DE2929498C2 - - Google Patents

Info

Publication number
DE2929498C2
DE2929498C2 DE2929498A DE2929498A DE2929498C2 DE 2929498 C2 DE2929498 C2 DE 2929498C2 DE 2929498 A DE2929498 A DE 2929498A DE 2929498 A DE2929498 A DE 2929498A DE 2929498 C2 DE2929498 C2 DE 2929498C2
Authority
DE
Germany
Prior art keywords
counter
pacemaker
output
signal
microprocessor
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.)
Revoked
Application number
DE2929498A
Other languages
German (de)
English (en)
Other versions
DE2929498A1 (de
Inventor
Stephen R. Rosemount Minn. Us Duggan
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.)
Medtronic Inc
Original Assignee
Medtronic 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 Medtronic Inc filed Critical Medtronic Inc
Publication of DE2929498A1 publication Critical patent/DE2929498A1/de
Application granted granted Critical
Publication of DE2929498C2 publication Critical patent/DE2929498C2/de
Granted legal-status Critical Current

Links

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
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/37211—Means for communicating with stimulators
    • A61N1/37252—Details of algorithms or data aspects of communication system, e.g. handshaking, transmitting specific data or segmenting data
    • A61N1/37264—Changing the program; Upgrading firmware
    • 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
    • A61N1/362—Heart stimulators
    • A61N1/37—Monitoring; Protecting
    • 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
    • A61N1/37211—Means for communicating with stimulators
DE19792929498 1978-07-20 1979-07-20 Implantierbares elektronisches geraet Granted DE2929498A1 (de)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US92630378A 1978-07-20 1978-07-20

Publications (2)

Publication Number Publication Date
DE2929498A1 DE2929498A1 (de) 1980-01-31
DE2929498C2 true DE2929498C2 (fr) 1991-07-11

Family

ID=25453021

Family Applications (2)

Application Number Title Priority Date Filing Date
DE19792929498 Granted DE2929498A1 (de) 1978-07-20 1979-07-20 Implantierbares elektronisches geraet
DE2954642A Expired - Lifetime DE2954642C2 (fr) 1978-07-20 1979-07-20

Family Applications After (1)

Application Number Title Priority Date Filing Date
DE2954642A Expired - Lifetime DE2954642C2 (fr) 1978-07-20 1979-07-20

Country Status (8)

Country Link
JP (1) JPS5521990A (fr)
AU (2) AU536053B2 (fr)
DE (2) DE2929498A1 (fr)
FR (2) FR2431296A1 (fr)
GB (2) GB2079610B (fr)
IT (1) IT1118131B (fr)
NL (1) NL7905649A (fr)
SE (1) SE445176B (fr)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE4339304B4 (de) * 1993-11-18 2005-09-15 Robert Bosch Gmbh Schaltungsanordnung mit einem Übertragungsglied

