ATE551096T1 - Auswahl von pacing-stellen zur erhöhung der herzleistung - Google Patents

Auswahl von pacing-stellen zur erhöhung der herzleistung

Info

Publication number
ATE551096T1
ATE551096T1 AT07796501T AT07796501T ATE551096T1 AT E551096 T1 ATE551096 T1 AT E551096T1 AT 07796501 T AT07796501 T AT 07796501T AT 07796501 T AT07796501 T AT 07796501T AT E551096 T1 ATE551096 T1 AT E551096T1
Authority
AT
Austria
Prior art keywords
selection
heart chamber
electrodes
cardiac performance
pacing site
Prior art date
Application number
AT07796501T
Other languages
German (de)
English (en)
Inventor
Yinghong Yu
Shantha Arcot-Krishnamuthy
Michael John Stucky
Jiang Ding
Original Assignee
Cardiac Pacemakers 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 Cardiac Pacemakers Inc filed Critical Cardiac Pacemakers Inc
Application granted granted Critical
Publication of ATE551096T1 publication Critical patent/ATE551096T1/de

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362Heart stimulators
    • A61N1/365Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • A61N1/36585Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by two or more physical parameters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362Heart stimulators
    • A61N1/365Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • A61N1/36514Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362Heart stimulators
    • A61N1/365Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • A61N1/36514Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure
    • A61N1/36535Heart 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 position or posture
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362Heart stimulators
    • A61N1/365Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • A61N1/36514Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure
    • A61N1/36542Heart 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362Heart stimulators
    • A61N1/365Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • A61N1/36514Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure
    • A61N1/36557Heart 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 chemical substances in blood
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362Heart stimulators
    • A61N1/365Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • A61N1/36514Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure
    • A61N1/36578Heart 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362Heart stimulators
    • A61N1/365Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • A61N1/36592Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by the heart rate variability

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Biophysics (AREA)
  • Physiology (AREA)
  • Engineering & Computer Science (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Hematology (AREA)
  • Electrotherapy Devices (AREA)
AT07796501T 2006-06-30 2007-06-27 Auswahl von pacing-stellen zur erhöhung der herzleistung ATE551096T1 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US11/479,877 US8620430B2 (en) 2006-06-30 2006-06-30 Selection of pacing sites to enhance cardiac performance
PCT/US2007/014934 WO2008005260A1 (en) 2006-06-30 2007-06-27 Selection of pacing sites to enhance cardiac performance

Publications (1)

Publication Number Publication Date
ATE551096T1 true ATE551096T1 (de) 2012-04-15

Family

ID=38561228

Family Applications (1)

Application Number Title Priority Date Filing Date
AT07796501T ATE551096T1 (de) 2006-06-30 2007-06-27 Auswahl von pacing-stellen zur erhöhung der herzleistung

Country Status (5)

Country Link
US (2) US8620430B2 (enExample)
EP (2) EP2038006B1 (enExample)
JP (2) JP5256197B2 (enExample)
AT (1) ATE551096T1 (enExample)
WO (1) WO2008005260A1 (enExample)

