ATE429266T1 - Gerät zur modifizierung der abgabe einer therapie als reaktion auf den eintritt von schlaf - Google Patents

Gerät zur modifizierung der abgabe einer therapie als reaktion auf den eintritt von schlaf

Info

Publication number
ATE429266T1
ATE429266T1 AT04812801T AT04812801T ATE429266T1 AT E429266 T1 ATE429266 T1 AT E429266T1 AT 04812801 T AT04812801 T AT 04812801T AT 04812801 T AT04812801 T AT 04812801T AT E429266 T1 ATE429266 T1 AT E429266T1
Authority
AT
Austria
Prior art keywords
therapy
onset
response
patient
sleep
Prior art date
Application number
AT04812801T
Other languages
English (en)
Inventor
Yong Cho
Luc Mongeon
Donald Jensen
Original Assignee
Medtronic Inc
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 Medtronic Inc filed Critical Medtronic Inc
Application granted granted Critical
Publication of ATE429266T1 publication Critical patent/ATE429266T1/de

Links

Classifications

    • 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
    • A61N1/36514—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure
    • A61N1/36521—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure the parameter being derived from measurement of an electrical impedance
    • 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
    • A61N1/36514—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure
    • A61N1/36542—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure controlled by body motion, e.g. acceleration
    • 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
    • A61N1/37—Monitoring; Protecting
    • A61N1/3702—Physiological parameters

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Physiology (AREA)
  • Engineering & Computer Science (AREA)
  • Hematology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Biophysics (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Electrotherapy Devices (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
  • Steroid Compounds (AREA)
AT04812801T 2003-12-15 2004-12-01 Gerät zur modifizierung der abgabe einer therapie als reaktion auf den eintritt von schlaf ATE429266T1 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US10/736,370 US7206635B2 (en) 2001-06-07 2003-12-15 Method and apparatus for modifying delivery of a therapy in response to onset of sleep
PCT/US2004/040359 WO2005061046A2 (en) 2003-12-15 2004-12-01 Method and apparatus for modifying delivery of a therapy in response to onset of sleep

Publications (1)

Publication Number Publication Date
ATE429266T1 true ATE429266T1 (de) 2009-05-15

Family

ID=34710465

Family Applications (1)

Application Number Title Priority Date Filing Date
AT04812801T ATE429266T1 (de) 2003-12-15 2004-12-01 Gerät zur modifizierung der abgabe einer therapie als reaktion auf den eintritt von schlaf

Country Status (7)

Country Link
US (1) US7206635B2 (de)
EP (1) EP1706174B1 (de)
CN (1) CN100563557C (de)
AT (1) ATE429266T1 (de)
CA (1) CA2549489C (de)
DE (1) DE602004020804D1 (de)
WO (1) WO2005061046A2 (de)

