SYSTEM AND METHOD FOR THERAPEUTIC MANAGEMENT OF UNPRODUCTIVE COUGH

• US 20150265459A1
• Filed: 02/23/2015
• Published: 09/24/2015
• Est. Priority Date: 02/21/2014
• Status: Abandoned Application

• Current Assignee: Circuit Therapeutics, Inc.
• Original Assignee: Circuit Therapeutics, Inc.
• Inventors: Andersen, Dan, Thomas, Griffith Roger
• Application Number:
  US14/629,420
• Publication Number:
  US 20150265459A1
• Time in Patent Office: Days
• US Class Current: 1/1
• CPC Class Codes: A61F 2007/0071 using a resistor, e.g. near the spot to be heated
• CPC Class Codes: A61F 2007/0077 Details of power supply
• CPC Class Codes: A61F 2007/0094 using a remote control
• CPC Class Codes: A61F 2007/0095 with a temperature indicator
• CPC Class Codes: A61F 2007/126 for invasive application, e.g. for introducing into blood vessels
• CPC Class Codes: A61F 7/007 characterised by electric heating

Abstract

One embodiment is directed to a method for managing unproductive cough in a patient, comprising: providing an applicator comprising a resistive heating element and being configured to be positioned adjacent a portion of a targeted nerve tissue for treatment; providing a power source configured to provide electrical current to the resistive heating element; providing a current controller operatively coupled to the power source and configured to raise the temperature of the portion of the targeted nerve tissue to inhibit nerve conduction; and modulating the temperature of the portion of the targeted nerve tissue to inhibit nerve conduction.

Claims

1. A method for managing unproductive cough in a patient, comprising:

a. providing an applicator comprising a resistive heating element and being configured to be positioned adjacent a portion of a targeted nerve tissue for treatment;

b. providing a power source configured to provide electrical current to the resistive heating element;

c. providing a current controller operatively coupled to the power source and configured to raise the temperature of the portion of the targeted nerve tissue to inhibit nerve conduction; and

d. modulating the temperature of the portion of the targeted nerve tissue to inhibit nerve conduction.

2. The method of claim 1, wherein the targeted nerve tissue comprises at least one vagal afferent nerve.

3. The method of claim 2, wherein the resistive heating element is configured to be positioned immediately adjacent to the at least one vagal afferent nerve.

4. The method of claim 2, wherein the resistive heating element is configured to at least partially surround the at least one vagal afferent nerve.

5. The method of claim 1, wherein the applicator further comprises a temperature sensor operatively coupled to the current controller.

6. The method of claim 5, wherein the temperature sensor is configured to produce an electrical signal representative of a nearby temperature and deliver the electrical signal to the current controller, the current controller being configured to vary the electrical current provided to the resistive heating element based at least in part upon the electrical signal from the temperature sensor.

7. The method of claim 6, further comprising utilizing the current controller to maintain the temperature of the targeted nerve tissue portion within a desired range for a period of time.

8. The method of claim 5, wherein the temperature sensor comprises a sensor selected from the group consisting of:

a bimetallic sensor or switch, a fluid expansion sensor or switch, a thermocouple, a thermistor, a Resistance Temperature Detector, and an infrared pyrometer.

9. The method of claim 7, wherein the desired range is between about 38 degrees Celsius and about 46 degrees Celsius.

10. The method of claim 7, wherein the desired range is within ±

2 degrees Celsuis of a nominal temperature within a range of about 38 degrees Celsius and about 46 degrees Celsius.

11. The method of claim 1, wherein the applicator further comprises an electrical activity sensor operatively coupled to the current controller and configured to produce an electrical signal representative of electrical activity of at least one nerve.

12. The method of claim 11, wherein the controller is configured to interpret the signal from the electrical activity sensor and vary the current to the resistive heating element at least in part relative to the electrical signal representative of electrical activity of the at least one nerve.

13. The method of claim 12, further comprising utilizing the current controller to maintain a level of activity of the targeted nerve tissue portion within a desired range for a period of time.

14. The method of claim 13, wherein the controller is operatively coupled to a temperature sensor, the method further comprising utilizing the current controller to also maintain a temperature of the targeted nerve tissue portion within a desired range for a period of time.

15. The method of claim 1, wherein the current controller is further configured to deliver the electrical current in a pulsatile fashion.

16. The method of claim 15, wherein the pulsatile fashion comprises current pulses delivered have a time duration between about 1 millisecond and about 100 seconds.

17. The method of claim 15, wherein the pulsatile fashion comprises a current pulse duty cycle of between about 99% and 0.1%.

18. The method of claim 15, wherein the current controller further is configured to be controlled for an output characteristic selected from the group consisting of:

current amplitude, pulse duration, duty cycle, and overall energy delivered.

19. The method of claim 1, wherein the current controller is configured to be responsive to at least one patient input.

20. The method of claim 19, wherein current controller is configured such that the at least one patient input triggers a delivery of current to the resistive heating element.

21. The method of claim 4, wherein the applicator is placed to at least 60% circumferentially surround a vagal afferent nerve or vagal afferent nerve bundle.