Detector-based arterial stimulation

• US 8,855,783 B2
• Filed: 11/10/2011
• Issued: 10/07/2014
• Est. Priority Date: 09/09/2011
• Status: Active Grant

• Current Assignee: Enopace Biomedical Ltd.
• Original Assignee: Enopace Biomedical Ltd.
• Inventors: Dagan, Amir, Gross, Yossi, Reisner, Yotam, Glasberg, Offer, Hanani, Nitai, Ariav, Gal, Meiri, Oded
• Primary Examiner(s): Koharski, Christopher D
• Assistant Examiner(s): Patel, Natasha
• Application Number:
  US13/294,062
• Publication Number:
  US 20130123880A1
• Time in Patent Office: 1,062 Days
• Field of Search: 600/382, 600/529, 607/6, 607/7, 607/62, 607/115
• US Class Current: 607/62
• CPC Class Codes: A61F 2002/016 made from wire-like elements
• CPC Class Codes: A61N 1/0556 Cuff electrodes
• CPC Class Codes: A61N 1/36053 adapted for vagal stimulation A61N1/36114 takes precedence
• CPC Class Codes: A61N 1/36117 for treating hypertension
• CPC Class Codes: A61N 1/3615 Intensity
• CPC Class Codes: A61N 1/372 Arrangements in connection with the implantation of stimulators
• CPC Class Codes: A61N 1/37217 characterised by the communication link, e.g. acoustic or tactile
• CPC Class Codes: A61N 1/378 Electrical supply
• CPC Class Codes: A61N 1/3787 from an external energy source

Abstract

Apparatus is provided, including (1) an external device, configured for placement outside of a body of a subject and to sense a factor of the subject, and to generate a signal in response to the sensed factor, and (2) an implant, which comprises a wireless receiver for receiving the signal, and at least one electrode, the implant configured to drive the electrode to apply current to an aortic and/or vagal site of the subject in response to the signal.

Claims

1. Apparatus for treating a subject, the apparatus comprising:

an external device, configured for placement outside of the subject, the external device comprising;

a detector, configured to detect a factor associated with a state of the subject; and

a control unit, couplable to the detector, and configured to automatically generate a signal; and

an implant, comprising;

an antenna, configured to be placed in an artery of the subject and to receive the signal;

an effector element, comprising at least one electrode, and being couplable to an arterial site of the subject; and

a driver unit, coupled to the antenna, and configured to drive the electrode to stimulate an electrode implantation site of the subject, by driving a current into the electrode implantation site, at least in part responsively to the signal,

wherein the control unit is configured to detect a level of impedance of the antenna, and to modulate the signal at least partially in response to the level of impedance of the antenna and the detected factor.

2. The apparatus according to claim 1, wherein the detector is configured to detect the factor associated with the state of the subject, by detecting a factor associated with a disorder of the subject.

3. The apparatus according to claim 1, wherein the detector is configured to detect the factor associated with the state of the subject, by detecting a factor associated with a physiological state of the subject.

4. The apparatus according to claim 1, wherein the driver unit is configured to reduce sympathetic tone of the subject by driving the electrode to stimulate the electrode implantation site of the subject.

5. The apparatus according to claim 1, wherein the driver unit is configured to increase parasympathetic tone of the subject by driving the electrode to stimulate the electrode implantation site of the subject.

6. The apparatus according to claim 1, wherein the detector is configured to detect the factor associated with the state of the subject, by detecting a breathing-related factor of the subject.

7. The apparatus according to claim 1, wherein the detector is configured to detect reclining of the subject, and wherein the control unit is configured to generate the signal at least in part responsively to the reclining of the subject.

8. The apparatus according to claim 1, wherein the detector is configured to detect sitting of the subject, and wherein the control unit is configured to generate the signal at least in part responsively to the detecting of the sitting of the subject.

9. The apparatus according to claim 1, wherein the implant is configured to detect reclining of the subject, and wherein the control unit is configured to drive the effector element at least in part responsively to the reclining of the subject.

