Abstract A method and apparatus for providing assistance to a patient's heart using a surgically prepared skeletal muscle. A skeletal muscle, such as the latissimus dorsi, is carefully separated from the skeletal structure leaving enervation and vascularization in tact. The muscle tissue is then separated into two independent contractile masses. Alternatively, two separate skeletal muscles may be used. The first of these is wrapped about the atria. The second is wrapped about the ventricles. Each muscle mass is individually stimulated using an implantable pulse generator. Stimulation to the muscle mass is synchronized to the naturally or artificially paced contractions of the heart to provide the maximum in assistance. During each complete heart cycle, the muscle mass assisting the ventricles is stimulated at the same time as contraction of the ventricular myocardium. The muscle mass assisting the atria is then stimulated at the same time as contraction of the atrial myocardium. Various sensing and stimulating modes may be used to optimize cardiac assistance.
A cardiac assist system operatively coupled to a first skeletal muscle mass wrapped about the atria of a heart and a second skeletal muscle mass wrapped about the ventricles of the heart, said system comprising: a. contraction detection means coupled to said atria and said ventricles for detecting contractions of said atria and said ventricles; and b. stimulation means coupled to said contraction detection means and adapted to be coupled to said first and second skeletal muscle masses for stimulating said first skeletal muscle mass to contraction in response to the detection of an atrial contraction, and for stimulating said second skeletal muscle mass to contraction in response to the detection of a ventricular contraction.
Claim 2
Dependent Claim
115 words
A cardiac assist system operatively coupled to a first skeletal muscle mass wrapped about the atria of a heart and a second skeletal muscle mass wrapped about the ventricles of the heart, said system comprising: a. contraction detection means coupled to said atria and said ventricles for detecting contractions of said atria and said ventricles; and b. stimulation means coupled to said contraction detection means and adapted to be coupled to said first and second skeletal muscle masses for stimulating said first skeletal muscle mass to contraction in response to the detection of an atrial contraction, and for stimulating said second skeletal muscle mass to contraction in response to the detection of a ventricular contraction.
Claim 3
Dependent Claim
30 words
The cardiac assist system according to claim 1 wherein the stimulation of said first skeletal muscle is at a predetermined interval after the stimulation of said second skeletal muscle mass.
Claim 4
Dependent Claim
27 words
A cardiac assist system according to claim 1 wherein said stimulation means is operatively coupled to said ventricles, and said stimulation means stimulates said ventricles to contraction.
Claim 5
Dependent Claim
27 words
A cardiac assist system according to claim 2 wherein said stimulation means is operatively coupled to said ventricles, and said stimulation means stimulates said ventricles to contraction.