Integrated IPG Combining Cardiac Contractility Modulation and Defibrillation
Find Innovative SolutionsGenerate Solutions
Solution Overview
Problem
Current implantable pulse generators (IPGs) require multiple devices for various cardiac treatments, such as Cardiac Contractility Modulation, Cardioversion, Defibrillation, and Cardiac Resynchronization Therapy, which can be cumbersome and inefficient, lacking the ability to automatically adjust treatment modalities based on clinical benefits.
Innovation Solution
An integrated IPG device with Cardiac Contractility Modulation, Cardioversion, Defibrillation, and Cardiac Resynchronization Therapy capabilities, featuring a controller that evaluates cardiac data to determine clinical benefits and automatically selects or adjusts treatment modalities, including combinations of therapies, based on patient-specific parameters.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If multiple separate IPG devices are used for different cardiac treatments, then each device can be optimized for its specific function, but the overall system complexity increases and patient management becomes cumbersome
Solution Approach 1:
The patent combines multiple cardiac treatment modalities (Cardiac Contractility Modulation, Cardioversion, Defibrillation, Cardiac Pacing, and Cardiac Resynchronization Therapy) into a single integrated IPG device. This merging approach maintains functional optimization for each modality while reducing the number of separate devices from five to one, thereby decreasing system complexity and improving patient management.
Solution Approach 2:
The integrated IPG device is designed to provide universal cardiac treatment capabilities across multiple modalities within a single device platform. The controller can automatically select and switch between different treatment types based on clinical needs, making the device universally applicable for various cardiac conditions without requiring separate specialized devices.
2Device complexity
If a single integrated IPG device provides multiple treatment modalities, then device complexity is reduced and patient management is simplified, but the ability to automatically adjust treatment based on clinical benefits is lost
Solution Approach 1:
The integrated IPG device incorporates a controller that automatically gathers cardiac data, evaluates the clinical benefit of different treatment modalities by comparing cardiac parameters to reference data, and adjusts treatment selection accordingly. This feedback mechanism enables automatic treatment optimization while maintaining the benefits of a single integrated device, resolving the contradiction between device simplicity and automated adaptability.
3Reliability
If treatment modalities are manually selected and adjusted, then clinical expertise is applied, but time is lost and productivity decreases
Solution Approach 1:
The controller in the integrated IPG device performs self-service by automatically evaluating cardiac data, determining clinical benefit, and selecting appropriate treatment modalities without requiring manual intervention. This automation maintains reliable clinical decision-making through embedded algorithms while significantly improving treatment adjustment efficiency and reducing the time required for therapy optimization.
Data Source
AI summary
A method of treating a heart, the method including providing an Implantable Pulse Generator (IPG) adapted to provide a combination of at least two treatment modalities including Cardiac Contractility Modulation therapy and one more modality selected from a group consisting of Cardiac pacing, Cardioversion, Defibrillation, Cardioversion and Defibrillation, and Cardiac Resynchronization Therapy (CRT), detecting a patient's physical condition, and selecting a combination of Cardiac Contractility Modulation therapy and at least one treatment modality from the group, and providing the combination of the Cardiac Contractility Modulation therapy and the at least one treatment modality. Related apparatus and methods are also described.