Cardiac rhythm management device with neural sensor
First Claim
1. A device, comprising:
- at least one port adapted to connect at least one lead;
a cardiac rhythm management (CRM) functions module connected to the port and adapted to provide at least one CRM function using the at least one lead, the at least one CRM function including a function to provide an electrical signal to the lead to capture cardiac tissue;
a neural function module, including a signal processing module connected to the port and adapted to receive and process a nerve traffic signal from the at least one lead into a signal indicative of the nerve traffic; and
a controller connected to the CRM functions module and the neural function module, the controller being adapted to control the CRM function to provide a baseline response of a physiologic system to the CRM function, and to implement a procedure to receive feedback for use in controlling the CRM function, wherein the procedure implemented by the controller to receive feedback includes controlling the CRM function module to perturb the physiologic system from the baseline response to cause a transient nerve traffic response to the perturbed system, and determining the transient nerve traffic response to perturbing the physiologic system, the controller being adapted to implement the CRM function using the signal indicative of the transient nerve traffic response to perturbing the physiologic system as feedback for the CRM function.
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Accused Products
Abstract
Various aspects of the present subject matter relate to a device. In various embodiments, the device comprises at least one port adapted to connect at least one lead, a CRM functions module connected to the port and adapted to provide at least one CRM function using the lead, a neural function module, and a controller connected to the CRM functions module and the neural function module. The at least one CRM function includes a function to provide an electrical signal to the lead to capture cardiac tissue. The neural function module includes a signal processing module connected to the port and adapted to receive and process a nerve traffic signal from the lead into a signal indicative of the nerve traffic. The controller is adapted to implement a CRM therapy based on the signal indicative of the nerve traffic. Other aspects are provided herein.
112 Citations
44 Claims
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1. A device, comprising:
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at least one port adapted to connect at least one lead; a cardiac rhythm management (CRM) functions module connected to the port and adapted to provide at least one CRM function using the at least one lead, the at least one CRM function including a function to provide an electrical signal to the lead to capture cardiac tissue; a neural function module, including a signal processing module connected to the port and adapted to receive and process a nerve traffic signal from the at least one lead into a signal indicative of the nerve traffic; and a controller connected to the CRM functions module and the neural function module, the controller being adapted to control the CRM function to provide a baseline response of a physiologic system to the CRM function, and to implement a procedure to receive feedback for use in controlling the CRM function, wherein the procedure implemented by the controller to receive feedback includes controlling the CRM function module to perturb the physiologic system from the baseline response to cause a transient nerve traffic response to the perturbed system, and determining the transient nerve traffic response to perturbing the physiologic system, the controller being adapted to implement the CRM function using the signal indicative of the transient nerve traffic response to perturbing the physiologic system as feedback for the CRM function. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18)
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19. A system, comprising:
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means for applying a cardiac rhythm management (CRM) therapy, wherein the CRM therapy is adapted to electrically capture cardiac tissue to provide a baseline response of a physiologic system to the CRM therapy; means for receiving feedback for use in controlling the CRM therapy, wherein the means for receiving feedback includes; means for perturbing the physiologic system from the baseline response to cause a transient nerve traffic response in preparation to sense a nerve traffic signal to determine the transient nerve traffic response; means for sensing the nerve traffic signal to determine the transient nerve traffic response to perturbing the physiologic system; and means for identifying at least one feature of the nerve traffic signal indicative of the transient nerve traffic response to perturbing the physiologic system; and means for using the at least one feature of the nerve traffic signal indicative of the transient nerve traffic response as feedback for the CRM therapy. - View Dependent Claims (20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 39)
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30. A method, comprising:
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applying a cardiac rhythm management (CRM) therapy, wherein the CRM therapy is adapted to electrically capture cardiac tissue to provide a baseline response of a physiologic system to the CRM therapy; receiving feedback for use in controlling the CRM therapy, wherein receiving feedback includes; perturbing the physiologic system from the baseline response to cause a transient nerve traffic response in preparation to sense a nerve traffic signal to determine the transient nerve traffic response; sensing the nerve traffic signal to determine the transient nerve traffic response to perturbing the physiologic system; and identifying at least one feature of the nerve traffic signal indicative of the transient nerve traffic response to perturbing the physiologic system; and using the at least one feature of the nerve traffic signal indicative of the transient nerve traffic response as feedback for the CRM therapy. - View Dependent Claims (31, 32, 33, 34, 35, 36, 37, 38, 40, 41, 42, 43, 44)
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Specification