DE69330012D1 - Von vielfachen Parametern abhängiger, die Stimulationsfrequenz anpassender Herzschrittmacher - Google Patents

Von vielfachen Parametern abhängiger, die Stimulationsfrequenz anpassender Herzschrittmacher

Info

Publication number
DE69330012D1
DE69330012D1 DE69330012T DE69330012T DE69330012D1 DE 69330012 D1 DE69330012 D1 DE 69330012D1 DE 69330012 T DE69330012 T DE 69330012T DE 69330012 T DE69330012 T DE 69330012T DE 69330012 D1 DE69330012 D1 DE 69330012D1
Authority
DE
Germany
Prior art keywords
adjusts
multiple parameters
cardiac pacemaker
rate depending
stimulation rate
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
Application number
DE69330012T
Other languages
English (en)
Other versions
DE69330012T2 (de
Inventor
Bruce M Steinhaus
Tibor A Nappholz
James A Nolan
Robert A Morris
Ken Koestner
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.)
Telectronics NV
Original Assignee
Telectronics NV
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 Telectronics NV filed Critical Telectronics NV
Application granted granted Critical
Publication of DE69330012D1 publication Critical patent/DE69330012D1/de
Publication of DE69330012T2 publication Critical patent/DE69330012T2/de
Anticipated expiration legal-status Critical
Expired - Fee Related 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
    • A61N1/36521—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
DE69330012T 1992-06-22 1993-01-28 Von vielfachen Parametern abhängiger, die Stimulationsfrequenz anpassender Herzschrittmacher Expired - Fee Related DE69330012T2 (de)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US07/902,242 US5197467A (en) 1992-06-22 1992-06-22 Multiple parameter rate-responsive cardiac stimulation apparatus

Publications (2)

Publication Number Publication Date
DE69330012D1 true DE69330012D1 (de) 2001-04-19
DE69330012T2 DE69330012T2 (de) 2001-08-09

Family

ID=25415540

Family Applications (2)

Application Number Title Priority Date Filing Date
DE69330012T Expired - Fee Related DE69330012T2 (de) 1992-06-22 1993-01-28 Von vielfachen Parametern abhängiger, die Stimulationsfrequenz anpassender Herzschrittmacher
DE0576114T Pending DE576114T1 (de) 1992-06-22 1993-01-28 Taktempfindlicher Herzschrittmacher mit Vielparameter.

Family Applications After (1)

Application Number Title Priority Date Filing Date
DE0576114T Pending DE576114T1 (de) 1992-06-22 1993-01-28 Taktempfindlicher Herzschrittmacher mit Vielparameter.

Country Status (3)

Country Link
US (1) US5197467A (de)
EP (1) EP0576114B1 (de)
DE (2) DE69330012T2 (de)

