TWI696476B - Heart rhythm regulating device and heart rhythm regulating system - Google Patents

Abstract

A heart rhythm adjusting device is arranged between an atrium and an atrial appendage on the same side of a heart, and comprises a blocking member and an adjusting member. The blocking member is arranged in a communication opening of the atrium and the atrial appendage to block the atrial appendage; The adjusting member is disposed on the blocking member and contacts the heart through the blocking member to adjust the heart rhythm.

Description

Heart rhythm regulating device and heart rhythm regulating system

The invention relates to a heart rhythm regulator, in particular to a heart rhythm regulating device arranged between an atrium and an auricle on the same side of the heart.

Normal people have about 70 heartbeats per minute, but the heartbeat will slow down due to natural aging, endocrine disorders, coronary heart disease, etc. In severe cases, the heartbeat is less than 40 beats per minute, and there may be a 3 to 6 second heartbeat pause, which makes the blood Sufficient to supply all parts of the body and produce dizziness, shortness of breath, fatigue, swollen feet and other symptoms, or even sudden coma.

Therefore, for patients with the above symptoms, the doctor will recommend the patient to configure the heart rhythm regulator to adjust the heart rhythm. Generally speaking, the heart rhythm regulator is composed of a rhythm (pulse generator), an electrode (electrode) and a lead (lead). The rhythm device is an electronic medical instrument in the shape of a metal box, which contains a battery and a computer circuit, and the electrode is placed in the heart. The wire connects the rhythm device and the electrode. The rhythm device is implanted under the clavicle surgically. And use the lead to enter the electrode through the venous system into the atrium or ventricle; when the rhythm device detects that the heart rhythm is slow, the electrode will immediately send a discharge pulse through the lead to stimulate the heart and make the heart pace, thereby adjusting the heart rhythm.

However, the currently used heart rhythm regulators still have their room for improvement in installation or use, for example, to provide other additional functions.

Therefore, the object of the present invention is to provide a heart rhythm adjustment device and a heart rhythm adjustment system with heart rhythm adjustment and blocking functions.

Therefore, the heart rhythm adjustment device of the present invention is disposed between the atrium and the atrial appendage on the same side of a heart, and includes: a blocking member, which is provided at a communication opening of the atrium and the atrial appendage to block the atrial appendage; and an adjustment It is arranged on the blocking member and contacts the heart through the blocking member to adjust the heart rhythm.

In some embodiments of the present invention, the blocking member includes: a first blocking unit, which protrudes into the atrial appendage and blocks the atrial appendage; and a second blocking unit, which is connected to the first seal The resistance unit is connected and includes a seal that closes the communication opening of the atrium and the atrial appendage, and the adjustment member is connected to the seal and contacts the atrium to adjust the heart rhythm.

In some embodiments of the present invention, the first blocking unit includes a body with elastic restoring force, and a plurality of hooks provided on the body and fixed to the inner wall surface of the atrial appendage.

In some embodiments of the present invention, the adjustment component includes: a storage module, which stores a preset rhythm corresponding to the normal beat frequency of the heart; and a sensing module, which is used to capture one of the heart beats Frequency; an analysis module, which is The memory module and the sensing module are electrically connected, and compare the difference between the beat frequency and the preset rhythm; and the actuation module, which contacts the atrium through the seal and is electrically connected to the analysis module Adjust the heart rhythm, when the analysis module determines that a difference between the beating frequency and the preset rhythm exceeds a threshold, the analysis module drives the actuation module to stimulate the atrium to cause the heart The beat frequency reaches the preset rhythm.

In some embodiments of the present invention, the adjusting element further includes a transceiver module electrically connected to the storage module, the transceiver module can receive an external command and update and store the storage module according to the external command The preset rhythm.

In some embodiments of the present invention, the adjustment member further includes a power supply for providing power.

In some embodiments of the present invention, the blocking member includes: a self-swinging metal bracket, which is sealed in the communication opening, and has a plurality of inverted around the inner wall surface for fixing to the auricle Hook; and a filter, covering the outer surface of the self-powered metal bracket, and the adjusting member is provided in the self-powered metal bracket and contacts the auricle through the self-powered metal bracket to adjust the heart rhythm.

