DE3321695C2 - Elektrostimulations-Vorrichtung zum Behandeln von Herzarrhythmien - Google Patents

Elektrostimulations-Vorrichtung zum Behandeln von Herzarrhythmien

Info

Publication number
DE3321695C2
DE3321695C2 DE3321695A DE3321695A DE3321695C2 DE 3321695 C2 DE3321695 C2 DE 3321695C2 DE 3321695 A DE3321695 A DE 3321695A DE 3321695 A DE3321695 A DE 3321695A DE 3321695 C2 DE3321695 C2 DE 3321695C2
Authority
DE
Germany
Prior art keywords
signal
energy
heart
logic circuit
comparator
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
Application number
DE3321695A
Other languages
German (de)
English (en)
Other versions
DE3321695A1 (de
Inventor
Morton Maimon Lutherville Mower, Md.
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.)
Individual
Original Assignee
Individual
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 Individual filed Critical Individual
Publication of DE3321695A1 publication Critical patent/DE3321695A1/de
Application granted granted Critical
Publication of DE3321695C2 publication Critical patent/DE3321695C2/de
Expired 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
    • A61N1/38—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
    • 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
    • A61N1/3987—Heart defibrillators characterised by the timing or triggering of the shock

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Electrotherapy Devices (AREA)
DE3321695A 1982-06-18 1983-06-15 Elektrostimulations-Vorrichtung zum Behandeln von Herzarrhythmien Expired DE3321695C2 (de)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US06/389,907 US4559946A (en) 1982-06-18 1982-06-18 Method and apparatus for correcting abnormal cardiac activity by low energy shocks

Publications (2)

Publication Number Publication Date
DE3321695A1 DE3321695A1 (de) 1984-01-05
DE3321695C2 true DE3321695C2 (de) 1986-03-27

Family

ID=23540256

Family Applications (1)

Application Number Title Priority Date Filing Date
DE3321695A Expired DE3321695C2 (de) 1982-06-18 1983-06-15 Elektrostimulations-Vorrichtung zum Behandeln von Herzarrhythmien

Country Status (9)

Country Link
US (1) US4559946A (enExample)
JP (1) JPS5957669A (enExample)
AU (1) AU558515B2 (enExample)
CA (1) CA1210819A (enExample)
DE (1) DE3321695C2 (enExample)
FR (1) FR2528708B1 (enExample)
GB (1) GB2122093B (enExample)
IL (1) IL68932A (enExample)
NL (1) NL188834C (enExample)

Families Citing this family (114)

