DE60022714D1 - Implantierbarer Herzschrittmacher - Google Patents

Implantierbarer Herzschrittmacher

Info

Publication number
DE60022714D1
DE60022714D1 DE60022714T DE60022714T DE60022714D1 DE 60022714 D1 DE60022714 D1 DE 60022714D1 DE 60022714 T DE60022714 T DE 60022714T DE 60022714 T DE60022714 T DE 60022714T DE 60022714 D1 DE60022714 D1 DE 60022714D1
Authority
DE
Germany
Prior art keywords
implantable pacemaker
pacemaker
implantable
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 - Lifetime
Application number
DE60022714T
Other languages
English (en)
Other versions
DE60022714T2 (de
Inventor
Lisa P Weinberg
Gene A Bornzin
Kelly H Mcclure
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.)
Pacesetter Inc
Original Assignee
Pacesetter 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 Pacesetter Inc filed Critical Pacesetter Inc
Application granted granted Critical
Publication of DE60022714D1 publication Critical patent/DE60022714D1/de
Publication of DE60022714T2 publication Critical patent/DE60022714T2/de
Anticipated expiration legal-status Critical
Expired - Lifetime 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
    • A61N1/368—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
    • A61N1/3702—Physiological parameters
    • A61N1/3704—Circuits specially adapted therefor, e.g. for sensitivity control

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Physiology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Biophysics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Electrotherapy Devices (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
DE60022714T 1999-07-15 2000-07-14 Implantierbarer Herzschrittmacher Expired - Lifetime DE60022714T2 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US354244 1999-07-15
US09/354,244 US6539259B1 (en) 1999-07-15 1999-07-15 System and method of automatically adjusting sensitivity in an implantable cardiac stimulation device

Publications (2)

Publication Number Publication Date
DE60022714D1 true DE60022714D1 (de) 2006-02-02
DE60022714T2 DE60022714T2 (de) 2006-04-27

Family

ID=23392466

Family Applications (1)

Application Number Title Priority Date Filing Date
DE60022714T Expired - Lifetime DE60022714T2 (de) 1999-07-15 2000-07-14 Implantierbarer Herzschrittmacher

Country Status (3)

Country Link
US (1) US6539259B1 (de)
EP (1) EP1072284B1 (de)
DE (1) DE60022714T2 (de)

