Methods and devices for activating brown adipose tissue using electrical energy

• US 10,201,695 B2
• Filed: 05/03/2017
• Issued: 02/12/2019
• Est. Priority Date: 01/22/2010
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson), The General Hospital Corporation (Mass General Brigham, Inc.)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson), The General Hospital Corporation (Mass General Brigham, Inc.)
• Inventors: Harris, Jason L., Stylopoulos, Nicholas, Kaplan, Lee M., Baynham, Tamara C., Aronhalt, Taylor W.
• Primary Examiner(s): Levicky, William J
• Application Number:
  US15/585,706
• Publication Number:
  US 20170232254A1
• Time in Patent Office: 650 Days
• CPC Class Codes: A61N 1/0456 Specially adapted for transcutaneous electrical nerve stimulation [TENS]
• CPC Class Codes: A61N 1/0492 Patch electrodes A61N1/0412, A61N1/0428 take precedence
• CPC Class Codes: A61N 1/0504 Subcutaneous electrodes
• CPC Class Codes: A61N 1/3605 Implantable neurostimulators for stimulating central or peripheral nerve system
• CPC Class Codes: A61N 1/3606 adapted for a particular treatment
• CPC Class Codes: A61N 1/36153 Voltage A61N1/3616 takes precedence
• CPC Class Codes: A61N 1/36157 Current A61N1/3616 takes precedence
• CPC Class Codes: A61N 1/36171 Frequency
• CPC Class Codes: A61N 1/36175 Pulse width or duty cycle
• CPC Class Codes: A61N 1/36192 Amplitude modulation
• CPC Class Codes: A61N 1/36196 Frequency modulation
• CPC Class Codes: A61N 1/3787 from an external energy source

Abstract

Methods and devices are provided for activating brown adipose tissue (BAT). Generally, the methods and devices can activate BAT to increase thermogenesis, e.g., increase heat production in the patient, which over time can lead to weight loss. In one embodiment, a medical device is provided that activates BAT by electrically stimulating nerves that activate the BAT and/or electrically stimulating brown adipocytes directly, thereby increasing thermogenesis in the BAT and inducing weight loss through energy expenditure.

Claims

1. A medical device, comprising:

a stimulation device including an electrode configured to be transcutaneously applied to a patient and to deliver an electrical signal to a depot of brown adipose tissue of the patient,

a signal generator configured to generate the electrical signal,

a sensor configured to sense occurrence of a trigger event after the electrode has been applied to the patient, and

a controller,

wherein when the sensor senses the trigger event and signals the sensed trigger event to the controller, the controller is configured to cause the beginning of continuous delivery, via the electrode, of the electrical signal to the patient having the electrode applied thereto for a period of time such that the depot of brown adipose tissue is activated and energy expenditure thereof increases,

wherein the period of time is at least one day, and

wherein the trigger event includes at least one of a change in the patient'"'"'s weight, a change in the patient'"'"'s tissue impedance, and the patient sleeping.

2. The medical device of claim 1, wherein the controller is pre-programmed with the period of time such that the period of time is predetermined prior to the stimulation device being applied to the exterior skin surface.

3. The medical device of claim 1, wherein the period of time is less than four weeks.

4. The medical device of claim 1, wherein the stimulation device is configured to be applied to the patient and deliver the electrical signal with at least a portion of the stimulation device attached to an exterior skin surface of the patient.

5. The medical device of claim 1, wherein the electrical signal has a modulating signal and a carrier signal.

6. The medical device of claim 1, wherein the electrical signal has an activation signal pulse frequency in a range of 0.1 to 40 Hz and has a pulse width in a range of 0.1 to 1 ms.

7. The medical device of claim 1, further comprising a power source configured to supply power to the signal generator.

8. The medical device of claim 1, wherein the signal generator is configured to receive power from a power supply that is external to the patient and is off-board the stimulation device.

9. The medical device of claim 1, wherein the stimulation device includes a patch having a housing with the signal generator therein, and the patch is configured to be applied to an exterior skin surface of the patient.

10. The medical device of claim 1, wherein the stimulation device is configured to be removed from the patient after the electrical signal has been applied to the patient for the period of time and then re-applied to the patient at a second, different depot of brown adipose tissue and to continuously deliver, via the electrode, a second electrical signal to the patient having the stimulation device applied thereto at the second, different depot of brown adipose tissue for a second period of time that is at least one day such that the second depot of brown adipose tissue is activated and energy expenditure thereof increases.