DE69924404D1 - Gerät zur detektion und behandlung medizinischer zustände des herzens - Google Patents
Gerät zur detektion und behandlung medizinischer zustände des herzensInfo
- Publication number
- DE69924404D1 DE69924404D1 DE69924404T DE69924404T DE69924404D1 DE 69924404 D1 DE69924404 D1 DE 69924404D1 DE 69924404 T DE69924404 T DE 69924404T DE 69924404 T DE69924404 T DE 69924404T DE 69924404 D1 DE69924404 D1 DE 69924404D1
- Authority
- DE
- Germany
- Prior art keywords
- heart
- sensing electrode
- sensing
- detecting
- operatively associated
- 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
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
- A61N1/3621—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
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US206022 | 1998-12-04 | ||
US09/206,022 US6205357B1 (en) | 1998-12-04 | 1998-12-04 | Methods and apparatus for detecting and treating medical conditions of the heart |
PCT/US1999/014612 WO2000033914A1 (en) | 1998-12-04 | 1999-06-28 | Methods and apparatus for detecting and treating medical conditions of the heart |
Publications (2)
Publication Number | Publication Date |
---|---|
DE69924404D1 true DE69924404D1 (de) | 2005-04-28 |
DE69924404T2 DE69924404T2 (de) | 2006-01-26 |
Family
ID=22764666
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
DE69924404T Expired - Lifetime DE69924404T2 (de) | 1998-12-04 | 1999-06-28 | Gerät zur detektion und behandlung medizinischer zustände des herzens |
Country Status (7)
Country | Link |
---|---|
US (1) | US6205357B1 (de) |
EP (1) | EP1135189B1 (de) |
JP (1) | JP2002531230A (de) |
AT (1) | ATE291462T1 (de) |
CA (1) | CA2353601A1 (de) |
DE (1) | DE69924404T2 (de) |
WO (1) | WO2000033914A1 (de) |
Families Citing this family (87)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6647291B1 (en) * | 1999-04-05 | 2003-11-11 | Medtronic, Inc. | Method and apparatus for cardiac defibrillation |
US7212858B2 (en) * | 1999-06-26 | 2007-05-01 | Biotronik Mess- Und Therapiegeraete Gmbh & Co. Ingenieurbuero Berlin | Therapy system |
US6735472B2 (en) | 2001-01-26 | 2004-05-11 | Pacesetter, Inc. | Method of defibrillating a heart with electrode configurations including a left ventricular defibrillation electrode |
DE60205668T2 (de) * | 2001-01-26 | 2006-06-08 | Pacesetter, Inc., Sylmar | System zur Stimulation und zum Defibrillieren |
US6658289B2 (en) | 2001-01-26 | 2003-12-02 | Pacesetter, Inc. | Universal pacing and defibrillation system |
US6760619B1 (en) | 2001-08-31 | 2004-07-06 | Pacesetter, Inc. | Two lead universal defibrillation, pacing and sensing system |
US6748268B1 (en) | 2001-08-31 | 2004-06-08 | Pacesetter, Inc. | Three lead universal pacing and shocking system |
US6721598B1 (en) | 2001-08-31 | 2004-04-13 | Pacesetter, Inc. | Coronary sinus cardiac lead for stimulating and sensing in the right and left heart and system |
US6745081B1 (en) | 2001-08-31 | 2004-06-01 | Pacesetter, Inc. | Coronary Sinus Cardiac Lead For Stimulating and Sensing The Atria of the Right and Left Heart and System |
US6640136B1 (en) | 2001-09-12 | 2003-10-28 | Pacesetters, Inc. | Implantable cardiac stimulation device with automatic electrode selection for avoiding cross-chamber stimulation |
US6748277B1 (en) | 2001-10-11 | 2004-06-08 | Pacesetter, Inc. | Medical catheter/lead body design and means of manufacture thereof |
US6775571B1 (en) * | 2001-12-12 | 2004-08-10 | Pacesetter, Inc. | Dynamic control of overdrive pacing based on degree of randomness within heart rate |
US7076299B2 (en) * | 2002-03-28 | 2006-07-11 | Tran Thong | Method and apparatus for preventing heart tachyarrhythmia |
US7522958B2 (en) * | 2003-03-13 | 2009-04-21 | Uab Research Foundation | Methods and systems for reducing discomfort from cardiac defibrillation shocks |
US20050004615A1 (en) * | 2003-04-11 | 2005-01-06 | Sanders Richard S. | Reconfigurable implantable cardiac monitoring and therapy delivery device |
