DE69103775D1 - Vorrichtung zur Unterscheidung von stabilen und instabilen ventriculären tachycardien. - Google Patents
Vorrichtung zur Unterscheidung von stabilen und instabilen ventriculären tachycardien.Info
- Publication number
- DE69103775D1 DE69103775D1 DE69103775T DE69103775T DE69103775D1 DE 69103775 D1 DE69103775 D1 DE 69103775D1 DE 69103775 T DE69103775 T DE 69103775T DE 69103775 T DE69103775 T DE 69103775T DE 69103775 D1 DE69103775 D1 DE 69103775D1
- Authority
- DE
- Germany
- Prior art keywords
- distinguishing
- stable
- ventricular tachycardia
- unstable ventricular
- unstable
- 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 - Fee Related
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
- A61N1/38—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
-
- 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
- A61N1/3621—Heart stimulators for treating or preventing abnormally high heart rate
- A61N1/3622—Heart stimulators for treating or preventing abnormally high heart rate comprising two or more electrodes 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
- A61N1/36514—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
-
- 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
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US07/663,985 US5176137A (en) | 1991-03-01 | 1991-03-01 | Apparatus for discrimination of stable and unstable ventricular tachycardia and for treatment thereof |
PCT/US1991/008712 WO1992015367A1 (en) | 1991-03-01 | 1991-11-21 | Method and apparatus for discrimination of stable and unstable ventricular tachycardia |
Publications (2)
Publication Number | Publication Date |
---|---|
DE69103775D1 true DE69103775D1 (de) | 1994-10-06 |
DE69103775T2 DE69103775T2 (de) | 1994-12-15 |
Family
ID=24664036
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
DE69103775T Expired - Fee Related DE69103775T2 (de) | 1991-03-01 | 1991-11-21 | Vorrichtung zur Unterscheidung von stabilen und instabilen ventriculären tachycardien. |
Country Status (7)
Country | Link |
---|---|
US (1) | US5176137A (de) |
EP (1) | EP0573461B1 (de) |
JP (1) | JPH06508270A (de) |
AU (1) | AU652424B2 (de) |
CA (1) | CA2103672A1 (de) |
DE (1) | DE69103775T2 (de) |
WO (1) | WO1992015367A1 (de) |
Families Citing this family (77)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5312441A (en) * | 1992-04-13 | 1994-05-17 | Medtronic, Inc. | Method and apparatus for discrimination of ventricular tachycardia from supraventricular tachycardia and for treatment thereof |
EP0574608B1 (de) * | 1992-06-17 | 1998-08-19 | Pacesetter AB | Defibrillator/Kardiovertierer |
DE59209189D1 (de) * | 1992-09-11 | 1998-03-12 | Pacesetter Ab | Vorrichtung zum Behandeln von Tachyarrhythmien |
US5336244A (en) * | 1992-10-07 | 1994-08-09 | Medtronic, Inc. | Temperature sensor based capture detection for a pacer |
US5342406A (en) * | 1992-10-07 | 1994-08-30 | Medtronic, Inc. | Oxygen sensor based capture detection for a pacer |
US5601611A (en) * | 1994-08-05 | 1997-02-11 | Ventritex, Inc. | Optical blood flow measurement apparatus and method and implantable defibrillator incorporating same |
US5951592A (en) * | 1997-11-21 | 1999-09-14 | Pacesetter, Inc. | Apparatus and method for applying antitachycardia therapy based on ventricular stability |
US6167308A (en) * | 1999-04-09 | 2000-12-26 | Medtronic, Inc. | Closed loop ATP |
US6317626B1 (en) | 1999-11-03 | 2001-11-13 | Medtronic, Inc. | Method and apparatus for monitoring heart rate |
EP1584351A1 (de) * | 2000-11-22 | 2005-10-12 | Medtronic, Inc. | Vorrichtung zur Erkennung und Behandlung von ventrikulären Arrhythmien |
