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US4708143A Expired / Lapsed US ⏱️ 0.0 years remaining

Method for controlling pacing of a heart in response to changes in stroke volume

Assignee: Pacesetter Inc
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Filing: 1986-07-14
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Granted: 1987-11-24
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Expires: 2006-07-14
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Abstract

Abstract A method for sensing opening and closing of a tricuspid valve in a heart, for using those sensings to determine stroke volume, and for controlling pacing of a heart relative to changes in stroke volume, utilizing a pacing lead having a lead body and a pressure sensor mounted in the lead body, said method comprising the steps of: sensing the opening of the tricuspid valve during each heart cycle; sensing the closing of the tricuspid valve during each heart cycle; determining ejection time from the openings and closings of the tricuspid valve; calculating the change in ejection time, ΔET, from determinations of ejection time; calculating changes, in stroke volume, ΔSV,; determining the required change in heart rate, ΔR, relative to the change in stroke volume, ΔSV,; and adjustng the pacing rate of a pacer relative to the required change in heart rate, ΔR.

Inventors

  • 👤 Edward A. Schroeppel

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 19:52
CPC Classifications
A; A61; A61B; A61B5/00; A61B5/03; A61B5/02; A61B5/021; A61B5/0215; A61N; A61N1/00; A61N1/02; A61N1/04; A61N1/05; A61N1/056; A61N1/18; A61N1/32; A61N1/36; A61N1/362; A61N1/365; A61N1/36514; A61N1/36564

Claims Analysis

Total Claims: 4
Claim 1
Independent Claim 143 words
A method for sensing opening and closing of a tricuspid valve in a heart, for using those sensings to determine stroke volume, and for controlling pacing of a heart relative to changes in stroke volume, utilizing a pacing lead having a lead body and a pressure sensor mounted in the lead body, said method comprising the steps of: sensing the opening of the tricuspid valve during each heart cycle; sensing the closing of the tricuspid valve during each heart cycle; determining ejection time from the openings and closing of the tricuspid valve; calculating the change in ejection time, ΔET, from determinations of ejection time; calculating changes in stroke volume, ΔSv,; determining the required change in heart rate, ΔR, relative to the change in stroke volume, ΔSv; and adjusting the pacing rate of a pacer relative to the required change in heart rate, ΔR.
Claim 2
Independent Claim 143 words
A method for sensing opening and closing of a tricuspid valve in a heart, for using those sensings to determine stroke volume, and for controlling pacing of a heart relative to changes in stroke volume, utilizing a pacing lead having a lead body and a pressure sensor mounted in the lead body, said method comprising the steps of: sensing the opening of the tricuspid valve during each heart cycle; sensing the closing of the tricuspid valve during each heart cycle; determining ejection time from the openings and closing of the tricuspid valve; calculating the change in ejection time, ΔET, from determinations of ejection time; calculating changes in stroke volume, ΔSv,; determining the required change in heart rate, ΔR, relative to the change in stroke volume, ΔSv; and adjusting the pacing rate of a pacer relative to the required change in heart rate, ΔR.
Claim 3
Independent Claim 147 words
A method for sensing opening and closing of a tricuspid valve in a heart, for using those sensings to determine stroke volume, and for controlling pacing of a heart relative to changes in stroke volume, utilizing a pacing lead having a lead body and a pressure sensor mounted in the lead body, said method comprising the steps sensing the opening of the tricuspid valve during each heart cycle; sensing the closing of the tricuspid valve during each heart cycle; determining ejection time from the openings and closings of the tricuspid valve; calculating the changes in ejection time, ΔET, from determinations of ejection time; calculating changes in stroke volume ΔSV from the formula: ΔSV=0.30 (ΔET)+0.63; and determining the required change in heart rate, ΔR relative to the change in stroke volume, ΔSv; adjusting the pacing rate of the pacer relative to the required change in heart rate, ΔR.
Claim 4
Independent Claim 147 words
A method for sensing opening and closing of a tricuspid valve in a heart, for using those sensings to determine stroke volume, and for controlling pacing of a heart relative to changes in stroke volume, utilizing a pacing lead having a lead body and a pressure sensor mounted in the lead body, said method comprising the steps sensing the opening of the tricuspid valve during each heart cycle; sensing the closing of the tricuspid valve during each heart cycle; determining ejection time from the openings and closings of the tricuspid valve; calculating the changes in ejection time, ΔET, from determinations of ejection time; calculating changes in stroke volume ΔSV from the formula: ΔSV=0.30 (ΔET)+0.63; and determining the required change in heart rate, ΔR relative to the change in stroke volume, ΔSv; adjusting the pacing rate of the pacer relative to the required change in heart rate, ΔR.

References Cited (Backward Citations)

US3614954A Cited
US4052991A Cited
US3815611A Cited
US4191193A Cited
US4428378A Cited
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US4535774A Cited

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 1990-11-23 1991-05-25 1991-11-24 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 1994-11-23 1995-05-25 1995-11-24 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 1998-11-23 1999-05-25 1999-11-24 $7700.00 Window Closed / Lapsed

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