DE69427802T2 - Verfahren zur automatischen Steuerung der Herzsignalschwellenwerte bei einer implantierbaren Vorrichtung - Google Patents

Verfahren zur automatischen Steuerung der Herzsignalschwellenwerte bei einer implantierbaren Vorrichtung

Info

Publication number
DE69427802T2
DE69427802T2 DE69427802T DE69427802T DE69427802T2 DE 69427802 T2 DE69427802 T2 DE 69427802T2 DE 69427802 T DE69427802 T DE 69427802T DE 69427802 T DE69427802 T DE 69427802T DE 69427802 T2 DE69427802 T2 DE 69427802T2
Authority
DE
Germany
Prior art keywords
implantable device
automatically controlling
cardiac signal
signal thresholds
controlling cardiac
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
DE69427802T
Other languages
English (en)
Other versions
DE69427802D1 (de
Inventor
Peter Jacobson
Daniel Kroiss
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 DE69427802D1 publication Critical patent/DE69427802D1/de
Application granted granted Critical
Publication of DE69427802T2 publication Critical patent/DE69427802T2/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
    • A61N1/37—Monitoring; Protecting
    • A61N1/3702—Physiological parameters
    • A61N1/3704—Circuits specially adapted therefor, e.g. for sensitivity control
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S128/00—Surgery
    • Y10S128/901—Suppression of noise in electric signal

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biophysics (AREA)
  • Physiology (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Electrotherapy Devices (AREA)
  • Prostheses (AREA)
DE69427802T 1993-11-17 1994-11-16 Verfahren zur automatischen Steuerung der Herzsignalschwellenwerte bei einer implantierbaren Vorrichtung Expired - Lifetime DE69427802T2 (de)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
FR9313733A FR2712500B1 (fr) 1993-11-17 1993-11-17 Procédé de commande automatique du seuil de détection du rythme cardiaque dans un appareil implantable.

Publications (2)

Publication Number Publication Date
DE69427802D1 DE69427802D1 (de) 2001-08-30
DE69427802T2 true DE69427802T2 (de) 2002-04-04

Family

ID=9452945

Family Applications (1)

Application Number Title Priority Date Filing Date
DE69427802T Expired - Lifetime DE69427802T2 (de) 1993-11-17 1994-11-16 Verfahren zur automatischen Steuerung der Herzsignalschwellenwerte bei einer implantierbaren Vorrichtung

Country Status (5)

Country Link
US (1) US5564430A (de)
EP (1) EP0653225B1 (de)
DE (1) DE69427802T2 (de)
ES (1) ES2160621T3 (de)
FR (1) FR2712500B1 (de)

