CN103796714B - 用于自动调整心脏再同步治疗控制参数的系统与方法 - Google Patents
用于自动调整心脏再同步治疗控制参数的系统与方法 Download PDFInfo
- Publication number
- CN103796714B CN103796714B CN201280044539.6A CN201280044539A CN103796714B CN 103796714 B CN103796714 B CN 103796714B CN 201280044539 A CN201280044539 A CN 201280044539A CN 103796714 B CN103796714 B CN 103796714B
- Authority
- CN
- China
- Prior art keywords
- cardiac
- fusion
- pacing
- activation
- electrical activity
- 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
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/316—Modalities, i.e. specific diagnostic methods
- A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
- A61B5/346—Analysis of electrocardiograms
- A61B5/349—Detecting specific parameters of the electrocardiograph cycle
- A61B5/366—Detecting abnormal QRS complex, e.g. widening
-
- 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
- A61N1/36592—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by the heart rate variability
-
- 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
-
- 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
- A61N1/3682—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions with a variable atrioventricular delay
Landscapes
- Health & Medical Sciences (AREA)
- Cardiology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Biophysics (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- Physiology (AREA)
- Radiology & Medical Imaging (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Physics & Mathematics (AREA)
- Pathology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Surgery (AREA)
- Electrotherapy Devices (AREA)
- Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201161507760P | 2011-07-14 | 2011-07-14 | |
| US61/507,760 | 2011-07-14 | ||
| PCT/US2012/046907 WO2013010165A1 (en) | 2011-07-14 | 2012-07-16 | System and method for automated adjustment of cardiac resynchronization therapy control parameters |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN103796714A CN103796714A (zh) | 2014-05-14 |
| CN103796714B true CN103796714B (zh) | 2016-03-09 |
Family
ID=47506602
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201280044539.6A Expired - Fee Related CN103796714B (zh) | 2011-07-14 | 2012-07-16 | 用于自动调整心脏再同步治疗控制参数的系统与方法 |
Country Status (6)
| Country | Link |
|---|---|
| US (1) | US10029103B2 (enExample) |
| EP (1) | EP2731672B1 (enExample) |
| JP (1) | JP6105576B2 (enExample) |
| CN (1) | CN103796714B (enExample) |
| ES (1) | ES2739812T3 (enExample) |
| WO (1) | WO2013010165A1 (enExample) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US12440169B2 (en) | 2014-07-14 | 2025-10-14 | Medtronic, Inc. | Determining prospective risk of heart failure hospitalization |
Families Citing this family (66)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US9510763B2 (en) | 2011-05-03 | 2016-12-06 | Medtronic, Inc. | Assessing intra-cardiac activation patterns and electrical dyssynchrony |
| US9204815B2 (en) * | 2012-05-04 | 2015-12-08 | The Cleveland Clinic Foundation | Frequency analysis tool for cardiac resynchronization |
| US9278219B2 (en) | 2013-03-15 | 2016-03-08 | Medtronic, Inc. | Closed loop optimization of control parameters during cardiac pacing |
| US10064567B2 (en) | 2013-04-30 | 2018-09-04 | Medtronic, Inc. | Systems, methods, and interfaces for identifying optimal electrical vectors |
| US9931048B2 (en) | 2013-04-30 | 2018-04-03 | Medtronic, Inc. | Systems, methods, and interfaces for identifying effective electrodes |
| US10251555B2 (en) | 2013-06-12 | 2019-04-09 | Medtronic, Inc. | Implantable electrode location selection |
| US9877789B2 (en) | 2013-06-12 | 2018-01-30 | Medtronic, Inc. | Implantable electrode location selection |
| US9474457B2 (en) | 2013-06-12 | 2016-10-25 | Medtronic, Inc. | Metrics of electrical dyssynchrony and electrical activation patterns from surface ECG electrodes |
| US9278220B2 (en) | 2013-07-23 | 2016-03-08 | Medtronic, Inc. | Identification of healthy versus unhealthy substrate for pacing from a multipolar lead |
| US9282907B2 (en) | 2013-07-23 | 2016-03-15 | Medtronic, Inc. | Identification of healthy versus unhealthy substrate for pacing from a multipolar lead |
