ATE365573T1 - Gerät und verfahren zur regelung der verabreichung von nichtexcitatorischen, kardialen,kontraktionsmodulierenden signalen an ein herz - Google Patents

Gerät und verfahren zur regelung der verabreichung von nichtexcitatorischen, kardialen,kontraktionsmodulierenden signalen an ein herz

Info

Publication number
ATE365573T1
ATE365573T1 AT01929956T AT01929956T ATE365573T1 AT E365573 T1 ATE365573 T1 AT E365573T1 AT 01929956 T AT01929956 T AT 01929956T AT 01929956 T AT01929956 T AT 01929956T AT E365573 T1 ATE365573 T1 AT E365573T1
Authority
AT
Austria
Prior art keywords
cardiac
heart
chamber
events
beat
Prior art date
Application number
AT01929956T
Other languages
English (en)
Inventor
Ziv Belsky
Yuval Mika
Original Assignee
Impulse Dynamics Nv
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Impulse Dynamics Nv filed Critical Impulse Dynamics Nv
Application granted granted Critical
Publication of ATE365573T1 publication Critical patent/ATE365573T1/de

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7203—Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal
    • A61B5/7217—Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal of noise originating from a therapeutic or surgical apparatus, e.g. from a pacemaker
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A61N1/3627—Heart stimulators for treating a mechanical deficiency of the heart, e.g. congestive heart failure or cardiomyopathy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39—Heart defibrillators
    • A61N1/3956—Implantable devices for applying electric shocks to the heart, e.g. for cardioversion
    • A61N1/3962—Implantable devices for applying electric shocks to the heart, e.g. for cardioversion in combination with another heart therapy
    • A61N1/39622—Pacing therapy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346—Analysis of electrocardiograms
    • A61B5/349—Detecting specific parameters of the electrocardiograph cycle
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7235—Details of waveform analysis
    • A61B5/7264—Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • A61N1/368—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Signal Processing (AREA)
  • Biophysics (AREA)
  • Physiology (AREA)
  • Physics & Mathematics (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Pathology (AREA)
  • Psychiatry (AREA)
  • Computer Vision & Pattern Recognition (AREA)
  • Artificial Intelligence (AREA)
  • Hospice & Palliative Care (AREA)
  • Electrotherapy Devices (AREA)
  • External Artificial Organs (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Credit Cards Or The Like (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
AT01929956T 2000-05-16 2001-05-10 Gerät und verfahren zur regelung der verabreichung von nichtexcitatorischen, kardialen,kontraktionsmodulierenden signalen an ein herz ATE365573T1 (de)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US09/572,482 US6370430B1 (en) 1999-03-25 2000-05-16 Apparatus and method for controlling the delivery of non-excitatory cardiac contractility modulating signals to a heart

Publications (1)

Publication Number Publication Date
ATE365573T1 true ATE365573T1 (de) 2007-07-15

Family

ID=24288013

Family Applications (1)

Application Number Title Priority Date Filing Date
AT01929956T ATE365573T1 (de) 2000-05-16 2001-05-10 Gerät und verfahren zur regelung der verabreichung von nichtexcitatorischen, kardialen,kontraktionsmodulierenden signalen an ein herz

Country Status (6)

Country Link
US (1) US6370430B1 (de)
EP (1) EP1284786B1 (de)
AT (1) ATE365573T1 (de)
AU (1) AU5663101A (de)
DE (1) DE60129130T2 (de)
WO (1) WO2001087134A2 (de)

