US5919216A
Expired / Lapsed
US
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System and method for enhancement of glucose production by stimulation of pancreatic beta cells
Assignee: JARO MICHAEL J
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Filing: 1997-06-16
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Granted: 1999-07-06
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Expires: 2017-06-16
Abstract
Abstract There is provided a system for automatically responding to insulin demand without any need for external monitoring or injecting of insulin into the diabetic patient. The system provides for sensing glucose levels internally, and responding by stimulating either the pancreas or a transplant of pancreatic islets in order to enhance insulin production. The enhancing stimulation is delivered at a rate greater than the burst rate, or is otherwise controlled so that the depolarization burst constitutes a greater portion of each islet electrical cycle, thereby resulting in increased insulin production. The system also provides for continuous glucose monitoring, and reacts to sensed hypoglycemia by delivering stimulus pulses timed to reduce the burst durations, and thus to inhibit insulin production. In another embodiment, the system responds to a good intake signal, either externally or internally generated, by going through a time response algorithm to provide a stimulation-enhanced insulin response which simulates the natural response. In yet another embodiment, the functionality of an islet transplant is continually monitored, and performance data is logged and down loaded on command to an external programmer. The stimulation of patient pancreatic cells may be combined with administration of a hypoglycemic agent.
Inventors
- 👤 Richard P. M. Houben
- 👤 Alexis C. M. Renirie
Bibliographic Details
Application Number
—
Jurisdiction
US
Data Source
google_patents
Last Synchronized
2026-10-23 10:14
CPC Classifications
A; A61; A61B; A61B5/00; A61B5/42; A61B5/4222; A61B5/425; A61B5/145; A61B5/14532; A61M; A61M5/00; A61M5/14; A61M5/168; A61M5/172; A61M5/1723; A61N; A61N1/00; A61N1/18; A61N1/32; A61N1/36; A61N1/36007; A61M5/142; A61M5/14244; A61M5/14276
Claims Analysis
Total Claims: 66
Claim 1
Independent Claim
69 words
A system for stimulating pancreatic beta cells located at a predetermined patient location for the purpose of increasing insulin production by such beta cells, comprising: a controllable stimulus generator for generating stimulus pulses; delivery means for delivering said stimulus pulses to said cells at said location; and control means for controlling said generator to generate stimulus pulses timed to increase the rate of insulin production by said beta cells.
Claim 2
Independent Claim
69 words
A system for stimulating pancreatic beta cells located at a predetermined patient location for the purpose of increasing insulin production by such beta cells, comprising: a controllable stimulus generator for generating stimulus pulses; delivery means for delivering said stimulus pulses to said cells at said location; and control means for controlling said generator to generate stimulus pulses timed to increase the rate of insulin production by said beta cells.
Claim 3
Dependent Claim
53 words
The system as described in claim 1, wherein said control means comprises sensing means for sensing spontaneous depolarization bursts of said beta cells, timing means for developing timing signals corresponding to said bursts, and control signal means for generating control signals for initiating a stimulus pulse as a function of said timing signals.
Claim 4
Dependent Claim
36 words
The system as described in claim 2, wherein said control signal means comprises means for determining the rate of said spontaneous bursts and for generating said control signals at a rate greater than said burst rate.
Claim 5
Dependent Claim
44 words
The system as described in claim 2, wherein said control signal means comprises means for determining the end of each burst evoked by a delivered stimulus pulse, and means for generating a next control signal at a predetermined time following each said burst end.
Claim 6
Dependent Claim
35 words
The system as described in claim 1, wherein said patient has a transplant of islets of Langerhans at said location, and said delivery means comprises lead means for delivering said stimulus pulses to said transplant.
Claim 7
Dependent Claim
23 words
The system as described in claim 1, wherein said delivery means comprises lead means for delivering said stimulus pulses to said patient's pancreas.
Claim 8
Dependent Claim
31 words
The system as described in claim 1, wherein said delivery means comprises lead means for delivering said stimulus pulses to said patient's vagal nerve, thereby evoking pancreatic beta cell depolarization bursts.