Families Citing this family (99)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5201808A (en) * 1992-02-10 1993-04-13 Telectronics Pacing Systems, Inc. Minute volume rate-responsive pacemaker employing impedance sensing on a unipolar lead
DE59209407D1 (de) * 1992-08-26 1998-08-13 Pacesetter Ab Herzschrittmacher zum Erzeugen eines dem Atemzeitvolumen eines Patienten entsprechenden Signals
US5300093A (en) * 1992-09-14 1994-04-05 Telectronics Pacing Systems, Inc. Apparatus and method for measuring, formatting and transmitting combined intracardiac impedance data and electrograms
US5566096A (en) * 1992-11-13 1996-10-15 Quinton Electrophysiology Corporation Integrated electrical signal switching and amplifying system
US5404877A (en) * 1993-06-04 1995-04-11 Telectronics Pacing Systems, Inc. Leadless implantable sensor assembly and a cardiac emergency warning alarm
US5361776A (en) * 1993-08-06 1994-11-08 Telectronics Pacing Systems, Inc. Time domain reflectometer impedance sensor method of use and implantable cardiac stimulator using same
FR2714611B1 (fr) * 1993-12-31 1996-03-15 Ela Medical Sa Procédé de contrôle d'un dispositif implantable actif.
US5487391A (en) * 1994-01-28 1996-01-30 Ep Technologies, Inc. Systems and methods for deriving and displaying the propagation velocities of electrical events in the heart
US5447529A (en) * 1994-01-28 1995-09-05 Philadelphia Heart Institute Method of using endocardial impedance for determining electrode-tissue contact, appropriate sites for arrhythmia ablation and tissue heating during ablation
US5577509A (en) * 1994-01-28 1996-11-26 Ep Technologies, Inc. Systems and methods for examining the electrical characteristics and timing of electrical events in cardiac tissue
WO1995020348A1 (en) * 1994-01-28 1995-08-03 Ep Technologies, Inc. Matching electrical characteristics and propagation velocities to locate ablation sites
WO1995020344A1 (en) 1994-01-28 1995-08-03 Ep Technologies, Inc. System for examining cardiac tissue electrical characteristics
US5485849A (en) * 1994-01-31 1996-01-23 Ep Technologies, Inc. System and methods for matching electrical characteristics and propagation velocities in cardiac tissue
US5494042A (en) * 1994-01-28 1996-02-27 Ep Technologies, Inc. Systems and methods for deriving electrical characteristics of cardiac tissue for output in iso-characteristic displays
US5578064A (en) * 1994-08-11 1996-11-26 Intermedics, Inc. Rate responsive cardiac pacemaker with impedance sensing
US5626622A (en) 1994-09-21 1997-05-06 Telectronics Pacing Systems, Inc. Dual sensor rate responsive pacemaker
US5531772A (en) * 1994-11-18 1996-07-02 Intermedics, Inc. Rate responsive cardiac pacemaker with filtered impedance sensing and method
US5562711A (en) * 1994-11-30 1996-10-08 Medtronic, Inc. Method and apparatus for rate-responsive cardiac pacing
US5507785A (en) * 1994-12-21 1996-04-16 Intermedics, Inc. Rate responsive cardiac pacemaker with biphasic impedance sensing and method
US5709709A (en) * 1996-02-13 1998-01-20 Angeion Corporation ICD with rate-responsive pacing
DE19609382A1 (de) * 1996-03-04 1997-09-11 Biotronik Mess & Therapieg Aktivitätsgesteuerter Herzschrittmacher
FR2752935B1 (fr) 1996-08-30 1998-09-18 Commissariat Energie Atomique Procede de mesure d'un volume conducteur et dispositif de mise en oeuvre de ce procede
US5722997A (en) * 1996-09-17 1998-03-03 Sulzer Intermedics Inc. Method and apparatus for cardiac impedance sensing
US5782884A (en) * 1996-11-05 1998-07-21 Sulzer Intermedics Inc. Rate responsive cardiac pacemaker with peak impedance detection for rate control
US5735883A (en) * 1996-12-13 1998-04-07 Sulzer Intermedics Inc. Implantable cardiac stimulator with impedance based autothreshold
US5718720A (en) 1996-12-13 1998-02-17 Sulzer Intermedics Inc. Implantable cardiac stimulator with capture detection and impedance based autotuning of capture detection
US5836975A (en) * 1996-12-19 1998-11-17 Medtronic, Inc. Method and apparatus for diagnosis and treatment of arrhythmias
DE19716166A1 (de) * 1997-04-18 1998-10-22 Meier Bernd Horst Dr Verfahren und Vorrichtung zur Steuerung und Unterstützung natürlicher Atmung und künstlicher Beatmung
US5987356A (en) * 1997-06-05 1999-11-16 Medtronic, Inc. Method and apparatus for diagnosis and treatment of arrhythmias
JP3125730B2 (ja) * 1997-09-11 2001-01-22 憲一 山越 血行動態表示装置
US5978710A (en) 1998-01-23 1999-11-02 Sulzer Intermedics Inc. Implantable cardiac stimulator with safe noise mode
