DE3422913A1 - Regelschaltung zur anpassung der stimulationsfrequenz eines herzschrittmachers an die belastung eines patienten - Google Patents
Regelschaltung zur anpassung der stimulationsfrequenz eines herzschrittmachers an die belastung eines patientenInfo
- Publication number
- DE3422913A1 DE3422913A1 DE19843422913 DE3422913A DE3422913A1 DE 3422913 A1 DE3422913 A1 DE 3422913A1 DE 19843422913 DE19843422913 DE 19843422913 DE 3422913 A DE3422913 A DE 3422913A DE 3422913 A1 DE3422913 A1 DE 3422913A1
- Authority
- DE
- Germany
- Prior art keywords
- frequency
- control circuit
- value
- control
- circuit according
- 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.)
- Withdrawn
Links
- 230000000638 stimulation Effects 0.000 title claims description 17
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 claims description 50
- 229910052760 oxygen Inorganic materials 0.000 claims description 50
- 239000001301 oxygen Substances 0.000 claims description 50
- 239000008280 blood Substances 0.000 claims description 44
- 210000004369 blood Anatomy 0.000 claims description 44
- 230000008859 change Effects 0.000 claims description 28
- 238000005259 measurement Methods 0.000 claims description 19
- 230000033228 biological regulation Effects 0.000 claims description 10
- 230000002123 temporal effect Effects 0.000 claims description 4
- 230000035945 sensitivity Effects 0.000 claims description 3
- 230000003247 decreasing effect Effects 0.000 claims description 2
- 238000010606 normalization Methods 0.000 claims description 2
- 238000002496 oximetry Methods 0.000 claims description 2
- 238000000718 qrs complex Methods 0.000 claims 1
- 230000001960 triggered effect Effects 0.000 claims 1
- 230000015654 memory Effects 0.000 description 13
- 230000006870 function Effects 0.000 description 12
- 230000000747 cardiac effect Effects 0.000 description 9
- 238000010586 diagram Methods 0.000 description 8
- 230000007423 decrease Effects 0.000 description 6
- 239000000523 sample Substances 0.000 description 6
- 230000000875 corresponding effect Effects 0.000 description 4
- 238000011161 development Methods 0.000 description 4
- 230000001121 heart beat frequency Effects 0.000 description 4
- 238000012935 Averaging Methods 0.000 description 3
- 230000006978 adaptation Effects 0.000 description 3
- 230000000004 hemodynamic effect Effects 0.000 description 3
- 230000006872 improvement Effects 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 230000015572 biosynthetic process Effects 0.000 description 2
- 230000002596 correlated effect Effects 0.000 description 2
- 230000001419 dependent effect Effects 0.000 description 2
- 238000001514 detection method Methods 0.000 description 2
- 238000002513 implantation Methods 0.000 description 2
- 230000000717 retained effect Effects 0.000 description 2
- 239000000654 additive Substances 0.000 description 1
- 230000000996 additive effect Effects 0.000 description 1
- 230000037007 arousal Effects 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 230000008602 contraction Effects 0.000 description 1
- 230000006866 deterioration Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000011835 investigation Methods 0.000 description 1
- 230000009063 long-term regulation Effects 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 230000003287 optical effect Effects 0.000 description 1
- 238000005457 optimization Methods 0.000 description 1
- 230000036961 partial effect Effects 0.000 description 1
- 230000010363 phase shift Effects 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 230000002829 reductive effect Effects 0.000 description 1
- 230000001105 regulatory effect Effects 0.000 description 1
- 230000000284 resting effect Effects 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 238000010561 standard procedure Methods 0.000 description 1
- 238000012360 testing method Methods 0.000 description 1
- 230000036962 time dependent Effects 0.000 description 1
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
