Method and system for providing therapy for autism by providing electrical pulses to the vagus nerve(s)

• US 20050187590A1
• Filed: 03/29/2005
• Published: 08/25/2005
• Est. Priority Date: 05/11/2003
• Status: Abandoned Application

• Current Assignee: Neuro and Cardiac Technologies, LLC
• Original Assignee: Neuro and Cardiac Technologies, LLC
• Inventors: Widhany, Angely, Boveja, Birinder R.
• Application Number:
  US11/092,124
• Publication Number:
  US 20050187590A1
• Time in Patent Office: Days
• US Class Current: 607/45
• CPC Class Codes: A61B 2560/0219 of externally powered implanted units
• CPC Class Codes: A61B 2562/0257 Proximity sensors
• CPC Class Codes: A61B 5/0031 Implanted circuitry
• CPC Class Codes: A61B 5/01 Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue clinical contact thermometers G01K13/20
• CPC Class Codes: A61B 5/24 Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
• CPC Class Codes: A61B 5/4836 Diagnosis combined with treatment in closed-loop systems or methods A61B5/0036 takes precedence
• CPC Class Codes: A61B 5/6868 Brain
• CPC Class Codes: A61N 1/0526 Head electrodes A61N1/0551 takes precedence
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes
• CPC Class Codes: A61N 1/36014 External stimulators, e.g. with patch electrodes external pacemakers A61N1/3625
• CPC Class Codes: A61N 1/36017 with leads or electrodes penetrating the skin
• CPC Class Codes: A61N 1/36025 for treating a mental or cerebral condition
• CPC Class Codes: A61N 1/36053 adapted for vagal stimulation A61N1/36114 takes precedence
• CPC Class Codes: A61N 1/36082 Cognitive or psychiatric applications, e.g. dementia or Alzheimer's disease
• CPC Class Codes: A61N 1/37229 Shape or location of the implanted or external antenna

Abstract

A method and system to provide electrical pulses for neuromodulating vagus nerve(s) to provide therapy for autism, comprises implantable and external components. The pulsed electrical stimulation to vagus nerve(s) may be provided using one of the following stimulation systems, such as: a) an implanted stimulus-receiver with an external stimulator; b) an implanted stimulus-receiver comprising a high value capacitor for storing charge, used in conjunction with an external stimulator; c) a programmer-less implantable pulse generator (IPG) which is operable with a magnet; d) a microstimulator; e) a programmable implantable pulse generator; f) a combination implantable device comprising both a stimulus-receiver and a programmable implantable pulse generator (IPG); and g) an implantable pulse generator (IPG) comprising a rechargeable battery. In one embodiment, the external components such as the programmer or external stimulator may comprise a telemetry means for networking. The telemetry means therefore allows for interrogation or programming of implanted device, from a remote location over a wide area network.

Claims

1. A method of treating or alleviating the symptoms of autism with stimulation and/or blocking of vagus nerve(s) or its branches or part thereof with pre-determined electric pulses, comprising the steps of:

a) selecting an autism patient;

b) providing a pulse generator means for providing said pre-determined electric pulses for treating autism;

c) providing a lead adapted to be in electrical connection with said pulse generator means for providing said pre-determined electric pulses for treating autism; and

d) providing at least one electrode at the distal end of said lead, wherein said at least one electrode is adapted to be in contact with said vagus nerve(s) or its branches or part thereof, to deliver said pre-determined electric pulses.

2. The method of claim 1, wherein said pulse generator means for providing said pre-determined electric pulses for treating autism, further comprises an external stimulator adapted to function with an implanted stimulus-receiver.

3. The method of claim 1, wherein said pulse generator means for providing said pre-determined electric pulses for treating autism, further comprises an external stimulator used in conjunction with an implanted stimulus-receiver comprising a high value capacitor for storing electric charge.

4. The method of claim 1, wherein said pulse generator means for providing said pre-determined electric pulses for treating autism, further comprises a programmer-less implantable pulse generator (IPG) which is operable with a magnet.

