Substitute-heart control apparatus

• US 5,980,571 A
• Filed: 12/11/1997
• Issued: 11/09/1999
• Est. Priority Date: 12/11/1997
• Status: Expired due to Fees

• Current Assignee: Colin Medical Technology Corporation (Omron Corporation)
• Original Assignee: Colin Corporation (Fukuda Denshi Company Limited)
• Inventors: Kawaguchi, Keizo, Takatani, Setsuo, Blakely, Douglas W., Nomura, Takashi
• Primary Examiner(s): Willse, David H.
• Application Number:
  US08/989,267
• Time in Patent Office: 698 Days
• Field of Search: 623/3, 600/16, 600/17, 415/900, 601/153
• US Class Current: 623/3.28
• CPC Class Codes: A61M 2205/33 Controlling, regulating or measuring
• CPC Class Codes: A61M 2205/3303 Using a biosensor
• CPC Class Codes: A61M 2205/3334 Measuring or controlling the flow rate
• CPC Class Codes: A61M 2205/3368 Temperature
• CPC Class Codes: A61M 2230/205 partial oxygen pressure (P-O2)
• CPC Class Codes: A61M 2230/40 Respiratory characteristics
• CPC Class Codes: A61M 2230/42 Rate
• CPC Class Codes: A61M 60/196 replacing the entire heart, e.g. total artificial hearts [TAH]
• CPC Class Codes: A61M 60/20 Type thereof
• CPC Class Codes: A61M 60/268 the displacement member being flexible, e.g. membranes, diaphragms or bladders
• CPC Class Codes: A61M 60/515 Regulation using real-time patient data
• CPC Class Codes: A61M 60/554 of blood pressure
• CPC Class Codes: A61M 60/585 User interfaces
• CPC Class Codes: G05B 13/027 using neural networks only

Abstract

A substitute-heart control apparatus for controlling a substitute heart provided in a living body, including an information obtaining device which non-invasively obtains, from the living body, physical information relating to blood circulation in the living body, and a control device which supplies, to the substitute heart, a control signal to control a cardiac output that is a volume of blood outputted from the substitute heart per unit time, based on the physical information obtained by the information obtaining device, according to a predetermined relationship between cardiac output and physical information.

Claims

1. A substitute-heart control apparatus for controlling a substitute heart provided in a living body, comprising:

an information obtaining device which non-invasively obtains, from the living body, physical information relating to blood circulation in the living body; and

a control device which supplies, to the substitute heart, a control signal to control a cardiac output that is a volume of blood outputted from the substitute heart per unit time, based on the physical information obtained by the information obtaining device, according to a predetermined relationship between cardiac output and physical information,

wherein the predetermined relationship between cardiac output and physical information comprises a relationship which is predetermined based on a cardiac output of the natural heart of the living body, and the physical information non-invasively obtained by the information obtaining device before the natural heart of the living body is substituted by the substitute heart.

2. A substitute-heart control apparatus according to claim 1, wherein the relationship predetermined before the natural heart of the living body is substituted by the substitute heart comprises a relationship between fluctuations of heart rate and physical information which is obtained by learning fluctuations of heart rate of the natural heart of the living body, and the physical information obtained before the natural heart of the living body is substituted by the substitute heart, and wherein the control device comprises a heart-rate control device which supplies, to the substitute heart, the control signal to cause fluctuations of heart rate of the substitute heart, based on the physical information obtained by the information obtaining device, according to the relationship between fluctuations of heart rate and physical information.

3. A substitute-heart control apparatus according to claim 2, wherein the heart-rate control device comprises a neural network which learns a plurality of constants of a function based on the fluctuations of heart rate of the natural heart of the living body, and the physical information obtained before the natural heart of the living body is substituted by the substitute heart, the function defining the relationship between fluctuations of heart rate and physical information, the neural network generating, as an output signal therefrom, the control signal to cause the fluctuations of heart rate of the substitute heart, based on the physical information obtained by the information obtaining device, as an input signal thereto, according to the function having the learned constants.

