DBS Excitation Pattern Prediction via Bioelectrical Signal Detection
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Solution Overview
Problem
Current deep brain stimulation (DBS) systems lack real-time feedback mechanisms to optimize stimulation parameters, leading to inefficiencies in treating neurological disorders due to the inability to accurately detect and predict excitation patterns, especially during functional magnetic resonance imaging (fMRI) procedures, where communication lag and FDA restrictions hinder effective synchronization of DBS cycles with imaging data acquisition.
Innovation Solution
A system and method that utilize bioelectrical signals to predict future excitation patterns of DBS, converting them into digital logic pulses and generating a time stamp log to synchronize medical data acquisition with the DBS excitation cycle, enabling accurate identification of brain regions activated during stimulation and assessing the health of the DBS system.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Measurement precision
If fMRI is used to provide feedback on DBS stimulation, then real-time optimization of DBS parameters is enabled, but FDA restrictions prohibit patients with implanted DBS pulse generators from undergoing MRI
Solution Approach 1:
The patent uses an intermediary approach by detecting DBS excitation patterns through bioelectrical signals (such as EKG or EEG) rather than directly using MRI. The detection system acts as a mediator that can monitor DBS status without requiring the patient to be inside an MRI scanner, thus overcoming the FDA restriction while still enabling real-time feedback for optimization.
2Adaptability or versatility
If DBS electrodes are cycled ON and OFF during DBS, then stimulation parameters can be optimized, but there is no way to know whether the DBS excitation cycle is in ON or OFF condition when the patient is inside the MRI scanner
Solution Approach 1:
The patent implements a feedback mechanism that continuously monitors bioelectrical signals to detect the actual excitation state of DBS electrodes in real-time. This feedback loop provides continuous information about whether the electrodes are in ON or OFF condition, allowing the system to adapt stimulation parameters based on actual excitation state without requiring direct communication with the DBS controller during MRI scanning.
3Productivity
If DBS parameters are communicated from controller to pulse generator and then to electrodes, then stimulation can be delivered, but a multi-second time lag occurs resulting in differences between requested and measured stimulation periods
Solution Approach 1:
The patent applies preliminary action by detecting the actual excitation pattern occurrence in advance and using this information to predict future excitation states. The system proactively adjusts fMRI acquisition timing based on predicted excitation patterns rather than reacting after the lag has occurred, thereby compensating for the communication time lag and synchronizing imaging data with actual stimulation periods.
4Measurement precision
If fMRI data acquisition is synchronized with DBS excitation cycles, then accurate identification of brain regions activated during stimulation is enabled, but communication time lag and programming delays cause large errors in assessing stimulation state
Solution Approach 1:
The patent replaces the traditional mechanical/electronic synchronization method (relying on precise timing signals from the DBS controller) with a signal-based detection method. By monitoring actual bioelectrical signals and detecting real excitation patterns, the system substitutes timing-based synchronization with signal-based synchronization, which is more accurate and less susceptible to communication lags and programming delays.
Data Source
AI summary
A system and method for predicting an excitation pattern of a deep brain stimulation (DBS) from monitored bioelectrical signals includes an apparatus having a housing having a signal input and a signal output and an electrical circuit disposed within the housing. The electrical circuit is electrically coupled between the signal input and the signal output and is configured to receive bioelectrical signals corresponding to an excitation signal transmitted by a pulse generator during a DBS. The electrical circuit is also configured to convert the bioelectrical signals into digital logic pulses, predict a future timing pattern of the excitation signal from the digital logic pulses, and generate an output from the future timing pattern, the output comprising a log of time stamps predictive of future active transmission periods of neurological excitation.


