Method and system for monitoring and controlling systemic and pulmonary circulation during a medical procedure

• US 6,904,318 B2
• Filed: 04/23/2003
• Issued: 06/07/2005
• Est. Priority Date: 09/26/2000
• Status: Expired due to Term

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Keogh, James R., Jahns, Scott E., Hill, Michael R. S.
• Primary Examiner(s): Schaetzle, Kennedy
• Assistant Examiner(s): DROESCH, KRISTEN L
• Application Number:
  US10/421,459
• Publication Number:
  US 20030216790A1
• Time in Patent Office: 776 Days
• Field of Search: 607 1- 2, 607 9- 10, 607 22- 24, 128897-898, 600/481, 600/485, 600504-505, 600/507
• US Class Current: 607/9
• CPC Class Codes: A61N 1/36114 Cardiac control, e.g. by vagal stimulation stimulating the heart A61N1/362
• CPC Class Codes: A61N 1/385 Devices for inducing an abnormal cardiac function, e.g. fibrillation

Abstract

A method of performing a medical procedure, such as surgery, is provided. The system comprises a sensor to sense a biological characteristic, such as a chemical, physical or physiological characteristic of a bodily tissue or fluid. The method also comprises a nerve stimulator in communication with the sensor to inhibit beating of a heart when the sensor senses the biological characteristic at a first value; and a cardiac stimulator in communication with the sensor to stimulate beating of the heart when the sensor senses the biological characteristic at a second value.

Claims

1. A method for controlling a heart beat during a medical procedure, comprising:

sensing a first fluid flow value;

stimulating a first nerve to inhibit contractions of a heart;

sensing a second fluid flow value;

comparing the first and second fluid flow values; and

stopping stimulation of the first nerve to allow contractions of the heart if the second fluid flow value is less than the first fluid flow value.

2. The method of claim 1 wherein the first and second fluid flow values are blood flow values determined for one or more of the characteristics selected from the list consisting of:

presence of a protein, concentration of a protein, presence of a peptide, concentration of a peptide, a metabolic process, presence of a gas, concentration of a gas, presence of oxygen, concentration of oxygen, presence of carbon dioxide, and concentration of carbon dioxide.

3. The method of claim 1 further comprising stimulating the heart with a cardiac stimulator to cause beating of the heart when the second cerebral blood flow value is less than the first cerebral blood flow value.

4. The method of claim 1 wherein the fluid flow value is a cerebral blood flow value.

5. The method of claim 1 wherein stopping stimulation of the first nerve is automatically performed without human intervention.

6. The method of claim 1 wherein the first nerve is selected from the group consisting of a vagal nerve, a carotid sinus nerve, and a fat pad.

7. The method of claim 1 further comprising providing an alert signal when the second value is less than the first value.

8. The method of claim 1 wherein the medical procedure is started after sensing the first fluid flow value, and wherein the second fluid flow value is sensed during the medical procedure.