U.S. patent number 3,866,614 [Application Number 05/348,237] was granted by the patent office on 1975-02-18 for cardiac actuator.
This patent grant is currently assigned to Siemens Aktiengesellschaft. Invention is credited to Bengt Svensson.
United States Patent |
3,866,614 |
Svensson |
February 18, 1975 |
CARDIAC ACTUATOR
Abstract
A cardiac actuator, specifically an implantable heartbeat maker,
has at least two voltage sources, such as batteries or
accumulators, which can be interconnected in parallel, for
supplying energy to the beat making circuit. The invention is
particularly characterized by a switching device which provides
alternating and separate switch connections of the individual
voltage sources to the beat making circuit.
Inventors: |
Svensson; Bengt (Ronninge,
SW) |
Assignee: |
Siemens Aktiengesellschaft
(Erlangen, DT)
|
Family
ID: |
5840971 |
Appl.
No.: |
05/348,237 |
Filed: |
April 5, 1973 |
Foreign Application Priority Data
Current U.S.
Class: |
607/9 |
Current CPC
Class: |
A61N
1/378 (20130101); H02J 9/061 (20130101) |
Current International
Class: |
A61N
1/372 (20060101); A61N 1/378 (20060101); H02J
9/06 (20060101); A61n 001/36 () |
Field of
Search: |
;128/419P,419R,421,422,423 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Kamm; William E.
Attorney, Agent or Firm: Richards & Geier
Claims
1. A cardiac actuator, particularly an implantable heartbeat maker
for producing heart stimulating impulses, comprising an outlet, at
least two batteries, means interconnecting said batteries in
parallel, a switching device comprising an astable multivibrator
connected with said means, and a bistable multivibrator connected
with said astable multivibrator, means for a separate connection of
individual batteries, beat-making means connected to said outlet
for applying the impulses to the heart to be stimulated, and means
connecting said beat-making means individually with said batteries,
said astable multivibrator and said bistable multivibrator for
supplying impulses produced by said astable multivibrator to said
bistable multivibrator for varying the switching from one battery
to the other one for supplying said beat-making means, and for
supplying said impulses to said beat-making means to determine the
rate of the
2. A cardiac actuator according to claim 1, comprising
voltage-measuring means having signal giver means and connected
with said batteries, whereby, when an end value of the switched-on
battery has been reached, the signal giver means produces a signal
to prevent further connection of that battery to said
voltage-measuring means and means transmitting the end value signal
to said bistable multivibrator to permanently change this
multivibrator into another switching position.
Description
This invention relates to a cardiac actuator, particularly an
implantable heartbeat maker with at least two voltage sources, such
as batteries or accumulators, which can be interconnected in
parallel for supplying energy to the beat making circuit.
In heartbeat makers of this type it is known to connect the
individual voltage sources through diodes with the beat making
circuit. This provides that the voltage source having the highest
voltage takes over the energy supply of the beat making circuit.
The drawback is that the current supply takes place for a
comparatively long time period from only one of the voltage
sources. This is dangerous since when the first voltage source is
discharged, the beat maker is not safe any more due to the fact
that no precise data can be made about the life duration of the
second voltage source. Furthermore there is an energy loss at the
diodes due to the sieving voltages.
An object of the present invention is to provide a heartbeat maker
of the described type wherein the individual voltage sources are
substantially uniformly loaded, namely, they supply energy in the
same way, and thus are equally slowly discharged. Furthermore,
provision should be made that the entire voltage of the voltage
sources should be provided to the greatest possible extent for the
beat making circuit, thus avoiding drops in voltage which take
place in the known circuit by the use of diodes.
Other objects of the present invention will become apparent in the
course of the following specification.
In the accomplishment of the objectives of the present invention it
was found desirable to provide a switching device for supplying
energy to the beat making circuit of a heartbeat maker having at
least two voltage sources adapted to be interconnected in parallel.
The switching device provides for alternate and separate switch
connections of the individual voltage sources to the beat making
circuit.
The present invention provides that the individual voltage sources
will be uniformly loaded and that the connection of the voltage
sources to the beat making circuit, -- which preferably takes place
by means of electronic switches (transistors), -- does not cause
any losses in voltage.