US6022322A (en) 1998-02-06 2000-02-08 Intermedics Inc. Non-invasive cardiorespiratory monitor with synchronized bioimpedance sensing
US6076015A (en) 1998-02-27 2000-06-13 Cardiac Pacemakers, Inc. Rate adaptive cardiac rhythm management device using transthoracic impedance
SE9901194D0 (sv) * 1999-03-31 1999-03-31 Pacesetter Ab A rate adaptive pacemaker
US6298269B1 (en) * 1999-04-19 2001-10-02 Cardiac Pacemakers, Inc. Cardiac rhythm management system with ultrasound for autocapture or other applications
US7212860B2 (en) * 1999-05-21 2007-05-01 Cardiac Pacemakers, Inc. Apparatus and method for pacing mode switching during atrial tachyarrhythmias
US6501988B2 (en) * 2000-12-26 2002-12-31 Cardiac Pacemakers Inc. Apparatus and method for ventricular rate regularization with biventricular sensing
US8064997B2 (en) * 1999-05-21 2011-11-22 Cardiac Pacemakers, Inc. Method and apparatus for treating irregular ventricular contractions such as during atrial arrhythmia
US7181278B2 (en) * 1999-05-21 2007-02-20 Cardiac Pacemakers, Inc. Apparatus and method for ventricular rate regularization
US7062325B1 (en) * 1999-05-21 2006-06-13 Cardiac Pacemakers Inc Method and apparatus for treating irregular ventricular contractions such as during atrial arrhythmia
US6275733B1 (en) 1999-06-16 2001-08-14 Pacesetter, Inc. Dual sensor rate response pacemaker
US6360123B1 (en) 1999-08-24 2002-03-19 Impulse Dynamics N.V. Apparatus and method for determining a mechanical property of an organ or body cavity by impedance determination
US6600949B1 (en) 1999-11-10 2003-07-29 Pacesetter, Inc. Method for monitoring heart failure via respiratory patterns
US6589188B1 (en) 2000-05-05 2003-07-08 Pacesetter, Inc. Method for monitoring heart failure via respiratory patterns
US6501987B1 (en) * 2000-05-26 2002-12-31 Cardiac Pacemakers, Inc. Rate smoothing control
US7039461B1 (en) * 2000-05-13 2006-05-02 Cardiac Pacemakers, Inc. Cardiac pacing system for prevention of ventricular fibrillation and ventricular tachycardia episode
US7239914B2 (en) * 2000-05-13 2007-07-03 Cardiac Pacemakers, Inc. Rate smoothing control
US6522925B1 (en) 2000-05-13 2003-02-18 Cardiac Pacemakers, Inc. System and method for detection enhancement programming
US8512220B2 (en) * 2000-05-26 2013-08-20 Cardiac Pacemakers, Inc. Rate smoothing control
US6424865B1 (en) 2000-07-13 2002-07-23 Cardiac Pacemakers, Inc. Ventricular conduction delay trending system and method
US6522914B1 (en) * 2000-07-14 2003-02-18 Cardiac Pacemakers, Inc. Method and apparatuses for monitoring hemodynamic activities using an intracardiac impedance-derived parameter
US6519495B1 (en) 2000-08-15 2003-02-11 Cardiac Pacemakers, Inc. Rate-adaptive therapy with sensor cross-checking
US6839593B1 (en) 2000-09-08 2005-01-04 Cardiac Pacemakers, Inc. Rate-adaptive therapy with automatic limiting of maximum pacing rate
US6823214B1 (en) 2000-09-08 2004-11-23 Cardiac Pacemakers, Inc. Self-calibrating rate-adaptive pacemaker
US7069070B2 (en) * 2003-05-12 2006-06-27 Cardiac Pacemakers, Inc. Statistical method for assessing autonomic balance
US6741885B1 (en) 2000-12-07 2004-05-25 Pacesetter, Inc. Implantable cardiac device for managing the progression of heart disease and method
US6957100B2 (en) 2000-12-26 2005-10-18 Cardiac Pacemakers, Inc. Method and system for display of cardiac event intervals in a resynchronization pacemaker
US20020087198A1 (en) * 2000-12-29 2002-07-04 Kramer Andrew P. Apparatus and method for ventricular rate regularization
AU2002240363A1 (en) * 2001-02-13 2002-08-28 Quetzal Biomedical, Inc. Multi-electrode apparatus and method for treatment of congestive heart failure
US6990375B2 (en) * 2001-03-02 2006-01-24 Cardiac Pacemakers, Inc. Adjustment of the breakpoint of the rate response curve based on minute ventilation values
US6597951B2 (en) * 2001-03-16 2003-07-22 Cardiac Pacemakers, Inc. Automatic selection from multiple cardiac optimization protocols
DE10214459A1 (de) * 2001-04-05 2003-04-30 Univ Ilmenau Tech Anordnung und Verfahren zur Erfassung von Signalen biologischen Ursprungs
US7166467B2 (en) * 2001-07-23 2007-01-23 Senesco Technologies, Inc. Nucleic acids, polypeptides, compositions, and methods for modulating apoptosis
US7215992B2 (en) * 2001-10-31 2007-05-08 Cardiac Pacemakers, Inc. Method for ischemia detection by implantable cardiac device
