DK0597459T3 - Implanterbar cardioverter/defibrillator mod takykardi - Google Patents

Implanterbar cardioverter/defibrillator mod takykardi

Info

Publication number
DK0597459T3
DK0597459T3 DK93118215T DK93118215T DK0597459T3 DK 0597459 T3 DK0597459 T3 DK 0597459T3 DK 93118215 T DK93118215 T DK 93118215T DK 93118215 T DK93118215 T DK 93118215T DK 0597459 T3 DK0597459 T3 DK 0597459T3
Authority
DK
Denmark
Prior art keywords
atrial
heart
ventricular
stage
tachycardia
Prior art date
Application number
DK93118215T
Other languages
Danish (da)
English (en)
Inventor
Masood Akhtar
Original Assignee
Masood Akhtar
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 Masood Akhtar filed Critical Masood Akhtar
Application granted granted Critical
Publication of DK0597459T3 publication Critical patent/DK0597459T3/da

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362Heart stimulators
    • A61N1/3621Heart stimulators for treating or preventing abnormally high heart rate
    • A61N1/3622Heart stimulators for treating or preventing abnormally high heart rate comprising two or more electrodes co-operating with different heart regions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39Heart defibrillators
    • A61N1/3956Implantable devices for applying electric shocks to the heart, e.g. for cardioversion
    • A61N1/3962Implantable devices for applying electric shocks to the heart, e.g. for cardioversion in combination with another heart therapy
    • A61N1/39622Pacing therapy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39Heart defibrillators
    • A61N1/395Heart defibrillators for treating atrial fibrillation

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (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)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Spectrometry And Color Measurement (AREA)
  • Fire Alarms (AREA)
DK93118215T 1992-11-13 1993-11-10 Implanterbar cardioverter/defibrillator mod takykardi DK0597459T3 (da)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US07/976,015 US5411530A (en) 1992-11-13 1992-11-13 Sensing algorithm for anti-tachycardia devices using dual chamber sensing

Publications (1)

Publication Number Publication Date
DK0597459T3 true DK0597459T3 (da) 2000-04-10

Family

ID=25523621

Family Applications (1)

Application Number Title Priority Date Filing Date
DK93118215T DK0597459T3 (da) 1992-11-13 1993-11-10 Implanterbar cardioverter/defibrillator mod takykardi

Country Status (9)

Country Link
US (1) US5411530A (fr)
EP (1) EP0597459B1 (fr)
JP (1) JP3022102B2 (fr)
AT (1) ATE185279T1 (fr)
AU (1) AU661415B2 (fr)
CA (1) CA2109035C (fr)
DE (1) DE69326668T2 (fr)
DK (1) DK0597459T3 (fr)
ES (1) ES2139621T3 (fr)