According to a preferred embodiment of the present invention two
separate voltage sources are used, normally consisting of two
groups of batteries. When two voltage sources are used, the
switching device, -- according to the present invention -- can be
constructed in a particularly simple manner by providing a separate
cut-out and closer switch between each voltage source and the beat
making circuit and by using a bistable tipping stage as an
actuating device for the operation of these switches. The bistable
tipping stage is preferably operated by an astable multivibrator
which at the same time can operate the proper time sequency of beat
making impulses in the beat making circuit.
The present invention can be also effectively used when more than
two voltage sources are provided. In that case according to a
further embodiment of the present invention a counting switch is
used which switches on the individual voltage sources one after the
other in cycle to the beat making device by means of operable
switching members (transistors).
The current supply for the switching device is also provided from
available voltage sources, preferably however in such manner that
the voltage is supplied through diodes to the switching device.
This takes into consideration the fact that the switching device on
the one hand requires less voltage and on the other hand has a
lesser current consumption, so that voltage drop through the diodes
can be disregarded.
A further embodiment of the present invention includes the use of a
voltage measuring circuit with a signal giver which produces a
signal at a set limit value of the switched on voltage source to
prevent further connection of that voltage source to the beat
making circuit. When two voltage sources are used the limiting
value signal can be transmitted to the bistable tipping stage to
provide a continuing switching of this stage to the other switch
position. It can be also used to switch off the astable
multivibrator. When more than two voltage sources are used the
limiting value signal is used to influence the counting switch
circuit in such manner, that the voltage source which leads to the
release of the limiting value signal will not be considered any
more during the cycling testing of the voltage sources. The voltage
measuring circuit can be provided by a known comparator switching
and can be so constructed that when it is less than the switched on
voltage, the switching to the corresponding voltage source will not
take place any more.
In accordance with the present invention the limiting value signal
can be used to influence the frequency determining part of the
heartbeat maker, so as to produce a specific preferably low impulse
frequency which deviates from the previously set frequency and may
amount, for example, to 60 imp./min. for heart stimulation. In this
manner it is possible to control the voltage sources of an
implanted heartbeat maker without examination.
The invention will appear more clearly from the following detailed
description when taken in connection with the accompanying drawing
showing by way of example only, preferred embodiments of the
inventive idea.
In the drawing:
FIG. 1 is a circuit diagram of a cardiac actuator of the present
invention using two voltage sources.
FIG. 2 shows the same circuit diagram but amplified by a voltage
measuring circuit for examining voltage conditions of the
individual voltage sources .
FIG. 1 shows two battery groups 1 and 2 which feed through diodes 3
and 4 the astable multivibrator 5 and the bistable tipping stage 6.
The two battery groups 1 and 2 feed individually through the
electronic switches 7 and 8 the beat making circuit 9 having an
outlet 10. The electronic switches 7 and 8 may consist of
transistors and they form jointly with the stages 5 and 6 the
switching device for an alternating and separate switching of the
voltage sources 1 and 2 to the beat making circuit. The astable
multivibrator 5 can be at the same time a functional part of the
beat making circuit (as indicated in the drawing by a line
connecting the parts 5 and 9) and can serve for producing the
frequency with which stimulating impulses are produced by the beat
maker.
In the illustrated embodiment the bistable tipping stage provides
that the voltage sources 1 and 2 are used alternately in the rhythm
of impulse delivery to feed the beat making circuit and thus also
to supply the stimulating impulse energy by actuating alternately
the switches 7 and 8.
Another embodiment of the present invention shown in FIG. 2
corresponds to a great extent to that shown in FIG. 1. The
construction of FIG. 2 is provided only with an additional voltage
measuring circuit 11 which is constructed as a comparator and which
examines voltages transmitted by switches 7 and 8 to the beat
making circuit 9 to determine whether or not they are above a
predetermined value. If they are not, the voltage measuring circuit
prevents through the conduit 12 the bistable tipping stage 6 from
actuating the switch belonging to the used up voltage source and
also causes the drop of the frequency of the beat making impulses
to a previously set lower value. For that purpose the voltage
measuring circuit 11 is connected by the conduit 13 with the
astable multivibrator.
Obviously instead of two voltage sources several sources can be
used and the described switching device can be replaced by a
switching device operated by a calculator (binary counter).
Connections used for that purpose are well known in the art.
* * * * *