MICRO DEVICE OF NERVE SIGNAL RECORDING AND STIMULATING FOR DIAGNOSIS AND TREATMENT OF CHRONIC PAIN OR ALZHEIMER'S DISEASE
20220184398 · 2022-06-16
Assignee
Inventors
Cpc classification
A61N1/36082
HUMAN NECESSITIES
International classification
A61N1/05
HUMAN NECESSITIES
Abstract
Provided herein is a stimulating device being equipped with an electrode element recording and stimulating nerve signals for diagnosis and treatment of chronic pain or Alzheimer's disease and, most particularly, to a stimulating device providing electrical stimulation for chronic pain or Alzheimer's-causing proteins or measuring bio signals. The stimulating device includes a controller, a substrate being coupled to a bottom of the controller, and having a power receiving and signal delivering electrode being mounted thereon as a single body or being distinctively mounted thereon, wherein the power receiving and signal delivering electrode is capable of wirelessly receiving power and wirelessly delivering bio signals, and an electrode element being coupled to a bottom of the substrate and being capable of delivering electrical stimulation to tissues inside a body.
Claims
1. A stimulating device being equipped with an electrode element recording and stimulating nerve signals for diagnosis and treatment of chronic pain or Alzheimer's disease, wherein the stimulating device provides electrical stimulation for chronic pain or Alzheimer's-causing proteins or measures bio signals, the stimulating device comprising: a controller; a substrate being coupled to a bottom of the controller, and having a power receiving and signal delivering electrode being mounted thereon as a single body or being distinctively mounted thereon, wherein the power receiving and signal delivering electrode is capable of wirelessly receiving power and wirelessly delivering bio signals; and an electrode element being coupled to a bottom of the substrate and being capable of delivering electrical stimulation to tissues inside a body.
2. The stimulating device of claim 1, wherein the electrode element comprises: a base substrate; and at least one pillar-type electrode part protruding from the base substrate, a flat-type electrode part having an insulation coating layer processed to have multiple holes implemented thereon, or a coil-type electrode part, wherein, in case the electrode part is a pillar-type, a non-conductive coating layer is included in at least part of the electrode part excluding edge portions of the electrode or an upper part of the base substrate, and wherein, in case the electrode part is a coil-type, a through hole is formed at a center part, and wherein at least one conductive plate having at least one slit extending outward from the through hole is deposited to be spaced apart from the electrode part.
3. The stimulating device of claim 2, wherein, in case the electrode part is a pillar-type, among bottom parts of the electrode part, a feeding is formed in a region where at least one bottom part of the pillar-type electrode part is embedded in the base substrate.
4. The stimulating device of claim 2, wherein, in case the electrode part is a pillar-type, an edge portion of the electrode part and part of side surfaces extending from the edge portion are exposed.
5. The stimulating device of claim 2, wherein, in case two or more conductive plates exist, the conductive plate is deposited so as to allow a position of a slit on each conductive layer to be varied.
6. The stimulating device of claim 1, wherein the substrate is distinguished as a substrate including a power receiving electrode capable of wirelessly receiving power, and a substrate including a signal transmitting electrode capable of wirelessly delivering bio signals.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
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MODE FOR CARRYING OUT THE INVENTION
[0059] Hereinafter, in order to allow anyone with ordinary knowledge and skills in the art to easily carry out the present invention, exemplary embodiments of the present invention will be described in detail with reference to the appended drawings. However, the present invention may be implemented in various forms and shall not be limited only to the exemplary embodiments described herein. Additionally, in the appended drawings, for clarity in the description of the present invention, parts that are not related to the description of the present invention have been omitted from the drawings, and, throughout the entire specification, similar parts have been assigned with similar reference numerals.
[0060] Throughout the entire specification, it shall be understood that, when a particular part is said to “include” a particular component, unless specified otherwise, this means that other components may be further included and does not mean that other components are excluded.
[0061] Furthermore, terms such as “ . . . unit”, “ . . . part”, and so on, means a unit performing or processing at least one function or operation.
[0062] <Chronic Pain>
[0063] In this description, although a spinal cord stimulator (100) for diagnosing and treating pain occurring in the spine has been given as an example and described accordingly, the stimulator (100) according to the present invention may also be used for the purpose of diagnosing and treating various types of pain in addition to stimulating the spinal cord. And, therefore, as long as the stimulator (100) according to the present invention is implantable, the area of application will not be limited.
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[0065] That is, the related art spinal cord stimulator (100) is different from the spinal cord stimulator according to the present invention in that the spinal cord stimulator (100) is located outside the spine instead of being inserted inside the spinal cord. Therefore, for effective stimulation, if possible, high input power is needed. However, as the input power value becomes higher, this may act as a burden on the patient's body, thereby causing tissue damage in some occasions. Therefore, a solution for resolving such problem is needed.
