JP2008535537A - 呼吸困難測定法を用いた植込み型心臓装置 - Google Patents
呼吸困難測定法を用いた植込み型心臓装置 Download PDFInfo
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Abstract
Description
Claims (30)
- 経胸腔インピーダンスを感知するセンサと、
患者の患者活動レベルを感知する活動センサと、
前記センサ及び前記活動センサが接続され、前記経胸腔インピーダンスを用いて肺機能を示す指数である肺機能指数を算出し、前記肺機能指数及び前記活動センサで感知された患者活動レベルに基づいて呼吸困難発作を検出するコントローラと、
を有することを特徴とする植込み型装置。 - 前記コントローラは、前記肺機能指数が変化し、前記患者活動レベルにおける閾値を超えると前記呼吸困難発作と検出することを特徴とする請求項1に記載の植込み型装置。
- 前記肺機能指数は、呼吸の困難さを示す呼吸困難指数であり、
前記コントローラが、1分当りの呼吸数と1分間の呼吸気量の割合を求め、前記割合から前記呼吸困難指数を算出することを特徴とする請求項1に記載の植込み型装置。 - 前記コントローラにはメモリが設けられ、
前記メモリには、定期的に算出された前記肺機能指数が格納されることを特徴とする請求項1に記載の植込み型装置。 - 前記コントローラにはメモリが設けられ、
前記メモリには、定期的に算出された前記肺機能指数、及びそれに関連する前記患者活動レベルが格納されることを特徴とする請求項1に記載の植込み型装置。 - 前記コントローラには通信回路が設けられ、
前記患者の外部には、前記通信回路と通信可能な患者外部装置が設けられ、
前記通信回路から、前記肺機能指数を前記患者外部装置に伝送することを特徴とする請求項1に記載の植込み型装置。 - 前記コントローラには通信回路が設けられ、
前記患者の外部には、前記通信回路と通信可能な患者外部装置が設けられ、
前記通信回路から、前記肺機能指数及びそれに関連する前記患者活動レベルを、前記患者外部装置に伝送することを特徴とする請求項1に記載の植込み型装置。 - 前記コントローラは、複数の前記肺機能指数が示す傾向から、前記患者の肺機能指数プロフィールを決定することを特徴とする請求項1に記載の植込み型装置。
- 前記コントローラは、複数の前記肺機能指数が示す傾向から、前記患者の肺機能指数プロフィールを決定し、
前記肺機能指数プロフィールに基づいて、前記呼吸困難発作を検出するための前記閾値が決定されることを特徴とする請求項2に記載の呼吸困難測定法を用いた植込み型装置。 - 前記コントローラは、複数の前記肺機能指数及びそれに関連する前記患者活動レベルが示す傾向から、前記患者の前記肺機能指数対患者活動レベル・プロフィールを決定することを特徴とする請求項1に記載の植込み型装置。
- 前記コントローラは、複数の前記肺機能指数及びそれに関連する前記患者活動レベルが示す傾向から、前記肺機能指数対患者活動レベル・プロフィールを決定し、
前記呼吸困難発作を検出するための前記閾値が、前記肺機能指数対患者活動レベル・プロフィールに基づいていることを特徴とする請求項2に記載の植込み型装置。 - 前記コントローラは、睡眠状態を決定する睡眠状態決定手段を有し、
前記睡眠状態決定手段は、前記肺機能指数を少なくとも部分的に用いて前記睡眠状態を決定することを特徴とする請求項1に記載の植込み型装置。 - 前記コントローラは、医師に警告を発信する警告手段を有し、
前記警告手段は、前記肺機能指数が前記閾値を超えているときに、前記医師に前記警告を発信することを特徴とする請求項1に記載の植込み型装置。 - 前記コントローラは、警告を発信する警告手段を有し、
前記警告手段は、前記肺機能指数が前記閾値を超えているときに、前記患者又は前記患者の外部に設けられた患者外部システムに警告を発信することを特徴とする請求項1に記載の植込み型装置。 - 前記コントローラは、医師に警告を発信する警告発生手段を有し、
前記警告発生手段は、前記肺機能指数の傾向に応じて、前記医師に警告を発信することを特徴とする請求項1に記載の植込み型装置。 - 前記コントローラには、治療用の治療回路が設けられ、
