AU2009217546A1 - Atrial defibrillation using an implantable defibrillation system - Google Patents
Atrial defibrillation using an implantable defibrillation system Download PDFInfo
- Publication number
- AU2009217546A1 AU2009217546A1 AU2009217546A AU2009217546A AU2009217546A1 AU 2009217546 A1 AU2009217546 A1 AU 2009217546A1 AU 2009217546 A AU2009217546 A AU 2009217546A AU 2009217546 A AU2009217546 A AU 2009217546A AU 2009217546 A1 AU2009217546 A1 AU 2009217546A1
- Authority
- AU
- Australia
- Prior art keywords
- electrical pulse
- electrode
- heart
- pulse
- defibrillation
- Prior art date
- Legal status (The legal status 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 status listed.)
- Abandoned
Links
- 230000001746 atrial effect Effects 0.000 title description 25
- 206010061592 cardiac fibrillation Diseases 0.000 claims description 48
- 230000002600 fibrillogenic effect Effects 0.000 claims description 48
- 210000002837 heart atrium Anatomy 0.000 claims description 42
- 239000003990 capacitor Substances 0.000 claims description 40
- 238000000034 method Methods 0.000 claims description 36
- 238000004891 communication Methods 0.000 claims description 35
- 230000035939 shock Effects 0.000 claims description 26
- 238000007599 discharging Methods 0.000 claims description 18
- 239000003814 drug Substances 0.000 claims description 13
- 229940079593 drug Drugs 0.000 claims description 13
- 230000006870 function Effects 0.000 claims description 9
- 230000001862 defibrillatory effect Effects 0.000 claims description 6
- 206010003658 Atrial Fibrillation Diseases 0.000 claims description 4
- 230000003213 activating effect Effects 0.000 claims description 3
- 238000012377 drug delivery Methods 0.000 claims description 3
- 239000000932 sedative agent Substances 0.000 claims 2
- 239000003416 antiarrhythmic agent Substances 0.000 claims 1
- 230000001624 sedative effect Effects 0.000 claims 1
- 210000005245 right atrium Anatomy 0.000 description 37
- 210000005241 right ventricle Anatomy 0.000 description 31
- 210000003102 pulmonary valve Anatomy 0.000 description 20
- 210000005246 left atrium Anatomy 0.000 description 13
- 210000003748 coronary sinus Anatomy 0.000 description 10
- 238000012545 processing Methods 0.000 description 9
- 210000001147 pulmonary artery Anatomy 0.000 description 9
- 210000001321 subclavian vein Anatomy 0.000 description 9
- 210000000591 tricuspid valve Anatomy 0.000 description 9
- 230000002861 ventricular Effects 0.000 description 8
- 230000008569 process Effects 0.000 description 6
- 230000008901 benefit Effects 0.000 description 5
- 230000000747 cardiac effect Effects 0.000 description 5
- 210000003462 vein Anatomy 0.000 description 5
- 230000008602 contraction Effects 0.000 description 4
- 230000000694 effects Effects 0.000 description 4
- 206010047281 Ventricular arrhythmia Diseases 0.000 description 3
- 230000004913 activation Effects 0.000 description 3
- 230000009467 reduction Effects 0.000 description 3
- 208000003663 ventricular fibrillation Diseases 0.000 description 3
- 206010033372 Pain and discomfort Diseases 0.000 description 2
- 210000001992 atrioventricular node Anatomy 0.000 description 2
- 230000036772 blood pressure Effects 0.000 description 2
- 238000001514 detection method Methods 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 238000001990 intravenous administration Methods 0.000 description 2
- 230000013011 mating Effects 0.000 description 2
- 210000003205 muscle Anatomy 0.000 description 2
- 210000004165 myocardium Anatomy 0.000 description 2
- 210000003492 pulmonary vein Anatomy 0.000 description 2
- 230000033764 rhythmic process Effects 0.000 description 2
- 210000005243 upper chamber Anatomy 0.000 description 2
- 210000002620 vena cava superior Anatomy 0.000 description 2
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 1
- 230000002159 abnormal effect Effects 0.000 description 1
- 206010003119 arrhythmia Diseases 0.000 description 1
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 1
- 210000003157 atrial septum Anatomy 0.000 description 1