Families Citing this family (92)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5549641A (en) * 1994-10-31 1996-08-27 Incontrol, Inc. Atrial fibrillation type selective cardiovertor and method
US5620471A (en) * 1995-06-16 1997-04-15 Pacesetter, Inc. System and method for discriminating between atrial and ventricular arrhythmias and for applying cardiac therapy therefor
US5749900A (en) * 1995-12-11 1998-05-12 Sulzer Intermedics Inc. Implantable medical device responsive to heart rate variability analysis
WO1997043002A1 (fr) * 1996-05-14 1997-11-20 Medtronic, Inc. Procede et appareil bases sur des regles de priorite et destines au diagnostic et au traitement des arythmies
FR2749765B1 (fr) * 1996-06-18 1998-10-02 Ela Medical Sa Dispositif medical actif du type defibrillateur/cardioverteur implantable a discrimination perfectionnee des tachycardies
US5766225A (en) * 1996-06-28 1998-06-16 Medtronic, Inc. System and method for distinguishing between VF/VT bradycardia or asystole
US5772604A (en) * 1997-03-14 1998-06-30 Emory University Method, system and apparatus for determining prognosis in atrial fibrillation
US5978707A (en) 1997-04-30 1999-11-02 Cardiac Pacemakers, Inc. Apparatus and method for treating ventricular tachyarrhythmias
US6035232A (en) * 1997-05-07 2000-03-07 Biotronik Mess-Und Therapiegeraete Gmbh & Co. Device for determining tachycardiac heart rhythm disturbances
EP0876828B1 (fr) * 1997-05-07 2004-03-03 BIOTRONIK Mess- und Therapiegeräte GmbH & Co Ingenieurbüro Berlin Dispositif pour la reconnaissance des arythmies tachycardiques
US6327499B1 (en) * 1997-08-01 2001-12-04 Eckhard Alt Cardiac stimulator and defibrillator
US5873897A (en) * 1997-09-19 1999-02-23 Sulzer Intermedics Inc. Method and apparatus for dual chambered tachyarrhythmia classification and therapy
US6016442A (en) 1998-03-25 2000-01-18 Cardiac Pacemakers, Inc. System for displaying cardiac arrhythmia data
US7181278B2 (en) 1999-05-21 2007-02-20 Cardiac Pacemakers, Inc. Apparatus and method for ventricular rate regularization
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
US6418340B1 (en) * 1999-08-20 2002-07-09 Cardiac Pacemakers, Inc. Method and system for identifying and displaying groups of cardiac arrhythmic episodes
US6493579B1 (en) 1999-08-20 2002-12-10 Cardiac Pacemakers, Inc. System and method for detection enhancement programming
US6721594B2 (en) * 1999-08-24 2004-04-13 Cardiac Pacemakers, Inc. Arrythmia display
US7039461B1 (en) 2000-05-13 2006-05-02 Cardiac Pacemakers, Inc. Cardiac pacing system for prevention of ventricular fibrillation and ventricular tachycardia episode
US6522925B1 (en) 2000-05-13 2003-02-18 Cardiac Pacemakers, Inc. System and method for detection enhancement programming
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
US6665558B2 (en) * 2000-12-15 2003-12-16 Cardiac Pacemakers, Inc. System and method for correlation of patient health information and implant device data
US8548576B2 (en) 2000-12-15 2013-10-01 Cardiac Pacemakers, Inc. System and method for correlation of patient health information and implant device data
US6957100B2 (en) 2000-12-26 2005-10-18 Cardiac Pacemakers, Inc. Method and system for display of cardiac event intervals in a resynchronization pacemaker
US6987998B2 (en) * 2001-02-28 2006-01-17 Cardiac Pacemakers, Inc. Cardiac rhythm management patient report
US6904319B2 (en) * 2001-04-06 2005-06-07 Cardiac Pacemakers, Inc. Method and apparatus for inhibiting atrial tachyarrhythmia therapy
US20030191404A1 (en) * 2002-04-08 2003-10-09 Klein George J. Method and apparatus for providing arrhythmia discrimination
EP1558335A1 (fr) * 2002-09-19 2005-08-03 Biotronik GmbH & Co. KG Dispositif a seuil de therapie de redetection
US7844332B2 (en) 2002-10-18 2010-11-30 Cardiac Pacemakers, Inc. Atrioventricular delay adjustment enhancing ventricular tachyarrhythmia detection
US8010193B2 (en) * 2002-11-20 2011-08-30 University Of Pittsburgh-Of The Commonwealth System Of Higher Education Device and method to discriminate between supraventricular tachycardias and ventricular arrhythmias
US7206633B2 (en) * 2002-11-20 2007-04-17 University Of Pittsburgh Device and method to discriminate between supraventricular tachycardias and ventricular arrhythmias
US7751892B2 (en) * 2003-05-07 2010-07-06 Cardiac Pacemakers, Inc. Implantable medical device programming apparatus having a graphical user interface
US7200440B2 (en) 2003-07-02 2007-04-03 Cardiac Pacemakers, Inc. Cardiac cycle synchronized sampling of impedance signal
US7931670B2 (en) * 2003-10-15 2011-04-26 St. Jude Medical Puerto Rico Llc Tissue puncture closure device with automatic tamping
US7930024B2 (en) * 2004-01-08 2011-04-19 Medtronic, Inc. Reducing inappropriate delivery of therapy for suspected non-lethal arrhythmias
US7974685B2 (en) 2004-07-22 2011-07-05 Cardiac Pacemakers, Inc. Systems, devices, and methods for tachyarrhythmia discrimination or therapy decisions
US7228176B2 (en) 2004-07-22 2007-06-05 Cardiac Pacemakers, Inc. Systems, devices, and methods for tachyarrhythmia discrimination or therapy decisions
US7212849B2 (en) 2004-10-28 2007-05-01 Cardiac Pacemakers, Inc. Methods and apparatuses for arrhythmia detection and classification using wireless ECG
US7818056B2 (en) * 2005-03-24 2010-10-19 Cardiac Pacemakers, Inc. Blending cardiac rhythm detection processes
US7555341B2 (en) * 2005-04-05 2009-06-30 Cardiac Pacemakers, Inc. System to treat AV-conducted ventricular tachyarrhythmia
US8046060B2 (en) 2005-11-14 2011-10-25 Cardiac Pacemakers, Inc. Differentiating arrhythmic events having different origins
US7702384B2 (en) * 2005-12-13 2010-04-20 Cardiac Pacemakers, Inc. Zoneless tachyarrhythmia detection with real-time rhythm monitoring
US20090076343A1 (en) 2007-09-14 2009-03-19 Corventis, Inc. Energy Management for Adherent Patient Monitor
