Apparatus and method for temporary treatment of acute heart failure decompensation
First Claim
1. A system comprising:
- a local external device configured to provide electrostimuli to a heart via a first lead that includes an external connection, configured to physically connect to the local external device outside of a subject'"'"'s body, the first lead including an implantable electrode, configured to deliver the electrostimuli to the heart at an implanted location within the subject'"'"'s body, wherein the first lead extends from the local external device outside of the subject'"'"'s body and into the subject'"'"'s body to the implanted location within the subject'"'"'s body, wherein the local external device comprises;
a sensing module, configured to sense an intrinsic electrical heart signal from the heart via the first lead;
a memory module, coupled to the sensing module, the memory module configured to store physiological data about the subject obtained by sensing module using the sensed intrinsic electrical heart signal; and
a therapy module, configured to generate energy to be provided by the electrostimuli via the first lead; and
a transceiver, configured to send at least a portion of the physiological data over a network to a central repository that is configured to use the received portion of the physiological data to program a chronic fully implantable cardiac rhythm management device.
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Abstract
A system for providing temporary therapy, such as cardiac resynchronization therapy, to a patient suffering a decompensation event. The system can include a device having an external module for generating electrical stimuli, a first lead coupled to the module and implanted into an atrial region of a patient'"'"'s heart, and a second lead coupled to the module and implanted into a ventricular region of the patient'"'"'s heart. The device can also include a storage module coupled to the external module to store data associated with physiological data measured by the device. The external module is configured to temporarily generate electrical stimuli that are delivered by at least one of the first and second leads to provide therapy cardiac resynchronization therapy to the heart. A network can be coupled to the device to allow data stored in the device to be downloaded through the network to a central repository.
80 Citations
25 Claims
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1. A system comprising:
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a local external device configured to provide electrostimuli to a heart via a first lead that includes an external connection, configured to physically connect to the local external device outside of a subject'"'"'s body, the first lead including an implantable electrode, configured to deliver the electrostimuli to the heart at an implanted location within the subject'"'"'s body, wherein the first lead extends from the local external device outside of the subject'"'"'s body and into the subject'"'"'s body to the implanted location within the subject'"'"'s body, wherein the local external device comprises; a sensing module, configured to sense an intrinsic electrical heart signal from the heart via the first lead; a memory module, coupled to the sensing module, the memory module configured to store physiological data about the subject obtained by sensing module using the sensed intrinsic electrical heart signal; and a therapy module, configured to generate energy to be provided by the electrostimuli via the first lead; and a transceiver, configured to send at least a portion of the physiological data over a network to a central repository that is configured to use the received portion of the physiological data to program a chronic fully implantable cardiac rhythm management device. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15)
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16. A method comprising:
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providing, using a local external device, electrostimuli to an implanted electrode located at an implanted location in association with a heart of a subject, the implanted electrode being electrically connected to the local external device using a lead, the lead including an external physical connection with the local external device, the local external device being disposed at a location outside of the subject'"'"'s body, wherein the lead extends from the local external device outside of the subject'"'"'s body and into the subject'"'"'s body to the implanted location within the subject'"'"'s body; sensing an intrinsic electrical heart signal from the heart, using the implanted electrode and the local external device; communicating physiological data, obtained by sensing the intrinsic electrical heart signal, to a central repository; and using the physiological data to program a fully implantable cardiac rhythm management device. - View Dependent Claims (17, 18, 19, 20, 21, 22, 23, 24)
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25. A system comprising:
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means for providing, using a local external device, electrostimuli to an implanted electrode located at an implanted location in association with a heart of a subject, the implanted electrode being electrically connected to the local external device using a lead, the lead including an external physical connection with the local external device, the local external device being disposed at a location outside of the subject'"'"'s body, wherein the lead extends from the local external device outside of the subject'"'"'s body and into the subject'"'"'s body to the implanted location within the subject'"'"'s body; means for sensing an intrinsic electrical heart signal from the heart, using the implanted electrode and the local external device; means for communicating physiological data, obtained by sensing the intrinsic electrical heart signal, to a central repository; and means for using the physiological data to program a fully implantable cardiac rhythm management device.
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Specification