Monitoring, analysis, and regulation of eating habits

• US 8,612,016 B2
• Filed: 08/18/2005
• Issued: 12/17/2013
• Est. Priority Date: 08/18/2004
• Status: Expired due to Fees

• Current Assignee: Tylerton International Inc.
• Original Assignee: MetaCure Limited (MetaCure (USA), Inc.)
• Inventors: Kliger, Anat, Policker, Shai, Aviv, Ricardo
• Primary Examiner(s): Kahelin, Michael
• Assistant Examiner(s): Hankins, Lindsey G
• Application Number:
  US11/573,722
• Publication Number:
  US 20090118797A1
• Time in Patent Office: 3,043 Days
• Field of Search: 607/40, 607/41, 607/62, 607/133, 600/546, 600/593
• US Class Current: 607/62
• CPC Class Codes: A61N 1/36007 of urogenital or gastrointestinal organs, e.g. for incontinence control

Abstract

Gastric apparatus is provided, including one or more sensors, adapted to generate respective sensor signals responsive to activity of a gastrointestinal tract of a subject. A control unit is configured with an eating detection threshold selected from the group consisting of: a predetermined threshold, and a threshold determined during a calibration procedure. The control unit is adapted to receive and analyze the sensor signals, and identify an aspect of at least one of the sensor signals indicative of periodic activity of the gastrointestinal tract. The control unit modifies the eating detection threshold responsive to identifying the aspect of the signals that is indicative of the periodic activity, and determines that an eating event has occurred responsive to the modified eating detection threshold and at least one of the analyzed sensor signals. Other embodiments are also described.

Claims

1. Gastric apparatus, comprising:

one or more sensors, configured to generate respective sensor signals responsive to activity of a gastrointestinal tract of a subject; and

a control unit, configured with an eating detection threshold selected from the group consisting of;

a predetermined threshold, and a threshold determined during a calibration procedure, and configured to;

receive and analyze the sensor signals,

identify an aspect of at least one of the sensor signals representing periodic activity of the gastrointestinal tract,

modify the eating detection threshold responsive to identifying the aspect of the signals representing the periodic activity, and

determine whether an eating event has occurred responsive to the modified eating detection threshold and at least one of the analyzed sensor signals,

wherein the control unit is configured to modify the eating detection threshold responsive to identifying that the periodic activity is of a migrating motor complex (MMC).

2. The apparatus according to claim 1, wherein the control unit is configured to receive and analyze the sensor signals at a first time and a second time after the first time, and to modify the eating detection threshold responsive to a relationship between the sensor signals received at the first and the second times.

3. The apparatus according to claim 1, wherein the control unit is configured to identify the aspect representing the periodic activity which has a period of between 30 and 50 minutes.

4. The apparatus according to claim 1, wherein the one or more sensors comprise one or more implantable mechanical sensors.

5. The apparatus according to claim 1, wherein the one or more sensors comprise one or more implantable electrodes.

6. The apparatus according to claim 1, wherein the control unit is configured to identify the aspect representing the periodic activity which has a period of between 50 and 90 minutes.

7. The apparatus according to claim 1, wherein the control unit is configured to identify the aspect representing the periodic activity which has a period of between 90 and 120 minutes.

8. The apparatus according to claim 1, further comprising a set of one or more current-application electrodes, wherein the control unit is configured to drive the current-application electrodes to apply a current to tissue of the subject.

9. The apparatus according to claim 8, wherein the control unit is configured to drive the current-application electrodes to apply the current to the tissue in response to analysis of the eating event.

10. The apparatus according to claim 9, wherein the control unit is configured to drive the current-application electrodes to apply an ingestion control signal to the tissue in response to the analysis of the eating event.

11. The apparatus according to claim 10, wherein the control unit is configured to configure the ingestion-control signal to cause an effect in the subject selected from the group consisting of:

a sensation of discomfort, a sensation of minor nausea, vertigo, pain, a contraction of the esophagus, a contraction of the lower esophageal sphincter, a feeling of satiation, and gastric dysrhythmia.

12. The apparatus according to claim 1, wherein the sensors are configured to be coupled to a stomach of the subject.

13. The apparatus according to claim 1, wherein the apparatus is configured to treat a condition of the subject.

14. The apparatus according to claim 13, wherein the apparatus is configured to treat obesity of the subject.

15. The apparatus according to claim 1, wherein the control unit is configured to apply a treatment to the subject in response to analysis of the eating event.