US7570997B2 (en) * | 2003-04-11 | 2009-08-04 | Cardiac Pacemakers, Inc. | Subcutaneous cardiac rhythm management with asystole prevention therapy |
US20040215240A1 (en) * | 2003-04-11 | 2004-10-28 | Lovett Eric G. | Reconfigurable subcutaneous cardiac device |
US7499750B2 (en) * | 2003-04-11 | 2009-03-03 | Cardiac Pacemakers, Inc. | Noise canceling cardiac electrodes |
US20040230230A1 (en) * | 2003-04-11 | 2004-11-18 | Lindstrom Curtis Charles | Methods and systems involving subcutaneous electrode positioning relative to a heart |
US7979122B2 (en) * | 2003-04-11 | 2011-07-12 | Cardiac Pacemakers, Inc. | Implantable sudden cardiac death prevention device with reduced programmable feature set |
US7302294B2 (en) | 2003-04-11 | 2007-11-27 | Cardiac Pacemakers, Inc. | Subcutaneous cardiac sensing and stimulation system employing blood sensor |
US20040230229A1 (en) * | 2003-04-11 | 2004-11-18 | Lovett Eric G. | Hybrid transthoracic/intrathoracic cardiac stimulation devices and methods |
US7734346B2 (en) * | 2003-04-25 | 2010-06-08 | Medtronic, Inc. | Identification of premature atrial contractions that trigger arrhythmia |
US20050010252A1 (en) * | 2003-07-08 | 2005-01-13 | Ideker Raymond E. | Methods, systems and computer program products for defibrillation by applying stimulus to a fastest activating region of a heart |
US7620446B2 (en) | 2003-07-31 | 2009-11-17 | Medtronic, Inc. | Monitoring P-waves to detect degradation of atrial myocardium |
US7292888B2 (en) * | 2003-08-11 | 2007-11-06 | Medtronic, Inc. | Cardiac stimulation during a refractory period |
US8002553B2 (en) | 2003-08-18 | 2011-08-23 | Cardiac Pacemakers, Inc. | Sleep quality data collection and evaluation |
EP1670547B1 (de) | 2003-08-18 | 2008-11-12 | Cardiac Pacemakers, Inc. | Patientenüberwachungssystem |
US7887493B2 (en) * | 2003-09-18 | 2011-02-15 | Cardiac Pacemakers, Inc. | Implantable device employing movement sensing for detecting sleep-related disorders |
US20050070965A1 (en) * | 2003-09-29 | 2005-03-31 | Jong Kil | Method and system for discriminating RA driven from LA driven atrial flutter |
US7142919B2 (en) * | 2003-10-24 | 2006-11-28 | Medtronic, Inc. | Reconfigurable, fault tolerant multiple-electrode cardiac lead systems |
US20050149138A1 (en) * | 2003-12-24 | 2005-07-07 | Xiaoyi Min | System and method for determining optimal pacing sites based on myocardial activation times |
US7274961B1 (en) * | 2003-12-24 | 2007-09-25 | Pacesetter, Inc. | Implantable cardiac stimulation device and method that discriminates between and treats ventricular tachycardia and ventricular fibrillation |
US7171268B1 (en) * | 2003-12-24 | 2007-01-30 | Pacesetter, Inc. | Implantable cardiac stimulation device providing accelerated defibrillation delivery and method |
US7787951B1 (en) | 2003-12-24 | 2010-08-31 | Pacesetter, Inc. | System and method for determining optimal stimulation sites based on ECG information |
US7292886B1 (en) | 2004-01-20 | 2007-11-06 | Pacesetter, Inc. | Bifocal cardiac stimulation device and methods |
US7277750B2 (en) * | 2004-04-02 | 2007-10-02 | Cardiac Pacemakers, Inc. | Method and apparatus for anti-tachycardia pacing and defibrillation |
US8175702B2 (en) * | 2004-11-04 | 2012-05-08 | The Washington University | Method for low-voltage termination of cardiac arrhythmias by effectively unpinning anatomical reentries |
US7996072B2 (en) | 2004-12-21 | 2011-08-09 | Cardiac Pacemakers, Inc. | Positionally adaptable implantable cardiac device |
US20070118180A1 (en) | 2005-11-18 | 2007-05-24 | Quan Ni | Cardiac resynchronization therapy for improved hemodynamics based on disordered breathing detection |
US7647105B2 (en) | 2005-11-30 | 2010-01-12 | Medtronics, Inc. | Method and system for detecting and treating junctional rhythms |
US20070135847A1 (en) * | 2005-12-12 | 2007-06-14 | Kenknight Bruce H | Subcutaneous defibrillation system and method using same |
