CN113164753B - 在联合心脏收缩力调制-可植入心律转复除颤器装置中的室上性心动过速的区分 - Google Patents

在联合心脏收缩力调制-可植入心律转复除颤器装置中的室上性心动过速的区分 Download PDF

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Publication number
CN113164753B
CN113164753B CN202080006541.9A CN202080006541A CN113164753B CN 113164753 B CN113164753 B CN 113164753B CN 202080006541 A CN202080006541 A CN 202080006541A CN 113164753 B CN113164753 B CN 113164753B
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Prior art keywords
implantable cardioverter
ventricular
wavefront
cardioverter defibrillator
defibrillator
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Chinese (zh)
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CN113164753A (zh
Inventor
大卫·普鲁奇
杰森·迈耶斯
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Impulse Dynamics NV
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Pulse Power Beijing Medical Technology Co ltd
Impulse Dynamics NV
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    • 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
    • A61N1/3956—Implantable devices for applying electric shocks to the heart, e.g. for cardioversion
    • 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]
    • A61B5/339—Displays specially adapted therefor
    • A61B5/341—Vectorcardiography [VCG]
    • 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
    • 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
    • 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
    • A61B5/361—Detecting fibrillation
    • 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
    • A61B5/363—Detecting tachycardia or bradycardia
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/48—Other medical applications
    • A61B5/4836—Diagnosis combined with treatment in closed-loop systems or methods
    • 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
    • A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39—Heart defibrillators
    • A61N1/3956—Implantable devices for applying electric shocks to the heart, e.g. for cardioversion
    • A61N1/3962—Implantable devices for applying electric shocks to the heart, e.g. for cardioversion in combination with another heart therapy
    • A61N1/39622—Pacing therapy

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Biophysics (AREA)
  • Physiology (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)
CN202080006541.9A 2019-01-23 2020-01-23 在联合心脏收缩力调制-可植入心律转复除颤器装置中的室上性心动过速的区分 Active CN113164753B (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201962795612P 2019-01-23 2019-01-23
US62/795,612 2019-01-23
PCT/IB2020/050534 WO2020152619A1 (en) 2019-01-23 2020-01-23 Discrimination of supraventricular tachycardias in combined ccm-icd device

Publications (2)

Publication Number Publication Date
CN113164753A CN113164753A (zh) 2021-07-23
CN113164753B true CN113164753B (zh) 2023-03-24

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Country Link
US (1) US12558557B2 (https=)
EP (1) EP3914345A1 (https=)
JP (1) JP7631205B2 (https=)
CN (1) CN113164753B (https=)
WO (1) WO2020152619A1 (https=)

Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3914345A1 (en) 2019-01-23 2021-12-01 Impulse Dynamics NV Discrimination of supraventricular tachycardias in combined ccm-icd device
US20240001127A1 (en) * 2021-03-29 2024-01-04 Impulse Dynamics Nv Lead positioning for an implantable pulse generator
BR112023020525A2 (pt) * 2021-04-06 2023-11-28 Impulse Dynamics Nv Dispositivo cardíaco implantável, e, método de estimulação antitaquicardia
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
CN119497641A (zh) * 2022-08-08 2025-02-21 合源医疗器械(上海)有限公司 用于发放脉冲刺激的医疗器械

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US5331966A (en) * 1991-04-05 1994-07-26 Medtronic, Inc. Subcutaneous multi-electrode sensing system, method and pacer
US6327499B1 (en) * 1997-08-01 2001-12-04 Eckhard Alt Cardiac stimulator and defibrillator
EP1273319A2 (en) * 2001-07-03 2003-01-08 Pacesetter, Inc. Implantable multi-chamber cardiac stimulation device with sensing vectors
US7225017B1 (en) * 2002-06-12 2007-05-29 Pacesetter, Inc. Parasympathetic nerve stimulation for ICD and/or ATP patients
WO2018197865A1 (en) * 2017-04-25 2018-11-01 Imperial Innovations Limited Systems and methods for treating cardiac arrhythmia

