DE69926502T2 - Herzreizung unter verwendung von einstellbaren atrio-ventrikulären verzögerungsintervallen - Google Patents
Herzreizung unter verwendung von einstellbaren atrio-ventrikulären verzögerungsintervallen Download PDFInfo
- Publication number
- DE69926502T2 DE69926502T2 DE69926502T DE69926502T DE69926502T2 DE 69926502 T2 DE69926502 T2 DE 69926502T2 DE 69926502 T DE69926502 T DE 69926502T DE 69926502 T DE69926502 T DE 69926502T DE 69926502 T2 DE69926502 T2 DE 69926502T2
- Authority
- DE
- Germany
- Prior art keywords
- avd
- ventricular
- wave
- time interval
- optimal
- 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
- 210000002216 heart Anatomy 0.000 title description 61
- 230000002861 ventricular Effects 0.000 claims abstract description 115
- 210000005240 left ventricle Anatomy 0.000 claims abstract description 101
- 230000035485 pulse pressure Effects 0.000 claims abstract description 31
- 230000008859 change Effects 0.000 claims abstract description 30
- 230000001934 delay Effects 0.000 claims abstract description 8
- 230000000638 stimulation Effects 0.000 claims description 69
- 238000000718 qrs complex Methods 0.000 claims description 35
- 230000008602 contraction Effects 0.000 claims description 23
- 230000001746 atrial effect Effects 0.000 claims description 22
- 239000003550 marker Substances 0.000 claims description 15
- 210000005245 right atrium Anatomy 0.000 claims description 15
- 238000012360 testing method Methods 0.000 claims description 11
- 230000000694 effects Effects 0.000 claims description 10
- 230000002123 temporal effect Effects 0.000 claims description 8
- 238000005457 optimization Methods 0.000 claims description 6
- 210000005242 cardiac chamber Anatomy 0.000 claims description 3
- 230000004936 stimulating effect Effects 0.000 claims 1
- 230000004217 heart function Effects 0.000 abstract description 4
- 230000000004 hemodynamic effect Effects 0.000 abstract description 4
- 230000000747 cardiac effect Effects 0.000 description 37
- 238000005259 measurement Methods 0.000 description 22
- 239000008280 blood Substances 0.000 description 18
- 210000004369 blood Anatomy 0.000 description 18
- 206010007559 Cardiac failure congestive Diseases 0.000 description 17
- 206010019280 Heart failures Diseases 0.000 description 17
- 210000002837 heart atrium Anatomy 0.000 description 16
- 230000009471 action Effects 0.000 description 13
- 230000006870 function Effects 0.000 description 12
- 210000005246 left atrium Anatomy 0.000 description 11
- 210000005241 right ventricle Anatomy 0.000 description 11
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 10
- 208000035475 disorder Diseases 0.000 description 10
- 238000010992 reflux Methods 0.000 description 9
- 238000002560 therapeutic procedure Methods 0.000 description 9
- 238000001514 detection method Methods 0.000 description 8
- 238000012417 linear regression Methods 0.000 description 8
- 238000000034 method Methods 0.000 description 8
- 238000005086 pumping Methods 0.000 description 7
- 210000000663 muscle cell Anatomy 0.000 description 6
- 210000000056 organ Anatomy 0.000 description 6
- 238000010586 diagram Methods 0.000 description 5
- 210000004072 lung Anatomy 0.000 description 5
- 238000013507 mapping Methods 0.000 description 5
- 238000001615 p wave Methods 0.000 description 5
- 210000003742 purkinje fiber Anatomy 0.000 description 5
- 230000004913 activation Effects 0.000 description 4
- 230000017531 blood circulation Effects 0.000 description 4
