Electronic stimulation system and device thereof for dorsal root ganglion
09770592 ยท 2017-09-26
Assignee
Inventors
- Chii-Wann Lin (New Taipei, TW)
- Chi-Heng Chang (New Taipei, TW)
- Yeong-Ray Wen (New Taipei, TW)
- Wei-Tso Lin (New Taipei, TW)
Cpc classification
International classification
Abstract
An electronic stimulation device for electrically stimulating at least one dorsal root ganglion with relative low pain sensations without generating relative much sensations of paresthesia comprises at least one electronic stimulation unit. The electronic stimulation unit includes at least one first electrode and at least one second electrode, and it delivers a high-frequency electrical stimulation signal to impel the first electrode and the second electrode to generate an electric field. The range of the electric field covers the dorsal root ganglion, and the electric field strength ranges from 100 V/m to 1000 V/m.
Claims
1. An electronic stimulation device for electrically stimulating at least one dorsal root ganglion, comprising: at least one electronic stimulation unit including at least one first electrode and at least one second electrode, wherein the electronic stimulation unit delivers an electrical stimulation signal to impel the first electrode and the second electrode to generate an electric field, the range of the electric field covers the dorsal root ganglion, and the electric field strength ranges from 100 V/m to 1000 V/m without destroying neural cells of the dorsal root ganglion, wherein the electronic stimulation device is configured for implantation into a human body, wherein the electrical stimulation signal blocks neurotransmission to the dorsal root ganglion through a C-fiber, and wherein the electronic stimulation unit delivers the electrical stimulation signal for a second time from 2 hours to 7 days after the electronic stimulation unit delivers the electrical signal for a first time, so as to electrically stimulate the human body again.
2. An electronic stimulation system for electrically stimulating at least one dorsal root ganglion, comprising: a control unit; and an electronic stimulation device comprising an electronic stimulation unit including at least one first electrode and at least one second electrode, wherein the electronic stimulation unit delivers an electrical stimulation signal to impel the first electrode and the second electrode to generate an electric field covering the dorsal root ganglion, and the electric field strength ranges from 100V/m to 1000V/m without destroying neural cells of the dorsal root ganglion, wherein the electronic stimulation device is configured for implantation into a human body, wherein the electrical stimulation signal blocks neurotransmission to the dorsal root ganglion through a C-fiber, and wherein the electronic stimulation unit delivers the electrical stimulation signal for a second time from 2 hours to 7 days after the electronic stimulation unit delivers the electrical signal for a first time, so as to electrically stimulate the human body again.
3. An electronic stimulation method for blocking neurotransmission to dorsal root ganglion through a C-fiber using an electromagnetic stimulation device, wherein the electromagnetic stimulation device has at least a first electrode and at least a second electrode, and the first and second electrodes are separated by a first distance, the electronic stimulation method comprising: implanting the electromagnetic stimulation device inside a human body so as to position the electromagnetic stimulation device at least at a second distance away from one dorsal root ganglion, wherein the second distance is a minimum linear distance between the electromagnetic stimulation device and the dorsal root ganglion, and the second distance is no more than 10 mm; and delivering an electrical stimulation signal so as to apply a preset voltage to the first and second electrodes and so that an electromagnetic field covering and stimulating the dorsal root ganglion is produced between the first and second electrodes, wherein strength of the electromagnetic field covering the dorsal root ganglion ranges from 100 V/m to 1000 V/m without destroying neural cells of the dorsal root ganglion, wherein the electrical stimulation signal blocks neurotransmission to the dorsal root ganglion through a C-fiber, wherein the electronic stimulation method further comprising the step of: delivering the electrical stimulation signal for a second time from 2 hours to 7 days after delivering the electrical signal for a first time, so as to electrically stimulate the human body again.
4. The electronic stimulation device according to claim 1, wherein the frequency of the electrical stimulation signal ranges from 200 KHz to 1000 KHz.
5. The electronic stimulation device according to claim 1, wherein the electrical stimulation signal is a pulse signal and its pulse frequency ranges from 0 to 1 KHz.
6. The electronic stimulation device according to claim 1, wherein the voltage of the electrical stimulation signal ranges from 10V to 1V or ranges from 1V to 10V, and its current ranges from 2 mA to 50 mA.
7. The electronic stimulation device according to claim 1, wherein the individual length of the first electrode and the second electrode ranges from 1 mm to 3 mm.
8. The electronic stimulation device according to claim 1, wherein a first interval distance exists between the first electrode and the second electrode, and the first interval distance ranges from 3 mm to 7 mm.
9. The electronic stimulation device according to claim 1, wherein a second interval distance exists between the first electrode, the second electrode and the dorsal root ganglion, and the second interval distance ranges from 0 to 10 mm.
