Boston Scientific Neuromodulation Corporation

Thomas W Stouffer

Daniel Aghassian

Robert Graham Lamont

Gaurav Gupta

Jonathan Larcom

Robert Dai Ozawa

Damon Moazen

Lev Freidin

Joseph M Bocek

Rosana Esteller

Matthew Lee McDonald

Joey Y Chen

Tianhe Zhang

Vasily Dronov

Vuong Nguyen

A charging system for an Implantable Medical Device (IMD) is disclosed having a charging coil and one or more sense coils preferably housed in a charging coil assembly coupled to an electronics module by a cable. The charging coil is preferably a wire winding, while the sense coils are preferably formed in one or more traces of a circuit board. One or more voltages induced on the one or more sense coils can be used to determine one or more parameters (magnitude, phase angle, resonant frequency) indicative of the position between the charging coil and the IMD, which position may include the radial offset and possibly also the depth of the charging coil relative to the IMD. Knowing the position, the power of the magnetic field produced by the charging coil can be adjusted to compensate for the position.

External charger for an implantable medical device for adjusting charging power based on determined position using at least one sense coil

A sensing electrode selection algorithm is disclosed for use with an implantable pulse generator having an electrode array. The algorithm automatically selects optimal sensing electrodes in the array to be used with a pre-determined stimulation therapy appropriate for the patient. The algorithm preferably senses stimulation artifacts using different sensing electrodes, and more specifically different sensing electrode pairs as is appropriate when differential sensing is used. The algorithm further preferably senses these stimulation artifacts with the patient placed in two or more postures. The algorithm processes the stimulation artifact features measured at the different sensing electrodes and at the different postures to automatically determine one or more sensing electrode pairs that best distinguishes the two or more postures given the prescribed stimulation therapy.

Selection of sensing electrodes in a spinal cord stimulator system using sensed stimulation artifacts

A charging system for an Implantable Medical Device (IMD) is disclosed having a charging coil and one or more sense coils. The charging coil and one or more sense coils are preferably housed in a charging coil assembly coupled to an electronics module by a cable. The charging coil is preferably a wire winding, while the one or more sense coils are concentric with the charging coil and preferably formed in one or more traces of a circuit board. One or more voltages induced on the one or more sense coils can be used to determine the resonant frequency of the charging coil/IMD coupled system. The determined resonant frequency can then be used to determine the position of the charging coil relative to the IMD. The magnetic field produced from the charging coil may also be driven at the resonant frequency to optimize power transfer to the IMD.

External charger for an implantable medical device for determining position and optimizing power transmission using resonant frequency as determined from at least one sense coil

A charging system for an Implantable Medical Device (IMD) is disclosed having a charging coil and one or more sense coils. The charging coil and one or more sense coils are preferably housed in a charging coil assembly coupled to an electronics module by a cable. The charging coil is preferably a wire winding, while the one or more sense coils are concentric with the charging coil and preferably formed in one or more traces of a circuit board. One or more voltages induced on the one or more sense coils can be used to determine whether the charging coil is (i) centered, (ii) not centered but not misaligned, or (iii) misaligned, with respect to the IMD being charged, which three conditions sequentially comprise lower coupling between the charging coil and the IMD. A charging algorithm is also disclosed that control charging dependent on these conditions.

External charger for an implantable medical device having alignment and centering capabilities

A charging system for an Implantable Medical Device (IMD) is disclosed having a charging coil and one or more sense coils. The charging coil and one or more sense coils are preferably housed in a charging coil assembly coupled to an electronics module by a cable. The charging coil is preferably a wire winding, while the one or more sense coils are concentric with the charging coil and preferably formed in one or more traces of a circuit board. The magnitude of one or more voltages induced on the one or more sense coils can be measured to determine the position of the charging coil relative to the IMD, and in particular whether the charging coil is (i) centered, (ii) not centered but not misaligned, or (iii) misaligned, with respect to the IMD being charged, which three conditions sequentially comprise lower coupling between the charging coil and the IMD.

External charger for an implantable medical device having at least one sense coil concentric with a charging coil for determining position

A charging system for an Implantable Medical Device (IMD) is disclosed having a charging coil and one or more sense coils preferably housed in a charging coil assembly coupled to an electronics module by a cable. The charging coil is preferably a wire winding, while the sense coils are preferably formed in one or more traces of a circuit board. One or more voltages induced on the one or more sense coils can be used to determine a phase angle between the voltage and a driving signal for the charging coil. The determined phase angle can then be used to determine the position of the charging coil relative to the IMD. Additionally, more than one parameter (phase angle, magnitude, resonant frequency) may be determined using the voltage may be used to determine position, including the radial offset and depth of the charging coil relative to the IMD.

External charger for an implantable medical device for determining position using phase angle or a plurality of parameters as determined from at least one sense coil

An external charger for an implantable medical device (IMD) is disclosed including a three-axis magnetic field sensor at the center of a primary charging coil. The sensor first senses a magnetic charging field produced by the coil with no IMD present (vector A). The sensor then senses the field in useful operation when such field is being provided to the IMD (vector B). From these vectors, a vector C is calculated representing the magnetic field reflected from the IMD. Vector C can be used to determine a vector D, representing the position of the IMD in physical space relative to the external charger. Information comprising one or more volumes can be stored in the external charger, and compared with vector D to determine whether charger-to-IMD positioning will provide an adequate amount of power to the IMD, and/or to provide an indication of charger-to-IMD alignment.

External charger with three-axis magnetic field sensor to determine implantable medical device position

A charging system for an Implantable Medical Device (IMD) includes a split charging coil for generating a magnetic field to provide power to the IMD. The split charging coil includes a first coil portion and a second coil portion, each of which can be formed as a mechanical winding of an insulated conductor. The first and second coil portions are connected to each other in a way that substantially reduces or eliminates any current-carrying path that is routed radially with respect to the coil. As a result, the split coil produces a uniform magnetic field that enables a more accurate determination of alignment between the coil and the IMD than is available using traditional charging coils.

Split coil for uniform magnetic field generation from an external charger for an implantable medical device

An implantable medical device (IMD) is disclosed having measurement circuitry for measuring one or more currents in the IMD, such as the currents drawn from various power supply voltages. Such currents are measured without disrupting normal IMD operation, and can be telemetered from the IMD for review. Switching circuitry in line with the current being measured is temporarily opened for a time period to disconnect the power supply voltage from the circuitry being powered. A voltage across a capacitance in parallel with the circuitry is measured when the switching circuitry is opened and again closed at the end of the time period, with the circuitry drawing power from the charged capacitance during this time period. The average current drawn by the power supply voltage is determined using the difference in the measured voltages, the known capacitance, and the time period between the measurements.

Power supply disconnect current measurement for an implantable medical device

An implantable control module for an electrical stimulation system includes a connector to couple to a lead or lead extension; an electronics housing coupled to the connector and having a first major surface, a second major surface, and at least one side surface; and an electronic subassembly disposed within the electronics housing. The electronics housing includes a first portion formed of a first conductive material and a second portion formed of a second conductive material. The second portion forms at least part of the first major surface and extends to form an adjacent region of the side surface or the second major surface. In some embodiments, the first conductive material has a resistivity that is no more than 50% of a resistivity of the second conductive material. In some embodiments, the first conductive material is titanium and the second conductive material is a titanium alloy.

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Chatsworth, CA, United States of America

Thomas W Stouffer