Method and system for stimulating a mammalian heart

• US 6,442,427 B1
• Filed: 04/27/2000
• Issued: 08/27/2002
• Est. Priority Date: 04/27/2000
• Status: Expired due to Fees

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Boute, Willem, Van Bolhuis, Harm H.
• Primary Examiner(s): Getzow, Scott M.
• Application Number:
  US09/559,048
• Time in Patent Office: 852 Days
• Field of Search: 607/9, 607/5
• US Class Current: 607/9
• CPC Class Codes: A61N 1/368 comprising more than one electrode co-operating with different heart regions A61N1/3622, A61N1/3627 take precedence
• CPC Class Codes: A61N 1/3956 Implantable devices for applying electric shocks to the heart, e.g. for cardioversion

Abstract

A method for instantaneously stimulating a mammalian heart is provided. The mammalian heart includes a first atrium and a second atrium. A commencement signal is received. At least one additional signal is received. A plurality of intervals corresponding to the time between two successive signals is measured. An average interval is calculated. One of the plurality of intervals is compared to the average interval. Finally, a contraction signal is instantly transmitted to the second atrium when a difference between the average interval and one of the plurality of intervals is greater than a predetermined time period, instantaneously transmitting a contraction signal to the second atrium.

Claims

1. A method for instantaneously stimulating a mammalian heart, the mammalian heart including a first atrium and a second atrium, comprising:

receiving a commencement signal;

receiving at least one additional signal;

measuring a plurality of intervals corresponding to the time between two successive signals;

calculating an average interval;

comparing one of the plurality of intervals to the average interval; and

when a difference between the average interval and one of the plurality of intervals is greater than a predetermined time period, instantaneously transmitting a contraction signal to the second atrium.

2. The method of claim 1, wherein the commencement signal is transmitted from the first atrium.

3. The method of claim 1, wherein each of the at least one additional signals is sent from the first atrium.

4. The method of claim 1, wherein the average interval is a function of at least two of the plurality of intervals.

5. The method of claim 1, wherein the contraction signal includes an instruction to stimulate the second atrium to contract.

6. The method of claim 1, wherein the mammalian heart is a human heart.

7. The method of claim 1, wherein the first atrium is the left atrium.

8. The method of claim 1, wherein the first atrium is the right atrium.

9. The method of claim 1, wherein the second atrium is the left atrium.

10. The method of claim 1, wherein the second atrium is the right atrium.

11. The method of claim 1, wherein the predetermined time period corresponds to fifteen successive beats per minute of the mammalian heart.

12. The method of claim 1, wherein the contraction signal comprises an electrical current.

49. The method of claim 1, wherein the contraction signal comprises an electrical current.

50. The method of claim 1, wherein the contraction signal is transmitted instantaneously.

13. An implantable medical device, comprising:

a processor;

a controller operably connected to the processor;

at least one sensing lead operably connected to the controller; and

at least one pacing lead operably connected to the controller;

wherein

a signal is instantaneously sent from the controller to one of the at least one pacing leads to contract a paced atrium when at least one interval calculated from at least two signals received from a sensed atrium via one of the at least one sensing leads is less than an average interval by a predetermined time factor.

14. The implantable medical device of claim 13, wherein each of the at least one sensing leads has one end, the one end being positioned in the sensed atrium.

15. The implantable medical device of claim 13, wherein each of the at least one pacing leads has one end, the one end being positioned in the paced atrium.

16. The implantable medical device of claim 13, wherein the average interval corresponds to the average of at least two intervals.

17. The implantable medical device of claim 13, wherein the signal includes an instruction to stimulate the paced atrium to contract.

18. The implantable medical device of claim 13, wherein the paced atrium is a left atrium of a mammalian heart.

19. The implantable medical device of claim 13, wherein the paced atrium is a right atrium of a mammalian heart.

20. The implantable medical device of claim 13, wherein the sensed atrium is a left atrium of a mammalian heart.

21. The implantable medical device of claim 13, wherein the sensed atrium is a right atrium of a mammalian heart.

22. The implantable medical device of claim 13, wherein the predetermined time period corresponds to fifteen successive beats per minute of a mammalian heart.

23. The implantable medical device of claim 13, wherein the signal comprises an electrical current.

24. The implantable medical device of claim 13, wherein each of the at least one sensing leads further includes at least one electrode disposed at the distal end of each of the at least one sensing leads.

25. The implantable medical device of claim 13, wherein each of the at least one pacing leads further includes at least one electrode disposed at the distal end of each of the at least one pacing leads.

26. The implantable medical device of claim 13, further including an output pulse generator operably connected to the controller.

27. The implantable medical device of claim 13, wherein the output pulse generator generates the signal.

28. The implantable medical device of claim 13, further including a sense measurement unit operably connected to the controller.

29. The implantable medical device of claim 13, wherein the sense measurement unit receives each of the signals from each of the at least one sensing leads.

30. An implantable medical device system for instantaneously stimulating a mammalian heart, the mammalian heart including a first atrium and a second atrium, comprising:

means for receiving a commencement signal;

means for receiving at least one additional signal;

means for measuring a plurality of intervals corresponding to the time between two successive signals;

means for calculating an average interval;

means for comparing one of the plurality of intervals to the average interval; and

when a difference between the average interval and one of the plurality of intervals is greater than a predetermined time period, means for instantaneously transmitting a contraction signal to the second atrium.

31. The implantable medical device system of claim 30, wherein the commencement signal is transmitted from the first atrium.

32. The implantable medical device system of claim 30, wherein each of the at least one additional signals is sent from the first atrium.

33. The implantable medical device system of claim 30, wherein the average interval is a function of at least two of the plurality of intervals.

34. The implantable medical device system of claim 30, wherein the contraction signal includes an instruction to stimulate the second atrium to contract.

35. The implantable medical device system of claim 30, wherein the mammalian heart is a human heart.

36. The implantable medical device system of claim 30, wherein the first atrium is the left atrium.

37. The implantable medical device system of claim 30, wherein the first atrium is the right atrium.

38. The implantable medical device system of claim 30, wherein the second atrium is the left atrium.

39. The implantable medical device system of claim 30, wherein the second atrium is the right atrium.

40. The implantable medical device system of claim 30, wherein the predetermined time period corresponds to fifteen successive beats per minute of the mammalian heart.

41. The implantable medical device system of claim 30, wherein the contraction signal comprises an electrical current.

42. A method for instantaneously stimulating a mammalian heart, the mammalian heart including a left atrium and a right atrium, comprising:

receiving a commencement signal;

receiving at least one additional signal;

measuring a plurality of intervals corresponding to the time between two successive signals;

calculating an average interval;

comparing one of the plurality of intervals to the average interval; and

when a difference between the average interval and one of the plurality of intervals is greater than a predetermined time period, transmitting a contraction signal to the left atrium.

43. The method of claim 42, wherein the commencement signal is transmitted from the right atrium.

44. The method of claim 42, wherein each of the at least one additional signals is sent from the right atrium.

45. The method of claim 42, wherein the average interval is a function of at least two of the plurality of intervals.

46. The method of claim 42, wherein the contraction signal includes an instruction to stimulate the left atrium to contract.

47. The method of claim 42, wherein the mammalian heart is a human heart.

48. The method of claim 42, wherein the predetermined time period corresponds to fifteen successive beats per minute of the mammalian heart.