Families Citing this family (25)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8108035B1 (en) * 2006-10-18 2012-01-31 Pacesetter, Inc. Systems and methods for detecting and compensating for changes in posture during ischemia detection a using an implantable medical device
US8155731B1 (en) * 2006-10-18 2012-04-10 Pacesetter, Inc. Systems and methods for detecting and compensating for changes in posture during ischemia detection using an implantable medical device
WO2010039501A1 (en) * 2008-10-03 2010-04-08 Cardiac Pacemakers, Inc. Methods and apparatuses for cardiac resynchronization therapy mode selection based on intrinsic conduction
US20100121396A1 (en) * 2008-11-10 2010-05-13 Pacesetter, Inc. Enhanced hemodynamics through energy-efficient anodal pacing
EP2379169B9 (en) * 2008-12-17 2015-11-18 St. Jude Medical AB Implantable medical device for monitoring synchronicity of the ventricles of a heart
ES2377698B1 (es) 2009-02-27 2013-02-14 Corrugados Azpeitia S.L. Procedimiento secuencial para la gestión ecológica y limpia de la escoria blanca de acerías en estado pulverulento y equipo para la realización de dicho procedimiento.
US8886313B2 (en) * 2009-07-02 2014-11-11 Cardiac Pacemakers Inc. Systems and methods for ranking and selection of pacing vectors
US9381363B2 (en) * 2009-12-07 2016-07-05 Pacesetter, Inc. Optimal pacing configuration via ventricular conduction delays
EP2402054B1 (en) * 2010-06-30 2013-03-20 St. Jude Medical AB Identification of pacing site
AU2011349645B2 (en) * 2010-12-20 2015-05-28 Cardiac Pacemakers, Inc. Left ventricle-only and right ventricular safety pacing
US10052488B2 (en) 2010-12-20 2018-08-21 Cardiac Pacemakers, Inc. Refractory and blanking intervals in the context of multi-site left ventricular pacing
WO2012087757A1 (en) * 2010-12-20 2012-06-28 Cardiac Pacemakers, Inc. Refractory and blanking intervals for multi-site ventricular pacing
US8972009B2 (en) * 2010-12-22 2015-03-03 Pacesetter, Inc. Systems and methods for determining optimal interventricular pacing delays based on electromechanical delays
EP2586492B1 (en) * 2011-10-24 2014-06-18 St. Jude Medical AB Pacing sequence optimization
US9289145B2 (en) 2013-12-05 2016-03-22 Medtronic, Inc. Identification of abnormal cardiac substrate during left-ventricular pacing
EP3082950B1 (en) * 2013-12-18 2023-06-21 Cardiac Pacemakers, Inc. Method of facilitating selection of a vector for delivering electrical stimulation to a patient
US9656091B2 (en) * 2014-07-11 2017-05-23 Cardiac Pacemakers, Inc. Power saving communication for medical devices
WO2016061202A1 (en) * 2014-10-17 2016-04-21 Cardiac Pacemakers, Inc. System for ambulatory optimization of multi-site pacing using heart sounds
US9789318B2 (en) 2014-10-17 2017-10-17 Cardiac Pacemakers, Inc. Method and apparatus for optimizing multi-site pacing using heart sounds
WO2016126654A2 (en) * 2015-02-05 2016-08-11 Cardiac Pacemakers, Inc. Sensing window management of multipoint pacing
JP6525466B2 (ja) * 2015-07-24 2019-06-05 カーディアック ペースメイカーズ, インコーポレイテッド 刺激部位選択のためのシステム
US10660577B2 (en) 2016-04-01 2020-05-26 Cardiac Pacamakers, Inc. Systems and methods for detecting worsening heart failure
US10898720B2 (en) 2017-10-17 2021-01-26 Medtronic, Inc. Impedance sensing
WO2025029856A1 (en) * 2023-08-01 2025-02-06 Solo Pace Inc. Systems, methods, and apparatus for ambulatory cardiac pacing
WO2025095934A1 (en) * 2023-10-31 2025-05-08 Chelak Medical Solutions Inc. Systems, devices, and methods of temperature compensation in fiber bragg grating sensing systems in implantable devices