4. A substitute-heart control apparatus according to claim 1, wherein the information obtaining device comprises at least one of a device which measures a body temperature of the living body, a device which measures a blood pressure of a peripheral portion of the living body, a device which measures a time interval between successive two heartbeat-synchronous pulses obtained from a peripheral portion of the living body, a device which obtains a waveform indicative of blood pressure of a peripheral portion of the living body, a device which measures a velocity at which a pulse wave propagates through an artery of the living body, a device which measures a blood oxygen saturation of the living body, a device which measures an amount of perspiration of the living body per unit time, a device which measures a respiratory frequency of the living body, a device which measures an amount of physical motion of the living body per unit time, and a device which obtains a statistic value of at least one of the body temperature, the blood pressure, the pulse interval, the blood-pressure waveform, the pulse-wave velocity, the blood oxygen saturation, the perspiration amount, the respiratory frequency, and the physical-motion amount.

5. A substitute-heart control apparatus according to claim 1, wherein the substitute heart comprises an artificial heart, and wherein the control device comprises means for supplying, to the artificial heart, the control signal to control a heart rate of the artificial heart based on the physical information obtained by the information obtaining device, according to a predetermined relationship between heart rate and physical information as the predetermined relationship between cardiac output and physical information.

6. A substitute-heart control apparatus according to claim 1, wherein the substitute heart comprises an artificial heart, and wherein the control device comprises means for supplying, to the artificial heart, the control signal to control a volume of blood outputted from the artificial heart per beat, based on the physical information obtained by the information obtaining device, according to a predetermined relationship between beat volume and physical information as the predetermined relationship between cardiac output and physical information.

7. A substitute-heart control apparatus according to claim 1, wherein the substitute heart comprises a natural heart transplanted from a different living body, and wherein the control device comprises means for supplying, to the transplanted natural heart, the control signal to control a heart rate of the transplanted natural heart based on the physical information obtained by the information obtaining device, according to a predetermined relationship between heart rate and physical information as the predetermined relationship between cardiac output and physical information.

8. A substitute-heart control apparatus for controlling a substitute heart provided in a living body, comprising:

an information obtaining device which non-invasively obtains, from the living body, physical information relating to blood circulation in the living body; and

a control device which supplies, to the substitute heart, a control signal to control a cardiac output that is a volume of blood outputted from the substitute heart per unit time, based on the physical information obtained by the information obtaining device, according to a predetermined relationship between cardiac output and physical information,

wherein the predetermined relationship between cardiac output and physical information comprises a relationship between fluctuations of heart rate and physical information which is obtained by learning fluctuations of heart rate of the natural heart of the living body, and the physical information obtained before the natural heart of the living body is substituted by the substitute heart,

wherein the control device comprises a heart-rate control device which supplies, to the substitute heart, the control signal to cause fluctuations of heart rate of the substitute heart, based on the physical information obtained by the information obtaining device, according to the relationship between fluctuations of heart rate and physical information,

wherein the heart-rate control device comprises a neural network which learns a plurality of constants of a function based on the fluctuations of heart rate of the natural heart of the living body, and the physical information obtained before the natural heart of the living body is substituted by the substitute heart, the function defining the relationship between fluctuations of heart rate and physical information, the neural network generating, as an output therefrom, the control signal to cause the fluctuations of heart rate of the substitute heart, based on the physical information obtained by the information obtaining device, as an input signal thereto, according to the function having the learned constants.

9. A substitute-heart system comprising:

a total-substitution artificial heart which is adapted to be provided in a living body to totally substitute the natural heart of the living body; and

a control apparatus which controls the total-substitution artificial heart, the control apparatus comprising;

an information obtaining device which non-invasively obtains, from the living body, physical information relating to blood circulation in the living body, and

a control device which supplies, to the total-substitution artificial heart, a control signal to control a cardiac output that is a volume of blood outputted from the artificial heart per unit time, based on the physical information obtained by the information obtaining device, according to a predetermined relationship between cardiac output and physical information.

10. A substitute-heart system according to claim 9, wherein the predetermined relationship between cardiac output and physical information comprises a relationship which is predetermined based on a cardiac output of the natural heart of the living body, and the physical information obtained before the natural heart of the living body is totally substituted by the total-substitution artificial heart.

11. A substitute-heart system according to claim 9, wherein the predetermined relationship between cardiac output and physical information comprises a relationship between fluctuations of heart rate and physical information which is obtained by learning fluctuations of heart rate of the natural heart of the living body, and the physical information obtained before the natural heart of the living body is totally substituted by the total substitution artificial heart, and wherein the control device comprises a heart-rate control device which supplies, to the total-substitution artificial heart, the control signal to cause fluctuations of heart rate of the artificial heart, based on the physical information obtained by the information obtaining device, according to the relationship between fluctuations of heart rate and physical information.