CN101522260B - 用于响应性神经刺激治疗的可植入装置 - Google Patents

用于响应性神经刺激治疗的可植入装置 Download PDF

Info

Publication number
CN101522260B
CN101522260B CN2007800375316A CN200780037531A CN101522260B CN 101522260 B CN101522260 B CN 101522260B CN 2007800375316 A CN2007800375316 A CN 2007800375316A CN 200780037531 A CN200780037531 A CN 200780037531A CN 101522260 B CN101522260 B CN 101522260B
Authority
CN
China
Prior art keywords
controller
neural stimulation
stimulation
duty factor
programmed
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.)
Expired - Fee Related
Application number
CN2007800375316A
Other languages
English (en)
Chinese (zh)
Other versions
CN101522260A (zh
Inventor
巴德里·阿穆德
伊马德·利布斯
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.)
Cardiac Pacemakers Inc
Original Assignee
Cardiac Pacemakers Inc
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 Cardiac Pacemakers Inc filed Critical Cardiac Pacemakers Inc
Publication of CN101522260A publication Critical patent/CN101522260A/zh
Application granted granted Critical
Publication of CN101522260B publication Critical patent/CN101522260B/zh
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

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
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/3606—Implantable neurostimulators for stimulating central or peripheral nerve system adapted for a particular treatment
    • A61N1/36114—Cardiac control, e.g. by vagal stimulation
    • 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
    • A61N1/3627—Heart stimulators for treating a mechanical deficiency of the heart, e.g. congestive heart failure or cardiomyopathy
    • 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
    • A61N1/36514—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure
    • A61N1/36521—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure the parameter being derived from measurement of an electrical impedance

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Hospice & Palliative Care (AREA)
  • Neurology (AREA)
  • Neurosurgery (AREA)
  • Electrotherapy Devices (AREA)
CN2007800375316A 2006-10-06 2007-06-01 用于响应性神经刺激治疗的可植入装置 Expired - Fee Related CN101522260B (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US11/539,289 US7925342B2 (en) 2006-10-06 2006-10-06 Implantable device for responsive neural stimulation therapy
US11/539,289 2006-10-06
PCT/US2007/070180 WO2008042476A1 (en) 2006-10-06 2007-06-01 Implantable device for responsive neural stimulation therapy

Publications (2)

Publication Number Publication Date
CN101522260A CN101522260A (zh) 2009-09-02
CN101522260B true CN101522260B (zh) 2012-10-24

Family

ID=38671004

Family Applications (1)

Application Number Title Priority Date Filing Date
CN2007800375316A Expired - Fee Related CN101522260B (zh) 2006-10-06 2007-06-01 用于响应性神经刺激治疗的可植入装置

Country Status (6)

Country Link
US (1) US7925342B2 (enExample)
EP (1) EP2073895B1 (enExample)
JP (1) JP5015256B2 (enExample)
CN (1) CN101522260B (enExample)
AU (1) AU2007305134B2 (enExample)
WO (1) WO2008042476A1 (enExample)