- A61N1/36514—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure
- A61N1/36557—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 chemical substances in blood
Landscapes
- Health & Medical Sciences (AREA)
- Cardiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- General Chemical & Material Sciences (AREA)
- Biophysics (AREA)
- Chemical Kinetics & Catalysis (AREA)
- Physiology (AREA)
- Chemical & Material Sciences (AREA)
- Hematology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Electrotherapy Devices (AREA)
- Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
Priority Applications (6)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE19843422913 DE3422913A1 (de) | 1984-06-20 | 1984-06-20 | Regelschaltung zur anpassung der stimulationsfrequenz eines herzschrittmachers an die belastung eines patienten |
| DE8585107335T DE3586146D1 (de) | 1984-06-20 | 1985-06-13 | Regelschaltung zur anpassung der stimulationsfrequenz eines herzschrittmachers an die belastung eines patienten. |
| EP85107335A EP0165566B1 (de) | 1984-06-20 | 1985-06-13 | Regelschaltung zur Anpassung der Stimulationsfrequenz eines Herzschrittmachers an die Belastung eines Patienten |
| JP60133919A JPS6113976A (ja) | 1984-06-20 | 1985-06-19 | 心臓ペースメーカの調節回路 |
| AU43812/85A AU574193B2 (en) | 1984-06-20 | 1985-06-19 | Heart pacemaker |
| US07/033,883 US4870968A (en) | 1984-06-20 | 1987-04-02 | System and method for controlling the stimulation frequency of heart pacemakers |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE19843422913 DE3422913A1 (de) | 1984-06-20 | 1984-06-20 | Regelschaltung zur anpassung der stimulationsfrequenz eines herzschrittmachers an die belastung eines patienten |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| DE3422913A1 true DE3422913A1 (de) | 1986-01-02 |
Family
ID=6238823
Family Applications (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| DE19843422913 Withdrawn DE3422913A1 (de) | 1984-06-20 | 1984-06-20 | Regelschaltung zur anpassung der stimulationsfrequenz eines herzschrittmachers an die belastung eines patienten |
| DE8585107335T Expired - Lifetime DE3586146D1 (de) | 1984-06-20 | 1985-06-13 | Regelschaltung zur anpassung der stimulationsfrequenz eines herzschrittmachers an die belastung eines patienten. |
Family Applications After (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| DE8585107335T Expired - Lifetime DE3586146D1 (de) | 1984-06-20 | 1985-06-13 | Regelschaltung zur anpassung der stimulationsfrequenz eines herzschrittmachers an die belastung eines patienten. |
Country Status (5)
| Country | Link |
|---|---|
| US (1) | US4870968A (OSRAM) |
| EP (1) | EP0165566B1 (OSRAM) |
| JP (1) | JPS6113976A (OSRAM) |
| AU (1) | AU574193B2 (OSRAM) |
| DE (2) | DE3422913A1 (OSRAM) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE4447447A1 (de) * | 1994-12-29 | 1996-07-11 | Pacesetter Ab | Einrichtung zum Feststellen der körperlichen Belastung für Herzschrittmacher |
Families Citing this family (18)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0215729B1 (de) * | 1985-09-17 | 1992-12-02 | BIOTRONIK Mess- und Therapiegeräte GmbH & Co Ingenieurbüro Berlin | Herzschrittmacher |
| WO1989006990A1 (fr) * | 1988-02-05 | 1989-08-10 | Siemens Aktiengesellschaft | Circuit de regulation pour adapter la frequence de stimulation d'un stimulateur cardiaque a l'effort d'un patient |
| US4972834A (en) * | 1988-09-30 | 1990-11-27 | Vitatron Medical B.V. | Pacemaker with improved dynamic rate responsiveness |
| US5052388A (en) * | 1989-12-22 | 1991-10-01 | Medtronic, Inc. | Method and apparatus for implementing activity sensing in a pulse generator |
| US5076271A (en) * | 1990-07-19 | 1991-12-31 | Siemens-Pacesetter, Inc. | Rate-responsive pacing method and system employing minimum blood oxygen saturation as a control parameter and as a physical activity indicator |
| US5065759A (en) * | 1990-08-30 | 1991-11-19 | Vitatron Medical B.V. | Pacemaker with optimized rate responsiveness and method of rate control |
