Implanted medical system including a self-powered sensing system

• US 4,798,206 A
• Filed: 10/28/1986
• Issued: 01/17/1989
• Est. Priority Date: 10/28/1986
• Status: Expired due to Term

• Current Assignee: Pacesetter Incorporated (Abbott Laboratories Incorporated)
• Original Assignee: Telectronics Incorporated
• Inventors: Perry, Stephen G., Richardson, Garry T., Milijasevic, Zoran, Skalsky, Michael, Maddison, David S., Gotthardt, Gerhard R., Holley, Loraine K.
• Primary Examiner(s): HINDENBURG, MAX F
• Application Number:
  US06/923,875
• Time in Patent Office: 812 Days
• Field of Search: 128/721, 128/722, 128/774, 128/782, 128/784-786, 128/419 P, 128/419 PG, 128/419 PS
• US Class Current: 607/122
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems
• CPC Class Codes: A61N 1/36542 controlled by body motion, e.g. acceleration
• CPC Class Codes: A61N 1/3785 generated by biological activity or substance, e.g. body movement

Abstract

Self-contained, self-powered, flexible electrical control signal generating means are located in the right ventricle of a heart and generate electrical control signals solely by mechanical movements caused by actions of and conditions in the heart without any electrical connection to and supply of electrical energy from any other power source which electric control signals are transmitted to a control circuit system of an implanted control unit which control unit transmits an electrical signal to a stimulation electrode implanted in tissue at the apex of the right ventricle of the heart which stimulation electrode uses the electrical signal to stimulate the heart.

Claims

1. An implantable medical system for use in the control of the operation of a part of a body comprising:

control unit means for mounting in one location of a body;

control circuit means in said control unit means for controlling the operation of the control unit means;

battery means in said control unit means for supplying electrical energy to said control unit means and said control circuit means;

flexible lead means for mounting in said body and being connected to said control unit means and extending from said control unit means to another location inside said body;

said flexible lead means comprising a continuous flexible hollow tube having an outer and an inner surface;

stimulation electrode means mounted on said flexible lead means and being located in said another location for receiving electrical energy from said control unit means through said flexible lead means and applying electrical energy to said body at said another location;

self-contained, self-powered, flexible, electrical signal generating means mounted in a portion of said flexible lead means in spaced relationship to said stimulation electrode means for self-generation of electrical control signals solely by mechanical movement induced solely by flexible movement of said flexible lead means in said another location caused by action of and conditions in the body and without any electrical connection to and supply of electrical energy from any other source;

a fixed support secured to said inner surface;

said self-contained, self-powered, flexible, electrical signal generating means mounted for cantilever action on said fixed support; and

electrical control signal transmitting means, connected to said self-contained, self-powered, flexible, electrical signal generating means and said control circuit means, to transmit the generated electrical control signals to said control circuit means.

2. A system as in claim 1 wherein said self-contained, self-powered, flexible, electrical signal generating means comprises:

at least one shaped article formed from a piezoelectric material.

3. A system as in claim 2 wherein said piezoelectric material comprises:

a polymeric piezoelectric film.

4. A system as in claim 3 wherein:

said polymeric piezoelectric film is formed using poly (vinylidene fluoride).

5. A system as in claim 3 wherein said polymeric piezoelectric film comprises:

a rectangular strip having a longitudinal extent substantially greater than its lateral extent.

6. A system as in claim 2 wherein said piezoelectric material comprises:

a length of polymeric piezoelectric film in tubular form.

7. A system as in claim 1 wherein said self-contained, self-powered, flexible, electrical signal generating means comprises:

a laminate of a plurality of piezoelectric films.

8. A system as in claim 1 wherein said implanted medical device comprises:

a heart pacemaker system wherein said stimulation electrode means is attached to heart tissue at the apex of the right ventricle of the heart.

9. A system as in claim 8 wherein:

said continuous flexible hollow tube extending from the superior vena cava through the right auricle and into the right ventricle to said stimulation electrode means.

10. A system as in claim 9 and further comprising:

a second continuous flexible tube means surrounding said first continuous flexible tube means in sealed relationship thereto; and

said self-contained, self-powered, flexible, electrical signal generating means encased between said first and second continuous flexible tube means in said right ventricle in spaced relationship to said stimulation electrode means.

11. A system as in claim 9 wherein said self-contained, self-powered, flexible, electrical signal generating means comprises:

a polymeric piezoelectric film.

12. A system as in claim 10 and further comprising:

a substantially rigid annular member secured to the inner surface of said second continuous flexible tube means within said right ventricle;

means for supporting said polymeric piezoelectric film on said substantially rigid annular member; and

said polymeric piezoelectric film being located between said substantially rigid annular member and staid stimulation electrode means.

13. A system as in claim 12 and further comprising:

first electrically conducting lead means located between said first and second continuous flexible tube means;

said first electrically conducting lead means extending between and connected to said polymeric piezoelectric film and said control circuit means to transmit said electrical control signals generated by said polymeric piezoelectric film to said control circuit means.

14. A system as in claim 13 and further comprising:

second electrically conducting lead means located within said first continuous flexible tube means; and

said second electrically conducting lead means extending between and connected to said control unit means and said stimulation electrode means to transmit an electrical signal from said control unit means to said stimulation electrode means to stimulate said heart.

15. A system as in claim 8 wherein said self-contained, self-powered, flexible, electrical signal generating means comprises:

a tubular polymeric piezoelectric film having an outer and an inner surface;

a first electrical conductor electrically connected to said outer surface of said tubular polymeric piezoelectric film;

a second electrical conductor electrically connected to said inner surface of said tubular polymeric piezoelectrical film; and

first electrically conducting lead means extending between and connected to said first and second electrical conductors and said control circuit means to transmit electrical signals generated by said tubular polymeric piezoelectric film to said control circuit means.

