Method and apparatus for electrical stimulation of the gastrointestinal tract
First Claim
1. An apparatus for providing electrical stimulation to the gastrointestinal tract comprising:
- means for electrically coupling to the gastrointestinal tract;
a first sensor for sensing intrinsic gastrointestinal electrical activity between the frequency of 100-300 Hz, the sensor coupled to the means for electrically coupling to the gastrointestinal tract, the sensor emitting an intrinsic gastrointestinal electrical activity signal upon the sensing of intrinsic gastrointestinal electrical activity;
a pulse generator coupled to the means for electrically coupling to the gastrointestinal tract and the first sensor, the pulse generator emitting asynchronous stimulation pulse trains at a first rate, the pulse generator inhibiting the emission of asynchronous stimulation pulse trains at a first rate upon the emission of the intrinsic gastrointestinal electrical activity signal by the first sensor.
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Abstract
A method and apparatus for providing electrical stimulation of the gastrointestinal tract. The apparatus features an implantable pulse generator which may be coupled to the gastric system through one or more medical electrical leads. In the preferred embodiment the leads couple to the circular layer of the stomach. The pulse generator preferably features sensors for sensing gastric electrical activity, and in particular, whether peristaltic contractions as occurring. In particular two sensors are featured. The first sensor senses low frequency gastrointestinal electrical activity between the frequency of 0.017-0.25 Hz and the second sensor senses intrinsic gastrointestinal electrical activity between the frequency of 100-300 Hz, which occurs upon normal peristaltic contractions. The second sensor only senses for a preset period after low frequency gastrointestinal electrical activity has been sensed by the first sensor. The pulse generator further delivers stimulation pulse trains to the gastrointestinal tract at a period of time after low frequency gastrointestinal electrical activity has been sensed by the first sensor. If, however, the second sensor senses intrinsic gastrointestinal electrical activity between the frequency of 100-300 Hz, then the delivery of stimulation pulse trains to the gastrointestinal tract is inhibited. In such a manner the present invention detects the occurrence of normal peristaltic contractions and further provides electrical stimulation to the gastrointestinal tract if such normal peristaltic contrations are not detected.
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Citations
19 Claims
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1. An apparatus for providing electrical stimulation to the gastrointestinal tract comprising:
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means for electrically coupling to the gastrointestinal tract; a first sensor for sensing intrinsic gastrointestinal electrical activity between the frequency of 100-300 Hz, the sensor coupled to the means for electrically coupling to the gastrointestinal tract, the sensor emitting an intrinsic gastrointestinal electrical activity signal upon the sensing of intrinsic gastrointestinal electrical activity; a pulse generator coupled to the means for electrically coupling to the gastrointestinal tract and the first sensor, the pulse generator emitting asynchronous stimulation pulse trains at a first rate, the pulse generator inhibiting the emission of asynchronous stimulation pulse trains at a first rate upon the emission of the intrinsic gastrointestinal electrical activity signal by the first sensor. - View Dependent Claims (2, 3, 4, 5, 6, 7)
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8. An apparatus for providing electrical stimulation to the gastrointestinal tract comprising:
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means for electrically coupling to the gastrointestinal tract; a first sensor for sensing low frequency gastrointestinal electrical activity between the frequency of 0.017-0.25 Hz, the sensor coupled to the means for electrically coupling to the gastrointestinal tract, the sensor emitting a low frequency gastrointestinal electrical activity signal upon the sensing of low frequency gastrointestinal electrical activity; a second sensor for sensing intrinsic gastrointestinal electrical activity between the frequency of 100-300 Hz, the sensor coupled to the means for electrically coupling to the gastrointestinal tract and the first sensor, the second sensor emitting an intrinsic gastrointestinal electrical activity signal upon the sensing of intrinsic gastrointestinal electrical activity between the frequency of 100-300 Hz within a pre-set period after the emission of a low frequency gastrointestinal electrical activity signal by the first sensor; a pulse generator coupled to the means for electrically coupling to the gastrointestinal tract, the first sensor and the second sensor, the pulse generator emitting asynchronous stimulation pulse trains at a first rate, the pulse generator inhibiting the emission of asynchronous stimulation pulse trains at a first rate upon the emission of the intrinsic gastrointestinal electrical activity signal by the second sensor.
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9. A method of electrically stimulating an comprising the steps of:
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sensing low frequency slow waves in the gastrointestinal tract; determining whether the sensed low frequency slow waves a exceeds predetermined slow wave amount; delivering slow wave electrical stimulation if the sensed low frequency slow waves do not exceed the predetermined slow wave amount and delivering burst electrical stimulation; sensing high frequency spike activity in the gastrointestinal tract; determining whether the sensed high frequency spike activity exceeds a predetermined fast wave amount; and delivering burst electrical stimulation if the sensed high frequency spike activity is lower than the predetermined fast wave amount. - View Dependent Claims (10, 11, 12, 13)
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15. A method of electrically stimulating an organ comprising the steps of:
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determining the fullness of an organ within the GI tract; sensing the absence of muscular contractions in the organ; and delivering an electrical muscular contraction stimulation to the organ to thereby cause a contraction to occur in the organ. - View Dependent Claims (14, 16)
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17. An apparatus for providing electrical stimulation to the gastrointestinal tract comprising:
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a pulse generator, the pulse generator generating electrical stimulation pulse trains at a pre set frequency, means for sensing low frequency slow waves in the gastrointestinal tract; and means for sensing high frequency spike activity in the gastrointestinal tract for a first pre set period of time after the sensing of low frequency slow waves, the means for sensing high frequency spike activity coupled to the pulse generator and inhibiting the generation of the electrical stimulation pulse trains for a second pre set period of time when the sensed high frequency spike activity exceeds a programmed high frequency spike activity value. - View Dependent Claims (18, 19)
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Specification