Use of pulsed radio frequency

• US 9,162,075 B2
• Filed: 12/23/2010
• Issued: 10/20/2015
• Est. Priority Date: 12/23/2009
• Status: Expired due to Fees

• Current Assignee: Hitops GmbH
• Original Assignee: Hitops GmbH
• Inventors: Sluijter, Menno Emanuel, Teixeira, Alexandre Jose Leonardo
• Primary Examiner(s): Koharski, Christopher D
• Assistant Examiner(s): CAREY, MICHAEL JAMES
• Application Number:
  US13/518,225
• Publication Number:
  US 20130079835A1
• Time in Patent Office: 1,762 Days
• Field of Search: 607/3, 607/2
• US Class Current: 1/1
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems
• CPC Class Codes: A61N 1/06 for high-frequency therapy
• CPC Class Codes: A61N 1/40 Applying electric fields by inductive or capacitive coupling microwave apparatus A61N5/00; Applying radio-frequency signals
• CPC Class Codes: A61N 5/00 Radiation therapy ultrasound therapy A61N7/00; devices or apparatus applicable to both therapy and diagnosis A61B6/00

Abstract

The invention relates to a method for medical treatment of a mammal, preferably a human, by applying pulsed radiofrequency (PRF) stimulation intravascularly. More particularly, said method has as effect that it boosts the immune system and/or that it relieves pain. In a preferred embodiment, the disease or condition to be treated is caused or accompanied by immunodeficiency, more preferably the disease or condition is selected from the group of cancer, infectious diseases, immunosuppression or otherwise caused immunodeficiencies. Also auto-immune diseases and conditions associated with allostatic load are preferred for treatment with the method of the invention. In an also preferred embodiment, the PRF stimulation is applied together with vaccination.

Claims

1. A method for medical treatment of a disease or condition in a mammal, the method comprising using a pulse generator for applying a plurality of pulsed radiofrequency (PRF) stimulations over a period of between 2 min and 30 min, the stimulations comprising applying a signal with a frequency of 50,000 Hz-1,000,000 Hz and a voltage of 10 V-80 V delivered in pulse bursts with a duration of 0.1 msec-100 msec and burst frequency of 1/sec-20/sec by an electrode with an impedance of less than 1000 Ω

intravascularly to the mammal to medically treat the disease or condition, wherein the disease or condition and corresponding treatment result is selected from the group consisting of

cancer and resulting in at least one of decreased mediastinal ingrowth, decrease in metastases, or decrease or absence of tumors;

diabetes and resulting in at least one of decreased blood sugar levels or decreased insulin requirement;

chronic obstructive pulmonary disease (COPD) and resulting in increased lung function;

rheumatoid arthritis and resulting in decreased in C-reactive protein (CRP) levels; and

osteoarthritis and resulting in decreased pain,

wherein the medical treatment further results in activating the immune system or relieving pain and wherein PRF is applied together with vaccination.

2. The method according to claim 1, wherein the disease or condition to be treated is an inflammation related disease, an immune disease, an auto-immune disease or a disease related to allostatic load.

3. The method according to claim 2, wherein the disease or condition is selected from the group of cancer, infectious diseases, immunosuppression or immunodeficiencies.

4. The method according to claim 2, wherein the disease or condition is selected from the group of infectious diseases, in particular viral infections, and more specifically HIV infection;

cancer, comprising solid tumours and blood borne tumours, such as lymphoma'"'"'s, myeloma'"'"'s, leukemia, breast cancer, lung cancer, head-and-neck cancers, colon cancer, pancreas cancer, prostate cancer, gastric cancer, ovarian cancer, and metastases thereof;

immunosuppression, caused by chemotherapy, radiation therapy, or treatment with corticosteroids;

immunodeficiency, e.g. caused by malnutrition, ageing, cancer, viral infections or (hereditary) primary immunodeficiencies like SCID, ADA deficiency, Di George'"'"'s syndrome, Omenn syndrome, agammaglobulinemia, Wiskott-Aldrich syndrome, ataxia telangiectasia, ataxia-like syndrome, Nijmegen breakage syndrome, Bloom syndrome, etc.;

complement deficiencies; and

phagocyte disorders, such as Kostmann syndrome, neutropenia;

auto-immune diseases, such as rheumatoid arthritis, alopecia areata, ankylosing sponmdylitis, autoimmune cardiopathy, autoimmune hepatitis, autoimmune pancreatitis, autoimmune inner ear disease, autoimmune progesterone dermatitis, autoimmune uveitis, Chagas disease, chronic obstructive pulmonary disease (COPD), celiac disease, cold agglutinin disease, Crohn'"'"'s disease, dermatomyositis, diabetes mellitus, eosinophilic fasciitis, gastrointestinal pemphigoid, Goodpasture'"'"'s syndrome, Graves'"'"' disease, Guillain-Barré

