47 results about "Baroreceptor function" patented technology

Devices, systems and methods by which the blood pressure, nervous system activity, and neurohornonal activity may be selectively and controllably reduced by activating baroreceptors. A baroreceptor activation device is positioned near a baroreceptor, preferably in the carotid sinus. The baroreceptor activation device may utilize electrodes to activate the baroreceptors. The electrodes may be adapted for connection to the carotid arteries at or near the carotid sinus, and may be designed to minimize extraneous tissue stimulation.

Devices, systems and methods by which the blood pressure, nervous system activity, and neurohormonal activity may be selectively and controllably reduced by activating baroreceptors. A baroreceptor activation device is positioned near a baroreceptor, for example a baroreceptor in the carotid sinus. A control system may be used to modulate the baroreceptor activation device. The control system may utilize an algorithm defining a stimulus regimen which promotes long term efficacy and reduces power requirements/consumption.

An implantable device (20) uses the carotid baroreflex in order to control systemic blood pressure. The implant includes sampling and pulse stimulation electrodes (44) preferably located on the carotid sinus nerve branch of the glossopharyngeal nerve, adjacent and distal to the carotid sinus baroreceptors. The stimulators have an external control unit, which communicates with the implant for determining appropriate operational parameters, and for retrieving telemetry information from the device's data bank. Typically two internal devices are implanted, one at each side of the patient's neck.

An apparatus for insertion into a blood vessel and for modulating the baroreflex system of a mammal includes an expandable support member for engaging a wall of a blood vessel at a desired location where baroreceptors are located, and at least one electrode connected with the expandable support member. The at least one electrode is arranged to selectively deliver electric current to modulate the baroreceptors. The apparatus further includes an insulative material attached to at least a portion of the expandable support member for isolating blood flowing through the vessel from the electric current delivered by the at least one electrode.

Methods and systems are disclosed for stimulating contents of the carotid sheath using an intravascular pulse generator and lead. The lead carries an energy delivery device such as an electrode, which is anchor within the portion of the internal jugular vein that is disposed within the carotid sheath. The energy delivery device is energized to transvenously direct energy to target contents of the carotid sheath external to the internal jugular vein. Such target contents may include nervous system elements associated with the carotid sinus baroreceptors, the carotid sinus nerve and associated nerve branches, and or the vagus nerve and associated nerve branches. The system may be used to control blood pressure and/or to lower heart rate and may be suitable for treatment of hypertension, heart failure, or other conditions.

A method is provided for treating respiration conditions of a patient. The method comprises monitoring or measuring a respiration parameter indicative of a need to modify activity of a baroreflex system of the patient, and controlling a baroreceptor activation device to cause or modify activation of a baroreflex response of the patient in response to the monitoring or measuring of the respiration parameter.

Devices, systems and methods are described which control blood pressure and nervous system activity by stimulating baroreceptors. By selectively and controllably activating baroreceptors and/or nerves, the present invention reduces blood pressure and alters the sympathetic nervous system; thereby minimizing deleterious effects on the heart, vasculature and other organs and tissues. A baroreceptor activation device or other sensory activation device is positioned near a dermal bone to provide the treatment.

An intravascular lead is used to deliver energy for stimulating nervous system targets using energy delivery elements (e.g. electrodes) that are in direct contact with the nervous system targets. The lead may be positioned within the internal jugular vein and the nervous system targets may include the carotid artery/carotid sinus bulb and/or associated baroreceptor afferents, and/or surrounding nervous system targets in the region of the internal jugular vein, such as the carotid sinus nerve and/or associated nerve branches and/or the vagus nerve and/or associated nerve branches. Stimulation energy travels along a conductive bridge that extends from the intravascular lead to the nervous system target, or is relayed from the intravascular lead to another device disposed within or surrounding the target structure.

Devices, systems and methods are described which control blood pressure and nervous system activity by stimulating baroreceptors. By selectively and controllably activating baroreceptors and/or nerves, the present disclosure, according to some embodiments reduces blood pressure and alters the sympathetic nervous system; thereby minimizing deleterious effects on the heart, vasculature and other organs and tissues. A baroreceptor activation device or other sensory activation device is positioned near a dermal bone to provide the treatment.