Families Citing this family (74)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
SE9901746D0 (sv) * 1999-05-12 1999-05-12 Pacesetter Ab Implantable heart stimulator
SE0003480D0 (sv) * 2000-09-27 2000-09-27 St Jude Medical Implantable heart stimulator
US6721592B2 (en) * 2001-09-12 2004-04-13 Medtronic, Inc. Automatic electrogram measurement
US6862471B1 (en) * 2001-10-25 2005-03-01 Pacesetter, Inc. Method and apparatus for blanking T-waves from combipolar atrial cardiac signals based on expected T-wave locations
US6711438B1 (en) * 2001-10-25 2004-03-23 Pacesetter, Inc. Method and apparatus for blanking T-waves from combipolar atrial cardiac signals based on expected T-wave locations
FR2831450B1 (fr) 2001-10-30 2004-07-30 Ela Medical Sa Dispositif medical implantable actif pour le traitement des troubles du rythme cardiaque, comprenant des moyens perfectionnes de detection des arythmies auriculaires
US6745076B2 (en) * 2001-11-16 2004-06-01 Medtronic, Inc. Implantable medical device with autosensitivity algorithm for controlling sensing of cardiac signals
US6862476B2 (en) 2002-02-20 2005-03-01 Pacesetter, Inc. Implantable cardiac stimulation device having automatic sensitivity control and method
US7783354B2 (en) * 2002-04-29 2010-08-24 Medtronic, Inc. Method and apparatus for identifying cardiac and non-cardiac oversensing using intracardiac electrograms
US7139611B1 (en) * 2003-05-05 2006-11-21 Pacesetter, Inc. System and method for rejecting far-field signals using an implantable cardiac stimulation device
US7274959B1 (en) 2003-06-24 2007-09-25 Pacesetter, Inc. System and method for detecting cardiac ischemia using an implantable medical device
US7225015B1 (en) * 2003-06-24 2007-05-29 Pacesetter, Inc. System and method for detecting cardiac ischemia based on T-waves using an implantable medical device
US7218960B1 (en) * 2003-06-24 2007-05-15 Pacesetter, Inc. System and method for detecting cardiac ischemia based on T-waves using an implantable medical device
WO2005042090A1 (en) * 2003-10-27 2005-05-12 St Jude Medical Ab Device for adjusting the sensitivity level of an implantable medical device
US7155282B1 (en) 2003-11-21 2006-12-26 Pacesetter, Inc. Automatic sensitivity control and method for use in an implantable cardiac stimulation device
US7308307B1 (en) * 2004-03-02 2007-12-11 Pacesetter, Inc. Implantable single-chamber atrial pacing device providing active ventricular far field sensing and rate limit
US7996083B2 (en) 2004-06-02 2011-08-09 Cardiac Pacemakers, Inc. Far-field sensing channel for implantable cardiac device
US7567835B2 (en) * 2005-04-18 2009-07-28 Medtronic, Inc. Method and apparatus for identifying oversensing using far-field intracardiac electrograms and marker channels
US7463926B1 (en) * 2005-06-24 2008-12-09 Pacesetter, Inc. Automatic signal amplitude measurement system in the setting of abnormal rhythms
KR100874168B1 (ko) * 2006-12-27 2008-12-15 성균관대학교산학협력단 적응형 피크 심장박동 검출 시스템 및 그 방법
US7668593B1 (en) 2007-03-30 2010-02-23 Pacesetter, Inc. System and method to accelerate individualized gain adjustment in implantable medical device systems
US7769436B1 (en) * 2007-06-04 2010-08-03 Pacesetter, Inc. System and method for adaptively adjusting cardiac ischemia detection thresholds and other detection thresholds used by an implantable medical device
US8600490B1 (en) * 2007-11-21 2013-12-03 Pacesetter, Inc. Two-dimensional refractory period
WO2011099992A1 (en) 2010-02-12 2011-08-18 Brigham And Women's Hospital, Inc. System and method for automated adjustment of cardiac resynchronization therapy control parameters
US8972228B2 (en) 2011-05-03 2015-03-03 Medtronic, Inc. Assessing intra-cardiac activation patterns
US9078577B2 (en) 2012-12-06 2015-07-14 Massachusetts Institute Of Technology Circuit for heartbeat detection and beat timing extraction
US9278219B2 (en) 2013-03-15 2016-03-08 Medtronic, Inc. Closed loop optimization of control parameters during cardiac pacing
US10064567B2 (en) 2013-04-30 2018-09-04 Medtronic, Inc. Systems, methods, and interfaces for identifying optimal electrical vectors
US9931048B2 (en) 2013-04-30 2018-04-03 Medtronic, Inc. Systems, methods, and interfaces for identifying effective electrodes
US10251555B2 (en) 2013-06-12 2019-04-09 Medtronic, Inc. Implantable electrode location selection
US9877789B2 (en) 2013-06-12 2018-01-30 Medtronic, Inc. Implantable electrode location selection
US9474457B2 (en) 2013-06-12 2016-10-25 Medtronic, Inc. Metrics of electrical dyssynchrony and electrical activation patterns from surface ECG electrodes
US9278220B2 (en) 2013-07-23 2016-03-08 Medtronic, Inc. Identification of healthy versus unhealthy substrate for pacing from a multipolar lead
US9282907B2 (en) 2013-07-23 2016-03-15 Medtronic, Inc. Identification of healthy versus unhealthy substrate for pacing from a multipolar lead
