Shockwave system control dependent on patient's blood pressure

• US 8,002,718 B2
• Filed: 06/30/2006
• Issued: 08/23/2011
• Est. Priority Date: 07/04/2005
• Status: Expired due to Fees

• Current Assignee: Siemens Healthcare GMBH (Siemens AG)
• Original Assignee: Siemens AG
• Inventors: Kruft, Werner, Lanski, Markus, Meinert, Christian, Buchholtz, Gerhard, Granz, Bernd, Rattner, Manfred, Mahler, Matthias, Mertelmeier, Thomas, Nanke, Ralf, Hoheisel, Martin, Fehre, Jens
• Primary Examiner(s): Jung; Unsu
• Application Number:
  US11/479,347
• Publication Number:
  US 20070016115A1
• Time in Patent Office: 1,880 Days
• Field of Search: 600427-428, 600/431, 600/439, 600/515, 600/519, 600/534, 600/484, 601 2- 6, 128/202.13, 128/202.16, 128/328, 128/702, 128/706, 607/9, 607/17, 607 18- 20, 607 23- 24
• US Class Current: 601/4
• CPC Class Codes: A61B 17/22004 using mechanical vibrations, e.g. ultrasonic shock waves A61B17/225 takes precedence
• CPC Class Codes: A61B 17/2251 characterised by coupling elements between the apparatus, e.g. shock wave apparatus or locating means, and the patient, e.g. details of bags, pressure control of bag on patient
• CPC Class Codes: A61B 2017/00022 Sensing or detecting at the treatment site
• CPC Class Codes: A61B 2017/00044 Sensing electrocardiography, i.e. ECG
• CPC Class Codes: A61B 2017/00119 alarm; indicating an abnormal situation
• CPC Class Codes: A61B 2017/00194 Means for setting or varying the repetition rate
• CPC Class Codes: A61B 5/021 Measuring pressure in heart or blood vessels A61B5/0205 takes precedence

Abstract

In a shockwave system with a shockwave source for treatment of a patient with shockwaves, a control and evaluation unit for evaluating an input signal supplied directly thereto that is correlated with a blood pressure value of the patient determined during the treatment, and controls the shockwave source dependent on the input signal.

Claims

1. A shockwave system comprising:

a shockwave source that emits shockwaves adapted to interact with a patient to disintegrate a calculus in the patient during a treatment of the patient;

an ECG detector adapted to interact with the patient during said treatment to detect an ECG of the patient, and that emits an ECG signal representing the detected ECG;

a control and evaluation unit having an input connected to said ECG detector, said control and evaluation unit being configured to control administration of said shockwaves to the patient in coordination with the ECG represented in said ECG signal;

a blood pressure sensor configured to interact with the patient to directly measure blood pressure of the patient, said blood pressure sensor generating a blood pressure sensor signal representing blood pressure of the patient during said treatment; and

said control and evaluation unit comprising a further input supplied with said blood pressure sensor signal from said blood pressure sensor, and said control and evaluation unit being configured to evaluate whether said blood pressure represented in said blood pressure sensor signal satisfies a predetermined criterion, and to automatically modify the administration of shockwaves correlated with said ECG dependent on satisfaction of said criterion by said blood pressure of the patient during the treatment.

2. The shockwave system as claimed in claim 1 wherein said control and evaluation unit generates said blood pressure value-dependent signal as having only a signal state indicating said blood pressure value exceeds a critical value and a signal state indicating said blood pressure value is acceptable.

3. The shockwave system as claimed in claim 1 comprising a threshold switch connected between said blood pressure sensor and said input of said control and evaluation unit and supplying said blood pressure sensor signal to said input of said control and evaluation unit only if said blood pressure sensor signal is below a predetermined threshold.

4. The shockwave system as claimed in claim 3 wherein said threshold switch exhibits a hysteresis value for said blood pressure value.

5. The shockwave system as claimed in claim 4 wherein at least one of said threshold and said hysteresis value is adjustable.

6. The shockwave system as claimed in claim 4 comprising a signaling device that emits a humanly perceptible signal if said blood pressure value of said blood pressure sensor signal approaches or reaches at least one of said threshold and said hysteresis value.

7. The shockwave system as claimed in claim 3 wherein said threshold is adjustable.

8. The shockwave system as claimed in claim 3 comprising a signaling device that emits a humanly perceptible signal if said blood pressure value approaches or reaches said threshold.

9. The shockwave system as claimed in claim 1 wherein said shockwaves each have an amplitude and are emitted at an emission frequency, and wherein said control and evaluation unit is configured to modify at least one of said amplitude and said emission frequency dependent on whether said blood pressure satisfies said predetermined criterion.

10. The shockwave system as claimed in claim 1 wherein said control and evaluation unit is configured to discontinue administration of shockwaves, at least temporarily, dependent on whether said blood pressure satisfies said predetermined criterion.