Apparatus and methods for corrective guidance of eating behavior after weight loss surgery

• US 9,293,062 B2
• Filed: 10/22/2008
• Issued: 03/22/2016
• Est. Priority Date: 10/15/2007
• Status: Active Grant

• Current Assignee: Isaac Tavori, Lorentz Fleischer
• Original Assignee: Isaac Tavori, Lorentz Fleischer
• Inventors: Tavori, Isaac, Fleischer, Lorentz (Lior)
• Primary Examiner(s): Marmor, II, Charles A
• Assistant Examiner(s): LANNU, JOSHUA DARYL DEANON
• Application Number:
  US12/738,079
• Publication Number:
  US 20100228080A1
• Time in Patent Office: 2,708 Days
• Field of Search: 600/37, 600/587, 600/345, 606/151, 606/157, 607/40
• US Class Current: 1/1
• CPC Class Codes: A61B 2562/0247 Pressure sensors
• CPC Class Codes: A61B 5/0086 using infrared radiation
• CPC Class Codes: A61B 5/4238 stomach
• CPC Class Codes: A61B 5/4836 Diagnosis combined with treatment in closed-loop systems or methods A61B5/0036 takes precedence
• CPC Class Codes: A61B 5/4866 Evaluating metabolism A61B5/083 takes precedence
• CPC Class Codes: A61B 5/686 Permanently implanted devices, e.g. pacemakers, other stimulators, biochips A61B5/6861 takes precedence
• CPC Class Codes: A61B 8/0833 involving detecting or locating foreign bodies or organic structures
• CPC Class Codes: A61B 8/4483 characterised by features of the ultrasound transducer
• CPC Class Codes: A61F 2005/002 for sensing mechanical parameters
• CPC Class Codes: A61F 2005/0023 for sensing chemical parameters
• CPC Class Codes: A61F 5/005 Gastric bands
• CPC Class Codes: G09B 19/0092 Nutrition
• CPC Class Codes: G16H 20/60 relating to nutrition control, e.g. diets
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 50/50 for simulation or modelling of medical disorders

Abstract

Apparatuses and methods for corrective guidance of eating behavior of a patient equipped with a gastric restriction device. The apparatus provides continuous monitoring or one or more parameters related to food passing through the gastric restriction device. Each monitored parameter is processed to provide a visual indication of the current eating behavior. The visual indication is used as input to the patient or a caregiver to modify the eating behavior. In some embodiments, the apparatus includes an emergency relief mechanism that automatically relieves excess pressure developing in the gastric restriction device. In some embodiments, the apparatus is enabled to deliver an appetite suppressant to modify the eating behavior.

Claims

1. A method for modifying the eating behavior of a patient equipped with a gastric restriction apparatus (GRA), comprising:

a) monitoring at least one physical parameter directly related to the food consumed;

wherein said food currently passing through said GRA is characterized by said at least one physical parameter;

b) analyzing said monitored at least one physical parameter to provide an indication of a current eating behavior pattern;

c) analyzing said indication of a current eating behavior pattern;

d) using said analysis of said indication of a current eating behavior pattern to induce long term modification of the eating behavior of said patient by a method selected from the group consisting of administering a hunger controlling substance, providing indicators and behavioral modification steps to said patient, and adjustment of said GRA;

wherein said at least one physical parameter is selected from the group consisting of viscosity of a bolus of said food, density of a bolus of said food, quantity of a bolus of said food, the time of passage of a bolus of said food, interval between a pair of boluses of said food, duration of a meal, and pressure applied onto said GRA by said bolus of said food; and

further wherein said step of monitoring includes obtaining near infrared (NIR) spectra of properties related to food currently passing through said GRA and said step of analyzing includes processing said NIR spectra into macronutrients-caloric content data.

2. The method of claim 1, wherein said step of monitoring includes monitoring based on a modified flow meter model.

3. The method of claim 2, wherein said at least one physical parameter is pressure and wherein said step of analyzing said monitored physical parameter includes processing monitored pressure into an indication selected from a group consisting of volumetric flow, mass flow and Reynolds number, analysis of eating behavior and any combination thereof.

4. The method of claim 1, wherein said step of monitoring includes monitoring intra-corporally.

5. The method of claim 1, wherein said step of monitoring includes monitoring extra-corporally.

6. The method of claim 1, wherein said step of using said indication of said current eating pattern to modify said eating behavior of said patient and said step of analyzing said indication further comprise a step of indicating current eating behavior through a display to said patient.

