DE3709073A1 - Implantierbares medizinisches geraet - Google Patents

Implantierbares medizinisches geraet

Info

Publication number
DE3709073A1
DE3709073A1 DE19873709073 DE3709073A DE3709073A1 DE 3709073 A1 DE3709073 A1 DE 3709073A1 DE 19873709073 DE19873709073 DE 19873709073 DE 3709073 A DE3709073 A DE 3709073A DE 3709073 A1 DE3709073 A1 DE 3709073A1
Authority
DE
Germany
Prior art keywords
movable mass
influence
pacemaker
individual sensors
patient
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.)
Granted
Application number
DE19873709073
Other languages
German (de)
English (en)
Other versions
DE3709073C2 (enExample
Inventor
Eckhard Dr Alt
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.)
ALT, ECKHARD, PROF. DR., 85521 OTTOBRUNN, DE
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
Priority to DE19873709073 priority Critical patent/DE3709073A1/de
Priority to US07/170,251 priority patent/US4846195A/en
Priority to CA000561855A priority patent/CA1321621C/en
Publication of DE3709073A1 publication Critical patent/DE3709073A1/de
Application granted granted Critical
Publication of DE3709073C2 publication Critical patent/DE3709073C2/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
    • A61N1/362—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
    • A61N1/36542—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 body motion, e.g. acceleration

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Biophysics (AREA)
  • Physiology (AREA)
  • Engineering & Computer Science (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)
DE19873709073 1987-03-19 1987-03-19 Implantierbares medizinisches geraet Granted DE3709073A1 (de)

Priority Applications (3)

Application Number Priority Date Filing Date Title
DE19873709073 DE3709073A1 (de) 1987-03-19 1987-03-19 Implantierbares medizinisches geraet
US07/170,251 US4846195A (en) 1987-03-19 1988-03-18 Implantable position and motion sensor
CA000561855A CA1321621C (en) 1987-03-19 1988-03-18 Implantable position and motion sensor

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
DE19873709073 DE3709073A1 (de) 1987-03-19 1987-03-19 Implantierbares medizinisches geraet

Publications (2)

Publication Number Publication Date
DE3709073A1 true DE3709073A1 (de) 1988-09-29
DE3709073C2 DE3709073C2 (enExample) 1990-09-06

Family

ID=6323534

Family Applications (1)

Application Number Title Priority Date Filing Date
DE19873709073 Granted DE3709073A1 (de) 1987-03-19 1987-03-19 Implantierbares medizinisches geraet

Country Status (3)

Country Link
US (1) US4846195A (enExample)
CA (1) CA1321621C (enExample)
DE (1) DE3709073A1 (enExample)

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1992004075A1 (en) * 1990-08-30 1992-03-19 Medtronic, Inc. Method and apparatus for epidural burst stimulation for angina pectoris
EP0383732A3 (en) * 1989-02-13 1992-04-15 SORIN BIOMEDICA CARDIO S.p.A. An activity sensor, particularly for heart pacemakers
US5300092A (en) * 1989-11-29 1994-04-05 Biotronik Mess-und Therapiegerate GmbH & Co., Ingenieurburo Berlin Rest/activity phase-responsive rate controlled cardiac pacer
WO1996030080A1 (en) * 1995-03-30 1996-10-03 Medtronic, Inc. Medical device employing multiple dc accelerometers for patient activity and posture sensing
WO1998000197A1 (en) * 1996-06-28 1998-01-08 Medtronic, Inc. Pacemaker with stair climbing discrimination
CN115054262A (zh) * 2022-05-24 2022-09-16 苏州无双医疗设备有限公司 植入式心脏监视器用标测工具、控制方法及存储介质

