Method and system for treating congestive heart failure
IPC분류정보
국가/구분
United States(US) Patent
등록
국제특허분류(IPC7판)
A61N-001/36
출원번호
US-0867778
(2013-04-22)
등록번호
US-9872987
(2018-01-23)
발명자
/ 주소
Libbus, Imad
Ni, Quan
Lee, Kent
출원인 / 주소
Cardiac Pacemakers, Inc.
대리인 / 주소
Schwegman Lundberg & Woessner, P.A.
인용정보
피인용 횟수 :
0인용 특허 :
211
초록▼
An approach to treating congestive heart failure includes monitoring pulmonary congestion. Monitoring pulmonary congestion includes sensing a physiologic parameter using a sensor implanted within the patient. The method further comprises delivering a congestive heart failure therapy using a stimulat
An approach to treating congestive heart failure includes monitoring pulmonary congestion. Monitoring pulmonary congestion includes sensing a physiologic parameter using a sensor implanted within the patient. The method further comprises delivering a congestive heart failure therapy using a stimulator implanted within the patient. Delivering the congestive heart failure therapy includes delivering electrical stimulation to the patient using the sensed parameter to control the congestive heart failure therapy.
대표청구항▼
1. A method for using an implantable system implanted within a congestive heart failure patient, comprising: monitoring pulmonary congestion, wherein monitoring pulmonary congestion includes sensing a physiologic parameter using a sensor implanted within the patient, wherein sensing the physiologic
1. A method for using an implantable system implanted within a congestive heart failure patient, comprising: monitoring pulmonary congestion, wherein monitoring pulmonary congestion includes sensing a physiologic parameter using a sensor implanted within the patient, wherein sensing the physiologic parameter includes sensing ventricular filling pressure; anddelivering a congestive heart failure therapy using a stimulator implanted within the patient, wherein delivering the congestive heart failure therapy includes delivering electrical stimulation to the patient using the sensed parameter to control the congestive heart failure therapy, the congestive heart failure therapy including a neural stimulation therapy. 2. The method of claim 1, wherein delivering the congestive heart failure therapy includes delivering a baroreflex therapy. 3. The method of claim 1, wherein delivering the congestive heart failure therapy further includes delivering myocardial stimulation. 4. The method of claim 1, wherein delivering the congestive heart failure therapy includes delivering at least one disordered breathing therapy. 5. The method of claim 4, wherein delivering at least one disordered breathing therapy includes stimulating a hypoglossal nerve. 6. The method of claim 4, wherein delivering at least one disordered breathing therapy includes stimulating a phrenic nerve. 7. The method of claim 1, wherein delivering the congestive heart failure therapy includes delivering at least two disordered breathing therapies, wherein delivering the at least two disordered breathing therapies includes: stimulating at least two of a baroreflex target to cause a baroreflex response in the patient, a phrenic nerve, or a hypoglossal nerve; andcoordinating the delivery of the disordered breathing therapies. 8. The method of claim 1, wherein the delivering electrical stimulation to the patient using the sensed parameter to control the congestive heart failure therapy includes delivering the electrical stimulating using a closed loop control system and using the sensed parameter for feedback to the closed loop control system. 9. The method of claim 1, wherein sensing a physiologic parameter includes using sensing impedance. 10. An implantable system for implantation within a congestive heart failure patient, comprising: an implantable sensor configured to sense a physiologic parameter;a stimulator configured to deliver a congestive heart failure therapy, the congestive heart failure therapy including a neurostimulation therapy, wherein in delivering the congestive heart failure therapy the stimulator is configured to deliver electrical stimulation to the patient; anda controller configured to monitor pulmonary congestion using the sensed physiologic parameter and use the sensed physiologic parameter to control the congestive heart failure therapy, wherein the congestive heart failure therapy includes at least two disordered breathing therapies, the at least two disordered breathing therapies including at least two of: a baroreflex target to cause a baroreflex response in the patient, a phrenic nerve, or a hypoglossal nerve; and the controller is configured to coordinate the delivery of the disordered breathing therapies. 11. The system of claim 10, wherein the congestive heart failure therapy includes a baroreflex therapy. 12. The system of claim 10, wherein the congestive heart failure therapy further includes myocardial stimulation. 13. The system of claim 10, wherein the congestive heart failure therapy includes at least one disordered breathing therapy. 14. The system of claim 13, wherein the at least one disordered breathing therapy includes electrical stimulation of a hypoglossal nerve. 15. The system of claim 13, wherein the at least one disordered breathing therapy includes electrical stimulation of a phrenic nerve. 16. The system of claim 10, wherein the controller is configured to deliver the electrical stimulating using a closed loop control system and use the sensed parameter for feedback to the closed loop control system. 17. The system of claim 10, wherein the sensor is configured to sense impedance. 18. An implantable system for implantation within a congestive heart failure patient, comprising: an implantable sensor configured to sense a physiologic parameter, wherein the sensor is configured to sense ventricular filling pressure;a stimulator configured to deliver a congestive heart failure therapy, wherein in delivering the congestive heart failure therapy the stimulator is configured to deliver electrical stimulation to the patient; anda controller configured to monitor pulmonary congestion using the sensed physiologic parameter and use the sensed physiologic parameter to control the congestive heart failure therapy. 19. The system of claim 18, wherein the stimulator configured to deliver the congestive heart failure therapy is configured to stimulate a phrenic nerve to deliver at least one disordered breathing therapy. 20. The system of claim 18, wherein delivering the congestive heart failure therapy further includes delivering myocardial stimulation.
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이 특허에 인용된 특허 (211)
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