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US5662688A (en) * 1995-08-14 1997-09-02 Cardiac Pacemakers, Inc. Slow gain control
US5620466A (en) * 1995-08-14 1997-04-15 Cardiac Pacemakers, Inc. Digital AGC using separate gain control and threshold templating
US5658317A (en) * 1995-08-14 1997-08-19 Cardiac Pacemakers, Inc. Threshold templating for digital AGC
US5755738A (en) * 1997-04-22 1998-05-26 Cardiac Pacemakers, Inc. Automatic sensing level adjustment for implantable cardiac rhythm management devices
US5891171A (en) * 1997-10-22 1999-04-06 Pacesetter Incorporated Apparatus with noise classification in an implantable cardiac device by using an amplifier with a variable threshold
US5944744A (en) * 1998-02-06 1999-08-31 Sulzer Intermedics Inc. Implantable cardiac stimulator with automatic electrogram profiling
FR2774916B1 (fr) * 1998-02-13 2000-06-16 Ela Medical Sa Dispositif medical implantable actif, notamment stimulateur cardiaque, defibrillateur et/ou cardioverteur, de type multisite
US6029086A (en) * 1998-06-15 2000-02-22 Cardiac Pacemakers, Inc. Automatic threshold sensitivity adjustment for cardiac rhythm management devices
US6539259B1 (en) * 1999-07-15 2003-03-25 Pacesetter, Inc. System and method of automatically adjusting sensitivity in an implantable cardiac stimulation device
US6381494B1 (en) 1999-08-20 2002-04-30 Cardiac Pacemakers, Inc. Response to ambient noise in implantable pulse generator
US6304778B1 (en) * 1999-08-20 2001-10-16 Cardiac Pacemakers, Inc. Implantable defibrillators with programmable cross-chamber blanking
US6418343B1 (en) 1999-10-01 2002-07-09 Cardiac Pacemakers, Inc. Method and apparatus for adjusting the sensing threshold of a cardiac rhythm management device
US6473649B1 (en) 1999-12-22 2002-10-29 Cardiac Pacemakers, Inc. Rate management during automatic capture verification
US7998720B2 (en) * 2000-02-21 2011-08-16 Puratos N.V. Enzyme with xylanase activity
US6434426B1 (en) 2000-04-27 2002-08-13 Medtronic Inc. Method and system for determining a noise floor in a cardiac pacing system
US7801606B2 (en) * 2000-08-29 2010-09-21 Cardiac Pacemakers, Inc. Implantable pulse generator and method having adjustable signal blanking
US7215993B2 (en) * 2002-08-06 2007-05-08 Cardiac Pacemakers, Inc. Cardiac rhythm management systems and methods for detecting or validating cardiac beats in the presence of noise
US6892092B2 (en) * 2001-10-29 2005-05-10 Cardiac Pacemakers, Inc. Cardiac rhythm management system with noise detector utilizing a hysteresis providing threshold
US6917830B2 (en) * 2001-10-29 2005-07-12 Cardiac Pacemakers, Inc. Method and system for noise measurement in an implantable cardiac device
US6650931B1 (en) 2001-11-14 2003-11-18 Pacesetter, Inc. System and method of automatically determining the onsets and ends of cardiac events and far-field signals
US6625490B1 (en) 2001-11-14 2003-09-23 Pacesetter, Inc. System and method of automatically adjusting sensing parameters based on temporal measurement of cardiac events
US6745076B2 (en) 2001-11-16 2004-06-01 Medtronic, Inc. Implantable medical device with autosensitivity algorithm for controlling sensing of cardiac signals
US7783354B2 (en) * 2002-04-29 2010-08-24 Medtronic, Inc. Method and apparatus for identifying cardiac and non-cardiac oversensing using intracardiac electrograms
US7130690B2 (en) * 2003-07-23 2006-10-31 Medtronic, Inc. Atrial capture management during atrial and ventricular pacing
US7155275B2 (en) 2004-10-18 2006-12-26 Cardiac Pacemakers, Inc. Method and apparatus for adjusting cardiac event detection threshold based on dynamic noise estimation
US7463926B1 (en) 2005-06-24 2008-12-09 Pacesetter, Inc. Automatic signal amplitude measurement system in the setting of abnormal rhythms
US8116867B2 (en) 2005-08-04 2012-02-14 Cameron Health, Inc. Methods and devices for tachyarrhythmia sensing and high-pass filter bypass
US8260407B1 (en) 2005-09-12 2012-09-04 Pacesetter, Inc. Intracardiac device and method for storing cardiac test results and associated EGM data
US7756570B1 (en) 2006-05-01 2010-07-13 Pacesetter, Inc. Methods and arrangements for reducing oversensing and/or providing diagnostic information in implantable medical devices
FR2901146A1 (fr) * 2006-05-18 2007-11-23 Ela Medical Soc Par Actions Si Dispositif medical implantable actif de stimulation cardiaque, resynchronisation, cardioversion et/ou defibrillation, comportant des moyens de detection d'artefacts de bruit ventriculaire
US7831304B2 (en) * 2006-09-29 2010-11-09 Medtronic, Inc. Method for determining oversensing in an implantable device
WO2009111766A2 (en) 2008-03-07 2009-09-11 Cameron Health, Inc. Methods and devices for accurately classifying cardiac activity
CA2717442C (en) 2008-03-07 2017-11-07 Cameron Health, Inc. Accurate cardiac event detection in an implantable cardiac stimulus device
ES2386623T3 (es) 2008-05-07 2012-08-23 Cameron Health, Inc. Dispositivos para clasificar de modo preciso la actividad cardiaca
US8694097B2 (en) 2010-06-30 2014-04-08 Medtronic, Inc. Multi-channel sensing methods in implantable cardiovertor defibrillators
US9480844B2 (en) * 2010-10-29 2016-11-01 Medtronic, Inc. Method and apparatus for reducing noise in a medical device
US8744556B2 (en) 2011-02-04 2014-06-03 Cardiac Pacemakers, Inc. Noise detection in implantable medical devices
US10010716B2 (en) * 2011-04-28 2018-07-03 Medtronic, Inc. Implantable medical device with automatic sensing threshold adjustment in noisy environment
US9554714B2 (en) 2014-08-14 2017-01-31 Cameron Health Inc. Use of detection profiles in an implantable medical device
WO2018074145A1 (ja) * 2016-10-17 2018-04-26 日本電信電話株式会社 心拍検出方法および心拍検出装置
WO2019074718A1 (en) 2017-10-10 2019-04-18 Verily Life Sciences Llc EFFECTIVE ALGORITHMS OF CONTACT LENS BASED ON A GESTURE FOR HUMAN COMMUNICATION-CONTACT LENS

