# US 10,441,782 B2 · Therapy delivery devices and methods for non-damaging neural tissue conduction block

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- Number: US 10,441,782 B2
- Document ID: US10441782B2
- Status: Granted
- Kind: B2
- Application number: 16/106,092
- Filed: 2018-08-21
- Published: 2019-02-28
- Granted: 2019-10-15
- Earliest claimed: 2012-06-15
- Assignees: Case Western Reserve University
- Applicants: Case Western Reserve University
- Inventors: Niloy Bhadra; Kevin L. Kilgore; Narendra Bhadra; Jesse Wainright; Tina Vrabec; Manfred Franke
- Web page: https://patentgrep.com/patent/US10441782B2

## CPC

- A61N 1/0556: {Cuff electrodes}
- A61N 1/06: for high-frequency therapy
- A61N 1/20: continuous direct currents
- A61N 1/36064: {Epilepsy}
- A61N 1/36067: {Movement disorders, e.g. tremor or Parkinson disease (stimulating motor muscle A61N1/36003)}
- A61N 1/36071: {Pain}
- A61N: ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY (measurement of bioelectric currents A61B; surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body A61B18/00; anaesthetic apparatus in general A61M; incandescent lamps H01K; infrared radiators for heating H05B)

## Abstract

Devices and methods for blocking signal transmission through neural tissue. One step of a method includes placing a therapy delivery device into electrical communication with the neural tissue. The therapy delivery device includes an electrode contact having a high charge capacity material. A multi-phase direct current (DC) can be applied to the neural tissue without damaging the neural tissue. The multi-phase DC includes a cathodic DC phase and anodic DC phase that collectively produce a neural block and reduce the charge delivered by the therapy delivery device. The DC delivery can be combined with high frequency alternating current (HFAC) block to produce a system that provides effective, safe, long term block without inducing an onset response.

## Claims

### Claim 1

An electrode, comprising:
at least one contact configured to be in electrical communication with neural tissue and further configured to deliver a therapy signal to the neural tissue,
wherein the at least one contact comprises a high charge capacity material that limits formation of irreversible reaction products when the therapy signal delivers a charge of 100 μC or more to the neural tissue.

### Claim 2 (depends on 1)

The electrode of claim 1, wherein the therapy signal comprises at least one direct current (DC) with at least one polarity.

### Claim 3 (depends on 1)

The electrode of claim 1, wherein the therapy signal comprises HFAC.

### Claim 4 (depends on 1)

The electrode of claim 1, wherein the at least one contact has a geometric surface area of at least about 1 mm2.

### Claim 5 (depends on 1)

The electrode of claim 1, wherein the at least one contact is fabricated of the high charge capacity material.

### Claim 6 (depends on 1)

The electrode of claim 1, wherein the at least one contact comprises a base body that is at least partially coated with the high charge capacity material.

### Claim 7 (depends on 1)

The electrode of claim 1, wherein the high charge capacity material is platinum black, iridium oxide, titanium nitride, tantalum, poly(ethylenedioxythiophene), or combinations thereof.

### Claim 8 (depends on 1)

The electrode of claim 1, further comprising a nerve cuff housing the at least one contact.

### Claim 9 (depends on 1)

The electrode of claim 1, wherein the at least one contact is monopolar.

### Claim 10

An electrode, comprising:
at least one contact configured to be in electrical communication with electrically excitable tissue and further configured to deliver a therapy signal to the excitable tissue,
wherein the at least one contact comprises a high charge capacity material that limits formation of irreversible reaction products when the therapy signal delivers a charge of 100 μC or more to the excitable tissue.

### Claim 11 (depends on 10)

The electrode of claim 10, wherein the therapy signal comprises at least one direct current (DC) with at least one polarity.

### Claim 12 (depends on 10)

The electrode of claim 10, wherein the therapy signal comprises HFAC.

### Claim 13 (depends on 10)

The electrode of claim 10, wherein the at least one contact has a geometric surface area of at least about 1 mm2.

### Claim 14

A method comprising placing at least one contact of an electrode in electrical communication with excitable tissue; and delivering a therapy signal through the at least one contact to the excitable tissue; wherein the at least one contact comprises a high charge capacity material that limits formation of irreversible reaction products when the therapy signal delivers a charge of 100 μC or more to the excitable tissue.

### Claim 15 (depends on 14)

The method of claim 14, wherein the excitable tissue comprises spinal nerves.

### Claim 16 (depends on 14)

The method of claim 14, wherein the excitable tissue comprises brain tissue.

### Claim 17 (depends on 14)

The method of claim 14, wherein the excitable tissue comprises ganglia.

### Claim 18 (depends on 14)

The method of claim 14, further comprising blocking signal transmission through at least a portion of the neural tissue based on the application of the therapy signal.

### Claim 19 (depends on 14)

The method of claim 14, wherein the therapy signal comprises a current that delivers the charge of 100 μC or more to the neural tissue.

### Claim 20 (depends on 14)

The method of claim 14, wherein the at least one contact has a geometric surface area of at least about 1 mm2.
