Classifications

• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
  • A61N1/00—Electrotherapy; Circuits therefor
  • A61N1/18—Applying electric currents by contact electrodes
  • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
  • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
  • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
  • A61N1/36125—Details of circuitry or electric components
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
  • A61N1/00—Electrotherapy; Circuits therefor
  • A61N1/02—Details
  • A61N1/04—Electrodes
  • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
  • A61N1/0551—Spinal or peripheral nerve electrodes
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
  • A61N1/00—Electrotherapy; Circuits therefor
  • A61N1/18—Applying electric currents by contact electrodes
  • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
  • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
  • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
  • A61N1/00—Electrotherapy; Circuits therefor
  • A61N1/18—Applying electric currents by contact electrodes
  • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
  • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
  • A61N1/372—Arrangements in connection with the implantation of stimulators
  • A61N1/37211—Means for communicating with stimulators
  • A61N1/37217—Means for communicating with stimulators characterised by the communication link, e.g. acoustic or tactile
  • A61N1/37223—Circuits for electromagnetic coupling
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
  • A61N1/00—Electrotherapy; Circuits therefor
  • A61N1/18—Applying electric currents by contact electrodes
  • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
  • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
  • A61N1/372—Arrangements in connection with the implantation of stimulators
  • A61N1/378—Electrical supply
  • A61N1/3787—Electrical supply from an external energy source

Definitions

• aspects of the present disclosure relate generally to switching regulators, and more particularly, to bi-directional switching regulators for electroceutical applications.
• An electroceutical device may be implanted in a patient and provide electrical stimulation to nerves in the patient to treat a disease and/or disorder of the patient.
• the device also referred to as a neural implant or implant device
• the device may include an electrode, which is charged to provide electrical stimulus to the nerves.
• a first aspect relates a device.
• the device includes a battery, an electrode, and a switching regulator having a first terminal coupled to the battery, and a second terminal coupled to the electrode.
• the device also includes a controller configured to operate the switching regulator to charge and discharge the electrode, wherein, to charge the electrode, the controller operates the switching regulator to transfer energy from the battery to the electrode, and, to discharge the electrode, the controller operates the switching regulator to transfer energy from the electrode to the battery.
• a second aspect relates to a method for providing electrical stimulation.
• the method includes transferring energy from a battery to an electrode to charge the electrode, and, after the electrode is charged, transferring energy from the electrode to the battery to discharge the electrode.
• a third aspect relates to an apparatus for providing electrical stimulation.
• the apparatus includes means for transferring energy from a battery to an electrode to charge the electrode, and means for, after the electrode is charged, transferring energy from the electrode to the battery to discharge the electrode.
• the one or more embodiments include the features hereinafter fully described and particularly pointed out in the claims.
• the following description and the annexed drawings set forth in detail certain illustrative aspects of the one or more embodiments. These aspects are indicative, however, of but a few of the various ways in which the principles of various embodiments may be employed and the described embodiments are intended to include all such aspects and their equivalents.
• FIG. 1 shows an example of an electroceutical device.
• FIG. 2 shows an exemplary electroceutical device including a bi-directional switching regulator according to certain aspects of the present disclosure.
• FIG. 3A shows an exemplary output voltage of the switching regulator during charging of an electrode according to certain aspects of the present disclosure.
• FIG. 3B shows an example of a fixed battery voltage during charging of an electrode.
• FIG. 4 shows a voltage of an electrode during an electrical stimulation operation according to certain aspects of the present disclosure.
• FIG. 5 shows another example of an electroceutical device including a bidirectional switching regulator according to certain aspects of the present disclosure.
• FIG. 6 is a timing diagram illustrating an example of hysteretic feedback control according to certain aspects of the present disclosure.
• FIG. 7 shows an example of an electroceutical device including a wireless charging coil according to certain aspects of the present disclosure.
• FIG. 8 shows an exemplary implementation of an interface circuit for the wireless charging coil according to certain aspects of the present disclosure.
• FIG. 9 shows an example of an electroceutical device including a current source for regulating current flow to and from a battery according to certain aspects of the present disclosure.
• FIG. 10 is a flowchart showing a method for providing electrical stimulation according to certain aspects of the present disclosure.
• An electroceutical device may be implanted in a patient and provide electrical stimulation to nerves in the patient to treat a disease and/or disorder of the patient.
• the device also referred to as a neural implant or implant device
• the device may include an electrode, which is charged to provide electrical stimulus to the nerves.
