CA2603289A1 - Method and apparatus for determining oversensing in a medical device - Google Patents
Method and apparatus for determining oversensing in a medical device Download PDFInfo
- Publication number
- CA2603289A1 CA2603289A1 CA002603289A CA2603289A CA2603289A1 CA 2603289 A1 CA2603289 A1 CA 2603289A1 CA 002603289 A CA002603289 A CA 002603289A CA 2603289 A CA2603289 A CA 2603289A CA 2603289 A1 CA2603289 A1 CA 2603289A1
- Authority
- CA
- Canada
- Prior art keywords
- determining
- minimum amplitude
- sample
- minimum
- amplitude
- 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
- 208000032366 Oversensing Diseases 0.000 title claims abstract description 42
- 238000000034 method Methods 0.000 title claims abstract description 39
- 238000002560 therapeutic procedure Methods 0.000 claims abstract description 50
- 230000000747 cardiac effect Effects 0.000 claims abstract description 38
- 230000004044 response Effects 0.000 claims abstract description 17
- 238000001514 detection method Methods 0.000 description 24
- 208000001871 Tachycardia Diseases 0.000 description 13
- 230000035939 shock Effects 0.000 description 13
- 230000008569 process Effects 0.000 description 12
- 239000003990 capacitor Substances 0.000 description 11
- 238000013194 cardioversion Methods 0.000 description 11
- 239000004020 conductor Substances 0.000 description 11
- 230000001746 atrial effect Effects 0.000 description 10
- 206010049447 Tachyarrhythmia Diseases 0.000 description 9
- 102100026827 Protein associated with UVRAG as autophagy enhancer Human genes 0.000 description 8
- 101710102978 Protein associated with UVRAG as autophagy enhancer Proteins 0.000 description 8
- 230000006870 function Effects 0.000 description 8
- 206010003119 arrhythmia Diseases 0.000 description 7
- 230000006793 arrhythmia Effects 0.000 description 7
- 230000002861 ventricular Effects 0.000 description 7
- 210000003748 coronary sinus Anatomy 0.000 description 5
- 238000010586 diagram Methods 0.000 description 5
- 230000000694 effects Effects 0.000 description 5
- 208000003663 ventricular fibrillation Diseases 0.000 description 5
- 210000005241 right ventricle Anatomy 0.000 description 4
- 206010003130 Arrhythmia supraventricular Diseases 0.000 description 3
- 238000004458 analytical method Methods 0.000 description 3
- 206010061592 cardiac fibrillation Diseases 0.000 description 3
- 230000002600 fibrillogenic effect Effects 0.000 description 3
- 238000009413 insulation Methods 0.000 description 3
- 239000003550 marker Substances 0.000 description 3
- 230000036279 refractory period Effects 0.000 description 3
- 210000003462 vein Anatomy 0.000 description 3
- 206010003658 Atrial Fibrillation Diseases 0.000 description 2
- 206010065341 Ventricular tachyarrhythmia Diseases 0.000 description 2
- 239000012190 activator Substances 0.000 description 2
- 230000003288 anthiarrhythmic effect Effects 0.000 description 2
- 210000001367 artery Anatomy 0.000 description 2
- 230000008602 contraction Effects 0.000 description 2
- 210000002837 heart atrium Anatomy 0.000 description 2
- 230000001788 irregular Effects 0.000 description 2
- 230000028161 membrane depolarization Effects 0.000 description 2
- 238000012544 monitoring process 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
- 230000033764 rhythmic process Effects 0.000 description 2
- 210000005245 right atrium Anatomy 0.000 description 2
- 238000005070 sampling Methods 0.000 description 2
- 238000002633 shock therapy Methods 0.000 description 2
- 230000006794 tachycardia Effects 0.000 description 2
- 206010047302 ventricular tachycardia Diseases 0.000 description 2
- 230000009271 DNA damage immune response Effects 0.000 description 1
- 208000007888 Sinus Tachycardia Diseases 0.000 description 1
- 206010047281 Ventricular arrhythmia Diseases 0.000 description 1