EP1341439B1 (de) * | 2000-12-01 | 2004-10-20 | Medtronic, Inc. | Apparat zur messung des mittleren blutdruckes in der lungenarterie von der herzkammer aus mit einem mobilen überwachungsgerät |
US6697658B2 (en) | 2001-07-02 | 2004-02-24 | Masimo Corporation | Low power pulse oximeter |
US6718204B2 (en) * | 2001-07-30 | 2004-04-06 | Medtronic, Inc. | Method and apparatus to control delivery of high-voltage and anti-tachy pacing therapy in an implantable medical device |
US6892094B2 (en) * | 2002-04-30 | 2005-05-10 | Medtronic, Inc. | Combined anti-tachycardia pacing (ATP) and high voltage therapy for treating ventricular arrhythmias |
US20030229274A1 (en) * | 2002-06-07 | 2003-12-11 | Barnes-Jewish Hospital | Electromyograph having telemetry |
US7738935B1 (en) | 2002-07-09 | 2010-06-15 | Pacesetter, Inc. | Methods and devices for reduction of motion-induced noise in pulse oximetry |
US6997879B1 (en) | 2002-07-09 | 2006-02-14 | Pacesetter, Inc. | Methods and devices for reduction of motion-induced noise in optical vascular plethysmography |
SE0202347D0 (sv) * | 2002-07-30 | 2002-07-30 | St Jude Medical | A heart monitoring device, a system including such a device and use of the system |
US7149577B2 (en) * | 2002-12-02 | 2006-12-12 | Medtronic, Inc. | Apparatus and method using ATP return cycle length for arrhythmia discrimination |
US7392094B2 (en) | 2002-12-19 | 2008-06-24 | Cardiac Pacemakers, Inc. | Implantable lead for septal placement of pacing electrodes |
US20040147994A1 (en) * | 2003-01-28 | 2004-07-29 | Cardiac Pacemakers, Inc. | Tachy lead system optimized for septal placement |
US7302294B2 (en) * | 2003-04-11 | 2007-11-27 | Cardiac Pacemakers, Inc. | Subcutaneous cardiac sensing and stimulation system employing blood sensor |
US7555335B2 (en) * | 2003-04-11 | 2009-06-30 | Cardiac Pacemakers, Inc. | Biopotential signal source separation using source impedances |
US7218966B2 (en) * | 2003-04-11 | 2007-05-15 | Cardiac Pacemakers, Inc. | Multi-parameter arrhythmia discrimination |
US7865233B2 (en) | 2003-04-11 | 2011-01-04 | Cardiac Pacemakers, Inc. | Subcutaneous cardiac signal discrimination employing non-electrophysiologic signal |
US7184831B2 (en) * | 2004-04-29 | 2007-02-27 | Medtronic, Inc. | Method and apparatus to control delivery of high-voltage and anti-tachy pacing therapy in an implantable medical device |
US7151962B2 (en) * | 2004-04-29 | 2006-12-19 | Medtronic, Inc. | Method and apparatus to control delivery of high-voltage and anti-tachy pacing therapy in an implantable medical device |
US7317942B2 (en) * | 2004-05-05 | 2008-01-08 | Medtronic, Inc. | Dynamic discrimination utilizing anti-tachy pacing therapy in an implantable medical device |
US7228173B2 (en) * | 2004-11-23 | 2007-06-05 | Cardiac Pacemakers, Inc. | Cardiac tachyarrhythmia therapy selection based on patient response information |
US7933651B2 (en) * | 2004-11-23 | 2011-04-26 | Cardiac Pacemakers, Inc. | Cardiac template generation based on patient response information |
US7894893B2 (en) | 2004-09-30 | 2011-02-22 | Cardiac Pacemakers, Inc. | Arrhythmia classification and therapy selection |
US20060122651A1 (en) * | 2004-12-03 | 2006-06-08 | Whitman Teresa A | Use of mechanical restitution to predict hemodynamic response to a rapid ventricular rhythm |
WO2006094168A1 (en) | 2005-03-01 | 2006-09-08 | Masimo Laboratories, Inc. | Noninvasive multi-parameter patient monitor |
US7818056B2 (en) * | 2005-03-24 | 2010-10-19 | Cardiac Pacemakers, Inc. | Blending cardiac rhythm detection processes |
US7908001B2 (en) * | 2005-08-23 | 2011-03-15 | Cardiac Pacemakers, Inc. | Automatic multi-level therapy based on morphologic organization of an arrhythmia |
US7653431B2 (en) * | 2005-12-20 | 2010-01-26 | Cardiac Pacemakers, Inc. | Arrhythmia discrimination based on determination of rate dependency |
