WO2007027875A2 - Randomized stimulation of a gastrointestinal organ - Google Patents
Randomized stimulation of a gastrointestinal organ Download PDFInfo
- Publication number
- WO2007027875A2 WO2007027875A2 PCT/US2006/034003 US2006034003W WO2007027875A2 WO 2007027875 A2 WO2007027875 A2 WO 2007027875A2 US 2006034003 W US2006034003 W US 2006034003W WO 2007027875 A2 WO2007027875 A2 WO 2007027875A2
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- stimulation
- parameter
- signal
- digestive organ
- selecting
- Prior art date
Links
- 230000000638 stimulation Effects 0.000 title claims abstract description 116
- 210000000056 organ Anatomy 0.000 title claims description 6
- 230000002496 gastric effect Effects 0.000 title description 5
- 210000004798 organs belonging to the digestive system Anatomy 0.000 claims abstract description 43
- 238000000034 method Methods 0.000 claims abstract description 20
- 230000004936 stimulating effect Effects 0.000 claims abstract description 9
- 210000002784 stomach Anatomy 0.000 claims description 11
- 230000004044 response Effects 0.000 claims description 9
- 210000001035 gastrointestinal tract Anatomy 0.000 claims description 7
- 235000019627 satiety Nutrition 0.000 claims description 2
- 230000036186 satiety Effects 0.000 claims description 2
- 230000035807 sensation Effects 0.000 claims description 2
- 235000019615 sensations Nutrition 0.000 claims description 2
- 230000006978 adaptation Effects 0.000 description 6
- 238000000586 desensitisation Methods 0.000 description 5
- 230000000977 initiatory effect Effects 0.000 description 4
- 230000001079 digestive effect Effects 0.000 description 3
- 230000004048 modification Effects 0.000 description 3
- 238000012986 modification Methods 0.000 description 3
- 230000008602 contraction Effects 0.000 description 2
- CWVMWSZEMZOUPC-JUAXIXHSSA-N (3s,5s,8r,9s,10s,13s,14s,16r)-16-bromo-3-hydroxy-10,13-dimethyl-1,2,3,4,5,6,7,8,9,11,12,14,15,16-tetradecahydrocyclopenta[a]phenanthren-17-one Chemical compound C1[C@@H](O)CC[C@]2(C)[C@H]3CC[C@](C)(C([C@H](Br)C4)=O)[C@@H]4[C@@H]3CC[C@H]21 CWVMWSZEMZOUPC-JUAXIXHSSA-N 0.000 description 1
- 101000659545 Homo sapiens U5 small nuclear ribonucleoprotein 200 kDa helicase Proteins 0.000 description 1
- 102100036230 U5 small nuclear ribonucleoprotein 200 kDa helicase Human genes 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 230000029087 digestion Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000006870 function Effects 0.000 description 1
- 229940088597 hormone Drugs 0.000 description 1
- 239000005556 hormone Substances 0.000 description 1
- 235000003642 hunger Nutrition 0.000 description 1
- 230000001788 irregular Effects 0.000 description 1
- PWPJGUXAGUPAHP-UHFFFAOYSA-N lufenuron Chemical compound C1=C(Cl)C(OC(F)(F)C(C(F)(F)F)F)=CC(Cl)=C1NC(=O)NC(=O)C1=C(F)C=CC=C1F PWPJGUXAGUPAHP-UHFFFAOYSA-N 0.000 description 1
- 238000012806 monitoring device Methods 0.000 description 1
- 230000002572 peristaltic effect Effects 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 230000001105 regulatory effect Effects 0.000 description 1
- 238000011160 research Methods 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
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
- A61N1/36007—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation of urogenital or gastrointestinal organs, e.g. for incontinence control
Definitions
- This invention relates to a device system and method for stimulating the stomach wall.
