# US 2008/0188905 A1 · Stimulus dose system and method for electroconvulsive therapy

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- Number: US 2008/0188905 A1
- Document ID: US20080188905A1
- Status: Published application
- Kind: A1
- Application number: 11/670,589
- Filed: 2007-02-02
- Published: 2008-08-07
- Earliest claimed: 2007-02-02
- Assignees: Somatics, Inc.
- Inventors: Conrad M. Swartz
- Web page: https://patentgrep.com/patent/US20080188905A1

## CPC

- A61N 1/36025: {for treating a mental or cerebral condition}
- A61N 1/38: for producing shock effects
- 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

A method of treating a patient includes administering an electroconvulsive therapy (ECT) stimulus to the patient. The current is greater than about 0.9 ampere or 1.0 ampere, or is between about 1.0 and about 2 amperes. The energy delivered is about 100 Joules or less across an impedance of 200 ohms. The stimulus may have a pulsewidth between about 0.5 and about 2.0 msec and/or a frequency in the range of about 10 to about 180 Hz, or the stimulus may have a pulsewidth between about 0.2 and about 0.499 msec and/or a frequency in the range of about 15 to about 300 Hz. An apparatus for ECT comprises a generator adapted to deliver such an electroconvulsive therapy stimulus to a patient. A method of calculating ECT dose comprises multiplying a charge to be delivered by the current (or voltage) to an exponential power between 2 and 4.

## Claims

### Claim 1

A method of treating a patient, the method comprising administering an electroconvulsive therapy (ECT) stimulus to the patient, wherein the current is greater than about 0.9 ampere.

### Claim 2 (depends on 1)

The method of claim 1, wherein the current is greater than about 1 ampere.

### Claim 3 (depends on 1)

The method of claim 1, wherein the current is between about 1.0 and about 2.0 amperes.

### Claim 4 (depends on 3)

The method of claim 3, wherein the energy delivered is less than or equal to about 100 Joules across an impedance of 200 ohms.

### Claim 5 (depends on 4)

The method of claim 4 wherein the current varies by 0.1 ampere or less.

### Claim 6 (depends on 4)

The method of claim 4, wherein the stimulus comprises pulse stimuli having a pulsewidth between about 0.5 and about 2.0 msec.

### Claim 7 (depends on 6)

The method of claim 6, wherein the pulse stimuli have a frequency in the range of about 10 to about 180 Hz.

### Claim 8 (depends on 4)

The method of claim 4, wherein the stimulus comprises pulse stimuli having a pulsewidth between about 0.2 and about 0.499 msec.

### Claim 9 (depends on 8)

The method of claim 8, wherein the pulse stimuli have a frequency in the range of about 15 to about 300 Hz.

### Claim 10

An apparatus for electroconvulsive therapy comprising an electroconvulsive therapy stimulus generator, wherein the generator is adapted to deliver an electroconvulsive therapy stimulus to the patient, the stimulus comprising a current greater than about 0.9 ampere.

### Claim 11 (depends on 10)

The apparatus of claim 10, wherein the generator is adapted to deliver a stimulus comprising a current greater than about 1 ampere.

### Claim 12 (depends on 11)

The apparatus of claim 11, wherein the generator is adapted to deliver a stimulus comprising a current between about 1.0 and about 2.0 amperes.

### Claim 13 (depends on 12)

The apparatus of claim 12, wherein the generator is further adapted to deliver a stimulus with an energy less than or equal to about 100 Joules across an impedance of 200 ohms.

### Claim 14 (depends on 13)

The apparatus of claim 13, wherein the generator is adapted to deliver a current that varies by 0.1 ampere or less.

### Claim 15 (depends on 13)

The apparatus of claim 13, wherein the apparatus is adapted to deliver a pulse stimuli having a pulsewidth in the range of about 0.5 to about 2.0 msec and having a frequency in the range of about 10 to about 180 Hz.

### Claim 16 (depends on 13)

The apparatus of claim 13, wherein the apparatus is adapted to deliver a pulse stimuli having a pulsewidth in the range of about 0.2 to about 0.499 msec and having a frequency in the range of about 15 to about 300 Hz.

### Claim 17

A method of calculating the dose of an electroconvulsive therapy stimulus to be delivered to a patient, the method comprising multiplying a charge to be delivered by the current to an exponential power, wherein the exponential power is between about 2 and about 4.

### Claim 18 (depends on 17)

The method of claim 17, wherein the exponential power is between about 2 and about 3.

### Claim 19 (depends on 18)

The method of claim 18, wherein the exponential power is about 3.

### Claim 20

A method of calculating the dose of an electroconvulsive therapy stimulus to be delivered to a patient, the method comprising multiplying the charge to be delivered by the voltage to an exponential power, wherein this exponential power is between about 2 and about 4.

### Claim 21 (depends on 10)

The apparatus of claim 10, wherein the generator is adapted to deliver a stimulus and to calculate the stimulus as time-averaged nth exponential power of voltage multiplied by the time-averaged mth exponential power of current multiplied by charge, where the sum of the numbers n and m is between about 2 and about 4.

### Claim 22 (depends on 12)

The apparatus of claim 12, wherein the generator is adapted to deliver a voltage in the range of about 220 to about 500 volts, and results from the calculation of a current range of 1 A to 2 multiplied by a dynamic impedance in the range of about 150 ohms to about 300 ohms.