US8532762B2 (en) * | 2005-12-20 | 2013-09-10 | Cardiac Pacemakers, Inc. | Discriminating polymorphic and monomorphic cardiac rhythms using template generation |
US8478399B2 (en) * | 2006-01-31 | 2013-07-02 | Paul J. Degroot | Method and apparatus for controlling arrhythmia detection and treatment based on patient posture |
US7792581B2 (en) * | 2006-02-28 | 2010-09-07 | Medtronic, Inc. | Method and apparatus for treating diastolic heart failure |
US7496409B2 (en) * | 2006-03-29 | 2009-02-24 | Medtronic, Inc. | Implantable medical device system and method with signal quality monitoring and response |
US7991471B2 (en) * | 2006-03-29 | 2011-08-02 | Medtronic, Inc. | Method and apparatus for detecting arrhythmias in a subcutaneous medical device |
US7761142B2 (en) | 2006-03-29 | 2010-07-20 | Medtronic, Inc. | Method and apparatus for detecting arrhythmias in a medical device |
US7941214B2 (en) * | 2006-03-29 | 2011-05-10 | Medtronic, Inc. | Method and apparatus for detecting arrhythmias in a subcutaneous medical device |
US7894894B2 (en) | 2006-03-29 | 2011-02-22 | Medtronic, Inc. | Method and apparatus for detecting arrhythmias in a subcutaneous medical device |
US8095205B2 (en) * | 2006-03-31 | 2012-01-10 | Medtronic, Inc. | Method and apparatus for verifying a determined cardiac event in a medical device based on detected variation in hemodynamic status |
US7787947B2 (en) * | 2006-03-31 | 2010-08-31 | Medtronic, Inc. | Method and apparatus for using an optical hemodynamic sensor to identify an unstable arrhythmia |
US7647095B2 (en) * | 2006-03-31 | 2010-01-12 | Medtronic, Inc. | Method and apparatus for verifying a determined cardiac event in a medical device based on detected variation in hemodynamic status |
US7738950B2 (en) * | 2006-09-13 | 2010-06-15 | Cardiac Pacemakers, Inc. | Method and apparatus for identifying potentially misclassified arrhythmic episodes |
EP2131727B1 (de) * | 2007-02-28 | 2011-10-26 | Medtronic, Inc | Implantierbares gewebeperfusions-messsystem und verfahren |
US8095206B2 (en) * | 2007-05-01 | 2012-01-10 | Medtronic, Inc. | Method and apparatus for detecting arrhythmias in a medical device |
US7774049B2 (en) * | 2007-05-01 | 2010-08-10 | Medtronic, Inc. | Method and apparatus for determining oversensing in a medical device |
US7937135B2 (en) * | 2007-05-01 | 2011-05-03 | Medtronic, Inc. | Method and apparatus for adjusting a sensing parameter |
US8068901B2 (en) * | 2007-05-01 | 2011-11-29 | Medtronic, Inc. | Method and apparatus for adjusting a sensing parameter |
US8229556B2 (en) * | 2007-11-21 | 2012-07-24 | Cardiac Pacemakers, Inc. | Tachycardia hemodynamics detection based on cardiac mechanical sensor signal regularity |
US20090275998A1 (en) | 2008-04-30 | 2009-11-05 | Medtronic, Inc. | Extra-cardiac implantable device with fusion pacing capability |
US20100004518A1 (en) | 2008-07-03 | 2010-01-07 | Masimo Laboratories, Inc. | Heat sink for noninvasive medical sensor |
US8630691B2 (en) | 2008-08-04 | 2014-01-14 | Cercacor Laboratories, Inc. | Multi-stream sensor front ends for noninvasive measurement of blood constituents |
US8352008B2 (en) * | 2009-06-10 | 2013-01-08 | Medtronic, Inc. | Active noise cancellation in an optical sensor signal |
US8391979B2 (en) * | 2009-06-10 | 2013-03-05 | Medtronic, Inc. | Shock reduction using absolute calibrated tissue oxygen saturation and total hemoglobin volume fraction |
US8515537B2 (en) * | 2009-06-10 | 2013-08-20 | Medtronic, Inc. | Tissue oxygenation monitoring in heart failure |
US8634890B2 (en) * | 2009-06-10 | 2014-01-21 | Medtronic, Inc. | Device and method for monitoring of absolute oxygen saturation and tissue hemoglobin concentration |