US8790257B2 (en) 2007-09-14 2014-07-29 Corventis, Inc. Multi-sensor patient monitor to detect impending cardiac decompensation
EP2200512A1 (fr) 2007-09-14 2010-06-30 Corventis, Inc. Dispositif adhérent pour la surveillance de la respiration et de troubles respiratoires pendant le sommeil
WO2009036306A1 (fr) 2007-09-14 2009-03-19 Corventis, Inc. Moniteur cardiaque adhérent doté de capacités avancées de détection
WO2009036256A1 (fr) 2007-09-14 2009-03-19 Corventis, Inc. Système de surveillance physiologique injectable
WO2009036313A1 (fr) 2007-09-14 2009-03-19 Corventis, Inc. Dispositif adhérent avec de multiples capteurs physiologiques
US8897868B2 (en) 2007-09-14 2014-11-25 Medtronic, Inc. Medical device automatic start-up upon contact to patient tissue
US20090157133A1 (en) 2007-12-13 2009-06-18 Cardiac Pacemakers, Inc. Supraventricular tachy sensing vector
WO2009082422A1 (fr) 2007-12-18 2009-07-02 Cardiac Pacemakers, Inc. Système anti-tachyarythmie avec renforcements de la détection activés sélectivement
JP5405500B2 (ja) 2008-03-12 2014-02-05 コーヴェンティス,インク. 心調律に基づく心代償不全予測
US8706220B2 (en) * 2008-04-09 2014-04-22 Medtronic, Inc. Method and apparatus for detecting and treating tachyarrhythmias incorporating diagnostic/therapeutic pacing techniques
WO2009146214A1 (fr) 2008-04-18 2009-12-03 Corventis, Inc. Procede et appareil permettant de mesurer l’impedance bioelectrique d’un tissu de patient
WO2009148428A1 (fr) * 2008-06-02 2009-12-10 Medtronic, Inc. Comptes-rendus d'intégrité de fil d'électrode
EP2237835A1 (fr) * 2008-06-02 2010-10-13 Medtronic, Inc. Analyse de variabilité d'impédance pour l'identification de conditions liées à la conductibilité
US20090299421A1 (en) * 2008-06-02 2009-12-03 Medtronic, Inc. Evaluation of implantable medical device sensing integrity based on evoked signals
WO2009148426A1 (fr) * 2008-06-02 2009-12-10 Medtronic, Inc. Détection de détermination d'intégrité sur la base de la pression cardio-vasculaire
WO2009148429A1 (fr) 2008-06-02 2009-12-10 Medtronic, Inc. Mémorisation d'électrogrammes pour des épisodes non physiologiques suspects
US8280500B2 (en) * 2008-06-02 2012-10-02 Medtronic, Inc. Discrimination of ventricular tachycardia from supraventricular tachycardia
US7974690B2 (en) * 2008-06-30 2011-07-05 Medtronic, Inc. Lead integrity testing during suspected tachyarrhythmias
US9522277B2 (en) * 2008-07-28 2016-12-20 Medtronic, Inc. Lead integrity testing triggered by sensed signal saturation
US7953488B2 (en) * 2008-07-31 2011-05-31 Medtronic, Inc. Pre-qualification of an alternate sensing configuration
US8078277B2 (en) 2008-10-29 2011-12-13 Medtronic, Inc. Identification and remediation of oversensed cardiac events using far-field electrograms
US10118042B2 (en) 2008-10-31 2018-11-06 Medtronic, Inc. Lead integrity testing triggered by sensed asystole
US8332032B2 (en) 2009-01-23 2012-12-11 Medtronic, Inc. Hybrid single-chamber to simultaneous pacing method for discrimination of tachycardias
US8064999B2 (en) * 2009-01-30 2011-11-22 Medtronic, Inc. Distance-based analysis of return cycles for tachycardia discrimination
US8831723B2 (en) * 2009-09-30 2014-09-09 Medtronic, Inc. Pace discrimination of tachycardia using atrial-ventricular pacing
US8718762B2 (en) * 2009-09-30 2014-05-06 Medtronic, Inc. Pace discrimination of tachycardia using atrial-ventricular pacing
US8306620B2 (en) * 2009-09-30 2012-11-06 Medtronic, Inc. Pace discrimination of tachycardia using atrial-ventricular pacing
US8790259B2 (en) 2009-10-22 2014-07-29 Corventis, Inc. Method and apparatus for remote detection and monitoring of functional chronotropic incompetence
US9451897B2 (en) 2009-12-14 2016-09-27 Medtronic Monitoring, Inc. Body adherent patch with electronics for physiologic monitoring
US8396543B2 (en) * 2010-01-28 2013-03-12 Medtronic, Inc. Storage of data for evaluation of lead integrity
US8965498B2 (en) 2010-04-05 2015-02-24 Corventis, Inc. Method and apparatus for personalized physiologic parameters
US8170654B1 (en) 2010-10-13 2012-05-01 Medtronic, Inc. Sequential discrimination approach for detecting treatable cardiac rhythms
US9061155B2 (en) 2010-12-23 2015-06-23 Medtronic, Inc. Implanted device data to guide ablation therapy
US9095715B2 (en) 2010-12-23 2015-08-04 Medtronic, Inc. Implanted device data to guide ablation therapy
US20120232606A1 (en) 2011-03-09 2012-09-13 Medtronic, Inc. Using focal myocardial stimulation to distinguish supraventricular tachycardia from ventricular tachycardia
WO2012121810A1 (fr) * 2011-03-09 2012-09-13 Medtronic, Inc. Appareil permettant de distinguer une tachycardie supraventriculaire d'une tachycardie ventriculaire au moyen d'une stimulation myocardique focale
US8774909B2 (en) 2011-09-26 2014-07-08 Medtronic, Inc. Episode classifier algorithm
US8437840B2 (en) 2011-09-26 2013-05-07 Medtronic, Inc. Episode classifier algorithm
US9668668B2 (en) 2011-09-30 2017-06-06 Medtronic, Inc. Electrogram summary
US8744560B2 (en) 2011-09-30 2014-06-03 Medtronic, Inc. Electrogram summary
US8886296B2 (en) 2011-10-14 2014-11-11 Medtronic, Inc. T-wave oversensing
US8521281B2 (en) 2011-10-14 2013-08-27 Medtronic, Inc. Electrogram classification algorithm
EP3092034B1 (fr) 2014-01-10 2019-10-30 Cardiac Pacemakers, Inc. Systèmes de détection d'arythmies cardiaques
US10449361B2 (en) 2014-01-10 2019-10-22 Cardiac Pacemakers, Inc. Systems and methods for treating cardiac arrhythmias
US10463866B2 (en) 2014-07-11 2019-11-05 Cardiac Pacemakers, Inc. Systems and methods for treating cardiac arrhythmias
EP3827877B1 (fr) 2015-02-06 2024-06-19 Cardiac Pacemakers, Inc. Systèmes de traitement d'arythmies cardiaques
US10758737B2 (en) 2016-09-21 2020-09-01 Cardiac Pacemakers, Inc. Using sensor data from an intracardially implanted medical device to influence operation of an extracardially implantable cardioverter