10. The electronic stimulation device according to claim 1, wherein the electronic stimulation unit is a straight line, a ring, an arc, a spiral or a helix, the electronic stimulation unit includes at least two first electrodes and at least two second electrodes, and when the electronic stimulation unit is the ring, the arc, the spiral or the helix, the first electrodes and the second electrodes surround the dorsal root ganglion.
11. The electronic stimulation device according to claim 1, wherein the electronic stimulation unit includes a plurality of the first electrodes and a plurality of the second electrodes, and the first electrodes and the second electrodes are arranged in an array.
12. The electronic stimulation method according to claim 3, wherein the preset voltage ranges from +1V to +10V, or ranges from 1V to 10V, and the preset voltage has a frequency ranges from 200 kHz to 450 kHz or ranges from 550 kHz to 1000 kHz.
13. The electronic stimulation method according to claim 3, wherein the preset voltage ranges from +1V to +10V, or ranges from 1V to 10V, and the preset voltage has a current ranges from 2 mA to 50 mA.
14. The electronic stimulation method according to claim 3, wherein each of the first and second electrodes have a length ranging from 1 mm to 3 mm.
15. The electronic stimulation method according to claim 3, wherein the first and second electrodes are configured on an insulating member, and the first distance ranges from 3 mm to 7 mm.
16. The electronic stimulation method according to claim 3, wherein the electromagnetic stimulation device is a straight line shape, a ring shape, an arc shape, a spiral shape or a helix shape.
17. The electronic stimulation method according to claim 3, wherein the electromagnetic stimulation device includes a plurality of the first electrodes and a plurality of the second electrodes, and the first electrodes and the second electrodes are arranged in an array.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
(1) The embodiments will become more fully understood from the detailed description and accompanying drawings, which are given for illustration only, and thus are not limitative of the present invention, and wherein:
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
DETAILED DESCRIPTION OF THE INVENTION
(14) The embodiments of the invention will be apparent from the following detailed description, which proceeds with reference to the accompanying drawings, wherein the same references relate to the same elements.
(15)
(16) For the sake of clarity regarding the step details of the method, the circuits and interaction of the electronic stimulation device 1 and the controller 2 are explained first in the following paragraphs. Then, the following paragraphs describe electrically stimulating the dorsal root ganglion 3 of the organism by the electronic stimulation device 1 of the embodiment. However, the descriptions in the following embodiments are exemplary but not intended to limit the scope of the invention.
(17)
(18) In the embodiment, the electronic stimulation device 1 includes a first control unit 11 and an electronic stimulation unit 12. The electronic stimulation unit 12 is coupled to the first control unit 11. The controller 2 includes a second control unit 21, a human-computer interface 22 and a power supply unit 23. The human-computer interface 22 is coupled to the second control unit 21. The power supply unit 23 is also coupled to the second control unit 21 and acts as the power source of the controller 2. The power supply unit 23 may be a battery or a rechargeable battery, or it may be a power adapter connected to mains electricity to supply electrical power.
(19) In the embodiment, the user may use the human-computer interface 22 to operate the controller 2. Before beginning, the system default values of the controller 2 is initialized. Then, he may also use the human-computer interface 22 to input the required configuration parameters to the second control unit 21. In the embodiment, the human-computer interface 22 may be for example but not limited to touch button, touch panel, physical button or their combination. The second control unit 21 instructs the power supply unit 23 to supply DC power to the elements of the electronic stimulation device 1 (for example the electronic stimulation unit 12) to operate.
(20) The first control unit 11 and the second control unit 21 may be implemented with digital circuit such as IC or implemented with analog circuit. For example, IC may be a micro-processor, a MCU, a programmable logic gate array (for example FPGA or CPLD) or ASIC. In the embodiment, it is a MCU for example but not limited thereto.
(21) In the embodiment, the electronic stimulation device 1 is an implantable electronic stimulation device for example. The implantable electronic stimulation device means that at least one portion of the element of the electronic stimulation device 1 is implanted in the individual body (for example: subcutaneous). Moreover, the electronic stimulation device 1 may be changed to a transcutaneous electronic stimulation device depending on the symptom and requirement of the patient. In the embodiment, the electronic stimulation unit 12 is adapted to be implanted in the individual. The first control unit 11 may be implanted within the individual or disposed outside the individual depending on actual or design requirement. If the electronic stimulation unit 12 is prepared to be implanted into one individual, it is better to implant the device in near the dorsal root ganglion of the spinal nerve relevant to the patient's pain. The individual preferably is an organism, and it may include mammals such as mouse, human, rabbit, cattle, sheep, pig, monkey, dog, cat, etc. Preferably, it is human. For example, it is human.
