Device for cardiac therapy
First Claim
1. A method for operating a multi-modal cardiotherapy device to deliver multi-modal cardiotherapy to a heart, the method comprising the steps of:
- providing a device configured for delivering cardiac contractility modulating signals and a plurality of anti-arrhythmic therapy modalities to said heart;
applying cardiac contractility modulating signals to said heart to modulate the contractility of at least a portion of said heart;
detecting an arrhythmia or indications of possible arrhythmia in said heart;
delivering to said heart an anti-arrhythmic therapy selected from said plurality of anti-arrhythmic therapy modalities based on the type of said arrhythmia or said indications detected in said step of detecting; and
coordinating the application of cardiac contractility modulating signals of said step of applying with the delivering of said anti-arrhythmic therapy of said step of delivering.
12 Assignments
0 Petitions
Accused Products
Abstract
A multi-modal cardiotherapy device (100) includes an anti-arrhythmic unit (118) for delivering multiple types of anti-arrhythmic therapy to a heart, a cardiac contractility modulating unit (108) for delivering cardiac contractility modulating signals to the heart, and for applying anti-arrhythmic cardiac contractility modulating signal therapy to the heart, one or more sensing units (112) for sensing electrical signals related to electrical activity of the heart to provide an output signal, one or more detecting units (116) operatively connected to the sensing unit(s) (112) for detecting in the output signal cardiac events of the heart, a controller unit (106) operatively connected to the anti-arrhythmic unit (118), the cardiac contractility modulating unit (108) and the detecting unit(s) (116). The controller unit (106) processes the output of the detecting unit(s) (116) to detect a cardiac arrhythmia or indications of a possible arrhythmia in the heart and controls the application of anti-arrhythmic therapy, anti-arrhythmic cardiac contractility modulating signal therapy, and cardiac contractility modulating therapy to the heart. The device may be an implantable device or a non-implantable device. The device (100) may also include a pacing unit (102). Methods are disclosed for using the device for delivering multi-modal cardiotherapy to the heart.
242 Citations
44 Claims
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1. A method for operating a multi-modal cardiotherapy device to deliver multi-modal cardiotherapy to a heart, the method comprising the steps of:
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providing a device configured for delivering cardiac contractility modulating signals and a plurality of anti-arrhythmic therapy modalities to said heart; applying cardiac contractility modulating signals to said heart to modulate the contractility of at least a portion of said heart; detecting an arrhythmia or indications of possible arrhythmia in said heart; delivering to said heart an anti-arrhythmic therapy selected from said plurality of anti-arrhythmic therapy modalities based on the type of said arrhythmia or said indications detected in said step of detecting; and coordinating the application of cardiac contractility modulating signals of said step of applying with the delivering of said anti-arrhythmic therapy of said step of delivering. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9)
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10. A method for operating a multi-modal cardiotherapy device to deliver multi-modal cardiotherapy to a heart, the device is configured for delivering cardiac contractility modulating signals and a plurality of anti-arrhythmic therapy modalities to said heart, the method comprising the steps of:
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applying cardiac contractility modulating signals to said heart to modulate the cardiac output of said heart; detecting an arrhythmia or indications of possible arrhythmia in said heart; delivering to said heart an anti-arrhythmic therapy selected from said plurality of anti-arrhythmic therapy modalities based on the type of said arrhythmia or said indications detected in said step of detecting; and coordinating the application of cardiac contractility modulating signals of said step of applying with the delivering of said anti-arrhythmic therapy of said step of delivering. - View Dependent Claims (11, 12, 13, 14, 15, 16, 17, 18)
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19. A multi-modal cardiotherapy device comprising:
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an anti-arrhythmic unit for delivering anti-arrhythmic therapy to said heart; a cardiac contractility modulating unit configured for delivering cardiac contractility modulating signals to said heart for modulating the cardiac contractility of at least a portion of said heart, and for applying anti-arrhythmic cardiac contractility modulating signal therapy to said heart; a sensing unit for sensing electrical signals related to electrical activity of said heart to provide an output signal; a detecting unit operatively connected to said sensing unit for receiving said output signal of said sensing unit and for detecting in said output signal cardiac events of said heart; a controller unit operatively connected to said anti-arrhythmic unit, said cardiac contractility modulating unit and said detecting unit;
for processing the output of said detecting unit to detect a cardiac arrhythmia or indications of possible arrhythmia, controlling the application of said anti-arrhythmic therapy by said anti-arrhythmic unit, and for controlling the application of said anti-arrhythmic cardiac contractility modulating signal therapy, and the modulating of said cardiac contractility of said portion of said heart by said cardiac contractility modulating unit; andat least one power source for providing power to said anti-arrhythmic therapy unit, said cardiac contractility modulating unit, said sensing unit, said detecting unit, and said controller unit. - View Dependent Claims (20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31)
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32. A multi-modal cardiotherapy device comprising:
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anti-arrhythmic means for delivering multiple modes of anti-arrhythmic therapy to said heart; cardiac contractility modulating means configured for delivering cardiac contractility modulating signals to said heart, for modulating the cardiac contractility of at least a portion of said heart, and for applying anti-arrhythmic cardiac contractility modulating signal therapy to said heart; sensing means for sensing electrical signals related to cardiac activity sensed at said heart; detecting means operatively connected to said sensing means for receiving the output signal of said sensing means and for detecting cardiac depolarization events of said heart; controller means operatively connected to said anti-arrhythmic means, said cardiac contractility modulating means and said detecting means, for processing the output of said detecting means to detect a cardiac arrhythmia or indications of possible arrhythmia, controlling the application of said anti-arrhythmic therapy modes by said anti-arrhythmic means, and for controlling the application of said anti-arrhythmic cardiac contractility modulating signal therapy, and the modulating of said cardiac contractility by said cardiac contractility modulating means; and means for providing power to said anti-arrhythmic means, said cardiac contractility modulating means, said sensing means, said detecting means and said controller means. - View Dependent Claims (33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44)
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Specification