- stomach gastrointestinal or other digestive organs will adapt or become desensitized to stimulation, especially if such stimulation is delivered at non-physiologic rates for a relatively long time. Accordingly it would be desirable to provide a digestive organ stimulation device, system and/or method that may reduce adaptation or desensitization to stimulation.
- Some devices have proposed using multiple electrodes in a phased relationship for stimulating digestive tract organs, in some cases, along a peristaltic flow path.
- the stomach, gastrointestinal, or other digestive organs will adapt to such phased stimulation over time. Accordingly, it would be desirable to provide a digestive organ stimulation device, system and/or method that may reduce adaptation and/or desensitization to stimulation with multiple electrodes.
- the present invention provides a device, system and method for randomized stimulation of a digestive organ.
- One aspect of the invention provides a device system and method directed to reducing adaptation or desensitization for a digestive organ to electrical stimulation.
- a device is provided that is programmed to pseudorandomly select stimulation parameters and to deliver pseudorandom stimulation to a digestive organ.
- Pseudorandom as used herein is intended to include random selection within preset criteria or constraints. Such constraints or criteria may include, for example, stimulation within preselected or predetermined stimulation parameter windows. Any of a wide variety of alternative known or proprietary methods and devices for computing, generating, and/or selecting pseudorandom parameters may also be employed.
- the selected random or pseudorandom stimulation parameters will typically be sufficiently irregular or aperiodic to inhibit tissue adaptation.
- Figure 1 is a schematic illustration of an exemplary stimulation signal that has been applied to digestive organs.
- Figure 2 is a schematic illustration of an exemplary stimulation signal that has been applied to digestive organs.
- Figure 3 is a schematic illustration of exemplary phased stimulation using a plurality of electrodes.
- Figure 4 is a schematic illustration of a stimulation signal in accordance with the invention.
- FIG. 5 is a schematic illustration of a stimulation signal in accordance with the invention.
- FIG. 6 is a schematic illustration of a stimulation signal in accordance with the invention.
- FIG. 7 is a schematic illustration of a stimulation signal in accordance with the invention.
- Figure 8 is a schematic illustration of a stimulation signal in accordance with the invention.
- FIG. 9 is a schematic illustration of a stimulation signal in accordance with the invention.
- Figure 10 is a flow chart illustrating operation of a stimulation device in accordance with the invention.
- Figure 11 is a flow chart illustrating operation of a stimulation device in accordance with the invention.
- Figure 12 is a stimulation device in accordance with the invention.
- a device for stimulating a digestive organ may stimulate any one or more digestive organs, including for example, portions of the gastrointestinal tract, or digestive organs that secrete digestive substances, digestive regulating hormones, or the like.
- a device for stimulating a stomach is provided.
- Stimulation may be provided to elicit one or more desired effects or responses. Stimulation maybe provided to control digestion, create sensation of satiety, to control movement of food within the gastrointestinal tract, to regulate digestive processes or to regulate hunger, among other things.
- a stimulating device is described in U.S. Patent No. 6,535,764, incorporated herein by reference.
- a device is provided that is programmed to randomly (or pseudorandomly) select or vary one or more stimulation parameters, and to deliver the stimulation to a digestive organ according to the selected parameters.
- stimulation is randomly (or pseudorandomly) selected or varied to reduce adaptation or desensitization of a digestive organ to stimulation, and especially to stimulation at non-physiologic rates.
- the programmed device may randomly (or pseudorandomly) select or generate parameters from within a window of acceptable parameters or a randomization window. Such parameters may include but are not limited to, e.g., pulse width, pulse repetition rate, burst frequency, burst repetition rate, pulses per burst.
- the programmed device may also randomly (or pseudorandomly) select or vary pulse amplitude, pulse shape and burst envelope within a window or according to selection criteria.
- the programmed device may randomly (or pseudorandomly) select or vary any one or more of these or other parameters prior to or during stimulation.
- the programmed device may also randomly (or pseudorandomly) select or vary stimulation from pulse to pulse or burst to burst.