- 230000003321 amplification Effects 0.000 description 1
- 238000013459 approach Methods 0.000 description 1
- 230000000712 assembly Effects 0.000 description 1
- 238000000429 assembly Methods 0.000 description 1
- 230000002051 biphasic effect Effects 0.000 description 1
- 239000000872 buffer Substances 0.000 description 1
- 238000004364 calculation method Methods 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 238000004891 communication Methods 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
- 238000001647 drug administration Methods 0.000 description 1
- 230000009977 dual effect Effects 0.000 description 1
- 230000001747 exhibiting effect Effects 0.000 description 1
- 210000005003 heart tissue Anatomy 0.000 description 1
- 230000000004 hemodynamic effect Effects 0.000 description 1
- 208000028867 ischemia Diseases 0.000 description 1
- 210000005240 left ventricle Anatomy 0.000 description 1
- 239000011159 matrix material Substances 0.000 description 1
- 238000005259 measurement Methods 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 230000003387 muscular Effects 0.000 description 1
- 230000007383 nerve stimulation Effects 0.000 description 1
- 238000003199 nucleic acid amplification method Methods 0.000 description 1
- 230000003287 optical effect Effects 0.000 description 1
- 230000002028 premature Effects 0.000 description 1
- 238000012545 processing Methods 0.000 description 1
- 238000000718 qrs complex Methods 0.000 description 1
- 230000003134 recirculating effect Effects 0.000 description 1
- 230000029058 respiratory gaseous exchange Effects 0.000 description 1
- 230000035945 sensitivity Effects 0.000 description 1
- 210000001013 sinoatrial node Anatomy 0.000 description 1
- 238000007920 subcutaneous administration Methods 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 210000002620 vena cava superior Anatomy 0.000 description 1
- 208000030402 vitamin D-dependent rickets Diseases 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
- A61N1/37—Monitoring; Protecting
- A61N1/3702—Physiological parameters
- A61N1/3704—Circuits specially adapted therefor, e.g. for sensitivity control
-
- 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
- A61N1/3925—Monitoring; Protecting
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Radiology & Medical Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Heart & Thoracic Surgery (AREA)
- Cardiology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Biophysics (AREA)
- Physiology (AREA)
- Electrotherapy Devices (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US11/107,706 US7333855B2 (en) | 2004-12-01 | 2005-04-15 | Method and apparatus for determining oversensing in a medical device |
| US11/107,706 | 2005-04-15 | ||
| PCT/US2006/014543 WO2006113699A1 (en) | 2005-04-15 | 2006-04-17 | Method and apparatus for determining oversensing in a medical device |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CA2603289A1 true CA2603289A1 (en) | 2006-10-26 |
Family
ID=36702871
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA002603289A Abandoned CA2603289A1 (en) | 2005-04-15 | 2006-04-17 | Method and apparatus for determining oversensing in a medical device |
Country Status (5)
| Country | Link |
|---|---|
| US (1) | US7333855B2 (enExample) |
| EP (1) | EP1888168B1 (enExample) |
| JP (1) | JP4949382B2 (enExample) |
| CA (1) | CA2603289A1 (enExample) |
| WO (1) | WO2006113699A1 (enExample) |
Families Citing this family (57)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US7369893B2 (en) | 2004-12-01 | 2008-05-06 | Medtronic, Inc. | Method and apparatus for identifying lead-related conditions using prediction and detection criteria |
| US7333855B2 (en) | 2004-12-01 | 2008-02-19 | Medtronic, Inc. | Method and apparatus for determining oversensing in a medical device |