Claim 9
Dependent Claim
78 words
The system as described in claim 1, wherein said patient has a transplant of islets of Langerhans positioned at a second location close to a patient bloodstream, sensing means for sensing electrical activity of beta cells of said islets at said second location, glucose means for determining an increase in blood glucose as a function of said sensed islet electrical activity, and means for initiating generation of said stimulus pulses in response to a sensed increase in glucose.
Claim 10
Dependent Claim
22 words
The system as described in claim 1, comprising means positionable external to said patient's body for initiating generation of said stimulus pulses.
Claim 11
Dependent Claim
33 words
The system as described in claim 9, further comprising program means for controlling said stimulator to generate stimulus pulses in accord with a predetermined program over at least a given period to time.
Claim 12
Dependent Claim
35 words
The system as described in claim 1, comprising implantable measure means for obtaining a measure of patient blood glucose, and response means for controlling generation of said stimulus pulses as a function of said measure.
Claim 13
Dependent Claim
30 words
The system as described in claim 11, wherein said means comprises means for controlling said stimulus generator to generate synchronizing pulses timed to evoke depolarization bursts in said beta cells.
Claim 14
Dependent Claim
40 words
The system as described in claim 11, wherein said patient has a transplant of islets of Langerhans containing beta cells, and wherein said measure means comprises means for determining said measure from the electrical activity of said transplant beta cells.
Claim 15
Dependent Claim
37 words
The system as described in claim 1, comprising glucose means for determining a measure of patient glucose, and adjust means for adjusting the timing of delivery of said stimulus pulses as a function of said glucose measure.
Claim 16
Dependent Claim
53 words
The system as described in claim 14, comprising means for determining when said glucose measure is below a predetermined level, thus indicating hypoglycemia, and wherein said adjust means comprises means responsive to indicated hypoglycemia for controlling said stimulus generator to time said stimulus pulses so as to decrease beta cell depolarization burst durations.
Claim 17
Independent Claim
73 words
A system implantable in a patient for detecting and responding to patient hypoglycemia, comprising: glucose means for monitoring patient blood glucose; means for determining when said monitored blood glucose indicates hypoglycemia; stimulus means for generating stimulus pulses and delivering said pulses to a selected patient location containing insulin-producing pancreatic beta cells; and control means for controlling the timing of said stimulus pulses so as to decrease the insulin secretion of said beta cells.
Claim 18
Independent Claim
73 words
A system implantable in a patient for detecting and responding to patient hypoglycemia, comprising: glucose means for monitoring patient blood glucose; means for determining when said monitored blood glucose indicates hypoglycemia; stimulus means for generating stimulus pulses and delivering said pulses to a selected patient location containing insulin-producing pancreatic beta cells; and control means for controlling the timing of said stimulus pulses so as to decrease the insulin secretion of said beta cells.
Claim 19
Dependent Claim
43 words
The system as described in claim 16, wherein said control means comprises means for determining parameters of spontaneous depolarization bursts of said beta cells, and timing means for timing delivery of said stimulus pulses to shorten the durations of the cell depolarization bursts.
Claim 20
Dependent Claim
33 words
The system as described in claim 17, wherein said patient has encapsulated islets of Langerhans at said location, and said stimulus means comprises lead means for delivering said stimulus pulses to said islets.
Claim 21
Dependent Claim
23 words
The system as described in claim 17, wherein said stimulus means comprises lead means for delivering said stimulus pulses to the patient's pancreas.
Claim 22
Dependent Claim
76 words
An implantable system for sensing electrical activity of pancreatic beta cells and stimulating said beta cells to promote increased insulin production therefrom, comprising: glucose means for continually obtaining a measure of patient blood glucose level, and determining from said measure when increased insulin production is indicated; and stimulus means responsive to an indication of increased insulin production for stimulating said beta cells with pulses timed to increase the duty cycle of depolarization bursts of said cells.
