Methods and systems of treating pancreatitis pain

• US 8,676,322 B2
• Filed: 01/22/2009
• Issued: 03/18/2014
• Est. Priority Date: 01/30/2008
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Whitehurst, Todd K., Jaax, Kristen N., Carbunaru, Rafael, Baldwin, Greg, Schleicher, Brett, DiGiore, Andrew, Hastings, Roger
• Primary Examiner(s): MANUEL, GEORGE C
• Application Number:
  US12/358,073
• Publication Number:
  US 20090192558A1
• Time in Patent Office: 1,881 Days
• Field of Search: 607/9, 607/40, 600/439
• US Class Current: 607/40
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes
• 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 1/37205 Microstimulators, e.g. implantable through a cannula

Abstract

Methods and systems of treating a patient with pancreatitis pain include providing a stimulator, configuring one or more stimulation parameters to treat pancreatitis pain, programming the stimulator with the one or more stimulation parameters, generating a stimulus configured to treat pancreatitis pain with the stimulator in accordance with the one or more stimulation parameters, and applying the stimulus with the stimulator to one or more stimulation sites in accordance with the one or more stimulation parameters.

Claims

1. A method of treating a patient with pancreatitis pain, comprising:

generating a stimulus with a stimulator in accordance with one or more stimulation parameters; and

applying the stimulus to a stimulation site comprising at least one or more of a pancreatic exocrine tissue, a pancreatic endocrine tissue, a nerve innervating the pancreatic exocrine tissue, a nerve innervating the pancreatic endocrine tissue, a pancreatic duct, a celiac trunk, a nerve surrounding or near the celiac trunk, a nerve surrounding or near a superior mesenteric vein or artery, a sympathetic trunk, and a somatic nerve, such that the pancreatitis pain is treated, wherein the application of the stimulus to the stimulation site suppresses production of one or more pancreatic enzymes.

2. The method of claim 1, wherein the application of the stimulus to the stimulation site reduces neural pain-inducing signals at the stimulation site.

3. The method of claim 1, wherein the stimulus comprises a stimulation current.

4. The method of claim 1, wherein the stimulus comprises an infusion of one or more drugs.

5. The method of claim 1, further comprising evaluating an effectiveness of the stimulus and adjusting the one or more stimulation parameters in accordance with the evaluation.

6. The method of claim 1, further comprising sensing at least one indicator related to the pancreatitis pain and using the at least one sensed indicator to adjust the one or more stimulation parameters.

7. The method of claim 6, wherein the indicator comprises at least one or more of a neurotransmitter level, a patient input, a change in hormone concentration, a detected stomach activity, a circumference change in a duodenum, a pyloric sphincter contraction, a detection of food passing through the gastrointestinal tract, a change in pH, an audible sound, a contraction of exocrine tissue, a pressure change in a bile duct, a pressure change in a pancreatic duct, a pressure change in an ampulla, and a pressure change in the duodenum.

8. The method of claim 1, further comprising implanting the stimulator within the patient.

9. The method of claim 1, wherein the stimulation site comprises pancreatic exocrine tissue.

10. The method of claim 1, wherein the stimulation site comprises pancreatic endocrine tissue.

11. The method of claim 1, wherein the stimulation site comprises a nerve innervating the pancreatic exocrine tissue.

12. The method of claim 1, wherein the stimulation site comprises a nerve innervating the pancreatic endocrine tissue.

13. The method of claim 1, wherein the stimulation site comprises a pancreatic duct.

14. The method of claim 1, wherein the stimulation site comprises a celiac trunk.

15. The method of claim 1, wherein the stimulation site comprises a nerve surrounding or near the celiac trunk.

16. The method of claim 1, wherein the stimulation site comprises a nerve surrounding or near a superior mesenteric vein or artery.

17. The method of claim 1, wherein the stimulation site comprises a sympathetic trunk.

18. The method of claim 1, wherein the stimulation site comprises a somatic nerve.

19. The method of claim 1, wherein the application of the stimulus to the stimulation site suppresses pancreatic digestive activity.

20. The method of claim 1, wherein the application of the stimulus to the stimulation site decreases pancreatic juice buildup.

21. The method of claim 1, wherein the stimulus comprises an infusion of at least one or more drugs, wherein the drug is at least one of a hormonal enzyme suppressant drug, a digestive enzyme suppressant drug, a drug that has an excitatory effect on the stimulation site and a drug that has an inhibitory effect on the stimulation site.

22. The method of claim 1, wherein the stimulation site is a nerve innervating pancreatic acinar cells.

23. The method of claim 1, wherein the application of the stimulus to the stimulation site blocks a vagal efferents that innervates acinar cells, thereby suppressing production of one or more pancreatic enzymes.

24. The method of claim 1, wherein the application of the stimulus to the stimulation site prevents contraction of exocrine tissue, thereby reducing obstructions at a pancreatic duct.

25. A method of treating a patient with pancreatitis pain, comprising:

generating a stimulus with a stimulator in accordance with one or more stimulation parameters; and

applying the stimulus to a stimulation site comprising at least one or more of a pancreatic exocrine tissue, a pancreatic endocrine tissue, a nerve innervating the pancreatic exocrine tissue, a nerve innervating the pancreatic endocrine tissue, a pancreatic duct, a celiac trunk, a nerve surrounding or near the celiac trunk, a nerve surrounding or near a superior mesenteric vein or artery, a dorsal root ganglion, a dorsal column, a dorsal root, a sympathetic trunk, a sympathetic ganglia, a spinal cord level, and a somatic nerve, such that the pancreatitis pain is treated, wherein the application of the stimulus to the stimulation site suppresses production of one or more pancreatic enzymes.

26. A method of treating a patient with pancreatitis pain, comprising:

generating a stimulus with a stimulator in accordance with one or more stimulation parameters; and

applying the stimulus to a stimulation site comprising at least one or more of a pancreatic exocrine tissue, a pancreatic endocrine tissue, a nerve innervating the pancreatic exocrine tissue, a nerve innervating the pancreatic endocrine tissue, a pancreatic duct, a celiac trunk, a nerve surrounding or near the celiac trunk, a nerve surrounding or near a superior mesenteric vein or artery, a dorsal root ganglion, a dorsal column, a dorsal root, a sympathetic trunk, a sympathetic ganglia, a spinal cord level, and a somatic nerve, such that the pancreatitis pain is treated, wherein the stimulus comprises an infusion of one or more drugs, wherein the drug is at least one of a hormonal enzyme suppressant drug, a digestive enzyme suppressant drug, a drug that has an excitatory effect on the stimulation site and a drug that has an inhibitory effect on the stimulation site.