US6832113B2 (en) 2001-11-16 2004-12-14 Cardiac Pacemakers, Inc. Non-invasive method and apparatus for cardiac pacemaker pacing parameter optimization and monitoring of cardiac dysfunction
KR100415114B1 (ko) * 2001-11-28 2004-01-13 삼성전자주식회사 음성 및 데이타 서비스를 지원하는 비동기전송모드 네트워크의 음성 다중화 장치 및 방법
US7228175B2 (en) 2002-05-15 2007-06-05 Cardiac Pacemakers, Inc. Cardiac rhythm management systems and methods using acoustic contractility indicator
US7092757B2 (en) 2002-07-12 2006-08-15 Cardiac Pacemakers, Inc. Minute ventilation sensor with dynamically adjusted excitation current
EP1571982A1 (de) * 2002-11-27 2005-09-14 Z-Tech (Canada) Inc. Gerät zur bestimmung der hautelektrodenimpedanz sowie elektrodensqualität für bioelektrische messungen
US7101339B2 (en) * 2002-12-13 2006-09-05 Cardiac Pacemakers, Inc. Respiration signal measurement apparatus, systems, and methods
US8050764B2 (en) 2003-10-29 2011-11-01 Cardiac Pacemakers, Inc. Cross-checking of transthoracic impedance and acceleration signals
US7272442B2 (en) 2002-12-30 2007-09-18 Cardiac Pacemakers, Inc. Automatically configurable minute ventilation sensor
US7751892B2 (en) * 2003-05-07 2010-07-06 Cardiac Pacemakers, Inc. Implantable medical device programming apparatus having a graphical user interface
US7200440B2 (en) * 2003-07-02 2007-04-03 Cardiac Pacemakers, Inc. Cardiac cycle synchronized sampling of impedance signal
US7392084B2 (en) 2003-09-23 2008-06-24 Cardiac Pacemakers, Inc. Demand-based cardiac function therapy
US7572226B2 (en) * 2003-10-28 2009-08-11 Cardiac Pacemakers, Inc. System and method for monitoring autonomic balance and physical activity
US7676261B2 (en) * 2004-09-30 2010-03-09 General Electric Company Method and system for enhancing pace pulses
US7630763B2 (en) * 2005-04-20 2009-12-08 Cardiac Pacemakers, Inc. Thoracic or intracardiac impedance detection with automatic vector selection
US9839781B2 (en) 2005-08-22 2017-12-12 Cardiac Pacemakers, Inc. Intracardiac impedance and its applications
KR100825888B1 (ko) * 2005-10-05 2008-04-28 삼성전자주식회사 전극 동잡음 보상 회로 및 전극 동잡음 보상 방법
US8046069B2 (en) * 2005-12-22 2011-10-25 Cardiac Pacemakers, Inc. Method and apparatus for control of cardiac therapy using non-invasive hemodynamic sensor
US7783339B2 (en) * 2006-05-15 2010-08-24 The General Electric Company Method and system for real-time digital filtering for electrophysiological and hemodynamic amplifers
US7738951B2 (en) * 2006-07-28 2010-06-15 Medtronic, Inc. Prioritized multicomplexor sensing circuit
US20080146894A1 (en) * 2006-12-19 2008-06-19 Cherik Bulkes Signal sensing in an implanted apparatus with an internal reference
US7668593B1 (en) 2007-03-30 2010-02-23 Pacesetter, Inc. System and method to accelerate individualized gain adjustment in implantable medical device systems
US20080294060A1 (en) * 2007-05-21 2008-11-27 Cardiac Pacemakers, Inc. Devices and methods for disease detection, monitoring and/or management
US9042983B2 (en) * 2007-10-31 2015-05-26 Medtronic, Inc. Implantable system for flow measurement including charge amplifier
WO2009075749A1 (en) * 2007-12-11 2009-06-18 Cardiac Pacemakers, Inc. Lv unipolar sensing or pacing vector
WO2009075725A1 (en) 2007-12-13 2009-06-18 Cardiac Pacemakers, Inc. Supraventricular tachy sensing vector
US8372013B2 (en) 2008-09-19 2013-02-12 Medtronic, Inc. Method and apparatus for determining a respiration parameter in a medical device
US9345878B2 (en) * 2009-06-30 2016-05-24 Boston Scientific Neuromodulation Corporation System and method for compensating for shifting of neurostimulation leads in a patient
US8738111B2 (en) * 2010-06-29 2014-05-27 Cardiac Pacemakers, Inc. Cardiac contraction detection using information indicative of lead motion
JP2014514054A (ja) * 2011-03-30 2014-06-19 アドミッタンス・テクノロジーズ・インコーポレイテッド 複素電気アドミタンスもしくはインピーダンスを測定するための低電力装置及び方法
WO2013148182A1 (en) 2012-03-27 2013-10-03 The University Of Vermont And State Agricultural College Cardiac pacemaker and uses thereof
WO2014011915A2 (en) * 2012-07-11 2014-01-16 Robert Bosch Gmbh Self-powered pressure sensor assembly
US10420952B2 (en) * 2012-10-10 2019-09-24 Board Of Regents, The University Of Texas System Method and apparatus for treating a patient's heart using hemodynamics
JP2017524406A (ja) * 2014-06-12 2017-08-31 カーディアック ペースメイカーズ， インコーポレイテッド リードレス心臓ペースメーカーを用いたレート応答ペーシングのためのシステムおよび方法
CN112292178A (zh) * 2018-06-14 2021-01-29 美敦力公司 用于心脏重塑的心脏起搏治疗的递送
JP7164375B2 (ja) * 2018-09-25 2022-11-01 日本光電工業株式会社 パルス判別装置および心電図解析装置

