CA2489366A1 - Method and apparatus for prevention of arrhythmia clusters using overdrive pacing - Google Patents
Method and apparatus for prevention of arrhythmia clusters using overdrive pacing Download PDFInfo
- Publication number
- CA2489366A1 CA2489366A1 CA002489366A CA2489366A CA2489366A1 CA 2489366 A1 CA2489366 A1 CA 2489366A1 CA 002489366 A CA002489366 A CA 002489366A CA 2489366 A CA2489366 A CA 2489366A CA 2489366 A1 CA2489366 A1 CA 2489366A1
- Authority
- CA
- Canada
- Prior art keywords
- overdrive pacing
- triggered overdrive
- arrhythmia
- triggered
- event
- 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
- 206010003119 arrhythmia Diseases 0.000 title claims abstract description 141
- 230000006793 arrhythmia Effects 0.000 title claims abstract description 141
- 238000000034 method Methods 0.000 title claims description 77
- 230000002265 prevention Effects 0.000 title description 2
- 230000001960 triggered effect Effects 0.000 claims abstract description 196
- 230000004044 response Effects 0.000 claims abstract description 48
- 238000002560 therapeutic procedure Methods 0.000 claims abstract description 41
- 230000000747 cardiac effect Effects 0.000 claims abstract description 23
- 230000000694 effects Effects 0.000 claims abstract description 14
- 230000004913 activation Effects 0.000 claims abstract description 6
- 238000001514 detection method Methods 0.000 claims description 83
- 208000028867 ischemia Diseases 0.000 claims description 42
- 230000000004 hemodynamic effect Effects 0.000 claims description 10
- 239000002243 precursor Substances 0.000 claims description 8
- 230000033764 rhythmic process Effects 0.000 claims description 8
- 238000012544 monitoring process Methods 0.000 claims description 4
- 208000033988 Device pacing issue Diseases 0.000 claims 3
- 230000003213 activating effect Effects 0.000 claims 3
- 208000001871 Tachycardia Diseases 0.000 description 30
- 206010047302 ventricular tachycardia Diseases 0.000 description 30
- 230000008569 process Effects 0.000 description 24
- 238000013194 cardioversion Methods 0.000 description 17
- 208000003663 ventricular fibrillation Diseases 0.000 description 16
- 230000001746 atrial effect Effects 0.000 description 15
- 230000006794 tachycardia Effects 0.000 description 11
- 238000010586 diagram Methods 0.000 description 10
- 230000002861 ventricular Effects 0.000 description 10
- 102100026827 Protein associated with UVRAG as autophagy enhancer Human genes 0.000 description 9
- 101710102978 Protein associated with UVRAG as autophagy enhancer Proteins 0.000 description 9
- 206010049447 Tachyarrhythmia Diseases 0.000 description 8
- 238000013461 design Methods 0.000 description 7
- 230000006870 function Effects 0.000 description 7
- 230000002600 fibrillogenic effect Effects 0.000 description 5
- 210000005241 right ventricle Anatomy 0.000 description 5
- 206010061592 cardiac fibrillation Diseases 0.000 description 4
- 239000004020 conductor Substances 0.000 description 4
- 210000005240 left ventricle Anatomy 0.000 description 4
- 238000005259 measurement Methods 0.000 description 4
- 206010003130 Arrhythmia supraventricular Diseases 0.000 description 3
- 230000002051 biphasic effect Effects 0.000 description 3
- 210000002837 heart atrium Anatomy 0.000 description 3
- 230000036279 refractory period Effects 0.000 description 3