syndrome, Hashimoto'"'"'s encephalitis, Hashimoto'"'"'s thyroiditis, thrombocytopenic purpura, irritable bowel syndrome (IBS), Kawasaki'"'"'s disease, lupus erythematosus, Miller-Fisher syndrome, mixed connective tissue disease (MCTD), morphea, multiple sclerosis, myasthenia gravis, narcolepsy, neuromyotonia, osteoporosis, pemphigus vulgaris, pernicious anaemia, polymyositis, primary biliary cirrhosis, inflammatory neuropathy, psoriasis, psoriatric arthritis, relapsing polychondritis, restless leg syndrome, sarcoidosis, schizophrenia, giant cell arthritis, ulcerative colitis, vaculitis, vitiligo, Wegner'"'"'s granulomatosis; and

conditions related to allostatic load like insulin resistance, metabolic syndrome, diabetes type 2, atherosclerosis, hypertension, coronary infarction, stroke, arthrosis, migraine, cognitive dysfunctions;

stress related allostatic load conditions, such as depression, burn-out, chronic fatigue syndrome, fibromyalgia, post-traumatic stress syndrome, stress related sleep disorders, gastric ulcers; and

trauma related allostatic load conditions, such as post-traumatic vegetative syndromes, neuropathies, phantom pain and unexplained persistent pain following trauma.

7. The method according to claim 1 performed using an active electrode that is an electro-catheter, with or without a steerable tip, to enable placement of the active part of the electrode closer to a target.

8. The method according to claim 7, wherein the target is a tissue, such as a solid tumor or a diseased organ, or wherein the target is the nervus vagus.

9. The method of claim 1 where the mammal is a human.

10. The method of claim 1 wherein when the disease or condition is cancer, PRF is applied in the vena brachialis and PRF parameters are 4 times per second pulses of 10 msec 420,000 Hz, 60 V for 20 minutes.

11. The method of claim 1 wherein when the disease of condition is diabetes, PRF is applied in the vena brachialis and PRF parameters are an impedance of 276 Ohms, and applied at 4×

10 msec and 45 V for 20 minutes.

12. The method of claim 1 wherein when the disease or condition is COPD, PRF parameters are an impedance of 480 Ohms, and applied at 4×

10 msec/sec and 60 V, during 20 minutes.

5. A method for medical treatment of a disease or condition in a mammal, the method comprising using a pulse generator for applying a plurality of pulsed radiofrequency (PRF) stimulations over a period of between 2 min and 30 min, the stimulations comprising applying a signal with a frequency of 50,000 Hz-1,000,000 Hz and a voltage of 10 V-80 V delivered in pulse bursts with a duration of 0.1 msec-100 msec and burst frequency of 1/sec-20/sec by an electrode with an impedance of less than 1000 Ω

intravascularly to the mammal to medically treat the disease or condition, wherein the disease or condition and corresponding treatment result is selected from the group consisting of

cancer and resulting in at least one of decreased mediastinal ingrowth, decrease in metastases, or decrease or absence of tumors;

diabetes and resulting in at least one of decreased blood sugar levels or decreased insulin requirement;

chronic obstructive pulmonary disease (COPD) and resulting in increased lung function;

rheumatoid arthritis and resulting in decreased in C-reactive protein (CRP) levels; and

osteoarthritis and resulting in decreased pain, where PRF is given before, simultaneous with or after chemical, radiation or surgical treatment.

14. The method according to claim 5 performed using an active electrode that is an electro-catheter, with or without a steerable tip, to enable placement of the active part of the electrode closer to a target.

15. The method according to claim 14, wherein the target is a tissue, such as a solid tumor or a diseased organ, or wherein the target is the nervus vagus.

16. The method of claim 5 where the mammal is a human.

17. The method of claim 5 wherein when the disease or condition is cancer, PRF is applied in the vena brachialis and PRF parameters are 4 times per second pulses of 10 msec 420,000 Hz, 60 V for 20 minutes.

18. The method of claim 5 wherein when the disease of condition is diabetes, PRF is applied in the vena brachialis and PRF parameters are an impedance of 276 Ohms, and applied at 4×

10 msec and 45 V for 20 minutes.

19. The method of claim 5 wherein when the disease or condition is COPD, PRF parameters are an impedance of 480 Ohms, and applied at 4×

10 msec/sec and 60 V, during 20 minutes.