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US4184493A (en) * 1975-09-30 1980-01-22 Mieczyslaw Mirowski Circuit for monitoring a heart and for effecting cardioversion of a needy heart
US4393877A (en) * 1981-05-15 1983-07-19 Mieczyslaw Mirowski Heart rate detector
US4559946A (en) * 1982-06-18 1985-12-24 Mieczyslaw Mirowski Method and apparatus for correcting abnormal cardiac activity by low energy shocks
US4708144A (en) * 1986-10-06 1987-11-24 Telectronics N.V. Automatic sensitivity control for a pacemaker
US4779617A (en) * 1986-10-06 1988-10-25 Telectronics N.V. Pacemaker noise rejection system
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
US4960123A (en) * 1988-03-21 1990-10-02 Telectronics N.V. Differentiating between arrhythmia and noise in an arrhythmia control system
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
US4967747A (en) * 1989-05-19 1990-11-06 Ventritex, Inc. Implantable cardiac defibrillator employing a switched capacitor gain/filter stage having a transient-free gain change
EP0399059B2 (de) * 1989-05-22 2003-08-20 St. Jude Medical AB Implantierbares medizinisches Gerät zur Detektion von bezüglich einer physiologischen Funktion auftretenden Ereignissen mit einstellbarer Empfindlichkeit und Verfahren zum Betrieb eines solchen Gerätes
JP2820721B2 (ja) * 1989-06-23 1998-11-05 フクダ電子株式会社 Ｑｒｓ検出装置
US5010887A (en) * 1989-11-17 1991-04-30 Siemens-Pacesetter, Inc. Noise discrimination in implantable pacemakers
US5117824A (en) * 1990-11-14 1992-06-02 Medtronic, Inc. Apparatus for monitoring electrical physiologic signals
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.
US5365932A (en) * 1993-09-02 1994-11-22 Telectronics Pacing System, Inc. Cardiac signal sensing device having sensitivity automatically controlled in response to metabolic demand

Also Published As

Publication number Publication date
US5564430A (en) 1996-10-15
FR2712500A1 (fr) 1995-05-24
EP0653225A1 (de) 1995-05-17
DE69427802D1 (de) 2001-08-30
ES2160621T3 (es) 2001-11-16
FR2712500B1 (fr) 1996-02-09
EP0653225B1 (de) 2001-07-25

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