US20080027350A1 (en) * | 2006-07-13 | 2008-01-31 | Advanced Cardiovascular Systems, Inc. | Methods and apparatus for localization, diagnosis, contact or activity detection of bio-electric tissue |
CA2673971C (en) | 2006-11-13 | 2016-07-19 | Washington University Of St. Louis | Cardiac pacing using the inferior nodal extension |
US7873414B2 (en) * | 2007-04-17 | 2011-01-18 | Cardiac Pacemakers, Inc. | Patient characteristic based adaptive anti-tachy pacing programming |
US8874208B2 (en) | 2007-12-11 | 2014-10-28 | The Washington University | Methods and devices for three-stage ventricular therapy |
US8509889B2 (en) * | 2007-12-11 | 2013-08-13 | Washington University | Method and device for low-energy termination of atrial tachyarrhythmias |
US8560066B2 (en) | 2007-12-11 | 2013-10-15 | Washington University | Method and device for three-stage atrial cardioversion therapy |
US8473051B1 (en) | 2010-12-29 | 2013-06-25 | Cardialen, Inc. | Low-energy atrial cardioversion therapy with controllable pulse-shaped waveforms |
US9510763B2 (en) | 2011-05-03 | 2016-12-06 | Medtronic, Inc. | Assessing intra-cardiac activation patterns and electrical dyssynchrony |
US10905884B2 (en) | 2012-07-20 | 2021-02-02 | Cardialen, Inc. | Multi-stage atrial cardioversion therapy leads |
US8868178B2 (en) | 2012-12-11 | 2014-10-21 | Galvani, Ltd. | Arrhythmia electrotherapy device and method with provisions for mitigating patient discomfort |
US9924884B2 (en) | 2013-04-30 | 2018-03-27 | Medtronic, Inc. | Systems, methods, and interfaces for identifying effective electrodes |
US10064567B2 (en) | 2013-04-30 | 2018-09-04 | Medtronic, Inc. | Systems, methods, and interfaces for identifying optimal electrical vectors |
US9877789B2 (en) | 2013-06-12 | 2018-01-30 | Medtronic, Inc. | Implantable electrode location selection |
US10251555B2 (en) | 2013-06-12 | 2019-04-09 | Medtronic, Inc. | Implantable electrode location selection |
US9993172B2 (en) | 2013-12-09 | 2018-06-12 | Medtronic, Inc. | Noninvasive cardiac therapy evaluation |
US9776009B2 (en) | 2014-03-20 | 2017-10-03 | Medtronic, Inc. | Non-invasive detection of phrenic nerve stimulation |
US9591982B2 (en) | 2014-07-31 | 2017-03-14 | Medtronic, Inc. | Systems and methods for evaluating cardiac therapy |
US9764143B2 (en) | 2014-08-15 | 2017-09-19 | Medtronic, Inc. | Systems and methods for configuration of interventricular interval |
US9586050B2 (en) | 2014-08-15 | 2017-03-07 | Medtronic, Inc. | Systems and methods for configuration of atrioventricular interval |
US9586052B2 (en) | 2014-08-15 | 2017-03-07 | Medtronic, Inc. | Systems and methods for evaluating cardiac therapy |
US11253178B2 (en) | 2015-01-29 | 2022-02-22 | Medtronic, Inc. | Noninvasive assessment of cardiac resynchronization therapy |
US10780279B2 (en) | 2016-02-26 | 2020-09-22 | Medtronic, Inc. | Methods and systems of optimizing right ventricular only pacing for patients with respect to an atrial event and left ventricular event |
US11219769B2 (en) | 2016-02-26 | 2022-01-11 | Medtronic, Inc. | Noninvasive methods and systems of determining the extent of tissue capture from cardiac pacing |
US10532213B2 (en) | 2017-03-03 | 2020-01-14 | Medtronic, Inc. | Criteria for determination of local tissue latency near pacing electrode |
US10987517B2 (en) | 2017-03-15 | 2021-04-27 | Medtronic, Inc. | Detection of noise signals in cardiac signals |
EP3658227B1 (de) | 2017-07-28 | 2021-05-12 | Medtronic, Inc. | Herzzyklusauswahl |
WO2019023472A1 (en) | 2017-07-28 | 2019-01-31 | Medtronic, Inc. | GENERATION OF ACTIVATION TIME |
US10492705B2 (en) | 2017-12-22 | 2019-12-03 | Regents Of The University Of Minnesota | Anterior and posterior electrode signals |
US10433746B2 (en) | 2017-12-22 | 2019-10-08 | Regents Of The University Of Minnesota | Systems and methods for anterior and posterior electrode signal analysis |