Families Citing this family (59)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7252640B2 (en) * 2002-12-04 2007-08-07 Cardiac Pacemakers, Inc. Detection of disordered breathing
US7189204B2 (en) 2002-12-04 2007-03-13 Cardiac Pacemakers, Inc. Sleep detection using an adjustable threshold
US7499750B2 (en) 2003-04-11 2009-03-03 Cardiac Pacemakers, Inc. Noise canceling cardiac electrodes
US7967756B2 (en) 2003-09-18 2011-06-28 Cardiac Pacemakers, Inc. Respiratory therapy control based on cardiac cycle
US7510531B2 (en) 2003-09-18 2009-03-31 Cardiac Pacemakers, Inc. System and method for discrimination of central and obstructive disordered breathing events
US8606356B2 (en) * 2003-09-18 2013-12-10 Cardiac Pacemakers, Inc. Autonomic arousal detection system and method
US20050142070A1 (en) * 2003-09-18 2005-06-30 Hartley Jesse W. Methods and systems for assessing pulmonary disease with drug therapy control
US7757690B2 (en) 2003-09-18 2010-07-20 Cardiac Pacemakers, Inc. System and method for moderating a therapy delivered during sleep using physiologic data acquired during non-sleep
US7610094B2 (en) 2003-09-18 2009-10-27 Cardiac Pacemakers, Inc. Synergistic use of medical devices for detecting medical disorders
US7396333B2 (en) 2003-08-18 2008-07-08 Cardiac Pacemakers, Inc. Prediction of disordered breathing
US7720541B2 (en) 2003-08-18 2010-05-18 Cardiac Pacemakers, Inc. Adaptive therapy for disordered breathing
US7336996B2 (en) * 2003-09-18 2008-02-26 Cardiac Pacemakers, Inc. Rate regularization of cardiac pacing for disordered breathing therapy
US7591265B2 (en) 2003-09-18 2009-09-22 Cardiac Pacemakers, Inc. Coordinated use of respiratory and cardiac therapies for sleep disordered breathing
US7575553B2 (en) 2003-09-18 2009-08-18 Cardiac Pacemakers, Inc. Methods and systems for assessing pulmonary disease
EP2008581B1 (de) 2003-08-18 2011-08-17 Cardiac Pacemakers, Inc. Patientenüberwachungs-, Diagnose- und/oder Therapiesysteme und -verfahren
US7887493B2 (en) 2003-09-18 2011-02-15 Cardiac Pacemakers, Inc. Implantable device employing movement sensing for detecting sleep-related disorders
US7662101B2 (en) 2003-09-18 2010-02-16 Cardiac Pacemakers, Inc. Therapy control based on cardiopulmonary status
US8192376B2 (en) 2003-08-18 2012-06-05 Cardiac Pacemakers, Inc. Sleep state classification
US7668591B2 (en) * 2003-09-18 2010-02-23 Cardiac Pacemakers, Inc. Automatic activation of medical processes
US8002553B2 (en) 2003-08-18 2011-08-23 Cardiac Pacemakers, Inc. Sleep quality data collection and evaluation
US7979128B2 (en) 2003-10-15 2011-07-12 Rmx, Llc Device and method for gradually controlling breathing
US8244358B2 (en) * 2003-10-15 2012-08-14 Rmx, Llc Device and method for treating obstructive sleep apnea
US9259573B2 (en) 2003-10-15 2016-02-16 Rmx, Llc Device and method for manipulating exhalation
US8467876B2 (en) 2003-10-15 2013-06-18 Rmx, Llc Breathing disorder detection and therapy delivery device and method
US20060167523A1 (en) * 2003-10-15 2006-07-27 Tehrani Amir J Device and method for improving upper airway functionality
US8160711B2 (en) 2003-10-15 2012-04-17 Rmx, Llc Multimode device and method for controlling breathing
US7970475B2 (en) 2003-10-15 2011-06-28 Rmx, Llc Device and method for biasing lung volume
US8265759B2 (en) 2003-10-15 2012-09-11 Rmx, Llc Device and method for treating disorders of the cardiovascular system or heart
US8140164B2 (en) 2003-10-15 2012-03-20 Rmx, Llc Therapeutic diaphragm stimulation device and method
TWI250326B (en) * 2003-11-28 2006-03-01 Prime Optical Fiber Corp Optical fiber inclinometer
US7747323B2 (en) 2004-06-08 2010-06-29 Cardiac Pacemakers, Inc. Adaptive baroreflex stimulation therapy for disordered breathing
US7996072B2 (en) 2004-12-21 2011-08-09 Cardiac Pacemakers, Inc. Positionally adaptable implantable cardiac device
US7680534B2 (en) 2005-02-28 2010-03-16 Cardiac Pacemakers, Inc. Implantable cardiac device with dyspnea measurement
FR2891152A1 (fr) * 2005-09-27 2007-03-30 Ela Medical Soc Par Actions Si Dispositif medical implantable actif, notamment dispositif de stimulation, resynchronisation, defibrillation et/ou cardioversion, comprenant des moyens de diagnostic predictif de l'etat du patient.
US20070118180A1 (en) 2005-11-18 2007-05-24 Quan Ni Cardiac resynchronization therapy for improved hemodynamics based on disordered breathing detection
EP1984066B1 (de) 2006-02-16 2020-05-06 Imthera Medical, Inc. Auf rfid basierendes system zur therapeutischen behandlung eines patienten
US7751887B1 (en) * 2006-04-28 2010-07-06 Pacesetter, Inc. Tiered antitachycardia pacing and pre-pulsing therapy
US8280513B2 (en) 2006-12-22 2012-10-02 Rmx, Llc Device and method to treat flow limitations
US8380314B2 (en) 2007-09-26 2013-02-19 Medtronic, Inc. Patient directed therapy control
US8290596B2 (en) 2007-09-26 2012-10-16 Medtronic, Inc. Therapy program selection based on patient state
US20090264789A1 (en) * 2007-09-26 2009-10-22 Medtronic, Inc. Therapy program selection
WO2009048580A1 (en) 2007-10-09 2009-04-16 Imthera Medical, Inc. Apparatus, system, and method for selective stimulation
US8121694B2 (en) * 2007-10-16 2012-02-21 Medtronic, Inc. Therapy control based on a patient movement state
US9072870B2 (en) * 2008-01-25 2015-07-07 Medtronic, Inc. Sleep stage detection
US9662045B2 (en) 2008-07-11 2017-05-30 Medtronic, Inc. Generation of sleep quality information based on posture state data
US8428725B2 (en) 2008-10-09 2013-04-23 Imthera Medical, Inc. Method of stimulating a Hypoglossal nerve for controlling the position of a patient's tongue
US8938299B2 (en) 2008-11-19 2015-01-20 Inspire Medical Systems, Inc. System for treating sleep disordered breathing
CN102686271A (zh) 2009-11-10 2012-09-19 伊姆特拉医疗公司 用于刺激舌下神经以控制患者的舌头的位置的系统
US9770204B2 (en) * 2009-11-11 2017-09-26 Medtronic, Inc. Deep brain stimulation for sleep and movement disorders
US9211411B2 (en) 2010-08-26 2015-12-15 Medtronic, Inc. Therapy for rapid eye movement behavior disorder (RBD)
CN102266615B (zh) * 2010-12-31 2014-08-06 北京谊安医疗系统股份有限公司 医用呼吸设备分钟通气量的计算方法和装置
US9861817B2 (en) 2011-07-28 2018-01-09 Medtronic, Inc. Medical device to provide breathing therapy
US8509902B2 (en) 2011-07-28 2013-08-13 Medtronic, Inc. Medical device to provide breathing therapy
US20150039045A1 (en) 2011-08-11 2015-02-05 Inspire Medical Systems, Inc. Method and system for applying stimulation in treating sleep disordered breathing
JP6202485B2 (ja) * 2013-01-11 2017-09-27 株式会社タニタ 生体情報管理モジュール、睡眠計、およびシステム
WO2016033245A1 (en) 2014-08-26 2016-03-03 Rmx, Llc Devices and methods for reducing intrathoracic pressure
AU2016233377B2 (en) 2015-03-19 2020-04-30 Inspire Medical Systems, Inc. Stimulation for treating sleep disordered breathing
US11266838B1 (en) 2019-06-21 2022-03-08 Rmx, Llc Airway diagnostics utilizing phrenic nerve stimulation device and method
CN112754492A (zh) * 2021-01-14 2021-05-07 苏州无双医疗设备有限公司 用于心律监测并抗凝血的植入式医疗设备和程控仪