前記治療回路には、心臓治療を施す電極が接続されていることを特徴とする請求項1に記載の植込み型装置。 - 前記治療回路は、前記肺機能指数及び前記患者活動レベルに少なくとも部分的に基づいて、前記心臓治療を施すことを特徴とする請求項16に記載の植込み型装置。
- 前記コントローラは、前記患者の前記肺機能指数に基づいて、前記患者に前記心臓治療を提供することを特徴とする請求項16に記載の植込み型装置。
- 前記コントローラは、前記患者の心臓に送られるペーシングパルスの速度を増減するペーシングパルス増減機能を有し、
前記ペーシングパルス増減機能で、前記患者の心臓に送られるペーシングパルスの速度を増減して、前記心臓治療を施すことを特徴とする請求項18に記載の植込み型装置。 - 前記コントローラが、前記患者の心臓に送られる前記ペーシングパルスの速度を、約5拍/分〜約10拍/分の範囲内で増減させることを特徴とする請求項18に記載の植込み型装置。
- 経胸腔インピーダンスを感知する経胸腔インピーダンス感知手段と、
患者の患者活動レベルを感知して、前記患者活動レベルを決定する患者活動レベル決定手段と、
前記経胸腔インピーダンス感知手段を用いて肺機能を示す肺機能指数を算出する肺機能指数算出手段と、
前記肺機能指数及び前記患者活動レベルに基づいて呼吸困難発作を検出する呼吸困難発作検出手段と、
を備えることを特徴とする装置。 - 前記呼吸困難発作検出手段が、前記患者活動レベルにおける閾値を超えている肺機能指数の変化に基づいて、前記呼吸困難発作を検出することを特徴とする請求項21に記載の装置。
- 前記肺機能指数算出手段が、埋め込み型心臓調律調整装置の構成要素であることを特徴とする請求項21に記載の装置。
- 格納手段を有し、
前記格納手段に、前記患者活動レベル及びそれに関連する前記肺機能指数を格納することを特徴とする請求項21に記載の装置。 - 信号を送信する送信手段を有し、
前記肺機能指数を前記送信手段から、前記患者の外部に設けられた患者外部装置に送信することを特徴とする請求項21に記載の装置。 - 情報を表示する表示手段を有し、
前記表示手段に、前記肺機能指数及びそれに関連する前記患者活動レベルの一方又は両方に関する情報を表示することを特徴とする請求項21に記載の装置。 - 警告を発信する警告手段を有し、
前記呼吸困難発作の検出に対応して、前記警告手段から医師、前記患者、及び前記患者の外部に設けた患者外部システムのうちの1つ以上に前記警告を発信することを特徴とする請求項21に記載の装置。 - 心臓の治療を提供する心臓治療提供手段を有し、
前記心臓治療提供手段で、前記患者に心臓治療を施すことを特徴とする請求項21に記載の装置。 - 前記心臓治療提供手段は、前記肺機能指数及び前記患者活動レベルに少なくとも部分的に基づいて、前記心臓治療を提供することを特徴とする請求項28に記載の装置。
- 前記心臓治療提供手段は、前記患者の前記肺機能指数に基づいて、前記患者に前記心臓治療を施すことを特徴とする請求項28に記載の装置。
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US20130331902A1 (en) | 2013-12-12 |
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US8954146B2 (en) | 2015-02-10 |
US20140221853A1 (en) | 2014-08-07 |
WO2006093822A1 (en) | 2006-09-08 |
US20100137931A1 (en) | 2010-06-03 |
US8515535B2 (en) | 2013-08-20 |
EP1855758A1 (en) | 2007-11-21 |
JP5459961B2 (ja) | 2014-04-02 |
US7680534B2 (en) | 2010-03-16 |
US20060195149A1 (en) | 2006-08-31 |
EP1855758B1 (en) | 2015-09-09 |
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