20. The method according to claim 5 wherein the disease or condition to be treated is an inflammation related disease, an immune disease, an auto-immune disease or a disease related to allostatic load.

21. The method according to claim 20, wherein the disease or condition is selected from the group of cancer, infectious diseases, immunosuppression or immunodeficiencies.

22. The method according to claim 5, wherein the disease or condition is selected from the group of infectious diseases, in particular viral infections, and more specifically HIV infection;

cancer, comprising solid tumours and blood borne tumours, such as lymphoma'"'"'s, myeloma'"'"'s, leukemia, breast cancer, lung cancer, head-and-neck cancers, colon cancer, pancreas cancer, prostate cancer, gastric cancer, ovarian cancer, and metastases thereof;

immunosuppression, caused by chemotherapy, radiation therapy, or treatment with corticosteroids;

immunodeficiency, e.g. caused by malnutrition, ageing, cancer, viral infections or (hereditary) primary immunodeficiencies like SCID, ADA deficiency, Di George'"'"'s syndrome, Omenn syndrome, agammaglobulinemia, Wiskott-Aldrich syndrome, ataxia telangiectasia, ataxia-like syndrome, Nijmegen breakage syndrome, Bloom syndrome, etc.;

complement deficiencies; and

phagocyte disorders, such as Kostmann syndrome, neutropenia;

auto-immune diseases, such as rheumatoid arthritis, alopecia areata, ankylosing sponmdylitis, autoimmune cardiopathy, autoimmune hepatitis, autoimmune pancreatitis, autoimmune inner ear disease, autoimmune progesterone dermatitis, autoimmune uveitis, Chagas disease, chronic obstructive pulmonary disease (COPD), celiac disease, cold agglutinin disease, Crohn'"'"'s disease, dermatomyositis, diabetes mellitus, eosinophilic fasciitis, gastrointestinal pemphigoid, Goodpasture'"'"'s syndrome, Graves'"'"' disease, Guillain-Barré

syndrome, Hashimoto'"'"'s encephalitis, Hashimoto'"'"'s thyroiditis, thrombocytopenic purpura, irritable bowel syndrome (IBS), Kawasaki'"'"'s disease, lupus erythematosus, Miller-Fisher syndrome, mixed connective tissue disease (MCTD), morphea, multiple sclerosis, myasthenia gravis, narcolepsy, neuromyotonia, osteoporosis, pemphigus vulgaris, pernicious anaemia, polymyositis, primary biliary cirrhosis, inflammatory neuropathy, psoriasis, psoriatric arthritis, relapsing polychondritis, restless leg syndrome, sarcoidosis, schizophrenia, giant cell arthritis, ulcerative colitis, vaculitis, vitiligo, Wegner'"'"'s granulomatosis; and

conditions related to allostatic load like insulin resistance, metabolic syndrome, diabetes type 2, atherosclerosis, hypertension, coronary infarction, stroke, arthrosis, migraine, cognitive dysfunctions;

stress related allostatic load conditions, such as depression, burn-out, chronic fatigue syndrome, fibromyalgia, post-traumatic stress syndrome, stress related sleep disorders, gastric ulcers; and

trauma related allostatic load conditions, such as post-traumatic vegetative syndromes, neuropathies, phantom pain and unexplained persistent pain following trauma.

6. A method for treating immunodeficiency in a mammal, the method comprising using a pulse generator for administering intravascular pulse radiofrequency (PRF) stimulations over a period of between 2 min and 30 min, the stimulations comprising applying a signal with a frequency of 50,000 Hz-1,000,000 Hz and a voltage of 10 V-80 V delivered in pulse bursts with a duration of 0.1 msec-100 msec and burst frequency of 1/sec-20/sec by an electrode with an impedance of less than 1000 Ω

to the mammal resulting in an increased immune response in the mammal wherein the medical treatment further results in activating the immune system or relieving pain and wherein PRF is applied together with vaccination.

13. A method for treating immunodeficiency in a mammal, the method comprising using a pulse generator for administering intravascular pulse radiofrequency (PRF) stimulations over a period of between 2 min and 30 min, the stimulations comprising applying a signal with a frequency of 50,000 Hz-1,000,000 Hz and a voltage of 10 V-80 V delivered in pulse bursts with a duration of 0.1 msec-100 msec and burst frequency of 1/sec-20/sec by an electrode with an impedance of less than 1000 Ω

to the mammal resulting in an increased immune response in the mammal where PRF is given before, simultaneous with or after chemical, radiation or surgical treatment.