In order to recruit neurons in excitable tissue, constant current neural stimulators are commonly used. Recently, ultra high-frequency (UHF) stimulation has been proposed and proven to have the same efficacy as constant-current stimulation. UHF stimulation uses a fundamentally different way of activating the tissue: each stimulation phase is made of a burst of current pulses with adjustable amplitude injected into the tissue at a high (e.g., 1 MHz) frequency. This paper presents the design, integrated circuit (IC) implementation, and measurement results of a power efficient multichannel UHF neural stimulator. The core of the neurostimulator is based on our previously proposed architecture of an inductor-based buck-boost dc-dc converter without the external output capacitor. The ultimate goal of this work is to increase the power efficiency of the UHF stimulator for multiple-channel operation, while keeping the number of external components minimal. To this end, a number of novel approaches were employed in the integrated circuit design domain. More specifically, a novel zero-current detection scheme is proposed. It allows to remove the freewheel diode typically used in dc-dc converters to prevent current to flow back from the load to the inductor. Furthermore, a gate-driver circuit is implemented which allows the use of thin gate-oxide transistors as high-voltage switches. By doing so, and exploiting the fundamental working principle of the proposed current-controlled UHF stimulator, the need for a high-voltage supply is eliminated and the stimulator is powered up from a 3.5 V input voltage. Both the current detection technique and the gate driving circuit of the current implementation allow to boost the power efficiency up to 300% when compared to previous UHF stimulator works. A peak power efficiency of 68% is achieved, while 8 independent channels with 16 fully configurable electrodes are used. The circuit is implemented in a 0.18 μm HV process, and the total chip area is 3.65 mm²

Neural stimulators have the potential of becoming very important devices for the treatment of a wide variety of diseases. One of the major problems with existing stimulators is the limited waveform adjustability. This precludes the use of sophisticated stimulation programs and thereby affects the efficacy of the therapy applied. For this reason a new type of stimulator is required.