Heart therapy apparatus with therapy correction means

• US 6,181,966 B1
• Filed: 12/28/1998
• Issued: 01/30/2001
• Est. Priority Date: 12/28/1998
• Status: Expired due to Term

• Current Assignee: Biotronik Mess-Und Therapiegeraete GmbH & Company Ingenieurbuero Berlin (Biotronik SE & Company KG)
• Original Assignee: Biotronik Mess-Und Therapiegeraete GmbH & Company Ingenieurbuero Berlin (Biotronik SE & Company KG), Ingenieurburo
• Inventors: Nigam, Indra B.
• Primary Examiner(s): Schaetzle, Kennedy
• Application Number:
  US09/220,755
• Time in Patent Office: 764 Days
• Field of Search: 607/14, 607/4, 607/5, 607/9, 607/2
• US Class Current: 607/4
• CPC Class Codes: A61N 1/3622 comprising two or more electrodes co-operating with different heart regions
• CPC Class Codes: A61N 1/3962 in combination with another heart therapy
• CPC Class Codes: A61N 1/39622 Pacing therapy
• CPC Class Codes: A61N 1/39624 Pain reduction therapy

Abstract

A heart therapy apparatus (1) with detection means (3, 5, 9) for detecting a physiological parameter that characterizes the state of the heart/circulatory system, with comparison value storage means (17), comparator means (15) for comparing the detected values to the stored values, therapy storage means (23) for storing a plurality of potential therapies, therapy means (25) for selectively realizing one of the potential therapies, with therapy registration means (27) for registering a realized therapy, and therapy selection means (19) for selecting one of the stored therapies and activating the therapy means in dependence on the classification signal and the memory content of the therapy registration means. In addition therapy correction means (21) are provided for delaying or inhibiting the realization of a therapy associated with the classification signal, or any therapy at all, or for changing the therapy coordinated with the classification signal in dependence on the classification signal and the memory content of the therapy registration means.

Claims

1. A heart therapy apparatus, comprising:

detection means for detecting a physiological parameter that characterizes the state of the heart/circulatory system,

comparison value storage means for storing a plurality of comparison values for the physiological parameter,

comparator means, which are connected on the input side to the detection means and the comparison value storage means, for comparing the detected values to the stored values and for issuing a classification signal as a result of the comparison,

therapy-storage means for storing a plurality of potential therapies for a heart (H),

therapy means for selectively realizing one of the potential therapies,

therapy registration means for registering a therapy that has been realized,

therapy selection means, which are connected on the input side to the output of the comparator means and the therapy registration means, for selecting one of the stored therapies and activating the therapy means in dependence on the classification signal and the storage content of the therapy registration means, and

therapy correction means that are coordinated with the therapy selection means for delaying or inhibiting the realization of a therapy associated with the classification signal, or any therapy at all, or for changing the therapy associated with a classification signal in dependence on the classification signal and the memory content of the therapy registration means.

2. A heart therapy apparatus according to claim 1, wherein the therapy means comprise a shock pulse generator for generating shock pulses for the cardioversion or defibrillation of the heart and, following a shock pulse, the therapy correction means delay or inhibit additional shock pulses upon receiving a first classification signal.

3. A heart therapy apparatus according to claim 1, wherein the therapy means comprise a shock pulse generator for generating shock pulses for the cardioversion or defibrillation of the heart and that following a shock pulse, the therapy correction means trigger further shock pulses with essentially the same energy level upon receiving a second classification signal.

4. A heart therapy apparatus according to claim 1, wherein the detection means detect at least the heart rate;

and the comparison value storage means store a plurality of heart rate comparison values, such that the classification signal characterizes the coordination of the actual heart rate with a predetermined rate range.

5. A heart therapy apparatus according to claim 2, wherein the first classification signal characterizes a heart rate in the increased sinus rhythm range, below a predetermined tachycardia rate limit.

6. A heart therapy apparatus according to claim 3, wherein the second classification signal characterizes a heart rate in a tachycardia range that is above a tachycardia rate limit.

7. A heart therapy apparatus according to claim 6, wherein the tachycardia range characterized by the second classification signal is located below a fibrillation rate limit.

8. A heart therapy apparatus according to claim 4, wherein at least two comparison values of the heart rate are fixedly pre-programmed, such that each of at least three classification signals characterizes the coordination of the actual heart rate to respectively one invariant predetermined rate range, and wherein at least one rate range is defined as a hysteresis range in which the therapy correction means are effective, depending on the therapy case history.

9. A heart therapy apparatus according to claim 8, wherein four comparison values of the heart rate are fixedly pre-programmed, such that each of the five classification signals characterizes the coordination of the actual heart rate with respectively one predetermined rate range and, wherein two rate ranges are defined as hysteresis ranges in which the therapy correction means are effective.