10. The apparatus according to claim 1, wherein the detector is configured to detect the factor associated with the state of the subject, by detecting arterial pulses of the subject.

11. The apparatus according to claim 1, wherein the detector is configured to detect the factor associated with the state of the subject, by detecting a body position of the subject.

12. The apparatus according to claim 1, wherein the control unit is configured to generate the signal as a radio frequency signal.

13. The apparatus according to claim 1, wherein the electrode is configured to be placed in contact with an aorta of the subject.

14. The apparatus according to claim 1, wherein the implant is configured to wirelessly receive power.

15. The apparatus according to claim 14, wherein the implant is configured to receive the power from the signal.

16. The apparatus according to claim 14, wherein the implant is configured to receive power via electromagnetic radiation transmitted by the external device.

27. The apparatus according to claim 1, wherein the control unit is configured to:

derive from the level of impedance of the antenna, a diameter of the subject'"'"'s artery; and

configure the signal in response to the derived diameter of the artery.

17. A method for treating a subject, the method comprising:

extracorporeally detecting a factor associated with a state of the subject;

automatically, extracorporeally generating a signal;

intracorporeally receiving the signal at an antenna that is disposed within an artery of the subject;

detecting a level of impedance at the antenna;

modulating the signal, at least partially in response to the level of impedance of the antenna and the detected factor, and

automatically stimulating an electrode implantation site of the subject, by driving a current into the electrode implantation site, at least in part responsively to the signal.

18. The method according to claim 17, wherein extracorporeally detecting the factor comprises extracorporeally detecting a factor associated with a disorder of the subject.

19. The method according to claim 17, wherein extracorporeally detecting the factor comprises extracorporeally detecting a factor associated with a physiological state of the subject.

20. The method according to claim 17, wherein extracorporeally detecting the factor comprises extracorporeally detecting a breathing-related factor of the subject.

21. The method according to claim 17, wherein stimulating the electrode implantation site comprises reducing sympathetic tone of the subject.

22. The method according to claim 17, wherein stimulating the electrode implantation site comprises increasing parasympathetic tone of the subject.

23. The method according to claim 17, wherein intracorporeally receiving the signal comprises wirelessly receiving power via the signal, using an implant that includes the antenna, and wherein automatically stimulating the electrode implantation site comprises powering the implant using the received power.

24. The method according to claim 17,

wherein intracorporeally receiving the signal comprises wirelessly receiving power via the signal, using an implant that includes the antenna,

wherein automatically stimulating the electrode implantation site comprises powering the implant using the received power,

wherein intracorporeally receiving the signal comprises wirelessly receiving data via the signal, using the implant, and

wherein automatically stimulating the electrode implantation site comprises operating the implant responsively to the received data.

25. The method according to claim 17, wherein generating the signal comprises generating a radio frequency signal, and wherein detecting the signal comprises detecting the radio frequency signal.

26. The method according to claim 17, wherein stimulating the electrode implantation site comprises stimulating an aortic site that is between (a) the bifurcation of the aorta with a left subclavian artery and (b) the bifurcation of the aorta with a fifth intercostal artery of the subject.

28. The method according to claim 17, further comprising deriving from the level of impedance of the antenna, a diameter of the subject'"'"'s artery, wherein modulating the signal comprising modulating the signal, at least partially responsively to the derived diameter.

29. A method for treating a subject, the method comprising:

generating a radio frequency signal;

receiving the radio frequency signal at an antenna that is disposed in a blood vessel of the subject;

detecting a level of impedance at the antenna;

electrically stimulating the subject'"'"'s blood vessel by driving a current into the blood vessel; and

modulating the current least partially in response to the detected level of impedance.

30. The method according to claim 29, further comprising deriving a diameter of the blood vessel from the detected level of impedance, wherein modulating the current comprises modulating the current at least partially in response to the derived diameter of the blood vessel.

31. The method according to claim 29, wherein the blood vessel includes an aorta of the subject, and wherein electrically stimulating the subject'"'"'s blood vessel comprises electrically stimulating the subject'"'"'s aorta.