- the programmed device may operate to periodically change parameters or may do so in response to sensing or receiving feedback that adaptation or desensitization is occurring, or that the stimulation is otherwise losing its effectiveness.
- the device may monitor stimulation response over time using a contraction monitoring device such as a strain gauge or other contraction sensor. If the device detects a sub optimal stimulation response, the device may then randomly or pseudorandomly select the next ⁇ arameter(s)or sets of parameters.
- the programmed device may randomly (or pseudorandomly) select or vary stimulation at multiple stimulation sites.
- Each of such sites may have electrically separate stimulating electrodes where the stimulation parameter at each site is independent of the stimulation at the other sites.
- the stimulation sequence or timing of the sequence may also be randomly (or pseudorandomly) selected or varied. Thus, there is no specific phasing of stimulation at the various sites.
- the signal comprises a series of pulses.
- the pulses have a pulse amplitude of PAl, a pulse width of PWl and repeat at a pulse repetition rate of PRRl .
- the pulse repetition rate is the time of initiation of a pulse to the time of initiation of the next pulse.
- the parameters are generally preset or otherwise selected or chosen for treatment.
- the signal comprises a pattern of repeating bursts of pulses that repeat at a burst repetition rate of BRR2. That is, the burst repetition rate is the time of the initiation of a burst to the initiation of a subsequent burst.
- the pulses within the burst have a pulse amplitude of PA and burst frequency of BF2.
- the bursts have a duration of BD2 and include a certain number of pulses per bursts PPB2. Theses parameters are generally preset or otherwise selected for treatment.
- FIG. 3 an example of typical multi-electrode stimulation is illustrated.
- a stimulation signal is delivered through Electrode 1.
- Stimulation at Electrode 2 is phased from the stimulation signal at Electrode 1 at phase angle, ⁇ , which represents a time between which the signal at Electrode 1 is initiated and the signal at Electrode 2 is initiated.
- the signal at Electrode 1 and Electrode 2 may also overlap.
- Figure 4 illustrates an example of a randomized stimulation signal that, in accordance with the invention, may be randomly (or pseudorandomly) selected by a programmed device and delivered to a digestive organ.
- the signal illustrated in Figure 4 randomly varies in pulse width the first pulse width is PWa, the second is PWb, the third is PWc and the fourth is PWd.
- These pulse widths are selected and delivered.
- the pulse widths may be in a pre-selected range of pulse widths. For example in one variation they may vary from 1-20 pulses per minute.
- Figure 5 illustrates an example of a signal that may be randomly (or pseudorandomly) selected by a programmed device and delivered by a device or system in accordance with the invention.
- the pulses repeat at varying and random rates.
- the first pulse has a pulse repetition rate of PRRa after which the second pulse is initiated.
- the second pulse has a pulse repetition rate of PRRb after which the third pulse is initiated.
- the third pulse has a pulse repetition rate of PRRc after which the fourth pulse is initiated.
- the fourth pulse has a pulse repetition rate of PRRd after which the fifth pulse is initiated.
- the fifth pulse has a pulse repetition rate of PRRe after which the sixth pulse is initiated.
- the pulse widths or other parameters may or may not vary as well.
- Figure 6 illustrates an example of a randomized signal that may be randomly (or pseudorandomly) selected and delivered by a programmed device or system or in accordance with a method of the invention.
- the stimulation signal comprises a series of bursts of pulses.
- the bursts of pulses repeat at varying randomized rates.
- the first burst has a burst repetition rate of BRRa
- the second burst has a burst repetition rate of BRRb
- the third burst has a burst repetition rate of BRRc.
- the burst frequency or other parameters may vary as well.
- Figure 7 illustrates an example of a randomized signal that may be randomly (or pseudorandomly) selected and delivered by a programmed device or system in accordance with the invention.
- the stimulation signal comprises a series of bursts of pulses. The frequency of the bursts is randomly varied.
- the first burst of pulses has a frequency of BFa
- the second burst of pulses has a frequency of BFb
- the third burst of pulses has a frequency of BFc.