Family Cites Families (50)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0541338B1 (en) 1991-11-04 1996-09-11 Cardiac Pacemakers, Inc. Implantable cardiac function monitor and stimulator for diagnosis and therapy delivery
EP0688579B1 (en) * 1994-06-24 2001-08-22 St. Jude Medical AB Device for heart therapy
US6021351A (en) 1998-05-11 2000-02-01 Cardiac Pacemakers, Inc. Method and apparatus for assessing patient well-being
US6044298A (en) 1998-10-13 2000-03-28 Cardiac Pacemakers, Inc. Optimization of pacing parameters based on measurement of integrated acoustic noise
US6285906B1 (en) * 1999-05-26 2001-09-04 Impulse Dynamics N. V. Muscle contraction assist device
US6312378B1 (en) 1999-06-03 2001-11-06 Cardiac Intelligence Corporation System and method for automated collection and analysis of patient information retrieved from an implantable medical device for remote patient care
US6270457B1 (en) 1999-06-03 2001-08-07 Cardiac Intelligence Corp. System and method for automated collection and analysis of regularly retrieved patient information for remote patient care
US6221011B1 (en) 1999-07-26 2001-04-24 Cardiac Intelligence Corporation System and method for determining a reference baseline of individual patient status for use in an automated collection and analysis patient care system
US6363277B1 (en) 1999-08-20 2002-03-26 Cardiac Pacemakers, Inc. Cardiac rhythm management system with differential sensing channel
US6336903B1 (en) 1999-11-16 2002-01-08 Cardiac Intelligence Corp. Automated collection and analysis patient care system and method for diagnosing and monitoring congestive heart failure and outcomes thereof
US6398728B1 (en) 1999-11-16 2002-06-04 Cardiac Intelligence Corporation Automated collection and analysis patient care system and method for diagnosing and monitoring respiratory insufficiency and outcomes thereof
US6440066B1 (en) 1999-11-16 2002-08-27 Cardiac Intelligence Corporation Automated collection and analysis patient care system and method for ordering and prioritizing multiple health disorders to identify an index disorder
US6368284B1 (en) 1999-11-16 2002-04-09 Cardiac Intelligence Corporation Automated collection and analysis patient care system and method for diagnosing and monitoring myocardial ischemia and outcomes thereof
KR100342476B1 (ko) * 1999-12-10 2002-06-28 윤종용 고효율 오버 클래딩용 버너 및 이를 이용한 대구경 광섬유모재 오버 클래딩 장치
US6640135B1 (en) 2000-04-06 2003-10-28 Cardiac Pacemakers, Inc. Apparatus and method for spatially and temporally distributing cardiac electrical stimulation
US6708061B2 (en) 2000-04-07 2004-03-16 Cardiac Pacemakers, Inc. Cardiac rhythm management system with optimization of cardiac performance using heart rate
US7194305B1 (en) 2000-04-07 2007-03-20 Cardiac Pacemakers, Inc. Cardiac rhythm management system with optimization of cardiac performance using heart rate
US6580948B2 (en) 2000-04-25 2003-06-17 Medtronic, Inc. Interface devices for instruments in communication with implantable medical devices
US6501987B1 (en) 2000-05-26 2002-12-31 Cardiac Pacemakers, Inc. Rate smoothing control
US6567700B1 (en) * 2000-10-19 2003-05-20 Robert Turcott Implantable cardiac stimulation device and method which optimizes pacing effectiveness
US6622040B2 (en) 2000-12-15 2003-09-16 Cardiac Pacemakers, Inc. Automatic selection of stimulation chamber for ventricular resynchronization therapy
US6477417B1 (en) 2001-04-12 2002-11-05 Pacesetter, Inc. System and method for automatically selecting electrode polarity during sensing and stimulation
US7346394B2 (en) * 2001-04-27 2008-03-18 Cardiac Pacemakers, Inc. Cardiac stimulation at high ventricular wall stress areas
US6704598B2 (en) * 2001-05-23 2004-03-09 Cardiac Pacemakers, Inc. Cardiac rhythm management system selecting between multiple same-chamber electrodes for delivering cardiac therapy
US7697977B2 (en) 2002-11-27 2010-04-13 Cardiac Pacemakers, Inc. Method and apparatus for determining relative depolarization at multiple cardiac sensing sites