Families Citing this family (67)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FI915319A7 (fi) 1989-05-11 1991-11-11 Landec Lab Inc Lämpötila-aktivoidut liimakoostumukset
US7801604B2 (en) 2006-08-29 2010-09-21 Cardiac Pacemakers, Inc. Controlled titration of neurostimulation therapy
US7925342B2 (en) 2006-10-06 2011-04-12 Cardiac Pacemakers, Inc. Implantable device for responsive neural stimulation therapy
US9089700B2 (en) 2008-08-11 2015-07-28 Cibiem, Inc. Systems and methods for treating dyspnea, including via electrical afferent signal blocking
US9079031B2 (en) * 2008-09-11 2015-07-14 Trifectas Medical Corp. Method for improving functional recovery after stroke by electrical stimulation of a cranial nerve
US8457747B2 (en) 2008-10-20 2013-06-04 Cyberonics, Inc. Neurostimulation with signal duration determined by a cardiac cycle
US8548593B2 (en) * 2008-11-10 2013-10-01 Cardiac Pacemakers, Inc. Distal end converter for a medical device lead
JP2012519574A (ja) * 2009-03-09 2012-08-30 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 リンパ管に埋め込み可能な電極を含む自律神経調整のためのシステム
WO2010138228A1 (en) * 2009-05-26 2010-12-02 Cardiac Pacemakers, Inc. Helically formed coil for a neural cuff electrode
US8463377B2 (en) * 2009-05-26 2013-06-11 Cardiac Pacemakers, Inc. Temperature assisted stimulation
WO2011008747A2 (en) * 2009-07-15 2011-01-20 Cardiac Pacemakers, Inc. Remote sensing in an implantable medical device
WO2011008749A2 (en) 2009-07-15 2011-01-20 Cardiac Pacemakers, Inc. Physiologicl vibration detection in an implanted medical device
EP2454697B1 (en) 2009-07-15 2019-05-01 Cardiac Pacemakers, Inc. Remote pace detection in an implantable medical device
JP5577469B2 (ja) 2010-09-15 2014-08-20 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 神経刺激リードのリード構成の自動選択
US9026214B2 (en) * 2011-06-23 2015-05-05 Cardiac Pacemakers, Inc. Systems and methods for avoiding aspiration during autonomic modulation therapy
EP2726142B1 (en) 2011-06-28 2017-05-10 Cardiac Pacemakers, Inc. Strain relief feature for an implantable medical device lead
WO2013006295A1 (en) 2011-07-07 2013-01-10 Cardiac Pacemakers, Inc. Insulation and stability features for an implantable medical device lead
US8577458B1 (en) 2011-12-07 2013-11-05 Cyberonics, Inc. Implantable device for providing electrical stimulation of cervical vagus nerves for treatment of chronic cardiac dysfunction with leadless heart rate monitoring
US8600505B2 (en) 2011-12-07 2013-12-03 Cyberonics, Inc. Implantable device for facilitating control of electrical stimulation of cervical vagus nerves for treatment of chronic cardiac dysfunction
US8918191B2 (en) 2011-12-07 2014-12-23 Cyberonics, Inc. Implantable device for providing electrical stimulation of cervical vagus nerves for treatment of chronic cardiac dysfunction with bounded titration
US8918190B2 (en) 2011-12-07 2014-12-23 Cyberonics, Inc. Implantable device for evaluating autonomic cardiovascular drive in a patient suffering from chronic cardiac dysfunction
US8630709B2 (en) 2011-12-07 2014-01-14 Cyberonics, Inc. Computer-implemented system and method for selecting therapy profiles of electrical stimulation of cervical vagus nerves for treatment of chronic cardiac dysfunction
US10188856B1 (en) 2011-12-07 2019-01-29 Cyberonics, Inc. Implantable device for providing electrical stimulation of cervical vagus nerves for treatment of chronic cardiac dysfunction
JP2015503954A (ja) 2011-12-15 2015-02-05 ザ ボード オブ トラスティーズ オブ ザ リーランド スタンフォードジュニア ユニバーシティＴｈｅ Ｂｏａｒｄ ｏｆ Ｔｒｕｓｔｅｅｓ ｏｆ ｔｈｅ Ｌｅｌａｎｄ Ｓｔａｎｆｏｒｄ Ｊｕｎｉｏｒ Ｕｎｉｖｅｒｓｉｔｙ 肺高血圧症を治療するための装置および方法
US8571654B2 (en) 2012-01-17 2013-10-29 Cyberonics, Inc. Vagus nerve neurostimulator with multiple patient-selectable modes for treating chronic cardiac dysfunction
US8700150B2 (en) 2012-01-17 2014-04-15 Cyberonics, Inc. Implantable neurostimulator for providing electrical stimulation of cervical vagus nerves for treatment of chronic cardiac dysfunction with bounded titration
JP2013165768A (ja) * 2012-02-14 2013-08-29 Olympus Corp 神経刺激装置およびその制御方法
US8903509B2 (en) 2012-03-21 2014-12-02 Cardiac Pacemakers Inc. Systems and methods for stimulation of vagus nerve
CN107693114A (zh) 2012-04-24 2018-02-16 西比姆公司 用于颈动脉体摘除的血管内导管和方法
WO2013181660A1 (en) 2012-06-01 2013-12-05 Cibiem, Inc. Methods and devices for cryogenic carotid body ablation
EP2854681A4 (en) 2012-06-01 2016-02-17 Cibiem Inc PERCUTANEOUS METHODS AND DEVICES FOR CAROTIDE BODY ABLATION
WO2014005155A1 (en) 2012-06-30 2014-01-03 Cibiem, Inc. Carotid body ablation via directed energy