| US9265954B2 (en) | 2013-07-26 | 2016-02-23 | Medtronic, Inc. | Method and system for improved estimation of time of left ventricular pacing with respect to intrinsic right ventricular activation in cardiac resynchronization therapy |
| US9265955B2 (en) | 2013-07-26 | 2016-02-23 | Medtronic, Inc. | Method and system for improved estimation of time of left ventricular pacing with respect to intrinsic right ventricular activation in cardiac resynchronization therapy |
| US9986928B2 (en) | 2013-12-09 | 2018-06-05 | Medtronic, Inc. | Noninvasive cardiac therapy evaluation |
| US9320446B2 (en) | 2013-12-09 | 2016-04-26 | Medtronic, Inc. | Bioelectric sensor device and methods |
| US9776009B2 (en) | 2014-03-20 | 2017-10-03 | Medtronic, Inc. | Non-invasive detection of phrenic nerve stimulation |
| US9591982B2 (en) | 2014-07-31 | 2017-03-14 | Medtronic, Inc. | Systems and methods for evaluating cardiac therapy |
| US9586052B2 (en) | 2014-08-15 | 2017-03-07 | Medtronic, Inc. | Systems and methods for evaluating cardiac therapy |
| US9764143B2 (en) | 2014-08-15 | 2017-09-19 | Medtronic, Inc. | Systems and methods for configuration of interventricular interval |
| US9586050B2 (en) | 2014-08-15 | 2017-03-07 | Medtronic, Inc. | Systems and methods for configuration of atrioventricular interval |
| US11253178B2 (en) | 2015-01-29 | 2022-02-22 | Medtronic, Inc. | Noninvasive assessment of cardiac resynchronization therapy |
| CN104546428B (zh) * | 2015-01-30 | 2016-06-15 | 张建卿 | 复合多功能三维立体心脏保护罩 |
| US10166396B2 (en) * | 2015-04-24 | 2019-01-01 | Medtronic, Inc. | Efficient delivery of multi-site pacing |
| US9656087B2 (en) * | 2015-07-31 | 2017-05-23 | Medtronic, Inc. | Delivery of bi-ventricular pacing therapy in a cardiac medical device and medical device system |
| EP3389770B1 (fr) * | 2015-12-18 | 2020-08-26 | Sorin CRM SAS | Dispositif médical implantable actif de type resynchroniseur cardiaque avec adaptation dynamique du délai atrioventriculaire en fonction d'un degré de fusion détecté et quantifié |
| US10780279B2 (en) * | 2016-02-26 | 2020-09-22 | Medtronic, Inc. | Methods and systems of optimizing right ventricular only pacing for patients with respect to an atrial event and left ventricular event |
| US11219769B2 (en) * | 2016-02-26 | 2022-01-11 | Medtronic, Inc. | Noninvasive methods and systems of determining the extent of tissue capture from cardiac pacing |
| EP3474945B1 (en) | 2016-06-27 | 2022-12-28 | Cardiac Pacemakers, Inc. | Cardiac therapy system using subcutaneously sensed p-waves for resynchronization pacing management |
| WO2018009392A1 (en) | 2016-07-07 | 2018-01-11 | Cardiac Pacemakers, Inc. | Leadless pacemaker using pressure measurements for pacing capture verification |
| WO2018039322A1 (en) | 2016-08-24 | 2018-03-01 | Cardiac Pacemakers, Inc. | Cardiac resynchronization using fusion promotion for timing management |
| CN109640809B (zh) | 2016-08-24 | 2021-08-17 | 心脏起搏器股份公司 | 使用p波到起搏定时的集成式多装置心脏再同步治疗 |
| US10758737B2 (en) | 2016-09-21 | 2020-09-01 | Cardiac Pacemakers, Inc. | Using sensor data from an intracardially implanted medical device to influence operation of an extracardially implantable cardioverter |
| WO2018081017A1 (en) | 2016-10-27 | 2018-05-03 | Cardiac Pacemakers, Inc. | Implantable medical device with pressure sensor |
| US10463305B2 (en) | 2016-10-27 | 2019-11-05 | Cardiac Pacemakers, Inc. | Multi-device cardiac resynchronization therapy with timing enhancements |
| EP3541471B1 (en) | 2016-11-21 | 2021-01-20 | Cardiac Pacemakers, Inc. | Leadless cardiac pacemaker providing cardiac resynchronization therapy |
| US11207532B2 (en) | 2017-01-04 | 2021-12-28 | Cardiac Pacemakers, Inc. | Dynamic sensing updates using postural input in a multiple device cardiac rhythm management system |
| US10532213B2 (en) | 2017-03-03 | 2020-01-14 | Medtronic, Inc. | Criteria for determination of local tissue latency near pacing electrode |
| US10987517B2 (en) | 2017-03-15 | 2021-04-27 | Medtronic, Inc. | Detection of noise signals in cardiac signals |
| CN111050841B (zh) | 2017-07-28 | 2023-09-26 | 美敦力公司 | 心动周期选择 |
| CN110996784B (zh) | 2017-07-28 | 2023-05-30 | 美敦力公司 | 生成激动时间 |
