Current-speed relationship for instantaneous suction detection algorithm in lvads

Abstract

A system for detecting a suction condition in an implantable blood pump including a controller in communication with the blood pump. The controller includes a control circuit configured to calculate a present value during a time period, the present value corresponding to a pump speed divided by a pump current, determine a plurality of data values during the time period based on the present value, and determine a suction detection threshold value using the plurality of data values. The control circuit is also configured to compare the present value during the time period to the suction detection threshold value and generate an alert when the present value exceeds the suction detection threshold value on a plurality of instances during the time period, the alert corresponding to a suction condition.

What is claimed is: 
     
         1 . A system for detecting a suction condition in an implantable blood pump, the system comprising:
 a controller in communication with the blood pump, the controller including a control circuit configured to:   calculate a plurality of data values using a hysteresis window;   calculate a present value during a time period, the present value corresponding to a pump speed divided by a pump current following the hysteresis window;   determine a suction detection threshold value using the plurality of data values;   compare the present value during the time period to the suction detection threshold value; and   generate an alert when the present value exceeds the suction detection threshold value on a plurality of consecutive instances during the time period, the alert corresponding to a suction condition.   
     
     
         2 . The system of  claim 1 , wherein the time period is a one to five second hysteresis window. 
     
     
         3 . The system of  claim 1 , wherein the plurality of data values includes a baseline value waveform between a 50th to 75th percentile relative to the hysteresis window. 
     
     
         4 . The system of  claim 3 , wherein the baseline value waveform is an adaptive value. 
     
     
         5 . The system of  claim 1 , wherein the plurality of data values includes a first pulsatility percentile value between a 5th to 30th percentile relative to the hysteresis window and a second pulsatility percentile value between a 70th to 95th percentile value relative to the hysteresis window. 
     
     
         6 . The system of  claim 5 , wherein the control circuit is configured to calculate a pulsatility value waveform corresponding to a difference between the first pulsatility percentile value and the second pulsatility percentile value. 
     
     
         7 . The system of  claim 6 , wherein the control circuit is configured to determine the suction detection threshold value using a suction detection equation, the suction detection equation including adding the baseline value waveform to the pulsatility value waveform, the pulsatility value waveform being multiplied by a multiplier. 
     
     
         8 . The system of  claim 7 , wherein the multiplier is a constant over a plurality of time periods. 
     
     
         9 . The system of  claim 1 , wherein the control circuit is configured to classify a severity of the suction condition. 
     
     
         10 . A method for detecting a suction condition in an implantable blood pump, the method comprising:
 calculating a plurality of data values using a hysteresis window;   calculating a present value during a time period following the hysteresis window, the present value corresponding to a pump speed divided by a pump current;   determining a suction detection threshold value using the plurality of data values;   comparing the present value during the time period to the suction detection threshold value; and   generating an alert when the present value exceeds the suction detection threshold value on at least one instance during the time period, the alert corresponding to a suction condition.   
     
     
         11 . The method of  claim 10 , wherein the time period is a one to five second hysteresis window. 
     
     
         12 . The method of  claim 10 , further comprising determining a baseline value waveform between a 50th to 75th percentile relative to the hysteresis window. 
     
     
         13 . The method of  claim 12 , further comprising determining a pulsatility value waveform corresponding to a difference between a first pulsatility percentile value and a second pulsatility percentile value relative to the hysteresis window. 
     
     
         14 . The method of  claim 13 , further comprising executing a suction detection equation, the suction detection equation including adding the baseline value waveform to the pulsatility value waveform, the pulsatility value waveform being multiplied by a multiplier. 
     
     
         15 . The method of  claim 14 , wherein the multiplier is a constant over a plurality of time periods. 
     
     
         16 . The method of  claim 10 , further comprising classifying a severity of the suction condition. 
     
     
         17 . The method of  claim 10 , further comprising instantaneously determining the suction condition at an onset thereof. 
     
     
         18 . The method of  claim 10 , further comprising sending the alert to a location remote from a location of the blood pump. 
     
     
         19 . The method of  claim 10 , further comprising recording the plurality of instances when the present value exceeds the suction detection threshold value using a present waveform. 
     
     
         20 . A method for detecting a suction condition in an implantable blood pump, the method comprising:
 calculating a baseline value waveform and a pulsatility value waveform relative to a hysteresis window;   calculating a present value during a time period following the hysteresis window, the present value corresponding to a pump speed divided by a pump current;   determining a suction detection threshold value using the baseline value waveform and the pulsatility value waveform; and   generating an alert when the present value exceeds the suction detection threshold value on at least one instance during the time period.