Implantable Stimulation Device Tissue Impedance Monitoring

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Solution Overview

Problem

Implantable electrical-stimulation devices face challenges in monitoring tissue impedance changes due to scar tissue accumulation, which affects the electrical-stimulation effect and requires an effective method to track impedance in real-time.

Innovation Solution

An impedance-monitoring method and system that calculates tissue impedance by generating an electrical-stimulation signal, sampling it, and using the device and lead impedance values to determine the energy transmitted to the target area, integrated with an external control device and storage medium for continuous monitoring.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If an implantable electrical-stimulation device is implanted into the human body, then the device can perform electrical stimulation therapy, but scar tissue accumulates on or near the device causing tissue impedance to change and impacting the electrical-stimulation effect

Engineering Contradiction:
Improveelectrical-stimulation effectVSAvoidtissue impedance
Core Design Contradiction:
ReliabilityVSMeasurement precision

Solution Approach 1:

The system performs preliminary impedance measurements during device implantation and programming to establish baseline values. The processor stores these baseline impedance values and uses them for comparison during subsequent stimulation therapy, enabling early detection of impedance changes before they significantly impact therapeutic effectiveness.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The system continuously monitors tissue impedance during electrical stimulation therapy by measuring the actual impedance values and comparing them against stored baseline values. When impedance changes exceed predetermined thresholds, the system provides feedback to clinicians through the external device, enabling及时调整 of stimulation parameters to maintain therapeutic effectiveness despite tissue changes.

Inventive Principle:
Principle #23Feedback

2Reliability

If the device continuously monitors impedance to maintain stimulation effectiveness, then the electrical-stimulation effect is preserved, but the device complexity and energy consumption increase

Engineering Contradiction:
Improveelectrical-stimulation effectVSAvoidmonitoring system
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The electrical stimulation device performs multiple functions using the same hardware components: it delivers therapeutic stimulation currents and simultaneously measures tissue impedance by analyzing the voltage drop across the stimulation electrodes. This multi-functionality eliminates the need for separate monitoring hardware, reducing device complexity while maintaining continuous impedance surveillance capability.

Inventive Principle:
Principle #6Universality (Multi-functionality)

Solution Approach 2:

The device uses its own stimulation current to perform impedance measurements, rather than requiring separate measurement currents or external monitoring equipment. The processor analyzes the relationship between the applied stimulation voltage and the resulting current to calculate impedance values, enabling the device to self-monitor its own performance and tissue conditions.

Inventive Principle:
Principle #25Self-service

3Reliability

If the device adjusts stimulation parameters based on impedance changes, then the electrical-stimulation effectiveness is maintained, but the energy consumption increases

Engineering Contradiction:
Improveelectrical-stimulation effectVSAvoidenergy consumption
Core Design Contradiction:
ReliabilityVSUse of energy by moving object

Solution Approach 1:

The system performs impedance measurements and parameter adjustments periodically rather than continuously, synchronized with the stimulation delivery cycle. Impedance is measured at specific intervals during stimulation therapy, and parameter adjustments are made only when impedance changes exceed predetermined thresholds, reducing unnecessary energy consumption while maintaining therapeutic effectiveness.

Inventive Principle:
Principle #19Periodic action

Solution Approach 2:

The system adjusts stimulation parameters such as voltage amplitude, current intensity, or pulse width based on measured impedance changes to maintain constant power delivery or therapeutic effect. When impedance increases due to scar tissue formation, the device automatically increases stimulation voltage or current to compensate, ensuring consistent energy delivery to the target tissue without requiring continuous high-energy operation.

Inventive Principle:
Principle #35Parameter changes

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

Enables real-time monitoring of tissue impedance changes, ensuring optimal electrical-stimulation effectiveness and user comfort by adjusting the stimulation based on impedance values within predetermined ranges.

Implementation Method 1

utilizing the electrical-stimulation device to generate an electrical-stimulation signal, and to perform electrical stimulation on a target area using the electrical-stimulation signal

Methodology Applied
Scientific EffectElectrical conduction: Conduction (electrical)

Implementation Method 2

utilizing the electrical-stimulation device to sample the electrical-stimulation signal to calculate a total impedance value corresponding to the electrical-stimulation signal

Methodology Applied
Scientific EffectElectrical impedance: Electrical Resistance

Implementation Method 3

utilizing the electrical-stimulation device to calculate a tissue-impedance value according to the total impedance value, the first impedance value of the electrical-stimulation device, and the second impedance value of the lead

Methodology Applied
Scientific EffectElectrical impedance measurement: Electrical Resistance

Data Source

PatentUS20230201591A1Impedance-monitoring method, electrical-stimulation system, and computer-readable storage medium
Publication Date: 2023.06.29 COFORCE MEDICAL CO LTD
  • US20230201591A1 patent drawing
  • US20230201591A1 patent drawing
  • US20230201591A1 patent drawing

AI summary

An impedance-monitoring method, applied to an electrical-stimulation device and a lead, is provided. The electrical-stimulation device stores a first impedance value of the electrical-stimulation device and a second impedance value of the lead. The method includes the following steps: utilizing the electrical-stimulation device to generate an electrical-stimulation signal, and to perform electrical stimulation on a target area using the electrical-stimulation signal; utilizing the electrical-stimulation device to sample the electrical-stimulation signal to calculate a total impedance value corresponding to the electrical-stimulation signal; and utilizing the electrical-stimulation device to calculate a tissue-impedance value according to the total impedance value, the first impedance value of the electrical-stimulation device, and the second impedance value of the lead. The tissue-impedance value is used to calculate the energy value of the electrical-stimulation signal transmitted to the target area.