In some embodiments of the present invention, the above-mentioned heart rhythm adjustment device is disposed between the left atrium and the left atrial appendage of the heart.

In some embodiments of the present invention, the above-mentioned heart rhythm adjustment device is disposed between the right atrium and the right atrial appendage of the heart.

Furthermore, the present invention provides a heart rhythm adjustment system for adjusting the heart rhythm, and includes: a first heart rhythm adjustment device, which is the heart rhythm adjustment device described above, and the first heart rhythm adjustment device is provided for the heart rhythm adjustment device Between the left atrium and the left atrial appendage; a second heart rhythm adjustment device for detecting the heart rhythm of the heart and adjusting the heart rhythm; and a main control device, respectively The heart rhythm adjustment device and the second heart rhythm adjustment device are electrically coupled, and detect the heart rhythm of the heart according to the first heart rhythm adjustment device and the second heart rhythm adjustment device, and drive the first heart rhythm adjustment device or the second heart rhythm adjustment device Arrhythmia adjustments are performed on the left atrium and the right ventricle, respectively.

In addition, the first heart rhythm adjusting device in the above heart rhythm adjusting system of the present invention can also be disposed between the right atrium and the right atrial appendage of the heart. And the main control device is electrically coupled to the first heart rhythm adjustment device and the second heart rhythm adjustment device respectively, and detects the heart rhythm of the heart according to the first heart rhythm adjustment device and the second heart rhythm adjustment device, and drives the first heart rhythm The heart rhythm adjustment device or the second heart rhythm adjustment device performs heart rhythm adjustment on the right atrium and the right ventricle, respectively.

In some embodiments of the present invention, the main control device communicates with the second heart rhythm adjustment device through a wire or wirelessly, and communicates with the first heart rhythm adjustment device wirelessly; or, the main control device is integrated in In the first heart rhythm adjustment device or the second heart rhythm adjustment device, and the first heart rhythm adjustment device and the second heart rhythm adjustment device communicate messages with each other through wireless communication to control the other party to perform heart rhythm adjustment in time Section.

In some embodiments of the present invention, the second heart rhythm adjusting device includes a rhythm detecting heart rhythm and an electrode unit, which is electrically connected to the rhythm and contacts the right ventricle to adjust the heart rhythm.

The effect of the present invention lies in that the first heart rhythm adjusting device provided in the atrial appendage of the heart can adjust the heart rhythm, in addition to reducing the stagnation of foreign bodies previously placed in the ventricle, but also closing the atrium and the auricle on the same side of the heart. Communicate with the opening to block blood flow to the atrial appendage; and by matching the second heart rhythm adjustment device provided in the right atrium and driving the first heart rhythm adjustment device or the second heart rhythm adjustment device through the main control device in a timely manner, the atrium and The ventricle performs pacing operations according to actual needs, and provides treatments for slow pulse rhythm, continuous biventricular rhythm and atrial frequency pulse arrhythmia that respond to single- or double-chamber rate.

