Stimulation of the urinary system

• US 8,725,249 B2
• Filed: 03/08/2012
• Issued: 05/13/2014
• Est. Priority Date: 12/09/2008
• Status: Active Grant

• Current Assignee: Nephera Ltd.
• Original Assignee: Nephera Ltd.
• Inventors: Bar-Yoseph, Gill, Levi, Aviv, Polsky, Alon, Bleicher, David
• Primary Examiner(s): Koharski, Christopher D
• Assistant Examiner(s): CAREY, MICHAEL JAMES
• Application Number:
  US13/415,594
• Publication Number:
  US 20120226098A1
• Time in Patent Office: 796 Days
• Field of Search: 607/40, 600/29, 606/41, 623/23.65
• US Class Current: 607/3
• CPC Class Codes: A61N 1/0514 Electrodes for the urinary tract
• CPC Class Codes: A61N 1/0556 Cuff electrodes
• CPC Class Codes: A61N 1/0558 Anchoring or fixation means therefor
• CPC Class Codes: A61N 1/36007 of urogenital or gastrointestinal organs, e.g. for incontinence control

Abstract

Apparatus and methods are described including identifying a subject as suffering from an impaired body system, the body system being selected from the group consisting of: a cardiovascular system and a renal system. In response thereto, a structure is inserted inside a bladder of the subject, and the bladder is mechanically stimulated with the structure. Other applications are also described.

Claims

1. A method, comprising:

identifying a subject as suffering from an impaired body system, the body system being selected from the group consisting of;

a cardiovascular system and a renal system; and

in response thereto, treating the impaired body system of the subject, by mechanically stimulating a bladder of the subject with a structure.

2. The method according to claim 1, wherein mechanically stimulating the bladder with the structure comprises mechanically stimulating the bladder with a balloon.

3. The method according to claim 1, wherein mechanically stimulating the bladder with the structure comprises mechanically stimulating the bladder with a stiff mechanical element.

4. The method according to claim 1, wherein mechanically stimulating the bladder with the structure comprises moving the structure using an engine.

5. The method according to claim 1, wherein mechanically stimulating the bladder with the structure comprises moving the structure magnetically.

6. The method according to claim 1, wherein mechanically stimulating the bladder comprises controlling a kidney function of the subject selected from the group consisting of:

glomerular filtration rate, rate of urine flow from the kidney, urine composition, urine density and renal hormone secretion.

7. The method according to claim 1, wherein mechanically stimulating the bladder comprises controlling a cardiovascular function of the subject selected from the group consisting of:

blood pressure, portal pressure, pulmonary pressure, organ blood flow, cardiac output, heart rate, intravascular fluid volume, extravascular fluid volume, pulmonary edema level, and body edema level.

8. The method according to claim 1, wherein mechanically stimulating the subject'"'"'s bladder comprises inserting a catheter into the bladder, the structure being disposed at a distal end of a catheter, and wherein inserting the catheter comprises facilitating outflow of urine from the bladder via a urine-drainage lumen of the catheter.

9. The method according to claim 1, further comprising detecting a parameter of the subject, wherein mechanically stimulating the bladder comprises mechanically stimulating the bladder responsively to the detected parameter.

10. The method according to claim 9, wherein detecting the parameter comprises detecting impedance of the subject'"'"'s urine.

11. The method according to claim 9, wherein detecting the parameter comprises detecting a parameter selected from the group consisting of:

glomerular filtration rate, urine flow, urine composition, secretion of hormones from the kidney, a creatinine level, and an insulin level.

12. The method according to claim 9, wherein detecting the parameter comprises detecting a parameter selected from the group consisting of:

a urinary parameter, urinary peristalsis, and urinary pressure.

13. The method according to claim 9, wherein detecting the parameter comprises detecting a parameter selected from the group consisting of:

blood chemistry, blood pressure, heart rate, breathing rate, lung fluid volume, and ECG.

14. The method according to claim 1, wherein mechanically stimulating the bladder with the structure comprises moving the structure with respect to an inner wall of the bladder, while at least a portion of the structure is contacting the inner wall.