- 230000002051 biphasic effect Effects 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 239000004020 conductor Substances 0.000 description 1
- 230000008878 coupling Effects 0.000 description 1
- 238000010168 coupling process Methods 0.000 description 1
- 238000005859 coupling reaction Methods 0.000 description 1
- 239000007789 gas Substances 0.000 description 1
- PCHJSUWPFVWCPO-UHFFFAOYSA-N gold Chemical compound [Au] PCHJSUWPFVWCPO-UHFFFAOYSA-N 0.000 description 1
- 229910052737 gold Inorganic materials 0.000 description 1
- 239000010931 gold Substances 0.000 description 1
- 239000007943 implant Substances 0.000 description 1
- 230000000977 initiatory effect Effects 0.000 description 1
- 238000002642 intravenous therapy Methods 0.000 description 1
- 238000013507 mapping Methods 0.000 description 1
- 238000005259 measurement Methods 0.000 description 1
- 229910052751 metal Inorganic materials 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 230000004118 muscle contraction Effects 0.000 description 1
- 239000001301 oxygen Substances 0.000 description 1
- 229910052760 oxygen Inorganic materials 0.000 description 1
- 230000000737 periodic effect Effects 0.000 description 1
- 229920001296 polysiloxane Polymers 0.000 description 1
- 230000029058 respiratory gaseous exchange Effects 0.000 description 1
- 230000002441 reversible effect Effects 0.000 description 1
- 210000002027 skeletal muscle Anatomy 0.000 description 1
- 230000001360 synchronised effect Effects 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 239000010936 titanium Substances 0.000 description 1
- 229910052719 titanium Inorganic materials 0.000 description 1
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
- A61N1/38—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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/142—Pressure infusion, e.g. using pumps
- A61M5/14244—Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body
- A61M5/14276—Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body specially adapted for implantation
-
- 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
- A61N1/3906—Heart defibrillators characterised by the form of the shockwave
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/05—General characteristics of the apparatus combined with other kinds of therapy
- A61M2205/054—General characteristics of the apparatus combined with other kinds of therapy with electrotherapy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2210/00—Anatomical parts of the body
- A61M2210/12—Blood circulatory system
- A61M2210/125—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
- A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
- A61N1/39—Heart defibrillators
- A61N1/395—Heart defibrillators for treating atrial fibrillation
Landscapes
- Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Cardiology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Radiology & Medical Imaging (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Vascular Medicine (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Electrotherapy Devices (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US6428808P | 2008-02-27 | 2008-02-27 | |
| US61/064,288 | 2008-02-27 | ||
| PCT/US2009/033786 WO2009108502A1 (en) | 2008-02-27 | 2009-02-11 | Atrial defibrillation using an implantable defibrillation system |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| AU2009217546A1 true AU2009217546A1 (en) | 2009-09-03 |
Family
ID=40510607
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| AU2009217546A Abandoned AU2009217546A1 (en) | 2008-02-27 | 2009-02-11 | Atrial defibrillation using an implantable defibrillation system |
Country Status (7)
| Country | Link |
|---|---|
| US (1) | US20100324616A1 (enExample) |
| EP (1) | EP2257337B1 (enExample) |
| JP (1) | JP2011512945A (enExample) |
| AU (1) | AU2009217546A1 (enExample) |
| CA (1) | CA2716956A1 (enExample) |
| RU (1) | RU2010135656A (enExample) |
| WO (1) | WO2009108502A1 (enExample) |
