Devices, systems, and methods for epicardial cardiac monitoring

• US 9,848,777 B2
• Filed: 03/25/2014
• Issued: 12/26/2017
• Est. Priority Date: 01/22/2007
• Status: Active Grant

• Current Assignee: CVDEVICES, LLC
• Original Assignee: CVDEVICES, LLC
• Inventors: Kassab, Ghassan S., Navia, Sr., Jose A.
• Primary Examiner(s): MAHMOOD, NADIA AHMAD
• Application Number:
  US14/225,145
• Publication Number:
  US 20140206973A1
• Time in Patent Office: 1,372 Days
• Field of Search: 600509, 600510
• CPC Class Codes: A61B 2560/066 catheters therefor
• CPC Class Codes: A61B 5/0031 Implanted circuitry
• CPC Class Codes: A61B 5/0215 by means inserted into the body catheters A61M25/00
• CPC Class Codes: A61B 5/024 Detecting, measuring or recording pulse rate or heart rate A61B5/0205, A61B5/021 take precedence
• CPC Class Codes: A61B 5/1107 Measuring contraction of parts of the body, e.g. organ, muscle apparatus for measuring work or force in general G01L
• CPC Class Codes: A61B 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61B 5/361 Detecting fibrillation
• CPC Class Codes: A61B 5/6852 Catheters
• CPC Class Codes: A61B 5/6869 Heart
• CPC Class Codes: A61B 5/688 using adhesives
• CPC Class Codes: A61B 5/6882 Anchoring means

Abstract

Devices, systems, and methods for remotely monitoring physiologic cardiovascular data are disclosed. At least some of the embodiments disclosed herein provide access to the external surface of the heart through the pericardial space for the delivery of the sensor to the epicardial surface of the heart. In addition, various disclosed embodiments provide for a memory device capable of receiving the physiologic cardiovascular data collected by the sensors and transmitting such data wirelessly to a remote location.

Claims

1. A system for monitoring the physiology of a heart, the system comprising:

a memory device for storing data;

a connection assembly configured to traverse an opening of a wall of a heart and further configured to seal the opening;

a first connecting wire coupled to the memory device and the connection assembly;

a first sensor configured for implantation within a chest cavity of a patient, the first sensor configured to receive physiologic data from an epicardial surface of a heart of the patient; and

a first lead wire coupled to the first sensor and the connection assembly;

wherein the memory device is configured to receive the physiologic data from the first sensor by way of the physiologic data being transmitted through the first lead wire, through the connection assembly, and through the first connecting wire.

2. The system of claim 1, wherein the memory device is further configured to transmit at least part of the physiologic data to a remote processor.

3. The system of claim 1, further comprising:

a remote processor configured to receive at least part of the physiologic data from the memory device.

4. The system of claim 3, wherein the remote processor is selected from the group consisting of a handheld device and a computer.

5. The system of claim 3, wherein the remote processor is configured to view and process the at least part of the physiological data.

6. The system of claim 2, wherein the memory device is configured to transmit at least part of the physiologic data through a transmission means selected from the group consisting of an internet and telemetry.

7. The system of claim 1, wherein the memory device is implantable beneath the skin of the patient.

8. The system of claim 1, wherein the first sensor further comprises an attachment mechanism for facilitating attachment of the first sensor to the epicardial surface of the heart, the attachment mechanism selected from the group consisting of a pinching mechanism, an adhesive mechanism, and a suction mechanism.

9. The system of claim 1, wherein the memory device is configured to process at least part of the physiological data.

10. The system of claim 1, wherein the first sensor is selected from the group consisting of one or more microtransducers, one or more piezo crystals, and one or more pressure sensors.

11. The system of claim 1, further comprising:

a second sensor configured for implantation within the chest cavity of the patient, the second sensor configured to receive more physiologic data from the epicardial surface of the heart of the patient at a second location; and

a second lead wire coupled to the second sensor and the connection assembly;

wherein the memory device is configured to receive the more physiologic data from the second sensor by way of the more physiologic data being transmitted through the second lead wire, through the connection assembly, and through the first connecting wire.