• FIG. 1 shows an example of an electroceutical device 100.
• the electroceutical device 100 includes an electrode 110, a battery 115, a current source 120, and switches 122, 124, 126 and 128.
• the electrode 110 may be electrically modeled as an RC circuit including a resistor R and a capacitor C in series, as shown in FIG. 1.
• the battery 110 provides an approximately fixed voltage Vbatt for the device 110, and the current source 120 is configured to regulate current flow to the electrode 110 to provide an approximately constant current to the electrode 110.
• the electrode 110 is charged and discharged. Since the electrode 110 is modeled as an RC circuit, the electrical stimulation can be viewed as a process of charging and discharging the RC circuit.
• switches 122 and 128 are closed (turned on) and switches 124 and 126 are opened (turned off). This allows the battery 115 to charge the electrode 110, in which the current source 120 regulates the current flow to the electrode 110 so that the current to the electrode 110 is approximately constant.
• switches 124 and 126 are closed (turned on) and switches 122 and 128 are opened (turned off). This reverses the direction of the current at the electrode 110, causing the electrode 110 to discharge.
• the electroceutical device 100 shown in FIG. 1 has several drawbacks that negatively impact the energy efficiency of the device 100.
• One drawback is that there is a large overhead voltage across the current source 120, resulting in a large amount of wasted energy. This is because the voltage Vbatt of the battery 115 is fixed and needs to be large in order to accommodate the full voltage range of the electrode 110.
• the voltage Ve of the electrode 110 is small (e.g., at the start of charging)
• a large overhead voltage appears across the current source 120, resulting in a large amount of wasted energy.
• a second drawback is that the energy stored in the capacitor C of the electrode 110 after charging is dumped to ground during discharging instead of being recycled back to the battery 115. As a result, the energy stored in the capacitor C is wasted.
• FIG. 2 below shows an electroceutical device 200 according to certain aspects of the present disclosure.
• the electroceutical device 200 includes an electrode 210, a battery 218, a bi-directional switching regulator 220, a bi-directional current source 240, a terminal capacitor Cterm, and a controller 250.
• the switching regulator 220 has a first terminal 230 coupled to the battery 218, and a second terminal 235 coupled to the bidirectional current source 240.
• the bi-directional current source 240 is coupled between the second terminal 235 of the switching regulator 220 and the electrode 210.
• the terminal capacitor Cterm is coupled between the second terminal 235 of the switching regulator 220 and ground.
• the electrode 210 is electrically modeled as an RC circuit including a resistor R and a capacitor C in series, in which the resistor R models the resistance of the electrode 210 and the capacitor C models the capacitance of the electrode 210.
• the electrode 210 has a first terminal 212 coupled to the bi-directional current source 240, and a second terminal 214 coupled to capacitor 265.
• the capacitor 265 is pre-charged to a voltage of Vm.
• the voltage at the second terminal 214 of the electrode 210 is set to Vm. As discussed further below, this allows the electrode 210 to be discharged without requiring a negative voltage.
• the switching regulator 220 is implemented with a bi-directional buck-boost converter to cover a wide input/output voltage range.
• the buck-boost converter is bi-directional in that the buck-boost converter is capable of transferring energy in either direction (i.e., from the first terminal 230 to the second terminal 235, or from the second terminal 235 to the first terminal 230).
• the buck-boost converter is capable of boosting the input voltage to produce an output voltage that is greater than the input voltage, or bucking the input voltage to produce an output voltage that is less than the input voltage, as discussed further below.
• the output voltage range of the buck-boost converter covers output voltages greater than the input voltage and output voltages less than the input voltage.
• the switching regulator 220 includes an inductor L, a first switch 222, a second switch 224, a third switch 226, and a fourth switch 228.
• the first switch 222 is coupled between the first terminal 230 of the switching regulator 220 and a first terminal 225 of the inductor L.
• the second switch 224 is coupled between the first terminal 225 of the inductor L and ground.
• the third switch 226 is coupled between the second terminal 235 of the switching regulator 220 and a second terminal 227 of the inductor L.
• the fourth switch 228 is coupled between the second terminal 227 of the inductor L and ground.
• the controller 250 controls operation of the switching regulator 220 by controlling the on/off states of the switches 222, 224, 226 and 228, as discussed further below.
• the individual connections between the controller 250 and the switches 222, 224, 226 and 228 are not shown in FIG. 2.