- Other parameters may vary as well.
- Figure 8 illustrates an example of a randomized signal that may be randomly (or pseudorandomly) selected and delivered by a device of system or in accordance with the invention.
- the stimulation signal comprises a series of bursts of pulses. Both the frequency of the pulses and the burst repetition rate randomly vary.
- the first burst has a frequency of BFd and a burst repetition rate of BRRd.
- the second burst has a frequency of BFe and a burst repetition rate of BRRe.
- the third burst has a frequency of BFf and a burst repetition rate of BRRf.
- the randomized signals illustrated in Figure 4-8 are examples of some parameters that may be randomized in a stimulation signal protocol. Any one or more of these parameters may be randomized in any one treatment protocol.
- the randomized parameters may include but are not limited to one or more of the following: pulse width, pulse amplitude, pulse repetition rate, burst frequency, burst repetition rate.
- the shape of each pulse including pulses within a burst may vary.
- the shape of the envelope of pulses of a burst may vary.
- the frequency, pulse widths and amplitudes within a burst of pulses may also vary. Also, some parameters may vary while others are held constant.
- the various randomized parameters may be randomly (or pseudorandomly) selected from within a window or group of parameters by a random number generator or controller.
- the window or group of parameters may be preprogrammed into the stimulation device and randomly selected during treatment.
- Figure 9 illustrates randomization of signals such as those described with respect to Figures 4-8, applied randomly at a plurality of electrode sites.
- a first pulse pi is applied at electrode 1 at time ta and a second pulse is applied at electrode 2 p2 at time tb within the first time period tl .
- a pulse p3 is applied at electrode 1 and a pulse p4 is applied electrode 2 at randomly different times.
- pulses at electrodes 1 and 2 are applied at different times during time periods t3 and t4.
- Digestive organ stimulators may include any stimulator that comprises an electrode electrically coupled to a digestive organ and configured to deliver a stimulating signal to the digestive organ.
- a stimulator is a device configured to stimulate a stomach comprising at least one electrode coupled to the stomach and a pulse generator coupled to the electrode.
- Such electrodes may be implanted at the stomach, e.g., either through open surgery, laparoscopically or endoscopically.
- a stimulator 120 in accordance with one example of the invention comprises a CPU 121 including a memory device 122 having lookup table 123 where stimulation parameters are associated with a random number, for example in a range of random numbers.
- a random number generator 124 is coupled to the CPU 121 and when prompted, randomly generates a number within a range corresponding to particular stimulation parameters.
- the random number generator for example may have 100 possible random number corresponding to different parameters of a given type (e.g. 1-100 for pulse repetition rates and 101-200 for pulse widths, etc.)
- the random number generator may also have certain random numbers each corresponding to a particular predetermined signal to be delivered that may vary one or more parameters or may have varied shapes or types of stimulation signals.
- the generated random number identifies a stimulation parameter or parameters stored in the lookup table 123 of the memory device 122.
- the CPU 121 controls stimulation at the stimulation output 125 (e.g., to one or more electrodes) to deliver stimulation to a digestive organ where the stimulation corresponds to the randomly (or pseudorandomly) generated or selected stimulation parameter. More than one lookup table and random number generators may be used where multiple stimulation parameters are randomized.
- FIG. 10 illustrates an exemplary method and operation of a device in accordance with the invention.
- a random number is first generated (100) within a range of random numbers. Each random number corresponds to a particular stimulation signal or a stimulation parameter (or group of parameters) within a window or range of parameters.
- a pulse or burst of pulses with parameters corresponding to the generated random number is generated and delivered to a digestive organ for stimulation (101).
- a timer is started to identify when the first signal has been initiated (102) and a random number is again generated (103) corresponding to a particular stimulation signal of a stimulation parameter (or group of parameters).
- a calculation is made as to when the next stimulation pulse or burst of pulses is to be delivered (104).
