Method and apparatus for treating irregular gastric rhythms
AssigneeMedtronic, Inc.
InventorIvan Bourgeois
Life of this patent
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Abstract
A method and apparatus for treating gastric arrhythmia. The apparatus features an implantabler pulse generator which may be coupled to the gastric system through one or more medical electrical leads. In the preferred embodiment the leads couple to the circular muscle layer of the stomach. The apparatus further features a sensor to sense slow waves and determines whether the slow waves are occurring in an irregular or unstable manner. The apparatus further permits such slow waves to be diagnosed as either occurring in a bradygastria or a tachygastria and provides the appropriate electrical stimulation in response. Thus the present invention diagnoses and treats irregular gastric rhythm such as bradygastria and tachygastria.
Claims11
An apparatus for providing electrical stimulation to the GI tract, comprising:
- a sensor for sensing a first interval of intrinsic gastrointestinal electrical activity between the frequency of 1 to 15 cycles/min. (0.017-0.25 Hz) and a second interval of intrinsic gastrointestinal electrical activity between the frequency of 1 to 15 cycles/min. (0.017-0.25 Hz);
- a signal processor to process the sensed intrinsic gastrointestinal electrical activity and generate an abnormal gastrointestinal electrical activity trigger signal when the first interval differs from the second interval by an abnormal amount;
- a pulse generator, the pulse generator coupled to the signal processor so as to receive the abnormal gastrointestinal electrical activity trigger signal, the pulse generator coupled to at least one medical electrical lead, the pulse generator emitting stimulation pulse trains at a first rate, wherein the first rate is a multiple of an average of a sensed intrinsic gastrointestinal electrical activity rate, and the multiple is about three times the average of a sensed intrinsic gastrointestinal electrical activity rate.
A method of regularizing slow waves in the GI tract comprising the steps of:
- sensing slow wave within the GI tract and determining the a slow wave rate;
- detecting whether the slow wave rate is outside a predetermined normal slow wave band;
- detecting whether the slow wave rate has changed its rate outside a predetermined slow wave rate change band;
- and
- delivering normalizing gastric rhythm electrical stimulation if the slow wave rate has changed outside a predetermined slow wave rate change band;
- wherein the normalizing gastric rhythm electrical stimulation comprises delivering a series of electrical stimulation pulse trains and the electrical stimulation pulse trains are a series of pulse trains emitted at a frequency of 30 Hz and a duration of approximately 4 seconds, each pulse lasting 330 microseconds with an amplitude of between approximately 0.5 to 10 Volts or a current of between approximately 0.1 milliamps to 30 milliamps.
Dependencies are inferred from the claim text.