DE69826213D1 - System zum Nachweis von Herzereignissen für einen Herzschrittmacher - Google Patents

System zum Nachweis von Herzereignissen für einen Herzschrittmacher

Info

Publication number
DE69826213D1
DE69826213D1 DE69826213T DE69826213T DE69826213D1 DE 69826213 D1 DE69826213 D1 DE 69826213D1 DE 69826213 T DE69826213 T DE 69826213T DE 69826213 T DE69826213 T DE 69826213T DE 69826213 D1 DE69826213 D1 DE 69826213D1
Authority
DE
Germany
Prior art keywords
pacemaker
detection
cardiac events
cardiac
events
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
DE69826213T
Other languages
English (en)
Other versions
DE69826213T2 (de
Inventor
Hans Strandberg
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.)
St Jude Medical AB
Original Assignee
St Jude Medical AB
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 St Jude Medical AB filed Critical St Jude Medical AB
Publication of DE69826213D1 publication Critical patent/DE69826213D1/de
Application granted granted Critical
Publication of DE69826213T2 publication Critical patent/DE69826213T2/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
    • A61N1/365—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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346—Analysis of electrocardiograms
    • A61B5/349—Detecting specific parameters of the electrocardiograph cycle
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346—Analysis of electrocardiograms
    • A61B5/349—Detecting specific parameters of the electrocardiograph cycle
    • A61B5/361—Detecting fibrillation
    • 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
    • A61B5/7239—Details of waveform analysis using differentiation including higher order derivatives

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Biophysics (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Physiology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Electrotherapy Devices (AREA)
DE69826213T 1997-11-24 1998-10-29 System zum Nachweis von Herzereignissen für einen Herzschrittmacher Expired - Lifetime DE69826213T2 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
SE9704311 1997-11-24
SE9704311A SE9704311D0 (sv) 1997-11-24 1997-11-24 A cardiac event detecting system for a heart stimulator

Publications (2)

Publication Number Publication Date
DE69826213D1 true DE69826213D1 (de) 2004-10-21
DE69826213T2 DE69826213T2 (de) 2006-03-02

Family

ID=20409097

Family Applications (1)

Application Number Title Priority Date Filing Date
DE69826213T Expired - Lifetime DE69826213T2 (de) 1997-11-24 1998-10-29 System zum Nachweis von Herzereignissen für einen Herzschrittmacher

Country Status (4)

Country Link
US (1) US6097983A (de)
EP (1) EP0917887B1 (de)
DE (1) DE69826213T2 (de)
SE (1) SE9704311D0 (de)