Claim 23
Dependent Claim
76 words
An implantable system for sensing electrical activity of pancreatic beta cells and stimulating said beta cells to promote increased insulin production therefrom, comprising: glucose means for continually obtaining a measure of patient blood glucose level, and determining from said measure when increased insulin production is indicated; and stimulus means responsive to an indication of increased insulin production for stimulating said beta cells with pulses timed to increase the duty cycle of depolarization bursts of said cells.
Claim 24
Dependent Claim
48 words
The system as described in claim 20, wherein said patient has a transplant of islets of said beta cells, and said glucose means comprises first sensing means for sensing activity of said transplant cells, and determining means for determining said measure of blood glucose from said sensed activity.
Claim 25
Dependent Claim
27 words
The system as described in claim 20, wherein said glucose means comprises means for sensing patient EKG signals and for obtaining said glucose measure from said signals.
Claim 26
Dependent Claim
34 words
The system as described in claim 20, wherein said glucose means comprises means for sensing spontaneous beta cell activity in said patient's pancreas and for obtaining said glucose measure from said sensed cell activity.
Claim 27
Dependent Claim
29 words
The system as described in claim 20, further comprising means for receiving an external communication carrying glucose data pertaining to start of glucose load or patient blood glucose level.
Claim 28
Dependent Claim
26 words
The system as described in claim 24, comprising control means for controlling said stimulus means to respond to a glucose load with a predetermined timed response.
Claim 29
Dependent Claim
23 words
The system as described in claim 25, wherein said control means comprises software algorithm means for introducing compensation reflective of patient glucose kinetics.
Claim 30
Dependent Claim
77 words
The system as described in claim 20, wherein said patient has a transplant of islets of beta cells, and further comprising: glucose data means for storing data representative of obtained measures of blood glucose level; burst means for sensing at least one predetermined parameter of the spontaneous depolarization bursts of said transplant and storing data representative of same; and functionality means for analyzing said stored glucose and parameter data and determining therefrom a measure of transplant functionality.
Claim 31
Independent Claim
64 words
A system for delivering a timed insulin response to start of food intake by a patient, comprising: intake means for determining when a patient has commenced and/or completed food intake; algorithm means initiated by said intake means for determining a timed insulin production response following a said food intake; and insulin means for increasing insulin in said patient according to said timed insulin response.
Claim 32
Independent Claim
64 words
A system for delivering a timed insulin response to start of food intake by a patient, comprising: intake means for determining when a patient has commenced and/or completed food intake; algorithm means initiated by said intake means for determining a timed insulin production response following a said food intake; and insulin means for increasing insulin in said patient according to said timed insulin response.
Claim 33
Dependent Claim
33 words
The system as described in claim 28, comprising an implantable device housing said intake means and said insulin means, said implantable device further comprising receiver means for receiving an externally generated intake signal.
Claim 34
Dependent Claim
16 words
The system as described in claim 29, wherein said insulin means comprises a controllable insulin pump.
Claim 35
Dependent Claim
27 words
The system as described in claim 29, wherein said insulin means comprises stimulus means for stimulating the patient's pancreas with pulses timed to increase pancreatic insulin production.
Claim 36
Dependent Claim
38 words
The system as described in claim 29, wherein said patient has a transplant of islets of Langerhans, and said insulin means comprises stimulus means for stimulating said transplant with pulses timed to increase insulin production by said islets.
Claim 37
Dependent Claim
43 words
The system as described in claim 29, comprising glucose monitoring means for obtaining a measure of blood glucose, and further comprising adjust means for adjustably controlling said insulin means to produce insulin at a rate which is a function of said glucose measure.
Claim 38
Dependent Claim
38 words
The system as described in claim 33, wherein said adjust means comprises means for controlling said insulin means to decrease insulin production in response to an obtained glucose measure which is below a predetermined reference which represents hypoglycemia.
Claim 39
Dependent Claim
28 words
The system as described in claim 28, wherein said algorithm means comprises compensation means for introducing a compensated insulin response which is based upon insulin and glucose dynamics.