7. The method of claim 1, wherein said step of monitoring includes ultrasonic monitoring of a stoma orifice'"'"'s state and wherein said step of analyzing said monitored at least one physical parameter includes analyzing an acoustic impedance mismatch reflective of said stoma orifice'"'"'s state.

8. The method of claim 1, further comprising the step of calibrating said GRA to a desired restriction based on said at least one monitored physical parameter.

9. The method of claim 1 wherein said at least one monitored physical parameter is pressure, the method further comprising providing an emergency relief mechanism coupled to said GRA, and using said emergency relief mechanism to automatically release pressure in said GRA when an excessive pressure is indicated by said monitoring.

10. The method of claim 1, wherein the step of monitoring is preceded by a step of monitoring said monitored at least one physical parameter on a standard food substance to obtain at least one standard food parameter and wherein said step of processing includes comparing said monitored at least one physical parameter to said at least one standard food parameter.

11. The method of claim 1, wherein said indication is provided to said patient and wherein said step of using said indication is performed by said patient.

12. The method of claim 1, wherein said indication is provided to a physician and wherein said step of using said indication is performed by a physician through appropriate instructions to said patient.

13. The method of claim 1, wherein said food passing through said GRA is at least one of the group consisting of solid and liquid comestibles.

14. The method of claim 1, further comprising a step of identifying ingested food as solid food, semi-solid food, or liquid food.

15. A method for modifying the eating behavior of a patient equipped with a gastric restriction apparatus (GRA), comprising:

a) monitoring at least one IR spectrum of food currently passing through said GRA;

b) processing said at least one monitored IR spectrum to obtain a quantity of at least one macronutrient in said food, said at least one macronutrient selected from a group consisting of carbohydrate, protein, fat, and water;

c) calculating a caloric value for said food from said macronutrient content;

d) using said caloric value of said food to induce long term modification of the eating behavior of said patient;

e) inducing long-term modification of the eating behavior of said patient by providing an indication to the patient or healthcare giver;

f) analyzing said indication of a current eating behavior pattern; and

,

g) using said analysis of said indication of a current eating behavior pattern to induce long term modification of the eating behavior of said patient by a method selected from the group consisting of administering a hunger controlling substance, providing indicators and behavioral modification steps to said patient, and adjustment of said GRA.

16. The method of claim 15, wherein said step of inducing long term modification of the eating behavior of said patient uses said quantity of at least one macronutrient in said food.

17. The method of claim 15, wherein the step of monitoring includes monitoring intra-corporally.

18. The method of claim 15, wherein the step of monitoring includes monitoring extra-corporally.

19. The method of claim 15, wherein the step of inducing long-term modification of the eating behavior of said patient includes indicating said current eating behavior through a display to said patient.

20. The method of claim 15, wherein the step of monitoring is preceded by a step of measuring the IR spectrum of a standard food substance to obtain at least one standard spectrum characteristic of at least one macronutrient;

and wherein the step of processing said at least one monitored IR spectrum includes comparing said monitored spectra to at least one standard spectrum.

21. The method of claim 15, wherein said step inducing long-term modification of the eating behavior of said patient includes administering a hunger controlling substance.

22. The method of claim 15 wherein said indication is provided to said patient and further comprising a step of using said indication, said step of using said indication being performed by said patient.

23. The method of claim 15, wherein said indication is provided to a physician and further comprising a step of using said indication, said step of using said indication being performed by said physician through appropriate instructions to said patient.

24. An apparatus for modifying the eating behavior of a patient equipped with a gastric restriction apparatus (GRA) comprising:

a) means configured to monitor IR spectra of food consumed;

wherein said food currently passing through said GRA is characterized by said IR spectra;

b) an intra-corporal emergency relief mechanism used to automatically relieve pressure developing due to said food currently passing through said GRA; and

,

c) a display configured to display a current eating behavior based on data from said monitoring means and to provide recommendations to modify said current eating behavior and information about the patient and said GRA;

wherein at least one physical parameter directly related to said food is calculable from said IR spectra.

25. The apparatus of claim 24, wherein said apparatus further comprises a pressure sensor and said emergency relief mechanism includes a relief valve which is activated by a pressure input provided by said pressure sensor.

26. The apparatus of claim 24, wherein said at least one physical parameter is nutrient caloric value of wherein said monitoring means includes a near infrared source and an infrared detector.

27. The apparatus of claim 24, wherein said at least one physical parameter is macronutrient content.