Automatic baroreflex modulation responsive to adverse event
First Claim
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1. A baroreflex stimulator, comprising:
- an electrode adapted to be positioned proximate to sensory nerve endings for a receptor sensitive to pressure;
an implantable pulse generator configured to provide a baroreflex stimulation signal through the electrode to the sensory nerve endings to control blood pressure through a baroreflex response that reduces coronary vascular resistance and increases blood flow;
means for receiving a signal regarding a detected adverse event; and
means for controlling blood pressure using the implantable device and the electrode. wherein the means for controlling blood pressure includes;
means for performing a first baroreflex therapy when the adverse event is not detected, wherein the means for performing the first baroreflex therapy includes means for delivering a first baroreflex stimulation signal through the electrode to the sensory nerve endings; and
means for adjusting blood pressure for the predetermined adverse event when the adverse event is detected, wherein the means for adjusting blood pressure includes means for automatically performing a second baroreflex therapy when the adverse event is detected, and wherein the means for automatically performing the second baroreflex therapy includes means for delivering a second baroreflex stimulation signal through the electrode to the sensory nerve endings.
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Abstract
An aspect of the present subject matter relates to a system for providing baroreflex stimulation. An embodiment of the system comprises an adverse event detector to sense an adverse event and provide a signal indicative of the adverse event, and a baroreflex stimulator. The stimulator includes a pulse generator to provide a baroreflex stimulation signal adapted to provide a baroreflex therapy, and a modulator to receive the signal indicative of the adverse event and modulate the baroreflex stimulation signal based on the signal indicative of the adverse event to change the baroreflex therapy from a first baroreflex therapy to a second baroreflex therapy. Other aspects are provided herein.
338 Citations
22 Claims
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1. A baroreflex stimulator, comprising:
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an electrode adapted to be positioned proximate to sensory nerve endings for a receptor sensitive to pressure; an implantable pulse generator configured to provide a baroreflex stimulation signal through the electrode to the sensory nerve endings to control blood pressure through a baroreflex response that reduces coronary vascular resistance and increases blood flow; means for receiving a signal regarding a detected adverse event; and means for controlling blood pressure using the implantable device and the electrode. wherein the means for controlling blood pressure includes; means for performing a first baroreflex therapy when the adverse event is not detected, wherein the means for performing the first baroreflex therapy includes means for delivering a first baroreflex stimulation signal through the electrode to the sensory nerve endings; and means for adjusting blood pressure for the predetermined adverse event when the adverse event is detected, wherein the means for adjusting blood pressure includes means for automatically performing a second baroreflex therapy when the adverse event is detected, and wherein the means for automatically performing the second baroreflex therapy includes means for delivering a second baroreflex stimulation signal through the electrode to the sensory nerve endings. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14)
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15. A method for operating an implantable medical device, comprising:
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receiving a signal regarding a detected predetermined adverse event at a baroreceptor stimulator; controlling blood pressure, including; performing a first baropacing therapy using the baroreceptor stimulator when the predetermined adverse event is not detected, wherein performing a first baropacing therapy includes delivering a first baroreflex stimulation signal through an electrode to sensory nerve endings for a receptor sensitive to pressure, the first baroreflex stimulation signal being adapted to provide the first baropacing therapy to control blood pressure through a baroreflex response that reduces coronary vascular resistance and increases blood flow; and adjusting blood pressure for the predetermined adverse event when the predetermined adverse event is detected, including automatically performing a second baropacing therapy using the baroreceptor stimulator when the predetermined adverse event is detected, wherein automatically performing a second baropacing therapy includes delivering a second baroreflex stimulation signal through the electrode to the sensory nerve endings sensitive to pressure, the second baroreflex stimulation signal being adapted to provide the second baropacing therapy to control blood pressure through a baroreflex response that reduces coronary vascular resistance and increases blood flow. - View Dependent Claims (16, 17, 18, 19, 20, 21, 22)
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Specification