Device and method for the physiological frequency control of a heart pacemaker equipped with a stimulating electrode

• US 4,779,618 A
• Filed: 08/12/1985
• Issued: 10/25/1988
• Est. Priority Date: 08/10/1984
• Status: Expired due to Term

• Current Assignee: Pacesetter AB
• Original Assignee: Siemens AG
• Inventors: Rao, Raghavendra, Mund, Konrad, Richter, Gerhard
• Primary Examiner(s): Kamm, William E.
• Application Number:
  US06/764,850
• Time in Patent Office: 1,170 Days
• Field of Search: 128/419 PG, 128/419 P, 128/635, 128/784-786
• US Class Current: 607/22
• CPC Class Codes: A61B 5/14542 for measuring blood gases A61B5/14551 takes precedence
• CPC Class Codes: A61B 5/1473 invasive, e.g. introduced into the body by a catheter A61B5/1482 takes precedence
• CPC Class Codes: A61N 1/36557 controlled by chemical substances in blood

Abstract

Physiological frequency control of a heart pacemaker having a stimulating electrode is accomplished by providing an oxygen measuring electrode and placing it in the body tissue, loading the oxygen measuring electrode with stimulating pulses in parallel with the stimulating electrode, measuring the potential of the oxygen measuring electrode relative to another electrode between stimulating pulses, and controlling the frequency of the pacemaker as a function of the measured potential.

Claims

1. A method for physiological frequency control of a heart pacemaker device having a heart pacemaker, a stimulating electrode having active vitreous carbon and an oxygen level measuring electrode having smooth vitreous carbon connected in parallel and coupled to the heart pacemaker comprising:

(a) placing the oxygen level measuring electrode in at least one of the blood and the body tissue;

(b) loading said oxygen level measuring electrode and the stimulating electrode with stimulating voltage pulses at a variable frequency;

(c) measuring the potential of the oxygen level measuring electrode relative to the stimulating electrode between stimulating voltage pulses; and

(d) controlling the stimulating voltage pulse frequency of said pacemaker as an inverse function of the measured potential.

2. A method according to claim 1, further comprising the steps of connecting a reference electrode in parallel with the stimulating electrode and the oxygen level measuring electrode and connected to the heart pacemaker;

in the potential measuring step, measuring the potential of the oxygen level measuring electrode relative to the reference electrode between stimulating voltage pulses.

3. A heart pacemaker device for controlling the physiological frequency of the heart including:

(a) a heart pacemaker;

(b) an oxygen level measuring electrode coupled to the pacemaker, wherein said oxygen level measuring electrode comprises smooth vitreous carbon;

(c) a stimulating electrode coupled to the pacemaker for transmitting stimulating voltage pulses at a variable frequency, wherein said stimulating electrode comprises activated vitreous carbon;

(d) a counter electrode coupled to the pacemaker;

(e) means for measuring a potential difference present between the oxygen level measuring electrode and the stimulating electrode responsive to the transmission of a stimulating voltage pulse;

(f) means for controlling the variable frequency of transmission of stimulating voltage pulses as an inverse function of the sensed potential; and

(g) means for generating said voltage pulses.

4. A heart pacemaker device according to claim 3 wherein said means for controlling comprises a processing circuit and electronic switch means actuated by the processing circuit for switchably coupling an output of said pacemaker to at least one of said electrodes.

5. A heart pacemaker device according to claim 4, the electronic switch means comprising a first switch coupling the output of said pacemaker to the stimulating electrode and a second switch for coupling the output of said pacemaker to said oxygen level measuring electrode and wherein said means for controlling is adapted to close both of said switches during the generation of a stimulating pulse.

6. A heart pacemaker device according to claim 5 wherein said processing circuit comprises a processor controlling the operation of said switches.

7. A heart pacemaker device for controlling the physiological frequency of the heart including:

(a) a heart pacemaker;

(b) an oxygen level measuring electrode coupled to the pacemaker, wherein said oxygen level measuring electrode is a smooth vitreous carbon electrode;

(c) a stimulating electrode coupled to the pacemaker for transmitting stimulating voltage pulses at a variable frequency, wherein said stimulating electrode is an activated vitreous carbon electrode;

(d) an additional electrode coupled to the pacemaker for measuring a reference potential;

(e) a counter electrode coupled to the pacemaker;

(f) means for measuring a potential difference present between the oxygen level measuring electrode and the additional electrode responsive to the transmission of a stimulating voltage pulse;

(g) means for controlling the variable frequency of transmission of stimulating voltage pulses as an inverse function of the measured potential; and

(h) means for generating said voltage pulses.

8. A heart pacemaker device according to claim 7 wherein said means for controlling comprises a processing circuit and electronic switch means actuated by the processing circuit for switchably coupling an output of said pacemaker to at least one of said electrodes.

9. A heart pacemaker device according to claim 8, the electronic switch means comprising a first switch coupling the output of said pacemaker to the stimulating electrode and a second switch for coupling the output of said pacemaker to said oxygen level measuring electrode and wherein said means for controlling is adapted to close both of said switches during the generation of a stimulating pulse.

10. A heart pacemaker device according to claim 9 wherein said processing circuit comprises a processor controlling the operation of said switches.