DE69600635D1 - Zweikammerschrittmacher mit automatischer anpassung des av-escapeintervalls zur behandlung von cardiomyopathien - Google Patents

Zweikammerschrittmacher mit automatischer anpassung des av-escapeintervalls zur behandlung von cardiomyopathien

Info

Publication number
DE69600635D1
DE69600635D1 DE69600635T DE69600635T DE69600635D1 DE 69600635 D1 DE69600635 D1 DE 69600635D1 DE 69600635 T DE69600635 T DE 69600635T DE 69600635 T DE69600635 T DE 69600635T DE 69600635 D1 DE69600635 D1 DE 69600635D1
Authority
DE
Germany
Prior art keywords
cardiomyopathia
treating
automatic adjustment
escape interval
chamber pacemaker
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
DE69600635T
Other languages
English (en)
Other versions
DE69600635T2 (de
Inventor
Michael Shelton
Dwight Warkentin
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.)
Medtronic Inc
Original Assignee
Medtronic Inc
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 Medtronic Inc filed Critical Medtronic Inc
Publication of DE69600635D1 publication Critical patent/DE69600635D1/de
Application granted granted Critical
Publication of DE69600635T2 publication Critical patent/DE69600635T2/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
    • A61N1/3627—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
    • A61N1/368—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

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Hospice & Palliative Care (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Electrotherapy Devices (AREA)
  • Catching Or Destruction (AREA)
DE69600635T 1995-02-21 1996-01-26 Zweikammerschrittmacher mit automatischer anpassung des av-escapeintervalls zur behandlung von cardiomyopathien Expired - Lifetime DE69600635T2 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US08/391,884 US5527347A (en) 1995-02-21 1995-02-21 Dual chamber pacing system and method with automatic adjustment of the AV escape interval for treating cardiomyopathy
PCT/US1996/001252 WO1996025976A1 (en) 1995-02-21 1996-01-26 Dual chamber pacing system and method with automatic adjustment of the av escape interval for treating cardiomyopathy

Publications (2)

Publication Number Publication Date
DE69600635D1 true DE69600635D1 (de) 1998-10-15
DE69600635T2 DE69600635T2 (de) 1999-05-20

Family

ID=23548351

Family Applications (1)

Application Number Title Priority Date Filing Date
DE69600635T Expired - Lifetime DE69600635T2 (de) 1995-02-21 1996-01-26 Zweikammerschrittmacher mit automatischer anpassung des av-escapeintervalls zur behandlung von cardiomyopathien

Country Status (7)

Country Link
US (1) US5527347A (de)
EP (1) EP0810894B1 (de)
JP (1) JP3187058B2 (de)
AU (1) AU4909796A (de)
CA (1) CA2211217C (de)
DE (1) DE69600635T2 (de)
WO (1) WO1996025976A1 (de)