100: heart rhythm regulation system

10.40: The first heart rhythm adjustment device

1, 41: blocking parts

11: The first blocking unit

111: Ontology

112: hook

12: Second blocking unit

121: Seal

2, 42: adjuster

120: monitoring unit

123: Storage module

124: sensing module

125: Analysis module

126: Actuation module

127: transceiver module

128: power supply

20: Second heart rhythm adjustment device

21: Rhythm

22: electrode unit

30: main control device

4: Left atrium

411: Since the metal bracket

412: Filter

413: Barb

5: left atrial appendage

51: inner wall surface

52: Connect the opening

6: right ventricle

7: right atrium

8: right atrial appendage

Other features and effects of the present invention will be clearly presented in the embodiment with reference to the drawings, in which: FIG. 1 shows that the first embodiment of the first heart rhythm adjusting device of the present invention is disposed between the left atrium and the left atrial appendage of the heart 2 is a block diagram of the composition architecture of the first embodiment of the first heart rhythm adjustment device of the present invention; FIG. 3 is a schematic diagram of the composition device included in an embodiment of the heart rhythm adjustment system of the present invention Figure 4 is a schematic diagram of a setting position of the first heart rhythm adjusting device and the second heart rhythm adjusting device in the embodiment shown in FIG. 3; FIG. 5 shows that the first embodiment of the first heart rhythm adjusting device of the present invention is provided in the heart Between the right atrium and the right atrial appendage and a schematic diagram of its structure; FIG. 6 is a schematic diagram of another arrangement position of the first heart rhythm adjustment device and the second heart rhythm adjustment device in the embodiment shown in FIG. 3; FIG. 7 shows this The second embodiment of the first heart rhythm adjustment device of the invention is arranged between the left atrium of the heart and the left atrial appendage and a schematic diagram of its structure; FIG. 8 is a block diagram of the composition of the second embodiment of the first heart rhythm adjustment device of the invention; And FIG. 9 shows a schematic view of the position of the second embodiment of the first heart rhythm adjustment device of the present invention between the right atrium and the right atrial appendage of the heart and its structure.

Before the present invention is described in detail, it should be noted that in the following description, similar elements are denoted by the same number.

Referring to FIGS. 1 and 2, it is a first embodiment of the first heart rhythm adjustment device of the present invention. The first heart rhythm adjustment device 10 of this embodiment is disposed between the atrium and the atrial appendage on the same side of a heart, for example, the heart Between the left atrium 4 and the left atrial appendage 5, and includes a blocking member 1 and an adjusting member 2. The blocking member 1 is located in the left atrium 4 A communication opening 52 with the left atrial appendage 5 to block the left atrial appendage 5; the adjusting member 2 is provided on the blocking member 1 and contacts the heart (the left atrial appendage 5) through the blocking member 1 to adjust The heart rhythm.

Specifically, the blocking member 1 includes a first blocking unit 11 protruding into the left atrial appendage 5 and blocking the left atrial appendage 5 and a spaced apart and connected to the first blocking unit 11 Second blocking unit 12. Moreover, in this embodiment, the blocking member 1 may use a left atrial appendage occluder developed by St. Jude Medical, but it is not limited to this. Other existing ones have the same function as the blocking member 1 Blocking structures of similar construction or function are also applicable to the present invention.

As shown in FIG. 1, the first blocking unit 11 includes a body 111 with elastic restoring force, and a plurality of loops 112 disposed on the body 111 and used to be fixed to the inner wall surface 51 of the left atrial appendage 5. In this embodiment, the body 111 is a nickel-titanium braided wire or a biocompatible polymer braided wire that is woven into a self-expandable network structure, and its outer side is coated with a polymer film, the polymer The polymer film is used to block blood from flowing from the left atrium 4 into the left atrial appendage 5 to cause thrombosis, and its surface may be coated with an anticoagulant (such as heparin) or other compounds to give it antithrombin properties.

The second blocking unit 12 includes a sealing member 121 for closing the communication opening 52 of the left atrium 4 and the left atrial appendage 5, and the adjusting member 2 is connected to the sealing member 121 to contact the left atrium 4. In this embodiment, the projection area of the sealing member 121 is larger than the body 111 of the first blocking unit 11.

In actual setting, the first heart rhythm adjustment device 10 will be delivered to the left atrium 4 close to the left atrial appendage 5 through the catheter, and the first blocking unit 11 is placed in the left atrial appendage 5 cavity. At this time, the first The body 111 of the blocking unit 11 is sealed in the left atrial appendage 5 cavity by self-expansion, and the hook portion 112 is simultaneously inserted into the inner wall 51 of the left atrial appendage 5 cavity. In other words, the first blocking The unit 11 is firmly fixed in the left atrial appendage 5 cavity according to its squeezing force on the left atrial appendage 5 cavity wall and the action of the hook 112. Furthermore, the seal 121 of the second blocking unit 12 is used to cover and The communication opening 52 of the left atrium 4 and the left atrial appendage 5 is closed, thereby further blocking all or most of the blood flow to the left atrial appendage 5. For further fixing effect, the sealing member 121 can also form a plurality of hooks (not shown) adjacent to the left atrial appendage 5 so as to position the sealing member 121 in the communication opening between the left atrium 4 and the left atrial appendage 5 52 places, so that the sealing member 121 has a better sealing effect.

