DE602006005283D1 - Implantierbares medizinisches Gerät zur biventrikulären Stimulation und zur automatischen Optimierung der Anregungskonfiguration - Google Patents

Implantierbares medizinisches Gerät zur biventrikulären Stimulation und zur automatischen Optimierung der Anregungskonfiguration

Info

Publication number
DE602006005283D1
DE602006005283D1 DE602006005283T DE602006005283T DE602006005283D1 DE 602006005283 D1 DE602006005283 D1 DE 602006005283D1 DE 602006005283 T DE602006005283 T DE 602006005283T DE 602006005283 T DE602006005283 T DE 602006005283T DE 602006005283 D1 DE602006005283 D1 DE 602006005283D1
Authority
DE
Germany
Prior art keywords
medical device
implantable medical
automatic optimization
configuration
signal
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.)
Active
Application number
DE602006005283T
Other languages
English (en)
Inventor
Gianni Plicchi
Emanuela Marcelli
Fabrizio Renesto
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.)
Sorin CRM SAS
Original Assignee
Ela Medical SAS
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 Ela Medical SAS filed Critical Ela Medical SAS
Publication of DE602006005283D1 publication Critical patent/DE602006005283D1/de
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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
    • A61N1/3627—Heart stimulators for treating a mechanical deficiency of the heart, e.g. congestive heart failure or cardiomyopathy
    • 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
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/36128—Control systems
    • A61N1/36146—Control systems specified by the stimulation parameters
    • A61N1/36182—Direction of the electrical field, e.g. with sleeve around stimulating electrode
    • A61N1/36185—Selection of the electrode configuration
    • 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
    • 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
    • A61N1/365—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
    • A61N1/3684—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions for stimulating the heart at multiple sites of the ventricle or the atrium
    • 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
    • A61N1/3684—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions for stimulating the heart at multiple sites of the ventricle or the atrium
    • A61N1/36843—Bi-ventricular stimulation
    • 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
    • A61N1/3686—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions configured for selecting the electrode configuration on a lead
    • 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
    • A61N1/36578—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 mechanical motion of the heart wall, e.g. measured by an accelerometer or microphone
    • 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
    • A61N1/3682—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions with a variable atrioventricular delay
    • 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
    • A61N1/3688—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions configured for switching the pacing mode, e.g. from AAI to DDD

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Biophysics (AREA)
  • Physiology (AREA)
  • Neurology (AREA)
  • Neurosurgery (AREA)
  • Hospice & Palliative Care (AREA)
  • Hematology (AREA)
  • Electrotherapy Devices (AREA)
DE602006005283T 2005-06-22 2006-06-21 Implantierbares medizinisches Gerät zur biventrikulären Stimulation und zur automatischen Optimierung der Anregungskonfiguration Active DE602006005283D1 (de)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
FR0506317A FR2887460A1 (fr) 2005-06-22 2005-06-22 Dispositif medical implantable actif a stimulation biventriculaire et optimisation automatique de la configuration de stimulation

Publications (1)

Publication Number Publication Date
DE602006005283D1 true DE602006005283D1 (de) 2009-04-09

Family

ID=35523440

Family Applications (1)

Application Number Title Priority Date Filing Date
DE602006005283T Active DE602006005283D1 (de) 2005-06-22 2006-06-21 Implantierbares medizinisches Gerät zur biventrikulären Stimulation und zur automatischen Optimierung der Anregungskonfiguration

Country Status (5)

Country Link
US (1) US7664547B2 (de)
EP (1) EP1736203B1 (de)
AT (1) ATE423595T1 (de)
DE (1) DE602006005283D1 (de)
FR (1) FR2887460A1 (de)