US8346332B2 (en) * | 2009-06-10 | 2013-01-01 | Medtronic, Inc. | Absolute calibrated tissue oxygen saturation and total hemoglobin volume fraction |
US20110066017A1 (en) * | 2009-09-11 | 2011-03-17 | Medtronic, Inc. | Method and apparatus for post-shock evaluation using tissue oxygenation measurements |
US8483808B2 (en) | 2009-09-25 | 2013-07-09 | Yanting Dong | Methods and systems for characterizing cardiac signal morphology using K-fit analysis |
WO2012140559A1 (en) | 2011-04-11 | 2012-10-18 | Medic4All Ag | Pulse oximetry measurement triggering ecg measurement |
CN106132482B (zh) | 2014-04-01 | 2020-05-19 | 美敦力公司 | 用于在医疗设备中辨别心动过速事件的方法和装置 |
US10376705B2 (en) | 2014-04-01 | 2019-08-13 | Medtronic, Inc. | Method and apparatus for discriminating tachycardia events in a medical device |
US9526908B2 (en) | 2014-04-01 | 2016-12-27 | Medtronic, Inc. | Method and apparatus for discriminating tachycardia events in a medical device |
US9808640B2 (en) | 2014-04-10 | 2017-11-07 | Medtronic, Inc. | Method and apparatus for discriminating tachycardia events in a medical device using two sensing vectors |
US9352165B2 (en) | 2014-04-17 | 2016-05-31 | Medtronic, Inc. | Method and apparatus for verifying discriminating of tachycardia events in a medical device having dual sensing vectors |
US10252067B2 (en) | 2014-04-24 | 2019-04-09 | Medtronic, Inc. | Method and apparatus for adjusting a blanking period during transitioning between operating states in a medical device |
US9795312B2 (en) | 2014-04-24 | 2017-10-24 | Medtronic, Inc. | Method and apparatus for adjusting a blanking period for selecting a sensing vector configuration in a medical device |
JP6697397B2 (ja) | 2014-04-24 | 2020-05-20 | メドトロニック,インコーポレイテッド | 医療装置での感知ベクトル構成を選択するための方法及び機器 |
US10244957B2 (en) | 2014-04-24 | 2019-04-02 | Medtronic, Inc. | Method and apparatus for selecting a sensing vector configuration in a medical device |
US10278601B2 (en) | 2014-04-24 | 2019-05-07 | Medtronic, Inc. | Method and apparatus for selecting a sensing vector configuration in a medical device |
US9610025B2 (en) | 2014-07-01 | 2017-04-04 | Medtronic, Inc. | Method and apparatus for verifying discriminating of tachycardia events in a medical device having dual sensing vectors |
CN107206245B (zh) | 2015-01-23 | 2021-03-02 | 美敦力公司 | 用于在具有双感测向量的医疗设备中在模板生成期间进行搏动获取的方法和装置 |
Family Cites Families (28)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
USRE27757E (en) * | 1970-02-09 | 1973-09-11 | Standby defibrillator and method of operation | |
US3737579A (en) * | 1971-04-19 | 1973-06-05 | Medtronic Inc | Body tissue electrode and device for screwing the electrode into body tissue |
US4114628A (en) * | 1977-05-31 | 1978-09-19 | Rizk Nabil I | Demand pacemaker with self-adjusting threshold and defibrillating feature |
US4291699A (en) * | 1978-09-21 | 1981-09-29 | Purdue Research Foundation | Method of and apparatus for automatically detecting and treating ventricular fibrillation |
US4240442A (en) * | 1979-01-05 | 1980-12-23 | American Optical Corporation | Variable threshold R-wave detector |
US4375817A (en) * | 1979-07-19 | 1983-03-08 | Medtronic, Inc. | Implantable cardioverter |
US4384585A (en) * | 1981-03-06 | 1983-05-24 | Medtronic, Inc. | Synchronous intracardiac cardioverter |
US4693253A (en) * | 1981-03-23 | 1987-09-15 | Medtronic, Inc. | Automatic implantable defibrillator and pacer |
US4523595A (en) * | 1981-11-25 | 1985-06-18 | Zibell J Scott | Method and apparatus for automatic detection and treatment of ventricular fibrillation |
US4726380A (en) * | 1983-10-17 | 1988-02-23 | Telectronics, N.V. | Implantable cardiac pacer with discontinuous microprocessor, programmable antitachycardia mechanisms and patient data telemetry |