In addition, the adjusting member 2 has a monitoring unit 120 and an actuation module 126, the monitoring unit 120 includes a storage module 123, a sensing module 124, a storage module 123 and the sensing module respectively 124 is electrically connected to the monitoring unit 120 of the analysis module 125, and the actuation module 126 is electrically connected to the analysis module 125 to adjust the heart rhythm according to the output of the analysis module 125, wherein the actuation module 126 Is an electrode, the shape of which can be a disk or a protruding sheet/pillar formed along the outer periphery of the sealing member 121, and the storage module 123 stores a preset rhythm corresponding to the heart beat frequency, and The sensing module 124 is used to capture a beating frequency of the heart and provide it to the analyzing module 125; the analyzing module 125 may be a microprocessor (MCU), which compares to the beating frequency The difference between the rate and the preset rhythm, when the beat frequency is not equal to the preset rhythm and a difference between the two exceeds a threshold, the analysis module 125 drives the actuation module 126 to the left atrium 4 The firing pulse stimulates the heart to pace, so that the heart beat frequency reaches the preset rhythm.

Further, the monitoring unit 120 of the regulator 2 further includes a transceiver module 127 electrically connected to the storage module 123. The transceiver module 127 receives an external command and updates the storage module according to the external command. The preset rhythm in group 123. In this embodiment, the transceiver module 127 can be a wireless transmission element to wirelessly receive the external command.

It is added that, in order to make the regulator 2 work independently, the monitoring unit 120 further includes a power supply 128, which can be a battery or a capacitor, which supplies power to the above-mentioned power-consuming module and cooperates with the sensing The module 124 monitors various physiological data of the heart in real time, including the number of heartbeats, blood pressure, etc. When the heart operates normally (normal rhythm), the actuation module 126 does not move until the sensing module 124 detects that the heart is abnormal During operation (arrhythmia), the analysis module 125 will then drive the actuation module 126 to perform discharge stimulation to the left atrium 4.

On the other hand, the external command can be issued by a smart mobile device or a computer (not shown), but not limited to this, and related external commands are all issued by a physician after evaluation.

3 is a schematic diagram of an embodiment of the heart rhythm adjustment system of the present invention Figure. In this embodiment, the heart rhythm adjustment system 100 includes one of the first heart rhythm adjustment devices 10 shown in FIGS. 1 and 4 for setting between the left atrium 4 and the left atrial appendage 5 of the heart, and one for setting at The second heart rhythm adjusting device 20 of the right ventricle 6 of the heart and a main control device 30 electrically coupled to the first and second heart rhythm adjusting devices 10, 20 respectively. Relevant components and actions of the first heart rhythm adjustment device 10 have been described in the previous paragraphs, so they will not be described here again. The following only describes the newly added second heart rhythm adjustment device 20 and the main control device 30.

The second heart rhythm adjusting device 20 includes a rhythm 21 that detects the beating frequency (heart rhythm) of the heart, and a rhythm 21 that is electrically connected to the rhythm 21 and contacts the right ventricle 6 to emit a discharge pulse to stimulate the right ventricle 6 to thereby adjust The electrode unit 22 of the heart rhythm of the right ventricle 6.

The main control device 30 is used to control and drive the adjustment member 2 of the first heart rhythm adjustment device 10 and the electrode unit 22 of the second heart rhythm adjustment device 20 to perform discharge stimulation operation on the right ventricle 6 and the left atrium 4 respectively to perform heart rhythm Adjustment. And as shown in FIG. 4, the main control device 30 is independent of the first heart rhythm adjustment device 10 and the second heart rhythm adjustment device 20. The main control device 30 is usually located near or below the clavicle of the human body, and is connected through a wire (or wireless ) Way to communicate with the second heart rhythm adjustment device 20 and wirelessly communicate with the adjustment member 2 of the first heart rhythm adjustment device 10 (for example, through the transceiver module 127), wherein the second heart rhythm adjustment device 20 adopts the existing heart rhythm Regulator. In addition, in other embodiments of the present invention, the main control device 30 may also be integrated into the first heart rhythm adjustment device 10 or the second heart rhythm adjustment device 20, and the first heart rhythm adjustment device 10 and the second heart rhythm adjustment device 20 communicate with each other through wireless communication and interlock to control the other party to perform heart rhythm adjustment in time.