Families Citing this family (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2070562B1 (de) 2007-12-13 2010-12-29 Ela Medical Medizinische Vorrichtung zur Bestimmung des Herzzustands eines Patienten, dem ein aktives Implantat zur biventrikulären Stimulation eingesetzt wurde
EP2092885B1 (de) 2008-02-20 2015-01-28 Ela Medical Analysevorrichtung eines endokardialen Beschleunigungssignals
ATE511880T1 (de) * 2008-11-19 2011-06-15 Ela Medical Sa Aktives medizinisches implantat, das mit berechnungsmitteln der atrioventrikulären verzögerung ausgestattet ist
EP2263747B1 (de) * 2009-06-15 2015-08-26 Sorin CRM SAS Implantierbare Herzprothese mit Mittel zur Analyse der Patiententoleranz bezüglich der Stimulationsart die spontane Atrio-Ventrukuläre Leitung bevorzugend
ATE513579T1 (de) 2009-10-19 2011-07-15 Sorin Crm Sas Implantierbarer medizinischer herzschrittmacher und verfahren zur optimierung des implantatortes für interventrikuläre und atrioventrikuläre intervalle
US8187199B2 (en) * 2009-11-05 2012-05-29 Cardiac Pacemakers, Inc. Myocardial contractile reserve measured during activities of daily living
EP2495013B1 (de) 2011-03-03 2013-07-24 Sorin CRM SAS Anordnung für die Suche nach einer optimalen Konfiguration eines Implantats zur bi-, tri- oder multiventrikulären Resynchronisation des Herzens
EP2508227B1 (de) 2011-04-06 2013-12-25 Sorin CRM SAS Implantierbare Herzprothese zur Resynchronisation des Herzens durch biventrikuläre Stimulation, die Mittel zur inversen Herzrekonfiguration umfasst
EP2712549B1 (de) 2012-10-01 2015-03-11 Sorin CRM SAS Vorrichtung zur Bewertung der zeitlichen ventrikulären Desynchronisation
EP2737925B1 (de) * 2012-11-29 2015-06-17 Sorin CRM SAS Aktive implantierbare Herzprothese mit Erfassung der aurikularen mechanischen Aktivität
EP2803385B1 (de) 2013-05-14 2016-04-06 Sorin CRM SAS Implantierbares CRT-Gerät zur Stimulation beider Ventrikel und zur Erkennung von Erfassungsverlusten und anodischen Stimulationen
US11813463B2 (en) 2017-12-01 2023-11-14 Cardiac Pacemakers, Inc. Leadless cardiac pacemaker with reversionary behavior
CN111432875B (zh) 2017-12-01 2024-04-30 心脏起搏器股份公司 从心室植入式无引线心脏起搏器检测心房收缩定时基准并确定心脏间隔的方法和系统
WO2019108545A1 (en) 2017-12-01 2019-06-06 Cardiac Pacemakers, Inc. Methods and systems for detecting atrial contraction timing fiducials during ventricular filling from a ventricularly implanted leadless cardiac pacemaker
WO2019108837A1 (en) 2017-12-01 2019-06-06 Cardiac Pacemakers, Inc. Methods and systems for detecting atrial contraction timing fiducials within a search window from a ventricularly implanted leadless cardiac pacemaker
US11420067B2 (en) 2019-04-05 2022-08-23 Medtronic, Inc. Medical device and method for controlling pacing interval to promote mechanical heart chamber synchrony

Family Cites Families (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
IT1245814B (it) 1991-05-21 1994-10-18 Sorin Biomedica Spa Dispositivo cardiostimolatore del tipo rate responsive
IT1260692B (it) * 1993-10-05 1996-04-22 Sorin Biomedica Spa Dispositivo per la determinazione della funzione miocardica e relativoprocedimento.
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
FR2802433B1 (fr) 1999-12-17 2002-05-17 Ela Medical Sa Dispositif medical, implantable actif, notamment stimulateur cardiaque, defibrillateur et/ou cardiovecteur du type multisite comportant des moyens de resynchronisation des ventricules
US6792308B2 (en) * 2000-11-17 2004-09-14 Medtronic, Inc. Myocardial performance assessment
US7113823B2 (en) * 2001-10-26 2006-09-26 Cardiac Pacemakers, Inc. Morphology-based optimization of cardiac resynchronization therapy
US7079896B1 (en) * 2001-11-26 2006-07-18 Pacesetter, Inc. Methods of automatically optimizing AV delay by way of monitoring the heart sound
US7113825B2 (en) * 2002-05-03 2006-09-26 Cardiac Pacemakers, Inc. Method and apparatus for detecting acoustic oscillations in cardiac rhythm
US6965797B2 (en) * 2002-09-13 2005-11-15 Cardiac Pacemakers, Inc. Method and apparatus for assessing and treating myocardial wall stress
US7139609B1 (en) * 2003-01-17 2006-11-21 Pacesetter, Inc. System and method for monitoring cardiac function via cardiac sounds using an implantable cardiac stimulation device
US7092759B2 (en) * 2003-07-30 2006-08-15 Medtronic, Inc. Method of optimizing cardiac resynchronization therapy using sensor signals of septal wall motion