15. The method according to claim 14, wherein the structure includes a structure disposed at an end of a transurethral catheter, and wherein moving the structure comprises performing an action selected from the group consisting of:

vibrating the catheter, pushing the catheter, pulling the catheter, and modulating a length of the catheter.

16. The method according to claim 14, wherein the structure includes a device that is configured to remain inside the subject'"'"'s bladder in the absence of a transurethral catheter, and wherein moving the structure comprises moving the device.

17. The method according to claim 14, wherein moving the structure comprises directing energy toward the structure from a location outside a body of the subject.

18. The method according to claim 17, wherein directing energy toward the structure comprises directing a magnetic field toward the structure.

19. The method according to claim 17, wherein directing energy toward the structure comprises directing waves toward the structure, the waves being selected from the group consisting of:

sonic waves and ultrasonic waves.

20. The method according to claim 14, wherein the structure includes a balloon, and wherein moving the structure with respect to the inner wall of the bladder comprises moving the balloon with respect to the inner wall of the bladder.

21. The method according to claim 20, wherein the balloon includes protruding members that protrude therefrom, and wherein mechanically stimulating the bladder comprises moving the protruding members with respect to the inner wall of the bladder.

22. The method according to claim 20, wherein moving the balloon with respect to the inner wall of the bladder comprises modulating a volume of the balloon.

23. The method according to claim 22, wherein modulating the volume of the balloon comprises modulating the volume of the balloon at a frequency of 0.1 Hz to 1 Hz.

24. The method according to claim 20, wherein mechanically stimulating the bladder comprises inflating the balloon to a volume of more than 30 cc.

25. The method according to claim 24, wherein mechanically stimulating the bladder comprises inflating the balloon to a volume of more than 50 cc.

26. The method according to claim 25, wherein mechanically stimulating the bladder comprises inflating the balloon to a volume of more than 100 cc.

30. The method according to claim 22, wherein modulating the volume of the balloon comprises modulating the volume of the balloon at a frequency of 0.1 Hz to 1 Hz.

27. A method, comprising:

identifying a subject as suffering from an impaired body system, the body system being selected from the group consisting of;

a cardiovascular system and a renal system; and

in response thereto, treating the impaired body system of the subject, by mechanically stimulating a bladder of the subject, by directing toward the subject'"'"'s bladder waves selected from the group consisting of;

sonic waves and ultrasonic waves.

28. A method, comprising:

identifying a subject as suffering from an impaired body system, the body system being selected from the group consisting of;

a cardiovascular system and a renal system;

in response thereto;

inserting a structure inside a bladder of the subject; and

mechanically stimulating the bladder with the structure; and

detecting a parameter of the subject selected from the group consisting of;

blood chemistry, blood pressure, heart rate, breathing rate, lung fluid volume, and ECG,

mechanically stimulating the bladder comprising mechanically stimulating the bladder responsively to the detected parameter.

29. A method, comprising:

identifying a subject as suffering from an impaired body system, the body system being selected from the group consisting of;

a cardiovascular system and a renal system; and

in response thereto;

inserting a balloon inside a bladder of the subject; and

mechanically stimulating the bladder with the balloon, by moving the balloon with respect to an inner wall of the bladder, while the balloon is contacting the inner wall of the bladder, by modulating a volume of the balloon.

31. A method, comprising:

identifying a subject as suffering from an impaired body system, the body system being selected from the group consisting of;

a cardiovascular system and a renal system; and

in response thereto;

inserting a balloon inside a bladder of the subject; and

mechanically stimulating the bladder with the balloon, by inflating the balloon to a volume of more than 30 cc, and by moving the balloon with respect to an inner wall of the bladder, while the balloon is contacting the inner wall of the bladder.

32. The method according to claim 31, wherein mechanically stimulating the bladder comprises inflating the balloon to a volume of more than 50 cc.

33. The method according to claim 32, wherein mechanically stimulating the bladder comprises inflating the balloon to a volume of more than 100 cc.