The rhythm 21 of the second heart rhythm adjusting device 20 stores a preset rhythm similar to the first heart rhythm adjusting device 10, and its actual actuation is equivalent to a fixed rate type (VVI type) heart rhythm regulator by the electrode unit. 22 is placed in the right ventricle 6, and discharge pulses are sent through the electrode unit 22 to stimulate the right ventricle 6 to start pacing according to the preset rhythm (perimeter or frequency).

The main control device 30 mainly plays the role of driving the first and second heart rhythm regulating devices 10 and 20 in this system, and thereby forms a dual-chamber fixed rate type (DDD type) heart rhythm regulator, which is provided by both the atrium and the ventricle The function of heart rhythm adjustment, so that the atrium and ventricle can be paced at the same time. In detail, if the heart rhythm of the right ventricle 6 of the user is slower than the preset rhythm set by the second heart rhythm adjusting device 20, resulting in impaired conduction function of the right ventricle 6, the main control device 30 according to the heart rhythm detected by the rhythm device 21 Perceive the P wave and trigger the right ventricular 6 pacing by controlling the electrode unit 22 (in the atrial induction ventricular stimulation (VDD) working mode). If the main control device 30 senses the signal of the heart according to the sensing module 124 of the regulating element 2 of the first heart rhythm adjusting device 10, and judges that the self frequency of the left atrium 4 is too slow, but the atrioventricular conduction function is good, then the main The control device 30 paces the left atrium 4 according to the preset rhythm set by the adjusting element 2 of the first heart rhythm adjusting device 10, and downloads the right ventricle 6 (in a fixed rate type (AAI) working mode), so that the right ventricle 6 Adjuster 122 The preset rhythm pacing is set so as to keep the atrium and ventricle contracted in a synchronized, sequential and coordinated manner.

Referring again to FIG. 5, another embodiment of the first heart rhythm adjustment device 10 described above is disposed between the right atrium 7 and the right atrial appendage 8 of the heart to prevent blood from flowing from the right atrium 7 into the right atrial appendage 8 Thrombosis, and timely discharge stimulation of the right atrium 7 is performed.

As shown in FIG. 6, the first heart rhythm adjustment device 10 provided between the right atrium 7 and the right atrial appendage 8 of the heart can also be used in conjunction with the second heart rhythm adjustment device 20 provided in the right ventricle 6 to constitute the present invention Another implementation of the heart rhythm regulation system. In this embodiment, the main control device 30 mainly plays the role of driving the first and second heart rhythm regulating devices 10, 20, and thereby forms a dual-chamber fixed rate type (DDD type) heart rhythm regulator, by the atrium Both the ventricle and the ventricle have the function of heart rhythm adjustment, so that the atrium and the ventricle can simultaneously perform pacing operations as needed. In detail, if the heart rhythm of the right ventricle 6 of the user is slower than the preset rhythm set by the second heart rhythm adjusting device 20, resulting in impaired conduction function of the right ventricle 6, the main control device 30 according to the heart rhythm detected by the rhythm device 21 Perceive the P wave and trigger the right ventricular 6 pacing by controlling the electrode unit 22 (in the atrial induction ventricular stimulation (VDD) working mode).

If the main control device 30 senses the signal of the heart according to the sensing module 124 of the adjustment element 2 of the first heart rhythm adjustment device 10, and judges that the self frequency of the right atrium 7 is too slow, but the atrioventricular conduction function is good, then the main The control device 30 adjusts the device 10 according to the first heart rhythm The preset rhythm set by the regulator 2 paces the right atrium 7 and downloads the right ventricle 6 (in a fixed rate (AAI) mode of operation) to allow the right ventricle 6 to pace with the preset rhythm set by the regulator 2 In this way, the atrial and ventricular contractions can be maintained in a synchronized, sequential and coordinated contraction.

Referring again to FIG. 7, which is a second embodiment of the first heart rhythm adjustment device of the present invention, the first heart rhythm adjustment device 40 of this embodiment can replace the first heart rhythm adjustment device 10 of the first embodiment, and is installed in Between the left atrium 4 and the left atrial appendage 5 of the heart as described above, or instead of the first heart rhythm adjustment device 10 in the heart rhythm adjustment system 100, as shown in FIG.

