DE602006010003D1 - Implantierbare medizinische Vorrichtung, insebesondere zur Stimulation, Resynchronisierung, Defibrillation, und/oder Cardioversion mit diagnostischen MItteln zur Vorhersage des klinischen Zustands des Patienten - Google Patents

Implantierbare medizinische Vorrichtung, insebesondere zur Stimulation, Resynchronisierung, Defibrillation, und/oder Cardioversion mit diagnostischen MItteln zur Vorhersage des klinischen Zustands des Patienten

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Publication number
DE602006010003D1
DE602006010003D1 DE602006010003T DE602006010003T DE602006010003D1 DE 602006010003 D1 DE602006010003 D1 DE 602006010003D1 DE 602006010003 T DE602006010003 T DE 602006010003T DE 602006010003 T DE602006010003 T DE 602006010003T DE 602006010003 D1 DE602006010003 D1 DE 602006010003D1
Authority
DE
Germany
Prior art keywords
patient
cardioversion
resynchronization
defibrillation
predicting
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
DE602006010003T
Other languages
English (en)
Inventor
Cyrille Casset
Jean-Mathieu Torralba
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 DE602006010003D1 publication Critical patent/DE602006010003D1/de
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/08—Detecting, measuring or recording devices for evaluating the respiratory organs
    • A61B5/0809—Detecting, measuring or recording devices for evaluating the respiratory organs by impedance pneumography
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/08—Detecting, measuring or recording devices for evaluating the respiratory organs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • A61B5/1118—Determining activity level
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A61B5/686—Permanently implanted devices, e.g. pacemakers, other stimulators, biochips
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7235—Details of waveform analysis
    • A61B5/7264—Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/74—Details of notification to user or communication with user or patient ; user input means
    • A61B5/746—Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms
    • 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
    • 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
    • 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
    • A61N1/3962—Implantable devices for applying electric shocks to the heart, e.g. for cardioversion in combination with another heart therapy
    • A61N1/39622—Pacing therapy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02—Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0219—Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
    • 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
    • A61N1/362—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
    • A61N1/36521—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure the parameter being derived from measurement of an electrical impedance
    • 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
    • A61N1/36585—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by two or more physical parameters

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Biophysics (AREA)
  • Cardiology (AREA)
  • Physics & Mathematics (AREA)
  • Physiology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Pulmonology (AREA)
  • Artificial Intelligence (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Evolutionary Computation (AREA)
  • Fuzzy Systems (AREA)
  • Mathematical Physics (AREA)
  • Computer Vision & Pattern Recognition (AREA)
  • Psychiatry (AREA)
  • Signal Processing (AREA)
  • Electrotherapy Devices (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
DE602006010003T 2005-09-27 2006-09-25 Implantierbare medizinische Vorrichtung, insebesondere zur Stimulation, Resynchronisierung, Defibrillation, und/oder Cardioversion mit diagnostischen MItteln zur Vorhersage des klinischen Zustands des Patienten Active DE602006010003D1 (de)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
FR0509837A FR2891152A1 (fr) 2005-09-27 2005-09-27 Dispositif medical implantable actif, notamment dispositif de stimulation, resynchronisation, defibrillation et/ou cardioversion, comprenant des moyens de diagnostic predictif de l'etat du patient.

Publications (1)

Publication Number Publication Date
DE602006010003D1 true DE602006010003D1 (de) 2009-12-10

Family

ID=36593714

Family Applications (1)

Application Number Title Priority Date Filing Date
DE602006010003T Active DE602006010003D1 (de) 2005-09-27 2006-09-25 Implantierbare medizinische Vorrichtung, insebesondere zur Stimulation, Resynchronisierung, Defibrillation, und/oder Cardioversion mit diagnostischen MItteln zur Vorhersage des klinischen Zustands des Patienten

Country Status (5)

Country Link
US (2) US8798748B2 (de)
EP (1) EP1767244B1 (de)
AT (1) ATE446788T1 (de)
DE (1) DE602006010003D1 (de)
FR (1) FR2891152A1 (de)

