Cardiostimulator device of the rate-responsive type

• US 5,304,208 A
• Filed: 05/20/1992
• Issued: 04/19/1994
• Est. Priority Date: 05/21/1991
• Status: Expired due to Term

• Current Assignee: Sorin Biomedica SpA (Snia SpA)
• Original Assignee: Sorin Biomedica SpA (Snia SpA)
• Inventors: Corbucci, Giorgio, Inguaggiato, Bruno
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): Parker, Marianne
• Application Number:
  US07/886,073
• Time in Patent Office: 699 Days
• Field of Search: 128/419 PG, 128/419 D, 128/782, 607/9, 607/14, 607/17, 607/18, 607/19
• US Class Current: 607/17
• CPC Class Codes: A61N 1/0565 Electrode heads
• CPC Class Codes: A61N 1/36514 controlled by a physiological quantity other than heart potential, e.g. blood pressure controlled by two or more physical parameters A61N1/36585
• CPC Class Codes: A61N 1/36542 controlled by body motion, e.g. acceleration

Abstract

A cardiostimulator device includes an accelerometric sensor positioned on the electrode or cathetar intended to be inserted in the cardiac mass, possibly being associated with a stimulating or sensing electrode. In this way, it is possible to regulate the frequency (and in general all the methods) of stimulation in dependence on the so-called natural heart acceleration correlated to the physical activity of the patient.

Claims

1. A cardiac stimulator device, comprising:

a) means for detecting a natural heart acceleration of a user and for generating a signal representative thereof; and

b) means for stimulating the heart of the user as a function of said natural heart acceleration signal.

2. The device of claim 1, wherein said detecting means comprises at least one electrode inserted into the heart of the user and an accelerometric sensor operatively associated with said electrode.

3. The device of claim 2, wherein said accelerometric sensor is mounted on said at least one electrode.

4. The device of claim 1, further comprising control means for controlling variation in the stimulation of the heart, wherein said control means receives said natural heart acceleration signal and generates said representative signal dependent upon said natural heart acceleration signal.

5. The device of claim 1, further comprising means for detecting physical activity of the user and for generating a signal representative thereof, and means for controlling variation in the stimulation of the heart, wherein said control means is dependent upon said natural heart acceleration signal and said physical activity signal.

6. The device of claim 1, further comprising means for processing said natural heart acceleration signal, wherein said processing means is adapted for identifying a peak value of said natural heart acceleration.

7. The device of claim 1, further comprising means for processing said natural heart acceleration signal, wherein said processing means is adapted for detecting said signal corresponding to the right ventricle, or the right atrium, or simultaneously from both.

8. The device of claim 1, wherein said device comprises means for pacemaker acting upon a single chamber of the heart.

9. The device of claim 1, wherein the device comprises means for pacemaker acting upon two chambers of the heart.

10. The device of claim 1, wherein the device comprises means for controlling tachycardia.

11. The device of claim 1, wherein said stimulating means further comprises an implantable defibrillator.

12. The device of claim 1, further comprising means for processing said natural heart acceleration signal, wherein said processing means is adapted for calculating an average value of said natural heart acceleration.

13. The device of claim 1, further comprising means for processing said natural heart acceleration signal, wherein said processing means is adapted for identifying accelerometric characteristics of atrial and ventricular systolic phases from said natural heart acceleration signal.