Method of using spinal cord stimulation to treat gastrointestinal and/or eating disorders or conditions

• US 8,463,385 B2
• Filed: 06/18/2012
• Issued: 06/11/2013
• Est. Priority Date: 09/27/2004
• Status: Active Grant

• Current Assignee: Stephen T. Pyles
• Original Assignee: Stephen T. Pyles
• Inventors: Pyles, Stephen T.
• Primary Examiner(s): BOCKELMAN, MARK
• Application Number:
  US13/525,684
• Publication Number:
  US 20120259380A1
• Time in Patent Office: 358 Days
• Field of Search: 607 40- 41, 607/117
• US Class Current: 607/40
• CPC Class Codes: A61N 1/36007 of urogenital or gastrointestinal organs, e.g. for incontinence control
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/36085 Eating disorders or obesity
• CPC Class Codes: A61N 1/36167 Timing, e.g. stimulation onset
• CPC Class Codes: A61N 1/37235 Aspects of the external programmer

Abstract

The present invention involves a method and a system for using electrical stimulation to treat gastrointestinal and/or eating disorders. More particularly, the method comprises surgically implanting an electrical stimulation lead that is in communication with predetermined thoracic vertebral segments to cause spinal nervous tissue stimulation, thus treating a wide variety of gastrointestinal disorders.

Claims

1. A method of treating gastroparesis, comprising:

implanting at least one electrical lead of an electrical spinal cord stimulation system by inserting at least one electrode contact of the electrical lead into the epidural space of the T5, T5/T6, or T6 thoracic vertebral segments of the spine of a patient having gastroparesis symptoms such that the at least one electrode contact of the electrical lead is disposed within the epidural space and adjacent to spinal nervous tissue of the dorsal column of the patient'"'"'s spinal cord associated with the T5, T5/T6, or T6 thoracic vertebral segments;

selecting a plurality of operating parameters for the electrical spinal cord stimulation system that are effective for treating the gastroparesis;

programming the electrical spinal cord stimulation system according to the plurality of operating parameters; and

treating the patient'"'"'s gastroparesis by activating the electrical spinal cord stimulation system to deliver the electrical pulses from the electrode contact to the spinal nervous tissue of the dorsal column within the epidural space associated with the T5, T5/T6, or T6 thoracic vertebral segments to induce normal gastric emptying and bowel function in the patient.

2. The method of claim 1, wherein the electrical spinal cord stimulation system delivers electrical pulses on a temporary basis in response to receiving an initiation signal from an external control device operated by the patient.

3. The method of claim 1, wherein the plurality of operating parameters include a pulse amplitude parameter, a pulse width parameter, and a pulse frequency parameter.

4. The method of claim 3, wherein the pulse frequency parameter is within the range of 10-350 Hz.

5. The method of claim 1, wherein the lead comprises a plurality of electrode contacts and the plurality of operating parameters includes an electrode contact configuration.

6. The method of claim 1, wherein the selecting comprises:

temporarily delivering electrical pulses according to the plurality of operating parameters to the electrode contact adjacent to the nerve tissue within the thoracic vertebral segment; and

monitoring gastric activity that occurs while the temporarily delivering is performed.

7. The method of claim 6, wherein the monitoring comprises:

determining gastric motility by measuring pressure generated by contraction of muscles of the stomach or small intestine.

8. The method of claim 1, wherein the electrical spinal cord stimulation delivers electrical pulses on a substantially continuous basis.

9. The method of claim 1, wherein the gastroparesis is associated with diabetes.