Families Citing this family (52)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
SE9901966D0 (sv) 1999-05-28 1999-05-28 Pacesetter Ab Implantable heart stimulator
US6477421B1 (en) * 2000-02-24 2002-11-05 Pacesetter, Inc. Method and apparatus for position and motion sensing
US7076296B2 (en) 2000-09-18 2006-07-11 Cameron Health, Inc. Method of supplying energy to subcutaneous cardioverter-defibrillator and pacer
US6721597B1 (en) 2000-09-18 2004-04-13 Cameron Health, Inc. Subcutaneous only implantable cardioverter defibrillator and optional pacer
US6754528B2 (en) 2001-11-21 2004-06-22 Cameraon Health, Inc. Apparatus and method of arrhythmia detection in a subcutaneous implantable cardioverter/defibrillator
US6927721B2 (en) * 2001-11-05 2005-08-09 Cameron Health, Inc. Low power A/D converter
US6954670B2 (en) 2001-11-05 2005-10-11 Cameron Health, Inc. Simplified defibrillator output circuit
US20020035381A1 (en) 2000-09-18 2002-03-21 Cameron Health, Inc. Subcutaneous electrode with improved contact shape for transthoracic conduction
US6834204B2 (en) 2001-11-05 2004-12-21 Cameron Health, Inc. Method and apparatus for inducing defibrillation in a patient using a T-shock waveform
US6856835B2 (en) 2000-09-18 2005-02-15 Cameron Health, Inc. Biphasic waveform for anti-tachycardia pacing for a subcutaneous implantable cardioverter-defibrillator
US6952608B2 (en) 2001-11-05 2005-10-04 Cameron Health, Inc. Defibrillation pacing circuitry
US6952610B2 (en) 2000-09-18 2005-10-04 Cameron Health, Inc. Current waveforms for anti-tachycardia pacing for a subcutaneous implantable cardioverter- defibrillator
US6865417B2 (en) 2001-11-05 2005-03-08 Cameron Health, Inc. H-bridge with sensing circuit
US7146212B2 (en) 2000-09-18 2006-12-05 Cameron Health, Inc. Anti-bradycardia pacing for a subcutaneous implantable cardioverter-defibrillator
US7751885B2 (en) 2000-09-18 2010-07-06 Cameron Health, Inc. Bradycardia pacing in a subcutaneous device
US6778860B2 (en) 2001-11-05 2004-08-17 Cameron Health, Inc. Switched capacitor defibrillation circuit
US7069080B2 (en) 2000-09-18 2006-06-27 Cameron Health, Inc. Active housing and subcutaneous electrode cardioversion/defibrillating system
US6892092B2 (en) * 2001-10-29 2005-05-10 Cardiac Pacemakers, Inc. Cardiac rhythm management system with noise detector utilizing a hysteresis providing threshold
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
US7248921B2 (en) 2003-06-02 2007-07-24 Cameron Health, Inc. Method and devices for performing cardiac waveform appraisal
US7330757B2 (en) 2001-11-21 2008-02-12 Cameron Health, Inc. Method for discriminating between ventricular and supraventricular arrhythmias
US6728575B2 (en) * 2001-11-30 2004-04-27 St. Jude Medical Ab Method and circuit for detecting cardiac rhythm abnormalities using a differential signal from a lead with a multi-electrode tip
US6980861B1 (en) 2002-07-10 2005-12-27 Pacesetter, Inc. Implantable medical device and method for detecting cardiac events without using of refractory or blanking periods
US6925330B2 (en) * 2002-07-10 2005-08-02 Pacesetter, Inc. Implantable medical device and method for detecting cardiac events without using of refractory or blanking periods
US7113822B1 (en) 2003-02-25 2006-09-26 Pacesetter, Inc. System and method for providing cardioversion therapy and overdrive pacing using an implantable cardiac stimulation device
US7079891B1 (en) 2003-02-25 2006-07-18 Pacesetter System and method for providing cardioversion therapy and overdrive pacing using an implantable cardiac stimulation device
US20050261596A1 (en) * 2004-05-24 2005-11-24 Smith Brian A Passive switched capacitor high-pass filter for implantable cardiac device
US7376458B2 (en) 2004-11-29 2008-05-20 Cameron Health, Inc. Method for defining signal templates in implantable cardiac devices
US7655014B2 (en) 2004-12-06 2010-02-02 Cameron Health, Inc. Apparatus and method for subcutaneous electrode insertion
US8160697B2 (en) 2005-01-25 2012-04-17 Cameron Health, Inc. Method for adapting charge initiation for an implantable cardioverter-defibrillator
US8229563B2 (en) 2005-01-25 2012-07-24 Cameron Health, Inc. Devices for adapting charge initiation for an implantable cardioverter-defibrillator
US8116867B2 (en) 2005-08-04 2012-02-14 Cameron Health, Inc. Methods and devices for tachyarrhythmia sensing and high-pass filter bypass
US8788023B2 (en) 2006-05-26 2014-07-22 Cameron Health, Inc. Systems and methods for sensing vector selection in an implantable medical device
US7783340B2 (en) 2007-01-16 2010-08-24 Cameron Health, Inc. Systems and methods for sensing vector selection in an implantable medical device using a polynomial approach
US8200341B2 (en) 2007-02-07 2012-06-12 Cameron Health, Inc. Sensing vector selection in a cardiac stimulus device with postural assessment
US8718793B2 (en) 2006-08-01 2014-05-06 Cameron Health, Inc. Electrode insertion tools, lead assemblies, kits and methods for placement of cardiac device electrodes
US7877139B2 (en) 2006-09-22 2011-01-25 Cameron Health, Inc. Method and device for implantable cardiac stimulus device lead impedance measurement
US8014851B2 (en) 2006-09-26 2011-09-06 Cameron Health, Inc. Signal analysis in implantable cardiac treatment devices
US8180442B2 (en) * 2007-12-14 2012-05-15 Greatbatch Ltd. Deriving patient activity information from sensed body electrical information
US8676303B2 (en) 2008-05-13 2014-03-18 The Regents Of The University Of California Methods and systems for treating heart instability
CN104840196B (zh) 2008-10-09 2018-10-09 加利福尼亚大学董事会 用于自动定位生物节律紊乱的源的机器和过程
US9392948B2 (en) * 2011-12-09 2016-07-19 The Regents Of The University Of California System and method of identifying sources for biological rhythms
US10434319B2 (en) 2009-10-09 2019-10-08 The Regents Of The University Of California System and method of identifying sources associated with biological rhythm disorders
US10398326B2 (en) 2013-03-15 2019-09-03 The Regents Of The University Of California System and method of identifying sources associated with biological rhythm disorders
US9332915B2 (en) 2013-03-15 2016-05-10 The Regents Of The University Of California System and method to identify sources associated with biological rhythm disorders
JP5936141B2 (ja) 2010-04-08 2016-06-15 ザ リージェンツ オブ ザ ユニバーシティ オブ カリフォルニア 心臓情報を再構成するためのシステム
US9050006B2 (en) 2011-05-02 2015-06-09 The Regents Of The University Of California System and method for reconstructing cardiac activation information
US9107600B2 (en) 2011-05-02 2015-08-18 The Regents Of The University Of California System and method for reconstructing cardiac activation information
US8165666B1 (en) 2011-05-02 2012-04-24 Topera, Inc. System and method for reconstructing cardiac activation information
EP2705464B1 (de) 2011-05-02 2018-04-18 Topera, Inc. System und verfahren zur anzielung von herzrhythmusstörungen unter verwendung einer geformten ablation
CN105208928B (zh) 2013-03-11 2018-10-19 卡梅伦保健公司 实施心律失常检测双重标准的设备
US9579065B2 (en) 2013-03-12 2017-02-28 Cameron Health Inc. Cardiac signal vector selection with monophasic and biphasic shape consideration