• the switches 222, 224, 226 and 228 may be implemented with n-type field effect transistor (NFET) switches, p-type field effect transistor (PFET) switches, or a combination thereof.
• the bi-directional current source 240 is configured to provide an approximately constant current in either direction under the control of the controller 250.
• the bi-directional current source 240 includes a first current source 242 configured to provide an approximately constant current for charging the electrode 210, and a second current source 244 configured to provide an approximately constant current for discharging the electrode 210.
• Each of the current sources may be implemented with a current mirror or another type of circuit.
• the controller 250 activates one of the current sources 242 and 244 one at a time, as discussed further below. For ease of illustration, the individual connections between the controller 250 and the current sources 242 and 244 are not shown in FIG. 2.
• the electroceutical device 200 provides electrical stimulation to nerves by charging and discharging the electrode 210.
• the charging operation is discussed in detail below according to certain aspects followed by the discharging operation.
• the controller 250 activates the first current source
• Each switching cycle includes a first phase ⁇ and a second phase ⁇ .
• the controller 250 closes (turns on) switches 222 and 228, and opens (turns off) switches 224 and 226.
• the first terminal 225 of the inductor L is coupled to the battery 218 and the second terminal 227 of the inductor L is coupled to ground. This allows the battery 218 to energize the inductor L.
• the controller 250 closes (turns on) switches 224 and 226, and opens (turns off) switches 222 and 228.
• the first terminal 225 of the inductor L is coupled to ground and the second terminal 227 of the inductor L is coupled to the terminal capacitor Cterm.
• the energy then flows form the terminal capacitor Cterm to the electrode 210 through the first current source 242.
• the switching regulator 220 transfers energy from the first terminal 230 to the second terminal 235.
• the terminal capacitor Cterm helps hold the voltage Vbb at the second terminal 235 of the switching regulator 220 during the first phase ⁇ of each switching cycle when the inductor L is decoupled from the second terminal 235.
• the first current source 242 regulates the current flow to the electrode 210 such that an approximately constant current flows to the electrode 210.
• the approximately constant current allows the capacitor C of the electrode 210 to be precisely charged by controlling the duration of the charging, as discussed further below.
• the switching regulator 220 may charge the capacitor C of the electrode 210 over many switching cycles (e.g., 100s or 1000s of cycles). As discussed further below, the controller 250 may adjust the voltage Vbb at the second terminal 235 of the switching regulator 220 during charging of the electrode 210 by dynamically adjusting the durations of the first and second phases ⁇ and ⁇ of the switching cycles during charging of the electrode 210. For example, the switching regulator 220 may have a duty cycle, which may be defined as the duration of the first phase ⁇ over the sum of the durations of the phases ⁇ and ⁇ . In this example, the controller 250 may increase voltage Vbb by increasing the duty cycle of the switching regulator 220, and decrease voltage Vbb by decreasing the duty cycle of the switching regulator 220.
• the switching regulator 220 is capable of adjusting voltage Vbb to voltage levels above and below the input voltage. For instance, the switching regulator 220 may boost the input voltage for a duty cycle greater than 50%, and buck the input voltage for a duty cycle less than 50%.
• FIG. 3A shows the voltage Ve at terminal 212 of the electrode 210 during charging.
• the voltage Ve is approximately equal to Vm plus the IR voltage drop across the resistor R of the electrode 210.
• the IR voltage drop remains approximately constant during charging because of the approximately constant current (denoted "I” in FIG. 3A) provided by the first current source 242.
• the capacitor C charges up, the voltage across the capacitor (denoted "Vc” in FIG. 3A) linearly increases (ramps up). This causes the voltage Ve at terminal 212 of the electrode to also linearly increase (ramp up), as shown in FIG. 3A.
• the controller 250 may dynamically adjust the voltage Vbb at the second terminal 235 of the switching regulator 220 (e.g., by adjusting the duty cycle of the switching regulator 220) to keep the overhead voltage across the first current source 242 low (e.g., close to the minimum overhead voltage needed for the first current source 242 to operate properly). This substantially reduces the amount of wasted energy compared to the device 100 in FIG. 1, as discussed further below.
• FIG. 3A shows an example in which the controller 250 adjusts the voltage Vbb to track the increase in the voltage Ve of the electrode 210 during charging.
• the controller 250 may increase (e.g., ramp up) Vbb at approximately the same rate as Ve to keep Vbb above Ve by a small voltage margin AV, as shown in FIG. 3A.