Claim 40
Independent Claim
62 words
A system for monitoring functionality of an islet transplant in a patient, comprising: glucose means for determining and storing representations of patient blood glucose level; sensing means for sensing electrical activity of said transplant and for storing representations of said activity corresponding timewise with said glucose representations; and diagnostic means for providing diagnostic data based on said stored glucose and activity representations.
Claim 41
Independent Claim
62 words
A system for monitoring functionality of an islet transplant in a patient, comprising: glucose means for determining and storing representations of patient blood glucose level; sensing means for sensing electrical activity of said transplant and for storing representations of said activity corresponding timewise with said glucose representations; and diagnostic means for providing diagnostic data based on said stored glucose and activity representations.
Claim 42
Dependent Claim
44 words
The system as described in claim 36, wherein said glucose means and said sensing means periodically store said representations, and said diagnostic means comprises means for processing said representations to provide data representative of transplant functionality over at least a predetermined period of time.
Claim 43
Dependent Claim
40 words
The system as described in claim 36, further comprising intake means for determining when said patient has intaken food, and control means for controlling said glucose means and said sensing means to obtain said representations following patient intake of food.
Claim 44
Dependent Claim
23 words
The system as described in claim 38, wherein said control means further comprises algorithm means for timing the operation of obtaining said representations.
Claim 45
Independent Claim
59 words
A method of increasing insulin production by stimulating insulin-producing islets in a patient, comprising: sensing spontaneous electrical signals of said islets and determining at least one predetermined parameter relating to the depolarization bursts of said signals; and delivering stimulus pulses to said islets so as to increase the time duration of said bursts relative to the islet repolarization intervals.
Claim 46
Independent Claim
59 words
A method of increasing insulin production by stimulating insulin-producing islets in a patient, comprising: sensing spontaneous electrical signals of said islets and determining at least one predetermined parameter relating to the depolarization bursts of said signals; and delivering stimulus pulses to said islets so as to increase the time duration of said bursts relative to the islet repolarization intervals.
Claim 47
Dependent Claim
68 words
The method as described in claim 40, further comprising positioning a first relatively large volume transplant of said islets in the patient at a first location and positioning a second relatively smaller volume transplant of said islets at a second location close to a patient bloodstream, and wherein said sensing comprises sensing signals of said second transplant and said delivering comprises delivering stimulus pulses to said first transplant.
Claim 48
Dependent Claim
26 words
The method as described in claim 40, further comprising monitoring patient blood glucose, and stopping said delivering step whenever said blood glucose indicates a hypoglycemic condition.
Claim 49
Dependent Claim
34 words
The method as described in claim 42, further comprising delivering stimulus pulses to said islets timed to decrease the time duration of said bursts relative to the islet repolarization intervals, thereby decreasing insulin production.
Claim 50
Independent Claim
57 words
A method of responding to patient food intake by delivering insulin in accord with a predetermined time response, comprising: determining when a patient has commenced food intake; processing an algorithm to determine a timed response as a function of patient glucose and insulin dynamics; and increasing insulin production in said patient in accord with said timed response.
Claim 51
Independent Claim
57 words
A method of responding to patient food intake by delivering insulin in accord with a predetermined time response, comprising: determining when a patient has commenced food intake; processing an algorithm to determine a timed response as a function of patient glucose and insulin dynamics; and increasing insulin production in said patient in accord with said timed response.
Claim 52
Dependent Claim
44 words
The method as described in claim 44, comprising implanting a device in said patient which comprises receive means for receiving an externally generated food intake signal; algorithm means for storing and processing said algorithm; and insulin means for increasing insulin production in said patient.
Claim 53
Dependent Claim
21 words
The method as described in claim 45, comprising sensing at a predetermined patient location when said patient has had food intake.
Claim 54
Independent Claim
52 words
A method of enhancing insulin production in a patient concurrently with the administration of a hypoglycemic agent to the patient, comprising determining when a said agent has been administered to the patient, and initiating a stimulation program following said determining, and stimulating insulin-producing islets in said patient in accord with said program.