- 206010047281 Ventricular arrhythmia Diseases 0.000 description 2
- 206010065341 Ventricular tachyarrhythmia Diseases 0.000 description 2
- 230000008901 benefit Effects 0.000 description 2
- 230000036772 blood pressure Effects 0.000 description 2
- 239000003990 capacitor Substances 0.000 description 2
- 210000003748 coronary sinus Anatomy 0.000 description 2
- 230000008878 coupling Effects 0.000 description 2
- 238000010168 coupling process Methods 0.000 description 2
- 238000005859 coupling reaction Methods 0.000 description 2
- 239000011159 matrix material Substances 0.000 description 2
- 238000012545 processing Methods 0.000 description 2
- 230000004213 regulation of atrial cardiomyocyte membrane depolarization Effects 0.000 description 2
- 230000034225 regulation of ventricular cardiomyocyte membrane depolarization Effects 0.000 description 2
- 230000000284 resting effect Effects 0.000 description 2
- 238000002633 shock therapy Methods 0.000 description 2
- 206010003658 Atrial Fibrillation Diseases 0.000 description 1
- 206010014418 Electrolyte imbalance Diseases 0.000 description 1
- 240000007817 Olea europaea Species 0.000 description 1
- 241000218220 Ulmaceae Species 0.000 description 1
- 208000009729 Ventricular Premature Complexes Diseases 0.000 description 1
- 206010047289 Ventricular extrasystoles Diseases 0.000 description 1
- 230000002763 arrhythmic effect Effects 0.000 description 1
- 206010003668 atrial tachycardia Diseases 0.000 description 1
- 230000006399 behavior Effects 0.000 description 1
- 239000000872 buffer Substances 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 230000009849 deactivation Effects 0.000 description 1
- 230000001419 dependent effect Effects 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 238000001647 drug administration Methods 0.000 description 1
- 230000009977 dual effect Effects 0.000 description 1
- 238000002635 electroconvulsive therapy Methods 0.000 description 1
- 238000002001 electrophysiology Methods 0.000 description 1
- 230000007831 electrophysiology Effects 0.000 description 1
- 230000001747 exhibiting effect Effects 0.000 description 1
- 210000005003 heart tissue Anatomy 0.000 description 1
- 230000003054 hormonal effect Effects 0.000 description 1
- 230000000977 initiatory effect Effects 0.000 description 1
- 238000009413 insulation Methods 0.000 description 1
- 230000000302 ischemic effect Effects 0.000 description 1
- 230000028161 membrane depolarization Effects 0.000 description 1
- 230000002107 myocardial effect Effects 0.000 description 1
- 208000031225 myocardial ischemia Diseases 0.000 description 1
- 230000007383 nerve stimulation Effects 0.000 description 1
- 230000000926 neurological effect Effects 0.000 description 1
- 239000006223 plastic coating Substances 0.000 description 1
- 229920000052 poly(p-xylylene) Polymers 0.000 description 1
- 230000003449 preventive effect Effects 0.000 description 1
- 230000002336 repolarization Effects 0.000 description 1
- 230000011664 signaling Effects 0.000 description 1
- 229920002379 silicone rubber Polymers 0.000 description 1
- 239000004945 silicone rubber Substances 0.000 description 1
- 230000002269 spontaneous effect Effects 0.000 description 1
- 238000007920 subcutaneous administration Methods 0.000 description 1
- 210000003462 vein Anatomy 0.000 description 1
- 210000002620 vena cava superior Anatomy 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