- 238000004364 calculation method Methods 0.000 description 4
- 208000028831 congenital heart disease Diseases 0.000 description 4
- 210000004115 mitral valve Anatomy 0.000 description 4
- 230000033764 rhythmic process Effects 0.000 description 4
- 238000013459 approach Methods 0.000 description 3
- 230000036541 health Effects 0.000 description 3
- 208000019622 heart disease Diseases 0.000 description 3
- 238000007726 management method Methods 0.000 description 3
- 210000001519 tissue Anatomy 0.000 description 3
- 238000012935 Averaging Methods 0.000 description 2
- 208000014526 Conduction disease Diseases 0.000 description 2
- 230000002159 abnormal effect Effects 0.000 description 2
- 230000007850 degeneration Effects 0.000 description 2
- 238000006073 displacement reaction Methods 0.000 description 2
- 230000005284 excitation Effects 0.000 description 2
- 238000002474 experimental method Methods 0.000 description 2
- 238000012886 linear function Methods 0.000 description 2
- 230000028161 membrane depolarization Effects 0.000 description 2
- 238000012544 monitoring process Methods 0.000 description 2
- 210000003205 muscle Anatomy 0.000 description 2
- 210000004165 myocardium Anatomy 0.000 description 2
- 230000002093 peripheral effect Effects 0.000 description 2
- 239000000523 sample Substances 0.000 description 2
- 238000005070 sampling Methods 0.000 description 2
- 230000001360 synchronised effect Effects 0.000 description 2
- 230000001839 systemic circulation Effects 0.000 description 2
- 210000000591 tricuspid valve Anatomy 0.000 description 2
- 208000006029 Cardiomegaly Diseases 0.000 description 1
- 208000031879 Chédiak-Higashi syndrome Diseases 0.000 description 1
- 102100026827 Protein associated with UVRAG as autophagy enhancer Human genes 0.000 description 1
- 101710102978 Protein associated with UVRAG as autophagy enhancer Proteins 0.000 description 1
- 230000001133 acceleration Effects 0.000 description 1
- 210000001765 aortic valve Anatomy 0.000 description 1
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 1
- 238000010009 beating Methods 0.000 description 1
- 230000036772 blood pressure Effects 0.000 description 1
- 238000009530 blood pressure measurement Methods 0.000 description 1
- 210000004375 bundle of his Anatomy 0.000 description 1
- 208000025517 cannabinoid hyperemesis syndrome Diseases 0.000 description 1
- 210000004027 cell Anatomy 0.000 description 1
- 238000006243 chemical reaction Methods 0.000 description 1
- 230000007423 decrease Effects 0.000 description 1
- 238000009795 derivation Methods 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 230000003205 diastolic effect Effects 0.000 description 1
- 230000002526 effect on cardiovascular system Effects 0.000 description 1
- 230000009177 electrical depolarization Effects 0.000 description 1
- 230000002169 extracardiac Effects 0.000 description 1
- 210000003709 heart valve Anatomy 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- 230000004410 intraocular pressure Effects 0.000 description 1
- 230000004807 localization Effects 0.000 description 1
- 210000005244 lower chamber Anatomy 0.000 description 1
- 238000000691 measurement method Methods 0.000 description 1
- 230000004118 muscle contraction Effects 0.000 description 1
- 230000002107 myocardial effect Effects 0.000 description 1
- 229910052760 oxygen Inorganic materials 0.000 description 1
- 239000001301 oxygen Substances 0.000 description 1
