CN112601577A - 适应性vfa心脏治疗 - Google Patents
适应性vfa心脏治疗 Download PDFInfo
- Publication number
- CN112601577A CN112601577A CN201980056140.1A CN201980056140A CN112601577A CN 112601577 A CN112601577 A CN 112601577A CN 201980056140 A CN201980056140 A CN 201980056140A CN 112601577 A CN112601577 A CN 112601577A
- Authority
- CN
- China
- Prior art keywords
- pacing
- heart
- electrode
- patient
- therapy
- 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.)
- Pending
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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
- A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
- A61N1/36585—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by two or more physical parameters
-
- 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
- A61N1/3684—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions for stimulating the heart at multiple sites of the ventricle or the atrium
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/103—Measuring devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
- A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb
- A61B5/1102—Ballistocardiography
-
- 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
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
- A61B5/6867—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive specially adapted to be attached or implanted in a specific body part
- A61B5/6869—Heart
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
- A61N1/056—Transvascular endocardial electrode systems
- A61N1/057—Anchoring means; Means for fixing the head inside the heart
- A61N1/0573—Anchoring means; Means for fixing the head inside the heart chacterised by means penetrating the heart tissue, e.g. helix needle or hook
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
- A61N1/0587—Epicardial electrode systems; Endocardial electrodes piercing the pericardium
-
- 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
- A61N1/36578—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure controlled by mechanical motion of the heart wall, e.g. measured by an accelerometer or microphone
-
- 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
-
- 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
- A61N1/372—Arrangements in connection with the implantation of stimulators
- A61N1/37205—Microstimulators, e.g. implantable through a cannula
-
- 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
- A61N1/372—Arrangements in connection with the implantation of stimulators
- A61N1/375—Constructional arrangements, e.g. casings
- A61N1/3756—Casings with electrodes thereon, e.g. leadless stimulators
-
- 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
- A61B5/25—Bioelectric electrodes therefor
- A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
- A61B5/28—Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
- A61B5/282—Holders for multiple electrodes
-
- 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
-
- 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
-
- 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
- A61N1/372—Arrangements in connection with the implantation of stimulators
- A61N1/375—Constructional arrangements, e.g. casings
- A61N1/37518—Anchoring of the implants, e.g. fixation
Landscapes
- Health & Medical Sciences (AREA)
- Cardiology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Radiology & Medical Imaging (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Biophysics (AREA)
- Physiology (AREA)
- Pathology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Surgery (AREA)
- Physics & Mathematics (AREA)
- Dentistry (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Hematology (AREA)
- Vascular Medicine (AREA)
- Electrotherapy Devices (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201862725763P | 2018-08-31 | 2018-08-31 | |
| US62/725,763 | 2018-08-31 | ||
| PCT/IB2019/057352 WO2020044312A1 (en) | 2018-08-31 | 2019-08-30 | Adaptive vfa cardiac therapy |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN112601577A true CN112601577A (zh) | 2021-04-02 |
Family
ID=68165639
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201980056140.1A Pending CN112601577A (zh) | 2018-08-31 | 2019-08-30 | 适应性vfa心脏治疗 |
Country Status (5)
| Country | Link |
|---|---|
| US (1) | US20200069949A1 (https=) |
| EP (1) | EP3843828B1 (https=) |
| JP (1) | JP2021535765A (https=) |
| CN (1) | CN112601577A (https=) |
| WO (1) | WO2020044312A1 (https=) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN115361994A (zh) * | 2020-04-03 | 2022-11-18 | 美敦力公司 | 心脏传导系统接合 |
Families Citing this family (18)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US11304641B2 (en) | 2018-06-01 | 2022-04-19 | Medtronic, Inc. | Systems, methods, and interfaces for use in cardiac evaluation |
| US11951313B2 (en) | 2018-11-17 | 2024-04-09 | Medtronic, Inc. | VFA delivery systems and methods |
| US12201843B2 (en) | 2019-10-09 | 2025-01-21 | Medtronic, Inc. | Synchronizing external electrical activity |
| US11497431B2 (en) | 2019-10-09 | 2022-11-15 | Medtronic, Inc. | Systems and methods for configuring cardiac therapy |
| US12543992B2 (en) * | 2020-03-30 | 2026-02-10 | Medtronic, Inc. | Pacing efficacy determination using a representative morphology of external cardiac signals |
| US11911168B2 (en) * | 2020-04-03 | 2024-02-27 | Medtronic, Inc. | Cardiac conduction system therapy benefit determination |
| WO2021217135A1 (en) * | 2020-04-24 | 2021-10-28 | The General Hospital Corporation | System and method for electromagnetic interference mitigation for portable mri systems |