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US4754753A (en) 1981-05-12 1988-07-05 Medtronic, Inc. System for sensing electrical depolarization wave signals and their direction
US5193535A (en) * 1991-08-27 1993-03-16 Medtronic, Inc. Method and apparatus for discrimination of ventricular tachycardia from ventricular fibrillation and for treatment thereof
US5181511A (en) * 1991-10-21 1993-01-26 Telectronics Pacing Systems, Inc. Apparatus and method for antitachycardia pacing using a virtual electrode
FR2685624B1 (fr) * 1991-12-31 1994-03-11 Ela Medical Systeme d'analyse de l'activite cardiaque pour dispositif implantable de traitement des tachycardies.
US5263977A (en) * 1992-10-26 1993-11-23 Angeion Corporation Electrode spacing device
US6263242B1 (en) 1999-03-25 2001-07-17 Impulse Dynamics N.V. Apparatus and method for timing the delivery of non-excitatory ETC signals to a heart
US6993385B1 (en) * 1999-10-25 2006-01-31 Impulse Dynamics N.V. Cardiac contractility modulation device having anti-arrhythmic capabilities and a method of operating thereof
US6847839B2 (en) 2001-07-30 2005-01-25 The Trustees Of Columbia University In The City Of New York System and method for determining reentrant ventricular tachycardia isthmus location and shape for catheter ablation
US7130677B2 (en) 2002-12-04 2006-10-31 Medtronic, Inc. Methods and apparatus for discriminating polymorphic tachyarrhythmias from monomorphic tachyarrhythmias facilitating detection of fibrillation
US7076289B2 (en) * 2002-12-04 2006-07-11 Medtronic, Inc. Methods and apparatus for discriminating polymorphic tachyarrhythmias from monomorphic tachyarrhythmias facilitating detection of fibrillation
US7228176B2 (en) * 2004-07-22 2007-06-05 Cardiac Pacemakers, Inc. Systems, devices, and methods for tachyarrhythmia discrimination or therapy decisions
US7457664B2 (en) * 2005-05-09 2008-11-25 Cardiac Pacemakers, Inc. Closed loop cardiac resynchronization therapy using cardiac activation sequence information
EP1809172B1 (en) 2004-09-30 2017-07-12 Cardiac Pacemakers, Inc. Cardiac activation sequence monitoring and tracking
ATE517658T1 (de) 2004-09-30 2011-08-15 Cardiac Pacemakers Inc Arrythmie-klassifizierung und therapiewahl
US7634316B2 (en) 2005-04-28 2009-12-15 Imperception, Inc. Method and apparatus for validating a pacing train associated with T-shock delivery
US7966067B2 (en) * 2005-09-06 2011-06-21 Impulse Dynamics Nv Apparatus and method for delivering electrical signals to a heart
US8442630B2 (en) 2007-10-09 2013-05-14 University of Pittsburgh—of the Commonwealth System of Higher Education Automated assessment of atrioventricular and ventriculoatrial conduction
US9031646B2 (en) * 2007-10-09 2015-05-12 University of Pittsburgh—of the Commonwealth System of Higher Education Automated assessment of atrioventricular and ventriculoatrial conduction
ATE502339T1 (de) * 2008-03-28 2011-04-15 Ela Medical Sa Aktives medizingerät, das verbesserte mittel zur unterscheidung zwischen tachykardien ventrikulären ursprungs und tachykardien supraventrikulären ursprungs enthält
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US8644924B2 (en) * 2008-10-06 2014-02-04 Cardiac Pacemakers, Inc. Preferential mechanical unloading during anti-tachycardia pacing
US8064999B2 (en) * 2009-01-30 2011-11-22 Medtronic, Inc. Distance-based analysis of return cycles for tachycardia discrimination
EP2429649B1 (en) * 2009-04-22 2016-11-02 Cardiac Pacemakers, Inc. Dynamic selection of algorithms for arrhythmia detection
EP2421605B1 (en) * 2009-04-23 2017-07-12 Impulse Dynamics NV Implantable lead connector
GB2568466B (en) 2017-11-13 2022-01-05 Jaguar Land Rover Ltd Determining a minimum state of charge for an energy storage means of a vehicle
EP3914345A1 (en) 2019-01-23 2021-12-01 Impulse Dynamics NV Discrimination of supraventricular tachycardias in combined ccm-icd device

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Publication number Priority date Publication date Assignee Title
US5331966A (en) * 1991-04-05 1994-07-26 Medtronic, Inc. Subcutaneous multi-electrode sensing system, method and pacer
US6327499B1 (en) * 1997-08-01 2001-12-04 Eckhard Alt Cardiac stimulator and defibrillator
EP1273319A2 (en) * 2001-07-03 2003-01-08 Pacesetter, Inc. Implantable multi-chamber cardiac stimulation device with sensing vectors
US7225017B1 (en) * 2002-06-12 2007-05-29 Pacesetter, Inc. Parasympathetic nerve stimulation for ICD and/or ATP patients
WO2018197865A1 (en) * 2017-04-25 2018-11-01 Imperial Innovations Limited Systems and methods for treating cardiac arrhythmia

Also Published As

Publication number Publication date
CN113164753A (zh) 2021-07-23
US12558557B2 (en) 2026-02-24
JP2022523023A (ja) 2022-04-21
WO2020152619A1 (en) 2020-07-30
US20220088402A1 (en) 2022-03-24
JP7631205B2 (ja) 2025-02-18
EP3914345A1 (en) 2021-12-01

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