US9265955B2 (en) 2013-07-26 2016-02-23 Medtronic, Inc. Method and system for improved estimation of time of left ventricular pacing with respect to intrinsic right ventricular activation in cardiac resynchronization therapy
US9265954B2 (en) 2013-07-26 2016-02-23 Medtronic, Inc. Method and system for improved estimation of time of left ventricular pacing with respect to intrinsic right ventricular activation in cardiac resynchronization therapy
US9320446B2 (en) 2013-12-09 2016-04-26 Medtronic, Inc. Bioelectric sensor device and methods
US9986928B2 (en) 2013-12-09 2018-06-05 Medtronic, Inc. Noninvasive cardiac therapy evaluation
US9776009B2 (en) 2014-03-20 2017-10-03 Medtronic, Inc. Non-invasive detection of phrenic nerve stimulation
US9591982B2 (en) 2014-07-31 2017-03-14 Medtronic, Inc. Systems and methods for evaluating cardiac therapy
US9764143B2 (en) 2014-08-15 2017-09-19 Medtronic, Inc. Systems and methods for configuration of interventricular interval
US9586052B2 (en) 2014-08-15 2017-03-07 Medtronic, Inc. Systems and methods for evaluating cardiac therapy
US9586050B2 (en) 2014-08-15 2017-03-07 Medtronic, Inc. Systems and methods for configuration of atrioventricular interval
US11253178B2 (en) 2015-01-29 2022-02-22 Medtronic, Inc. Noninvasive assessment of cardiac resynchronization therapy
US9731138B1 (en) * 2016-02-17 2017-08-15 Medtronic, Inc. System and method for cardiac pacing
US11219769B2 (en) 2016-02-26 2022-01-11 Medtronic, Inc. Noninvasive methods and systems of determining the extent of tissue capture from cardiac pacing
US10780279B2 (en) 2016-02-26 2020-09-22 Medtronic, Inc. Methods and systems of optimizing right ventricular only pacing for patients with respect to an atrial event and left ventricular event
US10413207B2 (en) 2016-03-25 2019-09-17 Medtronic, Inc. Method and apparatus for verifying bradycardia/asystole episodes via detection of under-sensed events
US10252071B2 (en) 2016-04-29 2019-04-09 Medtronic, Inc. Multi-threshold sensing of cardiac electrical signals in an extracardiovascular implantable cardioverter defibrillator
US10328274B2 (en) 2016-06-08 2019-06-25 Medtronic, Inc. System and method for identifying and responding to P-wave oversensing in a cardiac system
US10532213B2 (en) 2017-03-03 2020-01-14 Medtronic, Inc. Criteria for determination of local tissue latency near pacing electrode
US10987517B2 (en) 2017-03-15 2021-04-27 Medtronic, Inc. Detection of noise signals in cardiac signals
EP3658227B1 (de) 2017-07-28 2021-05-12 Medtronic, Inc. Herzzyklusauswahl
CN110996784B (zh) 2017-07-28 2023-05-30 美敦力公司 生成激动时间
US10799710B2 (en) 2017-10-23 2020-10-13 Medtronic, Inc. Multi-threshold sensing of cardiac electrical signals in an implantable medical device
US10433746B2 (en) 2017-12-22 2019-10-08 Regents Of The University Of Minnesota Systems and methods for anterior and posterior electrode signal analysis
US11419539B2 (en) 2017-12-22 2022-08-23 Regents Of The University Of Minnesota QRS onset and offset times and cycle selection using anterior and posterior electrode signals
US10799703B2 (en) 2017-12-22 2020-10-13 Medtronic, Inc. Evaluation of his bundle pacing therapy
US10492705B2 (en) 2017-12-22 2019-12-03 Regents Of The University Of Minnesota Anterior and posterior electrode signals
US10786167B2 (en) 2017-12-22 2020-09-29 Medtronic, Inc. Ectopic beat-compensated electrical heterogeneity information
US10617318B2 (en) 2018-02-27 2020-04-14 Medtronic, Inc. Mapping electrical activity on a model heart
US10668290B2 (en) 2018-03-01 2020-06-02 Medtronic, Inc. Delivery of pacing therapy by a cardiac pacing device
US10918870B2 (en) 2018-03-07 2021-02-16 Medtronic, Inc. Atrial lead placement for treatment of atrial dyssynchrony
US10780281B2 (en) 2018-03-23 2020-09-22 Medtronic, Inc. Evaluation of ventricle from atrium pacing therapy
WO2019191602A1 (en) 2018-03-29 2019-10-03 Medtronic, Inc. Left ventricular assist device adjustment and evaluation
US11304641B2 (en) 2018-06-01 2022-04-19 Medtronic, Inc. Systems, methods, and interfaces for use in cardiac evaluation
US10940321B2 (en) 2018-06-01 2021-03-09 Medtronic, Inc. Systems, methods, and interfaces for use in cardiac evaluation
US11697025B2 (en) 2019-03-29 2023-07-11 Medtronic, Inc. Cardiac conduction system capture
US11547858B2 (en) 2019-03-29 2023-01-10 Medtronic, Inc. Systems, methods, and devices for adaptive cardiac therapy
US11497431B2 (en) 2019-10-09 2022-11-15 Medtronic, Inc. Systems and methods for configuring cardiac therapy
US11642533B2 (en) 2019-11-04 2023-05-09 Medtronic, Inc. Systems and methods for evaluating cardiac therapy
US20210393187A1 (en) * 2020-06-19 2021-12-23 Biosense Webster (Israel) Ltd. Ventricular far field estimation using autoencoder
US12023503B2 (en) 2020-07-30 2024-07-02 Medtronic, Inc. ECG belt systems to interoperate with IMDs
US11813464B2 (en) 2020-07-31 2023-11-14 Medtronic, Inc. Cardiac conduction system evaluation