| US8831725B2 (en) * | 2005-11-28 | 2014-09-09 | Medtronic, Inc. | Method and apparatus for post-processing of episodes detected by a medical device |
| US8401644B2 (en) * | 2005-11-28 | 2013-03-19 | Medtronic, Inc. | Method and apparatus for post-processing of episodes detected by a medical device |
| US7831304B2 (en) * | 2006-09-29 | 2010-11-09 | Medtronic, Inc. | Method for determining oversensing in an implantable device |
| EP2114515A1 (en) * | 2007-01-03 | 2009-11-11 | Medtronic, Inc. | Method and apparatus for reducing inappropriate detection of lead-related noise |
| US20080270036A1 (en) * | 2007-04-27 | 2008-10-30 | Webb James D | Systems and methods facilitating auxiliary analysis of data from implanted medical devices |
| US8160686B2 (en) | 2008-03-07 | 2012-04-17 | Cameron Health, Inc. | Methods and devices for accurately classifying cardiac activity |
| US20090299421A1 (en) * | 2008-06-02 | 2009-12-03 | Medtronic, Inc. | Evaluation of implantable medical device sensing integrity based on evoked signals |
| EP2303403B1 (en) * | 2008-06-02 | 2016-09-14 | Medtronic, Inc. | Electrogram storage for suspected non-physiological episodes |
| EP2237835A1 (en) * | 2008-06-02 | 2010-10-13 | Medtronic, Inc. | Impedance variability analysis to identify lead-related conditions |
| WO2009148428A1 (en) * | 2008-06-02 | 2009-12-10 | Medtronic, Inc. | Electrode lead integrity reports |
| WO2009148426A1 (en) * | 2008-06-02 | 2009-12-10 | Medtronic, Inc. | Sensing integrity determination based on cardiovascular pressure |
| US7974690B2 (en) * | 2008-06-30 | 2011-07-05 | Medtronic, Inc. | Lead integrity testing during suspected tachyarrhythmias |
| US9522277B2 (en) | 2008-07-28 | 2016-12-20 | Medtronic, Inc. | Lead integrity testing triggered by sensed signal saturation |
| US7953488B2 (en) * | 2008-07-31 | 2011-05-31 | Medtronic, Inc. | Pre-qualification of an alternate sensing configuration |
| US8078277B2 (en) * | 2008-10-29 | 2011-12-13 | Medtronic, Inc. | Identification and remediation of oversensed cardiac events using far-field electrograms |
| US10118042B2 (en) | 2008-10-31 | 2018-11-06 | Medtronic, Inc. | Lead integrity testing triggered by sensed asystole |
| US8798750B2 (en) * | 2009-08-26 | 2014-08-05 | Medtronic, Inc. | Identifying a lead related condition based on detecting noise subsequent to signal delivery |
| US8260419B2 (en) | 2009-10-27 | 2012-09-04 | Medtronic, Inc. | Non-sustained tachyarrhythmia analysis to identify lead related condition |
| US8396543B2 (en) * | 2010-01-28 | 2013-03-12 | Medtronic, Inc. | Storage of data for evaluation of lead integrity |
| US9364162B2 (en) * | 2010-02-11 | 2016-06-14 | Medtronic, Inc. | Rejecting oversensing due to noise |
| US20110257709A1 (en) * | 2010-04-20 | 2011-10-20 | Boston Scientific Neuromodulation Corporation | Method and apparatus for modifying neurostimulation linear lead shape to correct lead migration |
| US8694097B2 (en) | 2010-06-30 | 2014-04-08 | Medtronic, Inc. | Multi-channel sensing methods in implantable cardiovertor defibrillators |
| US8229559B2 (en) | 2010-07-15 | 2012-07-24 | Medtronic, Inc. | Evaluation of implantable medical device data |
| US8437840B2 (en) | 2011-09-26 | 2013-05-07 | Medtronic, Inc. | Episode classifier algorithm |
| US8774909B2 (en) | 2011-09-26 | 2014-07-08 | Medtronic, Inc. | Episode classifier algorithm |
| US8744560B2 (en) | 2011-09-30 | 2014-06-03 | Medtronic, Inc. | Electrogram summary |
| US9668668B2 (en) | 2011-09-30 | 2017-06-06 | Medtronic, Inc. | Electrogram summary |
| US8886296B2 (en) | 2011-10-14 | 2014-11-11 | Medtronic, Inc. | T-wave oversensing |
| US8521281B2 (en) | 2011-10-14 | 2013-08-27 | Medtronic, Inc. | Electrogram classification algorithm |
| US9675799B2 (en) | 2012-12-05 | 2017-06-13 | Lambda Nu Technology Llc | Method and apparatus for implantable cardiac lead integrity analysis |