5. The method of claim 1, wherein said pulse generator means for providing said pre-determined electric pulses for treating autism, further comprises a microstimulator.

6. The method of claim 1, wherein said pulse generator means for providing said pre-determined electric pulses for treating autism further comprises a programmable implantable pulse generator (IPG).

7. The method of claim 1, wherein said pulse generator means for providing electric pulses for treating autism, further comprises a combination implantable device comprising both a programmable implantable pulse generator (IPG) and a stimulus-receiver.

8. The method of claim 1, wherein said pulse generator means for providing said predetermined electric pulses for treating autism, further comprises a programmable implantable pulse generator (IPG) having a rechargeable battery.

9. The method of claim 1, wherein said pre-determined electric pulses can be provided anywhere along the length of said vagus nerve(s) or its branches.

10. The method of claim 1, wherein said at least one electrode is from a group consisting of spiral electrodes, cuff electrodes, steroid eluting electrodes, wrap-around electrodes, and hydrogel electrodes.

11. The method of claim 1, wherein said pre-determined electric pulses can be modified.

12. The method of claim 1, wherein said pulse generator means has at least one pre-determined program, comprising at least one variable components of said electric pulses, like pulse amplitude, pulse width, pulse frequency, ON-time, and OFF-time sequences, wherein said at least one pre-determined program can be modified.

13. The method of claim 1, wherein said pulse generator means further comprises a telemetry means for remote device interrogation and programming, over a wide area network.

14. The method of claim 1, wherein said electric pulses further comprise pulse amplitude between 0.1 volt-15 volts;

pulse width between 20 micro-seconds-5 milli-seconds; and

pulse frequency between 3 Hz and 300 Hz.

15. An autism treatment or therapy system for providing pre-determined electric pulses for stimulating and/or blocking of vagus nerve(s) or its branches or part thereof, comprising:

a) a pulse generator means for providing said predetermined electric pulses for treating autism;

b) a lead in contact with said pulse generator means for providing electric pulses for treating autism, and having at least one electrode at the distal end; and

c) said at least one electrode adapted to be in contact with said vagus nerve(s) or its branches or part thereof.

16. The system of claim 15, wherein said pulse generator means further comprises one from a group consisting of a) an external stimulator adapted to function with an implanted stimulus-receiver;

b) an external stimulator used in conjunction with an implanted stimulus-receiver comprising a high value capacitor for storing electric charge;

c) a programmer-less implantable pulse generator (IPG) which is operable with a magnet;

d) a microstimulator;

e) a programmable implantable pulse generator (IPG);

f) a combination implantable device comprising both a programmable implantable pulse generator (IPG) and a stimulus-receiver;

g) a programmable implantable pulse generator (IPG) having a rechargeable battery.

17. The system of claim 15, wherein said pre-determined electric pulses have pulse amplitude between 0.1 volt-15 volts.

18. The system of claim 15, wherein said pre-determined electric pulses have pulse width ranging between 20 micro-seconds-5 milli-seconds.

19. The system of claim 15, wherein said pre-determined electric pulses have pulse frequency ranging between 3 Hz and 300 Hz.

20. A method of providing neuromodulation therapy for autism, comprising the steps of:

a) providing pulse generation means to provide electric pulses to vagus nerve(s) or its branches for autism wherein, said pulse generation means consist one from a group comprising i) an external stimulator adapted to function with an implanted stimulus-receiver;

ii) an external stimulator used in conjunction with an implanted stimulus-receiver comprising a high value capacitor for storing electric charge;

iii) a programmer-less implantable pulse generator (IPG) which is operable with a magnet;

iv) a microstimulator;

v) a programmable implantable pulse generator (IPG);

vi) a combination implantable device comprising both a programmable implantable pulse generator (IPG) and a stimulus-receiver;

vii) an programmable implantable pulse generator (IPG) having a rechargeable battery;

b) providing implanted lead in electrical contact with said pulse generation means; and

c) providing at least one electrode at the distal end of said implanted lead, adapted to be in contact with said vagus nerve(s) or its branches,

whereby, said electric pulses provide neuromodulation for treating autism.