Heart treatment equipment and method for preventing fatal arrhythmia

• US 7,142,917 B2
• Filed: 12/03/2003
• Issued: 11/28/2006
• Est. Priority Date: 12/04/2002
• Status: Expired due to Fees

• Current Assignee: Terumo Kabushiki Kaisha (Terumo Corporation)
• Original Assignee: Terumo Kabushiki Kaisha (Terumo Corporation)
• Inventors: Fukui, Yoshihito
• Primary Examiner(s): Pezzuto, Robert E.
• Assistant Examiner(s): SARCIONE, JESSICA LYNN
• Application Number:
  US10/725,483
• Publication Number:
  US 20040215289A1
• Time in Patent Office: 1,091 Days
• Field of Search: 607/9, 607/2, 607/42
• US Class Current: 607/14
• CPC Class Codes: A61B 5/7282 Event detection, e.g. detecting unique waveforms indicative of a medical condition A61B5/4094, A61B5/4818, A61B5/349, A61B5/0823 take precedence
• CPC Class Codes: A61N 1/36114 Cardiac control, e.g. by vagal stimulation stimulating the heart A61N1/362
• CPC Class Codes: A61N 1/365 controlled by a physiological parameter, e.g. heart potential evoked response A61N1/371

Abstract

In order to avoid a sudden cardiac death by a fatal arrhythmia, various living body information for generating a signal which shows a level of an autonomic tone is detected by a sensor or a VT/VF risk event is detected so as to control the stimulation of the vagus nerve or the nerve stimulation waveform. For this purpose, the parameter of the nerve stimulation signal is controlled according to a detection of the living body information represented by a QT interval which is measured by intracardiac information of the heart or a detection of a VT/VF risk event represented by a ventricular premature contraction which is picked up from spontaneous cardiac events.

Claims

1. A heart treatment equipment for treating a patient comprising:

a nerve stimulator for generating a nerve stimulating signal for stimulating a vagus nerve;

a sensor for sensing an intensity of physical exercise or mental stress of the patient; and

a controller connected to said nerve stimulator and said sensor,

wherein said controller controls said nerve stimulator in response to an output of said sensor such that when the intensity of the physical exercise or the mental stress is relatively high, a relatively strong nerve stimulation is performed and when the intensity of the physical exercise or the mental stress is relatively low, a relatively weak nerve stimulation is performed or no nerve stimulation is performed, wherein said controller comprises a nerve stimulation parameter table memory at which is memorized at least one table relating a plurality of nerve stimulation parameters to the intensity sensed by said sensor, said controller controlling said nerve stimulator based on the nerve stimulation parameters selected from the nerve stimulation parameter table memory.

2. A heart treatment equipment according to claim 1,

wherein said plurality of nerve stimulation parameters stored in said nerve stimulation parameter table memory are a plurality of stored values with respect to at least one of a period between pulses, a pulse width, a number of pulses, a pulse current, a pulse voltage, a delay time, a rest time and a repetitive number or with respect to a multiple combination chosen from these.

3. A heart treatment equipment according to claim 1, wherein said sensor detects a ventricle contractility.

4. A heart treatment equipment according to claim 3, wherein the ventricle contractility is related to one of a QT interval, an intracardiac electrogram area, a pre-ejection period, a stroke volume and a ventricle pressure.

5. A heart treatment equipment according to claim 3, wherein said controller controls said nerve stimulator so as to stop the generation of said nerve stimulating signal when the ventricle contractility is out of a predetermined range.

6. A heart treatment equipment according to claim 1, wherein said sensor senses an activity.

7. A heart treatment equipment according to claim 1, wherein said sensor senses a respiration.

8. A heart treatment equipment according to claim 1, wherein said sensor senses a blood parameter.

9. A heart treatment equipment according to claim 1, further comprising a heart stimulator for generating a heart stimulating pulse for stimulating the heart, wherein when the heart rate decreases below a predetermined rate, said heart stimulator stimulates the heart at said predetermined rate.

10. A heart treatment equipment for treating a patient according to claim 1, wherein said controller terminates the generation of said nerve stimulation signal when the sensed intensity of the physical exercise or the mental stress sensed is lower than a predetermined level.

11. A heart treatment equipment for treating a patient according to claim 1, wherein said controller increases a strength of said nerve stimulation signal by adjusting a parameter of said nerve stimulation signal.

12. A heart treating method comprising:

sensing an intensity of physical exercise or mental stress;

selecting from a nerve stimulation parameter table a variable parameter suitable for said intensity of physical exercise or mental stress, in response to the sensed intensity of physical exercise or mental stress wherein said nerve stimulation parameter table relates the variable parameter to the sensed intensity; and

stimulating a vagus nerve in accordance with the variable parameter, such that when the intensity of the physical exercise or the mental stress is relatively high, a relatively strong nerve stimulation is performed and when the intensity of the physical exercise or the mental stress is relatively low, a relatively weak nerve stimulation is performed or no nerve stimulation is performed.

13. A heart treating method according to claim 12, wherein said intensity of physical exercise or mental stress is sensed information of a heart.

14. A heart treating method according to claim 12, wherein said intensity of physical exercise or mental stress is sensed information of a signal that indicates autonomic nervous activity.

15. A heart treating method according to claim 12, wherein said parameter is at least one of a period between pulses, a pulse width, a number of pulses, a pulse current, a pulse voltage, a delay time, a rest time and a repetitive number or is a multiple combination chosen from these.