- A61N1/36—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
Landscapes
- Health & Medical Sciences (AREA)
- Cardiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Electrotherapy Devices (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US10/171,231 US7076298B2 (en) | 2002-06-14 | 2002-06-14 | Method and apparatus for prevention of arrhythmia clusters using overdrive pacing |
| US10/171,231 | 2002-06-14 | ||
| PCT/US2003/018986 WO2003105953A1 (en) | 2002-06-14 | 2003-06-13 | Method and apparatus for prevention of arrhythmia clusters using overdrive pacing |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CA2489366A1 true CA2489366A1 (en) | 2003-12-24 |
Family
ID=29732723
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA002489366A Abandoned CA2489366A1 (en) | 2002-06-14 | 2003-06-13 | Method and apparatus for prevention of arrhythmia clusters using overdrive pacing |
Country Status (6)
| Country | Link |
|---|---|
| US (1) | US7076298B2 (enExample) |
| EP (1) | EP1515778B1 (enExample) |
| JP (1) | JP4343107B2 (enExample) |
| CA (1) | CA2489366A1 (enExample) |
| DE (1) | DE60319223T2 (enExample) |
| WO (1) | WO2003105953A1 (enExample) |
Families Citing this family (37)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US7668594B2 (en) | 2005-08-19 | 2010-02-23 | Cardiac Pacemakers, Inc. | Method and apparatus for delivering chronic and post-ischemia cardiac therapies |
| JP4563785B2 (ja) * | 2004-12-03 | 2010-10-13 | テルモ株式会社 | 心臓治療装置 |
| US7295874B2 (en) | 2005-01-06 | 2007-11-13 | Cardiac Pacemakers, Inc. | Intermittent stress augmentation pacing for cardioprotective effect |
| US8700155B2 (en) * | 2005-03-31 | 2014-04-15 | Medtronic, Inc. | System and method for using atrial pacing to enhance function of stunned atrial myocardium following conversion to normal sinus rhythm |
| US7962208B2 (en) | 2005-04-25 | 2011-06-14 | Cardiac Pacemakers, Inc. | Method and apparatus for pacing during revascularization |
| US7881786B2 (en) * | 2005-04-29 | 2011-02-01 | Medtronic, Inc. | Suppression of high rate pacing for reducing myocardial ischemic irritability |
| US7894896B2 (en) | 2005-05-13 | 2011-02-22 | Cardiac Pacemakers, Inc. | Method and apparatus for initiating and delivering cardiac protection pacing |
| US7917210B2 (en) | 2005-05-13 | 2011-03-29 | Cardiac Pacemakers, Inc. | Method and apparatus for cardiac protection pacing |
| US20060259088A1 (en) * | 2005-05-13 | 2006-11-16 | Pastore Joseph M | Method and apparatus for delivering pacing pulses using a coronary stent |
| US7922669B2 (en) | 2005-06-08 | 2011-04-12 | Cardiac Pacemakers, Inc. | Ischemia detection using a heart sound sensor |
| US7774057B2 (en) | 2005-09-06 | 2010-08-10 | Cardiac Pacemakers, Inc. | Method and apparatus for device controlled gene expression for cardiac protection |
| US8108034B2 (en) | 2005-11-28 | 2012-01-31 | Cardiac Pacemakers, Inc. | Systems and methods for valvular regurgitation detection |
| US7885710B2 (en) | 2005-12-23 | 2011-02-08 | Cardiac Pacemakers, Inc. | Method and apparatus for tissue protection against ischemia using remote conditioning |
| US7848808B2 (en) * | 2006-02-28 | 2010-12-07 | Medtronic, Inc. | System and method for delivery of cardiac pacing in a medical device in response to ischemia |
| US8000780B2 (en) | 2006-06-27 | 2011-08-16 | Cardiac Pacemakers, Inc. | Detection of myocardial ischemia from the time sequence of implanted sensor measurements |