Families Citing this family (109)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE58904654D1 (de) * 1989-10-20 1993-07-15 Siemens Ag Induktiver bewegungssensor.
US5040533A (en) * 1989-12-29 1991-08-20 Medical Engineering And Development Institute Incorporated Implantable cardiovascular treatment device container for sensing a physiological parameter
US5027813A (en) * 1990-03-05 1991-07-02 Cardiac Pacemakers, Inc. Rate responsive pacemaker apparatus having an electrode interface sensor
US5031618A (en) * 1990-03-07 1991-07-16 Medtronic, Inc. Position-responsive neuro stimulator
US5233984A (en) * 1991-03-29 1993-08-10 Medtronic, Inc. Implantable multi-axis position and activity sensor
US5318596A (en) * 1991-11-13 1994-06-07 Exonic Corporation Activity sensing pacemaker
US5354317A (en) * 1992-04-03 1994-10-11 Intermedics, Inc. Apparatus and method for cardiac pacing responsive to patient position
US5330505A (en) * 1992-05-08 1994-07-19 Leonard Bloom System for and method of treating a malfunctioning heart
US5556421A (en) * 1995-02-22 1996-09-17 Intermedics, Inc. Implantable medical device with enclosed physiological parameter sensors or telemetry link
US5882352A (en) * 1995-05-25 1999-03-16 Pacesetter, Inc. Automatic adjustment of detection rate threshold in an implantable antitachycardia therapy device
US9042952B2 (en) 1997-01-27 2015-05-26 Lawrence A. Lynn System and method for automatic detection of a plurality of SPO2 time series pattern types
US9468378B2 (en) 1997-01-27 2016-10-18 Lawrence A. Lynn Airway instability detection system and method
US8932227B2 (en) 2000-07-28 2015-01-13 Lawrence A. Lynn System and method for CO2 and oximetry integration
US5792200A (en) * 1997-04-28 1998-08-11 Sulzer Intermedics Inc. Adaptive mode switching in a rate-adaptive pacemaker and hysteresis for mode switching
US6249700B1 (en) 1997-06-12 2001-06-19 Eckhard Alt Defibrillator with improved hemodynamic response and enhanced myocardial stability
US6096061A (en) * 1997-06-12 2000-08-01 Intermedics Inc. Defibrillator with improved hemodynamic response and enhanced myocardial stability
US9521971B2 (en) 1997-07-14 2016-12-20 Lawrence A. Lynn System and method for automatic detection of a plurality of SPO2 time series pattern types
US20070191697A1 (en) 2006-02-10 2007-08-16 Lynn Lawrence A System and method for SPO2 instability detection and quantification
US6095991A (en) * 1998-07-23 2000-08-01 Individual Monitoring Systems, Inc. Ambulatory body position monitor
US6044297A (en) * 1998-09-25 2000-03-28 Medtronic, Inc. Posture and device orientation and calibration for implantable medical devices
US6477421B1 (en) 2000-02-24 2002-11-05 Pacesetter, Inc. Method and apparatus for position and motion sensing
WO2002041771A1 (en) 2000-11-27 2002-05-30 Modco Inc. Apparatus and method for monitoring blood pressure and another physiological parameter
US9053222B2 (en) 2002-05-17 2015-06-09 Lawrence A. Lynn Patient safety processor
US20060195041A1 (en) 2002-05-17 2006-08-31 Lynn Lawrence A Centralized hospital monitoring system for automatically detecting upper airway instability and for preventing and aborting adverse drug reactions
DE10214459A1 (de) * 2001-04-05 2003-04-30 Univ Ilmenau Tech Anordnung und Verfahren zur Erfassung von Signalen biologischen Ursprungs
US6881192B1 (en) * 2002-06-12 2005-04-19 Pacesetter, Inc. Measurement of sleep apnea duration and evaluation of response therapies using duration metrics
US7252640B2 (en) * 2002-12-04 2007-08-07 Cardiac Pacemakers, Inc. Detection of disordered breathing
US7189204B2 (en) 2002-12-04 2007-03-13 Cardiac Pacemakers, Inc. Sleep detection using an adjustable threshold
US7319899B2 (en) * 2003-04-23 2008-01-15 Medtronic, Inc. Sensing techniques for implantable medical devices
US7295877B2 (en) * 2003-07-31 2007-11-13 Biosense Webster, Inc. Encapsulated sensor with external antenna
EP1656181B1 (en) * 2003-08-18 2008-06-04 Cardiac Pacemakers, Inc. Disordered breathing management system
US7510531B2 (en) 2003-09-18 2009-03-31 Cardiac Pacemakers, Inc. System and method for discrimination of central and obstructive disordered breathing events
US8192376B2 (en) * 2003-08-18 2012-06-05 Cardiac Pacemakers, Inc. Sleep state classification