- the calculation of the time for delivery may depend on which stimulation parameter is being randomized. If the pulse repetition rate or burst repetition rate is the varying parameter, the calculation of when the next pulse or burst of pulses respectively is to be delivered will be based on the variation in pulse or burst repetition rate. If the pulse repetition rate or burst repetition rate is constant, the calculation of the delivery time will be constant or based on the constant pulse or burst repetition rate. If the randomization is to occur periodically, the stimulation is delivered according to a protocol with a first set of stimulation patterns until a certain period determined, e.g. by the timer, has transpired. When the period has transpired, the next randomized stimulation parameters are then used according to a stimulation protocol. If the stimulation protocol involves turning stimulation on or off under various conditions, the timer may be turned on when the stimulation is on and turned off when the stimulation is off. Alternatively, the timer may run continuously.
- the time for delivery of the next signal and the time of the timer are compared to determine if it is time for the next pulse or burst of pulses to be delivered. If it is not time to deliver the next pulse or burst of pulses (106) then the comparison is made again (105) until it is time to deliver the next pulse or burst of pulses (106) whereupon a signal with parameters corresponding to the generated random number is generated (101) and steps 102-106 are repeated.
- FIG 11 illustrates a method and operation of a device in accordance with the invention.
- a random number for Electrode 1 is first generated (110) within a range of random numbers.
- a random number for Electrode 2 (111) is then generated within a range of random numbers. Each random number corresponds to a particular stimulation signal or a stimulation parameter (or group of parameters) within a window or range of parameters.
- a timer is then started (112) as a pulse or burst period begins. Pulses or bursts with parameters corresponding to each generated random number for Electrodes 1 and 2 are generated and delivered to a digestive organ for stimulation correspondingly at Electrodes 1 and 2 (113). These stimulation signals are independent of each other.
- a timer is started to identify the beginning of a first pulse period. It is then determined if the preset time has passed (114) at which time steps 111 to 114 are repeated.
Abstract
Description
Claims
Priority Applications (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CA002621212A CA2621212A1 (en) | 2005-09-01 | 2006-08-31 | Randomized stimulation of a gastrointestinal organ |
AU2006284771A AU2006284771B2 (en) | 2005-09-01 | 2006-08-31 | Randomized stimulation of a gastrointestinal organ |
EP06802689A EP1928544A4 (en) | 2005-09-01 | 2006-08-31 | Randomized stimulation of a gastrointestinal organ |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/219,004 | 2005-09-01 | ||
US11/219,004 US7616996B2 (en) | 2005-09-01 | 2005-09-01 | Randomized stimulation of a gastrointestinal organ |
Publications (2)
Publication Number | Publication Date |
---|---|
WO2007027875A2 true WO2007027875A2 (en) | 2007-03-08 |
WO2007027875A3 WO2007027875A3 (en) | 2009-04-23 |
Family
ID=37805333
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2006/034003 WO2007027875A2 (en) | 2005-09-01 | 2006-08-31 | Randomized stimulation of a gastrointestinal organ |
Country Status (6)
Country | Link |
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US (2) | US7616996B2 (en) |
EP (1) | EP1928544A4 (en) |
CN (1) | CN101495173A (en) |
AU (1) | AU2006284771B2 (en) |
CA (1) | CA2621212A1 (en) |
WO (1) | WO2007027875A2 (en) |
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US20070049986A1 (en) | 2007-03-01 |
CA2621212A1 (en) | 2007-03-08 |
US8032223B2 (en) | 2011-10-04 |
EP1928544A4 (en) | 2011-06-01 |
CN101495173A (en) | 2009-07-29 |
AU2006284771B2 (en) | 2011-03-31 |
US7616996B2 (en) | 2009-11-10 |
US20100023087A1 (en) | 2010-01-28 |
WO2007027875A3 (en) | 2009-04-23 |
AU2006284771A1 (en) | 2007-03-08 |
EP1928544A2 (en) | 2008-06-11 |
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