Nerve stimulation and blocking for treatment of gastrointestinal disorders

• US 9,174,040 B2
• Filed: 09/05/2013
• Issued: 11/03/2015
• Est. Priority Date: 02/03/2003
• Status: Expired due to Fees

• Current Assignee: ReShape LifeSciences, Inc.
• Original Assignee: EnteroMedics, Inc. (ReShape LifeSciences, Inc.)
• Inventors: Knudson, Mark B., Wilson, Richard R., Tweden, Katherine S., Conrad, Timothy R.
• Primary Examiner(s): Layno, Carl H
• Assistant Examiner(s): Morales, Jon Eric C
• Application Number:
  US14/019,126
• Publication Number:
  US 20140172052A1
• Time in Patent Office: 789 Days
• Field of Search: 607/40
• US Class Current: 1/1
• CPC Class Codes: A61N 1/05 for implantation or insertion into the body, e.g. heart electrode A61N1/06 takes precedence
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes
• CPC Class Codes: A61N 1/321 Electromedical belts
• CPC Class Codes: A61N 1/36007 of urogenital or gastrointestinal organs, e.g. for incontinence control
• CPC Class Codes: A61N 1/36053 adapted for vagal stimulation A61N1/36114 takes precedence
• CPC Class Codes: A61N 1/3606 adapted for a particular treatment
• CPC Class Codes: A61N 1/36071 Pain

Abstract

At least one of a plurality of gastrointestinal disorders is treated by stimulating an enteric nervous system of a patient to enhance a functional tone of the enteric nervous system. A treatment includes electrically stimulating a vagus nerve of the patient at a stimulation site proximal to at least one site of vagal innervation of a gastrointestinal organ. The electrical stimulation includes applying a stimulation signal at the stimulation site. An optional proximal electrical blocking signal is applied to the vagus nerve at a proximal blocking site proximal to the stimulation site. The proximal blocking signal is selected to at least partially block nerve impulses at the proximal blocking site.

Claims

1. A method of treating conditions associated with low vagal tone comprising:

Positioning at least one electrode on a vagal nerve below the innervation of the heart; and

Treating conditions associated with low vagal tone by applying an electrical signal to the vagus nerve intermittently in a 24 hour period, wherein the electrical signal is applied during awake hours, and is selected to enhance pancreobilliary output, is not timed to trigger muscle contraction, and does not have sufficient energy to drive peristaltic contractions.

2. The method of claim 1, wherein the electrical signal has a frequency of 12 Hz or less.

3. The method of claim 1, wherein the electrical signal is applied at 10 minute intervals.

4. The method of claim 1, wherein the electrical signal is not applied in response to a sensed event.

5. The method of claim 1, wherein the electrical signal is applied during discrete intervals in the morning, afternoon and evening.