* Cited by examiner, † Cited by third party
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US4577633A (en) * 1984-03-28 1986-03-25 Medtronic, Inc. Rate scanning demand pacemaker and method for treatment of tachycardia
DE3535504A1 (de) * 1985-10-04 1987-04-09 Siemens Ag Herzschrittmacher
GB8526417D0 (en) * 1985-10-25 1985-11-27 Davies D W Recognition of ventricular tachycardia
IE860155L (en) * 1986-01-17 1987-07-17 Edward Lamb Monitoring a child's pulse rate
US4834100A (en) * 1986-05-12 1989-05-30 Charms Bernard L Apparatus and method of defibrillation
US4830006B1 (en) * 1986-06-17 1997-10-28 Intermedics Inc Implantable cardiac stimulator for detection and treatment of ventricular arrhythmias
US4788980A (en) * 1986-07-18 1988-12-06 Siemens-Pacesetter, Inc. Pacemaker having PVC response and PMT terminating features
US4917424A (en) * 1987-03-11 1990-04-17 Aisin Seiki Kabushiki Kaisha Handle device of lid opener mechanism
AU607977B2 (en) * 1987-04-24 1991-03-21 Minnesota Mining And Manufacturing Company Biological tissue stimulator with time-shared logic driving output timing and high voltage step-up circuit
US4944300A (en) * 1987-04-28 1990-07-31 Sanjeev Saksena Method for high energy defibrillation of ventricular fibrillation in humans without a thoracotomy
US4984572A (en) * 1988-08-18 1991-01-15 Leonard Bloom Hemodynamically responsive system for and method of treating a malfunctioning heart
US4774950A (en) * 1987-10-06 1988-10-04 Leonard Bloom Hemodynamically responsive system for and method of treating a malfunctioning heart
USRE38119E1 (en) 1989-01-23 2003-05-20 Mirowski Family Ventures, LLC Method and apparatus for treating hemodynamic disfunction
US5007422A (en) * 1989-06-06 1991-04-16 Ventritex, Inc. Method for combiner cardiac pacing and defibrillation
US4996984A (en) * 1989-09-26 1991-03-05 Eli Lilly And Company Defibrillation method
US5161528A (en) * 1989-09-26 1992-11-10 Eli Lilly And Company Defibrillation method and apparatus
US5054485A (en) * 1990-06-01 1991-10-08 Leonard Bloom Hemodynamically responsive system for and method of treating a malfunctioning heart
US5085213A (en) * 1990-06-01 1992-02-04 Leonard Bloom Hemodynamically responsive system for and method of treating a malfunctioning heart
US5163428A (en) * 1990-10-11 1992-11-17 Ventritex, Inc. Implantable cardiac defibrillator with current leakage detecting means
US5178140A (en) * 1991-09-05 1993-01-12 Telectronics Pacing Systems, Inc. Implantable medical devices employing capacitive control of high voltage switches
US5314448A (en) * 1991-10-28 1994-05-24 Angeion Corporation Process for defibrillation pretreatment of a heart
EP0642368B1 (en) * 1992-04-06 1999-01-27 Angeion Corporation Apparatus for treatment of ventricular tachycardia using a far-field pulse series
CA2117772C (en) * 1992-04-07 2001-07-24 Mark W. Kroll Implantable cardioverter defibrillator having a smaller displacement volume
US5275621A (en) * 1992-04-13 1994-01-04 Medtronic, Inc. Method and apparatus for terminating tachycardia
SE9202663D0 (sv) * 1992-09-16 1992-09-16 Siemens Elema Ab Implanterbar hjaertdefibrillator
SE9202665D0 (sv) * 1992-09-16 1992-09-16 Siemens Elema Ab Hjaertdefibrillator
FR2709968B1 (fr) * 1993-08-13 1995-12-01 Ela Medical Sa Circuit de détection pour détecteur de tachyarythmie.
FR2712500B1 (fr) * 1993-11-17 1996-02-09 Ela Medical Sa Procédé de commande automatique du seuil de détection du rythme cardiaque dans un appareil implantable.
US5500008A (en) * 1994-03-29 1996-03-19 Ventritex, Inc. Method and apparatus for delivering defibrillation shocks with improved effectiveness
US5562708A (en) * 1994-04-21 1996-10-08 Medtronic, Inc. Method and apparatus for treatment of atrial fibrillation
JP3212611B2 (ja) * 1994-04-21 2001-09-25 メドトロニック・インコーポレーテッド 心房細動を消失させるための植込み可能な医用装置
US6185457B1 (en) * 1994-05-31 2001-02-06 Galvani, Ltd. Method and apparatus for electrically forcing cardiac output in an arrhythmia patient
US6853859B1 (en) * 1994-05-31 2005-02-08 Galvani, Ltd. Electrical cardiac output forcer
US5545182A (en) * 1994-09-21 1996-08-13 Intermedics, Inc. Cardioverter/defibrillator shock timing function