Families Citing this family (87)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6343232B1 (en) 1966-08-19 2002-01-29 Mower Chf Treatment Irrevocable Trust Augmentation of muscle contractility by biphasic stimulation
US5626620A (en) * 1995-02-21 1997-05-06 Medtronic, Inc. Dual chamber pacing system and method with continual adjustment of the AV escape interval so as to maintain optimized ventricular pacing for treating cardiomyopathy
US5534016A (en) * 1995-02-21 1996-07-09 Vitatron Medical, B.V. Dual chamber pacing system and method utilizing detection of ventricular fusion for adjustment of the atrial-ventricular delay as therapy for hypertrophic obstructive cardiomyopathy
US5514163A (en) * 1995-02-21 1996-05-07 Medtronic, Inc. Dual chamber pacing system and method with optimized adjustment of the AV escape interval for treating cardiomyopathy
FR2734730B1 (fr) * 1995-05-31 1997-08-22 Ela Medical Sa Dispositif medical implantable actif, notamment stimulateur cardiaque ou defribrillateur
US5716383A (en) * 1996-02-28 1998-02-10 Medtronic, Inc. Dual chamber pacing system and method with continual adjustment of the AV escape interval so as to maintain optimized ventricular pacing for treating cardiomyopathy
US6285908B1 (en) * 1996-05-14 2001-09-04 Pacesetter, Inc. Implantable stimulation device and method for determining atrial autocapture using programmable AV delay
US6341235B1 (en) 1996-08-19 2002-01-22 Mower Chf Treatment Irrevocable Trust Augmentation of electrical conduction and contractility by biphasic cardiac pacing administered via the cardiac blood pool
US7840264B1 (en) 1996-08-19 2010-11-23 Mr3 Medical, Llc System and method for breaking reentry circuits by cooling cardiac tissue
US8447399B2 (en) * 1996-08-19 2013-05-21 Mr3 Medical, Llc System and method for managing detrimental cardiac remodeling
US7440800B2 (en) * 1996-08-19 2008-10-21 Mr3 Medical, Llc System and method for managing detrimental cardiac remodeling
US6411847B1 (en) 1996-08-19 2002-06-25 Morton M. Mower Apparatus for applying cyclic pacing at an average rate just above the intrinsic heart rate
US6295470B1 (en) * 1996-08-19 2001-09-25 The Mower Family Chf Treatment Irrevocable Trust Antitachycardial pacing
US7908003B1 (en) 1996-08-19 2011-03-15 Mr3 Medical Llc System and method for treating ischemia by improving cardiac efficiency
US7203537B2 (en) 1996-08-19 2007-04-10 Mr3 Medical, Llc System and method for breaking reentry circuits by cooling cardiac tissue
US6337995B1 (en) 1996-08-19 2002-01-08 Mower Chf Treatment Irrevocable Trust Atrial sensing and multiple site stimulation as intervention for atrial fibrillation
US6141586A (en) * 1996-08-19 2000-10-31 Mower Family Chf Treatment Irrevocable Trust Method and apparatus to allow cyclic pacing at an average rate just above the intrinsic heart rate so as to maximize inotropic pacing effects at minimal heart rates
US5713930A (en) * 1996-11-06 1998-02-03 Vitatron Medical, B.V. Dual chamber pacing system and method with control of AV interval
US5741309A (en) * 1997-02-18 1998-04-21 Cardiac Pacemakers, Inc. Break algorithm for PR+PVARP block
US6415180B1 (en) * 1997-04-04 2002-07-02 Cardiac Pacemakers, Inc. Device and method for ventricular tracking and pacing
WO1999010042A1 (en) * 1997-08-27 1999-03-04 Pacesetter, Inc. Dual chamber implantable pacemaker having negative av/pv hysteresis and ectopic discrimination
DE19758109A1 (de) * 1997-12-17 1999-06-24 Biotronik Mess & Therapieg Herzstimulator
US7110817B2 (en) * 1998-05-08 2006-09-19 Cardiac Pacemakers, Inc. Method and apparatus for optimizing ventricular synchrony during DDD resynchronization therapy using adjustable atrio-ventricular delays
US7158830B2 (en) * 1998-05-08 2007-01-02 Cardiac Pacemakers, Inc. Method and apparatus for optimizing stroke volume during DDD resynchronization therapy using adjustable atrio-ventricular delays
US6144880A (en) * 1998-05-08 2000-11-07 Cardiac Pacemakers, Inc. Cardiac pacing using adjustable atrio-ventricular delays
US6411845B1 (en) 1999-03-04 2002-06-25 Mower Chf Treatment Irrevocable Trust System for multiple site biphasic stimulation to revert ventricular arrhythmias
US7203535B1 (en) 1999-04-01 2007-04-10 Cardiac Pacemakers, Inc. System and method for classifying tachycardia arrhythmias having 1:1 atrial-to-ventricular rhythms
US7062325B1 (en) 1999-05-21 2006-06-13 Cardiac Pacemakers Inc Method and apparatus for treating irregular ventricular contractions such as during atrial arrhythmia
US6351669B1 (en) 1999-05-21 2002-02-26 Cardiac Pacemakers, Inc. Cardiac rhythm management system promoting atrial pacing
US7181278B2 (en) 1999-05-21 2007-02-20 Cardiac Pacemakers, Inc. Apparatus and method for ventricular rate regularization
US6501988B2 (en) 2000-12-26 2002-12-31 Cardiac Pacemakers Inc. Apparatus and method for ventricular rate regularization with biventricular sensing
US6430438B1 (en) 1999-05-21 2002-08-06 Cardiac Pacemakers, Inc. Cardiac rhythm management system with atrial shock timing optimization
US7142918B2 (en) * 2000-12-26 2006-11-28 Cardiac Pacemakers, Inc. Apparatus and method for pacing mode switching during atrial tachyarrhythmias
US6285907B1 (en) 1999-05-21 2001-09-04 Cardiac Pacemakers, Inc. System providing ventricular pacing and biventricular coordination
US7212860B2 (en) 1999-05-21 2007-05-01 Cardiac Pacemakers, Inc. Apparatus and method for pacing mode switching during atrial tachyarrhythmias
US8064997B2 (en) 1999-05-21 2011-11-22 Cardiac Pacemakers, Inc. Method and apparatus for treating irregular ventricular contractions such as during atrial arrhythmia
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
US6363278B1 (en) 2000-04-14 2002-03-26 Cardiac Pacemakers, Inc. Cardiac rhythm management system with staggered pulses for coordination therapy