| EP3668592B1 (en) | 2017-08-18 | 2021-11-17 | Cardiac Pacemakers, Inc. | Implantable medical device with pressure sensor |
| US10786167B2 (en) | 2017-12-22 | 2020-09-29 | Medtronic, Inc. | Ectopic beat-compensated electrical heterogeneity information |
| US10799703B2 (en) | 2017-12-22 | 2020-10-13 | Medtronic, Inc. | Evaluation of his bundle pacing therapy |
| US11419539B2 (en) | 2017-12-22 | 2022-08-23 | Regents Of The University Of Minnesota | QRS onset and offset times and cycle selection using anterior and posterior electrode signals |
| US10492705B2 (en) | 2017-12-22 | 2019-12-03 | Regents Of The University Of Minnesota | Anterior and posterior electrode signals |
| US10433746B2 (en) | 2017-12-22 | 2019-10-08 | Regents Of The University Of Minnesota | Systems and methods for anterior and posterior electrode signal analysis |
| US10617318B2 (en) | 2018-02-27 | 2020-04-14 | Medtronic, Inc. | Mapping electrical activity on a model heart |
| US10668290B2 (en) | 2018-03-01 | 2020-06-02 | Medtronic, Inc. | Delivery of pacing therapy by a cardiac pacing device |
| US10918870B2 (en) | 2018-03-07 | 2021-02-16 | Medtronic, Inc. | Atrial lead placement for treatment of atrial dyssynchrony |
| US10780281B2 (en) | 2018-03-23 | 2020-09-22 | Medtronic, Inc. | Evaluation of ventricle from atrium pacing therapy |
| US11285312B2 (en) | 2018-03-29 | 2022-03-29 | Medtronic, Inc. | Left ventricular assist device adjustment and evaluation |
| US11304641B2 (en) | 2018-06-01 | 2022-04-19 | Medtronic, Inc. | Systems, methods, and interfaces for use in cardiac evaluation |
| US10940321B2 (en) | 2018-06-01 | 2021-03-09 | Medtronic, Inc. | Systems, methods, and interfaces for use in cardiac evaluation |
| EP3806951B1 (en) * | 2018-06-14 | 2024-07-24 | Medtronic, Inc. | Delivery of cardiac pacing therapy for cardiac remodeling |
| US11298548B2 (en) * | 2019-01-23 | 2022-04-12 | Medtronic, Inc. | Dual-electrogram based control of cardiac resynchronization therapy |
| US11547858B2 (en) | 2019-03-29 | 2023-01-10 | Medtronic, Inc. | Systems, methods, and devices for adaptive cardiac therapy |
| US11697025B2 (en) | 2019-03-29 | 2023-07-11 | Medtronic, Inc. | Cardiac conduction system capture |
| WO2020257388A1 (en) * | 2019-06-19 | 2020-12-24 | Allina Health System | Systems and methods for optimizing implantable medical device characteristics using data structures and graphical representations |
| US11497431B2 (en) | 2019-10-09 | 2022-11-15 | Medtronic, Inc. | Systems and methods for configuring cardiac therapy |
| US12201843B2 (en) | 2019-10-09 | 2025-01-21 | Medtronic, Inc. | Synchronizing external electrical activity |
| US11642533B2 (en) | 2019-11-04 | 2023-05-09 | Medtronic, Inc. | Systems and methods for evaluating cardiac therapy |
| US12383183B2 (en) | 2020-01-30 | 2025-08-12 | Medtronic, Inc. | Disturbance detection and removal in cardiac signals |
| US12023503B2 (en) | 2020-07-30 | 2024-07-02 | Medtronic, Inc. | ECG belt systems to interoperate with IMDs |
| US12465770B2 (en) | 2020-07-31 | 2025-11-11 | Medtronic, Inc. | Coronary sinus conduction system pacing and delivery |
| US11813464B2 (en) | 2020-07-31 | 2023-11-14 | Medtronic, Inc. | Cardiac conduction system evaluation |
| US12280260B2 (en) | 2020-12-02 | 2025-04-22 | Medtronic, Inc. | Evaluation and adjustment of left bundle branch (LBB) pacing therapy |
| CN116870365A (zh) * | 2022-01-30 | 2023-10-13 | 合源医疗器械(上海)有限公司 | 脉冲刺激控制方法、装置、医疗系统、电子设备及介质 |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20080119903A1 (en) * | 2006-11-17 | 2008-05-22 | Shantha Arcot-Krishnamurthy | Cardiac resynchronization therapy optimization using cardiac activation sequence information |
| US20080306568A1 (en) * | 2001-03-30 | 2008-12-11 | Cardiac Pacemakers, Inc. | Identifying heart failure patients suitable for resynchronization therapy using QRS complex width from an intracardiac electrogram |
| US20090299423A1 (en) * | 2008-06-03 | 2009-12-03 | Pacesetter, Inc. | Systems and methods for determining inter-atrial conduction delays using multi-pole left ventricular pacing/sensing leads |
| US20100268059A1 (en) * | 2009-04-07 | 2010-10-21 | Pacesetter, Inc. | Therapy optimization via multi-dimensional mapping |
