WO2004112563A3 - Gastrointestinal methods and apparatus for use in treating disorders - Google Patents

Gastrointestinal methods and apparatus for use in treating disorders Download PDF

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Publication number
WO2004112563A3
WO2004112563A3 PCT/IL2004/000550 IL2004000550W WO2004112563A3 WO 2004112563 A3 WO2004112563 A3 WO 2004112563A3 IL 2004000550 W IL2004000550 W IL 2004000550W WO 2004112563 A3 WO2004112563 A3 WO 2004112563A3
Authority
WO
WIPO (PCT)
Prior art keywords
subject
signal
posture
treating disorders
impedance
Prior art date
Application number
PCT/IL2004/000550
Other languages
French (fr)
Other versions
WO2004112563A2 (en
Inventor
Haim Shlomo Ben
Shai Policker
Ricardo Aviv
Ofer Glasberg
Original Assignee
Metacure N V
Haim Shlomo Ben
Shai Policker
Ricardo Aviv
Ofer Glasberg
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Metacure N V, Haim Shlomo Ben, Shai Policker, Ricardo Aviv, Ofer Glasberg filed Critical Metacure N V
Priority to EP04744890A priority Critical patent/EP1641522B1/en
Priority to US10/561,491 priority patent/US7502649B2/en
Priority to CN2004800238086A priority patent/CN1838978B/en
Priority to JP2006516810A priority patent/JP4943841B2/en
Publication of WO2004112563A2 publication Critical patent/WO2004112563A2/en
Priority to EP05718889A priority patent/EP1735047A4/en
Priority to PCT/IL2005/000316 priority patent/WO2005087310A2/en
Priority to US10/599,015 priority patent/US8666495B2/en
Publication of WO2004112563A3 publication Critical patent/WO2004112563A3/en
Priority to US11/792,811 priority patent/US9931503B2/en
Priority to US15/942,637 priority patent/US11439815B2/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K49/00—Preparations for testing in vivo
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves 
    • A61B5/053—Measuring electrical impedance or conductance of a portion of the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • A61B5/1116—Determining posture transitions
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
    • A61B5/14539—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue for measuring pH
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/42—Detecting, measuring or recording for evaluating the gastrointestinal, the endocrine or the exocrine systems
    • A61B5/4222—Evaluating particular parts, e.g. particular organs
    • A61B5/4238—Evaluating particular parts, e.g. particular organs stomach
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/0003—Apparatus for the treatment of obesity; Anti-eating devices
    • A61F5/0013—Implantable devices or invasive measures
    • A61F5/0026—Anti-eating devices using electrical stimulation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/0003—Apparatus for the treatment of obesity; Anti-eating devices
    • A61F5/0013—Implantable devices or invasive measures
    • A61F5/0036—Intragastrical devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36007—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation of urogenital or gastrointestinal organs, e.g. for incontinence control
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00—Drugs for disorders of the metabolism
    • A61P3/04—Anorexiants; Antiobesity agents
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6867—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive specially adapted to be attached or implanted in a specific body part
    • A61B5/6871—Stomach

Abstract

A method is provided for detecting a change in posture of a subject. An electrical impedance is measured between two or more sites on a stomach (20) of the subject, and an impedance signal is generated responsive thereto. The change in posture is detected by performing a posture analysis of the impedance signal. A method is also provided for treating a subject. The method includes applying an electrical signal to a site of the subject selected from the list consisting of: a colon (402) of the subject, and a distal small intestine (408) of the subject. The signal is configured to stimulate cells of the subject to increase secretion of glucagon-like-peptide-1 (GLP-1) or PYY, or to decrease secretion of ghrelin, in order to treat the subject.
PCT/IL2004/000550 1999-03-05 2004-06-20 Gastrointestinal methods and apparatus for use in treating disorders WO2004112563A2 (en)

Priority Applications (9)

Application Number Priority Date Filing Date Title
EP04744890A EP1641522B1 (en) 2003-06-20 2004-06-20 Gastrointestinal apparatus for detecting a change in posture
US10/561,491 US7502649B2 (en) 2003-06-20 2004-06-20 Gastrointestinal methods and apparatus for use in treating disorders
CN2004800238086A CN1838978B (en) 2003-06-20 2004-06-20 Gastrointestinal methods and apparatus for use in treating disorders
JP2006516810A JP4943841B2 (en) 2003-06-20 2004-06-20 Gastrointestinal methods and devices for use in treating disorders
EP05718889A EP1735047A4 (en) 2004-03-18 2005-03-18 Gastrointestinal methods and apparatus for use in treating disorders and controlling blood sugar
PCT/IL2005/000316 WO2005087310A2 (en) 2004-03-18 2005-03-18 Gastrointestinal methods and apparatus for use in treating disorders and controlling blood sugar
US10/599,015 US8666495B2 (en) 1999-03-05 2005-03-18 Gastrointestinal methods and apparatus for use in treating disorders and controlling blood sugar
US11/792,811 US9931503B2 (en) 2003-03-10 2005-12-09 Protein activity modification
US15/942,637 US11439815B2 (en) 2003-03-10 2018-04-02 Protein activity modification

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US48020803P 2003-06-20 2003-06-20
US48020503P 2003-06-20 2003-06-20
US60/480,208 2003-06-20
US60/480,205 2003-06-20

Related Parent Applications (2)

Application Number Title Priority Date Filing Date
PCT/IL2003/000736 Continuation-In-Part WO2004021858A2 (en) 1999-03-05 2003-09-04 Blood glucose level control
US10/804,560 Continuation-In-Part US20040249421A1 (en) 1999-03-05 2004-03-18 Blood glucose level control

Related Child Applications (3)

Application Number Title Priority Date Filing Date
PCT/IL2004/000551 Continuation-In-Part WO2004112883A2 (en) 1999-03-05 2004-06-20 Hepatic device for treatment or glucose detection
PCT/IL2004/000664 Continuation-In-Part WO2005007232A2 (en) 2003-03-10 2004-07-21 Gastrointestinal methods and apparatus for use in treating disorders and controlling blood sugar
PCT/IL2005/000316 Continuation-In-Part WO2005087310A2 (en) 1999-03-05 2005-03-18 Gastrointestinal methods and apparatus for use in treating disorders and controlling blood sugar

Publications (2)

Publication Number Publication Date
WO2004112563A2 WO2004112563A2 (en) 2004-12-29
WO2004112563A3 true WO2004112563A3 (en) 2005-10-06

Family

ID=33544429

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/IL2004/000550 WO2004112563A2 (en) 1999-03-05 2004-06-20 Gastrointestinal methods and apparatus for use in treating disorders

Country Status (5)

Country Link
US (1) US7502649B2 (en)
EP (1) EP1641522B1 (en)
JP (1) JP4943841B2 (en)
CN (1) CN1838978B (en)
WO (1) WO2004112563A2 (en)

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US8961393B2 (en) 2010-11-15 2015-02-24 Apollo Endosurgery, Inc. Gastric band devices and drive systems
US8961394B2 (en) 2011-12-20 2015-02-24 Apollo Endosurgery, Inc. Self-sealing fluid joint for use with a gastric band
US8992629B2 (en) 2008-01-29 2015-03-31 Peter Forsell Methods and instruments for treating GERD and hiatal hernia
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