Stimulation for acute conditions

• US 7,117,033 B2
• Filed: 02/20/2004
• Issued: 10/03/2006
• Est. Priority Date: 05/08/2000
• Status: Expired due to Term

• Current Assignee: BrainsGate Ltd.
• Original Assignee: BrainsGate Ltd.
• Inventors: Shalev, Alon, Natan, Amir
• Primary Examiner(s): Getzow, Scott M.
• Application Number:
  US10/783,113
• Publication Number:
  US 20040220644A1
• Time in Patent Office: 956 Days
• Field of Search: 607/2, 607/45, 607/46
• US Class Current: 607/2
• CPC Class Codes: A61B 5/026 Measuring blood flow A61B3/1233, A61B3/1241 take precedence
• CPC Class Codes: A61N 1/0546 Nasal electrodes
• CPC Class Codes: A61N 1/0548 Oral electrodes
• CPC Class Codes: A61N 1/326 for promoting growth of cells, e.g. bone cells
• 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 1/36082 Cognitive or psychiatric applications, e.g. dementia or Alzheimer's disease
• CPC Class Codes: A61N 1/37223 Circuits for electromagnetic coupling

Abstract

A method for treating a subject is provided, comprising positioning at least one electrode at least one site of the subject for less than about 3 hours, applying an electrical current to the site of the subject, and configuring the current to increase cerebral blood flow (CBF) of the subject, so as to treat a condition of the subject. The site is selected from the list consisting of: a sphenopalatine ganglion (SPG) of the subject, a greater palatine nerve of the subject, a lesser palatine nerve of the subject, a sphenopalatine nerve of the subject, a communicating branch between a maxillary nerve and an SPG of the subject, an otic ganglion of the subject, an afferent fiber going into the otic ganglion of the subject, an efferent fiber going out of the otic ganglion of the subject, an infraorbital nerve of the subject, a vidian nerve of the subject, a greater superficial petrosal nerve of the subject, and a lesser deep petrosal nerve of the subject.

Claims

1. Apparatus for application to a subject, comprising:

an elongated support element having a length of between about 1.8 cm and about 4 cm, and having a proximal end and a distal end;

one or more electrodes fixed to the support element in a vicinity of the distal end thereof;

a receiver, flxed to the support element in a vicinity of the proximal end thereof; and

a control unit, adapted to be coupled to the receiver, and adapted to;

drive the electrodes to apply an electrical current to tissue of the subject, and

configure the current to have a pulse frequency of between about 10 Hz and about 50 Hz, an amplitude of between about 0.2 V and about 10 V, a pulse width of between about 50 microseconds and about 5 milliseconds, and, in alternation, on periods of between about 1 second and about 2 minutes, and off periods of between about 1 second and about 2 minutes,

wherein the control unit is adapted to be positioned inside an oral cavity of the subject, and

comprising an oral appliance, adapted to be fixed to the control unit, and shaped so as to define a surface that fits closely to a roof of the oral cavity.

2. The apparatus according to claim 1, wherein the tissue is selected from the group consisting of:

a sphenopalatine ganglion (SPG) of the subject, a greater palatine nerve of the subject, a lesser palatine nerve of the subject, a sphenopalatine nerve of the subject, a communicating branch between a maxillary nerve and an SPG of the subject, an otic ganglion of the subject, an afferent fiber going into the otic ganglion of the subject, an efferent fiber going out of the otic ganglion of the subject, an infraorbital nerve of the subject, a vidian nerve of the subject, a greater superficial petrosal nerve of the subject, and a lesser deep petrosal nerve of the subject, and wherein the control unit is adapted to drive the electrodes to apply the current to the selected tissue.

3. The apparatus according to claim 2, wherein the tissue includes the SPG, and wherein the control unit is adapted to drive the electrodes to apply the current to the SPG.

4. The apparatus according to claim 2, wherein the tissue includes the greater palatine nerve, and wherein the control unit is adapted to drive the electrodes to apply the current to the greater palatine nerve.

5. The apparatus according to claim 1, wherein the support element has a length of between about 1.8 cm and about 3 cm.

6. The apparatus according to claim 1, wherein the receiver comprises an electrical contact site, and wherein the control unit is adapted to be coupled to the receiver by being brought into physical contact with the electrical contact site.

