Adjusting pump protocol based on irregular heart rhythm

Patent metadata

Field	Value
Publication number	US-10780209-B2
Application number	US-201815939033-A
Country	US
Kind code	B2
Filing date	Mar 28, 2018
Priority date	Mar 29, 2017
Publication date	Sep 22, 2020
Grant date	Sep 22, 2020

Abstract

The present invention generally relates to heart treatment systems. In some aspects, methods and systems are provided for facilitating communication between implanted devices. For example, an implantable cardiac rhythm management device may be configured to communicate with an implantable blood pump. The implantable cardiac rhythm management device may deliver heart stimulation rate information in addition to information associated with any detected abnormalities in heart function. In response, the pump may be configured to adjust pumping by the pump to better accommodate a patient's particular needs.

First claim

What is claimed is:

1. A method of assisting a heart of a patient, the method comprising:
receiving, with a controller of an implantable blood pump coupled with a heart of the patient, a series of electrical pulses from an implanted cardiac rhythm management device electrically pacing the heart of the patient at a first frequency with electrical pulses with a first duration of time and a first voltage, the series of electrical pulses received by the controller of the implantable blood pump comprising one or more pulses associated with electrical pacing signals and one or more pulses associated with a type of abnormal heart rhythm detected by the implantable cardiac rhythm management device and being at a second frequency different than the first frequency or including electrical pulses with a second duration of time different than the first duration of time or at a second voltage different from the first voltage;
determining, with the controller of the implantable blood pump, the type of abnormal heart rhythm detected by the implanted cardiac rhythm management device by analyzing a frequency of the series of electrical pulses, a duration of each of the electrical pulses of the series of electrical pulses, or a voltage of each of the electrical pulses of the series of electrical pulses; and
adjusting a pumping protocol of the implantable blood pump based on the type of abnormal heart rhythm determined by the analysis.

2. The method of claim 1 , wherein the implantable blood pump determines the type of abnormal heart rhythm by analyzing the frequency of the series of electrical pulses.

3. The method of claim 2 , wherein the implantable blood pump determines the type of abnormal heart rhythm by referencing a database associating frequencies of sensed electrical pulses with types of abnormal heart rhythm.

4. The method of claim 2 , wherein the implantable blood pump determines the type of abnormal heart rhythm by comparing the frequency of the series of electrical pulses to one or more frequency thresholds.

5. The method of claim 1 , wherein the implantable blood pump determines the type of abnormal heart rhythm by analyzing the durations of each of the electrical pulses of the series of electrical pulses.

6. The method of claim 5 , wherein the series of electrical pulses comprises a first pulse with a first duration and a second pulse with a second duration that is different than the first pulse.

7. The method of claim 1 , wherein the pumping protocol is adjusted to cease the pumping of the implantable blood pump for a predetermined duration of time.

8. The method of claim 1 , wherein the controller of the implantable blood pump further receives a first series of pulses indicative of a start of communication prompting the controller to start receiving a second series of pulses, the second series of pulses communicating specific information to the controller.

9. The method of claim 8 , wherein the controller of the implantable blood pump further receives a third series of pulses indicative of a stop of communication prompting the controller to enter a standby mode.

10. The method of claim 8 , wherein the specific information comprises information encoded by the implanted cardiac rhythm management device, and wherein the specific information comprises patient information, time stamps, or information associated with patient position or activity.

11. A heart treatment system, comprising:
an implantable blood pump configured to couple with a circulatory system of a patient and to pump blood therethrough, the implantable blood pump including a pump processor configured to:
receive a series of electrical pulses from an implanted cardiac rhythm management device adapted for electrically pacing a heart of the patient at a first frequency with electrical pulses with a first duration of time and at a first voltage, wherein the series of electrical pulses received by the pump processor comprise one or more pulses associated with electrical pacing signals and one or more pulses associated with a type of abnormal heart rhythm detected by the implanted cardiac rhythm management device and are at a second frequency different than the first frequency or include electrical pulses with a second duration of time different than the first duration of time or electrical pulses at a second voltage different than the first voltage;
determine the type of abnormal heart rhythm detected by the implanted cardiac rhythm management device by analyzing a frequency of the series of electrical pulses, a duration of each of the electrical pulses of the series of electrical pulses, or a voltage of each of the electrical pulses of the series of electrical pulses; and
adjust a pumping protocol of the implantable blood pump based on the type of abnormal heart rhythm determined by the analysis.

12. The heart treatment system of claim 11 , wherein the pump processor is configured to determine the type of abnormal heart rhythm by analyzing the frequency of the series of electrical pulses.

13. The heart treatment system of claim 12 , wherein the pump processor is configured to determine the type of abnormal heart rhythm by referencing a database associating frequencies of sensed electrical pulses with types of abnormal heart rhythm.

14. The heart treatment system of claim 12 , wherein the pump processor determines the type of abnormal heart rhythm by comparing the frequency of the series of electrical pulses to one or more frequency thresholds.

15. The heart treatment system of claim 11 , wherein the pump processor determines the type of abnormal heart rhythm by analyzing durations of each of the electrical pulses of the series of electrical pulses.

16. The heart treatment system of claim 15 , wherein the series of electrical pulses comprises a first pulse with a first duration and a second pulse with a second duration that is different than the first pulse.

17. The heart treatment system of claim 11 , wherein when the type of abnormal heart rhythm is determined to be a fibrillation of the heart, the pumping processor adjusts the pumping protocol to cease the pumping of the implantable blood pump for a predetermined duration of time.

18. The heart treatment system of claim 11 , wherein the electrical pulses of the series of electrical pulses comprise square wave signals.

19. The heart treatment system of claim 11 , wherein the pump processor is further configured to receive a first series of pulses indicative of a start of communication prompting the pump processor to start receiving a second series of pulses, the second series of pulses communicating specific information to the pump processor.

20. The heart treatment system of claim 19 , wherein the pump processor is further configured to receive a third series of pulses indicative of a stop of communication prompting the pump processor to enter a standby mode.

21. The heart treatment system of claim 19 , wherein the specific information comprises information encoded by the implanted cardiac rhythm management device, and wherein the specific information comprises patient information, time stamps, or information associated with patient position or activity.

Assignees

• Tc1 Llc

Inventors

• Harjes Daniel I
• Hansen John Freddy
• Stark Iii Joseph C
• Mauro Ghazal Anvar
• Lee Eric
• Callaway Justin A
• Dur Onur

Classifications

• A61M60/50

  Details relating to control · CPC title

• A61M60/871

  Energy supply devices; Converters therefor · CPC title

• A61M60/205

  Non-positive displacement blood pumps · CPC title

• A61B5/02405 Primary

  Determining heart rate variability · CPC title

• A61M60/538

  Regulation using real-time blood pump operational parameter data, e.g. motor current · CPC title