| EP0551355B1 (de) * | 1990-10-04 | 1994-09-14 | Pacesetter AB | Anordnung, insbesondere herzschrittmacher, zur erfassung eines messparameters der herzaktivität |
| US5119813A (en) * | 1990-11-05 | 1992-06-09 | Leonard Bloom | Mixed venous oxygen saturation responsive system for and method of treating a malfunctioning heart |
| FR2671013B1 (fr) * | 1990-12-27 | 1996-09-13 | Ela Medical Sa | Stimulateur cardiaque a frequence de stimulation asservie. |
| US5176137A (en) * | 1991-03-01 | 1993-01-05 | Medtronic, Inc. | Apparatus for discrimination of stable and unstable ventricular tachycardia and for treatment thereof |
| SE9102376D0 (sv) * | 1991-08-16 | 1991-08-16 | Siemens Elema Ab | Implanterbar medicinsk apparat |
| US5282839A (en) * | 1992-12-14 | 1994-02-01 | Medtronic, Inc. | Rate responsive cardiac pacemaker and method for providing an optimized pacing rate which varies with a patient's physiologic demand |
| DE19900690C1 (de) | 1999-01-05 | 2000-05-18 | Pacesetter Ab Jaerfaella | Herzschrittmacher |
| US7239915B2 (en) * | 2003-12-16 | 2007-07-03 | Medtronic, Inc. | Hemodynamic optimization system for biventricular implants |
| US7787947B2 (en) * | 2006-03-31 | 2010-08-31 | Medtronic, Inc. | Method and apparatus for using an optical hemodynamic sensor to identify an unstable arrhythmia |
| US8170636B2 (en) * | 2007-06-05 | 2012-05-01 | Medtronic, Inc. | Optical sensor confidence algorithm |
| WO2019036408A1 (en) * | 2017-08-16 | 2019-02-21 | President And Fellows Of Harvard College | STOCHASTIC STIMULATION FOR ENHANCING BREATHING OF A INFANT |
| CN114947781A (zh) * | 2022-05-12 | 2022-08-30 | 遵义医科大学附属医院 | 一种人工心脏bpm自适应参数辅助设计方法 |
Family Cites Families (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| IT1028812B (it) * | 1975-04-24 | 1979-02-10 | Alcidi M | Pacemaker artificiale perfezionato |
| ES226859Y (es) * | 1977-03-03 | 1977-11-16 | Marcapasos cardiaco de ritmo controlado por senales de regu-lacion detectadas en las vias yno los receptores nerviosos. | |
| DE2717659C2 (de) * | 1977-04-21 | 1985-11-14 | Wirtzfeld, Alexander, Prof. Dr.med., 8195 Egling | Herzschrittmacher |
| US4305396A (en) * | 1979-04-16 | 1981-12-15 | Vitatron Medical B.V. | Rate adaptive pacemaker and method of cardiac pacing |
| DE3107128C2 (de) * | 1981-02-26 | 1984-07-05 | Heinze, Roland, Dipl.-Ing., 8000 München | Regelschaltung zur Anpassung der Stimulationsfrequenz eines Herzschrittmachers an die Belastung eines Patienten |
| US4467807A (en) * | 1981-11-23 | 1984-08-28 | Medtronic, Inc. | Rate adaptive demand pacemaker |
| FR2550095B1 (fr) * | 1983-08-02 | 1986-09-26 | Brehier Jacques | Procede de commande d'un stimulateur cardiaque et sonde pour la mise en oeuvre du procede |
| US4527568A (en) * | 1983-12-27 | 1985-07-09 | Vitafin N.V. | Dual chamber pacer with alternative rate adaptive means and method |
-
1984
- 1984-06-20 DE DE19843422913 patent/DE3422913A1/de not_active Withdrawn
-
1985
- 1985-06-13 DE DE8585107335T patent/DE3586146D1/de not_active Expired - Lifetime
- 1985-06-13 EP EP85107335A patent/EP0165566B1/de not_active Expired - Lifetime
- 1985-06-19 JP JP60133919A patent/JPS6113976A/ja active Granted
- 1985-06-19 AU AU43812/85A patent/AU574193B2/en not_active Ceased
-
1987
- 1987-04-02 US US07/033,883 patent/US4870968A/en not_active Expired - Fee Related
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE4447447A1 (de) * | 1994-12-29 | 1996-07-11 | Pacesetter Ab | Einrichtung zum Feststellen der körperlichen Belastung für Herzschrittmacher |
| DE4447447C2 (de) * | 1994-12-29 | 2000-07-06 | Pacesetter Ab Jaerfaella | Herzschrittmacher |
Also Published As
| Publication number | Publication date |
|---|---|
| AU4381285A (en) | 1986-01-02 |
| AU574193B2 (en) | 1988-06-30 |
| EP0165566A3 (en) | 1988-09-07 |
| JPS6113976A (ja) | 1986-01-22 |
| EP0165566B1 (de) | 1992-06-03 |
| US4870968A (en) | 1989-10-03 |
| JPH0566155B2 (OSRAM) | 1993-09-21 |
| EP0165566A2 (de) | 1985-12-27 |
| DE3586146D1 (de) | 1992-07-09 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| 8141 | Disposal/no request for examination |