Families Citing this family (105)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
NL7907462A (nl) * 1978-10-30 1980-05-02 Medtronic Inc Hartgangmaker.
US4273132A (en) * 1978-11-06 1981-06-16 Medtronic, Inc. Digital cardiac pacemaker with threshold margin check
US4230120A (en) * 1978-11-06 1980-10-28 Medtronic, Inc. Energy compensation means for digital cardiac pacemaker
AU530108B2 (en) * 1978-11-06 1983-06-30 Medtronic, Inc. Digital cardiac pacemaker
EP0011935B2 (fr) * 1978-11-06 1991-05-22 Medtronic, Inc. Dispositif programmateur pour stimulateur du corps
US4295474A (en) * 1979-10-02 1981-10-20 The Johns Hopkins University Recorder with patient alarm and service request systems suitable for use with automatic implantable defibrillator
US4278094A (en) * 1979-10-10 1981-07-14 Medtronic, Inc. Pacemaker with pulse width adjustment circuitry
US4284082A (en) * 1979-12-12 1981-08-18 Medtronic B.V.Kerkrade Ventricular synchronized atrial pacemaker and method of operation
US4388927A (en) * 1979-12-13 1983-06-21 American Hospital Supply Corporation Programmable digital cardiac pacer
FR2471789A1 (fr) * 1979-12-18 1981-06-26 Cardiofrance Co Stimulateur cardiaque implantable polyvalent et procede d'utilisation de ce stimulateur
AU547290B2 (en) * 1980-04-07 1985-10-17 Medtronic, Inc. Artifact rejection by demand pacemakers
US4343311A (en) * 1980-04-30 1982-08-10 Medtronic, Inc. Atrial refractory control for R-wave rejection in pacemakers
DE3038856A1 (de) * 1980-10-10 1982-05-27 Siemens AG, 1000 Berlin und 8000 München Herzschrittmacher
AU541479B2 (en) * 1980-10-14 1985-01-10 Medtronic, Inc. Heart pacemeker with separate a-v intervals for a trial synchronous and atrial-ventricular sequential pacing modes
FR2492262B1 (fr) * 1980-10-16 1987-02-20 Ela Medical Sa Procede et dispositif de commande d'un appareil ou instrument notamment un stimulateur cardiaque implantable
DE3153780C2 (de) * 1980-10-16 2003-04-03 Ela Medical Sa Verfahren zur Steuerung eines implantierbaren Herzschrittmachers
FR2492552A1 (fr) * 1980-10-16 1982-04-23 Ela Medical Sa Dispositif de commande pour instrument medical implantable tel qu'un stimulateur cardiaque et stimulateur cardiaque comportant ce dispositif
US4485818A (en) * 1980-11-14 1984-12-04 Cordis Corporation Multi-mode microprocessor-based programmable cardiac pacer
US4374382A (en) * 1981-01-16 1983-02-15 Medtronic, Inc. Marker channel telemetry system for a medical device
US4363325A (en) * 1981-01-19 1982-12-14 Medtronic, Inc. Mode adaptive pacer
EP0058603B1 (fr) * 1981-02-17 1986-04-23 Medtronic, Inc. Indicateur de l'état d'épuisement de la source d'alimentation de dispositifs médicaux implantables
US4407288B1 (en) * 1981-02-18 2000-09-19 Mieczyslaw Mirowski Implantable heart stimulator and stimulation method
DE3277614D1 (en) * 1981-05-04 1987-12-17 Biotronik Mess & Therapieg Pacemaker
WO1982003781A1 (fr) * 1981-05-04 1982-11-11 Nettelhorst Herwig Stimulateur cardiaque
WO1982003785A1 (fr) * 1981-05-04 1982-11-11 Nettelhorst Herwig Stimulateur cardiaque
DE3278419D1 (en) * 1981-05-04 1988-06-09 Biotronik Mess & Therapieg Cardiac pacemaker
EP0077799B1 (fr) * 1981-05-04 1987-11-11 BIOTRONIK Mess- und Therapiegeräte GmbH & Co Ingenieurbüro Berlin Stimulateur cardiaque
WO1982003784A1 (fr) * 1981-05-04 1982-11-11 Nettelhorst Herwig Stimulateur cardiaque
US4390022A (en) * 1981-05-18 1983-06-28 Intermedics, Inc. Implantable device with microprocessor control
US4404972B1 (en) * 1981-05-18 2000-07-11 Intermedics Inc Implantable device with microprocessor control
DE3127597A1 (de) * 1981-07-13 1983-02-17 Siemens AG, 1000 Berlin und 8000 München Verfahren und herzschrittmacher zur bifokalen stimulierung des herzens
US4561444A (en) * 1981-08-10 1985-12-31 Cordis Corporation Implantable cardiac pacer having dual frequency programming and bipolar/linipolar lead programmability
DE3175864D1 (en) * 1981-10-26 1987-02-26 Vitafin Nv Pacemaker utilizing microprocessor dma for generating output pulse sequences
ATE25588T1 (de) * 1981-10-26 1987-03-15 Vitafin Nv Programmierbarer herzschrittmacher.
DE3207006A1 (de) * 1982-02-26 1983-09-08 Siemens AG, 1000 Berlin und 8000 München Av-sequenzieller herzschrittmacher
AU1573183A (en) * 1982-06-18 1983-12-22 Biostim Inc. Biological electrical stimulators
US4562841A (en) * 1982-08-05 1986-01-07 Cardiac Pacemakers, Inc. Programmable multi-mode cardiac pacemaker