US8606356B2 (en) 2003-09-18 2013-12-10 Cardiac Pacemakers, Inc. Autonomic arousal detection system and method
US7720541B2 (en) 2003-08-18 2010-05-18 Cardiac Pacemakers, Inc. Adaptive therapy for disordered breathing
ATE385830T1 (de) * 2003-09-02 2008-03-15 Biotronik Gmbh & Co Kg Vorrichtung zur behandlung von schlaf-apnoe
US8396565B2 (en) 2003-09-15 2013-03-12 Medtronic, Inc. Automatic therapy adjustments
US7239915B2 (en) * 2003-12-16 2007-07-03 Medtronic, Inc. Hemodynamic optimization system for biventricular implants
US7171270B1 (en) * 2003-12-29 2007-01-30 Pacesetter, Inc. Implantable cardiac device to promote intrinsic rhythm to alleviate orthostatic hypotension
US7881798B2 (en) 2004-03-16 2011-02-01 Medtronic Inc. Controlling therapy based on sleep quality
US7366572B2 (en) * 2004-03-16 2008-04-29 Medtronic, Inc. Controlling therapy based on sleep quality
WO2005089646A1 (en) * 2004-03-16 2005-09-29 Medtronic, Inc. Sensitivity analysis for selecting therapy parameter sets
US7792583B2 (en) 2004-03-16 2010-09-07 Medtronic, Inc. Collecting posture information to evaluate therapy
US20070276439A1 (en) * 2004-03-16 2007-11-29 Medtronic, Inc. Collecting sleep quality information via a medical device
US7805196B2 (en) * 2004-03-16 2010-09-28 Medtronic, Inc. Collecting activity information to evaluate therapy
US7717848B2 (en) 2004-03-16 2010-05-18 Medtronic, Inc. Collecting sleep quality information via a medical device
US7395113B2 (en) 2004-03-16 2008-07-01 Medtronic, Inc. Collecting activity information to evaluate therapy
US8308661B2 (en) * 2004-03-16 2012-11-13 Medtronic, Inc. Collecting activity and sleep quality information via a medical device
US7330760B2 (en) * 2004-03-16 2008-02-12 Medtronic, Inc. Collecting posture information to evaluate therapy
US8055348B2 (en) * 2004-03-16 2011-11-08 Medtronic, Inc. Detecting sleep to evaluate therapy
US8725244B2 (en) 2004-03-16 2014-05-13 Medtronic, Inc. Determination of sleep quality for neurological disorders
US20050209512A1 (en) * 2004-03-16 2005-09-22 Heruth Kenneth T Detecting sleep
US7491181B2 (en) * 2004-03-16 2009-02-17 Medtronic, Inc. Collecting activity and sleep quality information via a medical device
US8135473B2 (en) * 2004-04-14 2012-03-13 Medtronic, Inc. Collecting posture and activity information to evaluate therapy
WO2005102449A1 (en) * 2004-04-14 2005-11-03 Medtronic, Inc. Collecting posture and activity information to evaluate therapy
EP1893086B1 (en) * 2005-05-24 2013-04-17 St. Jude Medical AB A method and a medical device for evaluating the prevalence of different postures of a patient and a computer readable medium for bringing a computer to performing the method
WO2006130268A1 (en) * 2005-06-01 2006-12-07 Medtronic, Inc. Correlating a non-polysomnographic physiological parameter set with sleep states
US9168383B2 (en) 2005-10-14 2015-10-27 Pacesetter, Inc. Leadless cardiac pacemaker with conducted communication
US8010209B2 (en) 2005-10-14 2011-08-30 Nanostim, Inc. Delivery system for implantable biostimulator
US20070129769A1 (en) * 2005-12-02 2007-06-07 Medtronic, Inc. Wearable ambulatory data recorder
US7957809B2 (en) 2005-12-02 2011-06-07 Medtronic, Inc. Closed-loop therapy adjustment
US7668579B2 (en) 2006-02-10 2010-02-23 Lynn Lawrence A System and method for the detection of physiologic response to stimulation
WO2007112092A2 (en) 2006-03-24 2007-10-04 Medtronic, Inc. Collecting gait information for evaluation and control of therapy
US8065001B1 (en) * 2007-03-01 2011-11-22 Pacesetter, Inc. Use of implantable body position and body movement sensors
US7844336B2 (en) 2007-04-10 2010-11-30 Cardiac Pacemakers, Inc. Implantable medical device configured as a pedometer
WO2009110996A1 (en) * 2008-03-05 2009-09-11 Cardiac Pacemakers, Inc. Automated heart function classification to standardized classes
US20090234503A1 (en) * 2008-03-12 2009-09-17 Shoel-Lai Chen Automatic switch device by sensing direction for a handheld apparatus having double-sided keypad arrangement
US8145320B2 (en) * 2008-03-26 2012-03-27 Medtronic, Inc. Telemetry control for implantable medical devices
EP2283443A1 (en) 2008-05-07 2011-02-16 Lynn, Lawrence A. Medical failure pattern search engine
US8165840B2 (en) 2008-06-12 2012-04-24 Cardiac Pacemakers, Inc. Posture sensor automatic calibration