- 210000001147 pulmonary artery Anatomy 0.000 description 1
- 230000004088 pulmonary circulation Effects 0.000 description 1
- 210000003102 pulmonary valve Anatomy 0.000 description 1
- 210000003492 pulmonary vein Anatomy 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 230000001020 rhythmical effect Effects 0.000 description 1
- 230000035945 sensitivity Effects 0.000 description 1
- 230000011664 signaling Effects 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 230000035488 systolic blood pressure Effects 0.000 description 1
- 210000005243 upper chamber Anatomy 0.000 description 1
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)
- Heart & Thoracic Surgery (AREA)
- Life Sciences & Earth Sciences (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)
- Hospice & Palliative Care (AREA)
- Biophysics (AREA)
- Physiology (AREA)
- Electrotherapy Devices (AREA)
- External Artificial Organs (AREA)
Applications Claiming Priority (5)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US8470498P | 1998-05-08 | 1998-05-08 | |
| US09/075,278 US6144880A (en) | 1998-05-08 | 1998-05-08 | Cardiac pacing using adjustable atrio-ventricular delays |
| US75278 | 1998-05-08 | ||
| US84704P | 1998-05-08 | ||
| PCT/US1999/010142 WO1999058191A1 (en) | 1998-05-08 | 1999-05-07 | Cardiac pacing using adjustable atrio-ventricular delays |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| DE69926502D1 DE69926502D1 (de) | 2005-09-08 |
| DE69926502T2 true DE69926502T2 (de) | 2006-06-01 |
Family
ID=26756652
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| DE69926502T Expired - Lifetime DE69926502T2 (de) | 1998-05-08 | 1999-05-07 | Herzreizung unter verwendung von einstellbaren atrio-ventrikulären verzögerungsintervallen |
Country Status (6)
| Country | Link |
|---|---|
| EP (1) | EP1079893B1 (https=) |
| JP (2) | JP4170591B2 (https=) |
| AT (1) | ATE300975T1 (https=) |
| CA (1) | CA2331316A1 (https=) |
| DE (1) | DE69926502T2 (https=) |
| WO (1) | WO1999058191A1 (https=) |
Families Citing this family (45)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| 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 |
| US6690971B2 (en) | 1999-11-30 | 2004-02-10 | Biotronik Mess - Und Therapiegeraete Gmbh & Co. Ingenieurbuero Berlin | Device for regulating heart rate and heart pumping force |
| US6597951B2 (en) | 2001-03-16 | 2003-07-22 | Cardiac Pacemakers, Inc. | Automatic selection from multiple cardiac optimization protocols |
| US7697977B2 (en) | 2002-11-27 | 2010-04-13 | Cardiac Pacemakers, Inc. | Method and apparatus for determining relative depolarization at multiple cardiac sensing sites |
| US6704598B2 (en) | 2001-05-23 | 2004-03-09 | Cardiac Pacemakers, Inc. | Cardiac rhythm management system selecting between multiple same-chamber electrodes for delivering cardiac therapy |
| US7206634B2 (en) | 2002-07-26 | 2007-04-17 | Cardiac Pacemakers, Inc. | Method and apparatus for optimizing cardiac pumping performance |
| US7013176B2 (en) * | 2003-01-28 | 2006-03-14 | Cardiac Pacemakers, Inc. | Method and apparatus for setting pacing parameters in cardiac resynchronization therapy |
| US20050125041A1 (en) | 2003-11-05 | 2005-06-09 | Xiaoyi Min | Methods for ventricular pacing |
| 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 |
| US7123960B2 (en) | 2003-12-22 | 2006-10-17 | Cardiac Pacemakers, Inc. | Method and system for delivering cardiac resynchronization therapy with variable atrio-ventricular delay |
