wherein if no site for electrode implantation in the individual's brain is identified, moving the plurality of multi-contact electrode probes to a second region in the individual's brain.

4. The method of claim 1 , further including implanting at least one electrode configured for Deep Brain Stimulation (DBS) to the site for electrode implantation in the individual's brain.

5. The method of claim 1 , wherein the target structure is the Subthalamic Nucleus (STN).

6. The method of claim 1 , wherein measuring the HFO and the ECA is performed intraoperatively.

7. The method of claim 1 , wherein the HFS is greater than 100 Hz.

8. The method of claim 1 , wherein the HFO includes an oscillation pattern of from 200 Hz to 450 Hz.

9. The method of claim 1 , wherein the ECA includes a resonance pattern above a predetermined threshold.

10. The method of claim 1 , wherein the plurality of multi-contact electrode probes are inserted into a brain of an individual having Parkinson's Disease (PD).

11. A system for locating a site for electrode implantation in the brain, the system comprising:

a plurality of multi-contact electrode probes each including a plurality of contacts spaced apart from each other along a length of the multi-contact electrode probe, the plurality of multi-contact electrode probes being configured for insertion into a region of a target structure in an individual's brain at a discrete depth, each multi-contact electrode probe of the plurality of multi-contact electrode probes being configured to apply High Frequency Stimulation (HFS) to the region of the target structure to evoke High Frequency Oscillations (HFO) and Evoked Compound Activity (ECA) waveform in the region of the target structure by the HFS;

a processor in communication with the plurality of multi-contact electrode probes; and

a memory in communication with the processor and having instructions, which when executed by the processor, cause the system to:

determine if the HFO is above a predetermined threshold;

determine if the ECA waveform is above a predetermined threshold;

identify a location of a subset of contacts of one multi-contact electrode probe of the plurality of multi-contact electrode probes as a site for electrode implantation in the individual's brain if at least one of the HFO or the ECA is above the predetermined threshold;

determine an amplitude, a phase, and a resonance duration of the ECA waveform;

extract a phase space from the ECA waveform based on the amplitude, the phase, and the resonance duration;

determine a stimulation frequency range based on the extracted phase space;

deliver stimulation within the stimulation frequency range;

determine a corresponding power of a frequency of the HFO that is within the stimulation frequency range; and

select for treatment a frequency within the stimulation frequency range, wherein the frequency is associated with a maximum power of the powers corresponding to each frequency of the HFO that is within the stimulation frequency range.

12. The system of claim 11 , further including a display configured to visually display the HFO and the ECA.

13. The system of claim 11 , wherein the system is further configured to control HFS applied by the one multi-contact electrode probe.

14. The system of claim 13 , wherein if the HFO and the ECA are below the predetermined threshold, the processor is configured to cause a second subset of contacts of the one multi-contact electrode probe to apply a second high frequency stimulation.

15. The system of claim 11 , wherein the target structure is the Subthalamic Nucleus (STN).

16. The system of claim 11 , wherein the system is configured to measure the HFO and the ECA intraoperatively.

17. The system of claim 11 , wherein the HFS is greater than 100 Hz.

18. The system of claim 11 , wherein the HFO includes an oscillation pattern greater than 300 Hz.

19. The system of claim 11 , wherein the ECA includes a resonance pattern above a predetermined threshold.

20. The system of claim 11 , wherein the plurality of multi-contact electrode probes are configured to be inserted into a brain of an individual having Parkinson's Disease (PD).

Assignments (2)
CONFIRMATORY LICENSE Recorded May 21, 2025
From: UNIVERSITY OF HOUSTON
To: NATIONAL SCIENCE FOUNDATION
Reel/Frame 071336/0388 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Nov 14, 2024
From: INCE, NURI F.; OZTURK, MUSA; VISWANATHAN, ASHWIN
To: UNIVERSITY OF HOUSTON SYSTEM
Reel/Frame 069259/0507 →
Continuity (3)
Provisional Application 63068186 · Aug 20, 2020
Provisional Application 63066141 · Aug 14, 2020
Related Publication 20220047872A1 · Feb 17, 2022