Adjusting pump protocol based on irregular heart rhythm

Patent metadata

Field	Value
Publication number	US-2018280600-A1
Application number	US-201815939033-A
Country	US
Kind code	A1
Filing date	Mar 28, 2018
Priority date	Mar 29, 2017
Publication date	Oct 4, 2018
Grant date	—

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:
sensing, 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 sensed by the controller of the implantable blood pump being 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 type of abnormal heart rhythm is determined to be a fibrillation of the heart and wherein the pumping protocol is adjusted to cease the pumping of the implantable blood pump for a predetermined duration of time.

8 . 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:
sense 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 at a first voltage, wherein the series of electrical pulses sensed by the pump processor are 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.

9 . The heart treatment system of claim 8 , wherein the pump processor is configured to determine the type of abnormal heart rhythm by analyzing the frequency of the series of electrical pulses.

10 . The heart treatment system of claim 9 , 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.

11 . The heart treatment system of claim 9 , 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.

12 . The heart treatment system of claim 8 , 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.

13 . The heart treatment system of claim 12 , 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.

14 . The heart treatment system of claim 8 , 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.

15 . The heart treatment system of claim 8 , wherein the electrical pulses of the series of electrical pulses comprise square wave signals.

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

• A61M2205/3507

  with implanted devices, e.g. external control · CPC title

• A61B5/0031

  Implanted circuitry · CPC title

• A61B5/02405 Primary

  Determining heart rate variability · CPC title

• A61M2210/125

  Heart · CPC title

• A61M2205/3334

  Measuring or controlling the flow rate · CPC title