CA2605528A1 - Method and apparatus for validating a pacing train associated with t-shock delivery - Google Patents
Method and apparatus for validating a pacing train associated with t-shock delivery Download PDFInfo
- Publication number
- CA2605528A1 CA2605528A1 CA002605528A CA2605528A CA2605528A1 CA 2605528 A1 CA2605528 A1 CA 2605528A1 CA 002605528 A CA002605528 A CA 002605528A CA 2605528 A CA2605528 A CA 2605528A CA 2605528 A1 CA2605528 A1 CA 2605528A1
- Authority
- CA
- Canada
- Prior art keywords
- train
- pacing
- pacing train
- evoked response
- evoked
- 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
- 238000000034 method Methods 0.000 title claims abstract description 66
- 230000004044 response Effects 0.000 claims abstract description 146
- 230000002123 temporal effect Effects 0.000 claims abstract description 34
- 230000000763 evoking effect Effects 0.000 claims description 99
- 206010003119 arrhythmia Diseases 0.000 claims description 4
- 230000006793 arrhythmia Effects 0.000 claims description 4
- 230000002861 ventricular Effects 0.000 abstract description 34
- 238000012795 verification Methods 0.000 abstract description 20
- 238000010200 validation analysis Methods 0.000 abstract description 17
- 230000000747 cardiac effect Effects 0.000 abstract description 15
- 238000004458 analytical method Methods 0.000 abstract description 8
- 230000000877 morphologic effect Effects 0.000 abstract description 6
- 208000003663 ventricular fibrillation Diseases 0.000 description 27
- 238000012360 testing method Methods 0.000 description 23
- 238000005259 measurement Methods 0.000 description 14
- 102100026827 Protein associated with UVRAG as autophagy enhancer Human genes 0.000 description 13
- 101710102978 Protein associated with UVRAG as autophagy enhancer Proteins 0.000 description 13
- 230000001746 atrial effect Effects 0.000 description 12
- 230000035939 shock Effects 0.000 description 10
- 238000013194 cardioversion Methods 0.000 description 9
- 238000007920 subcutaneous administration Methods 0.000 description 9
- 210000003748 coronary sinus Anatomy 0.000 description 7
- 238000010586 diagram Methods 0.000 description 7
- 230000006698 induction Effects 0.000 description 7
- 208000033986 Device capturing issue Diseases 0.000 description 6
- 230000006870 function Effects 0.000 description 6
- 239000007943 implant Substances 0.000 description 6
- 210000005241 right ventricle Anatomy 0.000 description 6
- 230000000638 stimulation Effects 0.000 description 6
- 238000002560 therapeutic procedure Methods 0.000 description 6
- 239000003990 capacitor Substances 0.000 description 5
- 239000004020 conductor Substances 0.000 description 5
- 230000008878 coupling Effects 0.000 description 5
- 238000010168 coupling process Methods 0.000 description 5
- 238000005859 coupling reaction Methods 0.000 description 5
- 238000001514 detection method Methods 0.000 description 5
- 208000001871 Tachycardia Diseases 0.000 description 4
- 238000002513 implantation Methods 0.000 description 4
- 230000008901 benefit Effects 0.000 description 3
- 238000002716 delivery method Methods 0.000 description 3
- 230000001939 inductive effect Effects 0.000 description 3
- 210000005240 left ventricle Anatomy 0.000 description 3
- 230000036279 refractory period Effects 0.000 description 3
- 210000005245 right atrium Anatomy 0.000 description 3
- 208000033988 Device pacing issue Diseases 0.000 description 2
- 230000009977 dual effect Effects 0.000 description 2
- 210000002837 heart atrium Anatomy 0.000 description 2
- 239000011159 matrix material Substances 0.000 description 2
- 238000012545 processing Methods 0.000 description 2
- 230000002336 repolarization Effects 0.000 description 2
- 230000003288 anthiarrhythmic effect Effects 0.000 description 1
- 229960003965 antiepileptics Drugs 0.000 description 1
- 206010003668 atrial tachycardia Diseases 0.000 description 1
- 239000000872 buffer Substances 0.000 description 1
- 238000004364 calculation method Methods 0.000 description 1
- 210000005242 cardiac chamber Anatomy 0.000 description 1
- 206010061592 cardiac fibrillation Diseases 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- 238000001647 drug administration Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000002600 fibrillogenic effect Effects 0.000 description 1
