Surgery: light – thermal – and electrical application – Light – thermal – and electrical application – Electrical therapeutic systems
Patent
1997-04-30
1999-01-19
Kamm, William E.
Surgery: light, thermal, and electrical application
Light, thermal, and electrical application
Electrical therapeutic systems
A61N 136
Patent
active
058610146
ABSTRACT:
Method and apparatus for providing on-demand stimulation of the gastrointestinal tract. The apparatus features an implantable 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 layer of the stomach. The pulse generator preferably features sensor for sensing abnormalities in gastric electrical activity. The pulse generator further features means for recognizing the type of gastric abnormality sensed. That is means for detecting whether gastric arrhythmia, bradygastria, dysrhythmia, tachygastria or retrograde propagation or uncoupling are present. If any of these gastric rhythm abnormalities are detected, then the pulse generator features means for emitting stimulation pulse trains to the gastric system to treat the detected gastric rhythm abnormalities. The stimulation pulse trains may take many forms and may be emitted for various periods of time.
REFERENCES:
patent: 4981470 (1991-01-01), Bombeck, IV
patent: 5188104 (1993-02-01), Wernicke et al.
patent: 5292344 (1994-03-01), Douglas
"High Prevalence of Gastric Electrical Dysrhythmias InDiabetic Gastroparesis" --T.L. Abell et al. (Gastroenterology, 1985; 88-1299).
"Development of a Canine Model for Gastric Pacing" --B. Johnson et al. (Gastroenterology, vol. 98, No. 5, Part 2).
"Postoperative Gastroparesis and Tachygastria --Response to Electric Stimulation and Erythromycin" -M.P. Hocking (Surgery, vol. 114, No. 3, Sep. 1993, pp. 538-542).
"Electrogastrographic Study of Gastric Myoelectrical Activity in Patients with Unexplained Nausea and Vomiting" --H. Geldof et al. (Gut, 1986, vol. 27, pp. 799-808).
"Efficacy of Electrical Stimulation at Frequencies Higher than Basal Rate in Canine Stomach" --B. Familoni et al. (Digestive Diseases and Sciences, vol. 42 No. 5, May 1997, pp. 892-897).
"Analysis of Gastric Emptying Data" --J.D. Elashoff et al (Gastroenterology 1982: 83:pp. 1306-1312).
"Gastric Myoelectric Activity in Patients with Chronic Idiopathic Gastroparesis"--M. Bortolotti et al. (Gastrointestinal Motility, vol. 2, No. 2, Jun. 1990, pp. 104-108).
GastricElectromechanical and Neurohormonal Function in Anorexia Nervosa: --T.L. Abell et al. (Gastroenterology, Nov. 1987:93: pp. 958-965).
Electrogastrography --Current Assessment and Future Perspectives --T.L. Abell et al. (Digestive Diseases and Sciences, vol. 33, No. 8, Aug. 1988, pp. 982-992).
Electrogastrographic Study of Patients with Unexplained Nausea, Bloating and Vomiting --C.H. You et al. (Gastroenterology, vol. 79, No. 2, Aug. 1980, pp. 311-314).
"Motility of the Stomach and Gastroduodenal Junction" --K.A. Kelly (Physiology of the Gastrointestinal Tract, 1981, pp. 393-410).
"Gastric Dysrhythmias and Nausea of Pregnancy" --K.L. Koch et al. (Digestive Diseases and Science, vol. 35, No. 8, Aug. 1990, pp. 961-968).
Ergebnisse der Inneren Medizin und Kinderheilkunde --16:198 (1961) (cover page).
Electric Stimulation of the Gastrointestinal Tract -GP Apr. 1994.
Gastrointestinal Pacing --A New Concept in the Treatment of Ileus --Biomedical Sciences Instrumentatoin vol. 1. 1963 (A.M. Bilgutay, R. Wingrove, W.O. Griffen, R.C. Bonnabaue and C.W. Lillehei).
Gastro-intestinal Pacing: Will It Work? --American Journal of Surgery, Feb. 1966 (J. Sonneland).
Evaluation of the Intrinsic Innervation of the Internal Anal Sphincter using Electrical Stimulation --Gut 1989, 30, 935-938 (M.A. Kamm, J.E. Lennard-Jones, and R.J. Nicholls).
Enhancing Absorption in the Canine Short Bowel Syndrome by Intestinal Pacing -Surgery, Aug. 1980 (H.E. Gladen and K.A. Kelly).
Pacing the Human Stomach --Surgery, Feb. 1992 (B.W. Miedema, M.G. Sarr and K.A. Kelly).
Ectopic Jejunal Pacemakers and Gastric Emptying after Roux Gastrectomy: Effect of Intestinal Pacing -Surgery, Nov. 1989 (L.Karlstrom and K.A. Kelly).
A New Treatment for Rectal Prolapse (Abridged) --Proceedings of the Royal Society of Medicine (K.P.S. Caldwell).
Prognosis of Patients with an Ileostomy -- Section of Proctology (A.G. Parks).
Differential Responses of the Canine Gastric Corpus and Antrum to Electric Stimulation --American Journal of Physiology, Jan. 1974 (K.A. Kelly).
