摘要:
An implantable stimulator for treating arrhythmic function disturbances of a heart, comprising; a stimulation electrode for transmitting stimulation pulses to the heart, a pulse generator that is connected to the stimulation electrode for generating the stimulation pulses, a control unit connected to the pulse generator for controlling the pulse emissions, a hemodynamic sensor for controlling the pulse emission as a function of the cardiac pumping performance, the hemodynamic sensor including; two measuring electrodes located in or in electrical contact with a blood vessel, for measuring the blood impedance dependent on the blood throughput, a signal generator that generates an AC voltage for generating a test signal for impedance measurement, an electrical measuring device connected to the twvo measuring electrodes for determining the blood throughput as a function of the measured electrical signal; and a blood throughput signal-analysis unit for recognizing an arrhythmic cardiac finction disturbance using the measured throughput quantity.
摘要:
An arrangement for patient monitoring. The arrangement includes at least one body sensor to detect a physiological parameter as body signal data and at least one of a body signal processing unit connected to the body sensor for processing body signal data, and a therapy device designed to act on the patient. In addition, the arrangement includes a monitoring center having a signal field strength evaluation means, a mobile phone terminal designed to transmit the data from at least one of the body signal processing unit and the therapy device to the monitoring center and from the monitoring center to the therapy device, and a cellular mobile phone network. The mobile phone terminal is operable in the cellular mobile phone network. The arrangement further includes a base station coordinate storage unit for storage of coordinate data and a mobile phone exchange linked to the base station coordinate storage unit for the reception of position data of the mobile phone terminal. The signal field strength evaluation means is utilized for evaluating signal field strength data reflecting the distance of the mobile phone terminal from at least one base station together with coordinate data of at least one active base station of the mobile phone network in order to determine the whereabouts of the patient.
摘要:
A cardiac valve prosthesis includes a rotatably mounted, disc-shaped valve flap which is provided with two outwardly oriented, convex attachments disposed opposite one another at the points of intersection of a secant with the edge of the disc. The valve also includes an annular body having on its interior wall first recesses for receiving the convex attachments to thus form a bearing socket for the valve flap. At its interior wall, the annular body is provided with second recesses which communicate with the first recesses to form a passage for the convex attachments during insertion thereof into the first recesses.
摘要:
An apparatus for rejection diagnostics after organ transplantations is provided withan extracorporal base station with a high frequency transmitter and receiver unit, anda telemetric rejection sensor implantable in a patient's body, comprisinga high frequency receiver unit for receiving high frequency signals from the base station,a rectifier and decoder unit for converting the high frequency signals received into a supply voltage and control records for the rejection sensor,an energy storage for storing the supply voltage,a control unit for controlling the measuring processes within the apparatus,a sensor arrangement controlled by the control unit and to be brought into contact with the organ to be monitored and having measuring electrodes for measuring rejection-specific variables,an encoder unit for converting the measured variables into corresponding data signals, as well asa high frequency emitter unit for transmitting the data signals produced by the encoder unit to the extracorporal base station.
摘要:
A stimulation electrode having a porous surface coating whose active surface area is significantly greater than the surface area defined by the geometric shape of the electrode, wherein the surface coating comprises an inert material, i.e. a material having no or only a very slight oxidation tendency, wherein the material of the surface coating is formed from an inert element, an inert chemical compound and/or an inert alloy, and the active surface area, by virtue of its fractal-like geometry, is greater by a factor of at least one thousand than the surface area defined by the basic geometric shape of the electrode.
摘要:
A self-calibrating rate-adaptive cardiac pacemaker is provided. The pacemaker comprising a first measuring and processing device for detecting a first, predominantly sympathetically influenced physiological parameter and for obtaining a rate control parameter, which has a control input for controlling the functional dependency of the rate control parameter on the first physiological parameter, in particular a response factor and/or an upper limit rate; and a stimulator unit for producing and outputting stimulation pulses at a stimulation rate which is determined by the rate control parameter, having a second measuring and processing device for detecting and evaluating a second, predominantly vagally influenced physiological parameter and for outputting a calibration signal which is dependent on the evaluation result, to the control input of the first measuring and processing device.
摘要:
An implantable, bioresorbable vessel wall support, in particular a coronary stent, comprises a combination of metal materials which dissolves in the human body without any harmful effects on the person that wears the implant. The combination of metal materials can be an alloy or a local galvanic element.
摘要:
A cardiac pacemaker system is provided which includes a stimulation electrode adapted for being anchored in the heart. An output capacitor is coupled to the stimulation electrode. A first circuit coupled to the output capacitor generates stimulation pulses. A second circuit coupled to the output capacitor generates an autoshort pulse following each stimulation pulse to reduce a residual charge of the output capacitor for eliminating an after potential following a stimulation pulse by the stimulation electrode. A third circuit coupled to the output capacitor acquires an evoked pulse of the heart from an electrical signal picked up by the stimulation electrode. The stimulation electrode includes a porous surface coating made of an inert material and has an active surface that is substantially larger than a surface of the basic geometric form of the stimulation electrode. The second circuit includes circuit means for changing the time duration of the autoshort pulses as a function of the acquisition of the evoked pulses, with the time duration of the autoshort pulses being limited to 70 ms.
摘要:
An implantable apparatus for the early diagnosis of tachycardia in the heart is provided witha microelectrode array, which is in contact with the cardiac muscle tissue, for detecting stimulus conduction potentials in the cardiac muscle tissue,a measuring device, which is in connection with the microelectrode array, for determining the refractory time of the cardiac muscle cells in the monitored cardiac region,a measuring device, which is in connection with the microelectrode array, for determining the stimulus conduction velocity in the monitored cardiac muscle region,a computing device for determining the product value of the refractory time and the stimulus conduction velocity,a comparator for comparing the product value with a tachycardia threshold, any falling short of the tachycardia threshold signaling a condition of the heart in risk of tachycardia,a stimulation arrangement for generating antitachycardia stimulation upon detection of a condition of risk of tachycardia in particular via the microelectrode array, anda control unit for controlling the measuring and evaluation processes within the apparatus.
摘要:
A method of producing a biocompatible prosthesis based on a substrate made essentially of metal or ceramic. The substrate is placed into a reactor chamber of a cathodic vapor deposition arrangement and the chamber is evacuated to a predetermined pressure. A predetermined, negative bias voltage is then applied to the substrate and the substrate is surface treated by adding an etching gas to the reactor chamber, at a predetermined, first flow rate and coupling in a high frequency power with a first, predetermined power density for ionic etching for a first, predetermined period of time. The surface treated substrate is separated from the negative bias voltage and a semiconductor cover layer is chemical vapor-phase deposited on the substrate by adding to the reactor chamber a multi-component mixture of process gases containing a semiconductor element in bound form at a second, predetermined flow rate and coupling-in of HF power with a predetermined, second power density, for a second, predetermined time period.