Claim 55
Independent Claim
52 words
A method of enhancing insulin production in a patient concurrently with the administration of a hypoglycemic agent to the patient, comprising determining when a said agent has been administered to the patient, and initiating a stimulation program following said determining, and stimulating insulin-producing islets in said patient in accord with said program.
Claim 56
Independent Claim
77 words
A system for enhancing production of insulin by a patient's pancreas, comprising: a stimulus generator for generating stimulus signals; delivery means for delivering said stimulus signals to the patient's pancreas, having at least three electrodes positioned in or on said pancreas; switching means for switching said signals to respective different pairs of said electrodes; and control means for controlling said stimulus generator to generate said stimulus pulses at a rate so as to increase pancreatic insulin production.
Claim 57
Independent Claim
77 words
A system for enhancing production of insulin by a patient's pancreas, comprising: a stimulus generator for generating stimulus signals; delivery means for delivering said stimulus signals to the patient's pancreas, having at least three electrodes positioned in or on said pancreas; switching means for switching said signals to respective different pairs of said electrodes; and control means for controlling said stimulus generator to generate said stimulus pulses at a rate so as to increase pancreatic insulin production.
Claim 58
Dependent Claim
31 words
The system as described in claim 48, wherein said switching means comprises means for automatically switching said signals to a different pair of said electrodes in accordance with a predetermined program.
Claim 59
Independent Claim
65 words
A system for delivering a timed insulin response to start of food intake by a patient, comprising: intake means for determining when a patient has commenced and/or completed food intake; algorithm means initiated by said intake means for determining a timed insulin production response following a said food intake; and insulin means for altering insulin production in said patient according to said timed insulin response.
Claim 60
Independent Claim
65 words
A system for delivering a timed insulin response to start of food intake by a patient, comprising: intake means for determining when a patient has commenced and/or completed food intake; algorithm means initiated by said intake means for determining a timed insulin production response following a said food intake; and insulin means for altering insulin production in said patient according to said timed insulin response.
Claim 61
Dependent Claim
33 words
The system as described in claim 50, comprising an implantable device housing said intake means and said insulin means, said implantable device further comprising receiver means for receiving an externally generated intake signal.
Claim 62
Dependent Claim
27 words
The system as described in claim 50, wherein said insulin means comprises stimulus means for stimulating the patient's pancreas with pulses timed to increase pancreatic insulin production.
Claim 63
Dependent Claim
38 words
The system as described in claim 50, wherein said patient has a transplant of islets of Langerhans, and said insulin means comprises stimulus means for stimulating said transplant with pulses timed to increase insulin production by said islets.
Claim 64
Dependent Claim
43 words
The system as described in claim 50, comprising glucose monitoring means for obtaining a measure of blood glucose, and further comprising adjust means for adjustably controlling said insulin means to produce insulin at a rate which is a function of said glucose measure.
Claim 65
Dependent Claim
38 words
The system as described in claim 54, wherein said adjust means comprises means for controlling said insulin means to decrease insulin production in response to an obtained glucose measure which is below a predetermined reference which represents hypoglycemia.
Claim 66
Dependent Claim
28 words
The system as described in claim 50, wherein said algorithm means comprises compensation means for introducing a compensated insulin response which is based upon insulin and glucose dynamics.
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USPTO Annuity & Maintenance Windows
| Annuity Stage | Window Opens | Payment Deadline | Surcharge Period Until | Estimated Fee | Status |
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| 3.5 Years (Year 4) | 2002-07-05 | 2003-01-04 | 2003-07-06 | $2000.00 | Window Closed / Lapsed |
| 7.5 Years (Year 8) | 2006-07-05 | 2007-01-04 | 2007-07-06 | $3760.00 | Window Closed / Lapsed |
| 11.5 Years (Year 12) | 2010-07-05 | 2011-01-04 | 2011-07-06 | $7700.00 | Window Closed / Lapsed |