| US12605103B2 (en) | 2020-05-21 | 2026-04-21 | Medtronic, Inc. | QRS detection and bracketing |
| US12023503B2 (en) | 2020-07-30 | 2024-07-02 | Medtronic, Inc. | ECG belt systems to interoperate with IMDs |
| US11813464B2 (en) * | 2020-07-31 | 2023-11-14 | Medtronic, Inc. | Cardiac conduction system evaluation |
| US12465770B2 (en) | 2020-07-31 | 2025-11-11 | Medtronic, Inc. | Coronary sinus conduction system pacing and delivery |
| US20220133178A1 (en) * | 2020-10-29 | 2022-05-05 | Cardiac Pacemakers, Inc. | Fibrous cover layer for medical devices |
| US12551145B2 (en) | 2020-10-29 | 2026-02-17 | Cardiac Pacemakers, Inc. | Integrated thermo-photonic chemical sensor |
| US12280260B2 (en) | 2020-12-02 | 2025-04-22 | Medtronic, Inc. | Evaluation and adjustment of left bundle branch (LBB) pacing therapy |
| EP4291297A1 (en) * | 2021-02-11 | 2023-12-20 | BIOTRONIK SE & Co. KG | An implantable medical device configured to provide an intra-cardiac function |
| CN119278070A (zh) * | 2022-05-25 | 2025-01-07 | 美敦力公司 | 使用VfA装置检测快速性心律失常 |
| US20230381523A1 (en) * | 2022-05-25 | 2023-11-30 | Medtronic, Inc. | Single channel sensing using vfa device |
| WO2026022635A1 (en) * | 2024-07-26 | 2026-01-29 | Medtronic, Inc. | Cardiac remodeling pacing therapy based on heart failure status |
Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20080103539A1 (en) * | 2006-10-30 | 2008-05-01 | Berthold Stegemann | Method, Apparatus and System to Identify Optimal Pacing Parameters Using Sensor Data |
| US20140107723A1 (en) * | 2012-10-16 | 2014-04-17 | Pacesetter, Inc. | Single-chamber leadless intra-cardiac medical device with dual-chamber functionality |
| US20160045744A1 (en) * | 2014-08-15 | 2016-02-18 | Medtronic, Inc. | Systems and methods for evaluating cardiac therapy |
Family Cites Families (40)
| Publication number | Priority date | Publication date | Assignee | Title |
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| US4546777A (en) | 1981-03-06 | 1985-10-15 | Siemens Gammasonics, Inc. | Heart sound detector and synchronization for diagnostics |
| US5154170A (en) | 1990-08-14 | 1992-10-13 | Medtronic, Inc. | Optimization for rate responsive cardiac pacemaker |
| SE9202792D0 (sv) * | 1992-09-28 | 1992-09-28 | Siemens Elema Ab | Elektrodsystem foer pacemaker |
| US5562711A (en) | 1994-11-30 | 1996-10-08 | Medtronic, Inc. | Method and apparatus for rate-responsive cardiac pacing |
| US5554177A (en) | 1995-03-27 | 1996-09-10 | Medtronic, Inc. | Method and apparatus to optimize pacing based on intensity of acoustic signal |
| US7321677B2 (en) | 2000-05-09 | 2008-01-22 | Paieon Inc. | System and method for three-dimensional reconstruction of an artery |
| US6980675B2 (en) | 2000-10-18 | 2005-12-27 | Paieon, Inc. | Method for processing images of coronary arteries |
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| US7286866B2 (en) | 2001-11-05 | 2007-10-23 | Ge Medical Systems Global Technology Company, Llc | Method, system and computer product for cardiac interventional procedure planning |
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| US7499743B2 (en) | 2002-03-15 | 2009-03-03 | General Electric Company | Method and system for registration of 3D images within an interventional system |
| US6882882B2 (en) * | 2002-04-22 | 2005-04-19 | Medtronic, Inc. | Atrioventricular delay adjustment |
| US7778686B2 (en) | 2002-06-04 | 2010-08-17 | General Electric Company | Method and apparatus for medical intervention procedure planning and location and navigation of an intervention tool |
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| US7565190B2 (en) | 2003-05-09 | 2009-07-21 | Ge Medical Systems Global Technology Company, Llc | Cardiac CT system and method for planning atrial fibrillation intervention |
| US7813785B2 (en) | 2003-07-01 | 2010-10-12 | General Electric Company | Cardiac imaging system and method for planning minimally invasive direct coronary artery bypass surgery |
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| JP5129480B2 (ja) | 2003-09-25 | 2013-01-30 | パイエオン インコーポレイテッド | 管状臓器の3次元再構成を行うシステム及び血管撮像装置の作動方法 |
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-
2019
- 2019-08-30 WO PCT/IB2019/057352 patent/WO2020044312A1/en not_active Ceased
- 2019-08-30 EP EP19783662.0A patent/EP3843828B1/en active Active
- 2019-08-30 JP JP2020570161A patent/JP2021535765A/ja active Pending
- 2019-08-30 US US16/557,143 patent/US20200069949A1/en not_active Abandoned
- 2019-08-30 CN CN201980056140.1A patent/CN112601577A/zh active Pending
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20080103539A1 (en) * | 2006-10-30 | 2008-05-01 | Berthold Stegemann | Method, Apparatus and System to Identify Optimal Pacing Parameters Using Sensor Data |
| US20140107723A1 (en) * | 2012-10-16 | 2014-04-17 | Pacesetter, Inc. | Single-chamber leadless intra-cardiac medical device with dual-chamber functionality |
| US20160045744A1 (en) * | 2014-08-15 | 2016-02-18 | Medtronic, Inc. | Systems and methods for evaluating cardiac therapy |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN115361994A (zh) * | 2020-04-03 | 2022-11-18 | 美敦力公司 | 心脏传导系统接合 |
Also Published As
| Publication number | Publication date |
|---|---|
| EP3843828B1 (en) | 2024-06-19 |
| JP2021535765A (ja) | 2021-12-23 |
| EP3843828A1 (en) | 2021-07-07 |
| US20200069949A1 (en) | 2020-03-05 |
| WO2020044312A1 (en) | 2020-03-05 |
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