US10799703B2 (en) | 2017-12-22 | 2020-10-13 | Medtronic, Inc. | Evaluation of his bundle pacing therapy |
US10786167B2 (en) | 2017-12-22 | 2020-09-29 | Medtronic, Inc. | Ectopic beat-compensated electrical heterogeneity information |
US11419539B2 (en) | 2017-12-22 | 2022-08-23 | Regents Of The University Of Minnesota | QRS onset and offset times and cycle selection using anterior and posterior electrode signals |
US11389116B2 (en) | 2018-01-19 | 2022-07-19 | Biosense Webster (Israel) Ltd. | Apparatus and method for heartbeat classification based on time sequence and morphology of intracardiac and body surface electrocardiogram (ECG) signals |
US10617318B2 (en) | 2018-02-27 | 2020-04-14 | Medtronic, Inc. | Mapping electrical activity on a model heart |
US10668290B2 (en) | 2018-03-01 | 2020-06-02 | Medtronic, Inc. | Delivery of pacing therapy by a cardiac pacing device |
US10918870B2 (en) | 2018-03-07 | 2021-02-16 | Medtronic, Inc. | Atrial lead placement for treatment of atrial dyssynchrony |
US10780281B2 (en) | 2018-03-23 | 2020-09-22 | Medtronic, Inc. | Evaluation of ventricle from atrium pacing therapy |
US11285312B2 (en) | 2018-03-29 | 2022-03-29 | Medtronic, Inc. | Left ventricular assist device adjustment and evaluation |
US11304641B2 (en) | 2018-06-01 | 2022-04-19 | Medtronic, Inc. | Systems, methods, and interfaces for use in cardiac evaluation |
US10940321B2 (en) | 2018-06-01 | 2021-03-09 | Medtronic, Inc. | Systems, methods, and interfaces for use in cardiac evaluation |
US11697025B2 (en) | 2019-03-29 | 2023-07-11 | Medtronic, Inc. | Cardiac conduction system capture |
US11547858B2 (en) | 2019-03-29 | 2023-01-10 | Medtronic, Inc. | Systems, methods, and devices for adaptive cardiac therapy |
US11497431B2 (en) | 2019-10-09 | 2022-11-15 | Medtronic, Inc. | Systems and methods for configuring cardiac therapy |
US11642533B2 (en) | 2019-11-04 | 2023-05-09 | Medtronic, Inc. | Systems and methods for evaluating cardiac therapy |
US11813464B2 (en) | 2020-07-31 | 2023-11-14 | Medtronic, Inc. | Cardiac conduction system evaluation |
Family Cites Families (31)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4375817A (en) | 1979-07-19 | 1983-03-08 | Medtronic, Inc. | Implantable cardioverter |
US4754753A (en) | 1981-05-12 | 1988-07-05 | Medtronic, Inc. | System for sensing electrical depolarization wave signals and their direction |
US4750494A (en) * | 1981-05-12 | 1988-06-14 | Medtronic, Inc. | Automatic implantable fibrillation preventer |
US4572192A (en) | 1983-09-21 | 1986-02-25 | Board Of Regents For The University Of Oklahoma | System for prevention of paroxysmal supraventricular tachycardia |
US5014696A (en) | 1987-01-14 | 1991-05-14 | Medtronic, Inc. | Endocardial defibrillation electrode system |
US5191884A (en) | 1987-09-02 | 1993-03-09 | Telectronics N.V. | Reconfirmation prior to shock for implantable defibrillation |
US4869252A (en) | 1988-01-11 | 1989-09-26 | Telectronics N.V. | Apparatus and method for controlling pulse energy in antitachyarrhythmia and bradycardia pacing device |
US5042497A (en) * | 1990-01-30 | 1991-08-27 | Cardiac Pacemakers, Inc. | Arrhythmia prediction and prevention for implanted devices |
US5433729A (en) | 1991-04-12 | 1995-07-18 | Incontrol, Inc. | Atrial defibrillator, lead systems, and method |
US5282837A (en) | 1991-04-12 | 1994-02-01 | Incontrol, Inc. | Atrial defibrillator and method |
US5271393A (en) | 1991-05-06 | 1993-12-21 | Telectronics Pacing Systems, Inc. | Pacemaker employing antitachyarrhythmia prevention based on ventricular gradient |
US5205283A (en) | 1991-07-30 | 1993-04-27 | Medtronic, Inc. | Method and apparatus for tachyarrhythmia detection and treatment |
US5215083A (en) | 1991-10-07 | 1993-06-01 | Telectronics Pacing Systems, Inc. | Apparatus and method for arrhythmia induction in arrhythmia control system |