Family Cites Families (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4557266A (en) * 1979-12-13 1985-12-10 American Hospital Supply Corporation Programmable digital cardiac pacer
US4905708A (en) * 1985-10-31 1990-03-06 Davies David W Apparatus for recognizing cardiac rhythms
EP0402508B2 (de) * 1989-06-15 2002-10-23 St. Jude Medical AB Einrichtung zum Detektieren einer Folge von anormalen Ereignissen in einem elektrischen Signal, insbesondere dem Depolarisationssignal eines Herzens
SE9203284D0 (sv) * 1992-11-04 1992-11-04 Siemens Elema Ab Hjaertstimulator
SE9303121D0 (sv) * 1993-09-24 1993-09-24 Siemens Elema Ab Hjärtstimulator
US5607457A (en) * 1995-09-29 1997-03-04 Schueller; Hans Pacemaker with evoked response detection by using differential sensing between two unipolar electrodes
US5797399A (en) * 1996-04-19 1998-08-25 The Regents Of The University Of Michigan Method and apparatus for identifying and correctly responding to abnormal heart activity

Also Published As

Publication number Publication date
EP0917887A1 (de) 1999-05-26
DE69826213T2 (de) 2006-03-02
US6097983A (en) 2000-08-01
EP0917887B1 (de) 2004-09-15
SE9704311D0 (sv) 1997-11-24

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