US8688212B2 (en) * 2012-07-20 2014-04-01 Cyberonics, Inc. Implantable neurostimulator-implemented method for managing bradycardia through vagus nerve stimulation
US9114250B2 (en) 2012-10-02 2015-08-25 Cardiac Pacemakers, Inc. Pinch to open cuff electrode
WO2014055393A1 (en) 2012-10-02 2014-04-10 Cardiac Pacemakers, Inc. Pinch to open cuff electrode
US9452290B2 (en) 2012-11-09 2016-09-27 Cyberonics, Inc. Implantable neurostimulator-implemented method for managing tachyarrhythmia through vagus nerve stimulation
US8923964B2 (en) 2012-11-09 2014-12-30 Cyberonics, Inc. Implantable neurostimulator-implemented method for enhancing heart failure patient awakening through vagus nerve stimulation
US9643008B2 (en) 2012-11-09 2017-05-09 Cyberonics, Inc. Implantable neurostimulator-implemented method for enhancing post-exercise recovery through vagus nerve stimulation
US9827036B2 (en) 2012-11-13 2017-11-28 Pulnovo Medical (Wuxi) Co., Ltd. Multi-pole synchronous pulmonary artery radiofrequency ablation catheter
CN102908191A (zh) 2012-11-13 2013-02-06 陈绍良 多极同步肺动脉射频消融导管
US11241267B2 (en) 2012-11-13 2022-02-08 Pulnovo Medical (Wuxi) Co., Ltd Multi-pole synchronous pulmonary artery radiofrequency ablation catheter
US12082868B2 (en) 2012-11-13 2024-09-10 Pulnovo Medical (Wuxi) Co., Ltd. Multi-pole synchronous pulmonary artery radiofrequency ablation catheter
WO2014089392A1 (en) 2012-12-07 2014-06-12 Medtronic, Inc. Minimally invasive implantable neurostimulation system
EP2938396B1 (en) 2012-12-28 2017-02-22 Cardiac Pacemakers, Inc. Stimulation cuff and implantation tool
EP2956208B1 (en) 2013-02-13 2021-01-13 Cardiac Pacemakers, Inc. Cuff electrode with integrated tendril
US9643011B2 (en) 2013-03-14 2017-05-09 Cyberonics, Inc. Implantable neurostimulator-implemented method for managing tachyarrhythmic risk during sleep through vagus nerve stimulation
US9999773B2 (en) 2013-10-30 2018-06-19 Cyberonics, Inc. Implantable neurostimulator-implemented method utilizing multi-modal stimulation parameters
US20150126822A1 (en) * 2013-11-01 2015-05-07 Medtronic Monitoring, Inc. Congestive heart failure risk status determination methods and related devices
US9511228B2 (en) 2014-01-14 2016-12-06 Cyberonics, Inc. Implantable neurostimulator-implemented method for managing hypertension through renal denervation and vagus nerve stimulation
WO2015138795A1 (en) 2014-03-12 2015-09-17 Cibiem, Inc. Carotid body ablation with a transvenous ultrasound imaging and ablation catheter
US9713719B2 (en) 2014-04-17 2017-07-25 Cyberonics, Inc. Fine resolution identification of a neural fulcrum for the treatment of chronic cardiac dysfunction
US9272143B2 (en) 2014-05-07 2016-03-01 Cyberonics, Inc. Responsive neurostimulation for the treatment of chronic cardiac dysfunction
US9950169B2 (en) 2014-04-25 2018-04-24 Cyberonics, Inc. Dynamic stimulation adjustment for identification of a neural fulcrum
US9415224B2 (en) 2014-04-25 2016-08-16 Cyberonics, Inc. Neurostimulation and recording of physiological response for the treatment of chronic cardiac dysfunction
US9409024B2 (en) 2014-03-25 2016-08-09 Cyberonics, Inc. Neurostimulation in a neural fulcrum zone for the treatment of chronic cardiac dysfunction
US9770599B2 (en) 2014-08-12 2017-09-26 Cyberonics, Inc. Vagus nerve stimulation and subcutaneous defibrillation system
US9533153B2 (en) 2014-08-12 2017-01-03 Cyberonics, Inc. Neurostimulation titration process
US9737716B2 (en) 2014-08-12 2017-08-22 Cyberonics, Inc. Vagus nerve and carotid baroreceptor stimulation system
US9504832B2 (en) 2014-11-12 2016-11-29 Cyberonics, Inc. Neurostimulation titration process via adaptive parametric modification
US9757574B2 (en) 2015-05-11 2017-09-12 Rainbow Medical Ltd. Dual chamber transvenous pacemaker
EP3437000A1 (en) * 2016-04-01 2019-02-06 Cardiac Pacemakers, Inc. Detection of worsening heart failure
CN106075724A (zh) * 2016-06-12 2016-11-09 肖波 植入式迷走神经双通道刺激装置
AU2018300009B2 (en) * 2017-07-11 2024-03-28 The General Hospital Corporation Systems and methods for respiratory-gated nerve stimulation
WO2019055688A2 (en) * 2017-09-14 2019-03-21 Cyberonics, Inc. CUSTOMIZABLE TITRATION FOR IMPLANTABLE NEUROSTIMULATOR
CA3096853A1 (en) * 2017-12-18 2019-06-27 Dan Sachs Devices, systems and methods for therapeutic muscle stimulation
US10974079B2 (en) * 2018-08-29 2021-04-13 General Electric Company Neuromodulation techniques
EP4108197A1 (en) 2021-06-24 2022-12-28 Gradient Denervation Technologies Systems for treating tissue