| US8725258B2 (en) | 2006-08-25 | 2014-05-13 | Cardiac Pacemakers, Inc. | Method and apparatus for automated adjustment of arrhythmia detection duration |
| US7736319B2 (en) | 2007-01-19 | 2010-06-15 | Cardiac Pacemakers, Inc. | Ischemia detection using heart sound timing |
| US8615296B2 (en) | 2007-03-06 | 2013-12-24 | Cardiac Pacemakers, Inc. | Method and apparatus for closed-loop intermittent cardiac stress augmentation pacing |
| US7873414B2 (en) * | 2007-04-17 | 2011-01-18 | Cardiac Pacemakers, Inc. | Patient characteristic based adaptive anti-tachy pacing programming |
| US8271080B2 (en) | 2007-05-23 | 2012-09-18 | Cardiac Pacemakers, Inc. | Decongestive therapy titration for heart failure patients using implantable sensor |
| US8204592B1 (en) * | 2007-12-03 | 2012-06-19 | Pacesetter, Inc. | System and method for generating and using cardiac ischemia diagnostics based on arrhythmia precursors and arrhythmia episodes |
| JP5199394B2 (ja) | 2008-01-29 | 2013-05-15 | 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 | 構成可能な間欠ペーシング治療 |
| US8140155B2 (en) | 2008-03-11 | 2012-03-20 | Cardiac Pacemakers, Inc. | Intermittent pacing therapy delivery statistics |
| US8483826B2 (en) | 2008-03-17 | 2013-07-09 | Cardiac Pacemakers, Inc. | Deactivation of intermittent pacing therapy |
| US20090270936A1 (en) * | 2008-04-29 | 2009-10-29 | Pacesetter, Inc. | Implantable medical device with coordinated ventricular overdrive and trigger mode pacing |
| US9037235B2 (en) | 2008-06-19 | 2015-05-19 | Cardiac Pacemakers, Inc. | Pacing catheter with expandable distal end |
| US8457738B2 (en) | 2008-06-19 | 2013-06-04 | Cardiac Pacemakers, Inc. | Pacing catheter for access to multiple vessels |
| US9409012B2 (en) | 2008-06-19 | 2016-08-09 | Cardiac Pacemakers, Inc. | Pacemaker integrated with vascular intervention catheter |
| US8639357B2 (en) | 2008-06-19 | 2014-01-28 | Cardiac Pacemakers, Inc. | Pacing catheter with stent electrode |
| US8244352B2 (en) | 2008-06-19 | 2012-08-14 | Cardiac Pacemakers, Inc. | Pacing catheter releasing conductive liquid |
| WO2010132203A1 (en) | 2009-05-15 | 2010-11-18 | Cardiac Pacemakers, Inc. | Pacing system with safety control during mode transition |
| US8958873B2 (en) | 2009-05-28 | 2015-02-17 | Cardiac Pacemakers, Inc. | Method and apparatus for safe and efficient delivery of cardiac stress augmentation pacing |
| US8812104B2 (en) | 2009-09-23 | 2014-08-19 | Cardiac Pacemakers, Inc. | Method and apparatus for automated control of pacing post-conditioning |
| US8412326B2 (en) | 2009-10-30 | 2013-04-02 | Cardiac Pacemakers, Inc. | Pacemaker with vagal surge monitoring and response |
| US10905884B2 (en) | 2012-07-20 | 2021-02-02 | Cardialen, Inc. | Multi-stage atrial cardioversion therapy leads |
| US9833164B2 (en) * | 2014-05-30 | 2017-12-05 | Microsoft Technology Licensing, Llc | Ring-shaped skin sensor |
| US10469309B1 (en) * | 2016-04-28 | 2019-11-05 | Servicenow, Inc. | Management of computing system alerts |
Family Cites Families (43)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4316472C1 (en) * | 1974-04-25 | 2001-08-14 | Mieczyslaw Mirowski | Cardioverting device with stored energy selecting means and discharge initiating means and related method |
| US4375817A (en) * | 1979-07-19 | 1983-03-08 | Medtronic, Inc. | Implantable cardioverter |
