Device and implantation system for electrical stimulation of biological systems

• US 9,623,238 B2
• Filed: 08/23/2013
• Issued: 04/18/2017
• Est. Priority Date: 08/23/2012
• Status: Active Grant

• Current Assignee: Paras Holdings LLC
• Original Assignee: EndoStim, Inc.
• Inventors: Sharma, Virender K., Policker, Shai, Hogg, Bevil
• Primary Examiner(s): Dietrich, Joseph
• Application Number:
  US13/975,162
• Publication Number:
  US 20140088664A1
• Time in Patent Office: 1,334 Days
• CPC Class Codes: A61N 1/0517 Esophageal electrodes
• CPC Class Codes: A61N 1/36003 of motor muscles, e.g. for walking assistance
• CPC Class Codes: A61N 1/36007 of urogenital or gastrointestinal organs, e.g. for incontinence control
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/36135 using physiological parameters

Abstract

The present specification discloses devices and methodologies for the treatment of achalasia. Individuals with achalasia are treated by implanting a stimulation device within the patient'"'"'s lower esophageal sphincter and applying electrical stimulation to the patient'"'"'s lower esophageal sphincter, in accordance with certain predefined protocols. The presently disclosed devices have a simplified design because they do not require sensing systems capable of sensing when a person is engaged in a wet swallow and have improved energy storage requirements.

Claims

1. A method for treating esophageal dysfunction and preventing a hiatal hernia in a patient, comprising:

providing a device comprising at least one electrode operably connected to a pulse generator, and an energy source, said device adapted to apply electrical stimulation to a target tissue, wherein the at least one electrode is positioned on a first end of the device and the pulse generator is positioned on a second end of the device;

implanting said device within a gastrointestinal tract of the patient, wherein the first end of the device is implanted in a portion of esophageal tissue of the patient and said at least one electrode is positioned to be in electrical communication with a lower esophageal sphincter of the patient, wherein the second end of the device is implanted in an abdomen of the patient, and wherein said device is implanted such that a slack in a range of 1 cm to 10 cm exists between said first end and said second end; and

operating said device to cause electrical stimulation to be applied to the patient'"'"'s lower esophageal sphincter muscle to modulate function of said lower esophageal sphincter muscle, wherein said operation is not dependent upon, influenced by, modified by, lengthened by, or shortened by a physiological state of a patient.

2. The method for treating esophageal dysfunction and preventing a hiatal hernia of claim 1, further comprising the step of incising a muscle of the lower esophageal sphincter of said patient to eliminate tone of said muscle.

3. The method for treating esophageal dysfunction and preventing a hiatal hernia of claim 1, wherein operating said device to apply electrical stimulation to said lower esophageal sphincter further effectuates an increase in peristaltic activity within the esophageal tissue.

4. The method for treating esophageal dysfunction and preventing a hiatal hernia of claim 1, wherein said esophageal dysfunction comprises any one or more of achalasia, pain with swallowing, stasis, and/or regurgitation.

5. The method for treating esophageal dysfunction and preventing a hiatal hernia of claim 1, wherein said esophageal tissue comprises any one or more of the proximal, mid, distal esophagus and/or LES.

6. The method for treating esophageal dysfunction and preventing a hiatal hernia of claim 1, wherein said operation defines, uses, or is dependent upon a plurality of stimulation parameters that are selected, derived, obtained, calculated, or determined, at least in part, to avoid lower esophageal sphincter fatigue and tolerance.

7. The method for treating esophageal dysfunction and preventing a hiatal hernia of claim 1, wherein said operation defines, uses, or is dependent upon a plurality of stimulation parameters that are selected, derived, obtained, calculated, or determined, at least in part, to account for a latent, delayed, time-delayed, or future response of the lower esophageal sphincter of the patient.

8. The method for treating esophageal dysfunction and preventing a hiatal hernia of claim 4, further wherein said operation is initiated prior to a pre-defined point in time wherein said pre-defined point in time is associated with an achalasia triggering event and wherein said initiation occurs prior to said pre-defined point in time by a minimum time period.

9. The method for treating esophageal dysfunction and preventing a hiatal hernia of claim 8, wherein said minimum time period is at least 5 minutes, 10 minutes, 15 minutes, 30 minutes, 1 hour, 2 hours, 3 hours, 12 hours, 24 hours, or any time increment therein.

10. The method for treating esophageal dysfunction and preventing a hiatal hernia of claim 8, wherein the electrical stimulation is terminated after said pre-defined point in time has passed.

11. The method for treating esophageal dysfunction and preventing a hiatal hernia of claim 1, wherein said operation is performed in accordance with at least one on period, wherein said on period is between 1 second and 24 hours and at least one off period, wherein said off period is greater than 10 seconds.

12. The method for treating esophageal dysfunction and preventing a hiatal hernia of claim 1, wherein a current of the electrical stimulation from said at least one electrode ranges from greater than or equal to 8 mAmp to less than or equal to 1 Amp.

13. The method for treating esophageal dysfunction and preventing a hiatal hernia of claim 1, wherein a pulse duration of the electrical stimulation from said at least one electrode ranges from greater than or equal to 100 μ

sec to less than or equal to 1 second.

14. A system for treating esophageal dysfunction in a patient, comprising:

a pulse generator in electrical communication with, and physically attached to, at least one electrode, wherein said pulse generator is positioned on a first end of a strap and is configured to be implanted within the patient'"'"'s abdomen, wherein said at least one electrode is positioned on a second end of said strap and is configured to be implanted in esophagus tissue of the patient, wherein, upon implantation, said at least one electrode and said pulse generator are separated by a slack in a range of 1 cm to 10 cm, and wherein said pulse generator with said at least one electrode provide electrical stimulation to the proximate, mid, or distal esophagus or LES to effectuate a decrease in LES tone and pressure and/or an increase in esophageal peristalsis;

a controller module wired or wirelessly connected to said pulse generator, said controller module capable of receiving, storing and transmitting programmatic instructions directed toward the operation of said pulse generator; and

an energy storage component, wherein said energy storage component is integrated with said pulse generator or with said controller and is configured to be independently implanted within the patient or secured outside the patient against the patient'"'"'s skin, wherein said operation is not dependent upon, influenced by, modified by, lengthened by, or shortened by a physiological state of the patient.

15. The system for treating esophageal dysfunction and preventing a hiatal hernia in a patient of claim 14, wherein said esophageal dysfunction comprises any one or more of achalasia, pain with swallowing, stasis, and/or regurgitation.