CA2340911A1 - Procede et appareil servant a prevenir des tachy-arythmies auriculaires - Google Patents

Procede et appareil servant a prevenir des tachy-arythmies auriculaires Download PDF

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Publication number
CA2340911A1
CA2340911A1 CA002340911A CA2340911A CA2340911A1 CA 2340911 A1 CA2340911 A1 CA 2340911A1 CA 002340911 A CA002340911 A CA 002340911A CA 2340911 A CA2340911 A CA 2340911A CA 2340911 A1 CA2340911 A1 CA 2340911A1
Authority
CA
Canada
Prior art keywords
pacing
time period
extended time
tachyarrhythmia
pacing mode
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
Application number
CA002340911A
Other languages
English (en)
Inventor
Rahul Mehra
Michael R. S. Hill
Stephanie M. Fitts
Luc R. Mongeon
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Medtronic Inc
Original Assignee
Individual
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 Individual filed Critical Individual
Priority claimed from US09/373,699 external-priority patent/US6185459B1/en
Publication of CA2340911A1 publication Critical patent/CA2340911A1/fr
Abandoned legal-status Critical Current

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
    • A61N1/3686—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions configured for selecting the electrode configuration on a lead
    • 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
    • A61N1/3621—Heart stimulators for treating or preventing abnormally high heart rate
    • A61N1/3622—Heart stimulators for treating or preventing abnormally high heart rate comprising two or more electrodes co-operating with different heart regions
    • 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
    • A61N1/3688—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions configured for switching the pacing mode, e.g. from AAI to DDD
    • 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
    • A61N1/3706—Pacemaker parameters

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (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)
  • Physiology (AREA)
  • Biophysics (AREA)
  • Electrotherapy Devices (AREA)

Abstract

L'invention concerne un stimulateur cardiaque permettant de prévenir des tachy-arythmies. Le stimulateur cardiaque stimule le coeur d'un patient selon un mode de stimulation permettant de prévenir des tachy-arythmies pendant une longue période, définit un système de mesure de succès du mode de stimulation permettant de prévenir des tachy-arythmies, surveille le système de mesure sur la longue période, et, en fonction des résultats de surveillance du système de mesure, réagit en réglant le mode de stimulation permettant de prévenir des tachy-arythmies. Le réglage du mode de stimulation permettant de prévenir des tachy-arythmies peut prendre la forme d'une stimulation du coeur du patient à l'aide d'un ensemble différent d'électrodes, d'une stimulation à l'aide d'un mode de stimulation différent permettant de prévenir des tachy-arythmies et/ou d'un arrêt du mode de stimulation permettant de prévenir des tachy-arythmies.
CA002340911A 1998-08-17 1999-08-13 Procede et appareil servant a prevenir des tachy-arythmies auriculaires Abandoned CA2340911A1 (fr)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US13533198A 1998-08-17 1998-08-17
US09/135,331 1998-08-17
US09/373,699 US6185459B1 (en) 1998-08-17 1999-08-13 Method and apparatus for prevention of atrial tachyarrhythmias
US09/373,699 1999-08-13
PCT/US1999/018442 WO2000009206A1 (fr) 1998-08-17 1999-08-13 Procede et appareil servant a prevenir des tachy-arythmies auriculaires

Publications (1)

Publication Number Publication Date
CA2340911A1 true CA2340911A1 (fr) 2000-02-24

Family

ID=22467624

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002340911A Abandoned CA2340911A1 (fr) 1998-08-17 1999-08-13 Procede et appareil servant a prevenir des tachy-arythmies auriculaires

Country Status (2)

Country Link
CA (1) CA2340911A1 (fr)
WO (1) WO2000009206A1 (fr)