[0066] The related art spinal cord stimulator (100) has been developed in various forms, as shown in
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[0068] Herein, in case pain occurs, electrical stimulation is performed through an electrode so that stimulation can be applied to the corresponding part. Herein, the amount of energy performing the stimulation is monitored, and the monitored amount of energy is dataficated (i.e., transformed or processed to data). In case the pain is not completely relieved, the amount of applied energy may be adjusted. By matching the adjusted amount of applied energy with a bio signal corresponding to the nerve part, matching data may be obtained, and, later on, such data may be generated into a platform that is needed for managing a stimulator for enhancing relief of chronic pain.
[0069] Herein, a specific signal refers to a signal being sent, as a bio signal, from an affected area for diagnosis. This is also referred to as an action potential. This may be defined as an analog-type bio signal that is generated by a nerve stimulation being delivered from a nerve cell, which is referred to as a neuron.
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[0071] Meanwhile, the substrate (103) may functionally operate as a single body, as described above. However, as another type, the substrate (103) may also be distinguished as a substrate (103) including a power receiving electrode that is capable of wirelessly receiving power, and a substrate (103) including a signal transmitting electrode that is capable of wirelessly delivering bio signals. That is, each of the substrate (103) having the function of receiving power and the substrate (103) having the function of delivering signals is mounted on the spinal cord stimulator so as to be operated individually as separate modules.
[0072] Herein, the electrode element may include a base substrate (105), an electrode part (107) being formed as at least one pillar-type parts protruding from the base substrate (105), as a flat-type part having an insulation coating layer implemented thereon, wherein the insulation coating layer has multiple holes (115) formed thereon, or as a coil-type part, and a connecting part being formed in a region where the electrode part (107) and the base substrate (105) are connected so as to receive signals or power and to deliver signals.
[0073] One of the main characteristics of the present invention is the electrode part (107), and the role of the electrode part (107) is to enable electrical stimulation to be efficiently performed for a low input power or an adequate level of input power that can be tolerated by a patient's body. For this, various forms of electrode units (107) have been devised as described below.
[0074] Firstly, in a pillar-type electrode, by forming a non-conductive coating layer (109) on at least the electrode part (107) or base substrate (105), excluding the upper part of the pillar-type electrode, an electric field (or electric force) may be optionally generated with high intensity (or force) from the exposed area of the electrode on which the non-conductive coating layer (109) is not formed. Thus, the electrical stimulation may be precisely performed according to the rules of selection and concentration.
[0075] Secondly, a non-conductive coating layer (109) is formed on a related flat-type electrode. Herein, by locally performing hole-processing so that a surface of the electrode can be exposed, an electric field may be generated from the corresponding hole (115). Thus, the flat-type electrode may perform similar functions as the pillar-type electrode.
[0076] Thirdly, in case of a coil-type electrode, the electrode part (107) is configured by depositing a conductive plate (119) so as to be spaced apart from the electrode. At this point, a hole (115) is formed at a center of the electrode plate, and a slit (123) is formed to extend from the hole (115) along a specific direction of the conductive plate (119). Thus, a magnetic field is formed through the hole (115) and the slit (123) by the power being supplied from the coil-type electrode.
[0077] The aforementioned electric field and magnetic field become the energy that is needed for the electrical and magnetic stimulation, which is the object of the stimulator (or stimulating device) (100) according to the present invention. Such stimulation may be performed with more precision and accuracy, and the level of pain, location of the affected area, and so on, may also be assessed and determined with more precision.
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[0081] Hereinafter, it will be described in detail that a concentration effect of the electric field or magnetic field may be derived through various shape adjustments of the electrode part (107) in the electrode element according to the present invention. Accordingly, a stimulator (100) that can be effectively applied to various types of chronic pain may be fabricated from various shape adjustments of the electrode part.
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[0083] As shown in
[0084] In case of the latter, as an embodiment, a loop antenna coil-type electrode for forming an electric field and an electric field formed by the electrode may be verified. Generally, at this point, the distribution of the electric field shows a maximum level of electric field at a center part of the coil and reduced levels of electric field nearing the end part of the coil. The electric field is formed only on the upper surface and not on the bottom surface because, when forming the coil electrode, a magnetic substance for shielding (or blocking) the electric field was positioned on the bottom surface.
[0085] Meanwhile, as shown in
[0086] In case the electrode part (107) according to the present invention is a pillar-type electrode part (107),
[0087] As shown in the drawing, it is apparent that part of the electric field is being more distinctly formed as compared to
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[0089] Referring to
[0090] Most particularly, according to the present invention, by adjusting the location where the non-conductive coating layer (109) is formed for the pillar-type electrode part (107), density of the pillar-type electrodes per unit surface, and so on, according to the range and intensity of the chronic pain, various output values (electrical stimulation) may be derived with the same input power value. Thus, this embodiment may be said to be very preferable in that highly intense pain may be adjusted (or relieved) without having to increase the input power value to a level that may be critical to the human body.
