JP5459961B2 - 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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- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
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- A61N1/39—Heart defibrillators
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- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
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Description
Claims (13)
- 経胸腔インピーダンスを感知するセンサと、
患者の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に接続され、感知された前記経胸腔インピーダンスを用いて、肺機能を示す肺機能指数を算出するコントローラであって、肺機能指数の算出は、1分当りの呼吸数と1分間の呼吸気量の割合を求めることと、前記活動センサによって検出された関連する活動レベルとともに肺機能指数の傾向を示して患者の肺機能指数対活動レベル・プロフィールを決定することとを含み、患者の肺機能指数対活動レベル・プロフィールは、それぞれが患者の活動レベルの異なる範囲に関連した複数の肺機能指数値を含み、患者の活動レベルの各異なる範囲は、対応する閾値を含む、コントローラと、
前記コントローラに接続され、前記肺機能指数が、決定された患者の活動レベルに対応する患者の肺機能指数対活動レベル・プロフィー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ように構成された検出回路と、
心臓治療を施すように構成された電極構造と、
前記検出回路及び前記電極構造に接続され、呼吸困難発作を検出したか否かに基づいて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ように構成された治療回路と、 を有することを特徴とする植込み型心臓装置。 - 経胸腔インピーダンスを感知するセンサと、
患者の活動レベルを感知する活動センサと、
前記センサに接続され、呼吸パラメータの割合を算出することによって、感知された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するコントローラであって、複数の肺機能指数値及びそれらに関連する活動レベルの傾向から患者の肺機能指数対活動レベル・プロフィールを決定するように構成されたコントローラと、
前記コントローラに接続され、前記肺機能指数が所定の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ように構成され、呼吸困難の検出のための閾値が、肺機能指数対活動レベル・プロフィールに基づいている、検出回路と、を有する、
ことを特徴とする植込み型心臓装置。 - 経胸腔インピーダンスを感知するセンサと、
患者の活動を感知する活動センサと、
前記センサに接続され、呼吸パラメータの割合を算出することによって、感知された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、前記肺機能指数を少なくとも部分的に用いて患者の睡眠状態を決定するよう構成されたコントローラであって、複数の肺機能指数値及びそれらに関連する活動レベルの傾向から患者の肺機能指数対活動レベル・プロフィールを決定するように構成されたコントローラと、
前記コントローラに接続され、前記肺機能指数が変化し、所定の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し、呼吸困難の検出のための閾値が、肺機能指数対活動レベル・プロフィールに基づいている、検出回路と、
を有することを特徴とする植込み型心臓装置。 - 前記肺機能指数は、呼吸の困難さを示す呼吸困難指数からなり、
前記コントローラは、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請求項2又は3に記載の植込み型心臓装置。 - 前記コントローラは、複数の前記呼吸困難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、請求項1から4のいずれか1項に記載の植込み型心臓装置。
- 前記コントローラは、複数の前記呼吸困難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、
前記コントローラまたは患者の外部のコントローラは、患者の前記肺機能指数プロフィールに基づく閾値を用いて前記呼吸困難発作を検出する請求項1から5のいずれか1項に記載の植込み型心臓装置。 - 前記コントローラは、複数の前記呼吸困難指数値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、前記患者の肺機能指数対患者活動レベル・プロフィールを決定する請求項1から6のいずれか1項に記載の植込み型心臓装置。
- 前記コントローラは、複数の前記呼吸困難指数値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、
前記コントローラまたは患者の外部のコントローラは、前記肺機能指数対患者活動レベル・プロフィールに基づく閾値を用いて前記呼吸困難発作を検出する請求項1から7のいずれか1項に記載の植込み型心臓装置。 - 前記コントローラは通信回路に接続され、前記通信回路を介して、前記肺機能指数値を患者外部装置に伝送する請求項1から8のいずれか1項に記載の植込み型心臓装置。
- 前記コントローラは、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よう構成されている請求項1から9のいずれか1項に記載の植込み型心臓装置。
- 前記コントローラは、前記肺機能指数値が閾値を超えているとき、または患者の肺機能指数値の傾向が閾値を超えているとき、医師警告を生成する請求項1から10のいずれか1項に記載の植込み型心臓装置。
- 前記コントローラは、前記呼吸困難発作の検出に応答して施される心臓治療のペーシングの速度を所定量だけ増大させる請求項1から11のいずれか1項に記載の植込み型心臓装置。
- 前記コントローラは、前記呼吸困難発作の検出に応答して心臓治療を施し、患者の肺機能指数に基づいて心臓治療の提供を調整するよう構成される請求項1から12のいずれか1項に記載の植込み型心臓装置。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/067,964 US7680534B2 (en) | 2005-02-28 | 2005-02-28 | Implantable cardiac device with dyspnea measurement |
US11/067,964 | 2005-02-28 | ||
PCT/US2006/006558 WO2006093822A1 (en) | 2005-02-28 | 2006-02-24 | Implantable cardiac device with dyspnea measurement |
Publications (3)
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JP2008535537A JP2008535537A (ja) | 2008-09-04 |
JP2008535537A5 JP2008535537A5 (ja) | 2009-05-07 |
JP5459961B2 true JP5459961B2 (ja) | 2014-04-02 |
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JP2007558079A Expired - Fee Related JP5459961B2 (ja) | 2005-02-28 | 2006-02-24 | 呼吸困難測定法を用いた植込み型心臓装置 |
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Country | Link |
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US (5) | US7680534B2 (ja) |
EP (1) | EP1855758B1 (ja) |
JP (1) | JP5459961B2 (ja) |
WO (1) | WO2006093822A1 (ja) |
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US8932227B2 (en) | 2000-07-28 | 2015-01-13 | Lawrence A. Lynn | System and method for CO2 and oximetry integration |
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US8750992B2 (en) | 2014-06-10 |
WO2006093822A1 (en) | 2006-09-08 |
US20130331902A1 (en) | 2013-12-12 |
US8954146B2 (en) | 2015-02-10 |
US7680534B2 (en) | 2010-03-16 |
US20150164421A1 (en) | 2015-06-18 |
US20140221853A1 (en) | 2014-08-07 |
US20060195149A1 (en) | 2006-08-31 |
US20100137931A1 (en) | 2010-06-03 |
EP1855758B1 (en) | 2015-09-09 |
EP1855758A1 (en) | 2007-11-21 |
US9277885B2 (en) | 2016-03-08 |
US8515535B2 (en) | 2013-08-20 |
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