Families Citing this family (31)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6532388B1 (en) 1996-04-30 2003-03-11 Medtronic, Inc. Method and system for endotracheal/esophageal stimulation prior to and during a medical procedure
US8036741B2 (en) 1996-04-30 2011-10-11 Medtronic, Inc. Method and system for nerve stimulation and cardiac sensing prior to and during a medical procedure
US6442429B1 (en) 1999-06-18 2002-08-27 Medtronic, Inc. Method and apparatus for diagnosis and treatment of arrhythmias
US6640135B1 (en) 2000-04-06 2003-10-28 Cardiac Pacemakers, Inc. Apparatus and method for spatially and temporally distributing cardiac electrical stimulation
US6442427B1 (en) * 2000-04-27 2002-08-27 Medtronic, Inc. Method and system for stimulating a mammalian heart
US6628988B2 (en) 2001-04-27 2003-09-30 Cardiac Pacemakers, Inc. Apparatus and method for reversal of myocardial remodeling with electrical stimulation
US7346394B2 (en) 2001-04-27 2008-03-18 Cardiac Pacemakers, Inc. Cardiac stimulation at high ventricular wall stress areas
US6731982B1 (en) * 2001-10-19 2004-05-04 Pacesetter, Inc. Anti-tachycardia pacing methods and devices
US6754531B1 (en) 2001-10-19 2004-06-22 Pacesetter, Inc. Anti-tachycardia pacing methods and devices
US6907286B1 (en) 2001-10-19 2005-06-14 Pacesetter, Inc. Anti-tachycardia pacing methods and devices
US7330757B2 (en) 2001-11-21 2008-02-12 Cameron Health, Inc. Method for discriminating between ventricular and supraventricular arrhythmias
US6973349B2 (en) 2001-12-05 2005-12-06 Cardiac Pacemakers, Inc. Method and apparatus for minimizing post-infarct ventricular remodeling
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
US6907287B1 (en) 2002-06-14 2005-06-14 Packsetter, Inc. Detecting and displaying diagnostic information pertaining to dynamic atrial overdrive pacing
US6965797B2 (en) 2002-09-13 2005-11-15 Cardiac Pacemakers, Inc. Method and apparatus for assessing and treating myocardial wall stress
US7065405B2 (en) 2002-11-15 2006-06-20 Cardiac Pacemakers, Inc. Stress reduction pacing mode for arrhythmia prevention
WO2004067081A2 (fr) 2003-01-24 2004-08-12 Proteus Biomedical Inc. Procedes et dispositifs permettant d'ameliorer la regulation du rythme cardiaque
US7302294B2 (en) 2003-04-11 2007-11-27 Cardiac Pacemakers, Inc. Subcutaneous cardiac sensing and stimulation system employing blood sensor
JP2006522659A (ja) * 2003-04-11 2006-10-05 カーディアック ペースメーカーズ，インコーポレイテッド 皮下用心臓デバイス
US8002553B2 (en) 2003-08-18 2011-08-23 Cardiac Pacemakers, Inc. Sleep quality data collection and evaluation
US7366567B2 (en) 2005-03-23 2008-04-29 Cardiac Pacemakers, Inc. Method for treating myocardial infarction
US8244349B2 (en) 2008-02-02 2012-08-14 Cameron Health, Inc. Adaptive shock delivery in an implantable cardiac stimulus device
US8620425B2 (en) 2010-04-29 2013-12-31 Medtronic, Inc. Nerve signal differentiation in cardiac therapy
US8639327B2 (en) 2010-04-29 2014-01-28 Medtronic, Inc. Nerve signal differentiation in cardiac therapy
US8423134B2 (en) 2010-04-29 2013-04-16 Medtronic, Inc. Therapy using perturbation and effect of physiological systems
US8781583B2 (en) 2011-01-19 2014-07-15 Medtronic, Inc. Vagal stimulation
US8706223B2 (en) 2011-01-19 2014-04-22 Medtronic, Inc. Preventative vagal stimulation
US8718763B2 (en) 2011-01-19 2014-05-06 Medtronic, Inc. Vagal stimulation
US8781582B2 (en) 2011-01-19 2014-07-15 Medtronic, Inc. Vagal stimulation
US8725259B2 (en) 2011-01-19 2014-05-13 Medtronic, Inc. Vagal stimulation

Family Cites Families (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3937226A (en) 1974-07-10 1976-02-10 Medtronic, Inc. Arrhythmia prevention apparatus
US4088140A (en) 1976-06-18 1978-05-09 Medtronic, Inc. Demand anti-arrhythmia pacemaker
US4354497A (en) 1977-05-23 1982-10-19 Medtronic, Inc. Cardiac depolarization detection apparatus
US4830006B1 (en) * 1986-06-17 1997-10-28 Intermedics Inc Implantable cardiac stimulator for detection and treatment of ventricular arrhythmias
US4941471A (en) 1988-09-07 1990-07-17 Medtronic, Inc. Rate stabilization pacemaker
US4928688A (en) 1989-01-23 1990-05-29 Mieczyslaw Mirowski Method and apparatus for treating hemodynamic disfunction
US5267560A (en) * 1990-09-07 1993-12-07 Cohen Fred M Methods for control of the ventricular activation sequence
US5224475A (en) * 1991-11-20 1993-07-06 Medtronic, Inc. Method and apparatus for termination of ventricular tachycardia and ventricular fibrillation
US5313953A (en) * 1992-01-14 1994-05-24 Incontrol, Inc. Implantable cardiac patient monitor
US5403356A (en) 1993-04-28 1995-04-04 Medtronic, Inc. Method and apparatus for prevention of atrial tachy arrhythmias
FR2718035B1 (fr) 1994-04-05 1996-08-30 Ela Medical Sa Procédé de commande d'un stimulateur cardiaque auriculaire double du type triple chambre programmable en mode de repli.
US5540727A (en) * 1994-11-15 1996-07-30 Cardiac Pacemakers, Inc. Method and apparatus to automatically optimize the pacing mode and pacing cycle parameters of a dual chamber pacemaker
US5545185A (en) 1994-12-23 1996-08-13 Stephen Denker Cardiac pacer which compensates for effects of abrupt changes in heart rate
US5792197A (en) * 1996-04-29 1998-08-11 Nappholz; Tibor A. Implanted cardiac device with means for classifying patient condition
US5683429A (en) 1996-04-30 1997-11-04 Medtronic, Inc. Method and apparatus for cardiac pacing to prevent atrial fibrillation
US5800465A (en) * 1996-06-18 1998-09-01 Medtronic, Inc. System and method for multisite steering of cardiac stimuli

Also Published As

Publication number Publication date
WO2000009206A1 (fr) 2000-02-24

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EEER Examination request
FZDE Dead