Electrical Treatment Of Bronchial Constriction

Abstract

Devices, systems and methods for treating bronchial constriction related to asthma, anaphylaxis or chronic obstructive pulmonary disease wherein the treatment includes stimulating selected nerve fibers responsible for smooth muscle dilation at a selected region within a patient's neck, thereby reducing the magnitude of constriction of bronchial smooth muscle.

Description

CROSS REFERENCE TO RELATED APPLICATIONS[0001]This application is a continuation-in-part of U.S. patent application Ser. No. 11 / 591,340, filed Nov. 1, 2006 which in turn claims the benefit of Provisional Patent Application Nos. 60 / 736,001, filed Nov. 10, 2005; 60 / 772,361, filed Feb. 10, 2006; 60 / 814,313, filed Jun. 16, 2006; and 60 / 786,564, filed Mar. 28, 2006, the entire disclosures of which are hereby incorporated by reference.BACKGROUND OF THE INVENTION[0002]The present invention relates to the field of delivery of electrical impulses (and / or fields) to bodily tissues for therapeutic purposes, and more specifically to devices and methods for treating conditions associated with bronchial constriction[0003]There are a number of treatments for various infirmities that require the destruction of otherwise healthy tissue in order to affect a beneficial effect. Malfunctioning tissue is identified, and then lesioned or otherwise compromised in order to affect a beneficial outcome, rather...

AI Technical Summary

Benefits of technology

[0028]The present invention involves products and methods of treatment of asthma, COPD, anaphylaxis, and other pathologies involving the constriction of the primary airways, utilizing an electrical signal that may be applied directly to, or in close proximity to, a selected nerve to temporarily stimulate, block and/or modulate the signals in the selected nerve. The present invention is particularly useful for t

Problems solved by technology

While there are a variety of different techniques and mechanisms that have been designed to focus lesioning directly onto the target nerve tissue, collateral damage is inevitable.

In many cases, these medicinal approaches have side effects that are either unknown or quite significant, for example, at least one popular diet pill of the late 1990's was subsequently found to cause heart attacks and strokes.

Unfortunately, the beneficial outcomes of surgery and medicines are, therefore, often realized at the cost of function of other tissues, or risks of side effects.

While the therapeutic results of deep brain stimulation are promising, there are significant complications that arise from the implantation procedure, including stroke induced by damage to surrounding tissues and the neurovasculature.

Smooth muscle surrounding the airways goes into spasm, resulting in constriction of airways.

Over time, this inflammation can lead to scarring of the airways and a further reduction in airflow.

This inflammation leads to the airways becoming more irritable, which may cause an increase in coughing and increased susceptibility to asthma episodes.

For some patients, however, these medications, and even the bronchodilators are insufficient to stop the constriction of their bronchial passages, and more than five thousand people suffocate and die every year as a result of asthma attacks.

Minute amounts of allergens may cause a life-threatening anaphylactic reaction.

Anaphylactic shock usually results in death in minutes if untreated.

Anaphylactic shock is a life-threatening medical emergency because of rapid constriction of the airway.

Brain damage sets in quickly without oxygen.

All of these individuals are at risk of anaphylactic shock from exposure to any of the foregoing allergens.

In addition, anaphylactic shock can be brought on by exercise.

Yet all are mediated by a series of hypersensitivity responses that result in uncontrollable airway occlusion driven by smooth muscle constriction, and dramatic hypotension that leads to shock.

Cardiovascular failure, multiple organ ischemia, and asphyxiation are the most dangerous consequences of anaphylaxis.

Clinical treatment typically consists of antihistamines (which inhibit the effects of histamine at histamine receptors) which are u

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