- 238000007429 general method Methods 0.000 description 1
- 230000000977 initiatory effect Effects 0.000 description 1
- 230000028161 membrane depolarization Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000002107 myocardial effect Effects 0.000 description 1
- 230000007383 nerve stimulation Effects 0.000 description 1
- 230000003287 optical effect Effects 0.000 description 1
- 230000037361 pathway Effects 0.000 description 1
- 230000001737 promoting effect Effects 0.000 description 1
- 230000003134 recirculating effect Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 230000033764 rhythmic process Effects 0.000 description 1
- 238000002633 shock therapy Methods 0.000 description 1
- 230000006794 tachycardia Effects 0.000 description 1
- 210000005166 vasculature Anatomy 0.000 description 1
- 210000003462 vein Anatomy 0.000 description 1
- 210000002620 vena cava superior Anatomy 0.000 description 1
- 206010047302 ventricular tachycardia 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
- A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
- A61N1/385—Devices for inducing an abnormal cardiac function, e.g. fibrillation
-
- 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
- A61N1/371—Capture, i.e. successful stimulation
Landscapes
- Health & Medical Sciences (AREA)
- Cardiology (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)
- Heart & Thoracic Surgery (AREA)
- Electrotherapy Devices (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US11/117,593 US7634316B2 (en) | 2005-04-28 | 2005-04-28 | Method and apparatus for validating a pacing train associated with T-shock delivery |
| US11/117,593 | 2005-04-28 | ||
| PCT/US2006/014761 WO2006115940A1 (en) | 2005-04-28 | 2006-04-17 | Method and apparatus for validating a pacing train associated with t-shock delivery |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CA2605528A1 true CA2605528A1 (en) | 2006-11-02 |
Family
ID=36794412
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA002605528A Abandoned CA2605528A1 (en) | 2005-04-28 | 2006-04-17 | Method and apparatus for validating a pacing train associated with t-shock delivery |
Country Status (6)
| Country | Link |
|---|---|
| US (1) | US7634316B2 (enExample) |
| EP (1) | EP1899008B1 (enExample) |
| JP (1) | JP5076115B2 (enExample) |
| AT (1) | ATE509662T1 (enExample) |
| CA (1) | CA2605528A1 (enExample) |
| WO (1) | WO2006115940A1 (enExample) |
Families Citing this family (12)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8831722B2 (en) | 2002-04-15 | 2014-09-09 | Imperception, Inc. | Shock timing technology |
| US8150510B2 (en) * | 2002-04-15 | 2012-04-03 | Imperception, Inc. | Shock timing technology |
| US8064996B2 (en) | 2007-10-03 | 2011-11-22 | Medtronic, Inc. | Automatic determination of T-shock vulnerable window |
| US8565865B2 (en) * | 2008-07-24 | 2013-10-22 | Medtronic, Inc. | Methods for the determination of T-shock vulnerable window from far-field electrograms in implantable cardioverter defibrillators |
| US8644923B2 (en) | 2008-07-24 | 2014-02-04 | Medtronic, Inc. | Determination of upper limit of vulnerability using a variable number of shocks |
| US8359094B2 (en) * | 2008-07-31 | 2013-01-22 | Medtronic, Inc. | Extravascular arrhythmia induction |
| US8560064B2 (en) * | 2008-07-31 | 2013-10-15 | Medtronic, Inc. | Extravascular arrhythmia induction |
| US10905884B2 (en) | 2012-07-20 | 2021-02-02 | Cardialen, Inc. | Multi-stage atrial cardioversion therapy leads |
| EP3383490B1 (en) | 2015-12-03 | 2019-09-18 | Medtronic Inc. | Extra-cardiovascular pacing using high-voltage therapy circuitry of an implantable cardioverter defibrillator |
| US10232182B2 (en) * | 2016-04-28 | 2019-03-19 | Medtronic, Inc. | Detecting and responding to anti-tachyarrhythmia shocks |
| EP3914345A1 (en) * | 2019-01-23 | 2021-12-01 | Impulse Dynamics NV | Discrimination of supraventricular tachycardias in combined ccm-icd device |
| WO2024039538A1 (en) * | 2022-08-16 | 2024-02-22 | Boston Scientific Neuromodulation Corporation | Adaptive neuromodulation therapy |