| US9381370B2 (en) | 2014-09-11 | 2016-07-05 | Medtronic, Inc. | Method and apparatus for determining parameters for oversensing in an implantable medical device |
| US20160113537A1 (en) * | 2014-10-22 | 2016-04-28 | Medtronic, Inc. | Atrial arrhythmia detection during ventricular pacing in a cardiac medical device |
| US9717437B2 (en) | 2014-10-22 | 2017-08-01 | Medtronic, Inc. | Atrial arrhythmia detection during intermittent instances of ventricular pacing in a cardiac medical device |
| US10219718B2 (en) | 2014-10-22 | 2019-03-05 | Medtronic, Inc. | Atrial arrhythmia episode detection in a cardiac medical device |
| EP3209201B1 (en) * | 2014-10-22 | 2020-05-06 | Medtronic Inc. | Atrial arrhythmia detection during intermittent instances of ventricular pacing in a cardiac medical device |
| US9597525B2 (en) | 2015-05-06 | 2017-03-21 | Medtronic, Inc. | T-wave oversensing rejection |
| US9814876B2 (en) | 2015-06-25 | 2017-11-14 | Lambda Nu Technology Llc | Detection of dislodgement of a defibrillation lead |
| US10252068B2 (en) | 2015-11-06 | 2019-04-09 | Medtronic, Inc. | Reducing false positive lead integrity alerts |
| US10137297B2 (en) | 2016-03-22 | 2018-11-27 | Medtronic, Inc. | Detecting ventricular lead dislodgement during atrial fibrillation |
| US10039469B2 (en) | 2016-03-30 | 2018-08-07 | Medtronic, Inc. | Atrial arrhythmia episode detection in a cardiac medical device |
| US10045710B2 (en) | 2016-03-30 | 2018-08-14 | Medtronic, Inc. | Atrial arrhythmia episode detection in a cardiac medical device |
| US10252071B2 (en) | 2016-04-29 | 2019-04-09 | Medtronic, Inc. | Multi-threshold sensing of cardiac electrical signals in an extracardiovascular implantable cardioverter defibrillator |
| US10328274B2 (en) | 2016-06-08 | 2019-06-25 | Medtronic, Inc. | System and method for identifying and responding to P-wave oversensing in a cardiac system |
| US10368769B2 (en) | 2016-07-27 | 2019-08-06 | Medtronic, Inc. | Automatic thresholds for atrial tachyarrhythmia detection in an implantable medical device |
| US10668277B2 (en) | 2016-12-09 | 2020-06-02 | Medtronic, Inc. | Detecting ventricular lead dislodgement |
| US10543364B2 (en) | 2017-04-07 | 2020-01-28 | Lambda Nu Technology Llc | Detection of lead electrode dislodgement using cavitary electrogram |
| US10799710B2 (en) | 2017-10-23 | 2020-10-13 | Medtronic, Inc. | Multi-threshold sensing of cardiac electrical signals in an implantable medical device |
| US11559241B2 (en) | 2019-10-01 | 2023-01-24 | Pacesetter, Inc. | Methods and systems for reducing false declarations of arrhythmias |
| US11559242B2 (en) | 2020-01-30 | 2023-01-24 | Pacesetter, Inc. | Methods and systems for distinguishing over-sensed R-R intervals from true R-R intervals |
| US11647940B2 (en) | 2020-05-04 | 2023-05-16 | Pacesetter, Inc | R-R interval pattern recognition for use in arrhythmia discrimination |
| US11766207B2 (en) | 2020-06-01 | 2023-09-26 | Pacesetter, Inc. | Methods, devices and systems for improving R-wave detection and arrhtymia detection accuracy |
| US12161474B2 (en) | 2020-06-02 | 2024-12-10 | Pacesetter, Inc. | Methods, devices and systems for identifying false R-R intervals and false arrhythmia detections due to R-wave undersensing or intermittent AV conduction block |
| GB2597075B (en) * | 2020-07-14 | 2024-06-05 | Cardiac Tech Ltd | Monitoring temporary pacing devices |
| US12390167B2 (en) | 2021-06-22 | 2025-08-19 | Pacesetter, Inc. | Methods and systems for determining whether R-wave detections should be classified as false due to T-wave oversensing (TWO) or P-wave oversensing (PWO) |
| US12350059B2 (en) | 2021-09-07 | 2025-07-08 | Pacesetter, Inc. | Robust ventricular sensing of far-field EGM or ECG signals that avoids oversensing of ventricular sensed events |