US7239914B2 (en) 2000-05-13 2007-07-03 Cardiac Pacemakers, Inc. Rate smoothing control
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
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
US7801606B2 (en) * 2000-08-29 2010-09-21 Cardiac Pacemakers, Inc. Implantable pulse generator and method having adjustable signal blanking
US6512951B1 (en) 2000-09-14 2003-01-28 Cardiac Pacemakers, Inc. Delivery of atrial defibrillation shock based on estimated QT interval
FR2816218B1 (fr) * 2000-11-08 2003-05-09 Ela Medical Sa Dispositif medical actif implantable, notamment stimulateur cardiaque, defibrillateur, cardioverteur ou dispositif multisite, comprenant des moyens de detection d'un risque de situation de fusion
US20020087198A1 (en) 2000-12-29 2002-07-04 Kramer Andrew P. Apparatus and method for ventricular rate regularization
US6957100B2 (en) * 2000-12-26 2005-10-18 Cardiac Pacemakers, Inc. Method and system for display of cardiac event intervals in a resynchronization pacemaker
US6792310B1 (en) 2001-01-12 2004-09-14 Pacesetter, Inc. Methods, systems and devices for optimizing cardiac pacing parameters
US6522923B1 (en) 2001-02-09 2003-02-18 Pacesetter, Inc. Methods, systems and devices for optimizing cardiac pacing parameters using evolutionary algorithms
US6597951B2 (en) * 2001-03-16 2003-07-22 Cardiac Pacemakers, Inc. Automatic selection from multiple cardiac optimization protocols
US6804555B2 (en) * 2001-06-29 2004-10-12 Medtronic, Inc. Multi-site ventricular pacing system measuring QRS duration
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
US6973349B2 (en) * 2001-12-05 2005-12-06 Cardiac Pacemakers, Inc. Method and apparatus for minimizing post-infarct ventricular remodeling
US7206634B2 (en) * 2002-07-26 2007-04-17 Cardiac Pacemakers, Inc. Method and apparatus for optimizing cardiac pumping performance
US6945939B2 (en) * 2002-10-18 2005-09-20 Pacesetter, Inc. Hemodynamic analysis
US7031764B2 (en) 2002-11-08 2006-04-18 Cardiac Pacemakers, Inc. Cardiac rhythm management systems and methods using multiple morphology templates for discriminating between rhythms
US7123962B2 (en) * 2002-12-02 2006-10-17 Cardiac Pacemakers, Inc. Phonocardiographic image-based atrioventricular delay optimization
US7013176B2 (en) * 2003-01-28 2006-03-14 Cardiac Pacemakers, Inc. Method and apparatus for setting pacing parameters in cardiac resynchronization therapy
US9002452B2 (en) 2003-11-07 2015-04-07 Cardiac Pacemakers, Inc. Electrical therapy for diastolic dysfunction
US7184835B2 (en) * 2003-12-12 2007-02-27 Cardiac Pacemakers, Inc. Method and apparatus for adjustable AVD programming using a table
US7203540B2 (en) * 2003-12-22 2007-04-10 Cardiac Pacemakers, Inc. Method and system for setting cardiac resynchronization therapy parameters
US7123960B2 (en) * 2003-12-22 2006-10-17 Cardiac Pacemakers, Inc. Method and system for delivering cardiac resynchronization therapy with variable atrio-ventricular delay
US7389141B2 (en) * 2003-12-22 2008-06-17 Cardiac Pacemakers, Inc. Biatrial pacing optimization for biventricular pacing
US7215997B2 (en) * 2003-12-22 2007-05-08 Cardiac Pacemakers, Inc. Dynamic device therapy control for treating post myocardial infarction patients
US7130689B1 (en) 2004-02-24 2006-10-31 Pacesetter, Inc. Methods and systems for optimizing cardiac pacing intervals for various physiologic factors
US7676261B2 (en) * 2004-09-30 2010-03-09 General Electric Company Method and system for enhancing pace pulses
US7277747B2 (en) * 2004-11-23 2007-10-02 Cardiac Pacemakers, Inc. Arrhythmia memory for tachyarrhythmia discrimination
US8214041B2 (en) * 2005-04-19 2012-07-03 Medtronic, Inc. Optimization of AV intervals in single ventricle fusion pacing through electrogram morphology
US7613514B2 (en) * 2005-04-19 2009-11-03 Cardiac Pacemakers, Inc. Selective resynchronization therapy optimization based on user preference
US8538519B2 (en) * 2005-04-25 2013-09-17 Cardiac Pacemakers, Inc. Method and system for treatment of mechanical cardiac asynchrony
US7922669B2 (en) 2005-06-08 2011-04-12 Cardiac Pacemakers, Inc. Ischemia detection using a heart sound sensor
US8108034B2 (en) 2005-11-28 2012-01-31 Cardiac Pacemakers, Inc. Systems and methods for valvular regurgitation detection
US8046069B2 (en) * 2005-12-22 2011-10-25 Cardiac Pacemakers, Inc. Method and apparatus for control of cardiac therapy using non-invasive hemodynamic sensor
US7869871B2 (en) 2006-03-31 2011-01-11 Cardiac Pacemakers, Inc. Pacing therapy for diastolic heart failure
US20090149904A1 (en) 2007-12-11 2009-06-11 Cardiac Pacemakers, Inc. Lv unipolar sensing or pacing vector
EP2231004B1 (de) 2007-12-13 2018-01-03 Cardiac Pacemakers, Inc. Supraventrikulärer tachy-fühlender vektor
EP2285445B1 (de) * 2008-05-08 2014-04-23 Cardiac Pacemakers, Inc. Berechnete verzögerungen für eine intermittierende stresstherapie
DE102008042681A1 (de) * 2008-10-08 2010-04-15 Biotronik Crm Patent Ag Verfahren und Vorrichtung zur Verarbeitung von Herzsignalen
US9713432B2 (en) 2011-05-31 2017-07-25 Cardiac Pacemakers, Inc. Wide QRS detector
WO2013009563A1 (en) 2011-07-13 2013-01-17 Cardiac Pacemakers, Inc. Apparatuses and methods to predict ventricular remodeling
WO2013016119A1 (en) 2011-07-22 2013-01-31 Cardiac Pacemakers, Inc. Optimization of lv and rv lead placement based on electrical delays
US8954138B2 (en) 2011-11-16 2015-02-10 Cardiac Pacemakers, Inc. Using device based electrograms to identify bundle branch block morphology
US11040207B2 (en) 2017-06-16 2021-06-22 Cardiac Pacemakers, Inc. Systems and methods for dynamic control of heart failure therapy
US11318313B2 (en) 2019-04-12 2022-05-03 Cardiac Pacemakers, Inc. Response-based cardiac resynchronization therapy parameter determination
US11311731B2 (en) 2019-04-12 2022-04-26 Cardiac Pacemakers, Inc. Cardiac resynchronization therapy heart sound response characterization

