Electrical stimulation of the sympathetic nerve chain

• US 6,885,888 B2
• Filed: 10/23/2001
• Issued: 04/26/2005
• Est. Priority Date: 01/20/2000
• Status: Expired due to Term

• Current Assignee: Cleveland Clinic Foundation
• Original Assignee: Cleveland Clinic Foundation
• Inventors: Rezai, Ali R.
• Primary Examiner(s): Jastrzab, Jeffrey R.
• Application Number:
  US10/001,923
• Publication Number:
  US 20020116030A1
• Time in Patent Office: 1,281 Days
• Field of Search: 607/2, 607/3, 607/9, 607/11, 607/14, 607 17- 26
• US Class Current: 607/9
• CPC Class Codes: A61N 1/05 for implantation or insertion into the body, e.g. heart electrode A61N1/06 takes precedence
• CPC Class Codes: A61N 1/0509 Stomach and intestinal electrodes
• CPC Class Codes: A61N 1/0553 Paddle shaped electrodes, e.g. for laminotomy
• CPC Class Codes: A61N 1/326 for promoting growth of cells, e.g. bone cells
• CPC Class Codes: A61N 1/36007 of urogenital or gastrointestinal organs, e.g. for incontinence control
• CPC Class Codes: A61N 1/36017 with leads or electrodes penetrating the skin
• CPC Class Codes: A61N 1/36021 for treatment of pain
• CPC Class Codes: A61N 1/36071 Pain

Abstract

The present invention provides a method of affecting physiological disorders by stimulating a specific location along the sympathetic nerve chain. Preferably, the present invention provides a method of affecting a variety of physiological disorders or pathological conditions by placing an electrode adjacent to or in communication with at least one ganglion along the sympathetic nerve chain and stimulating the at least one ganglion until the physiological disorder or pathological condition has been affected.

Claims

1. A method of treating heart contractility in a patient comprising:

placing an electrode in communication with at least one ganglion along the sympathetic nerve chain of the patient, said at least one ganglion being associated with heart contractility;

applying an electric signal to the electrode to stimulate the at least one ganglion; and

adjusting at least one parameter of the electric signal until heart contractility has been treated.

2. The method of claim 1, wherein the at least one ganglion is selected from the group consisting of T-1 through T-4 ganglia, cervical ganglia, and combinations thereof.

3. The method of claim 1, wherein the electric signal is applied continuously.

4. The method of claim 1, wherein the electric signal is applied intermittently.

5. The method of claim 1, wherein the parameter is pulse frequency adjustable between about 2 Hz to about 2500 Hz.

6. The method of claim 1, wherein the patient has heart failure associated with cardiomyopathy.

7. The method of claim 1, wherein the patient has a heart contractility disorder.

8. The method of claim 7, wherein the heart contractility disorder is cardiomyopathy.

9. The method of claim 8, wherein the heart contractility disorder is hypertrophic cardiomyopathy.

10. The method of claim 1, wherein the parameter is pulse width adjustable between about 10 microseconds to about 1,000 microseconds.

11. The method of claim 1, wherein the parameter is pulse amplitude adjustable between about 0.1 μ

V to about 20 V.

12. The method of claim 1, further comprising administering an amount of a pharmaceutical agent to the at least one ganglion.

13. The method of claim 12, wherein the amount is determined based upon the effectiveness of the electrical stimulation of the at least one ganglion.

14. The method of claim 12, wherein the administration of the therapeutically effective amount of a pharmaceutical agent is accomplished by a catheter coupled to a pump.

15. The method of claim 14, wherein the catheter is placed in communication with the at least one ganglion along the sympathetic nerve chain of the patient.

16. The method of claim 1, further comprising sensing a signal related to heart contractility.

17. The method of claim 16, wherein the signal is an electrical signal.

18. The method of claim 16, wherein the signal is a chemical signal.

19. The method of claim 16, further comprising regulating the electrical stimulation in response to said signal.