Charge Balancing for Multi-Electrode Neurostimulation

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Solution Overview

Problem

Existing neurostimulation systems face challenges in managing charge balancing during electrical stimulation, particularly with multiple electrodes, as they struggle to avoid excessive electrode potential excursions and mismatches between stimulating and return currents, which can lead to runaway issues in DC blocking capacitors and interfere with accurate sensing of evoked responses.

Innovation Solution

The system employs a pulse generator with stimulating and return electrodes, coupled via DC-blocking capacitors, to automatically determine and adjust balancing current pulses, ensuring safe voltages and minimizing stimulus artifact by monitoring accumulated voltages and generating correction currents when thresholds are crossed, allowing for uninterrupted multi-electrode stimulation.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If traditional charge-balanced stimulation is used with multiple electrodes, then charge balancing is achieved, but excessive electrode potential excursions and mismatches between stimulating and return currents occur, leading to runaway issues in DC blocking capacitors

Engineering Contradiction:
Improvecharge balancingVSAvoidelectrode potential excursions
Core Design Contradiction:
ReliabilityVSObject-affected harmful factors

Solution Approach 1:

The system continuously monitors the voltage across each DC blocking capacitor and uses this feedback to dynamically adjust the balancing pulse parameters. When the voltage approaches predefined thresholds, the system modifies the balancing pulse duration or amplitude to prevent excessive potential excursions, thereby maintaining reliable charge balancing without causing harmful electrode potential excursions.

Inventive Principle:
Principle #23Feedback

Solution Approach 2:

The patent implements dynamic adjustment of balancing pulse characteristics based on real-time capacitor voltage states. Instead of using fixed balancing pulses, the system adapts the balancing parameters dynamically to match the actual charge accumulation conditions, preventing runaway issues while maintaining effective charge balancing across multiple electrodes with varying impedances.

Inventive Principle:
Principle #15Dynamics

2Reliability

If DC blocking capacitors are used to ensure safety, then charge per phase is limited and DC leakage is reduced, but device size increases and implant minimization is impeded

Engineering Contradiction:
ImprovesafetyVSAvoiddevice size
Core Design Contradiction:
ReliabilityVSWeight of moving object

Solution Approach 1:

The system optimizes the electrical parameters of the DC blocking capacitors, specifically selecting capacitance values and voltage ratings that provide adequate safety margins while minimizing physical size. By carefully tuning these parameters and implementing active monitoring, the system achieves the required safety performance with smaller capacitor components, enabling more compact implantable device design.

Inventive Principle:
Principle #35Parameter changes

3Manufacturing precision

If multiple electrodes are used for stimulation, then selectivity is improved, but managing charge injection becomes more complex and mismatches between stimulating and return currents increase

Engineering Contradiction:
ImproveselectivityVSAvoidcharge injection management
Core Design Contradiction:
Manufacturing precisionVSDevice complexity

Solution Approach 1:

The system independently manages charge injection for each electrode by implementing separate monitoring and control circuits for each DC blocking capacitor. This segmentation allows each electrode to be optimized for selective stimulation while maintaining independent charge balancing, reducing the complexity of managing interactions between multiple electrodes and preventing current mismatches.

Inventive Principle:
Principle #1Segmentation

4Productivity

If high pulsing rates are used, then therapy effectiveness is improved, but charge balancing becomes more difficult and stimulus artifact increases

Engineering Contradiction:
Improvepulsing rateVSAvoidcharge balancing
Core Design Contradiction:
ProductivityVSReliability

Solution Approach 1:

The system performs preliminary charge balancing adjustments before delivering high-rate stimulation pulses by pre-charging or discharging DC blocking capacitors to optimal voltage levels. This preliminary action ensures that subsequent high-frequency pulses maintain proper charge balance, preventing accumulation errors and reducing stimulus artifact that would otherwise increase at high pulsing rates.

Inventive Principle:
Principle #10Preliminary action

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

This approach enables safe and efficient charge balancing, reducing energy consumption and minimizing stimulus artifact, thereby improving the accuracy of evoked response sensing and maintaining safe electrode and tissue operation during neurostimulation.

Implementation Method 1

Each electrode is coupled via a DC-blocking capacitor to a current source, a current sink, or a voltage

Methodology Applied
Scientific EffectCapacitance: Capacitance

Implementation Method 2

Each electrode forms a capacitance when forming a double layer with adjacent target material

Methodology Applied
Scientific EffectElectrical double layer: Capacitance

Data Source

PatentUS10183168B2Systems and methods for automated charge balancing of multiple electrodes for uninterrupted therapy and evoked response sensing
Publication Date: 2019.01.22 BIOTRONIK SE & CO KG
  • US10183168B2 patent drawing
  • US10183168B2 patent drawing
  • US10183168B2 patent drawing

AI summary

Electrical stimulation of a target (e.g., nervous tissue) is performed, wherein balance phases are automatically determined, and at least one of the electrodes is indirectly monitored during therapy delivery. The stimulation system is further configured to generate correction currents when a voltage accumulated at associated double layer capacitances crosses pre-defined thresholds so as to reduce or cancel the accumulated voltages without therapy interruption. A finer automatic determination of balance phases permits minimizing the stimulus artifact for evoked response sensing. Closed-loop neurostimulation may be performed based on such evoked responses.