• the voltage margin AV may be set to a voltage that provides just enough overhead voltage across the first current source 242 for the first current source 242 to operate properly. By keeping the overhead voltage across the first current source 242 low, the amount of wasted energy due to the overhead voltage is substantially reduced compared to the device 100 in FIG. 1, in which the battery 115 is coupled directly to the electrode 110 without a switching regulator.
• FIG. 3B shows the voltage Vbatt of the battery 218 for the case in which the battery 218 is coupled directly to the first current source 242 without the switching regulator 220.
• the voltage Vbatt of the battery 218 needs to be above the maximum voltage of the electrode 210 in order to accommodate the voltage range of the electrode 210.
• the voltage margin AV is large at the start of charging, resulting in a large overhead voltage across the first current source 242. The large overhead voltage leads to a much larger amount of wasted energy compared with FIG. 3A.
• FIG. 2 does not require that the battery voltage Vbatt be above the maximum voltage of the electrode 210. This is because the switching regulator 220 (which is implemented with a buck-boost converter in FIG. 2) is capable of boosting the battery voltage Vbatt if needed to charge the electrode 210.
• the controller 250 activates the second current source 244 and deactivates the first current source 242 so that the direction of current flow is away from the electrode 210.
• the second current source 244 regulates the discharging current so that the discharging current is approximately constant. This allows the capacitor C to be precisely discharged by controlling the duration of the discharging, as discussed further below.
• the controller 250 then switches the switches 222, 224, 226 and 228 on/off over multiple switching cycles.
• Each switching cycle includes a first phase ⁇ and a second phase ⁇ .
• the controller 250 closes (turns on) switches 224 and 226, and opens (turns off) switches 222 and 228.
• the first terminal 225 of the inductor L is coupled to ground and the second terminal 227 of the inductor L is coupled to the terminal capacitor Cterm. This causes energy to transfer from the electrode 210 to the inductor L.
• the controller 250 closes (turns on) switches 222 and 228, and opens (turns off) switches 224 and 226.
• the first terminal 225 of the inductor L is coupled to the battery 218 and the second terminal 227 of the inductor L is coupled to ground.
• a portion of the energy stored in the capacitor C of the electrode 210 is recycled back to the battery 218 thereby improving energy efficiency. Note that some of energy stored in the capacitor C is lost through the resistor R.
• the switching regulator 220 may discharge the capacitor C of the electrode 210 over many switching cycles (e.g., 100s or 1000s of cycles). Thus, during discharging, the switching regulator 220 transfers energy from the second terminal 235 to the first terminal 230 (i.e., reverses the direction of energy flow relative to the direction of energy flow for charging).
• the controller 250 may adjust voltage Vbb (e.g., by adjusting the duty cycle of the switching regulator 220) so that voltage Vbb stays below the voltage Ve by the voltage margin AY. Note that Vbb is below Ve for discharging because the direction of current flow is reversed relative to charging.
• the voltage margin AY may to be set to a voltage that provides just enough overhead voltage for the second current source 244 to operate properly.
• the controller 250 may discharge the electrode 215 until the voltage across the capacitor C is approximately zero (i.e., until the voltage at terminal 216 of the capacitor C is approximately equal to the voltage Vm at terminal 214 of the capacitor C). This may be done so that the electrical stimulation operation results in approximately no net accumulation of charge on the capacitor C.
• the controller 250 may decrease the voltage Vbb at the second terminal 235 of the switching regulator 220 until Vbb reaches a voltage approximately equal to Vm - (IR+AV), where IR is the voltage drop across the resistor R.
• the voltage Vm at terminal 214 of the capacitor C allows the switching regulator 220 to discharge the capacitor C without requiring the voltage Vbb to be negative. In contrast, if terminal 214 of the capacitor C were coupled to ground, then the voltage Vbb would need to go negative in order to discharge the capacitor C.
• FIG. 4 shows an example of the voltage Ve of the electrode 210 during a stimulation operation.
• the voltage Ve of the electrode 210 may be approximately equal to Vm+(Vc+IR), where IR is the voltage drop across the resistor and Vc is the voltage across the capacitor C. IR is approximately constant due the constant charging current provided by the first current source 242, and Vc linearly increases (ramps up), as shown in FIG. 4.