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US8447399B2 (en) * 1996-08-19 2013-05-21 Mr3 Medical, Llc System and method for managing detrimental cardiac remodeling
US7908003B1 (en) 1996-08-19 2011-03-15 Mr3 Medical Llc System and method for treating ischemia by improving cardiac efficiency
US7840264B1 (en) 1996-08-19 2010-11-23 Mr3 Medical, Llc System and method for breaking reentry circuits by cooling cardiac tissue
AU1049901A (en) 1999-10-25 2001-05-08 Impulse Dynamics N.V. Cardiac contractility modulation device having anti-arrhythmic capabilities and a method of operating thereof
US6993385B1 (en) * 1999-10-25 2006-01-31 Impulse Dynamics N.V. Cardiac contractility modulation device having anti-arrhythmic capabilities and a method of operating thereof
US6480737B1 (en) 1999-12-29 2002-11-12 Impulse Dynamics Nv Field delivery safety system using detection of atypical ECG
US6493586B1 (en) * 2000-08-30 2002-12-10 Cardiac Pacemakers, Inc. Site reversion in cardiac rhythm management
US6584362B1 (en) * 2000-08-30 2003-06-24 Cardiac Pacemakers, Inc. Leads for pacing and/or sensing the heart from within the coronary veins
US6684100B1 (en) * 2000-10-31 2004-01-27 Cardiac Pacemakers, Inc. Curvature based method for selecting features from an electrophysiologic signals for purpose of complex identification and classification
US7003347B2 (en) * 2000-12-26 2006-02-21 Cardiac Pacemakers, Inc. System and method for cardiac rhythm management with dynamically adjusted synchronized chamber pacing protection period
US6512952B2 (en) * 2000-12-26 2003-01-28 Cardiac Pacemakers, Inc. Method and apparatus for maintaining synchronized pacing
US6480740B2 (en) * 2000-12-26 2002-11-12 Cardiac Pacemakers, Inc. Safety pacing in multi-site CRM devices
US6829505B2 (en) 2000-12-26 2004-12-07 Cardiac Pacemakers, Inc. System and method for cardiac rhythm management with synchronized pacing protection period
DE10104451B4 (de) * 2001-02-01 2006-10-05 Siemens Ag Einrichtung zur Durchführung einer physiologisch gesteuerten Messung an einem Lebewesen
IL160654A0 (en) * 2001-08-28 2004-07-25 Medtronic Inc Implantable medical device for treating cardiac mechanical dysfunction by electrical stimulation
US20040122294A1 (en) * 2002-12-18 2004-06-24 John Hatlestad Advanced patient management with environmental data
US6950702B2 (en) * 2002-07-15 2005-09-27 Cardiac Pacemakers, Inc. Use of curvature based features for beat detection
US7031764B2 (en) * 2002-11-08 2006-04-18 Cardiac Pacemakers, Inc. Cardiac rhythm management systems and methods using multiple morphology templates for discriminating between rhythms
SE0203726D0 (sv) * 2002-12-16 2002-12-16 St Jude Medical An Implantable heart stimulating device, a system including such a device and use of the system
US7500955B2 (en) * 2003-06-27 2009-03-10 Cardiac Pacemaker, Inc. Signal compression based on curvature parameters
US7792571B2 (en) 2003-06-27 2010-09-07 Cardiac Pacemakers, Inc. Tachyarrhythmia detection and discrimination based on curvature parameters
US7292888B2 (en) * 2003-08-11 2007-11-06 Medtronic, Inc. Cardiac stimulation during a refractory period
US7184832B2 (en) * 2003-10-07 2007-02-27 Medtronic, Inc. Refractory period tracking and arrhythmia detection
US20050075674A1 (en) * 2003-10-07 2005-04-07 Zillmer Glenn C. Extra-systolic stimulation therapy delivery and sensing via different electrode sets
US7277747B2 (en) * 2004-11-23 2007-10-02 Cardiac Pacemakers, Inc. Arrhythmia memory for tachyarrhythmia discrimination
US7614533B2 (en) * 2005-04-08 2009-11-10 Boal Kimi L Combination diaper bag and infant carrier
ES2960372T3 (es) * 2005-09-06 2024-03-04 Impulse Dynamics Nv Aparato para suministrar señales eléctricas a un corazón
US7623913B2 (en) * 2006-08-01 2009-11-24 Cameron Health, Inc. Implantable medical devices using heuristic filtering in cardiac event detection
US7751888B1 (en) 2006-08-28 2010-07-06 Pacesetter, Inc. Systems and methods for delivering stimulation pulses using an implantable cardiac stimulation device
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US20080280341A1 (en) * 2007-05-08 2008-11-13 Kenknight Bruce System And Method For Local Field Stimulation
US20090088827A1 (en) * 2007-10-02 2009-04-02 Cardiac Pacemakers, Inc Lead assembly providing sensing or stimulation of spaced-apart myocardial contact areas
EP2358431A2 (de) * 2008-09-16 2011-08-24 Cardiac Pacemakers, Inc. Kardiofunktionsmanagement mit integrierter kardiokontraktilitätsmodulierung
US9132275B2 (en) 2010-11-18 2015-09-15 Cardiac Pacemakers, Inc. Automatic determination of chronotropic incompetence using atrial pacing at rest
EP2628503B1 (de) * 2012-02-16 2016-02-24 BIOTRONIK SE & Co. KG Herzstimulator für eine kardiale Kontraktilitätsmodulation
SG10201808553QA (en) 2014-05-22 2018-11-29 Cardionomic Inc Catheter and catheter system for electrical neuromodulation
US20150342485A1 (en) * 2014-05-30 2015-12-03 Dräger Medical GmbH System and method for visually determining a physiological signal threshold
AU2015315658B2 (en) 2014-09-08 2019-05-23 CARDIONOMIC, Inc. Catheter and electrode systems for electrical neuromodulation
EP3194017A1 (de) 2014-09-08 2017-07-26 Cardionomic, Inc. Verfahren zur elektrischen neuromodulation des herzens
EP3610917A1 (de) 2015-01-05 2020-02-19 Cardionomic, Inc. Herzmodulationermöglichungsverfahren und -systeme
EP3426338A4 (de) 2016-03-09 2019-10-30 Cardionomic, Inc. Systeme und verfahren zur herzkontraktilitätsneurostimulation
WO2019055434A1 (en) 2017-09-13 2019-03-21 CARDIONOMIC, Inc. NEUROSTIMULATION SYSTEMS AND METHODS FOR AFFECTING CARDIAC CONTRACTILITY
WO2020036886A1 (en) 2018-08-13 2020-02-20 CARDIONOMIC, Inc. Systems and methods for affecting cardiac contractility and/or relaxation
JP2022531658A (ja) 2019-05-06 2022-07-08 カーディオノミック，インク． 電気神経調節中に生理学的信号をノイズ除去するためのシステムおよび方法

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Also Published As

Publication number Publication date
AU5663101A (en) 2001-11-26
EP1284786B1 (de) 2007-06-27
DE60129130D1 (de) 2007-08-09
EP1284786A4 (de) 2004-12-15
WO2001087134A2 (en) 2001-11-22
DE60129130T2 (de) 2008-03-06
WO2001087134A3 (en) 2002-05-02
US6370430B1 (en) 2002-04-09
EP1284786A2 (de) 2003-02-26

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