| US4384585A (en) * | 1981-03-06 | 1983-05-24 | Medtronic, Inc. | Synchronous intracardiac cardioverter |
| US4726380A (en) * | 1983-10-17 | 1988-02-23 | Telectronics, N.V. | Implantable cardiac pacer with discontinuous microprocessor, programmable antitachycardia mechanisms and patient data telemetry |
| US4577633A (en) * | 1984-03-28 | 1986-03-25 | Medtronic, Inc. | Rate scanning demand pacemaker and method for treatment of tachycardia |
| US4727877A (en) * | 1984-12-18 | 1988-03-01 | Medtronic, Inc. | Method and apparatus for low energy endocardial defibrillation |
| US4587970A (en) * | 1985-01-22 | 1986-05-13 | Telectronics N.V. | Tachycardia reversion pacer |
| CA1290813C (en) * | 1985-08-12 | 1991-10-15 | Michael B. Sweeney | Pacemaker for detecting and terminating a tachycardia |
| US4800883A (en) * | 1986-04-02 | 1989-01-31 | Intermedics, Inc. | Apparatus for generating multiphasic defibrillation pulse waveform |
| US4830006B1 (en) * | 1986-06-17 | 1997-10-28 | Intermedics Inc | Implantable cardiac stimulator for detection and treatment of ventricular arrhythmias |
| US4953551A (en) * | 1987-01-14 | 1990-09-04 | Medtronic, Inc. | Method of defibrillating a heart |
| US4949719A (en) * | 1989-04-26 | 1990-08-21 | Ventritex, Inc. | Method for cardiac defibrillation |
| US5007422A (en) * | 1989-06-06 | 1991-04-16 | Ventritex, Inc. | Method for combiner cardiac pacing and defibrillation |
| EP0402508B2 (de) * | 1989-06-15 | 2002-10-23 | St. Jude Medical AB | Einrichtung zum Detektieren einer Folge von anormalen Ereignissen in einem elektrischen Signal, insbesondere dem Depolarisationssignal eines Herzens |
| US5205583A (en) * | 1990-04-04 | 1993-04-27 | Mercedes-Benz Ag | Inflatable airbag |
| US5086772A (en) * | 1990-07-30 | 1992-02-11 | Telectronics Pacing Systems, Inc. | Arrhythmia control system employing arrhythmia recognition algorithm |
| US5107850A (en) * | 1990-11-02 | 1992-04-28 | Cardiac Pacemakers, Inc. | Method and apparatus for classifying and treating cardiac arrhythmias based on atrial and ventricular activity |
| US5117824A (en) * | 1990-11-14 | 1992-06-02 | Medtronic, Inc. | Apparatus for monitoring electrical physiologic signals |
| US5163427A (en) * | 1990-11-14 | 1992-11-17 | Medtronic, Inc. | Apparatus for delivering single and multiple cardioversion and defibrillation pulses |
| US5188105A (en) * | 1990-11-14 | 1993-02-23 | Medtronic, Inc. | Apparatus and method for treating a tachyarrhythmia |
| US5129392A (en) * | 1990-12-20 | 1992-07-14 | Medtronic, Inc. | Apparatus for automatically inducing fibrillation |
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| US5433729A (en) | 1991-04-12 | 1995-07-18 | Incontrol, Inc. | Atrial defibrillator, lead systems, and method |
| US5217021A (en) * | 1991-07-30 | 1993-06-08 | Telectronics Pacing Systems, Inc. | Detection of cardiac arrhythmias using correlation of a cardiac electrical signals and temporal data compression |
| US5193535A (en) * | 1991-08-27 | 1993-03-16 | Medtronic, Inc. | Method and apparatus for discrimination of ventricular tachycardia from ventricular fibrillation and for treatment thereof |
| US5215083A (en) | 1991-10-07 | 1993-06-01 | Telectronics Pacing Systems, Inc. | Apparatus and method for arrhythmia induction in arrhythmia control system |