| US7668594B2 (en) | 2005-08-19 | 2010-02-23 | Cardiac Pacemakers, Inc. | Method and apparatus for delivering chronic and post-ischemia cardiac therapies |
| US20050149132A1 (en) | 2003-12-24 | 2005-07-07 | Imad Libbus | Automatic baroreflex modulation based on cardiac activity |
| US8175705B2 (en) | 2004-10-12 | 2012-05-08 | Cardiac Pacemakers, Inc. | System and method for sustained baroreflex stimulation |
| WO2006045075A1 (en) | 2004-10-20 | 2006-04-27 | Boston Scientific Limited | Leadless cardiac stimulation systems |
| US7532933B2 (en) | 2004-10-20 | 2009-05-12 | Boston Scientific Scimed, Inc. | Leadless cardiac stimulation systems |
| US7363077B1 (en) | 2004-11-09 | 2008-04-22 | Pacesetters, Inc. | Adaptive timing interval control method for treating congestive heart failure |
| US7542800B2 (en) | 2005-04-05 | 2009-06-02 | Cardiac Pacemakers, Inc. | Method and apparatus for synchronizing neural stimulation to cardiac cycles |
| US7613514B2 (en) | 2005-04-19 | 2009-11-03 | Cardiac Pacemakers, Inc. | Selective resynchronization therapy optimization based on user preference |
| US7962208B2 (en) | 2005-04-25 | 2011-06-14 | Cardiac Pacemakers, Inc. | Method and apparatus for pacing during revascularization |
| US8538519B2 (en) * | 2005-04-25 | 2013-09-17 | Cardiac Pacemakers, Inc. | Method and system for treatment of mechanical cardiac asynchrony |
| US7917210B2 (en) | 2005-05-13 | 2011-03-29 | Cardiac Pacemakers, Inc. | Method and apparatus for cardiac protection pacing |
| US20060259088A1 (en) * | 2005-05-13 | 2006-11-16 | Pastore Joseph M | Method and apparatus for delivering pacing pulses using a coronary stent |
| US7894896B2 (en) | 2005-05-13 | 2011-02-22 | Cardiac Pacemakers, Inc. | Method and apparatus for initiating and delivering cardiac protection pacing |
| JP2009518115A (ja) | 2005-12-09 | 2009-05-07 | ボストン サイエンティフィック サイムド，インコーポレイテッド | 心刺激システム |
| US7840281B2 (en) | 2006-07-21 | 2010-11-23 | Boston Scientific Scimed, Inc. | Delivery of cardiac stimulation devices |
| US8290600B2 (en) | 2006-07-21 | 2012-10-16 | Boston Scientific Scimed, Inc. | Electrical stimulation of body tissue using interconnected electrode assemblies |
| US8644934B2 (en) | 2006-09-13 | 2014-02-04 | Boston Scientific Scimed Inc. | Cardiac stimulation using leadless electrode assemblies |
| US7702390B1 (en) | 2006-12-13 | 2010-04-20 | Pacesetter, Inc. | Rate adaptive biventricular and cardiac resynchronization therapy |
| US7778706B1 (en) | 2006-12-13 | 2010-08-17 | Pacesetter, Inc. | Rate adaptive biventricular and cardiac resynchronization therapy |
| US7881787B1 (en) | 2006-12-18 | 2011-02-01 | Pacesetter, Inc. | Capture detection system and method CRT therapy |
| US7912544B1 (en) | 2007-04-20 | 2011-03-22 | Pacesetter, Inc. | CRT responder model using EGM information |
| JP2010532231A (ja) * | 2007-06-29 | 2010-10-07 | アクション メディカル インコーポレイテッド | 電極構成を用いた心臓リズム管理方法、管理装置、および管理システム |
| US8131363B2 (en) * | 2007-09-25 | 2012-03-06 | Cardiac Pacemakers, Inc. | Closed-loop control of intermittent excitatory cardiac stimulation for therapeutic effect |
| WO2009097118A1 (en) | 2008-01-29 | 2009-08-06 | Cardiac Pacemakers, Inc | Configurable intermittent pacing therapy |
| US8738147B2 (en) | 2008-02-07 | 2014-05-27 | Cardiac Pacemakers, Inc. | Wireless tissue electrostimulation |
| US7941217B1 (en) | 2008-03-25 | 2011-05-10 | Pacesetter, Inc. | Techniques for promoting biventricular synchrony and stimulation device efficiency using intentional fusion |