Family Cites Families (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
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
IT1156564B (it) * 1982-03-16 1987-02-04 Gianni Plicchi Elettrostimolatore cardiaco impiantabile, di tipo fisiologico, in cui la frequenza di stimolazione e'regolata dalla frequenza respiratoria del paziente
US4535774A (en) * 1983-06-30 1985-08-20 Medtronic, Inc. Stroke volume controlled pacer
DE3428975A1 (de) * 1984-08-06 1986-02-13 Michael S. 8113 Kochel Lampadius Atmungsgesteuerter herzschrittmacher
US4860751A (en) * 1985-02-04 1989-08-29 Cordis Corporation Activity sensor for pacemaker control
US4702253A (en) * 1985-10-15 1987-10-27 Telectronics N.V. Metabolic-demand pacemaker and method of using the same to determine minute volume
DE3775281D1 (de) * 1986-06-16 1992-01-30 Siemens Ag Vorrichtung zur steuerung eines herzschrittmachers mittels impedanzmessung an koerpergeweben.
US4692719A (en) * 1986-08-01 1987-09-08 Telectronics N.V. Combined pacemaker delta modulator and bandpass filter
DE3631155A1 (de) * 1986-09-12 1988-03-24 Alt Eckhard Frequenzvariabler herzschrittmacher mit belastungsadaequatem frequenzverhalten
DE3732640C1 (de) * 1987-09-28 1989-05-18 Alt Eckhard Medizinisches Geraet zum Ermitteln von physiologischen Funktionsparametern
US4901725A (en) * 1988-01-29 1990-02-20 Telectronics N.V. Minute volume rate-responsive pacemaker
DE58907517D1 (de) * 1989-02-10 1994-05-26 Siemens Ag Implantierbarer Herzschrittmacher und Verfahren zum Betreiben eines Herzschrittmachers mit auf einen Maximalwert begrenzter Folgefrequenz der Stimulationen von Herzmuskelkontraktionen.
US5063937A (en) * 1990-09-12 1991-11-12 Wright State University Multiple frequency bio-impedance measurement system
SE9101276D0 (sv) * 1991-04-26 1991-04-26 Siemens Elema Ab Implanterbar medicinsk anordning

Also Published As

Publication number Publication date
EP0576114B1 (de) 2001-03-14
EP0576114A2 (de) 1993-12-29
DE69330012T2 (de) 2001-08-09
US5197467A (en) 1993-03-30
EP0576114A3 (de) 1997-07-16
DE576114T1 (de) 1994-07-28

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