• the controller 250 may adjust Vbb (not shown in FIG. 4) to keep Vbb just high enough above Ve to provide enough overhead voltage for the first current source 242 to operate properly, as discussed above. For example, the controller 250 may ramp up Vbb at approximately the same rate as Ve to keep Vbb above Ve by the voltage margin.
• the voltage Ve of the electrode 210 may be approximately equal to Vm+(Vc-IR). As shown in FIG. 4, the voltage across the capacitor C linearly decreases (ramps down) due to the approximately constant discharging current provided by the second current source 244. In addition, the IR voltage drop across the resistor changes polarity since the direction of current flow is reversed for discharging.
• the controller 250 may adjust Vbb (not shown in FIG. 4) to keep Vbb just low enough below Ve to provide enough overhead voltage for the second current source 244 to operate properly, as discussed above.
• the charging and discharging of the electrode 210 may be balanced so that the electrical stimulation operation results in approximately no net accumulation of charge on the capacitor C. If the first and second current sources 242 and 244 are configured to provide approximately the same constant current, this may be accomplished by making the duration of the charging approximately equal to the duration of the discharging. For instance, if the duration of the electrical stimulation operation is denoted "T", then the duration of the charging is approximately T/2 and the duration of the discharging is approximately T/2, an example of which is shown in FIG. 4.
• the switching regulator 220 may charge and discharge the electrode 210 over many switching cycles (e.g., 100s or 1000s of cycles).
• the controller 250 may switch the switches 222, 224, 226 and 228 at a frequency in the MHz range, in which case each switching cycle may be on the order of a few microseconds or less.
• the duration of the electrical stimulation operation T may be on the order of 100s of microseconds or milliseconds.
• the controller 250 may adjust the voltage Vbb at the second terminal 235 of the switching regulator 220 to keep Vbb just high enough above the voltage Ve of the electrode 210 for the first current source 242 to operate properly. This substantially reduces the overhead voltage across the current source during charging, thereby improving energy efficiency.
• the controller 250 may operate the voltage controller
• the controller 250 may sense the voltage Vbb at the second terminal 235, and adjust the voltage Vbb based on the sensed voltage.
• FIG. 5 shows an example in which the second terminal 235 is coupled to the controller 250 to allow the controller 250 to sense voltage Vbb.
• the controller 250 may determine a target voltage for the voltage Vbb during charging of the electrode 210.
• the target voltage may be approximately equal to the voltage Ve of the electrode 210 plus the voltage margin AY discussed above.
• the controller 250 may then compare the sensed voltage Vbb with the target voltage for Vbb and adjust voltage Vbb (e.g., by adjusting the duty cycle of the switching regulator 220) in a direction that reduces the difference (error) between the sensed voltage Vbb and the target voltage.
• the controller 250 adjusts the voltage Vbb at the second terminal of the switching regulator 220 based on feedback of the voltage Vbb.
• the target voltage may be approximately equal to the voltage Ve of the electrode 210 plus the voltage margin AY.
• the controller 250 may determine voltage Ve by sensing voltage Ve during charging.
• FIG. 5 shows an example in which the controller 250 is coupled to terminal 212 of the electrode 210 to allow the controller 250 to sense voltage Ve.
• the controller 250 may determine the target voltage for Vbb by adding the voltage margin AY to the sensed voltage Ve.
• the voltage margin AY may be close to the minimum overhead voltage needed for the current source 240 to properly operate.
• the controller 250 may compute voltage Ve. Assuming that the current of the first current source 242 is known and the capacitance of capacitor C is known, the controller 250 may use this information to compute Ve during charging. In this example, the controller 250 may determine the target voltage for Vbb by adding the voltage margin AY to the computed voltage Ve. [0056] The controller 250 also use the feedback mechanism discussed above to adjust the voltage Vbb at the second terminal 235 of the switching regulator 220 during discharging. In this case, the target voltage may be approximately equal to the voltage Ve of the electrode 210 minus the voltage margin AY.
• the controller 250 may use hysteretic feedback control to adjust voltage Vbb.
• the controller 250 may also be configured to sense the current of the inductor L.
• the electroceutical device 500 may also include a current sensor 520 coupled between switches 224 and 228 and ground, as shown in FIG. 5.
• the current sensor 520 may be implemented, for example, with a low- resistance sense resistor.
• the controller 250 may sense the current passing through the sense resistor (and hence the inductor L) by sensing the IR voltage drop across the sense resistor.
• the current sensor 520 is not limited to the location shown in FIG. 5, and may be placed at another location on the device 500 to sense the inductor current.