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| WO2003020364A2 (en) | 2001-08-28 | 2003-03-13 | Medtronic, Inc. | Implantable medical device for treating cardiac mechanical dysfunction by electrical stimulation |
| US6934586B2 (en) | 2002-04-22 | 2005-08-23 | Medtronic, Inc. | Cardiac resynchronization with adaptive A1-A2 and/or V1-V2 intervals |
| US6978184B1 (en) * | 2002-07-29 | 2005-12-20 | Marcus Frank I | Optimization method for cardiac resynchronization therapy |
| US7142922B2 (en) | 2002-12-20 | 2006-11-28 | Cardiac Pacemakers, Inc. | Method and apparatus for predicting acute response to cardiac resynchronization therapy at a given stimulation site |
| US7013176B2 (en) | 2003-01-28 | 2006-03-14 | Cardiac Pacemakers, Inc. | Method and apparatus for setting pacing parameters in cardiac resynchronization therapy |
| US6885889B2 (en) | 2003-02-28 | 2005-04-26 | Medtronic, Inc. | Method and apparatus for optimizing cardiac resynchronization therapy based on left ventricular acceleration |
| US7079895B2 (en) | 2003-04-25 | 2006-07-18 | Medtronic, Inc. | Cardiac pacing for optimal intra-left ventricular resynchronization |
| WO2006069033A1 (en) | 2004-12-20 | 2006-06-29 | Medtronic, Inc. | Automatic lv / rv capture verification and diagnostics |
| US8214041B2 (en) | 2005-04-19 | 2012-07-03 | Medtronic, Inc. | Optimization of AV intervals in single ventricle fusion pacing through electrogram morphology |
| US7570999B2 (en) | 2005-12-20 | 2009-08-04 | Cardiac Pacemakers, Inc. | Implantable device for treating epilepsy and cardiac rhythm disorders |
| DE602008004206D1 (de) | 2007-12-13 | 2011-02-10 | Ela Medical Sa | Medizinische Vorrichtung zur Bestimmung des Herzzustands eines Patienten, dem ein aktives Implantat zur biventrikulären Stimulation eingesetzt wurde |
| US8145308B2 (en) * | 2008-03-13 | 2012-03-27 | Medtronic, Inc. | Method and apparatus for determining a parameter associated with delivery of therapy in a medical device |
| WO2010039501A1 (en) * | 2008-10-03 | 2010-04-08 | Cardiac Pacemakers, Inc. | Methods and apparatuses for cardiac resynchronization therapy mode selection based on intrinsic conduction |
-
2012
- 2012-07-16 ES ES12811723T patent/ES2739812T3/es active Active
- 2012-07-16 US US14/131,868 patent/US10029103B2/en not_active Expired - Fee Related
- 2012-07-16 EP EP12811723.1A patent/EP2731672B1/en not_active Not-in-force
- 2012-07-16 CN CN201280044539.6A patent/CN103796714B/zh not_active Expired - Fee Related
- 2012-07-16 JP JP2014520405A patent/JP6105576B2/ja not_active Expired - Fee Related
- 2012-07-16 WO PCT/US2012/046907 patent/WO2013010165A1/en not_active Ceased
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20080306568A1 (en) * | 2001-03-30 | 2008-12-11 | Cardiac Pacemakers, Inc. | Identifying heart failure patients suitable for resynchronization therapy using QRS complex width from an intracardiac electrogram |
| US20080119903A1 (en) * | 2006-11-17 | 2008-05-22 | Shantha Arcot-Krishnamurthy | Cardiac resynchronization therapy optimization using cardiac activation sequence information |
| US20090299423A1 (en) * | 2008-06-03 | 2009-12-03 | Pacesetter, Inc. | Systems and methods for determining inter-atrial conduction delays using multi-pole left ventricular pacing/sensing leads |
| US20100268059A1 (en) * | 2009-04-07 | 2010-10-21 | Pacesetter, Inc. | Therapy optimization via multi-dimensional mapping |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US12440169B2 (en) | 2014-07-14 | 2025-10-14 | Medtronic, Inc. | Determining prospective risk of heart failure hospitalization |
Also Published As
| Publication number | Publication date |
|---|---|
| JP2014522697A (ja) | 2014-09-08 |
| EP2731672B1 (en) | 2019-06-05 |
| WO2013010165A1 (en) | 2013-01-17 |
| CN103796714A (zh) | 2014-05-14 |
| EP2731672A1 (en) | 2014-05-21 |
| US20140222099A1 (en) | 2014-08-07 |
| EP2731672A4 (en) | 2015-04-01 |
| JP6105576B2 (ja) | 2017-03-29 |
| US10029103B2 (en) | 2018-07-24 |
| ES2739812T3 (es) | 2020-02-04 |
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| C14 | Grant of patent or utility model | ||
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| 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: 20160309 |