7. The apparatus according to claim 1, wherein the receiver comprises a transducer, and wherein the control unit comprises a wireless transmitter, which is adapted to couple the control unit to the receiver via wireless communication with the transducer.

8. The apparatus according to claim 7, wherein the transducer comprises a coil.

9. The apparatus according to claim 7, wherein the wireless transmitter is adapted to wirelessly couple the control unit to the receiver via wireless electromagnetic communication with the transducer.

10. The apparatus according to claim 1, wherein the receiver has a volume of less than about 0.8 cm³.

11. The apparatus according to claim 10, wherein the receiver has a volume of less than about 0.15 cm³.

12. The apparatus according to claim 1, wherein the control unit is adapted to apply the current having on periods of between about 60 seconds and about 105 seconds, and off periods of between about 30 seconds and 90 seconds.

13. The apparatus according to claim 12, wherein the control unit is adapted to apply the current having on periods of about 90 seconds, and off periods of about 60 seconds.

14. The apparatus according to claim 1, wherein at least a portion of the support element is adapted to be placed in a greater palatine canal of the subject.

15. A method comprising:

inserting an elongated support element into a body of a subject, the element having a length of between about 1.8 cm and about 4 cm, and having a distal end;

applying, from a vicinity of the distal end, an electrical current to tissue of the subject; and

configuring the current to have a pulse frequency of between about 10 Hz and about 50 Hz, an amplitude of between about 0.2 V and about 10 V, a pulse width of between about 50 microseconds and about 5 milliseconds, and, in alternation, on periods of between about 1 second and about 2 minutes, and off periods of between about 1 second and about 2 minutes.

16. The method according to claim 15, wherein applying the current comprises receiving energy at the support element, and, using the energy, applying the current to the tissue.

17. The method according to claim 16, wherein receiving the energy comprises transmitting the energy from inside an oral cavity of the subject, and receiving the transmitted energy.

18. The method according to claim 16, wherein receiving the energy comprises receiving the energy from inside an oral cavity of the subject via an electrical contact site of the support element.

19. The method according to claim 16, wherein receiving the energy comprises wirelessly receiving the energy.

20. The method according to claim 19, wherein wirelessly receiving the energy comprises wirelessly receiving electromagnetic energy.

21. The method according to claim 19, wherein wirelessly receiving the energy comprises wirelessly transmitting the energy from outside of a head of the subject, and wirelessly receiving the transmitted energy.

22. The method according to claim 19, wherein wirelessly receiving the energy comprises wirelessly transmitting the energy from inside an oral cavity of the subject, and wirelessly receiving the transmitted energy.

23. The method according to claim 15, wherein the tissue is selected from the group consisting of:

a sphenopalatine ganglion (SPG) of the subject, a greater palatine nerve of the subject, a lesser palatine nerve of the subject, a sphenopalatine nerve of the subject, a communicating branch between a maxillary nerve and an SPG of the subject, an otic ganglion of the subject, an afferent fiber going into the otic ganglion of the subject, an efferent fiber going out of the otic ganglion of the subject, an infraorbital nerve of the subject, a vidian nerve of the subject, a greater superficial petrosal nerve of the subject, and a lesser deep petrosal nerve of the subject, and wherein applying the current comprises applying the current to the selected tissue.

24. The method according to claim 23, wherein the tissue includes the SPG, and wherein applying the current comprises applying the current to the SPG.

25. The method according to claim 23, wherein the tissue includes the greater palatine nerve, and wherein applying the current comprises applying the current to the greater palatine nerve.

26. The method according to claim 15, wherein the support element has a length of between about 1.8 cm and about 3 cm, and wherein inserting the support element comprises inserting the support element having the length of between about 1.8 cm and about 3 cm.

27. The method according to claim 15, wherein configuring the current comprises configuring the current to have on periods of between about 60 seconds and about 105 seconds, and off periods of between about 30 seconds and 90 seconds.

28. The method according to claim 27, wherein configuring the current comprises configuring the current to have on periods of about 90 seconds, and off periods of about 60 seconds.

29. The method according to claim 15, wherein inserting the support element comprises inserting at least a portion of the support element into a greater palatine canal of the subject.

30. The method according to claim 29, wherein inserting the at least a portion of the support element into the greater palatine canal comprises inserting the at least a portion of the support element into the greater palatine canal via a roof of an oral cavity of the subject.