Techniques of treating neurodegenerative disorders by brain infusion

• US 5,814,014 A
• Filed: 07/29/1997
• Issued: 09/29/1998
• Est. Priority Date: 04/30/1996
• Status: Expired due to Term

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Rise, Mark T., Elsberry, Dennis D.
• Primary Examiner(s): Buiz, Michael Powell
• Assistant Examiner(s): TRUONG, KEVIN THAO
• Application Number:
  US08/902,548
• Time in Patent Office: 427 Days
• Field of Search: 604/43, 604/49, 604/50, 604/51, 604/93
• US Class Current: 604/43
• CPC Class Codes: A61M 2210/0693 Brain, cerebrum
• CPC Class Codes: A61M 5/14276 specially adapted for implantation
• CPC Class Codes: A61M 5/1723 using feedback of body parameters, e.g. blood-sugar, pressure measurement of body parameters A61B5/00

Abstract

Techniques for infusing drugs into the brain to treat neurodegenerative disorders by system of an implantable pump and catheter. The drugs are capable of altering the level of excitation of neruons in the brain. A sensor is used to detect an attribute of the nervous system which reflects the hyperexcitation of the nerve cells projecting onto the degenerating nerve cells. A microprocessor algorithm analyzes the output from the sensor in order to regulate the amount of drug delivered to the brain.

Claims

1. A system for treating a neurodegenerative disorder resulting in degenerating neurons forming part of a central nervous system comprising in combination:

an implantable pump;

a catheter having a proximal end coupled to said pump and a discharge portion for infusing into a predetermined infusion site in said central nervous system a therapeutic dosage of at least one drugs capable of altering the level of excitation of neurons in said brain related to a degenerating neurons;

a sensor for generating a signal related to an attribute of said nervous system which indicates the hyperexcitation of said degenerating neurons or of neurons related to said degenerating neurons; and

control means responsive to said sensor signal for regulating said therapeutic dosage.

2. A system, as claimed in claim 1, wherein said sensor comprises means for detecting changes in electromagnetic waves generated by muscle or nerve tissue.

3. A system, as claimed in claim 1, wherein said sensor comprises means for detecting the extent of the hyperexcitation of the glutamatergic neurons of said brain.

4. A system, as claimed in claim 1, wherein said control means comprises a microprocessor.

5. A system, as claimed in claim 1, wherein said control means comprises an electrical filter.

6. A system, as claimed in claim 1, wherein said control means comprises means for increasing said therapeutic dosage in response to an increase in said hyperexcitation and for decreasing said therapeutic dosage in respone to a decrease in said hyperexcitation.

7. A system, as claimed in claim 1, wherein said predetermined infusion site is selected from the group consisting of the brain, the cerebral ventricle, the subdural space or the intrathecal space.