• the device 500 may employ more than one current sensor to sense the inductor current.
• the timing diagram 600 shows an example of the voltage Vbb at the second terminal 235 of the switching regulator 220, an example of the inductor current (denoted “IL” in FIG. 6), an example of durations of phase ⁇ (denoted “phi” in FIG. 6), and an example of durations of phase ⁇ (denoted "phib” in FIG. 6).
• An example of the target voltage (denoted "Vtarget”) is also shown.
• the controller 250 turns on the switching regulator 220 when the sensed voltage Vbb falls below the target voltage. This is indicated by the "on" signal in FIG. 6, which transitions from low to high when Vbb falls below the target voltage. This is done to conserve power by reducing switching activity of the switching regulator 220.
• the controller 250 initiates a switching cycle of the switching regulator 220, in which the switching cycle includes a first phase ⁇ and a second phase ⁇ .
• the controller 250 turns on switches 222 and 228 and turn off switches 224 and 226 to energize the inductor L until the sensed inductor current reaches a current limit (denoted "ilimit" in FIG. 6).
• a current limit denoted "ilimit" in FIG. 6
• the first phase ⁇ ends when the sensed inductor current reaches the current limit.
• the controller 250 then starts the second phase ⁇ of the cycle.
• the controller turns on switches 224 and 226 and turns off switches 222 and 228 to transfer the energy in the inductor L to the electrode 210.
• the duration of the second phase ⁇ is a minimum of a fixed time limit (denoted “Toff in FIG. 6) and a zero-crossing time (denoted “izero" in FIG. 6), in which the zero-cross time occurs when the sensed inductor current is approximately zero.
• the controller 250 determines whether voltage Vbb is still below the target voltage. If voltage Vbb is above the target voltage, then the controller 250 may turn off the switching regulator 220 until the sensed voltage Vbb falls below the target voltage again. If voltage Vbb is still below the target voltage, then the controller 250 may initiate another switching cycle of the switching regulator 220, as discussed above. The controller 250 may continue to initiate switching cycles until the sensed voltage Vbb rises above the target voltage.
• the target voltage may change over time.
• the target voltage may track changes in the voltage Ve of the electrode 210 to keep the target voltage above the voltage Ve by the voltage margin AY, as discussed above.
• voltage Vbb may fluctuate about the target voltage by a small amount.
• the voltage margin AY may be set to a voltage slightly above the minimum overhead voltage needed for the current source 240 to operate to provide enough headroom to accommodate fluctuations of Vbb about the target voltage.
• the voltage margin AY may be set to a voltage equal to or less than twice the minimum overhead voltage for the current source to operate.
• the voltage margin AY may be set to a voltage equal to or less than 150% of the minimum overhead voltage for the current source to operate.
• the minimum overhead voltage may correspond to a voltage across the current source at which the current deviates from the constant current by 10%.
• the exemplary hysteretic feedback control discussed above may also be used to adjust the voltage Vbb during discharging of the electrode 210.
• the controller 250 reverses the switching sequence of the switches so that the inductor L is coupled to the second terminal 235 during the first phase ⁇ (denoted “phi” in FIG. 6) and the inductor L is coupled to the first terminal 230 during second phase ⁇ (denoted "phib” in FIG. 6). This is done to reverse the flow of energy from the electrode 210 to the battery 218, as discussed above.
• hysteretic feedback control illustrated in FIG. 6 is exemplary only, and that the controller 250 may employ another feedback control mechanism.
• the controller 250 may pre-charge capacitor 265 to set the voltage Vm at terminal 214 of the capacitor C.
• the electroceutical device 500 may further include a switch 530 coupled between capacitor 265 and the controller 250, as shown in FIG. 5.
• the controller 250 may close (turn on) switch 530 to couple the controller 250 to capacitor 265.
• the controller 250 may then pre-charge capacitor 265 to the voltage Vm, in which the voltage Vm may be a voltage that is high enough to allow the switching regulator 220 to discharge the capacitor C without requiring a negative voltage.
• the controller 250 may open switch 530.
• An electroceutical device may employ energy harvesting to power the device.
• the device may include a wireless charging coil configured to receive energy wirelessly from an extemal power source via a wireless signal (e.g., RF signal). This allows energy to be transferred from the extemal power source to the device through the patient.
• the electroceutical may store the received energy in the battery of the device for later use (e.g., provide electrical stimulation to the patient).