FR2533432A1 (fr) * 1982-09-23 1984-03-30 Europ Propulsion Procede et dispositif de detection de la reponse du coeur a une impulsion electrique de stimulation
US4467810A (en) * 1982-09-30 1984-08-28 Cordis Corporation Multi-mode microprocessor-based programmable cardiac pacer
US4558702A (en) * 1983-01-21 1985-12-17 Cordis Corporation Cardiac pacer having input/output circuit programmable for use with unipolar and bipolar pacer leads
US4665919A (en) * 1983-03-14 1987-05-19 Vitafin N.V. Pacemaker with switchable circuits and method of operation of same
FR2544988B1 (fr) * 1983-04-29 1986-10-10 Ela Medical Sa Stimulateur cardiaque auriculo-ventriculaire
US4549548A (en) * 1983-09-14 1985-10-29 Vitafin N.V. Pacemaker system with automatic event-programmed switching between unipolar and bipolar operation
US4543963A (en) * 1983-11-22 1985-10-01 Gessman Lawrence J Method and apparatus for differentiating antegrade from retrograde P-waves and for preventing pacemaker generated tachycardia
US4577634A (en) * 1983-11-22 1986-03-25 Gessman Lawrence J Method and apparatus for alleviating paroxysmal atrail tachycardia
US4559947A (en) * 1984-01-27 1985-12-24 Renger Herman L Cardiac tissue stimulator providing P-wave verification, telemetry, marker channels, and antitachycardia capabilities
DE3483882D1 (de) * 1984-02-07 1991-02-07 Schiapparelli Medtronic S P A Herzschrittmacher, abhaengig vom atmungsumfang pro zeiteinheit.
FR2561526A1 (fr) * 1984-03-22 1985-09-27 Chaptal Paul Procede de stimulation cardiaque et stimulateur cardiaque pour mise en oeuvre du procede
US4585004A (en) * 1984-06-01 1986-04-29 Cardiac Control Systems, Inc. Heart pacing and intracardiac electrogram monitoring system and associated method
US4587970A (en) * 1985-01-22 1986-05-13 Telectronics N.V. Tachycardia reversion pacer
EP0215729B1 (fr) * 1985-09-17 1992-12-02 BIOTRONIK Mess- und Therapiegeräte GmbH & Co Ingenieurbüro Berlin Stimulateur cardiaque
DE3689347D1 (de) * 1985-09-17 1994-01-13 Biotronik Mess & Therapieg Herzschrittmacher.
EP0215731B1 (fr) * 1985-09-17 1992-12-30 BIOTRONIK Mess- und Therapiegeräte GmbH & Co Ingenieurbüro Berlin Stimulateur cardiaque
DE3688577D1 (de) * 1985-09-17 1993-07-22 Biotronik Mess & Therapieg Herzschrittmacher.
US4803987A (en) * 1986-06-11 1989-02-14 Intermedics, Inc. Temperature responsive controller for cardiac pacer
EP0255899B1 (fr) * 1986-07-31 1992-07-15 Werner Prof. Dr.-Ing. Irnich Stimulateur cardiaque à fréquence adaptable
FR2604908B1 (fr) * 1986-10-13 1990-06-22 Saint Nicolas Cie Financiere Procede de reglage d'un stimulateur cardiaque implantable en fonction de l'effort du patient porteur du stimulateur, stimulateur cardiaque implantable a parametres reglables et programmateur externe de commande d'un stimulateur cardiaque implantable reglable
WO1989004192A1 (fr) * 1987-11-13 1989-05-18 Biotronik Mess- Und Therapiegeräte Gmbh & Co. Inge Stimulateur cardiaque
US4899750A (en) * 1988-04-19 1990-02-13 Siemens-Pacesetter, Inc. Lead impedance scanning system for pacemakers
AU614118B2 (en) * 1988-04-19 1991-08-22 Pacesetter Ab Configuration programming of an implantable pacemaker
DE58907785D1 (de) * 1989-03-13 1994-07-07 Siemens Ag Implantierbares medizinisches Gerät zur Stimulation eines physiologischen Vorganges eines Lebewesens mit an die körperliche Aktivität des Lebewesens anpassbarer Stimulationsintensität.
US5031616A (en) * 1989-12-07 1991-07-16 Siemens-Pacesetter, Inc. Implantable stimulation device having means for self-regulating curent drain usage at battery depletion
US5058581A (en) * 1990-02-20 1991-10-22 Siemens-Pacesetter, Inc. Telemetry apparatus and method for implantable tissue stimulator
US5052389A (en) * 1990-07-26 1991-10-01 Cook Pacemaker Corporation Low-power A/D converter for an implantable medical device and method of use
US5725559A (en) * 1996-05-16 1998-03-10 Intermedics Inc. Programmably upgradable implantable medical device
SE9602846D0 (sv) * 1996-07-23 1996-07-23 Pacesetter Ab A stimulation device
DE19724053A1 (de) * 1997-06-07 1998-12-10 Biotronik Mess & Therapieg Elektronische Speichervorrichtung, insbesondere zur Anwendung bei implantierbaren medizinischen Geräten
FR2772622B1 (fr) * 1997-12-23 2000-03-31 Ela Medical Sa Dispositif medical implantable actif, notamment stimulateur cardiaque, defibrillateur et/ou cardioverteur, de type multisite configurable