Families Citing this family (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2011119662A1 (en) * | 2010-03-23 | 2011-09-29 | Rafael Development Corporation Ltd. | Modes of operation for atrial defibrillation using an implantable defibrillator |
| US20130190833A1 (en) * | 2010-07-23 | 2013-07-25 | Smartwave Medical Ltd. | Use of Electric Fields for Reducing Patient Discomfort During Defibrillation |
| US10905884B2 (en) | 2012-07-20 | 2021-02-02 | Cardialen, Inc. | Multi-stage atrial cardioversion therapy leads |
| US9238148B2 (en) * | 2013-07-10 | 2016-01-19 | Cameron Health, Inc. | Method for increasing buck regulator efficiency using charge recapturing in an implantable cardiac device |
| US11037260B2 (en) * | 2015-03-26 | 2021-06-15 | Zoll Medical Corporation | Emergency response system |
| TR201620482A2 (tr) | 2016-12-31 | 2017-10-23 | Univ Istanbul Teknik | Elektroni̇k teksti̇l tabanli romatoi̇d artri̇t terapi̇ eldi̇veni̇ |
| CN121127189A (zh) * | 2023-03-17 | 2025-12-12 | 盖能适治疗股份有限公司 | 脉冲电场能量输送时序优化 |
Family Cites Families (36)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US507219A (en) * | 1893-10-24 | Stove | ||
| US4727877A (en) * | 1984-12-18 | 1988-03-01 | Medtronic, Inc. | Method and apparatus for low energy endocardial defibrillation |
| US5282837A (en) * | 1991-04-12 | 1994-02-01 | Incontrol, Inc. | Atrial defibrillator and method |
| US5267559A (en) * | 1992-10-23 | 1993-12-07 | Incontrol, Inc. | Atrial defibrillator and method for providing atrial sensing |
| US5269298A (en) * | 1992-10-23 | 1993-12-14 | Incontrol, Inc. | Atrial defibrillator and method for providing synchronized delayed cardioversion |
| US5332400A (en) * | 1992-12-24 | 1994-07-26 | Incontrol, Inc. | Atrial defibrillator and method for providing pre-cardioversion warning |
| US5772994A (en) * | 1993-05-28 | 1998-06-30 | The University Of Pittsburgh | Hematopoietic facilitatory cells and their uses |
| US5489293A (en) * | 1993-08-31 | 1996-02-06 | Ventritex, Inc. | Method and apparatus for treating cardiac tachyarrhythmia |
| SE9503257D0 (sv) * | 1995-09-20 | 1995-09-20 | Pacesetter Ab | Implanterbar hjärtdefibrillator |
| US5813999A (en) * | 1995-12-21 | 1998-09-29 | Incontrol, Inc. | Implantable atrial defibrillator providing reduced cardioversion discomfort |
| US6006131A (en) * | 1996-08-13 | 1999-12-21 | Uab Research Foundation | Dual current pathway atrial defibrillation apparatus |
| US5987354A (en) * | 1996-08-13 | 1999-11-16 | Uab Research Foundation | Dual shock atrial defibrillation apparatus |
| US6266563B1 (en) * | 1997-03-14 | 2001-07-24 | Uab Research Foundation | Method and apparatus for treating cardiac arrhythmia |
| US6275730B1 (en) * | 1997-03-14 | 2001-08-14 | Uab Research Foundation | Method and apparatus for treating cardiac arrythmia |
| JP4430744B2 (ja) * | 1997-03-14 | 2010-03-10 | ユニヴァーシティ・オヴ・アラバマ・アト・バーミンガム・リサーチ・ファンデイション | 心臓の電気的除細動を行う、そのような治療を必要とする患者のためのインプラント可能なシステム |
| US5836976A (en) * | 1997-04-30 | 1998-11-17 | Medtronic, Inc. | Cardioversion energy reduction system |
| US5978704A (en) * | 1997-06-03 | 1999-11-02 | Uab Research Foundation | Method and apparatus for treating cardiac arrhythmia |
| US6243603B1 (en) * | 1998-09-15 | 2001-06-05 | Uab Research Foundation | Methods and apparatus for detecting medical conditions of the heart |
| US7596409B2 (en) * | 1999-06-07 | 2009-09-29 | The Johns Hopkins University | Cardiac shock electrode system and corresponding implantable defibrillator system |
| US20020026223A1 (en) * | 1999-12-24 | 2002-02-28 | Riff Kenneth M. | Method and a system for using implanted medical device data for accessing therapies |
| WO2001078835A1 (en) * | 2000-04-13 | 2001-10-25 | Uab Research Foundation | Inter-atrial septum electrode for atrial defibrillation |
| US7092754B2 (en) * | 2000-09-18 | 2006-08-15 | Cameron Health, Inc. | Monophasic waveform for anti-bradycardia pacing for a subcutaneous implantable cardioverter-defibrillator |
| JP2004513752A (ja) * | 2000-11-22 | 2004-05-13 | メドトロニック，インコーポレイテッド | 心室性不整脈を検出しかつ治療するための装置 |
