ATE513579T1 - Implantierbarer medizinischer herzschrittmacher und verfahren zur optimierung des implantatortes für interventrikuläre und atrioventrikuläre intervalle - Google Patents

Implantierbarer medizinischer herzschrittmacher und verfahren zur optimierung des implantatortes für interventrikuläre und atrioventrikuläre intervalle

Info

Publication number
ATE513579T1
ATE513579T1 AT10168396T AT10168396T ATE513579T1 AT E513579 T1 ATE513579 T1 AT E513579T1 AT 10168396 T AT10168396 T AT 10168396T AT 10168396 T AT10168396 T AT 10168396T AT E513579 T1 ATE513579 T1 AT E513579T1
Authority
AT
Austria
Prior art keywords
interventricular
optimizing
implantable medical
implant site
pacemaker
Prior art date
Application number
AT10168396T
Other languages
English (en)
Inventor
Fabrizio Renesto
Cyrille Casset
Original Assignee
Sorin Crm Sas
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 Sorin Crm Sas filed Critical Sorin Crm Sas
Application granted granted Critical
Publication of ATE513579T1 publication Critical patent/ATE513579T1/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
    • A61N1/368—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • A61B5/1107—Measuring contraction of parts of the body, e.g. organ, muscle
    • 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
    • A61B5/364—Detecting abnormal ECG interval, e.g. extrasystoles, ectopic heartbeats
    • 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
    • A61N1/3684—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions for stimulating the heart at multiple sites of the ventricle or the atrium
    • A61N1/36843—Bi-ventricular stimulation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6867—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive specially adapted to be attached or implanted in a specific body part
    • A61B5/6869—Heart
    • 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
    • A61N1/36578—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 mechanical motion of the heart wall, e.g. measured by an accelerometer or microphone
    • 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
    • A61N1/3682—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions with a variable atrioventricular delay
    • 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
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/37211—Means for communicating with stimulators
    • A61N1/37252—Details of algorithms or data aspects of communication system, e.g. handshaking, transmitting specific data or segmenting data
    • A61N1/37264—Changing the program; Upgrading firmware

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Biophysics (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Physiology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Electrotherapy Devices (AREA)
AT10168396T 2009-10-19 2010-07-05 Implantierbarer medizinischer herzschrittmacher und verfahren zur optimierung des implantatortes für interventrikuläre und atrioventrikuläre intervalle ATE513579T1 (de)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
FR0957316 2009-10-19

Publications (1)

Publication Number Publication Date
ATE513579T1 true ATE513579T1 (de) 2011-07-15

Family

ID=41820218

Family Applications (1)

Application Number Title Priority Date Filing Date
AT10168396T ATE513579T1 (de) 2009-10-19 2010-07-05 Implantierbarer medizinischer herzschrittmacher und verfahren zur optimierung des implantatortes für interventrikuläre und atrioventrikuläre intervalle

Country Status (3)

Country Link
US (1) US8219193B2 (de)
EP (1) EP2311524B1 (de)
AT (1) ATE513579T1 (de)

Families Citing this family (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
ATE511881T1 (de) * 2008-11-19 2011-06-15 Ela Medical Sa Aktives medizinisches implantat, das mit testmitteln zur aurikulären datenerfassung ausgestattet ist
EP2189180B1 (de) * 2008-11-19 2011-06-08 Ela Medical Aktives medizinisches Implantat, das mit Berechnungsmitteln der atrioventrikulären Verzögerung ausgestattet ist
EP2803385B1 (de) 2013-05-14 2016-04-06 Sorin CRM SAS Implantierbares CRT-Gerät zur Stimulation beider Ventrikel und zur Erkennung von Erfassungsverlusten und anodischen Stimulationen
US10092268B2 (en) * 2013-06-19 2018-10-09 Innovital Llc Method and apparatus to monitor physiologic and biometric parameters using a non-invasive set of transducers
EP3015132B1 (de) 2014-10-27 2017-11-22 Sorin CRM SAS Aktiver implantierbarer stimulator, insbesondere autonome intrakardiale kapsel, zum erfassen der vorhof-aktivität ohne erfassung der atrialen elektrischen aktivität
US10028677B2 (en) * 2015-10-12 2018-07-24 Corsens Medical Ltd. Quantitatively differentiating cardiac from non-cardiac related chest pain and other cardiac diagnostics
EP3389770B1 (de) 2015-12-18 2020-08-26 Sorin CRM SAS Aktive implantierbare medizinische vorrichtung wie etwa ein herzresynchronisator mit dynamischer anpassung der atrioventrikulären verzögerung in abhängigkeit eines erfassten und quantifizierten fusionsgrades
US11420067B2 (en) 2019-04-05 2022-08-23 Medtronic, Inc. Medical device and method for controlling pacing interval to promote mechanical heart chamber synchrony

Family Cites Families (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
IT1245814B (it) 1991-05-21 1994-10-18 Sorin Biomedica Spa Dispositivo cardiostimolatore del tipo rate responsive
US6144880A (en) * 1998-05-08 2000-11-07 Cardiac Pacemakers, Inc. Cardiac pacing using adjustable atrio-ventricular delays
FR2802433B1 (fr) * 1999-12-17 2002-05-17 Ela Medical Sa Dispositif medical, implantable actif, notamment stimulateur cardiaque, defibrillateur et/ou cardiovecteur du type multisite comportant des moyens de resynchronisation des ventricules
US7092759B2 (en) * 2003-07-30 2006-08-15 Medtronic, Inc. Method of optimizing cardiac resynchronization therapy using sensor signals of septal wall motion
US20050209649A1 (en) * 2004-03-17 2005-09-22 Bozidar Ferek-Petric Mechanical sensing system for cardiac pacing and/or for cardiac resynchronization therapy
FR2887460A1 (fr) 2005-06-22 2006-12-29 Ela Medical Soc Par Actions Si Dispositif medical implantable actif a stimulation biventriculaire et optimisation automatique de la configuration de stimulation
US7653437B2 (en) 2006-01-31 2010-01-26 Medtronic, Inc. Method and apparatus for determining optimal pacing therapy timing intervals
EP1977784A1 (de) * 2007-04-04 2008-10-08 BIOTRONIK CRM Patent AG Implantierbare medizinische Vorrichtung und Verfahren zur Optimierung des Implantatortes für eine linksventrikuläre Koronarsinuselektrode
ATE493169T1 (de) * 2007-12-13 2011-01-15 Ela Medical Sa Medizinische vorrichtung zur bestimmung des herzzustands eines patienten, dem ein aktives implantat zur biventrikulären stimulation eingesetzt wurde
EP2092885B1 (de) * 2008-02-20 2015-01-28 Ela Medical Analysevorrichtung eines endokardialen Beschleunigungssignals

Also Published As

Publication number Publication date
EP2311524B1 (de) 2011-06-22
EP2311524A1 (de) 2011-04-20
US20110093027A1 (en) 2011-04-21
US8219193B2 (en) 2012-07-10

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