US9050469B1 (en) 2003-11-26 2015-06-09 Flint Hills Scientific, Llc Method and system for logging quantitative seizure information and assessing efficacy of therapy using cardiac signals
DE102004019391A1 (de) * 2004-04-19 2005-11-03 Endress + Hauser Gmbh + Co. Kg Parametrierbares elektronisches Gerät
US8565867B2 (en) 2005-01-28 2013-10-22 Cyberonics, Inc. Changeable electrode polarity stimulation by an implantable medical device
US9314633B2 (en) 2008-01-25 2016-04-19 Cyberonics, Inc. Contingent cardio-protection for epilepsy patients
US8260426B2 (en) 2008-01-25 2012-09-04 Cyberonics, Inc. Method, apparatus and system for bipolar charge utilization during stimulation by an implantable medical device
US8700163B2 (en) 2005-03-04 2014-04-15 Cyberonics, Inc. Cranial nerve stimulation for treatment of substance addiction
US7711419B2 (en) 2005-07-13 2010-05-04 Cyberonics, Inc. Neurostimulator with reduced size
US7840280B2 (en) 2005-07-27 2010-11-23 Cyberonics, Inc. Cranial nerve stimulation to treat a vocal cord disorder
US7489561B2 (en) 2005-10-24 2009-02-10 Cyberonics, Inc. Implantable medical device with reconfigurable non-volatile program
US7996079B2 (en) 2006-01-24 2011-08-09 Cyberonics, Inc. Input response override for an implantable medical device
ES2573323T3 (es) 2006-03-29 2016-06-07 Dignity Health Estímulo eléctrico de microrráfaga de nervios craneales para el tratamiento de afecciones médicas
US7962220B2 (en) 2006-04-28 2011-06-14 Cyberonics, Inc. Compensation reduction in tissue stimulation therapy
US7869885B2 (en) 2006-04-28 2011-01-11 Cyberonics, Inc Threshold optimization for tissue stimulation therapy
US7869867B2 (en) 2006-10-27 2011-01-11 Cyberonics, Inc. Implantable neurostimulator with refractory stimulation
US7974701B2 (en) 2007-04-27 2011-07-05 Cyberonics, Inc. Dosing limitation for an implantable medical device
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US8204603B2 (en) 2008-04-25 2012-06-19 Cyberonics, Inc. Blocking exogenous action potentials by an implantable medical device
US8457747B2 (en) 2008-10-20 2013-06-04 Cyberonics, Inc. Neurostimulation with signal duration determined by a cardiac cycle
US8417344B2 (en) 2008-10-24 2013-04-09 Cyberonics, Inc. Dynamic cranial nerve stimulation based on brain state determination from cardiac data
US20100191304A1 (en) 2009-01-23 2010-07-29 Scott Timothy L Implantable Medical Device for Providing Chronic Condition Therapy and Acute Condition Therapy Using Vagus Nerve Stimulation
US8827912B2 (en) 2009-04-24 2014-09-09 Cyberonics, Inc. Methods and systems for detecting epileptic events using NNXX, optionally with nonlinear analysis parameters
US8239028B2 (en) 2009-04-24 2012-08-07 Cyberonics, Inc. Use of cardiac parameters in methods and systems for treating a chronic medical condition
US8831732B2 (en) 2010-04-29 2014-09-09 Cyberonics, Inc. Method, apparatus and system for validating and quantifying cardiac beat data quality
US8562536B2 (en) 2010-04-29 2013-10-22 Flint Hills Scientific, Llc Algorithm for detecting a seizure from cardiac data
US8649871B2 (en) 2010-04-29 2014-02-11 Cyberonics, Inc. Validity test adaptive constraint modification for cardiac data used for detection of state changes
US8679009B2 (en) 2010-06-15 2014-03-25 Flint Hills Scientific, Llc Systems approach to comorbidity assessment
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US8684921B2 (en) 2010-10-01 2014-04-01 Flint Hills Scientific Llc Detecting, assessing and managing epilepsy using a multi-variate, metric-based classification analysis
US9504390B2 (en) 2011-03-04 2016-11-29 Globalfoundries Inc. Detecting, assessing and managing a risk of death in epilepsy
US8725239B2 (en) 2011-04-25 2014-05-13 Cyberonics, Inc. Identifying seizures using heart rate decrease
US9402550B2 (en) 2011-04-29 2016-08-02 Cybertronics, Inc. Dynamic heart rate threshold for neurological event detection
US10448839B2 (en) 2012-04-23 2019-10-22 Livanova Usa, Inc. Methods, systems and apparatuses for detecting increased risk of sudden death
US10220211B2 (en) 2013-01-22 2019-03-05 Livanova Usa, Inc. Methods and systems to diagnose depression
ITPI20130089A1 (it) * 2013-10-16 2015-04-17 Scuola Superiore Di Studi Universit Ari E Di Perfe Sistema per il monitoraggio del carico agente su un impianto protesico.
CN109011152B (zh) * 2018-08-22 2022-03-18 创领心律管理医疗器械（上海）有限公司 起搏器体外测试的固定装置、测试装置与测试方法