Also Published As

Publication number Publication date
US7664547B2 (en) 2010-02-16
US20060293715A1 (en) 2006-12-28
ATE423595T1 (de) 2009-03-15
EP1736203B1 (de) 2009-02-25
EP1736203A1 (de) 2006-12-27
FR2887460A1 (fr) 2006-12-29

Similar Documents

Publication Publication Date Title
DE602006005283D1 (de) Implantierbares medizinisches Gerät zur biventrikulären Stimulation und zur automatischen Optimierung der Anregungskonfiguration
ATE515978T1 (de) Nicht-invasive herzparameter-messung
DE602008004206D1 (de) Medizinische Vorrichtung zur Bestimmung des Herzzustands eines Patienten, dem ein aktives Implantat zur biventrikulären Stimulation eingesetzt wurde
ATE484314T1 (de) Gerät zur bestimmung von oversensing in einem medizinprodukt
DE602005011499D1 (de) Medizinische vorrichtung zur bestimmung der haltung eines patienten
WO2008024137A3 (en) Novel method and apparatus for determining optimal neuromuscular detection sites, novel diagnostic biosensor array formed in accordance with the same, and novel method for testing a patient using the novel diagnostic biosensor array
WO2009105720A3 (en) Electrophysiology catheter system
ATE441455T1 (de) Echtzeit-optimierung der rechts/linksventrikulären zeitsequenz bei biventrikulärem pacing bei patienten mit herzinsuffizienz
DK1616184T3 (da) Fremgangsmåde og kit til at påvise tidlig begyndelse af renal tubulær cellebeskadigelse
WO2005110051A3 (en) Portable device for monitoring electrocardiographic signals and indices of blood flow
JP2010535544A5 (de)
EP2294979A8 (de) Verfahren und elektronisches medizinisches Gerät für simultane Messung sowie Impedanz und Biopotenzialsignal
ATE548985T1 (de) Systeme zur beurteilung von elektrodenkontakt
WO2006006871A3 (en) Method and system for monitoring ventilations
DE602006015317D1 (de) Aktivitätsmessung für die stimulator-kontrolle
WO2011145807A3 (ko) 신경기능 검사장치
ATE507861T1 (de) Tragbares medizinisches gerät mit probenentnahmemittel, bestimmungsmittel und injektionsmittel
ATE471694T1 (de) Implantierbares medizinprodukt zur beurteilung eines grads von lungenödem eines patienten
DK1706019T3 (da) Dermalt fastgjort sensorindretning
WO2005113021A3 (en) Device, system and method for in-vivo analysis
WO2008114377A1 (ja) 運動状態検出装置、運動状態検出プログラム、運動状態検出方法
KR101280449B1 (ko) 맥진 진단에 따른 자동 시술 기능을 갖는 장갑형 다기능 전자침
EP3246708A3 (de) Troponins zur prognose von nierenausfall bei herzchirurgiepatienten
WO2008042684A3 (en) Method and apparatus for assessing induced t-wave alternans
NO20065167L (no) Deteksjon smerte/vakenhet, integralverdi

Legal Events

Date Code Title Description
8364 No opposition during term of opposition