A method and apparatus for treating a condition associated with impaired blood pressure and/or heart rate in a subject comprising applying an electrical treatment signal, wherein the electrical treatment signal is selected to at least partially block nerve impulses, or in some embodiments, to augment nerve impulses. In embodiments, the apparatus provides a first therapy program to provide a downregulating signal to one or more nerves including renal artery, renal nerve, vagus nerve, celiac plexus, a splanchnic nerve, cardiac sympathetic nerves, spinal nerves originating between T10 to L5. In embodiments, the apparatus provides a third therapy program to provide an upregulating signal to one or more nerves including a glossopharyngeal nerve and/or a tissue containing baroreceptors.

An apparatus and a system can chronically and automatically measure a physiologic parameter associated with the high pressure side of the vasculature and/or regulate blood pressure based upon the measured parameter. The apparatus may be made up of a transducer, a baroreflex activation device having one or more electrodes, and a lead having two or more conductors. The system can measure a physiologic parameter and selectively administer a therapy, such as, for example, electro-stimulation of baroreceptors, based upon the measurement. The transducer for measuring the physiologic parameter can be chronically implanted in the high-pressure side of the vasculature. The implantation method may include intravascularly positioning the transducer in the external carotid artery in such a way that the transducer is first introduced into the arterial vasculature through the superior thyroid artery.

Devices, systems and methods are described which control blood pressure and nervous system activity by stimulating baroreceptors. By selectively and controllably activating baroreceptors and/or nerves, the present invention reduces blood pressure and alters the sympathetic nervous system; thereby minimizing deleterious effects on the heart, vasculature and other organs and tissues. A baroreceptor activation device or other sensory activation device is positioned near a dermal bone to provide the treatment.

Peripheral vascular diseases, such as peripheral artery disease, are treated by activating a baroreflex response of a patient suffering from or at risk of these conditions. In the exemplary embodiments, the baroreflex response is activated using an implantable system comprising a controller and a device which activates the baroreceptor or baroreceptor nerve in order to initiate the baroreflex response.

Devices, systems and methods are described which control blood pressure and nervous system activity by stimulating baroreceptors. By selectively and controllably activating baroreceptors and/or nerves, the present disclosure reduces blood pressure and alters the sympathetic nervous system; thereby minimizing deleterious effects on the heart, vasculature and other organs and tissues. A baroreceptor activation device or other sensory activation device is positioned near a dermal bone to provide the treatment.

There is provided an apparatus for use in monitoring the baroreceptor reflex in a user, the apparatus comprising a processor configured to process a signal output by a first sensor that is attached to or located proximate to a bed to determine when the user moves from a lying position on the bed to a sitting position, and to provide an indication of the baroreceptor reflex of the user by processing the signal to determine the change in the heart rate of the user that occurs as a result of moving from the lying position to the sitting position.

Methods and systems for external baroreflex activation of a baroreceptor system of a patient from a stimulator external to the patient. The method and devices, enable baroflex therapy on a temporary basis and/or assess the response of a patient to such baroreflex therapy.

A device and a method for analyzing an input signal (1) representing a neural activity of a nerve containing nerve fibers originating from baroreceptors from a patient. E.g. neural activity recorded with an electrode implanted to detect Vagus nerve activity. The invention is based on the insight that this neural activity can be used to determine a value indicative of the patient's blood pressure (BP). An ECG signal (2) can be used for deriving a trigger feature for processing of the nerve activity data, e.g. to arrive at a profile of the patient's Blood Pressure Pulse. E.g. the device can include a Vagus nerve stimulation unit which is controlled in response to an output from the calculation of blood pressure (BP), and/or features related to the Blood Pressure Pulse.

The invention relates to a closed in-vitro ventricular drainage apparatus, which comprises two pipelines which are bent in the form of right angles and an analyzer which is arranged outside the pipelines, wherein the two pipelines, which are bent in the form of the right angles, include a first pipeline and a second pipeline; a horizontal part of the first pipeline is connected to a cerebrospinal fluid drainage tube which is close to a ventricular end; a vertical part of the second pipeline is connected to a drainage bag; a vertical part of the first pipeline communicates with a horizontal part of the second pipeline; a piston is arranged in the vertical part of the first pipeline; a spring is connected to the lower surface of the piston; the tail end of the spring is fixedly connected to the bottom of the vertical part of the first pipeline; a baroreceptor is arranged at the inner side of the pipe wall of the vertical part of the first pipeline; the baroreceptor is connected to the analyzer; and capillaries are arranged on the horizontal part of the second pipeline. The closed in-vitro ventricular drainage apparatus provided by the invention can overcome shortcomings in the prior art which adopts open drainage and fails to accurately monitor change in intracranial pressure, and the drainage apparatus is capable of conducting pressure monitoring and heart rate monitoring in vitro and is strong in intuitivity.