US5620469A (en) * 1994-10-11 1997-04-15 Angeion Corporation Stepped cardioversion system for an implantable cardioverter defibrillator
IL125424A0 (en) 1998-07-20 1999-03-12 New Technologies Sa Ysy Ltd Pacing with hemodynamic enhancement
JP4175662B2 (ja) 1996-01-08 2008-11-05 インパルス ダイナミクス エヌ．ヴイ． 電気的筋肉制御装置
AU724404B2 (en) 1996-01-08 2000-09-21 Impulse Dynamics N.V. Electrical muscle controller
US7167748B2 (en) 1996-01-08 2007-01-23 Impulse Dynamics Nv Electrical muscle controller
US8825152B2 (en) 1996-01-08 2014-09-02 Impulse Dynamics, N.V. Modulation of intracellular calcium concentration using non-excitatory electrical signals applied to the tissue
US8321013B2 (en) 1996-01-08 2012-11-27 Impulse Dynamics, N.V. Electrical muscle controller and pacing with hemodynamic enhancement
US9289618B1 (en) 1996-01-08 2016-03-22 Impulse Dynamics Nv Electrical muscle controller
US9713723B2 (en) 1996-01-11 2017-07-25 Impulse Dynamics Nv Signal delivery through the right ventricular septum
US7908003B1 (en) 1996-08-19 2011-03-15 Mr3 Medical Llc System and method for treating ischemia by improving cardiac efficiency
US7840264B1 (en) 1996-08-19 2010-11-23 Mr3 Medical, Llc System and method for breaking reentry circuits by cooling cardiac tissue
US5797967A (en) * 1996-09-27 1998-08-25 Cardiac Pacemakers, Inc. System and method to reduce defibrillation requirements
JP4430744B2 (ja) 1997-03-14 2010-03-10 ユニヴァーシティ・オヴ・アラバマ・アト・バーミンガム・リサーチ・ファンデイション 心臓の電気的除細動を行う、そのような治療を必要とする患者のためのインプラント可能なシステム
WO1998053879A1 (en) * 1997-05-27 1998-12-03 Cardiac Pacemakers, Inc. System and method for ventricular defibrillation
US6212434B1 (en) 1998-07-22 2001-04-03 Cardiac Pacemakers, Inc. Single pass lead system
US6556862B2 (en) 1998-03-19 2003-04-29 Cardiac Pacemakers, Inc. Method and apparatus for treating supraventricular tachyarrhythmias
US6246906B1 (en) 1998-03-19 2001-06-12 Cardiac Pacemakers, Inc. System and method for treating atrial arrhythmias
US6463334B1 (en) 1998-11-02 2002-10-08 Cardiac Pacemakers, Inc. Extendable and retractable lead
US6501990B1 (en) 1999-12-23 2002-12-31 Cardiac Pacemakers, Inc. Extendable and retractable lead having a snap-fit terminal connector
US6256534B1 (en) 1998-08-11 2001-07-03 Angeion Corporation Implantable defibrillator with countershock synchronized to P-wave
US9101765B2 (en) 1999-03-05 2015-08-11 Metacure Limited Non-immediate effects of therapy
US8346363B2 (en) 1999-03-05 2013-01-01 Metacure Limited Blood glucose level control
US8019421B2 (en) 1999-03-05 2011-09-13 Metacure Limited Blood glucose level control
WO2006073671A1 (en) 2004-12-09 2006-07-13 Impulse Dynamics Nv Protein activity modification
US8666495B2 (en) 1999-03-05 2014-03-04 Metacure Limited Gastrointestinal methods and apparatus for use in treating disorders and controlling blood sugar
US8700161B2 (en) 1999-03-05 2014-04-15 Metacure Limited Blood glucose level control
AU4776000A (en) 1999-05-26 2000-12-18 Impulse Dynamic Nv Shockless defibrillation
IL132036A0 (en) * 1999-09-23 2001-03-19 Univ Ben Gurion Method and device for the cancellation of unwanted excitation waves in the heart
US6440082B1 (en) 1999-09-30 2002-08-27 Medtronic Physio-Control Manufacturing Corp. Method and apparatus for using heart sounds to determine the presence of a pulse
US9248306B2 (en) 1999-09-30 2016-02-02 Physio-Control, Inc. Pulse detection apparatus, software, and methods using patient physiological signals
US20030109790A1 (en) * 2001-12-06 2003-06-12 Medtronic Physio-Control Manufacturing Corp. Pulse detection method and apparatus using patient impedance
US20040039419A1 (en) * 1999-09-30 2004-02-26 Stickney Ronald E. Apparatus, software, and methods for cardiac pulse detection using a piezoelectric sensor
US7027863B1 (en) 1999-10-25 2006-04-11 Impulse Dynamics N.V. Device for cardiac therapy
AU1049901A (en) 1999-10-25 2001-05-08 Impulse Dynamics N.V. Cardiac contractility modulation device having anti-arrhythmic capabilities and a method of operating thereof
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