US8688225B2 (en) 2008-07-11 2014-04-01 Medtronic, Inc. Posture state detection using selectable system control parameters
US8751011B2 (en) 2008-07-11 2014-06-10 Medtronic, Inc. Defining therapy parameter values for posture states
US9050471B2 (en) 2008-07-11 2015-06-09 Medtronic, Inc. Posture state display on medical device user interface
US8708934B2 (en) 2008-07-11 2014-04-29 Medtronic, Inc. Reorientation of patient posture states for posture-responsive therapy
US8249718B2 (en) 2008-07-11 2012-08-21 Medtronic, Inc. Programming posture state-responsive therapy with nominal therapy parameters
US8401666B2 (en) 2008-07-11 2013-03-19 Medtronic, Inc. Modification profiles for posture-responsive therapy
US8231556B2 (en) * 2008-07-11 2012-07-31 Medtronic, Inc. Obtaining baseline patient information
US8332041B2 (en) * 2008-07-11 2012-12-11 Medtronic, Inc. Patient interaction with posture-responsive therapy
US8504150B2 (en) 2008-07-11 2013-08-06 Medtronic, Inc. Associating therapy adjustments with posture states using a stability timer
US8280517B2 (en) 2008-09-19 2012-10-02 Medtronic, Inc. Automatic validation techniques for validating operation of medical devices
US8527068B2 (en) 2009-02-02 2013-09-03 Nanostim, Inc. Leadless cardiac pacemaker with secondary fixation capability
US9026223B2 (en) 2009-04-30 2015-05-05 Medtronic, Inc. Therapy system including multiple posture sensors
US9327070B2 (en) 2009-04-30 2016-05-03 Medtronic, Inc. Medical device therapy based on posture and timing
US8175720B2 (en) 2009-04-30 2012-05-08 Medtronic, Inc. Posture-responsive therapy control based on patient input
US8758274B2 (en) 2010-01-08 2014-06-24 Medtronic, Inc. Automated adjustment of posture state definitions for a medical device
US9956418B2 (en) 2010-01-08 2018-05-01 Medtronic, Inc. Graphical manipulation of posture zones for posture-responsive therapy
US8579834B2 (en) 2010-01-08 2013-11-12 Medtronic, Inc. Display of detected patient posture state
US9357949B2 (en) 2010-01-08 2016-06-07 Medtronic, Inc. User interface that displays medical therapy and posture data
US9566441B2 (en) 2010-04-30 2017-02-14 Medtronic, Inc. Detecting posture sensor signal shift or drift in medical devices
EP2415396B1 (de) * 2010-08-06 2016-08-17 BIOTRONIK SE & Co. KG Herzmonitor
US9060692B2 (en) 2010-10-12 2015-06-23 Pacesetter, Inc. Temperature sensor for a leadless cardiac pacemaker
WO2012051237A1 (en) 2010-10-12 2012-04-19 Nanostim, Inc. Temperature sensor for a leadless cardiac pacemaker
WO2012051235A1 (en) 2010-10-13 2012-04-19 Nanostim, Inc. Leadless cardiac pacemaker with anti-unscrewing feature
WO2012082755A1 (en) 2010-12-13 2012-06-21 Nanostim, Inc. Pacemaker retrieval systems and methods
CN103429296A (zh) 2010-12-13 2013-12-04 内诺斯蒂姆股份有限公司 递送导管系统和方法
WO2012088118A1 (en) 2010-12-20 2012-06-28 Nanostim, Inc. Leadless pacemaker with radial fixation mechanism
US20120190991A1 (en) * 2011-01-24 2012-07-26 Pacesetter, Inc. System and Method for Detecting a Clinically-Significant Pulmonary Fluid Accumulation Using an Implantable Medical Device
CN103889325B (zh) 2011-10-17 2016-08-10 皇家飞利浦有限公司 用于监测用户的设备和用于校准该设备的方法
WO2013067496A2 (en) 2011-11-04 2013-05-10 Nanostim, Inc. Leadless cardiac pacemaker with integral battery and redundant welds
US9907959B2 (en) 2012-04-12 2018-03-06 Medtronic, Inc. Velocity detection for posture-responsive therapy
US9737719B2 (en) 2012-04-26 2017-08-22 Medtronic, Inc. Adjustment of therapy based on acceleration
WO2014022661A1 (en) 2012-08-01 2014-02-06 Nanostim, Inc. Biostimulator circuit with flying cell
US10864377B2 (en) 2016-12-01 2020-12-15 Medtronic, Inc. Pacing mode switching in a ventricular pacemaker
US10207116B2 (en) * 2016-12-01 2019-02-19 Medtronic, Inc. Pacing mode switching in a ventricular pacemaker
US10328270B2 (en) 2016-12-13 2019-06-25 Medtronic, Inc. Input switching in a ventricular intracardiac pacemaker
CN106885921B (zh) * 2016-12-27 2019-10-25 孙君意 方向感测器
US11596795B2 (en) 2017-07-31 2023-03-07 Medtronic, Inc. Therapeutic electrical stimulation therapy for patient gait freeze
WO2019133812A1 (en) * 2017-12-28 2019-07-04 Profusa, Inc. System and method for analyzing biochemical sensor data
US12453859B2 (en) 2021-02-24 2025-10-28 Medtronic, Inc. Posture state definition calibration