Family Cites Families (23)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE2415385A1 (de) 1974-03-29 1975-10-02 Siemens Ag Herzschrittmacher
CA1219040A (en) 1983-05-05 1987-03-10 Elliot V. Plotkin Measurement of enzyme-catalysed reactions
US4702253A (en) * 1985-10-15 1987-10-27 Telectronics N.V. Metabolic-demand pacemaker and method of using the same to determine minute volume
US4795542A (en) 1986-04-24 1989-01-03 St. Jude Medical, Inc. Electrochemical concentration detector device
JPH0341926A (ja) * 1989-07-07 1991-02-22 Matsushita Electric Works Ltd 睡眠の状態変化検出装置および睡眠状態制御装置
US5476483A (en) * 1994-06-10 1995-12-19 Pacesetter, Inc. System and method for modulating the base rate during sleep for a rate-responsive cardiac pacemaker
US5562711A (en) 1994-11-30 1996-10-08 Medtronic, Inc. Method and apparatus for rate-responsive cardiac pacing
US5630834A (en) * 1995-05-03 1997-05-20 Medtronic, Inc. Atrial defibrillator with means for delivering therapy in response to a determination that the patient is likely asleep
US5995860A (en) 1995-07-06 1999-11-30 Thomas Jefferson University Implantable sensor and system for measurement and control of blood constituent levels
US5891176A (en) 1996-05-09 1999-04-06 Pacesetter, Inc. System and method for providing hemodynamically optimal pacing
US5814087A (en) 1996-12-18 1998-09-29 Medtronic, Inc. Rate responsive pacemaker adapted to adjust lower rate limit according to monitored patient blood temperature
US5733312A (en) 1997-01-17 1998-03-31 Pacesetter, Inc. System and method for modulating the output of an implantable medical device in response to circadian variations
US5964788A (en) 1997-10-28 1999-10-12 Pacesetter, Inc. Method and apparatus for controlling a pacemaker using respiration
US6128534A (en) 1998-06-16 2000-10-03 Pacesetter, Inc. Implantable cardiac stimulation device and method for varying pacing parameters to mimic circadian cycles
US6055454A (en) 1998-07-27 2000-04-25 Cardiac Pacemakers, Inc. Cardiac pacemaker with automatic response optimization of a physiologic sensor based on a second sensor
US6049735A (en) 1999-03-01 2000-04-11 Cardiac Pacemakers Inc. Cardiac rhythm management device with detection and therapy for sudden syncopal events
US6188927B1 (en) 1999-04-16 2001-02-13 Pacesetter, Inc. Implantable cardiac stimulation system having improved method of calibrating physiologic sensors
US6275733B1 (en) 1999-06-16 2001-08-14 Pacesetter, Inc. Dual sensor rate response pacemaker
US6731984B2 (en) 2001-06-07 2004-05-04 Medtronic, Inc. Method for providing a therapy to a patient involving modifying the therapy after detecting an onset of sleep in the patient, and implantable medical device embodying same
FR2833177B1 (fr) 2001-12-07 2004-06-04 Ela Medical Sa Dispositif medical actif comprenant des moyens perfectionnes de discrimination des phases d'eveil et de sommeil
US6775571B1 (en) 2001-12-12 2004-08-10 Pacesetter, Inc. Dynamic control of overdrive pacing based on degree of randomness within heart rate
US6970743B2 (en) * 2002-08-30 2005-11-29 Pacesetter, Inc. System and method for treating abnormal ventricular activation-recovery time
US8467876B2 (en) * 2003-10-15 2013-06-18 Rmx, Llc Breathing disorder detection and therapy delivery device and method

