Communication methods and architecture for heart treatment systems

Patent metadata

Field	Value
Publication number	US-11065436-B2
Application number	US-201815938883-A
Country	US
Kind code	B2
Filing date	Mar 28, 2018
Priority date	Mar 29, 2017
Publication date	Jul 20, 2021
Grant date	Jul 20, 2021

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, through a first lead having a first end coupled with an implantable cardiac rhythm management device and a second end opposite the first end coupled with a pump processor of an implantable blood pump, an electrical pace signal from the implantable cardiac rhythm management device, the implantable cardiac rhythm management device delivering the electrical pace signal to the pump processor of the implantable blood pump;
adjusting a pumping protocol of the implantable blood pump based on the received electrical pace signal with the pump processor.

2. The method of claim 1 , wherein the electrical pace signal is received with each heart stimulation pulse delivered to the heart of the patient by the implantable cardiac rhythm management device.

3. The method of claim 1 , wherein the electrical pace signal comprises a square wave signal with a frequency equal to a heart rate of the patient.

4. The method of claim 1 , further comprising comparing, with the pump processor of the implantable blood pump, a frequency of the electrical pace signal with a first frequency threshold and a second frequency threshold that is greater than the first frequency threshold.

5. The method of claim 4 , further comprising adjusting, with the pump processor of the implantable blood pump, the pumping of the implantable blood pump to a first speed when the frequency of the electrical pace signal is below the first frequency threshold, a second speed when the frequency of the electrical pace signal is above the first frequency threshold and below the second frequency threshold, and a third speed when the frequency of the electrical pace signal is above the first frequency threshold and the second frequency threshold, the first speed being less than the second speed and the second speed being less than the third speed.

6. The method of claim 1 , further comprising detecting, with the implantable cardiac rhythm management device, an abnormal heart rhythm of the heart of the patient, and delivering, with the implantable cardiac rhythm management device, a unique series of electrical pulses through the first lead to the pump processor of the implantable blood pump.

7. The method of claim 6 , wherein electrical pulses of the unique series of electrical pulses comprise a combination of a first pulse with a first duration and second pulse with a second duration different that the first pulse.

8. The method of claim 6 , further comprising differentiating, with the pump processor, the unique series of electrical pulses from the electrical pace signal; associating the received unique series of pulses with a pumping protocol; and implementing the pumping protocol in response to receiving the unique series of pulses.

9. The method of claim 8 , wherein the pump protocol comprises a cessation of pumping for a predetermined duration of time.

10. The method of claim 8 , wherein the pump processor differentiates the unique series of electrical pulses from the electrical pace signal based on a duration of the electrical pulses of the unique series of electrical pulses.

11. The method of claim 8 , wherein the pump processor differentiates the unique series of electrical pulses from the electrical pace signal based on a frequency of the unique series of electrical pulses.

12. The method of claim 11 , wherein the pump processor compares the frequency of the unique series of electrical pulses to a threshold frequency to differentiate the unique series of electrical pulses from the electrical pace signal.

13. The method of claim 1 , wherein the first lead comprises a communication line that couples the first end to on-board electronics of the implantable cardiac rhythm management device through a header of the implantable cardiac rhythm management device to the pump processor at the second end.

14. 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 comprising a pump processor, the pump processor including an input;
an implantable cardiac rhythm management device configured to deliver heart stimulation pulses to a heart of the patient;
a first lead having a first end and a second end opposite the first end, the first end of the first lead coupling with the implantable cardiac rhythm management device and the second end of the first lead coupled with the input of the pump processor;
wherein the implantable cardiac rhythm management device is configured to deliver an electrical pace signal through the first lead to the implantable blood pump; and
wherein the pump processor of the implantable blood pump is configured to receive the electrical pace signal from the implantable cardiac rhythm management device and to adjust a pumping of the implantable blood pump based on the received electrical pace signal.

15. The heart treatment system of claim 14 , wherein the implantable cardiac rhythm management device is configured to deliver the electrical pace signal through the first lead to the implantable blood pump with each heart stimulation pulse delivered to the heart of the patient.

16. The heart treatment system of claim 14 , wherein the electrical pace signal comprises a square wave signal with a frequency equal to a heart rate of the patient.

17. The heart treatment system of claim 14 , wherein the pump processor of the implantable blood pump is configured to compare a frequency of the electrical pace signal with a first frequency threshold and a second frequency threshold that is greater than the first frequency threshold.

18. The heart treatment system of claim 17 , wherein the processor of the implantable blood pump adjusts the pumping of the implantable blood pump to a first speed when the frequency of the electrical pace signal is below the first frequency threshold, a second speed when the frequency of the electrical pace signal is above the first frequency threshold and below the second frequency threshold, and a third speed when the frequency of the electrical pace signal is above the first frequency threshold and the second frequency threshold, the first speed being less than the second speed and the second speed being less than the third speed.

19. The heart treatment system of claim 14 , wherein the implantable cardiac rhythm management device comprises a pacemaker.

20. The heart treatment system of claim 19 , wherein the pacemaker comprises one or more second leads, a header, and internal circuitry for coordinating pacing the heart of the patient with the one or more second leads, and wherein the one or more second leads couple to the internal circuitry through the header of the pacemaker; and wherein the first lead couples the internal circuitry of the pacemaker to the input of the pump processor of the implantable blood pump through the header of the pacemaker.

21. The heart treatment system of claim 20 , wherein the one or more second leads and the first lead have the same configuration.

22. The heart treatment system of claim 14 , wherein the implantable cardiac rhythm management device is configured to detect an abnormal heart rhythm of the heart of the patient.

23. The heart treatment system of claim 22 , wherein the implantable cardiac rhythm management device is configured to deliver a unique series of electrical pulses through the first lead to the pump processor of the imp

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

• A61B5/02405 Primary

  Determining heart rate variability · CPC title

• A61M60/816

  Sensors arranged on or in the housing, e.g. ultrasonic flow sensors · CPC title

• A61M60/569

  synchronous with the native heart beat · CPC title

• A61M60/515

  Regulation using real-time patient data · CPC title

• A61M60/221

  the blood flow through the rotating member having both radial and axial components, e.g. mixed flow pumps · CPC title