| US5203326A (en) * | 1991-12-18 | 1993-04-20 | Telectronics Pacing Systems, Inc. | Antiarrhythmia pacer using antiarrhythmia pacing and autonomic nerve stimulation therapy |
| US5312441A (en) * | 1992-04-13 | 1994-05-17 | Medtronic, Inc. | Method and apparatus for discrimination of ventricular tachycardia from supraventricular tachycardia and for treatment thereof |
| US5342402A (en) * | 1993-01-29 | 1994-08-30 | Medtronic, Inc. | Method and apparatus for detection and treatment of tachycardia and fibrillation |
| US5545186A (en) * | 1995-03-30 | 1996-08-13 | Medtronic, Inc. | Prioritized rule based method and apparatus for diagnosis and treatment of arrhythmias |
| JP3091404B2 (ja) * | 1995-11-09 | 2000-09-25 | 富士通株式会社 | 磁気ヘッドの製造方法 |
| US5653740A (en) * | 1996-01-16 | 1997-08-05 | Medtronic, Inc. | Method and apparatus for induction of fibrillation |
| EP0993842B1 (en) * | 1996-05-14 | 2003-01-15 | Medtronic, Inc. | Prioritized rule based apparatus for diagnosis and treatment of arrhythmias |
| US6351558B1 (en) * | 1996-11-13 | 2002-02-26 | Seiko Epson Corporation | Image processing system, image processing method, and medium having an image processing control program recorded thereon |
| US5951593A (en) * | 1997-08-29 | 1999-09-14 | Lu; Richard | Apparatus for preventing atrial fibrillation using precursors |
| US5899929A (en) * | 1998-01-27 | 1999-05-04 | Vitutsom Medical B.U. | System for inducing tachycardia utilizing near field T-wave sensing |
| US6016442A (en) * | 1998-03-25 | 2000-01-18 | Cardiac Pacemakers, Inc. | System for displaying cardiac arrhythmia data |
| US6115628A (en) * | 1999-03-29 | 2000-09-05 | Medtronic, Inc. | Method and apparatus for filtering electrocardiogram (ECG) signals to remove bad cycle information and for use of physiologic signals determined from said filtered ECG signals |
| US6128526A (en) * | 1999-03-29 | 2000-10-03 | Medtronic, Inc. | Method for ischemia detection and apparatus for using same |
| US6351668B1 (en) | 1999-05-07 | 2002-02-26 | Cedars-Sinai Medical Center | Method for inducing ventricular arrhythmias in an animal model system |
| US6718198B2 (en) * | 1999-08-24 | 2004-04-06 | Cardiac Pacemakers, Inc. | Arrhythmia display |
| US6829504B1 (en) * | 2000-09-14 | 2004-12-07 | Cardiac Pacemakers, Inc. | System and method for preventing recurrence of atrial tachyarrhythmia |
| US6470210B1 (en) * | 2001-04-06 | 2002-10-22 | Cardiac Pacemakers, Inc. | System and method for continuously monitoring classified atrial arrhythmias |
-
2002
- 2002-06-14 US US10/171,231 patent/US7076298B2/en not_active Expired - Lifetime
-
2003
- 2003-06-13 EP EP03760405A patent/EP1515778B1/en not_active Expired - Lifetime
- 2003-06-13 CA CA002489366A patent/CA2489366A1/en not_active Abandoned
- 2003-06-13 DE DE60319223T patent/DE60319223T2/de not_active Expired - Lifetime
- 2003-06-13 WO PCT/US2003/018986 patent/WO2003105953A1/en not_active Ceased
- 2003-06-13 JP JP2004512850A patent/JP4343107B2/ja not_active Expired - Fee Related
Also Published As
| Publication number | Publication date |
|---|---|
| DE60319223D1 (de) | 2008-04-03 |
| EP1515778A1 (en) | 2005-03-23 |
| US20030233130A1 (en) | 2003-12-18 |
| US7076298B2 (en) | 2006-07-11 |
| DE60319223T2 (de) | 2009-02-12 |
| EP1515778B1 (en) | 2008-02-20 |
| WO2003105953A1 (en) | 2003-12-24 |
| JP2005529690A (ja) | 2005-10-06 |
| JP4343107B2 (ja) | 2009-10-14 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| FZDE | Discontinued |