Family Cites Families (14)

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US4766902A (en) 1986-06-04 1988-08-30 Telectronics N.V. Automatic sensitivity control for cardiac pacer
US4768511A (en) 1986-07-10 1988-09-06 Telectronics N.V. Automatic sensitivity control for implantable cardiac pacemakers
US4708144A (en) 1986-10-06 1987-11-24 Telectronics N.V. Automatic sensitivity control for a pacemaker
US4768411A (en) 1986-11-07 1988-09-06 W. R. Grace & Co., Cryovac Div. Easy-open bag and apparatus and method for making same
US4940054A (en) 1988-04-29 1990-07-10 Telectronics N.V. Apparatus and method for controlling multiple sensitivities in arrhythmia control system including post therapy packing delay
US4880004A (en) * 1988-06-07 1989-11-14 Intermedics, Inc. Implantable cardiac stimulator with automatic gain control and bandpass filtering in feedback loop
US4903699A (en) 1988-06-07 1990-02-27 Intermedics, Inc. Implantable cardiac stimulator with automatic gain control
FR2685210B1 (fr) * 1991-12-23 1998-09-11 Ela Medical Sa Procede de controle automatique de la sensibilite, pour appareil implante de stimulation cardioversion et/ou defibrillation cardiaque, et appareil correspondant.
US5269300A (en) 1992-07-30 1993-12-14 Cardiac Pacemakers, Inc. Automatic sensitivity control in an implantable cardiac rhythm management system
AU1796595A (en) * 1992-12-01 1995-07-13 Siemens Aktiengesellschaft Cardiac arrhythmia detection system for an implantable stimulation device
SE9303121D0 (sv) 1993-09-24 1993-09-24 Siemens Elema Ab Hjärtstimulator
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.
US5913880A (en) 1997-04-07 1999-06-22 Vitatron Medical, B.V. Pacemaker with automatic sensitivity adjustment
US5861009A (en) * 1997-10-21 1999-01-19 Sulzer Intermedics, Inc. Implantable cardiac stimulator with rate-adaptive T-wave detection

Also Published As

Publication number Publication date
EP1072284B1 (de) 2005-09-21
EP1072284A3 (de) 2004-02-04
US6539259B1 (en) 2003-03-25
DE60022714T2 (de) 2006-04-27
EP1072284A2 (de) 2001-01-31

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Legal Events

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8364 No opposition during term of opposition