Patent ID: 7130695

Claim:
An arrangement for monitoring and adjusting control of an electromedical implant for intracardial cardiac therapy of a patient by an external control and evaluation unit, wherein the arrangement comprises: (a) the electromedical implant, which comprises: a clock and timer unit for the co-ordination of a time sequence of control operations, an energy source for providing an operating voltage and for stimulation and shock delivery, at least one electrode which is adapted for connection to myocardium of a heart and which is adapted for the delivery of electrical pulses, a sensor which supplies measurement data about physiological parameters in a region of the heart and about internal status parameters of the implant, a memory unit for a storage of internal control sequences, control parameters and measurement data of the sensor, a telemetry unit having a transmitter and a receiver for bidirectional data exchange with the external control and evaluation unit, and a central, autarchically runnable control logic unit which controls activities of the at least one electrode, the telemetry unit, the sensor and the memory unit on the basis of the internal control sequences and control parameters, and (b) the external control and evaluation unit, which comprises: a telemetry unit having a transmitter and a receiver for bidirectional data exchange with the electromedical implant, a clock and timer unit for the co-ordination of a time sequence of control operations, an energy source for providing an operating voltage, a memory unit for storing control sequences, control parameters and communicated data of the implant, a central, autarchically runnable evaluation logic unit which controls the activities of the telemetry unit and the memory unit, which is connected to the clock and timer unit and which on the basis of the communicated data ascertains control sequences and control parameters for monitoring and adjusting the implant and co-ordinates the transmission thereof to the implant, and wherein the evaluation logic unit further comprises an expert system which is adapted to assess all monitoring and adjusting tasks for the intracardial cardiac therapy on a patient-individual basis and divides the control sequences on which the monitoring and adjusting tasks are based into internal control sequences for the implant and external control sequences for the external evaluation and control unit, and wherein the evaluation logic unit of the external control and evaluation unit has a memory for a complex matrix into which at least the transmitted data of the implant and the control values pass and which delivers the control parameters and control sequences on which the monitoring and adjusting tasks are based.