Apparatus for sensing cardiac contractile function

• US 6,980,866 B2
• Filed: 12/05/2001
• Issued: 12/27/2005
• Est. Priority Date: 12/05/2001
• Status: Expired due to Fees

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Zhu, Qingsheng, Ding, Jiang, Yu, Nancy
• Primary Examiner(s): Schaetzle, Kennedy
• Application Number:
  US10/004,686
• Publication Number:
  US 20030105495A1
• Time in Patent Office: 1,483 Days
• Field of Search: 607/2, 607/116, 607/119, 607/122, 607/123, 600/483, 600/508, 600/552, 600/553, 600/587, 600/595, 73/13.7, 734/88, 735/143.4, 702/141
• US Class Current: 607/122
• CPC Class Codes: A61N 1/3627 for treating a mechanical deficiency of the heart, e.g. congestive heart failure or cardiomyopathy
• CPC Class Codes: A61N 1/36514 controlled by a physiological quantity other than heart potential, e.g. blood pressure controlled by two or more physical parameters A61N1/36585
• CPC Class Codes: A61N 1/36542 controlled by body motion, e.g. acceleration
• CPC Class Codes: A61N 2001/0585 Coronary sinus electrodes

Abstract

Systems and methods for detecting and measuring cardiac contractile function of a heart using an acceleration sensor unit inserted within the heart, such as within a vein of the cardiac wall are disclosed. The systems and methods involve detecting the occurrence of electrical events within the patient'"'"'s heart by inserting and positioning an implantable lead having an electrode near a cardiac wall as well as detecting mechanical events within the patient'"'"'s heart by then inserting and positioning a cardiac motion sensor unit through the inner lumen of the implantable lead. Furthermore, the systems and methods do not require dedicated leads and may be used with preexisting implantable leads.

Claims

1. A cardiac motion sensor unit comprising:

a sensing device that generates a signal representative of movement of a cardiac wall when the sensing device is disposed at the cardiac wall, said sensing device configured to be disposed within an inner lumen of a cylindrical lead, wherein said cylindrical lead comprises a conductor for sensing cardiac electrical activity and delivering stimulation to said cardiac wall, said sensing device electrically connected to an electronic device for transmission of said signal representative of movement of said cardiac wall from said sensing device to said electronic device; and

a second cylindrical lead configured to operate as a conductor for sensing cardiac electrical activity and delivering stimulation to said cardiac wall, said second cylindrical lead concentrically encompassing said cylindrical lead.

2. The cardiac motion sensor unit of claim 1, wherein said sensing device is configured to be disposed within a vein of said cardiac wall.

3. The cardiac motion sensor unit of claim 1, wherein said sensing device comprises an accelerometer.

4. The cardiac motion sensor unit of claim 1, including a conductor device comprising two electrical conductors molded into an elongated insulator body that transmits said signal representative of said cardiac wall movements from said sensing device to said electronic device.

5. The cardiac motion sensor unit of claim 4, wherein said elongated insulator body comprises a polymer.

6. The cardiac motion sensor unit of claim 1, wherein said cylindrical lead and said second cylindrical lead further comprise a coiled electrically conductive material.

7. The cardiac motion sensor unit of claim 6, wherein said cylindrical lead comprises a conductive means for sensing cardiac electrical activity and delivering stimulation to said cardiac wall.

8. The cardiac motion sensor unit of claim 1, wherein said cylindrical lead and said second cylindrical lead further comprise a coiled electrically conductive material.

9. The cardiac motion sensor unit of claim 1, wherein said cardiac motion sensor unit further comprises an electrode device for delivering electric stimulation to said cardiac wall.

10. A cardiac motion sensor unit comprising:

an acceleration sensing device that generates a signal representative of movement of a cardiac wall when the acceleration sensing device is disposed at the cardiac wall;

a cylindrical lead operatively connected to the acceleration sensing device, wherein said cylindrical lead is operatively configured as a conductor for transmitting at least said signal representative of movement of a cardiac wall;

a second cylindrical lead with conductive means for sensing cardiac electrical activity and delivering stimulation to said cardiac wall, said second cylindrical lead concentrically encompassing said cylindrical lead; and

a connector device that electrically links a conductor device to said acceleration sensing device.

11. A cardiac motion sensor unit comprising:

acceleration sensing means for providing a signal representative of a cardiac wall movement when disposed at the cardiac wall, wherein said acceleration sensing means is disposed within an inner lumen of a cylindrical lead, wherein said cylindrical lead comprises a conductive means for sensing cardiac electrical activity and delivering stimulation to said cardiac wall;

a second cylindrical lead with conductive means for sensing cardiac electrical activity and delivering stimulation to said cardiac wall, said second cylindrical lead concentrically encompassing said cylindrical lead;

conductor means molded into an elongated insulator body for transmitting said signal representative of movement of said cardiac wall from said acceleration sensing means to an electronic sensing means; and

connector means for electrically linking said conductor means to said electronic sensing means, wherein said conductor means is configured for removable attachment of the motion sensor unit to said electronic sensing means.

12. The cardiac motion sensor unit of claim 11, wherein said acceleration sensing means is configured to be disposed within a vein of said cardiac wall.

13. The cardiac motion sensor unit of claim 11, wherein said cardiac wall acceleration sensing means comprises an accelerometer.

14. The cardiac motion sensor unit of claim 11, wherein said conductor means comprises two electrical conductor means molded into an insulate elongate body for transmitting said signal representative of said cardiac wall movement to said electronic sensing means.

15. The cardiac motion sensor unit of claim 11, wherein said insulator comprises a polymer.

16. The cardiac motion sensor unit of claim 11, wherein said acceleration sensing means is disposed within an inner lumen of a cylindrical lead.

17. The cardiac motion sensor unit of claim 16, wherein said cylindrical lead comprises a conductive means for sensing cardiac electrical activity and delivering stimulation to said cardiac wall.

18. The cardiac motion sensor unit of claim 17, further comprising a second cylindrical lead with conductive means for sensing cardiac electrical activity and delivering stimulation to said cardiac wall, said second cylindrical lead concentrically encompassing said cylindrical lead.

19. The cardiac motion sensor unit of claim 18, wherein said cylindrical lead and said second cylindrical lead further comprise a coiled electrically conductive material.