Family Cites Families (22)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4374382A (en) * | 1981-01-16 | 1983-02-15 | Medtronic, Inc. | Marker channel telemetry system for a medical device |
| US4428378A (en) * | 1981-11-19 | 1984-01-31 | Medtronic, Inc. | Rate adaptive pacer |
| DE3878510T2 (de) * | 1987-09-07 | 1993-06-03 | Daisow Co Ltd | Fluessigkristalline verbindungen und verfahren zu ihrer herstellung. |
| US5127404A (en) * | 1990-01-22 | 1992-07-07 | Medtronic, Inc. | Telemetry format for implanted medical device |
| US5354319A (en) * | 1990-01-22 | 1994-10-11 | Medtronic, Inc. | Telemetry system for an implantable medical device |
| US5107833A (en) * | 1990-11-02 | 1992-04-28 | Medtronic, Inc. | Telemetry gain adjustment algorithm and signal strength indication in a noisy environment |
| US5168871A (en) * | 1990-11-09 | 1992-12-08 | Medtronic, Inc. | Method and apparatus for processing quasi-transient telemetry signals in noisy environments |
| US5117824A (en) * | 1990-11-14 | 1992-06-02 | Medtronic, Inc. | Apparatus for monitoring electrical physiologic signals |
| US5383909A (en) * | 1993-01-29 | 1995-01-24 | Medtronic, Inc. | Diagnostic telemetry system for an apparatus for detection and treatment of tachycardia and fibrillation |
| US5324315A (en) | 1993-08-12 | 1994-06-28 | Medtronic, Inc. | Closed-loop downlink telemetry and method for implantable medical device |
| US5545186A (en) * | 1995-03-30 | 1996-08-13 | Medtronic, Inc. | Prioritized rule based method and apparatus for diagnosis and treatment of arrhythmias |
| US5558098A (en) * | 1995-11-02 | 1996-09-24 | Ventritex, Inc. | Method and apparatus for detecting lead sensing artifacts in cardiac electrograms |
| EP0993842B1 (en) * | 1996-05-14 | 2003-01-15 | Medtronic, Inc. | Prioritized rule based apparatus for diagnosis and treatment of arrhythmias |
| US6112119A (en) * | 1997-10-27 | 2000-08-29 | Medtronic, Inc. | Method for automatically adjusting the sensitivity of cardiac sense amplifiers |
| US6266554B1 (en) * | 1999-02-12 | 2001-07-24 | Cardiac Pacemakers, Inc. | System and method for classifying cardiac complexes |
| US6865414B1 (en) * | 2001-09-20 | 2005-03-08 | Pacesetter, Inc. | Apparatus and method for automatically sensing threshold histogram with differentiation of sinus from ectopic beats |
| US7783354B2 (en) * | 2002-04-29 | 2010-08-24 | Medtronic, Inc. | Method and apparatus for identifying cardiac and non-cardiac oversensing using intracardiac electrograms |
| WO2004091719A2 (en) * | 2003-04-11 | 2004-10-28 | Cardiac Pacemakers, Inc. | Multi-parameter arrhythmia discrimination |
| US7130681B2 (en) * | 2003-05-09 | 2006-10-31 | Medtronic, Inc. | Use of accelerometer signal to augment ventricular arrhythmia detection |
| US7167747B2 (en) * | 2003-05-13 | 2007-01-23 | Medtronic, Inc. | Identification of oversensing using sinus R-wave template |
| US7333855B2 (en) | 2004-12-01 | 2008-02-19 | Medtronic, Inc. | Method and apparatus for determining oversensing in a medical device |
| US7266409B2 (en) | 2004-12-01 | 2007-09-04 | Medtronic, Inc. | Method and apparatus for determining oversensing in a medical device |
-
2005
- 2005-04-15 US US11/107,706 patent/US7333855B2/en not_active Expired - Lifetime
-
2006
- 2006-04-17 CA CA002603289A patent/CA2603289A1/en not_active Abandoned
- 2006-04-17 WO PCT/US2006/014543 patent/WO2006113699A1/en not_active Ceased
- 2006-04-17 JP JP2008506822A patent/JP4949382B2/ja active Active
- 2006-04-17 EP EP06750550A patent/EP1888168B1/en active Active
Also Published As
| Publication number | Publication date |
|---|---|
| EP1888168B1 (en) | 2013-04-03 |
| EP1888168A1 (en) | 2008-02-20 |
| JP4949382B2 (ja) | 2012-06-06 |
| JP2008536585A (ja) | 2008-09-11 |
| US20060116732A1 (en) | 2006-06-01 |
| US7333855B2 (en) | 2008-02-19 |
| WO2006113699A1 (en) | 2006-10-26 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| FZDE | Discontinued |