Methods and systems for glucose regulation
First Claim
1. A system for treating a patient with impaired glucose regulation comprising:
- at least two electrodes operably connected to an implantable pulse generator, wherein one of the electrodes is adapted to be placed on a vagus nerve below a vagal innervation of the heart;
an implantable pulse generator that comprises a power module and a programmable therapy delivery module, wherein the programmable therapy delivery module is configured to deliver at least one therapy program comprising an electrical signal treatment applied intermittently multiple times in a day and over multiple days to the vagus nerve, wherein the electrical signal treatment is selected to reduce a HbA1C %, has a frequency selected to downregulate activity on the vagus nerve of at least 500 Hz, an on time and an off time, wherein the off time is selected to allow at least a partial recovery of the activity of the vagus nerve; and
an external component comprising an antenna and a programmable storage and communication module, wherein programmable storage and communication module is configured to store the at least one therapy program and to communicate the at least one therapy program to the implantable pulse generator.
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Accused Products
Abstract
Various methods and apparatus for treating a condition associated with impaired glucose regulation in a subject comprising in one embodiment, applying a neural conduction block to a target nerve at a blocking site with the neural conduction block selected to at least partially block nerve pulses. In another embodiment, combinations of down-regulating and or up-regulating with or without pharmaceutical agents are used to treat impaired glucose regulation. In other embodiments, up-regulation or down-regulation of various nerves, such as the vagus and its branches, and the splanchnic is used to modify the production of GLP-1 and GIP, thereby controlling glucose levels. In yet further embodiments, combinations of down-regulating and or up-regulating with or without pharmaceutical agents are used to modify the production of GLP-1 and GIP, to treat impaired glucose regulation.
57 Citations
38 Claims
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1. A system for treating a patient with impaired glucose regulation comprising:
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at least two electrodes operably connected to an implantable pulse generator, wherein one of the electrodes is adapted to be placed on a vagus nerve below a vagal innervation of the heart; an implantable pulse generator that comprises a power module and a programmable therapy delivery module, wherein the programmable therapy delivery module is configured to deliver at least one therapy program comprising an electrical signal treatment applied intermittently multiple times in a day and over multiple days to the vagus nerve, wherein the electrical signal treatment is selected to reduce a HbA1C %, has a frequency selected to downregulate activity on the vagus nerve of at least 500 Hz, an on time and an off time, wherein the off time is selected to allow at least a partial recovery of the activity of the vagus nerve; and an external component comprising an antenna and a programmable storage and communication module, wherein programmable storage and communication module is configured to store the at least one therapy program and to communicate the at least one therapy program to the implantable pulse generator. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34)
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35. A method of making a system for treating a patient with impaired glucose regulation comprising:
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providing at least two electrodes operably connectable to an implantable pulse generator, wherein one of the electrodes is adapted to be placed on a vagus nerve below a vagal innervation of the heart; configuring a programmable therapy delivery module of the implantable pulse generator to deliver at least one therapy program comprising an electrical signal treatment applied intermittently multiple times in a day and over multiple days to the vagus nerve, wherein the electrical signal treatment is selected to reduce a HbA1C %, has a frequency selected to downregulate activity on the vagus nerve of at least 500 Hz, and has an on time and an off time, wherein the off time is selected to allow at least a partial recovery of the activity of the vagus nerve; and configuring a programmable storage and communication module of an external component to store the at least one therapy program and to communicate the at least one therapy program to the implantable pulse generator. - View Dependent Claims (36, 37, 38)
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Specification