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[0093] The electric field intensity may be described as follows. The intensity of the electric field formed around each pillar-type electrode part (107) is approximately 4,000 V/m. And, herein, it has been verified through experiment that, in case feeding (111) is performed on one pillar-type electrode part (107), the electric field intensity increases to approximately 40,000 V/m, which is 10 times the intensity of the electric field formed around each pillar-type electrode part (107). Therefore, energy may be concentrated by variously adjusting the method for performing feeding (111) on the pillar-type electrode part (107).
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[0095] As shown in the drawing, a strong electric field has been observed from the part where the hole (115) is processed. And, since the intensity or area of formation of the electric field can be adjusted according to changes in the size, location, number, and so on, of the hole(s) (115), similar results as the above-described pillar-type electrode unit (107) may be achieved. Therefore, diversity in the application is recognized in that, whenever needed, a selection may be made between a pillar-type electrode part (107) and forming a home (115) after forming a non-conductive coating layer (109) on an electrode part (113).
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[0097] In relation to this, as shown in
[0098] Meanwhile, as shown in
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[0100] <Alzheimer's Disease>
[0101] By using the stimulator according to the present invention, assessment has been made on each of the disintegration of Alzheimer's-causing protein aggregates and conformation change in Alzheimer's-causing protein oligomers. The stimulator (100) according to the present invention that is used for chronic pain and the Alzheimer's disease has the same structure and method of usage. However, since the management methods (treatment methods) of the device for diseases is specialized for each corresponding disease, the management method (or treatment method) may differ from one another.
[0102] In order to derive a parameter of an optimum power (or electric force) that is needed for disintegrating Alzheimer's-causing protein aggregates, experiments have been carried out by varying the voltage values by 50 mV, 1V, and 10V. The application time of the three different voltages was set to 1 second, and the subject protein was in an Alzheimer's-causing protein 42 (i.e., Aβ42) peptide solution incubated in distilled water (or DI water) for 8 days (see
[0103] when comparing the circular dichroism (CD) spectra of the Alzheimer's-causing protein 42 (i.e., Aβ42) peptide before and after applying the electric field (EF), with the exception for an increase in the intensity at approximately 195 nm, no particular change has been observed. Even though the intensity of the electric field does not particularly affect the CD spectrum, the feasibility of the stimulator (100) according to the present invention to influence the structure of the Alzheimer's-causing protein 42 (i.e., Aβ42) has been confirmed.
[0104] Additionally, as shown in
[0105] Even though predominant proportional change was not shown, in addition to a rise in the intensity at approximately 197 nm, a red-shift near 195 nm and 216 nm was observed. Results confirm that Alzheimer's-causing protein 42 (i.e., Aβ42) oligomers and amorphous aggregates, which correspond to a phase prior to maturing to a plaque-like structure, were affected by the electric field, which was applied by the stimulator (100) according to the present invention, to increase a level of beta sheet conformation.
[0106] To further investigate the effects of the stimulator (100) according to the present invention on Alzheimer's-causing protein (i.e., Aβ) conformation, conformation changes in the Alzheimer's-causing protein 42 (i.e., Aβ42) peptide structure by CD spectrum was monitored in real time. And, this was compared to an electrical stimulation system that is manufactured by using an Au film.
[0107] As it is confirmed in
[0108] Meanwhile, in
[0109] Herein, it may be interpreted that insoluble plaque-like structures intensively undergo (or suffer) high intensity multidirectional local electric field while precipitating, whereas the dispersed soluble oligomers are less affected by the electric field. Furthermore, the stimulator (100) according to the present invention showed feasibility of transition to an α-helical structure. Since the disaggregated Alzheimer's-causing protein 42 (i.e., Aβ42) peptide has re-aggregated strongly within a short period of time, this result was only observed with an electric field system (electrical stimulation device) being applied to a living body. This result is consistent with previous theoretical demonstrations of a close correlation between Alzheimer's-causing protein conformation and electric field.
[0110] It shall be noted that the embodiments set forth herein are provided to describe the embodiments according to the present invention, and not to limit the present invention. Furthermore, it may be understood by anyone with ordinary skills in the field that other various embodiments may also be implemented without deviating from the technical scope and spirit of the present invention.
TABLE-US-00001 Description of reference numerals 100 : stimulator 101 : controller 103 : substrate 105 : base substrate 107, 113, 117: 109 : non-conductive electrode part coating layer 111 : feeding 115 : hole 119 : conductive plate 121 : through hole 123 : slit