Also Published As

Publication number Publication date
CA2549489C (en) 2013-11-19
CN101076283A (zh) 2007-11-21
WO2005061046A2 (en) 2005-07-07
CN100563557C (zh) 2009-12-02
US20040176809A1 (en) 2004-09-09
US7206635B2 (en) 2007-04-17
EP1706174B1 (de) 2009-04-22
DE602004020804D1 (de) 2009-06-04
WO2005061046A3 (en) 2007-05-24
EP1706174A2 (de) 2006-10-04
CA2549489A1 (en) 2005-07-07

Similar Documents

Publication Publication Date Title
ATE429266T1 (de) Gerät zur modifizierung der abgabe einer therapie als reaktion auf den eintritt von schlaf
ATE541548T1 (de) Automatische reanimationsvorrichtung mit belüftungsmessung und -steuerung
DE602006015442D1 (de) Gerät zum nachweis von arrhythmie in einem medizinprodukt
DE60236389D1 (de) System und Verfahren zur automatischen Erfassung des Einfanges in eine implantierbare Herzstimulationseinrichtung
DE60118433D1 (de) Implantierbare medizinische vorrichtung zur überwachung von kongestiver herzinsuffizienz
ATE385814T1 (de) Medizinische vorrichtung zur abgabe von insulin
FR2848861B1 (fr) Dispositif medical actif, notamment dispositif implantable tel que stimulateur cardiaque, defibrillateur, cardioverteur ou dispositif multisite, comprenant des moyens de detection des troubles du sommeil
DE602007011062D1 (de) Biofeedback-system und anzeigevorrichtung
DE60036396D1 (de) Implantierbare vorrichtung zur steuerung des herzrhythmus durch bestimmung des zustandes von chf-patienten
WO2005007236A3 (en) System and method for implantable pulse generator with multiple treatment protocols
DE60203246D1 (de) Aktive implantierbare medizinische Vorrichtung mit verbesserten Mitteln zum Unterscheiden zwischen den Phasen von Wachzustand und Schlafzustand
ATE315926T1 (de) Abgabevorrichtung für arzneimittel und verfahren zur abgabe von arzneimitteln
DE602004002131D1 (de) System zur Stimulation des Herzens bei Atemstillstand während des Schlafs
DE60131775D1 (de) Eine implantierbare oder einführbare vorrichtung zur abgabe therapeutischer mittel
DK1575656T3 (da) Insulinafgivesystem med sensor
DE60121749D1 (de) System zum adaptiven Verabreichen einer Arznei
WO2005099818A3 (en) Automated pediatric defibrillator
ATE378088T1 (de) System zur vestikulären stimulation
AT9258U2 (de) Transdermal-pflaster zum verabreichen von fentanyl
DE69927438D1 (de) Aktive implantierbare medizinische Vorrichtung zur Behandlung von Schlafapnoe durch Elektrostimulation
ATE420681T1 (de) Modulare vorrichtung zur verabreichung von medikamenten
DE60313942D1 (de) Medizinische Vorrichtung zur transdermalen Verabreichung von ionischen Medikamenten
ATE536911T1 (de) Verfahren und gerät für sichere weitreichende telemetrie mit implantierbaren medizinprodukten
TW200616688A (en) Stimulator for sleep apnea prevention
WO2006058164A3 (en) Automated external defibrillator (aed) with discrete sensing pulse for use in configuring a therapeutic biphasic waveform

Legal Events

Date Code Title Description
RER Ceased as to paragraph 5 lit. 3 law introducing patent treaties