Wireless leads for gastrointestinal tract applications

• US 8,265,758 B2
• Filed: 03/24/2006
• Issued: 09/11/2012
• Est. Priority Date: 03/24/2005
• Status: Expired due to Fees

• Current Assignee: Tylerton International Inc.
• Original Assignee: MetaCure Limited (MetaCure (USA), Inc.)
• Inventors: Policker, Shai, Prutchi, David, Bitton, Ophir, Rousso, Benny, Glasberg, Offer
• Primary Examiner(s): Patel, Niketa
• Assistant Examiner(s): EDWARDS, PHILIP CHARLES
• Application Number:
  US11/909,501
• Publication Number:
  US 20100228105A1
• Time in Patent Office: 2,363 Days
• Field of Search: 607/40, 607/133
• US Class Current: 607/40
• CPC Class Codes: A61B 2560/0456 Apparatus provided with a docking unit
• CPC Class Codes: A61B 5/0031 Implanted circuitry
• CPC Class Codes: A61B 5/053 Measuring electrical impedance or conductance of a portion of the body
• CPC Class Codes: A61B 5/0538 invasively, e.g. using a catheter
• CPC Class Codes: A61B 5/076 Permanent implantations telemetry using implanted circuitry A61B5/0031; implanted stimulators for therapy A61N1/3605, A61N1/362, A61N1/372
• CPC Class Codes: A61B 5/1107 Measuring contraction of parts of the body, e.g. organ, muscle apparatus for measuring work or force in general G01L
• CPC Class Codes: A61B 5/14532 for measuring glucose, e.g. by tissue impedance measurement
• CPC Class Codes: A61B 5/14539 for measuring pH
• CPC Class Codes: A61B 5/392 Detecting gastrointestinal contractions
• CPC Class Codes: A61B 5/42 Detecting, measuring or recording for evaluating the gastrointestinal, the endocrine or the exocrine systems A61B1/00, A61B5/4857, A61B5/486, A61B5/4866, A61B5/4869 take precedence
• CPC Class Codes: A61B 5/6882 Anchoring means
• 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 1/36007 of urogenital or gastrointestinal organs, e.g. for incontinence control
• CPC Class Codes: A61N 1/37205 Microstimulators, e.g. implantable through a cannula
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: A61N 1/37252 Details of algorithms or data aspects of communication system, e.g. handshaking, transmitting specific data or segmenting data
• CPC Class Codes: A61N 1/37518 Anchoring of the implants, e.g. fixation
• CPC Class Codes: A61N 1/3756 Casings with electrodes thereon, e.g. leadless stimulators

Abstract

Apparatus is provided, including a control unit (310), adapted to be implanted within a patient (324), and a corkscrew-shaped electrode mount (400), adapted to be implanted in a wall of a stomach of the patient. The corkscrew-shaped electrode mount includes first (404) and second (424) electrodes, at respective sites of the electrode mount, and a controller (420), wirelessly coupled to the control unit. Other embodiments are also described.

Claims

1. Apparatus, comprising:

a control unit;

an electrode mount, adapted to be implanted in a wall of a stomach of a patient;

first and second electrodes; and

a controller, wirelessly coupled to the control unit,

wherein the electrode mount comprises a corkscrew-shaped arrangement, and wherein the first and second electrodes and the controller are disposed along a curved portion of the corkscrew-shaped arrangement.

2. The apparatus according to claim 1, wherein the corkscrew-shaped arrangement extends in its corkscrew shape for greater than 720 degrees.

3. The apparatus according to claim 1, further comprising an implantation tool, wherein the corkscrew-shaped arrangement is coiled around the implantation tool and adapted to be corkscrewed therefrom into the wall of the stomach.

4. The apparatus according to claim 1, wherein the corkscrew-shaped arrangement comprises at least a number of electrodes selected from the group consisting of:

5, 20, 50, and 100.

5. The apparatus according to claim 1, wherein the corkscrew-shaped arrangement comprises a force transducer, adapted to generate a signal in response to filling of the stomach.

6. The apparatus according to claim 1, wherein the controller is disposed at a site along the curved portion of the corkscrew-shaped arrangement between the first and second electrodes.

7. The apparatus according to claim 1, wherein the first and second electrodes are disposed at non-opposing sites with respect to a longitudinal axis of the curved portion of the corkscrew-shaped arrangement.

8. The apparatus according to claim 1, wherein the first and second electrodes are adapted to both be in contact with a muscular layer of the stomach following implantation.

9. The apparatus according to claim 8, wherein the first and second electrodes are adapted to be not in contact with a mucosal layer of the stomach following implantation.

10. The apparatus according to claim 1, wherein, with respect to a longitudinal axis of the curved portion of the corkscrew-shaped arrangement, the first electrode is disposed at 12 o'"'"'clock and the second electrode is disposed at a site between 4 o'"'"'clock and 6 o'"'"'clock.

11. The apparatus according to claim 10, wherein the second electrode is disposed at 6 o'"'"'clock with respect to the longitudinal axis.

12. The apparatus according to claim 1, wherein the second electrode is disposed at a site along the curved portion of the corkscrew-shaped arrangement between the first electrode and the controller.

13. The apparatus according to claim 12, comprising a tool for implanting the mount in the wall of the stomach, and wherein the mount is adapted to be coupled to the tool during the implantation such that the controller enters the wall of the stomach before the first and second electrodes enter the wall.

14. The apparatus according to claim 13, wherein the tool is adapted to place at least a portion of the controller at a site outside of the stomach.

15. The apparatus according to claim 1, wherein the controller is adapted to wirelessly transmit data to the control unit, responsively to a current between the electrodes.

16. The apparatus according to claim 15, wherein the electrode mount is adapted to flex in response to filling of the stomach, wherein the current varies in response to the flexing, and wherein the control unit is adapted to identify filling of the stomach in response to variation of the current.

17. The apparatus according to claim 15, wherein the controller is adapted to wirelessly receive power from the control unit, responsively to the data.

18. The apparatus according to claim 17, wherein the controller is adapted to apply a signal to the stomach responsively to receiving the power.

19. The apparatus according to claim 1, wherein the control unit is adapted to be implanted within the patient.

20. The apparatus according to claim 1, wherein the curved portion of the corkscrew-shaped arrangement comprises at least 4 electrodes.