Implantable intravascular pressure determining device and method

• US 6,589,184 B2
• Filed: 02/19/2002
• Issued: 07/08/2003
• Est. Priority Date: 08/31/2001
• Status: Expired due to Fees

• Current Assignee: St. Jude Medical AB (Abbott Laboratories)
• Original Assignee: St. Jude Medical AB (Abbott Laboratories)
• Inventors: Nilsson, Kenth, Norén, Kjell, Hedberg, Seven-Erik
• Primary Examiner(s): Hindenburg, Max F.
• Assistant Examiner(s): Natnithithadha, Navin
• Application Number:
  US10/078,208
• Publication Number:
  US 20030078506A1
• Time in Patent Office: 504 Days
• Field of Search: 600/485, 600/486, 600/488, 600/483, 600/484, 600/481, 600/595, 600/587
• US Class Current: 600/486
• CPC Class Codes: A61B 5/0215 by means inserted into the body catheters A61M25/00

Abstract

In an implantable intravascular pressure determining device and method, a pressure sensor generates a raw pressure signal, an acceleration sensor generates an acceleration signal, and an evaluation unit determines a disturbance pressure signal from the acceleration signal. A processed signal is generated as the difference between the raw pressure signal and the disturbance pressure signal. The processed signal corresponds to intravascular pressure.

Claims

1. An implantable intravascular pressure determining device comprising:

a pressure sensor adapted for interaction with a subject for generating a raw pressure signal;

an acceleration sensor adapted for interaction with said subject for generating an acceleration signal;

an evaluation unit connected to said acceleration sensor for determining a disturbance pressure signal from said acceleration signal; and

a processor supplied with said raw pressure signal and said disturbance pressure signal for generating a processed signal, as a difference between said raw pressure signal and said disturbance pressure signal, said processed signal corresponding to intravascular pressure.

2. An implantable intravascular pressure determining device as claimed in claim 1 wherein said evaluation unit determines said disturbance pressure signal by multiplying said acceleration signal by a predetermined constant k.

3. An implantable intravascular pressure determining device as claimed in claim 2 wherein said evaluation unit determines said constant k during a test procedure.

4. An implantable intravascular pressure determining device as claimed in claim 3 wherein said evaluation unit determines said constant k during a test procedure wherein said subject performs physical activity.

5. An implantable intravascular pressure determining device as claimed in claim 4 wherein said evaluation unit determines said constant k by identifying a raw pressure signal difference between said raw pressure signal during a first period when a first level of activity is performed and during a second period when a second level of activity is performed, said second level being lower than said first level, and by dividing said raw pressure signal difference by an acceleration signal difference between respective acceleration signals obtained during said first and second periods, to obtain a quotient which is said constant k.

6. An implantable intravascular pressure determining device as claimed in claim 2 wherein said evaluation unit determines said constant k during a diastolic phase of a heart cycle of said subject.

7. An implantable intravascular pressure determining device as claimed in claim 1 further comprising a heart stimulating device which administers heart stimulating therapy dependent on said intravascular pressure represented by said processed signal.

8. An implantable intravascular pressure determining device as claimed in claim 7 wherein said implantable heart stimulating device has a heart electrode, and wherein said pressure sensor comprises a pressure transducer disposed in said hear electrode which generates a transducer signal, and a filter supplied with said transducer signal which filters said transducer signal to generate said raw pressure signal.

9. A method for determining intravascular pressure, comprising the steps of:

disposing a pressure sensor in a vascular system of a subject and generating a raw pressure signal therefrom;

disposing an acceleration sensor for interaction with a subject and generating an acceleration signal therefrom;

determining a disturbance pressure signal from said acceleration signal; and

generating a processed signal as a difference between said raw pressure signal and said disturbance pressure signal, said processed signal corresponding to intravascular pressure.

10. A method as claimed in claim 9 comprising determining said disturbance pressure signal by multiplying said acceleration signal by a predetermined constant k.

11. A method as claimed in claim 10 comprising determining said constant k in a test procedure.

12. A method as claimed in claim 11 comprising subjecting said subject to physical activity during said test procedure.

13. A method as claimed in claim 12 comprising, in said test procedure, subjecting said subject to a first level of activity during a first period and a second level of activity during a second period, said second level being lower than said first level, obtaining said raw pressure signal in each of said first and second periods and determining a raw pressure signal difference between the respective raw pressure signals in said first and second periods, dividing said raw pressure signal difference by an acceleration signal difference between respective acceleration signals obtained during said first and second periods, to obtain a quotient which is said constant k.

14. A method as claimed in claim 10 comprising determining said constant k during a diastolic phase of a heart cycle of said subject.