Embodiments of the present invention will now be described with reference to the accompanying drawings wherein:
In a first embodiment of the present invention as shown in
Preferably the implanted medical device 1 includes: a blood pump 7; an implanted controller 6 and an accelerometer 5. The blood pump 7 is connected to the circulatory system of the patient to provide circulatory support. One preferred use of the blood pump 7 may be to connect it in parallel with the normal flow of heart between the apex of the left ventricle and ascending aorta, and this may specifically offload the left side of the heart and improve cardiac function.
Preferably, the implanted controller 6 is connected to the blood pump 7 and is capable of controlling and driving the blood pump 7. The implanted controller 6 is also connected to accelerometer 5.
The accelerometer 5 is adapted to detect sudden motion or impacts. Preferably, the accelerometer 5 is mounted and positioned in such a manner as to allow a patient implanted with the medical device 1 to be able to slap the local area on their skin layer 2, near to where the medical device 1 is implanted. The sudden motion caused by the action of the slap may be detected by the accelerometer 5.
Preferably, the implanted controller 6 may be able to differentiate between the patient's normal motion which is similar to background motion and the intentional slapping motion both of which are detected by the accelerometer 5. After the implanted controller 6 determines whether the sudden motion was intentional, it may then alter a functioning state of the blood pump 7. The derivation of the detected motion may be accomplished by the use of a comparing algorithm within the implanted controller 6 which compares the detected motion against pre-recorded detected motions of a slap.
Preferably, if the implanted controller 6 determines that the detected motion is substantially identical to the predefined or pre-recorded motion, the implanted controller 6 may operate a latch type circuit and switch the functioning state of the blood pump 7. Preferably, the implanted controller 6 may amend the functioning state of the blood pump 7 by: changing the pumping speed to other predetermined speeds; or turning the pump on or off.
Preferably, the predefined (or pre-recorded) motion has been recorded in a memory device integral with or connected to controller 6.
Preferably, the first embodiment of the present invention may work with left ventricle assist devices such as the device described within U.S. Pat. No. 6,227,797—Watterson et al. This particular device is generally a centrifugal blood pump with a hydrodynamically borne or suspended impeller. This device connects between the apex of the left ventricle and the ascending aorta of the implanted patient.
The accelerometer 5 may preferably be a tri-axial accelerometer. At least a single axis accelerometer may be sufficient to function with the first embodiment to detect the desired motion. Additionally, digital or analogue accelerometers may also work with this first embodiment of the present invention.
Alternately in the first embodiment, other power sources may be used to replace the battery 4 and these power sources may include mains power connection and the like. Furthermore even implanted power sources may be used with the first embodiment. Additionally, the implanted controller 6 may include a power source (not shown) such as an additional battery to supply power in the event of failure of the external controller 3. Also, the percutaneous lead 5 may be replaced with a system that does not require the skin layer 2 of the patient to be breached. This type of system is well known and covered extensively in prior art patents relating to transcutaneous energy transmission systems or TETS.
A further improvement beyond the first embodiment of the present invention may also be to include within the implanted controller 6 all of the features of the external controller 3 and thereby removing the need for the external controller 3. This integrated design or improvement may be lighter and less bulky for a patient to carry.
Preferably, either controller may preferably transmit and receive data wirelessly with other computing systems and networks. This may be accomplished using Bluetoothâ„¢ or other wireless protocols. The controllers may store and log data and information relating to the functioning state of the medical device 1 and the detected motions of the patient. Furthermore, the first embodiment of the present invention may be suitable for use with other systems and medical devices. Whilst the preferred systems for use are left ventricle assist systems other systems may include, but not limited to: neural simulators, cochlear implants and pacemakers.
In a further embodiment, the external controller 3 may include the accelerometer 5 rather than the internal controller 6. The accelerometer 5, in this embodiment, may function in a similar manner to the earlier described embodiment.
Preferably, the user or patient, using the medical device 1, may strike the casing or housing of the external controller 3. The accelerometer 5 integrated into the external controller 3 may then detect the striking motion or impact and the external controller 3 may then determine whether the striking motion matches a predetermined and pre-recorded motion. If the striking motion is sufficiently similar to the predetermined motion, the external controller 3 may then instruct the medical device 1 to change its functioning state. In the situations where the medical device 1 is an implanted blood pump, the external controller 3 may instruct the blood pump to change pumping speeds.
Additionally, the external controller 3 may be modified to determine several different predetermined motions. The external controller 3 may for instance, respond to a series of two consecutive strikes by the user, thereby instructing the external controller 3 to change the pumping speed of the blood pump to a predetermined level. Three consecutive strikes may instruct the external controller 3 to change the pumping speed to a second determined level. A person skilled in the art may appreciate that any number of determined motions could be used to instruct the external controller 3 to change the appropriate functioning state of the medical device 1.
Furthermore, the accelerometer 5 may be used to detect other predetermined motions including shaking or changes in patient orientation such as a patient laying on their side or back. The functioning state of the medical device 1 may be adjusted in accordance with the motion.
The above descriptions detail only some of the embodiments of the present invention. Modifications may be obvious to those skilled in the art and may be made without departing from the scope and spirit of the present invention.
Number | Date | Country | Kind |
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2006904454 | Aug 2006 | AU | national |