Families Citing this family (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7269458B2 (en) * 2004-08-09 2007-09-11 Cardiac Pacemakers, Inc. Cardiopulmonary functional status assessment via heart rate response detection by implantable cardiac device
US7389143B2 (en) 2004-08-12 2008-06-17 Cardiac Pacemakers, Inc. Cardiopulmonary functional status assessment via metabolic response detection by implantable cardiac device
US20070021678A1 (en) * 2005-07-19 2007-01-25 Cardiac Pacemakers, Inc. Methods and apparatus for monitoring physiological responses to steady state activity
FR2891152A1 (fr) * 2005-09-27 2007-03-30 Ela Medical Soc Par Actions Si Dispositif medical implantable actif, notamment dispositif de stimulation, resynchronisation, defibrillation et/ou cardioversion, comprenant des moyens de diagnostic predictif de l'etat du patient.
EP2537107B1 (de) * 2010-02-16 2019-05-15 Cardiac Pacemakers, Inc. Kinetik einer physiologischen reaktion auf eine aktivität während der ausführung von alltäglichen aktivitäten
FR2986158A1 (fr) 2012-01-31 2013-08-02 Sorin Crm Sas Dispositif medical implantable actif comprenant des moyens de diagnostic de l'insuffisance cardiaque
US9138238B2 (en) 2012-05-30 2015-09-22 Depuy (Ireland) Method of assembling and positioning a femoral orthopaedic surgical instrument
CN110146317B (zh) * 2019-04-29 2021-11-12 北京和欣运达科技有限公司 一种建筑物机电设备健康状态的诊断方法和装置

Family Cites Families (18)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4417592A (en) * 1981-05-11 1983-11-29 Roy John E Digital electroencephalographic instrument and method
FR2735985B1 (fr) * 1995-06-30 1997-12-19 Ela Medical Sa Dispositif medical implantable actif, notamment stimulateur cardiaque, asservi a au moins un parametre physiologique
US5792197A (en) * 1996-04-29 1998-08-11 Nappholz; Tibor A. Implanted cardiac device with means for classifying patient condition
FR2771298B1 (fr) * 1997-11-25 2000-01-28 Ela Medical Sa Dispositif medical implantable actif, notamment stimulateur cardiaque, asservi a au moins un parametre physiologique
US6128534A (en) * 1998-06-16 2000-10-03 Pacesetter, Inc. Implantable cardiac stimulation device and method for varying pacing parameters to mimic circadian cycles
FR2780290B1 (fr) * 1998-06-26 2000-09-22 Ela Medical Sa Dispositif medical implantable actif asservi tel que stimulateur cardiaque, defibrillateur et/ou cardioverteur, notamment de type multisites
US6572557B2 (en) * 2000-05-09 2003-06-03 Pacesetter, Inc. System and method for monitoring progression of cardiac disease state using physiologic sensors
US6741885B1 (en) * 2000-12-07 2004-05-25 Pacesetter, Inc. Implantable cardiac device for managing the progression of heart disease and method
US6731984B2 (en) * 2001-06-07 2004-05-04 Medtronic, Inc. Method for providing a therapy to a patient involving modifying the therapy after detecting an onset of sleep in the patient, and implantable medical device embodying same
US7206635B2 (en) * 2001-06-07 2007-04-17 Medtronic, Inc. Method and apparatus for modifying delivery of a therapy in response to onset of sleep
FR2833177B1 (fr) * 2001-12-07 2004-06-04 Ela Medical Sa Dispositif medical actif comprenant des moyens perfectionnes de discrimination des phases d'eveil et de sommeil
US20040039420A1 (en) * 2002-08-26 2004-02-26 Medtronic Physio-Control Manufacturing Corp. Apparatus, software, and methods for cardiac pulse detection using accelerometer data
US7592909B2 (en) * 2006-01-19 2009-09-22 Board Of Regents, The University Of Texas System Location and tracking system using wireless technology
US7010347B2 (en) * 2004-02-14 2006-03-07 Pacesetter, Inc. Optimization of impedance signals for closed loop programming of cardiac resynchronization therapy devices
US8428717B2 (en) * 2003-10-14 2013-04-23 Medtronic, Inc. Method and apparatus for monitoring tissue fluid content for use in an implantable cardiac device
US7171271B2 (en) * 2004-05-11 2007-01-30 Pacesetter, Inc. System and method for evaluating heart failure using an implantable medical device based on heart rate during patient activity
US20070021678A1 (en) * 2005-07-19 2007-01-25 Cardiac Pacemakers, Inc. Methods and apparatus for monitoring physiological responses to steady state activity
FR2891152A1 (fr) * 2005-09-27 2007-03-30 Ela Medical Soc Par Actions Si Dispositif medical implantable actif, notamment dispositif de stimulation, resynchronisation, defibrillation et/ou cardioversion, comprenant des moyens de diagnostic predictif de l'etat du patient.

Also Published As

Publication number Publication date
US8798748B2 (en) 2014-08-05
US20070073350A1 (en) 2007-03-29
FR2891152A1 (fr) 2007-03-30
EP1767244A1 (de) 2007-03-28
EP1767244B1 (de) 2009-10-28
ATE446788T1 (de) 2009-11-15
US20140343376A1 (en) 2014-11-20

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