Family Cites Families (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4428378A (en) * 1981-11-19 1984-01-31 Medtronic, Inc. Rate adaptive pacer
US5052388A (en) * 1989-12-22 1991-10-01 Medtronic, Inc. Method and apparatus for implementing activity sensing in a pulse generator
US5086774A (en) * 1990-04-02 1992-02-11 Siemens-Pacesetter, Inc. System and method for automatically compensating for latency conduction time in a programmable pacemaker
US5144950A (en) * 1990-08-30 1992-09-08 Vitatron Medical B.V. Rate controlled pacemaker system using ar interval for rate control
US5417714A (en) * 1992-03-05 1995-05-23 Pacesetter, Inc. DDI pacing with PVC-protected hysteresis and automatic AV interval adjustment
US5340361A (en) * 1992-11-13 1994-08-23 Siemens Pacesetter, Inc. Implantable pacemaker having adaptive AV interval adoptively shortened to assure ventricular pacing
US5334220A (en) * 1992-11-13 1994-08-02 Siemens Pacesetter, Inc. Dual-chamber implantable pacemaker having an adaptive AV interval that prevents ventricular fusion beats and method of operating same
US5507782A (en) * 1994-03-17 1996-04-16 Medtronic, Inc. Method and apparatus for dual chamber cardiac pacing