US7062323B2 (en) 2001-10-19 2006-06-13 Cardiac Pacemakers, Inc. Maximum atrial tracking rate for cardiac rhythm management system
US7113823B2 (en) 2001-10-26 2006-09-26 Cardiac Pacemakers, Inc. Morphology-based optimization of cardiac resynchronization therapy
US6795732B2 (en) 2001-10-30 2004-09-21 Medtronic, Inc. Implantable medical device employing sonomicrometer output signals for detection and measurement of cardiac mechanical function
US6980851B2 (en) 2001-11-15 2005-12-27 Cardiac Pacemakers, Inc. Method and apparatus for determining changes in heart failure status
US6973349B2 (en) 2001-12-05 2005-12-06 Cardiac Pacemakers, Inc. Method and apparatus for minimizing post-infarct ventricular remodeling
US6909916B2 (en) * 2001-12-20 2005-06-21 Cardiac Pacemakers, Inc. Cardiac rhythm management system with arrhythmia classification and electrode selection
US6832112B1 (en) 2001-12-28 2004-12-14 Pacesetter, Inc. Method of adjusting an AV and/or PV delay to improve hemodynamics and corresponding implantable stimulation device
US6915160B2 (en) 2002-02-08 2005-07-05 Cardiac Pacemakers, Inc. Dynamically optimized multisite cardiac resynchronization device
US6957105B2 (en) 2002-03-26 2005-10-18 Cardiac Pacemakers, Inc. Method and apparatus for detecting oscillations in cardiac rhythm with electrogram signals
US7041061B2 (en) 2002-07-19 2006-05-09 Cardiac Pacemakers, Inc. Method and apparatus for quantification of cardiac wall motion asynchrony
US6876881B2 (en) 2002-08-16 2005-04-05 Cardiac Pacemakers, Inc. Cardiac rhythm management system with respiration synchronous optimization of cardiac performance using atrial cycle length
US6965797B2 (en) 2002-09-13 2005-11-15 Cardiac Pacemakers, Inc. Method and apparatus for assessing and treating myocardial wall stress
JP4557964B2 (ja) * 2003-01-24 2010-10-06 プロテウス バイオメディカル インコーポレイテッド 心臓ペーシングを改善するための方法および装置
US7013176B2 (en) 2003-01-28 2006-03-14 Cardiac Pacemakers, Inc. Method and apparatus for setting pacing parameters in cardiac resynchronization therapy
US7010347B2 (en) 2004-02-14 2006-03-07 Pacesetter, Inc. Optimization of impedance signals for closed loop programming of cardiac resynchronization therapy devices
US20050055058A1 (en) 2003-09-08 2005-03-10 Mower Morton M. Method and apparatus for intrachamber resynchronization
US9002452B2 (en) 2003-11-07 2015-04-07 Cardiac Pacemakers, Inc. Electrical therapy for diastolic dysfunction
US7319900B2 (en) 2003-12-11 2008-01-15 Cardiac Pacemakers, Inc. Cardiac response classification using multiple classification windows
US6966797B2 (en) * 2003-12-15 2005-11-22 Hon Hai Precision Ind. Co., Ltd. High-speed cable assembly
US7181284B2 (en) 2004-03-17 2007-02-20 Medtronic, Inc. Apparatus and methods of energy efficient, atrial-based Bi-ventricular fusion-pacing
US7209786B2 (en) 2004-06-10 2007-04-24 Cardiac Pacemakers, Inc. Method and apparatus for optimization of cardiac resynchronization therapy using heart sounds
US7890159B2 (en) 2004-09-30 2011-02-15 Cardiac Pacemakers, Inc. Cardiac activation sequence monitoring and tracking
WO2006039693A1 (en) 2004-09-30 2006-04-13 Cardiac Pacemakers, Inc. Cardiac activation sequence monitoring and tracking
WO2006050385A2 (en) * 2004-11-01 2006-05-11 Proteus Biomedical, Inc. Cardiac motion characterization by strain measurement
US20060247698A1 (en) 2005-04-28 2006-11-02 Burnes John E Multi-site PESP with fusion pacing

Also Published As

Publication number Publication date
JP2009542328A (ja) 2009-12-03
WO2008005260A1 (en) 2008-01-10
EP2038006A1 (en) 2009-03-25
JP5256197B2 (ja) 2013-08-07
EP2425872A2 (en) 2012-03-07
EP2425872A3 (en) 2012-08-01
JP2013099601A (ja) 2013-05-23
EP2038006B1 (en) 2012-03-28
US20080004667A1 (en) 2008-01-03
US9020593B2 (en) 2015-04-28
US20140067002A1 (en) 2014-03-06
US8620430B2 (en) 2013-12-31

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