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US3668690A (en) 1970-06-08 1972-06-06 Ormond Alfred N Method and apparatus for analog to digital conversion
US3825015A (en) * 1972-12-14 1974-07-23 American Optical Corp Single catheter for atrial and ventricular stimulation
DE2427800A1 (de) 1973-06-11 1975-02-20 Gen Electric Analog-digital-umsetzer
NL7700427A (nl) * 1976-03-03 1977-09-06 Arco Med Prod Co Inplanteerbare digitale hartgangmaker, welke voorzien is van extern kiesbare bedrijfspara- meters.
DE2738871A1 (de) * 1976-09-29 1978-03-30 Arco Med Prod Co Herzschrittmacher
NL7713772A (nl) * 1976-12-14 1978-06-16 American Hospital Supply Corp Hartstimulator.
US4232679A (en) * 1977-01-26 1980-11-11 Pacesetter Systems, Inc. Programmable human tissue stimulator
EP0000986B1 (fr) * 1977-08-19 1982-04-07 BIOTRONIK Mess- und Therapiegeräte GmbH & Co Ingenieurbüro Berlin Programmeur pour stimulateur implanté
DE2862247D1 (en) * 1977-08-19 1983-06-16 Biotronik Mess & Therapieg Programmable, implantable body function control apparatus and method for reprogramming said apparatus
EP0000987B1 (fr) * 1977-08-19 1982-01-20 BIOTRONIK Mess- und Therapiegeräte GmbH & Co Ingenieurbüro Berlin Stimulateur du type à la demande à hystérésis de fréquence programmable

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE4339304B4 (de) * 1993-11-18 2005-09-15 Robert Bosch Gmbh Schaltungsanordnung mit einem Übertragungsglied

Also Published As

Publication number Publication date
FR2431296B1 (fr) 1984-01-06
AU4898979A (en) 1980-01-24
IT1118131B (it) 1986-02-24
DE2929498A1 (de) 1980-01-31
IT7949768A0 (it) 1979-07-16
SE7906205L (sv) 1980-01-21
FR2445659B1 (fr) 1985-11-29
JPS5521990A (en) 1980-02-16
GB2026870B (en) 1982-12-15
AU584310B2 (en) 1989-05-25
DE2954642C2 (fr) 1991-11-07
GB2079610A (en) 1982-01-27
JPS6241032B2 (fr) 1987-09-01
GB2079610B (en) 1983-04-07
AU3271384A (en) 1984-12-20
GB2026870A (en) 1980-02-13
NL7905649A (nl) 1980-01-22
FR2431296A1 (fr) 1980-02-15
FR2445659A1 (fr) 1980-07-25
SE445176B (sv) 1986-06-09
AU536053B2 (en) 1984-04-19

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