Also Published As

Publication number Publication date
EP0810894B1 (de) 1998-09-09
WO1996025976A1 (en) 1996-08-29
JPH10504754A (ja) 1998-05-12
CA2211217A1 (en) 1996-08-29
CA2211217C (en) 2001-08-14
US5527347A (en) 1996-06-18
AU4909796A (en) 1996-09-11
JP3187058B2 (ja) 2001-07-11
EP0810894A1 (de) 1997-12-10
DE69600635T2 (de) 1999-05-20

Similar Documents

Publication Publication Date Title
DE69600635D1 (de) Zweikammerschrittmacher mit automatischer anpassung des av-escapeintervalls zur behandlung von cardiomyopathien
DE69600595T2 (de) Zweikammer-herzschrittmacher-system mit optimierter verstellung der av-verzögerung zur behandlung von kardiomyopathien
DE69325772D1 (de) Implantierbarer Herzschrittmacher mit anpassbarem AV-Intervall zur Behandlung von Kardiomyopathie
DE122009000012I1 (de) Substituierte pyrazolyl-benzolsulfonamide zur behandlung von entzundungen.
DE69206341D1 (de) Verfahren zur Behandlung von BCTMP/CTMP-Abwasser.
DE69724908D1 (de) Zweikammer-Herzschrittmacher-System mit Verstellung des AV-Verzögerungsintervalls
DE69703649D1 (de) Behandlung von deagglomerierten teilchen mit plasmaaktivierter spezies
DE68907909T2 (de) Präparat zur behandlung von erektionsstörungen.
DE69600596D1 (de) Zweikammer-schrittmacher-anordnung zur kontinuierlichen regelung des av zeitintervalles mit dem ziel, optimierte stimulierung zur behandlung von kardiomyopathien zu erreichen
DE69603089D1 (de) Zusammensetzung zur behandlung von mauerwerk
DE59510299D1 (de) Verfahren zur Herstellung von Polyacetalcopolymeren
ATE267180T1 (de) Phosphorderivate zur behandlung von aids
DE69635708D1 (de) Tetrandrin zur behandlung von augenentzündungen
DE69619051T2 (de) Behandlung von Füllstoffen mit Oxasilacycloalkanen
DE69614739D1 (de) Pflaster zur Behandlung von Pflanzen
DE69729735D1 (de) Verwendung von benzopyranolen zur behandlung von neurologischen erkrankungen
DE69518438D1 (de) Behandlung von übereregten nervenzellenfunktionen
DE69834937D1 (de) Antibiotika zur behandlung von magengeschwuren
DE3875016D1 (de) Therapeutikum zur behandlung von aids.
FI980091A0 (fi) Menetelmä ylijäämäaktiivilietteen käsittelemiseksi
DE69412178D1 (de) Apparat zur Behandlung von Lagen
DE69408394T2 (de) 4-Piperidino-piperidin zur Behandlung von Tumoren
DE69806062T2 (de) Kombinationstherapie zur behandlung von aids
DE69306260D1 (de) Behandlung von abwasser
DE69302250D1 (de) Verwendung von Isoquinolinon-Derivaten zur Behandlung von Hyperlipoproteinemia

Legal Events

Date Code Title Description
8364 No opposition during term of opposition