As shown in FIGS. 7 and 8, the first heart rhythm adjusting device 40 also includes a blocking member 41 and an adjusting member 42. The blocking member 41 is disposed in the communication opening 52 of the left atrium 4 and the left atrial appendage 5 to block the left atrial appendage 5; the adjusting member 42 is disposed inside the blocking member 41 and contacts the heart through the blocking member 41 The left atrial appendage 5 to adjust the heart rhythm. In this embodiment, the blocking member 41 may use a left atrial appendage blocker developed by Boston Scientific, but it is not limited to this. Other existing ones with similar structure or function as the blocking member 41 The blocking structure is also suitable for the present invention.

Specifically, the blocking member 41 includes a self-swelling metal bracket 411 and a filter screen 412. The self-swelling metal bracket 411 may be, for example, a self-expanding nickel-titanium alloy structure, which is sealed in the communication opening 52 And a plurality of barbs 413 are fixed around the inner wall surface 51 of the left atrial appendage 5; the filter 412 is, for example, an expandable polytetrafluoroethylene porous permeable membrane, which is covered by the self-propelled type The outer surface of the metal bracket 411 to block The inlet of the left atrial appendage 5 (that is, the communication opening 52) is plugged to prevent blood from stopping in the left atrial appendage 5 and generating a blood clot.

The components and functions of the adjusting member 42 are the same as those of the adjusting member 2 of the first embodiment, the only difference is that the actuating module 126 in the adjusting member 42 is a wire connected to the free-standing metal bracket 411 , And the adjusting member 42 is disposed in the self-swing metal bracket 411, and contacts the left atrial appendage 5 through the self-swing metal bracket 411, so as to pass the self-swing metal bracket 411 through the actuation module 126 The five discharge pulses of the left atrial appendage stimulate the heart to pace, so that the heart beat frequency reaches the preset rhythm and the purpose of adjusting the heart rhythm is achieved.

Of course, as shown in FIG. 9, the first heart rhythm adjusting device 40 of this embodiment may also be disposed between the right atrium 7 and the right atrial appendage 8 of the heart.

In summary, the present invention performs the heart rhythm adjustment by the first heart rhythm adjustment device 10 (40) provided between the atrium and the atrial appendage on the same side of the heart, in addition to reducing the stagnation of foreign objects previously placed in the ventricle, it can also be closed The communication opening between the atrium and the atrial appendage, which blocks the blood flow from the atrium to the atrial appendage; and the second arrhythmia adjusting device 20 provided in the right atrium 6 of the heart and the main control device 30 drive the first in time The heart rhythm adjustment device 10 (40) or the second heart rhythm adjustment device 20 realizes the pacing operation of the atrium and the ventricle according to actual needs, and provides a bradycardia rhythm and a continuous biventricular rhythm that respond to a single or double cavity rate With the treatment of atrial arrhythmia and arrhythmia, it can indeed achieve the purpose of the invention.

However, the above are only examples of the present invention, and should not be used to limit the scope of implementation of the present invention, any simple equivalent changes and modifications made according to the scope of the patent application of the present invention and the content of the patent specification still belong to This invention covers the patent.

10‧‧‧First heart rhythm adjustment device

1‧‧‧block

11‧‧‧The first blocking unit

111‧‧‧Body

112‧‧‧Hook

12‧‧‧Second blocking unit

121‧‧‧Seal

2‧‧‧Adjustment

120‧‧‧Monitoring unit

126‧‧‧Actuating module

4‧‧‧left atrium

5‧‧‧ left atrial appendage

51‧‧‧Inner wall

52‧‧‧Connecting opening

Claims (14)

