Baroreflex stimulator with integrated pressure sensor

• US 20070038255A1
• Filed: 07/07/2006
• Published: 02/15/2007
• Est. Priority Date: 09/27/2000
• Status: Active Grant

• Current Assignee: CVRx, Inc.
• Original Assignee: CVRx, Inc.
• Inventors: Kieval, Robert, Rossing, Martin, Serdar, David, Burns, Matthew
• Granted Patent: US 7,813,812 B2
• Time in Patent Office: Days
• US Class Current: 607/4
• CPC Class Codes: A61B 5/02028 Determining haemodynamic parameters not otherwise provided for, e.g. cardiac contractility or left ventricular ejection fraction
• CPC Class Codes: A61N 1/05 for implantation or insertion into the body, e.g. heart electrode A61N1/06 takes precedence
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems
• CPC Class Codes: A61N 1/36053 adapted for vagal stimulation A61N1/36114 takes precedence
• CPC Class Codes: A61N 1/3611 Respiration control stimulating respiratory organs A61N1/3601
• CPC Class Codes: A61N 1/36114 Cardiac control, e.g. by vagal stimulation stimulating the heart A61N1/362
• CPC Class Codes: A61N 1/36117 for treating hypertension
• CPC Class Codes: A61N 1/36125 Details of circuitry or electric components
• CPC Class Codes: A61N 1/36135 using physiological parameters
• CPC Class Codes: A61N 1/36185 Selection of the electrode configuration
• CPC Class Codes: A61N 1/3702 Physiological parameters A61N1/365 takes precedence; evoked response A61N1/371

Abstract

The present invention is an implantable medical device comprising, a pulse generator to generate baroreceptor stimulation pulses, a sensor circuitry, a lead adapted to be electrically connected to the pulse generator and to the sensor circuitry, the lead including an electrode to distribute the baroreceptor stimulation pulses to a baroreceptor site, a pressure sensor to provide a signal indicative of blood pressure to the sensor circuitry and a controller connected to the pulse generator and the sensor circuitry, the controller adapted to adjust the baroreceptor stimulation pulses based on the blood pressure.

Claims

1. An implantable medical device, comprising:

a pulse generator to generate baroreflex stimulation pulses;

a sensor circuitry;

a lead adapted to be electrically connected to the pulse generator and to the sensor circuitry, the lead including an electrode to distribute the baroreflex stimulation pulses to a baroreflex site and a pressure sensor to provide a signal indicative of blood pressure to the sensor circuitry; and

a controller connected to the pulse generator and the sensor circuitry, the controller adapted to adjust the baroreflex stimulation pulses based on the blood pressure.

2. The device of claim 1, wherein the controller is adapted to modulate a characteristic of the baroreflex stimulation pulses based on the blood pressure selected from the group consisting of:

an amplitude, a frequency, a pulse frequency and a morphology.

3. The device of claim 1, wherein the controller is adapted to modulate two or more characteristics selected from a group of characteristics consisting of an amplitude, a frequency, and a pulse frequency.

4. The device of claim 1, wherein the pressure sensor includes a micro-electrical mechanical system (MEMS) device to detect blood pressure.

5. An implantable medical device, comprising:

means for delivering baroreflex therapy to a baroreflex neural target site using an intravascular lead and an electrode on the lead;

means for monitoring blood pressure near the baroreflex neural target site using a pressure sensor on the lead; and

means for adjusting the baroreflex therapy based on the blood pressure.

6. The device of claim 5, wherein the means for adjusting the baroreflex therapy includes means for modulating a characteristic of the stimulation pulse selected from the group consisting of:

an amplitude, a frequency, a pulse frequency, and a morphology.

7. An implantable medical device, comprising:

a pulse generator to generate baroreflex stimulation pulses;

a sensor circuitry;

a lead adapted to be electrically connected to the pulse generator and to the sensor circuitry, the lead including an electrode to distribute the baroreflex stimulation pulses to a baroreflex site and a sensor to provide a signal to the sensor circuitry that corresponds to a pre-ejection period measured between a sensed electrical event in a ventricle and onset of ventricular ejection derived from a pulmonary arterial blood pressure sensor; and

a controller connected to the pulse generator and the sensor circuitry, the controller adapted to adjust the baroreflex stimulation pulses based on the blood pressure.

8. The device of claim 7, wherein the sensed electrical event in a ventricle includes a sensed electrical event in a right ventricle.

9. The device of claim 7, wherein the sensed electrical event in a ventricle includes a sensed electrical event in a left ventricle.

10. The device of claim 7, wherein the controller is adapted to modulate a characteristic of the baroreflex stimulation pulses based on the pre-ejection period selected from the group consisting of:

an amplitude, a frequency, a pulse frequency and a morphology.

11. The device of claim 7, wherein the controller is adapted to modulate two or more characteristics selected from a group of characteristics consisting of an amplitude, a frequency, and a pulse frequency.

12. A method, comprising:

delivering baroreflex therapy to a baroreflex target site using an intravascular lead and an electrode on the lead;

monitoring blood pressure near the baroreflex neural target site using a pressure sensor on the lead; and

adjusting the baroreflex therapy based on the blood pressure.

13. The method of claim 12, wherein adjusting the baroreflex therapy includes modulating a characteristic of the stimulation pulse selected from the group consisting of:

an amplitude, a frequency, a pulse frequency and a morphology of a stimulation pulse.

14. An implantable medical device, comprising:

a pulse generator to generate baroreceptor stimulation pulses;

a sensor circuitry;

a lead adapted to be electrically connected to the pulse generator and to the sensor circuitry, the lead including an electrode to distribute the baroreceptor stimulation pulses to a baroreceptor site and a pressure sensor to provide a signal indicative of blood pressure to the sensor circuitry; and

a controller connected to the pulse generator and the sensor circuitry, the controller adapted to adjust the baroreceptor stimulation pulses based on the blood pressure.

15. An implantable medical device, comprising:

means for delivering baroreflex therapy to a barorecetor target site using an intravascular lead and an electrode on the lead;

means for monitoring blood pressure near the baroreceptor target site using a pressure sensor on the lead; and

means for adjusting the baroreflex therapy based on the blood pressure.

16. An implantable medical device, comprising:

a pulse generator to generate baroreceptor stimulation pulses;

a sensor circuitry;

a lead adapted to be electrically connected to the pulse generator and to the sensor circuitry, the lead including an electrode to distribute the baroreceptor stimulation pulses to a baroreceptor site;

a sensor to provide a signal to the sensor circuitry that includes a measure of blood pressure and corresponds to a specific physiologic event; and

a controller connected to the pulse generator and the sensor circuitry, the controller adapted to adjust the baroreceptor stimulation pulses based on the blood pressure.

17. A method, comprising:

delivering baroreflex therapy to a baroreceptor target site using an intravascular lead and an electrode on the lead;

monitoring blood pressure near the baroreceptor target site using a pressure sensor on the lead; and

adjusting the baroreflex therapy based on the blood pressure.