(22) As to the configuration of the electronic stimulation unit 12, referring to
(23) The range of the individual length a of each electrode depends on actual or design requirement. The electrode length a is between 0.56 mm, preferably between 14 mm. The individual length a of the first electrode 121 and the second electrode 122 means that the length of the electrode in the direction parallel to the extension direction of the major axis of the cable of the electronic stimulation unit 12 on the condition that it is not implanted and the electronic stimulation unit 12 is horizontally spread. The range of the individual length a of the first electrode 121 and the second electrode 122 depends on actual or design requirement. For example, the length a is between 13 mm. The distance b between the first electrode 121 and the second electrode 122 is between 17 mm, preferably between 14 mm. For example, the distance b of the two adjacent ends of the adjacent first and second electrodes 121, 122 is preferably between 14 mm.
(24) A second interval distance c exists between the first electrode 121 and the second electrode 122 of the electronic stimulation unit 12 and the dorsal root ganglion 3. The second interval distance c is defined as the shortest distance from the midpoint of the adjacent first and second electrodes 121, 122 to the dorsal root ganglion 3. In the embodiment, the second interval distance c ranges from 0 to 10 mm, preferably from 0 to 5 mm. If the distance c is 0, the midpoint of the first electrode 121 and the second electrode 122 in the projection direction overlaps the dorsal root ganglion 3.
(25) Referring to
(26) Referring to
(27) For example, the electronic stimulation device may be chosen to be driven in a constant voltage mode or a constant current mode. The constant voltage mode is safer than the constant current mode, but the intensity in the constant voltage mode is less stable than in the constant current mode. Choosing which mode depends on the target zone to be electrically stimulated. For example, if the target is dorsal column, the constant current mode is chosen. If the target is the dorsal root ganglion, the constant voltage mode is chosen. When the constant voltage mode is chosen for driving, the voltage of the high-frequency electrical stimulation signal is constant, and the current of the high-frequency electrical stimulation signal varies with the positions and resistances of the first electrode 121 and the second electrode 122. Otherwise, when the constant current mode is chosen for driving, the current of the high-frequency electrical stimulation signal is constant, and the voltage of the high-frequency electrical stimulation signal varies with the positions and resistances of the first electrode 121 and the second electrode 122. For example, in the constant voltage mode, the voltage of the high-frequency electrical stimulation signal ranges from 10V to 1V or from 1V to 10V. Preferably, the voltage of the high-frequency electrical stimulation signal ranges from 10V to 3 V or from 3V to 10V. In the constant current mode, the current of the high-frequency electrical stimulation signal ranges from 2 mA to 50 mA, preferably from 4 mA to 30 mA.
(28) Besides, the frequency of the high-frequency electrical stimulation signal is between 200 KHZ1000 KHz, preferably between 200 KHz250 KHz, 250 KHz350 KHz, 350 KHz450 KHz, 450 KHz550 KHz, 550 KHz650 KHz, 650 KHz750 KHz, 750 KHz800 KHz, or 800 KHz1000 KHz. If the selected frequency is between 200 KHz450 KHz, the device operates in relatively low frequency so it is less risky to produce biological heat for better safety. Otherwise, if the selected frequency is between 550 KHz1000 KHz, the generated electric field has greater density so its electrical stimulation has better performance. In addition, by adjusting the duration time Td, the amount of the electrical stimulation is adjusted and the time for dissipating the produced biological heat accordingly. For example, if the stimulation intensity is relatively low, the duration time Td may be increased to continuously stimulate. If the stimulation intensity and the frequency are relatively high, the duration time Td may be decreased to raise the time for dissipating. When the electronic stimulation unit 12 receives the high-frequency electrical stimulation signal, the first electrode 121 and the second electrode 122 of the electronic stimulation unit 12 accordingly generate an electric field. The distance from the first electrode 121 and the second electrode 122 to the dorsal root ganglion 3 is arranged within the range of the interval distance c, so the electric field generated by the first electrode 121 and the second electrode 122 covers the dorsal root ganglion 3. In other words, the electric field covers the dorsal root ganglion 3 and its surroundings to electrically stimulate the target dorsal root ganglion 3 with low intensity, low temperature and high frequency. Without destroying the neural cells of the dorsal root ganglion 3, the biomolecule generation by the dorsal root ganglion 3 is suppressed, and the threshold of the target zone of the dorsal root ganglion 3 is also raised. Thus, the neurotransmission capability of the dorsal root ganglion 3 in the target zone is lowered and the neurotransmission is blocked. As a result, the patient feels nerve pain as little as possible.
