Pacemaker with automatic calibration of the response of multiple sensors
First Claim
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1. A multiple sensor pacemaker/defibrillator for insertion in a patient, comprising:
- a first sensor generating a first parameter correlated with a metabolic demand of said patient;
a first converter converting said first parameter into a first indicated rate in accordance with a first gain;
a second sensor for generating a second parameter related to a physical activity of said patient;
a second converter for converting said second parameter into a second indicated rate in accordance with a second gain;
a comparator comparing said first and second rates between an upper and a lower limit to determine which is larger;
an adjustment circuit adjusting over an extended time period said second gain using said first parameter as a calibration target for calibrating said second parameter to automatically adjust to the biological needs of the patient;
a selector for selecting a dual rate by selecting the larger of said metabolic and activity rates as determined by said comparator; and
a pace generator for generating pacing pulses at said combined rate;
whereby the gains of the converters are automatically calibrated.
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Abstract
In a dual sensor pacer/defibrillator the output of a metabolic sensor is used to calibrate the output a second sensor over a long time period. In this manner the two sensor outputs track accurately the metabolic demand of the patient and no recalibration by a clinician is necessary.
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Citations
6 Claims
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1. A multiple sensor pacemaker/defibrillator for insertion in a patient, comprising:
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a first sensor generating a first parameter correlated with a metabolic demand of said patient; a first converter converting said first parameter into a first indicated rate in accordance with a first gain; a second sensor for generating a second parameter related to a physical activity of said patient; a second converter for converting said second parameter into a second indicated rate in accordance with a second gain; a comparator comparing said first and second rates between an upper and a lower limit to determine which is larger; an adjustment circuit adjusting over an extended time period said second gain using said first parameter as a calibration target for calibrating said second parameter to automatically adjust to the biological needs of the patient; a selector for selecting a dual rate by selecting the larger of said metabolic and activity rates as determined by said comparator; and a pace generator for generating pacing pulses at said combined rate; whereby the gains of the converters are automatically calibrated.
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2. A dual sensor implantable pacemaker for implantation in a patient, said pacemaker comprising:
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a metabolic sensor sensing a metabolic demand of said patient and generating in response a metabolic demand parameter; a first converter converting said metabolic demand parameter into a corresponding demand pacing rate, said demand pacing rate having a demand peak rate level; an activity sensor sensing a physical activity of said patient and generating in response a physical activity parameter, said activity sensor having a sensitivity; a second converter converting said physical activity parameter into a corresponding activity pacing rate, said activity pacing rate having an activity peak rate level dependent on said sensitivity; a combining circuit for combining said activity pacing rate and said demand pacing rate into a dual pacing rate by selecting the larger of said activity pacing rate and said demand pacing rate between a predetermined lower and a predetermined upper pacing limit; a pacing generator generating pacing pulses in response to said dual pacing rate; a comparator comparing said activity peak rate level and said demand peak rate level; and a sensitivity adjusting circuit adjusting said sensitivity if said activity peak rate level is outside a preselected range of said demand peak rate level as determined by said comparator. - View Dependent Claims (3, 4)
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5. An implantable pacemaker comprising:
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a metabolic sensor for generating a metabolic parameter indicative of metabolic demand of a patient; a first convertor generating a metabolic pacing rate from said metabolic parameter; a first peak detector detecting a metabolic peak rate for said metabolic pacing rate; a first accumulator accumulating said metabolic peak rate to generate a long term metabolic peak rate level; an activity sensor having a sensitivity and generating an activity parameter indicative of a physical activity of said patient; a second convertor generating an activity pacing rate corresponding to said activity parameter; a second peak detector detecting an activity peak rate for said activity pacing rate; a second accumulator generating a long term peak activity rate level; a comparator comparing said metabolic and activity long term peak rate levels; an adjustor circuit adjusting said sensitivity if said comparator indicates a difference between said long term peak rate levels until said peak activity rate level is within a preselected range of said peak metabolic rate; a combiner circuit for combining said metabolic and said activity pacing rates to define a dual pacing rate by selecting the larger of said metabolic and said activity pacing rates over a predetermined pacing range; and a pacing generator generating pacing pulses in accordance with said dual pacing rate. - View Dependent Claims (6)
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Specification