16. A system as in claim 15 wherein:

said second electrical conductor has a plurality of barbs in electrical contact with said inner surface; and

said first electrically conducting lead means is in the form of helices.

17. A system as in claim 16 wherein said flexible lead means includes:

a first continuous flexible tube means extending from the superior vena cava through the right auricle and into the right ventricle to said stimulation electrode means;

a second continuous flexible tube means located within and concentric to said first continuous flexible tube means;

second electrically conducting lead means located between said first and second continuous flexible tube means;

said second electrically conducting lead means extending between and connected to said control unit means and said stimulation electrode means to transmit an electrical signal from said control unit means to said stimulation electrode means to stimulate said heart; and

said self-contained, self-powered, flexible, electrical signal generating means located within said second continuous flexible tube means in said right ventricle in spaced relationship to said stimulation electrode means.

18. A system as in claim 17 and further comprising:

said first electrical conductor is attached to the inner surface of said second continuous flexible tube means; and

said tubular polymeric piezoelectric film is located between said first electrical conductor and said stimulation electrode means.

19. A system as in claim 8 and further comprising:

a first continuous flexible tube means, comprising a portion of said flexible lead means, extending from the superior vena cava through the right auricle and into the right ventricle to said stimulation electrode means;

a second continuous flexible tube means surrounding said first continuous flexible tube in sealed relationship thereto;

said self-contained, self-powered, flexible, electrical signal generating means encased between said first and second continuous flexible tube means in said right ventricle in spaced relationship to said stimulation electrode means;

said self-contained, self-powered, flexible, electrical signal generating means comprises a polymeric piezoelectric film;

support means for supporting said polymeric piezoelectric film, said support means secured to the inner surface of said second continuous flexible tube means; and

said polymeric piezoelectric film located between said support means and said stimulation electrode means.

20. A system as in claim 19 and further comprising:

first electrically conducting lead means located between said first and second continuous flexible tubes;

said first electrically conducting lead means extending between and connected to said polymeric piezoelectric film and said control circuit means to transmit said electrical control signals generated by said polymeric piezoelectric film to said control circuit means.

21. A system as in claim 20 and further comprising:

second electrically conducting lead means located within said first continuous flexible tube means;

said second electrically conducting lead means extending between and connected to said control unit means and said stimulation electrode means to transmit an electrical signal from said control unit means to said stimulation electrode means to stimulate said heart.

22. A system as in claim 21 and further comprising:

an electronic circuit means located between said first and second continuous flexible tube means in a portion thereof located in said right ventricle for providing an electric function on said electrical signal generated by said polymeric piezoelectric film;

said first electrically conducting lead means extending between and connected to said polymeric piezoelectric film and said electronic circuit means to transmit said electric means control signals generated by said piezoelectric film to said electronic circuit means;

said electronic circuit means producing a new electric control signal;

third electrically conducting lead means located between said first and second continuous flexible tube means; and

said third electrically conducting lead means extending between and connected to said electronic circuit means and said control circuit means to transmit said new electrical control signal produced by electronic circuit means to said control circuit means.

23. A system as in claim 22 and further comprising:

means for electrically connecting one end of said first electrically conducting lead means to said polymeric piezoelectric film and comprising;

a thin metal pad bonded to said one end by an electrically conducting weld; and

said thin metal pad bonded to a portion of the surface of said polymeric piezoelectric film by an electrically conducting adhesive.

24. A system as in claim 1 and further comprising

electrical conducting connecting means for connecting said electrical control signal transmitting means to said self-contained, self-powered, flexible electrical signal generating means.

25. A system as in claim 24 wherein said electrical conducting means comprises:

a thin metal pad bonded to said electrical control signal transmitting means by an electrically conducting weld; and

said thin metal pad bonded to a portion of said self-contained, self-powered, flexible electrical signal generating means.

26. A system as in claim 25 wherein said self-contained, self-powered, flexible electrical signal generating means comprises:

a polymeric piezoelectric film.

27. A method for controlling the operation of an implanted medical system for use in the control of the operation of a part of a body comprising:

implanting portions of a medical system at spaced apart locations in a body;

locating at one location in a body a control unit means having a control circuit means for controlling the operation of said control unit means and a battery means for supplying electrical energy to said control unit means and said control circuit means;

locating a stimulation electrode means at another location in said body;

connecting flexible lead means comprises a continuous flexible hollow tube having an outer and an inner surface to said control unit means and to said stimulation electrode means;

transmitting an electrical signal from said control unit means to said stimulation electrode means through said flexible lead means so that said stimulation electrode means will stimulate movement at said another location in said body;

locating a self-contained, self-powered, flexible, electrical control signal generating means in a portion of said flexible lead means in spaced relationship to said stimulation electrode means;

mounting said self-contained, self-powered, flexible, electrical signal generating means on said inner surface for cantilever action;

flexing said self-contained, self-powered, flexible, electrical signal generating means to generate an electric signal solely by mechanic movement of said flexible lead means in said another location caused by action of and conditions in the body and without any electrical connection to or supply of electrical energy from any other source; and

transmitting said electrical signal generated by said self-contained, self-powered, flexible, electrical signal generating means through said flexible lead means to said control circuit means.

28. A method as in claim 27 and further comprising:

implanting said stimulation electrode means in tissue at the apex of the right ventricle of a human heart.