| WO2009151516A2 (en) | 2008-05-08 | 2009-12-17 | Cardiac Pacemakers, Inc. | Smart delay for intermittent stress therapy |
| US8442634B2 (en) | 2008-12-04 | 2013-05-14 | Pacesetter, Inc. | Systems and methods for controlling ventricular pacing in patients with long inter-atrial conduction delays |
| AU2011261702B2 (en) | 2010-06-03 | 2014-11-27 | Cardiac Pacemakers, Inc. | System for controlling target of neurostimulation using temporal parameters |
| EP2712549B1 (fr) * | 2012-10-01 | 2015-03-11 | Sorin CRM SAS | Dispositif d'évaluation de la désynchronisation ventriculaire temporelle |
| WO2018089311A1 (en) | 2016-11-08 | 2018-05-17 | Cardiac Pacemakers, Inc | Implantable medical device for atrial deployment |
| EP3718598B1 (en) * | 2019-04-01 | 2024-07-31 | BIOTRONIK SE & Co. KG | Av synchrony with a ventricular leadless pacemaker using varying ventricular measures |
| EP3838335B1 (en) * | 2019-12-17 | 2023-03-29 | BIOTRONIK SE & Co. KG | Leadless cardiac pacemaker device configured to provide intra-cardiac pacing |
Family Cites Families (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5318595A (en) * | 1989-09-25 | 1994-06-07 | Ferek Petric Bozidar | Pacing method and system for blood flow velocity measurement and regulation of heart stimulating signals based on blood flow velocity |
| US5024222A (en) * | 1990-02-21 | 1991-06-18 | Siemens-Pacesetter, Inc. | Hemodynamically rate responsive pacemaker and method of automatically adjusting the escape and A-V intervals |
| DE69122015T2 (de) * | 1990-09-11 | 1997-04-17 | Breyer Branco | Herzelektrotherapiesystem |
| US5334222A (en) * | 1992-11-03 | 1994-08-02 | Cardiac Pacemakers, Inc. | Cardiac stimulating apparatus and method for heart failure therapy |
| US5340361A (en) * | 1992-11-13 | 1994-08-23 | Siemens Pacesetter, Inc. | Implantable pacemaker having adaptive AV interval adoptively shortened to assure ventricular pacing |
| US5690689A (en) * | 1992-11-13 | 1997-11-25 | Pacesetter, Inc. | Dual-chamber implantable stimulation device having adaptive AV intervall and method for treating cardiomyopathy thereof |
| US5554177A (en) * | 1995-03-27 | 1996-09-10 | Medtronic, Inc. | Method and apparatus to optimize pacing based on intensity of acoustic signal |
| US5700283A (en) * | 1996-11-25 | 1997-12-23 | Cardiac Pacemakers, Inc. | Method and apparatus for pacing patients with severe congestive heart failure |
| JPH10325645A (ja) | 1997-05-26 | 1998-12-08 | Denso Corp | 冷媒蒸発器 |
-
1999
- 1999-05-07 CA CA002331316A patent/CA2331316A1/en not_active Abandoned
- 1999-05-07 DE DE69926502T patent/DE69926502T2/de not_active Expired - Lifetime
- 1999-05-07 JP JP2000548039A patent/JP4170591B2/ja not_active Expired - Fee Related
- 1999-05-07 EP EP99921811A patent/EP1079893B1/en not_active Expired - Lifetime
- 1999-05-07 WO PCT/US1999/010142 patent/WO1999058191A1/en not_active Ceased
- 1999-05-07 AT AT99921811T patent/ATE300975T1/de not_active IP Right Cessation
-
2008
- 2008-05-07 JP JP2008121532A patent/JP2008194496A/ja active Pending
Also Published As
| Publication number | Publication date |
|---|---|
| CA2331316A1 (en) | 1999-11-18 |
| ATE300975T1 (de) | 2005-08-15 |
| WO1999058191A1 (en) | 1999-11-18 |
| JP2002514478A (ja) | 2002-05-21 |
| DE69926502D1 (de) | 2005-09-08 |
| EP1079893B1 (en) | 2005-08-03 |
| JP4170591B2 (ja) | 2008-10-22 |
| JP2008194496A (ja) | 2008-08-28 |
| EP1079893A1 (en) | 2001-03-07 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| 8364 | No opposition during term of opposition |