16. The apparatus according to claim 1, wherein the one or more sensors comprise at least two impedance sensors, which are configured to measure an electrical impedance between respective stomach sites, and wherein the eating detection threshold is an eating detection impedance threshold.

17. The apparatus according to claim 16, wherein the at least two impedance sensors are configured to measure the impedance between respective fundic sites, and wherein the eating detection impedance threshold is an eating detection fundic impedance threshold.

18. The apparatus according to claim 1, wherein the one or more sensors comprise at least one antral sensor, and wherein the control unit is configured to identify the aspect representing antral periodic electrical activity.

19. The apparatus according to claim 1, wherein the control unit is configured to determine that the eating event has occurred responsive to finding that a value of the at least one of the analyzed sensors signals crosses the modified eating detection threshold.

20. The apparatus according to claim 1, wherein the control unit is configured to determine a period of the periodic activity during a calibration period.

21. Gastric apparatus, comprising:

one or more sensors, configured to generate respective sensor signals responsive to activity of a gastrointestinal tract of a subject; and

a control unit, configured with an eating detection threshold selected from the group consisting of;

a predetermined threshold, and a threshold determined during a calibration procedure, and configured to;

receive and analyze the sensor signals,

identify an aspect of at least one of the sensor signals representing periodic activity of the gastrointestinal tract,

modify the eating detection threshold responsive to identifying the aspect of the signals representing the periodic activity, and

determine whether an eating event has occurred responsive to the modified eating detection threshold and at least one of the analyzed sensor signals,

wherein in modifying the eating detection threshold, the control unit is configured to modify the eating detection threshold in a threshold-modification direction, and

wherein the control unit is configured, at a later time at least 30 minutes following modifying the eating detection threshold, to further modify the eating detection threshold in the threshold-modification direction responsive to identifying at the later time the aspect of the signals representing the periodic activity.

22. Gastric apparatus, comprising:

one or more sensors, configured to generate respective sensor signals responsive to activity of a gastrointestinal tract of a subject; and

a control unit, configured with an eating detection threshold selected from the group consisting of;

a predetermined threshold, and a threshold determined during a calibration procedure, and configured to;

receive and analyze the sensor signals,

identify an aspect of at least one of the sensor signals representing periodic activity of the gastrointestinal tract,

modify the eating detection threshold responsive to identifying the aspect of the signals representing the periodic activity, and

determine whether an eating event has occurred responsive to the modified eating detection threshold and at least one of the analyzed sensor signals,

wherein the control unit is configured, at a later time at least 30 minutes following modifying the eating detection threshold, to at least partially restore the eating detection threshold towards a previous value thereof, responsive to not identifying at the later time the aspect of the signals representing the periodic activity.

23. The apparatus according to claim 22, wherein the control unit is configured to modify the eating detection threshold responsive to identifying that the periodic activity is of a migrating motor complex (MMC).

24. Gastric apparatus, comprising:

one or more sensors, configured to generate respective sensor signals responsive to activity of a gastrointestinal tract of a subject; and

a control unit, configured with an eating detection threshold selected from the group consisting of;

a predetermined threshold, and a threshold determined during a calibration procedure, and configured to;

receive and analyze the sensor signals,

identify an aspect of at least one of the sensor signals representing periodic activity of the gastrointestinal tract,

modify the eating detection threshold responsive to identifying the aspect of the signals representing the periodic activity, and

determine whether an eating event has occurred responsive to the modified eating detection threshold and at least one of the analyzed sensor signals,

wherein the control unit is configured to receive and analyze the sensor signals at a first time and a second time after the first time, and to modify the eating detection threshold responsive to a relationship between the sensor signals received at the first and the second times, and

wherein the control unit is configured to modify the eating detection threshold responsive to the relationship, wherein the first time is between 30 and 50 minutes prior to the second time.

25. The apparatus according to claim 24, wherein the control unit is configured to identify the sensor signals received at the first time as representing a migrating motor complex (MMC) and to identify the sensor signals received at the second time as representing a MMC, and to modify the eating detection threshold responsive to identifying the sensor signals received at the first and the second times as representing the MMC.