12. The system of claim 11, further comprising:

at least one additional sensor configured for implantation within the chest cavity of the patient, the at least one additional sensor configured to receive additional physiologic data from the epicardial surface of the heart of the patient at at least one additional location; and

at least one additional lead wire coupled to the at least one additional sensor and the connection assembly;

wherein the memory device is configured to receive the additional physiologic data from the at least one additional sensor by way of the additional physiologic data being transmitted through the at least one additional lead wire, through the connection assembly, and through the first connecting wire.

13. A system for monitoring the physiology of a heart, the system comprising:

a memory device for storing data;

a connection assembly configured to traverse an opening of a wall of a heart and further configured to seal the opening;

a first connecting wire coupled to the memory device and the connection assembly;

a first sensor configured for implantation within a chest cavity of a patient, the first sensor configured to receive physiologic data from an epicardial surface of a heart of the patient; and

a first lead wire coupled to the first sensor and the connection assembly;

at least one additional sensor configured for implantation within the chest cavity of the patient, the at least one additional sensor configured to receive additional physiologic data from the epicardial surface of the heart of the patient at at least one additional location; and

at least one additional lead wire coupled to the at least one additional sensor and the connection assembly;

wherein the memory device is configured to receive the physiologic data from the first sensor by way of the physiologic data being transmitted through the first lead wire, through the connection assembly, and through the first connecting wire;

wherein the memory device is configured to receive the additional physiologic data from the at least one additional sensor by way of the additional physiologic data being transmitted through the at least one additional lead wire, through the connection assembly, and through the first connecting wire; and

wherein the memory device is further configured to transmit at least part of the physiologic data to a remote processor.

19. The system of claim 13, wherein the memory device is implantable beneath the skin of the patient.

20. The system of claim 13, wherein the first sensor further comprises an attachment mechanism for facilitating attachment of the first sensor to the epicardial surface of the heart, the attachment mechanism selected from the group consisting of a pinching mechanism, an adhesive mechanism, and a suction mechanism.

14. A method for obtaining heart data, the method comprising the steps of:

inserting at least part of a system for monitoring the heart into a chest cavity of a patient, the system comprising;

a memory device for storing data,

a connection assembly configured to traverse an opening of a wall of a heart and further configured to seal the opening,

a first connecting wire coupled to the memory device and the connection assembly,

a first sensor configured for implantation within the chest cavity of the patient, the first sensor configured to receive physiologic data from an epicardial surface of the heart of the patient, and

a first lead wire coupled to the first sensor and the connection assembly;

operating the system to obtain the physiologic data so that the memory device receives the physiologic data from the first sensor by way of the physiologic data being transmitted through the first lead wire, through the connection assembly, and through the first connecting wire.

15. The method of claim 14, wherein the inserting step is further performed so that the connection assembly traverses an opening of a wall of the heart.

16. The method of claim 15, wherein the inserting step is further performed so that the connection assembly seals the opening.

17. The method of claim 15, further comprising the step of:

processing the physiologic data using a remote processor configured to receive at least part of the physiologic data from the memory device.

18. The method of claim 14, wherein the system further comprises:

at least one additional sensor configured for implantation within the chest cavity of the patient, the at least one additional sensor configured to receive additional physiologic data from the epicardial surface of the heart of the patient at at least one additional location; and

at least one additional lead wire coupled to the at least one additional sensor and the connection assembly;

wherein the step of operating the system further comprises obtaining the additional physiologic data so that the memory device receives the additional physiologic data from the at least one additional sensor by way of the physiologic data being transmitted through the at least one additional lead wire, through the connection assembly, and through the first connecting wire; and

wherein the method further comprises the step of;

processing the physiologic data and the additional physiologic data using a remote processor configured to receive at least part of the physiologic data and at least part of the additional physiological data from the memory device.