Family Cites Families (17)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4727877A (en) | 1984-12-18 | 1988-03-01 | Medtronic, Inc. | Method and apparatus for low energy endocardial defibrillation |
| 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 |
| US5129392A (en) | 1990-12-20 | 1992-07-14 | Medtronic, Inc. | Apparatus for automatically inducing fibrillation |
| US5215083A (en) | 1991-10-07 | 1993-06-01 | Telectronics Pacing Systems, Inc. | Apparatus and method for arrhythmia induction in arrhythmia control system |
| US5674254A (en) | 1995-05-22 | 1997-10-07 | Vitatron Medical, B.V. | Cardiac pacemaker system and method for determining a measure of pacing threshold without incurring loss of capture |
| US5741312A (en) | 1997-03-12 | 1998-04-21 | Vitatron Medical, B.V. | Pacemaker system and method with improved capture detection and threshold search |
| US5925067A (en) | 1997-12-11 | 1999-07-20 | Pacesetter, Inc. | Automatic capture detection during non-invasive programmed stimulation of a patient's heart |
| US6052621A (en) | 1998-01-27 | 2000-04-18 | Vitatron Medical B.V. | System and method for inducing tachycardia |
| US6393316B1 (en) | 1999-05-12 | 2002-05-21 | Medtronic, Inc. | Method and apparatus for detection and treatment of cardiac arrhythmias |
| US6453197B1 (en) * | 2000-04-18 | 2002-09-17 | Pacesetter, Inc. | Implantable cardiac stimulation device including a system for and method of automatically inducing a tachyarrhythmia |
| US6647292B1 (en) | 2000-09-18 | 2003-11-11 | Cameron Health | Unitary subcutaneous only implantable cardioverter-defibrillator and optional pacer |
| US7286876B2 (en) | 2001-10-26 | 2007-10-23 | Cardiac Pacemakers, Inc. | Template-based capture verification for multi-site pacing |
| US6675042B2 (en) | 2002-04-15 | 2004-01-06 | Charles D. Swerdlow | Defibrillation shock strength determination technology |
| US8560063B2 (en) * | 2002-09-10 | 2013-10-15 | Uab Research Foundation | Post-defibrillation pacing methods and devices |
| US7319898B2 (en) | 2003-04-25 | 2008-01-15 | Medtronic, Inc. | Self-adapting defibrillator induction feature |
| US7536224B2 (en) * | 2003-04-30 | 2009-05-19 | Medtronic, Inc. | Method for elimination of ventricular pro-arrhythmic effect caused by atrial therapy |
-
2005
- 2005-04-28 US US11/117,593 patent/US7634316B2/en active Active
-
2006
- 2006-04-17 EP EP06750734A patent/EP1899008B1/en active Active
- 2006-04-17 JP JP2008508924A patent/JP5076115B2/ja active Active
- 2006-04-17 CA CA002605528A patent/CA2605528A1/en not_active Abandoned
- 2006-04-17 WO PCT/US2006/014761 patent/WO2006115940A1/en not_active Ceased
- 2006-04-17 AT AT06750734T patent/ATE509662T1/de not_active IP Right Cessation
Also Published As
| Publication number | Publication date |
|---|---|
| EP1899008A1 (en) | 2008-03-19 |
| JP2008538999A (ja) | 2008-11-13 |
| US7634316B2 (en) | 2009-12-15 |
| JP5076115B2 (ja) | 2012-11-21 |
| ATE509662T1 (de) | 2011-06-15 |
| WO2006115940A1 (en) | 2006-11-02 |
| US20060247687A1 (en) | 2006-11-02 |
| EP1899008B1 (en) | 2011-05-18 |
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| US7536224B2 (en) | Method for elimination of ventricular pro-arrhythmic effect caused by atrial therapy | |
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| US20080269819A1 (en) | Discrimination of supraventricular tachycardia from ventricular tachycardia | |
| US8290590B2 (en) | Dynamic morphology based atrial automatic threshold | |
| US7634316B2 (en) | Method and apparatus for validating a pacing train associated with T-shock delivery | |
| EP2654888B1 (en) | Rate initialization and overdrive pacing for capture threshold testing | |
| US8064996B2 (en) | Automatic determination of T-shock vulnerable window | |
| EP2742972B1 (en) | Capture confirmation for multi-site pacing | |
| US7181275B2 (en) | Method and apparatus for actively determining a coupling interval corresponding to a cardiac vulnerable zone | |
| US20070293894A1 (en) | Method and apparatus for detecting non-sustaining ventricular tachyarrhythmia | |
| EP2328654B1 (en) | Determination of upper limit of vulnerability using a variable number of shocks | |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| FZDE | Discontinued |