The Electrical Control of Sphincter Incompetence --The Lancet, Jul. 23, 1963 (K.P.S. Caldwell).
Gastric Motor Physiology and Pathophysiology --Surgical Clinics of North America, vol. 73, Dec. 1993 (J.J.Cullen and K.A.Kelly).
The Role of the Extrinsic Antral Nerves in the Regulation of Gastric Emptying --Surgery, Gynecology & Obstetrics, Sep. 1977, vol. 145 (C.T. Mroz and K.A. Kelly).
A New Treatment for Rectal Prolapse --Geriatrics, Jan 1968 (K.P.S. Caldwell).
Incontinence --Transactions of the Medical Society of London, Ordinary Meeting, Apr. 1973 (K.P.S. Caldwell).
The Treatment of Incontinence --Hospital Management (K.P.S. Caldwell).
Control of Gastro-intestinal Motility with Electrical Pacing --Jap. J. Smooth Muscle Res. 21: Suppl., 125, 1985 (H.M. Richter, III, S. Bjorck and K.A. Kelly).
Effect of Electrical Stimulation on Gastric Electrical Activity, Motility and Emptying -Neurogastroenterology and Mobiltiy 1995 (J.C. Eagon and K.A. Kelly).
Independence of Canine Gastric and Duodenal Pacesetter Potentials Shown by Electric Pacing --May Clin. Proc, Jan. 1977, vol. 52 (H.E. Gladen and K.A. Kelly.
Duodenal-Gastric Reflux and Slowed Gastric Emptying by Electrical Pacing of the Canine Duodenal Pacesetter Potential -Gastroenterology 72:429-433, Mar. 1977 (K.A. Kelly and C.F. Code).
Pacing the Human Gut --The American Journal of Gastroenterology, vol. 89, No. 3., 1994 (D.A. Johnson and E.L. Cattau).
Pacing the Gut --Gastroenterology, Dec. 1992 (K.A. Kelly).
Human Gastric Myoelectric Activity and Gastric Emptying Following Gastric Surgery and With Pacing --1992 Gastroenterological (M.P. Hocking, S.B. Vogel and C.A. Sninsky).
Pacing the Canine Stomach with Electric Stimulation --American Journal of Physiology, Mar. 1972 (K.A. Kelly and R.C. La Force).
Gastric Emptying of Liquids and Solids: Roles of Proximal and Distal Stomach --Editorial Review, The American Physiological Society 1980 (K.A. Kelly).
Electric Pacing of Intact and Transected Canine Small Intestine and its Computer Model --American Journal of Physiology, vol. 229, Nov. 1975 (O.E. Akwari, K.A. Kelly, J.H. Steinbach and C.F. Code).
Electric Treatment of Anal Incontinence --The Lancet, Feb. 5, 1966 (B.R. Hopkinson, R. Lightwood).
Electrophysiology of Human Colon Motility in Health and Disease --Clinics in Gastroenterology, vol. 15, No. 4, Oct. 1986 (J.D. Huizinga).
Cerebral Evoked Potentials After Rectal Stimulation --Electroencephalography and Clinical Neurophysiology, 80 (1991) 490-495 (V. Loening-Baucke, N.W. Read and T. Yamada).
Measurement of Gastric and Small Bowel Electrical Activity at Laparoscopy--Journal of Laparoendoscopic Surgery, vol. 4, No. 5, 1994 (B.O. Familoni, T.L. Abell and G. Voeller).
Electrical Stimulation of the Bowel --Arch Surg, vol. 91, Sep. 1965 (J.M. Moran and D.C. Nabseth).
Electrical Pacing for Short Bowel Syndrome -Surgery, Gynecology & Obstetrics -Nov. 1981, vol. 153 (H.E. Gladen and K.A. Kelly).
The Treatment of Incontinence by Electronic Implants --Annals of the Royal College of Surgeons of England, Dec. 1967 ( K.P.S. Caldwell).
The Future of Intestinal Pacing --Gastroenterology Clinics of North America, vol. 23, No. 2, Jun. 1994 (J.J. Cullen and K.A. Kelly).
Control fo Muscle Tone in the Human Colon --Gut, 1992, 33, 541-546 (C.J. Steadman, S.F. Phillips, M. Camilleri, N.J. Talley, A. Haddad, R. Hanson).
Enhancing the Anti-Dumping Effect of Roux Gastrojejunostomy with Intestinal Pacing -Ann. Surgery, Oct. 1983, vol. 198 (B. Cranley, K.A. Kelly, V.L.W. Go, L.A. NcNichols).
The Roux Operation for Postgastrectomy Syndromes --The American Journal of Surgery, vol. 161, Feb. 1991 (B.W. Miedema, K.A. Kelly).
Effect of Duodenal Cooling on Small Intestinal Pacing --Mayo Clin. Proc. Aug. 1982, vol. 57 (K.R. Berg, H.E. Gladen, K.A. Kelly).
Achieving Enteric Continence: Principles and Applications --Mayo Clin Proc. Jul. 1986, vol. 61 (J.H. Pemberton, K.A. Kelly).
Electrical St
Jaro Michael J.
Kamm William E.
Medtronic Inc.
Patton Harold
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