| US6556865B2 (en) * | 2001-01-29 | 2003-04-29 | Uab Research Foundation | Method for improving cardiac function following delivery of a defibrillation shock |
| US6751502B2 (en) * | 2001-03-14 | 2004-06-15 | Cardiac Pacemakers, Inc. | Cardiac rhythm management system with defibrillation threshold prediction |
| US20020188327A1 (en) * | 2001-04-26 | 2002-12-12 | Chester Struble | Drug delivery for treatment of cardiac arrhythmia |
| US6748268B1 (en) * | 2001-08-31 | 2004-06-08 | Pacesetter, Inc. | Three lead universal pacing and shocking system |
| US7522958B2 (en) * | 2003-03-13 | 2009-04-21 | Uab Research Foundation | Methods and systems for reducing discomfort from cardiac defibrillation shocks |
| US20040220628A1 (en) * | 2003-04-11 | 2004-11-04 | Wagner Darrell Orvin | Subcutaneous defibrillation timing correlated with induced skeletal muscle contraction |
| US7158826B1 (en) * | 2003-04-30 | 2007-01-02 | Pacesetter, Inc. | System and method for generating pain inhibition pulses using an implantable cardiac stimulation device |
| US7212865B2 (en) * | 2004-05-25 | 2007-05-01 | Philip Cory | Nerve stimulator and method |
| US7480531B1 (en) * | 2004-05-26 | 2009-01-20 | Pacesetter, Inc. | System and method for reducing pain associated with cardioversion shocks generated by implantable cardiac stimulation devices |
| US7711425B2 (en) * | 2005-08-22 | 2010-05-04 | Cardiac Pacemakers, Inc. | Defibrillation threshold prediction methods and systems |
| US20070265667A1 (en) * | 2006-05-15 | 2007-11-15 | Dirk Muessig | Semi-automatic atrial defibrillation system, implantable atrial defibrillator and portable communication device |
| US20090005827A1 (en) * | 2007-06-26 | 2009-01-01 | David Weintraub | Wearable defibrillator |
| US8160717B2 (en) * | 2008-02-19 | 2012-04-17 | Cardiac Pacemakers, Inc. | Model reference identification and cancellation of magnetically-induced voltages in a gradient magnetic field |
-
2009
- 2009-02-11 EP EP09714993.4A patent/EP2257337B1/en not_active Not-in-force
- 2009-02-11 AU AU2009217546A patent/AU2009217546A1/en not_active Abandoned
- 2009-02-11 RU RU2010135656/14A patent/RU2010135656A/ru not_active Application Discontinuation
- 2009-02-11 JP JP2010548787A patent/JP2011512945A/ja active Pending
- 2009-02-11 WO PCT/US2009/033786 patent/WO2009108502A1/en not_active Ceased
- 2009-02-11 CA CA2716956A patent/CA2716956A1/en not_active Abandoned
-
2010
- 2010-06-25 US US12/823,507 patent/US20100324616A1/en not_active Abandoned
Also Published As
| Publication number | Publication date |
|---|---|
| RU2010135656A (ru) | 2012-04-10 |
| JP2011512945A (ja) | 2011-04-28 |
| US20100324616A1 (en) | 2010-12-23 |
| EP2257337B1 (en) | 2013-04-10 |
| WO2009108502A1 (en) | 2009-09-03 |
| CA2716956A1 (en) | 2009-09-03 |
| EP2257337A1 (en) | 2010-12-08 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| US11318321B2 (en) | Operation of an extracardiovascular implantable cardioverter defibrillator (ICD) during implantation of another medical device | |
| JP5145438B2 (ja) | 心室性不整脈を検出しかつ治療するための装置 | |
| CN107073275B (zh) | 具有触发的消隐周期的医疗设备 | |
| JP6510660B2 (ja) | 心不整脈を治療するためのシステムおよび方法 | |
| US7392081B2 (en) | Subcutaneous cardiac stimulator employing post-shock transthoracic asystole prevention pacing | |
| CN109069848B (zh) | 植入式复律除颤器中的心搏停止检测和响应 | |
| US20130158614A1 (en) | Pulse Parameters And Electrode Configurations For Reducing Patient Discomfort From Defibrillation | |
| US20070293895A1 (en) | Acoustically-powered wireless defibrillator | |
| JP2008521579A (ja) | 皮下埋め込み可能心臓ペースメーカ | |
| EP2257337B1 (en) | Atrial defibrillation using an implantable defibrillation system | |
| CA2806210A1 (en) | Improved use of electric fields for reducing patient discomfort during defibrillation | |
| EP1928548B1 (en) | Defibrillation threshold prediction methods and systems | |
| CN110709131B (zh) | 具有用于将功率发射到另一植入式医疗设备的栓系式发射线圈的植入式医疗设备 | |
| CN111770724A (zh) | 无引线心脏起搏设备中的夺获管理 | |
| CN119031958A (zh) | 除颤器系统 |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| MK4 | Application lapsed section 142(2)(d) - no continuation fee paid for the application |