A heart rhythm adjustment device is arranged between an atrium and an atrial appendage on the same side of a heart, and comprises: a blocking member, which is provided at a communication opening of the atrium and the atrial appendage to block the atrial appendage; and an adjustment member, which Arranged on the blocking member and contacting the heart through the blocking member to adjust the heart rhythm; wherein the blocking member includes: a first blocking unit, which protrudes in the atrial appendage and blocks the atrial appendage ; And a second blocking unit connected to the first blocking unit, and including a seal that closes the communication opening of the atrium and the atrial appendage, and the adjusting member is connected to the seal and is provided in contact with the atrium To adjust the heart rhythm. The heart rhythm adjustment device according to claim 1, wherein the first blocking unit includes a body with elastic restoring force, and a plurality of hooks provided on the body and fixed to the inner wall surface of the atrial appendage. The heart rhythm adjustment device according to claim 1, wherein the adjustment member comprises: a storage module in which a preset rhythm corresponding to the normal beat frequency of the heart is stored; and a sensing module for capturing the heart One of the beating frequencies; an analysis module, which is electrically connected to the storage module and the sensing module respectively, and compares the difference between the beating frequency and the preset rhythm; and the acting module, which passes through the seal Contact with the atrium and The analysis module is electrically connected to adjust the heart rhythm. When the analysis module determines that a difference between the beating frequency and the preset rhythm exceeds a threshold, the analysis module drives the actuation module to perform Stimulate so that the beating frequency of the heart reaches the preset rhythm. The heart rhythm adjustment device according to claim 3, wherein the adjustment member further includes a transceiver module electrically connected to the storage module, the transceiver module can receive an external command and update the storage in the storage according to the external command The preset rhythm in the module. The heart rhythm adjustment device according to claim 3, wherein the adjustment member further includes a power source for providing electric power. The heart rhythm adjustment device according to any one of claims 1 to 5, wherein the heart rhythm adjustment device is provided between the left atrium and the left atrial appendage of the heart. The heart rhythm adjustment device according to any one of claims 1 to 5, wherein the heart rhythm adjustment device is provided between the right atrium and the right atrial appendage of the heart. A heart rhythm adjustment system for adjusting the heart rhythm, and comprising: a first heart rhythm adjustment device, which is the heart rhythm adjustment device according to any one of claims 1 to 5, and the first heart rhythm adjustment device is provided for setting Between the left atrium and the left atrial appendage of the heart; a second heart rhythm adjustment device for detecting the heart rhythm and adjusting the heart rhythm in the right ventricle of the heart; and a master control device, respectively Electrically coupled to the first heart rhythm adjusting device and the second heart rhythm adjusting device, and detecting the heart rhythm according to the first heart rhythm adjusting device and the second heart rhythm adjusting device, and driving the first heart rhythm adjusting device or the first heart rhythm adjusting device The two heart rhythm adjustment device respectively enters the left atrium and the right ventricle Perform heart rhythm adjustment. The heart rhythm adjustment system according to claim 8, wherein the main control device communicates with the second heart rhythm adjustment device through a wire or wirelessly, and communicates with the first heart rhythm adjustment device wirelessly. The heart rhythm adjustment system according to claim 8, wherein the main control device is integrated into the first heart rhythm adjustment device or the second heart rhythm adjustment device, and the first heart rhythm adjustment device and the second heart rhythm adjustment device are through Wireless communication transmits messages to each other to control the other party to adjust the heart rhythm in a timely manner. The heart rhythm adjustment system according to claim 8, wherein the second heart rhythm adjustment device includes a rhythm detecting heart rhythm and an electrode unit, which is electrically connected to the rhythm and contacts the right ventricle to adjust the heart rhythm. A heart rhythm adjustment system for adjusting the heart rhythm, and comprising: a first heart rhythm adjustment device, which is the heart rhythm adjustment device according to any one of claims 1 to 5, and the first heart rhythm adjustment device is provided for setting Between the right atrium and the right atrial appendage of the heart; a second heart rhythm adjustment device for detecting the heart rhythm and adjusting the heart rhythm in the right ventricle of the heart; and a master control device, respectively Electrically coupled with the first heart rhythm adjustment device and the second heart rhythm adjustment device, and detecting the heart rhythm according to the first heart rhythm adjustment device and the second heart rhythm adjustment device, and driving the first heart rhythm adjustment device or the first heart rhythm adjustment device The second heart rhythm adjustment device respectively performs heart rhythm adjustment on the right atrium and the right ventricle. The heart rhythm adjustment system according to claim 12, wherein the main control device communicates with the second heart rhythm adjustment device through a wire or wirelessly, and through the wireless side To communicate with the first heart rhythm adjustment device. The heart rhythm adjustment system according to claim 12, wherein the main control device is integrated in the first heart rhythm adjustment device or the second heart rhythm adjustment device, and the first heart rhythm adjustment device and the second heart rhythm adjustment device are through Wireless communication transmits messages to each other to control the other party to adjust the heart rhythm in a timely manner.

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