Medical device for detecting hemodynamic conditions of a heart

• US 5,615,684 A
• Filed: 04/27/1995
• Issued: 04/01/1997
• Est. Priority Date: 05/06/1994
• Status: Expired due to Fees

• Current Assignee: Pacesetter AB
• Original Assignee: Pacesetter AB
• Inventors: Hoegnelid, Kurt, Noren, Kjell, Hagel, Pia
• Primary Examiner(s): Sykes, Angela D.
• Assistant Examiner(s): GILBERT, SAMUEL G
• Application Number:
  US08/429,614
• Time in Patent Office: 705 Days
• Field of Search: 128/670-675, 128/691-693, 128/713, 128/734, 607/6, 607/17, 607/18, 607/23
• US Class Current: 600/513
• CPC Class Codes: A61N 1/3621 for treating or preventing abnormally high heart rate
• CPC Class Codes: A61N 1/36564 controlled by blood pressure
• CPC Class Codes: A61N 1/3956 Implantable devices for applying electric shocks to the heart, e.g. for cardioversion

Abstract

A device for detecting hemodynamic conditions in a heart, in particular conditions corresponding to dangerous arrhythmias contains a sensing unit for a physiological variable, such as blood pressure, the unit emitting a signal on the basis of the variable having an average value, a signal conditioning unit connected to the sensing unit, a calculation unit connected to the signal conditioning unit and a comparator after the calculation unit. The calculation unit is devised to calculate a variability measure relative to the signal'"'"'s average value, the variability measure being correlated to average blood pressure, and the variability measure is compared in the comparator to an adjustable threshold value corresponding to a specific hemodynamic condition, whereupon the comparator emits an indication signal when the variability measure falls below the threshold value.

Claims

1. A device for detecting hemodynamic conditions of a heart, comprising:

sensor means for sensing a physiological variable in a living subject and for emitting an electrical signal dependent of said physiological variable, said electrical signal having an average value;

signal editing means for editing said electrical signal to produce an edited signal;

calculating means supplied with said edited signal for calculating a variability measure of the edited sign related to but different from said average value of said electrical signal and correlated to average blood pressure of said living subject; and

comparator means for comparing said variability measure to a threshold selectable dependent on a selected hemodynamic condition, for emitting an indication signal indicating the presence of said selected hemodynamic condition in said living subject when said variability measure falls below said threshold.

2. A device as claimed in claim 1 wherein said signal editing means comprises means for filtering said electrical signal and for standardizing said electrical signal.

3. A device as claimed in claim 1 wherein said calculating means comprises time window generator means for generating a time window with a pre-determined duration within which said variability measure is calculated.

4. A device as claimed in claim 1 wherein said calculating means comprises a rectifier for rectifying said edited signal and an addition unit for calculating said variability measure of the rectified signal.

5. A device as claimed in claim 1 wherein said calculating means comprises means for calculating the root mean square of said edited signal.

6. A device as claimed in claim 1 wherein said calculating means comprises means for calculating the standard deviation of said edited signal.

7. A device as claimed in claim 1 wherein said comparator means comprises means for comparing said variability measure to a first threshold selected dependent on a first hemodynamic condition and for comparing said variability measure to a second threshold, different from said first threshold, dependent on a second hemodynamic condition.

8. A device as claimed in claim 1 wherein said sensor means comprises a pressure sensor.

9. A device as claimed in claim 1 wherein said sensor means comprises an impedance sensor.

10. A device as claimed in claim 1 wherein said sensor means comprises means for measuring blood pressure and impedance in said living subject.