US4548209A (en) * | 1984-02-06 | 1985-10-22 | Medtronic, Inc. | Energy converter for implantable cardioverter |
US4577633A (en) * | 1984-03-28 | 1986-03-25 | Medtronic, Inc. | Rate scanning demand pacemaker and method for treatment of tachycardia |
DE3422913A1 (de) * | 1984-06-20 | 1986-01-02 | Siemens AG, 1000 Berlin und 8000 München | Regelschaltung zur anpassung der stimulationsfrequenz eines herzschrittmachers an die belastung eines patienten |
US4587970A (en) * | 1985-01-22 | 1986-05-13 | Telectronics N.V. | Tachycardia reversion pacer |
CA1290813C (en) * | 1985-08-12 | 1991-10-15 | Michael B. Sweeney | Pacemaker for detecting and terminating a tachycardia |
US4800883A (en) * | 1986-04-02 | 1989-01-31 | Intermedics, Inc. | Apparatus for generating multiphasic defibrillation pulse waveform |
DE3772450D1 (de) * | 1986-05-22 | 1991-10-02 | Siemens Ag | Messvorrichtung zur intrakardialen erfassung der blutsauerstoffsaettigung. |
US4830006B1 (en) * | 1986-06-17 | 1997-10-28 | Intermedics Inc | Implantable cardiac stimulator for detection and treatment of ventricular arrhythmias |
US4827933A (en) * | 1986-10-30 | 1989-05-09 | Telectronics N.V. | Apparatus and method for adjusting heart/pacer rate relative to cardiac pO2 obtain a required cardiac output |
US4819643A (en) * | 1986-11-18 | 1989-04-11 | Mieczyslaw Mirowski | Method and apparatus for cardioverter/pacer featuring a blanked pacing channel and a rate detect channel with AGC |
US4953551A (en) * | 1987-01-14 | 1990-09-04 | Medtronic, Inc. | Method of defibrillating a heart |
US4750495A (en) * | 1987-06-05 | 1988-06-14 | Medtronic, Inc. | Oxygen sensing pacemaker |
US4817634A (en) * | 1987-06-18 | 1989-04-04 | Medtronic, Inc. | Epicardial patch electrode |
US4967749A (en) * | 1987-10-06 | 1990-11-06 | Leonard Bloom | Hemodynamically responsive system for and method of treating a malfunctioning heart |
US4967748A (en) * | 1987-10-06 | 1990-11-06 | Leonard Bloom | O2 level responsive system for and method of treating a malfunctioning heart |
US4774950A (en) * | 1987-10-06 | 1988-10-04 | Leonard Bloom | Hemodynamically responsive system for and method of treating a malfunctioning heart |
US4880004A (en) * | 1988-06-07 | 1989-11-14 | Intermedics, Inc. | Implantable cardiac stimulator with automatic gain control and bandpass filtering in feedback loop |
US4949719A (en) * | 1989-04-26 | 1990-08-21 | Ventritex, Inc. | Method for cardiac defibrillation |
-
1991
- 1991-03-01 US US07/663,985 patent/US5176137A/en not_active Expired - Lifetime
- 1991-11-21 CA CA002103672A patent/CA2103672A1/en not_active Abandoned
- 1991-11-21 WO PCT/US1991/008712 patent/WO1992015367A1/en active IP Right Grant
- 1991-11-21 DE DE69103775T patent/DE69103775T2/de not_active Expired - Fee Related
- 1991-11-21 AU AU12665/92A patent/AU652424B2/en not_active Ceased
- 1991-11-21 EP EP92904719A patent/EP0573461B1/de not_active Expired - Lifetime
- 1991-11-21 JP JP4505206A patent/JPH06508270A/ja active Pending
Also Published As
Publication number | Publication date |
---|---|
JPH06508270A (ja) | 1994-09-22 |
EP0573461B1 (de) | 1994-08-31 |
AU1266592A (en) | 1992-10-06 |
EP0573461A1 (de) | 1993-12-15 |
WO1992015367A1 (en) | 1992-09-17 |
CA2103672A1 (en) | 1992-09-02 |
AU652424B2 (en) | 1994-08-25 |
DE69103775T2 (de) | 1994-12-15 |
US5176137A (en) | 1993-01-05 |
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Legal Events
Date | Code | Title | Description |
---|---|---|---|
8363 | Opposition against the patent | ||
8365 | Fully valid after opposition proceedings | ||
8339 | Ceased/non-payment of the annual fee |