• FIG. 7 shows an example in which the electroceutical device 700 also includes a wireless charging coil 710 according to certain aspects.
• the wireless charging coil 710 is configured to receive energy wirelessly from an extemal power source (not shown) via a wireless signal.
• the device 700 further includes an interface circuit 715 configured to interface the wireless charging coil 710 with the switching regulator 720, as discussed further below.
• the switching regulator 720 includes the inductor L and switches 222, 224, 226 and 228 discussed above.
• the switching regulator 720 further includes a fifth switch 722 coupled between the second terminal 228 of the inductor L and a third terminal 730 of the switching regulator 720.
• the interface circuit 715 is coupled between the third terminal 730 of the switching regulator 720 and the wireless charging coil 710.
• the wireless charging coil 710 receives a wireless signal from the external power source, and converts the received signal into an AC signal.
• the interface circuit 715 is configured to rectify the AC signal from the wireless charging coil 710 into a DC voltage, and output the DC voltage to the third terminal 730 of the switching regulator 220.
• the controller 250 time-multiplexes the switching regulator
• the controller 250 opens (turns off) switch 722 to decouple (electrically isolate) the inductor L from the wireless charging coil 710.
• the controller 250 then charges and discharges the electrode 210 as discussed above.
• the controller 250 may perform one or more electrical stimulation operations while switch 722 is opened. Switch 722 remains open while electrical stimulation operations are being performed.
• the controller opens (turns off) switch 226 to decouple (electrically isolate) the inductor L from the electrode 210.
• the controller 250 then switches the switches 222, 224, 228 and 730 on/off over one or more switching cycles to transfer energy from the wireless charging coil 710 to the battery 218.
• Each switching cycle includes a first phase ⁇ and a second phase ⁇ .
• the controller 250 closes (turns on) switches 722 and 224, and opens (turns off) switches 222 and 228.
• the second terminal 227 of the inductor L is coupled to the wireless charging coil 710 via the interface circuit 715, and the first terminal 225 of the inductor L is coupled to ground.
• the wireless charging coil 710 to energize the inductor L with energy received from the wireless signal from the external power source.
• the controller 250 opens (turns off) switches 722 and 224, and closes (turns on) switches 222 and 228.
• the first terminal 225 of the inductor L is coupled to the battery 218, and the second terminal 227 of the inductor is coupled to ground. This transfers the energy stored in the inductor L to the battery 218, thereby charging the battery 218.
• Switch 226 remains open while the battery 218 is being charged by the wireless charging coil 710.
• the controller 250 may adjust the duty cycle of the switching regulator 720 to convert the DC voltage at the third terminal 730 to a voltage approximately equal to the battery voltage Vbatt at the first terminal 230.
• the DC voltage can be either greater than or less than the battery voltage Vbatt. This is because the switching regulator 720 can either boost or buck the DC voltage (e.g., depending on the duty cycle of the switching regulator 220).
• the switching regulator 720 may be time-multiplexed between charging the battery 218 using the wireless charging coil 710 and providing electrical stimulation to the patient. This allows the inductor L of the switching regulator 720 to be shared by the battery charging operation and electrical stimulation operation of the device 700, thereby reducing the size of the device 700.
• the switching regulator 720 transfers energy from the wireless charging coil 710 to the battery 218 through the inductor L to charge the battery 218.
• energy is transferred in both directions. More particularly, the switching regulator 720 transfers energy from the battery 218 to the electrode 210 through the inductor L to charge the electrode 210. The switching regulator 720 then transfers energy from the electrode 210 to the battery 218 through the inductor L to discharge the electrode 210.
• FIG. 8 shows an exemplary implementation of the interface circuit 715 according to certain aspects of the present disclosure.
• the interface circuit 715 includes a tuning circuit 810, a rectifier 820, and a Zener diode 830.
• the tuning circuit 810 include a first capacitor CI and a second capacitor C2, in which the first capacitor CI and the second capacitor C2 are coupled in series, and the first capacitor CI is coupled in parallel with the wireless charging coil 710.
• the tuning circuit 810 may be configured to tune the resonance frequency of the wireless charging coil 710 to maximize the amount of energy harvested from the wireless signal.
• the rectifier 820 includes a first diode Dl, a second diode D2, and a third capacitor C3.
• the first diode Dl and the second diode D2 are coupled in series, and the first diode Dl is coupled in parallel with the tuning circuit 810.