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6141590A (en) * 1997-09-25 2000-10-31 Medtronic, Inc. System and method for respiration-modulated pacing
WO2003018108A2 (en) * 2001-08-21 2003-03-06 Cyberonics, Inc. Treatment of congestive heart failure and autonomic cardiovascular drive disorders
EP1486232A2 (en) * 2002-06-12 2004-12-15 Pacesetter, Inc. Device for improving cardiac funtion in heart failure or CHF patients

Family Cites Families (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP4252826B2 (ja) * 2003-03-14 2009-04-08 テルモ株式会社 心臓治療装置
US7647114B2 (en) 2003-12-24 2010-01-12 Cardiac Pacemakers, Inc. Baroreflex modulation based on monitored cardiovascular parameter
US20060058852A1 (en) * 2004-09-10 2006-03-16 Steve Koh Multi-variable feedback control of stimulation for inspiratory facilitation
US7587238B2 (en) * 2005-03-11 2009-09-08 Cardiac Pacemakers, Inc. Combined neural stimulation and cardiac resynchronization therapy
US8473049B2 (en) * 2005-05-25 2013-06-25 Cardiac Pacemakers, Inc. Implantable neural stimulator with mode switching
US7925342B2 (en) 2006-10-06 2011-04-12 Cardiac Pacemakers, Inc. Implantable device for responsive neural stimulation therapy

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6141590A (en) * 1997-09-25 2000-10-31 Medtronic, Inc. System and method for respiration-modulated pacing
WO2003018108A2 (en) * 2001-08-21 2003-03-06 Cyberonics, Inc. Treatment of congestive heart failure and autonomic cardiovascular drive disorders
EP1486232A2 (en) * 2002-06-12 2004-12-15 Pacesetter, Inc. Device for improving cardiac funtion in heart failure or CHF patients

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
图2.

Also Published As

Publication number Publication date
AU2007305134B2 (en) 2012-01-19
JP2010505528A (ja) 2010-02-25
EP2073895B1 (en) 2017-04-05
US7925342B2 (en) 2011-04-12
CN101522260A (zh) 2009-09-02
AU2007305134A1 (en) 2008-04-10
JP5015256B2 (ja) 2012-08-29
EP2073895A1 (en) 2009-07-01
WO2008042476A1 (en) 2008-04-10
US20080086181A1 (en) 2008-04-10

Similar Documents

Publication Publication Date Title
JP5015256B2 (ja) 応答性神経刺激治療のための埋込み型デバイス
JP5133343B2 (ja) 神経刺激療法の制御された滴定
US7805193B2 (en) Combined remodeling control therapy and anti-remodeling therapy by implantable cardiac device
US7894895B2 (en) System and method for testing neural stimulation threshold
AU2007322172B2 (en) Device for simulated exercise
US8886306B2 (en) Triggered high-output pacing therapy
CN101528303A (zh) 用于神经刺激的系统
JP2009539489A (ja) 身体状態調節システム

Legal Events

Date Code Title Description
C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
C14 Grant of patent or utility model
GR01 Patent grant
CF01 Termination of patent right due to non-payment of annual fee
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20121024

Termination date: 20180601