Muscle stimulator with variable duty cycle

• US 5,069,680 A
• Filed: 12/06/1989
• Issued: 12/03/1991
• Est. Priority Date: 12/06/1989
• Status: Expired due to Fees

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Grandjean, Pierre-Andre
• Primary Examiner(s): Shay, Randy Citrin
• Application Number:
  US07/446,794
• Time in Patent Office: 727 Days
• Field of Search: 623/3, 600/16, 600/17, 600/18
• US Class Current: 623/3.12
• CPC Class Codes: A61M 60/148 in line with a blood vessel using resection or like techniques, e.g. permanent endovascular heart assist devices
• CPC Class Codes: A61M 60/161 mechanically acting upon the outside of the patient's blood vessel structure, e.g. compressive structures placed around a vessel
• CPC Class Codes: A61M 60/191 mechanically acting upon the outside of the patient's native heart, e.g. compressive structures placed around the heart
• CPC Class Codes: A61M 60/274 the inlet and outlet being the same, e.g. para-aortic counter-pulsation blood pumps
• CPC Class Codes: A61M 60/289 Devices for mechanical circulatory actuation assisting the residual heart function by means mechanically acting upon the patient's native heart or blood vessel structure, e.g. direct cardiac compression [DCC] devices
• CPC Class Codes: A61M 60/515 Regulation using real-time patient data
• CPC Class Codes: A61M 60/531 using blood pressure data, e.g. from blood pressure sensors
• CPC Class Codes: A61M 60/882 Devices powered by the patient, e.g. skeletal muscle powered devices
• CPC Class Codes: A61N 1/36042 of grafted tissue, e.g. skeletal muscle

Abstract

Apparatus and method of controlling a muscle stimulator by varying the duty cycle. The muscle stimulator is particularly adapted to a skeletal muscle powered cardiac assist system. An activity or other sensor is used to determine the requirement for cardiac output. A second electrical sensor is used to determine the cardiac rate. The outputs of these two sensors are employed to select a duty cycle for muscle stimulation of the skeletal muscle. The duty cycle is lowered for reasons of efficiency and safety during periods of very high or very low cardiac rate or body activity. The number of stimulation pulses within a burst is similarly increased when cardiac demand is high to ensure maximum contractile force of the skeletal muscle during each stimulation burst.

Claims

1. Apparatus comprising:

a. a surgically prepared skeletal muscle adapted to be mechanically coupled to a natural human heart having ventricles which contract at a ventricular rate such that contraction of said surgically prepared skeletal muscle assists said natural human heart;

b. means responsively coupled to said natural human heart and said surgically prepared skeletal muscle for stimulating said skeletal muscle in synchrony with contraction of said ventricles of said natural human heart, said stimulation having parameters including pulse amplitude, duty cycle, pulses per burst, pulse width, and pulse interval; and

c. means responsively coupled to said stimulating means and adapted to be connected to a human body for sensing anticipated cardiac demand.

2. Apparatus according to claim 1 further comprising:

means responsively coupled to said stimulating means and said sensing means for varying at least one of said parameters of stimulation of said stimulating means.

3. Apparatus according to claim 2 wherein said at least one of said parameters of stimulation includes pulse amplitude.

4. Apparatus according to claim 2 wherein said at least one of said parameters of stimulation includes duty cycle.

5. Apparatus according to claim 2 wherein said at least one of said parameters of stimulation includes number of pulses per burst.

6. Apparatus according to claim 2 wherein said at least one of said parameters of stimulation includes pulse width.

7. Apparatus according to claim 2 wherein said at least one of said parameters of stimulation includes pulse interval.

8. A method of assisting cardiac activity of a natural human heart having ventricles which contract at a ventricular rate comprising:

a. surgically preparing a skeletal muscle;

b. positioning said skeletal muscle such that contraction of said skeletal muscle synchronously with contraction of said ventricles assists said cardiac activity;

c. determining anticipated cardiac demand; and

d. stimulating said skeletal muscle to contract synchronously with contraction of said centricles in accordance with said anticipated cardiac demand.

9. A method according to claim 8 wherein said determining anticipated cardiac demand includes sensing body activity.