US5184616A (en) | 1991-10-21 | 1993-02-09 | Telectronics Pacing Systems, Inc. | Apparatus and method for generation of varying waveforms in arrhythmia control system |
US5366486A (en) | 1992-06-25 | 1994-11-22 | Indiana University Foundation | Automatic fibrillation detector and defibrillator apparatus and method |
US5292338A (en) | 1992-07-30 | 1994-03-08 | Medtronic, Inc. | Atrial defibrillator employing transvenous and subcutaneous electrodes and method of use |
SE9202662D0 (sv) | 1992-09-16 | 1992-09-16 | Siemens Elema Ab | Anordning foer att alstra av stimulationspulser och defibrilleringschocker bildade hjaertdefibrilleringssekvenser |
US5350401A (en) | 1993-03-26 | 1994-09-27 | Siemens Pacesetter, Inc. | Implantable cardioverter/defibrillator device having means for determining and treating low amplitude ventricular fibrillation and method thereof |
US5425749A (en) * | 1993-09-16 | 1995-06-20 | Angeion Corporation | Preemptive cardioversion therapy in an implantable cardioverter defibrillator |
US5403352A (en) | 1993-11-23 | 1995-04-04 | Medtronic, Inc. | Method and apparatus for detection and treatment of tachycardia and fibrillation |
US5458619A (en) | 1993-11-29 | 1995-10-17 | Medtronic, Inc. | Apparatus and method for treating a tachyarrhythmia |
US5447519A (en) | 1994-03-19 | 1995-09-05 | Medtronic, Inc. | Method and apparatus for discrimination of monomorphic and polymorphic arrhythmias and for treatment thereof |
US5571142A (en) * | 1994-08-30 | 1996-11-05 | The Ohio State University Research Foundation | Non-invasive monitoring and treatment of subjects in cardiac arrest using ECG parameters predictive of outcome |
US5549641A (en) | 1994-10-31 | 1996-08-27 | Incontrol, Inc. | Atrial fibrillation type selective cardiovertor and method |
US5545183A (en) | 1994-12-07 | 1996-08-13 | Ventritex, Inc. | Method and apparatus for delivering defibrillation therapy through a sensing electrode |
US5607385A (en) | 1995-08-17 | 1997-03-04 | Medtronic, Inc. | Device and algorithm for a combined cardiomyostimulator and a cardiac pacer-carioverter-defibrillator |
US6058328A (en) * | 1996-08-06 | 2000-05-02 | Pacesetter, Inc. | Implantable stimulation device having means for operating in a preemptive pacing mode to prevent tachyarrhythmias and method thereof |
DE19638581A1 (de) | 1996-09-20 | 1998-03-26 | Biotronik Mess & Therapieg | Implantierbare Vorrichtung zur Tachykardie-Früherkennung und -Unterdrückung beim Herzen |
US5814079A (en) | 1996-10-04 | 1998-09-29 | Medtronic, Inc. | Cardiac arrhythmia management by application of adnodal stimulation for hyperpolarization of myocardial cells |
US5846263A (en) | 1996-12-13 | 1998-12-08 | Medtronic, Inc. | Apparatus for diagnosis and treatment of arrhythmias |
US5951593A (en) * | 1997-08-29 | 1999-09-14 | Lu; Richard | Apparatus for preventing atrial fibrillation using precursors |
-
1998
- 1998-12-04 US US09/206,022 patent/US6205357B1/en not_active Expired - Lifetime
-
1999
- 1999-06-28 AT AT99931993T patent/ATE291462T1/de not_active IP Right Cessation
- 1999-06-28 EP EP99931993A patent/EP1135189B1/de not_active Expired - Lifetime
- 1999-06-28 JP JP2000586403A patent/JP2002531230A/ja active Pending
- 1999-06-28 DE DE69924404T patent/DE69924404T2/de not_active Expired - Lifetime
- 1999-06-28 WO PCT/US1999/014612 patent/WO2000033914A1/en active IP Right Grant
- 1999-06-28 CA CA002353601A patent/CA2353601A1/en not_active Abandoned
Also Published As
Publication number | Publication date |
---|---|
ATE291462T1 (de) | 2005-04-15 |
CA2353601A1 (en) | 2000-06-15 |
JP2002531230A (ja) | 2002-09-24 |
US6205357B1 (en) | 2001-03-20 |
WO2000033914A1 (en) | 2000-06-15 |
EP1135189A1 (de) | 2001-09-26 |
EP1135189B1 (de) | 2005-03-23 |
DE69924404T2 (de) | 2006-01-26 |
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Legal Events
Date | Code | Title | Description |
---|---|---|---|
8364 | No opposition during term of opposition |