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3358690A (en) * 1964-11-18 1967-12-19 Marvin M Cohen Heart stimulator utilizing a pressuresensitive semiconductor
DE2106275A1 (de) * 1971-02-10 1972-08-17 Siemens Ag Einrichtung zur Überwachung von bettlägrigen Patienten
US4140132A (en) * 1978-03-23 1979-02-20 Dahl Joseph D Variable rate timer for a cardiac pacemaker
US4428378A (en) * 1981-11-19 1984-01-31 Medtronic, Inc. Rate adaptive pacer

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NL185326C (nl) * 1979-06-08 1990-03-16 Jacob Cornelis Groenewegen Dr Toestel voor het meten van lichaamsbewegingen.
US4782836A (en) * 1984-05-24 1988-11-08 Intermedics, Inc. Rate adaptive cardiac pacemaker responsive to patient activity and temperature
US4722342A (en) * 1986-06-16 1988-02-02 Siemens Aktiengesellschaft Cardiac pacer for pacing a human heart and pacing method
US4771780A (en) * 1987-01-15 1988-09-20 Siemens-Pacesetter, Inc. Rate-responsive pacemaker having digital motion sensor

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3358690A (en) * 1964-11-18 1967-12-19 Marvin M Cohen Heart stimulator utilizing a pressuresensitive semiconductor
DE2106275A1 (de) * 1971-02-10 1972-08-17 Siemens Ag Einrichtung zur Überwachung von bettlägrigen Patienten
US4140132A (en) * 1978-03-23 1979-02-20 Dahl Joseph D Variable rate timer for a cardiac pacemaker
US4428378A (en) * 1981-11-19 1984-01-31 Medtronic, Inc. Rate adaptive pacer

Non-Patent Citations (1)

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Title
Alt, E. et al: Therapie mit frequenzadaptiven Herzschrittmachern. In: Herz/Kreislauf, 1986, Bd. 18, Nr. 11, S. 556-564 *

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0383732A3 (en) * 1989-02-13 1992-04-15 SORIN BIOMEDICA CARDIO S.p.A. An activity sensor, particularly for heart pacemakers
US5300092A (en) * 1989-11-29 1994-04-05 Biotronik Mess-und Therapiegerate GmbH & Co., Ingenieurburo Berlin Rest/activity phase-responsive rate controlled cardiac pacer
US5350408A (en) * 1989-11-29 1994-09-27 Biotronik Mess- Und Therapiegerate Gmbh & Co. Ingenieurburo Berlin Cardiac pacemaker
WO1992004075A1 (en) * 1990-08-30 1992-03-19 Medtronic, Inc. Method and apparatus for epidural burst stimulation for angina pectoris
WO1996030080A1 (en) * 1995-03-30 1996-10-03 Medtronic, Inc. Medical device employing multiple dc accelerometers for patient activity and posture sensing
US5957957A (en) * 1995-03-30 1999-09-28 Medtronic, Inc. Rate responsive cardiac pacemaker with tilt sensor
WO1998000197A1 (en) * 1996-06-28 1998-01-08 Medtronic, Inc. Pacemaker with stair climbing discrimination
CN115054262A (zh) * 2022-05-24 2022-09-16 苏州无双医疗设备有限公司 植入式心脏监视器用标测工具、控制方法及存储介质

Also Published As

Publication number Publication date
CA1321621C (en) 1993-08-24
US4846195A (en) 1989-07-11
DE3709073C2 (enExample) 1990-09-06

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