(29) Furthermore, the patient may feel as little as possible pain on the target zone without generating relative much sensations of paresthesia if applying the electronic stimulation device for electrical stimulation. The patient suffering pains over a long period of time may accept this electrical stimulation treatment which is effective and generates as little as possible sensations of paresthesia. Preferably, the treatment resulting from the electrical stimulation by the electronic stimulation device in the embodiment may keep effective about one week. In other words, the neurotransmission is blocked about one week. Thus, the patient may less frequently receive the electrical stimulation treatment and it is not necessary for him to receive the treatment frequently so he may be more possibly willing to receive the treatment. Because the details can refer to the later experimental examples, they are not repeated here. Furthermore, referring to
(30) Then, different voltage influences on the space distribution of the field pattern of the electric field are compared. Referring to
(31) Then, comparing
(32) Referring to
(33) After the electronic stimulation unit 12 is implanted in the organism, to utilize it as fully as possible, the electronic stimulation device 1 of the embodiment is able to operate in a low-frequency mode to assist the doctor in checking whether the electrodes are at correct positions after the implantation. For example, in the low-frequency mode, the electronic stimulation unit 12 may deliver a low-frequency electrical stimulation signal of which the frequency is between 0.1 Hz1 KHz and its pulse width is between 10 s500 s. The electronic stimulation unit 12 delivers the low-frequency electrical stimulation signal to detect the corresponding spasm of the muscle so as to check whether the implanted electronic stimulation unit is loose or at wrong positions.
(34) Referring to
(35) In the embodiment, the electronic stimulation device 1 is an active electronic stimulation device of which the first control unit 11 together with the electronic stimulation unit 12 are implanted in the dorsal root ganglion of the organism. In other words, both the first control unit 11 and the electronic stimulation unit 12 are implanted in the organism subcutaneously. Alternatively, the first control unit 11 and the electronic stimulation unit 12 are integrated into one part first and then implanted subcutaneously. Because of electrically coupled to the controller 2 outside the organism, the first control unit 11 can receive the parameter signal and energy from the second control unit 21 so the electronic stimulation unit 12 may electrically stimulate the target zone of the organism.
(36) The electronic stimulation device of the disclosure is not limited to the electronic stimulation device 1 mentioned above. In other embodiment, the active electronic stimulation device may be like the electronic stimulation device in
(37) Alternatively, the electronic stimulation device may be like the device shown in
(38) As to implementation of the electronic stimulation unit, it is not limited to the above electronic stimulation unit 12.
(39) Referring to
(40) Referring to
(41) From the below experiments, the operation and effect of the electronic stimulation device which stimulates the dorsal root ganglion are explained. However, the below examples are just explanatory but not limited to the scope of the invention.
Experimental Example 1: The Pain Behavior Test on the Foot in the RatVon Frey (VF) Test
(42) Sprague-Dawley rats (SD rats) of about 275-350 grams weight are used (BioLASCO, Taiwan co., Ltd., Taiwan) and they are provided from the central laboratory animal center of Shin Kong Wu Ho-Su Memorial Hospital. The spinal nerve ligation (SNL) is performed on the L5 spinal nerve of the SD rat. After the development of the pain behavior is stable for few days and conforms to the clinical pain development model, the electronic stimulation unit 1 is implanted and then the high-frequency electrical stimulation therapy is performed. In this experimental example, the rats are divided into the control group (N=3) and the experimental group (N=7) according to the different electrical stimulation treatments. As to the experimental group, the pain behavior is continuously observed for 7 days after surgery. After the pain behavior is stable, the high-frequency electrical stimulation therapy is performed for 5 minutes once a week totally three times, and the responses to the pain behavior tests are observed. The results are shown in
(43) As shown in
Experimental Example 2: Neuroelectrophysiological Test
(44) SD rats are divided into the experimental group and the control group, the experimental group (
(45) In this experiment, as to the rats receiving the high-frequency electrical stimulation for 5 minutes, the mean values of the neural responses for every 30 minutes are aligned at the point of 90 ms first, and then the individual time of each group are compared. Referring to
(46) In detail, the large current stimulation on the peripheral sciatic nerve acts as the source of pain in this experimental example, and the signal can be transmitted to the dorsal root ganglion and the spinal dorsal root nerves through A-fibers and C-fibers by nerve conduction. The neural response to the interventional measure of high-frequency electrical stimulation can be observed by electrophysiological measurement of nerve conduction. From
(47) Although the invention has been described with reference to specific embodiments, this description is not meant to be construed in a limiting sense. Various modifications of the disclosed embodiments, as well as alternative embodiments, will be apparent to persons skilled in the art. It is, therefore, contemplated that the appended claims will cover all modifications that fall within the true scope of the invention.