Abstract-The aim of this study is to investigate the use of a new pulse shape to obtain anodal blocking. This new pulse shape requires less charge per pulse compared to the conventional rectangular pulse and would therefore be safer in a chronic application. Computer simulation, used in this study show that using modified pulse shapes, charge reduction up 30.4 % to can be achieved. Keywords -Selective stimulation by nerve size, square pulse, step pulse anodal blocking, charge reduction
I. INTRODUCTIONElectrical stimulation of nervous tissue using implanted electrodes can be used to induce muscle contraction in patients with lesions in the central nervous system. When electrical stimulation is applied, large diameter nerve fibers need a smaller external stimulus for their activation than smaller fibers [1] so electrical stimulation recruits large diameter fiber before smaller ones. However, some applications in urology, gastroenterology and skeletal muscle activation require selective activation of small fibers without activating larger ones to obtain their functional goals.Theoretical studies [2,3] and experimental results from animal and human studies [2,4,5,6] have shown that reliable selective activation of small fibers can be obtained using the method of anodal blocking. To obtain anodal blocking a tripolar cuff electrode is most commonly used. When external stimulation is applied, the fiber membrane is depolarized close to cathode and is hyperpolarized close to anode. Due to the hyperpolarization, an action potential (AP) can be blocked near anodes, both distal and proximal to the cathode. As with the excitation, a smaller external stimulus is needed for blocking large diameter fibers than for blocking smaller fibers. Therefore, first both large and small diameter fibers are activated by external stimulation. Then, higher stimulation amplitude is applied and propagation of an AP in large fibers is blocked.A drawback of this technique is that it requires long pulses (typically >500 µs) and currents several times higher than for the excitation. These currents may cause neural damage and electrode contact corrosion, even when the pulses are biphasic, charge balanced and when contacts are made from materials that can stand high charge delivered through them [7]. The reason for this is that the induced charge per phase is too high. Therefore, the technique of anodal blocking with square pulse might not be safe for chronic use. The method would be safer if somehow the charge per phase could be reduced.Charge reduction might be possible with the following idea: In a tripolar cuff configuration, (cathode flanked by two anodes), an action potential (AP) is induced under the cathode. When anodal block is applied, the AP is annihilated close to the anode, due to a high anodal current. However, as some time is needed for an AP to propagate from cathode to anode, it is not necessary to apply the high anodal current at the very beginning of the pulse [8]. Hence, it is possible to apply lower currents at the beginning of ...