• the diodes Dl and D2 are configured to rectify the AC signal from the coil 710, and the third capacitor C3 is configured to smooth the rectified signal to generate the DC voltage output to the switching regulator 220.
• the Zener diode 830 is configured to provide voltage protection by limiting the maximum voltage level of the DC voltage. When the voltage level of the DC voltage reaches the breakdown voltage of the Zener diode 830, the Zener diode 830 provides a shunt to ground, thereby limiting the voltage level of the DC voltage to the breakdown voltage of the Zener diode 830.
• FIG. 9 shows an example in which the electroceutical device 900 further includes a current source 942 coupled between the battery 218 and the first terminal 230 of the switching regulator 220, a switch 944 coupled between the battery 218 and the first terminal 230 of the switching regulator 220, and a terminal capacitor Cterml coupled between the first terminal 230 of the switching regulator 220 and ground.
• the terminal capacitor coupled to the second terminal 235 of the switching regulator 220 is labeled "Cterm2" to distinguish this capacitor from the terminal capacitor Cterml coupled to the first terminal 230 of the switching regulator 220.
• the current source 942 is configured to regulate current flow to the battery 218.
• the current source 942 may be implemented with a current mirror or another type of circuit. For ease of illustration, the connection between the controller 250 and the current source 942 is not shown in FIG. 9.
• the controller 250 activates the current source 942 and opens the switch 944.
• the current source 942 regulates the current flow to the battery 218.
• the current source 942 may regulate the current flow to provide an approximately constant current to the battery 218.
• the controller 250 closes switch 944 and deactivates the first current source 942. This couples the battery 218 to the first terminal 230, allowing current to flow from the battery 218 to the first terminal 230.
• FIG. 10 is a flowchart illustrating a method 1000 for providing electrical stimulation according to certain aspects of the present disclosure.
• the method 100 may be performed by any one of the electroceutical devices shown in FIGS. 2, 5, 7, 8 and 9.
• step 1010 energy is transferred from a battery to an electrode to charge the electrode.
• energy may be transferred from the battery (e.g., battery 218) to the electrode (e.g., electrode 210) through an inductor (e.g., inductor L) over a first plurality of switching cycles.
• the inductor may first be coupled to the battery to energize the inductor, and then coupled to the electrode to transfer energy in the inductor to the electrode.
• step 1020 after the electrode is charged, energy is transferred from the electrode to the battery to discharge the battery. For example, energy may be transferred from the electrode to the battery through the inductor over a second plurality of switching cycles.
• the inductor may first be coupled to the electrode to energize the inductor, and then coupled to the battery to transfer energy in the inductor to the battery.
• the energy transferred from the electrode to the battery may include a portion of the energy transferred from the battery to the electrode during charging, thereby recycling the portion of the energy back to the battery. Note that some of the energy is lost through the resistor R.
• switches may be used for the switching regulator.
• other arrangements of switches may be used to couple the inductor L to the first terminal 230 to energize the inductor L using the battery 218, and then couple the inductor L to the second terminal 235 to transfer the energy in the inductor L to the second terminal 235.
• switches may be used to couple the inductor L to the second terminal 235 or the third terminal 730 to energize the inductor L using the electrode 210 or charging coil 710, and then couple the inductor L to the first terminal 230 to transfer the energy in the inductor L to the first terminal 230.
• the present disclosure is not limited to a particular arrangement of switches for the switching regulator.
• the controller 250 may be implemented with one or more processors and one or more memories storing instructions that, when executed by the one or more processors, cause the one or more processors to perform the operations discussed herein.
• the one or more processors may include general-purpose microprocessors, microcontrollers, digital signal processors (DSPs), field programmable gate array (FPGAs), programmable logic devices (PLDs), controllers, state machines, gated logic, discrete hardware components, dedicated hardware finite state machines, or any combination thereof.
• the one or more memories may be internal to the one or more processors and/or external to the one or more processors.
• the one or more memories may include any suitable computer-readable media, including RAM, ROM, Flash memory, EEPROM, etc.

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• Veterinary Medicine (AREA)
• Public Health (AREA)
• Engineering & Computer Science (AREA)
• Biomedical Technology (AREA)
• Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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• Charge And Discharge Circuits For Batteries Or The Like (AREA)
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• 2016
  • 2016-09-09 US US15/261,695 patent/US10058706B2/en not_active Expired - Fee Related
• 2017
  • 2017-08-14 CN CN201780054173.3A patent/CN109661253A/zh active Pending
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