US6847842B1 (en) 2000-05-15 2005-01-25 Cardiac Pacemakers, Inc. Method and apparatus for reducing early recurrence of atrial fibrillation with defibrillation shock therapy
US6539258B1 (en) 2000-10-06 2003-03-25 Medtronic Physio-Control Manufacturing Corp. Energy adjusting circuit for producing an ultra-low energy defibrillation waveform with fixed pulse width and fixed tilt
US7369890B2 (en) 2000-11-02 2008-05-06 Cardiac Pacemakers, Inc. Technique for discriminating between coordinated and uncoordinated cardiac rhythms
US6689117B2 (en) 2000-12-18 2004-02-10 Cardiac Pacemakers, Inc. Drug delivery system for implantable medical device
US6484057B2 (en) 2000-12-21 2002-11-19 Uab Research Foundation Pacing methods and devices for treating cardiac arrhythmias and fibrillation
US6567698B2 (en) * 2001-07-17 2003-05-20 Koninklijke Philips Electronics N.V. System and method for applying sequential low energy defibrillation pulses
US7191000B2 (en) 2001-07-31 2007-03-13 Cardiac Pacemakers, Inc. Cardiac rhythm management system for edema
US7089055B2 (en) * 2002-06-28 2006-08-08 Cardiac Pacemakers, Inc. Method and apparatus for delivering pre-shock defibrillation therapy
US7240564B2 (en) * 2002-07-30 2007-07-10 Alliant Techsystems Inc. Method and apparatus for detecting and determining event characteristics with reduced data collection
US7139608B2 (en) * 2002-07-31 2006-11-21 Uab Research Foundation Pacing methods and devices using feedback controlled timing
US20040116969A1 (en) 2002-08-26 2004-06-17 Owen James M. Pulse detection using patient physiological signals
US20040039420A1 (en) * 2002-08-26 2004-02-26 Medtronic Physio-Control Manufacturing Corp. Apparatus, software, and methods for cardiac pulse detection using accelerometer data
US20040049118A1 (en) * 2002-09-10 2004-03-11 Ideker Raymond E. Methods, systems and computer program products for treating fibrillation in a patient based on the presence of fibrillation following administration of defibrillation therapy
US8560063B2 (en) * 2002-09-10 2013-10-15 Uab Research Foundation Post-defibrillation pacing methods and devices
US7162298B2 (en) * 2002-09-10 2007-01-09 Uab Research Foundation Devices for detecting the presence of cardiac activity following administration of defibrillation therapy
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CN112543662B (zh) 2018-07-06 2024-09-20 心脏起搏器股份公司 希氏束起搏器中的可调节感测
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DE1282802B (de) * 1966-02-09 1968-11-14 Fritz Hellige & Co G M B H Fab Geraet zur elektrischen Stimulierung des Herzens
USRE27652E (en) 1970-02-09 1973-05-29 M Mirowski Electronic standby defibrillator
US3738370A (en) * 1971-01-18 1973-06-12 B Charms Method of defibrillating a malfunctioning heart by means of electrodes located within the atrium
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CA1000366A (en) * 1971-03-15 1976-11-23 Mieczyslaw Mirowski Cardioverter having single intravascular catheter electrode system
US3805795A (en) * 1972-03-17 1974-04-23 Medtronic Inc Automatic cardioverting circuit
GB1493353A (en) * 1973-11-21 1977-11-30 Devices Implants Ltd Device for terminating tachycardia
US3952750A (en) * 1974-04-25 1976-04-27 Mieczyslaw Mirowski Command atrial cardioverting device
US4184493A (en) * 1975-09-30 1980-01-22 Mieczyslaw Mirowski Circuit for monitoring a heart and for effecting cardioversion of a needy heart
GB1538522A (en) * 1975-09-30 1979-01-17 Mirowski M Apparatus for detecting the state of a heart and for cardioverting a malfunctioning heart
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Also Published As

Publication number Publication date
NL188834C (nl) 1992-10-16
AU558515B2 (en) 1987-01-29
AU1574383A (en) 1983-12-22
NL8302182A (nl) 1984-01-16
GB2122093B (en) 1986-04-30
JPS6215234B2 (enExample) 1987-04-06
CA1210819A (en) 1986-09-02
JPS5957669A (ja) 1984-04-03
FR2528708B1 (fr) 1987-04-03
DE3321695A1 (de) 1984-01-05
IL68932A (en) 1989-02-28
FR2528708A1 (fr) 1983-12-23
GB8315823D0 (en) 1983-07-13
GB2122093A (en) 1984-01-11
US4559946A (en) 1985-12-24
NL188834B (nl) 1992-05-18

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