Family Cites Families (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4144892A (en) * 1976-03-08 1979-03-20 Medalert Corporation Cardiac pacer and monitor system
US4838278A (en) * 1987-02-26 1989-06-13 Hewlett-Packard Company Paced QRS complex classifier
US4890617A (en) * 1987-11-25 1990-01-02 Medtronic, Inc. Dual chamber activity responsive pacer
US4860749A (en) * 1988-01-06 1989-08-29 Wayne State University Tachycardia detection for automatic implantable cardioverter/defibrillator with atrial and ventricular sensing capability
US5002052A (en) * 1988-08-29 1991-03-26 Intermedics, Inc. System and method for detection and treatment of ventricular arrhythmias
US5007422A (en) * 1989-06-06 1991-04-16 Ventritex, Inc. Method for combiner cardiac pacing and defibrillation
US4998974A (en) * 1990-01-05 1991-03-12 Telectronics Pacing Systems, Inc. Apparatus and method for antitachycardia pacing in dual chamber arrhythmia control system
JPH04279175A (ja) * 1990-07-03 1992-10-05 Telectronics Nv 不整脈制御装置および不整脈検出方法
US5086772A (en) * 1990-07-30 1992-02-11 Telectronics Pacing Systems, Inc. Arrhythmia control system employing arrhythmia recognition algorithm
US5123412A (en) * 1990-08-14 1992-06-23 Medtronic, Inc. Dual-chamber pacemaker with automatic selection of atrial refractory period
US5107850A (en) * 1990-11-02 1992-04-28 Cardiac Pacemakers, Inc. Method and apparatus for classifying and treating cardiac arrhythmias based on atrial and ventricular activity
US5193550A (en) * 1990-11-30 1993-03-16 Medtronic, Inc. Method and apparatus for discriminating among normal and pathological tachyarrhythmias
US5179949A (en) * 1990-12-07 1993-01-19 Raul Chirife Cardiac pacemaker with automatic a-v programming for optimization of left heart a-v interval

Also Published As

Publication number Publication date
US5411530A (en) 1995-05-02
CA2109035C (fr) 1997-04-29
DE69326668D1 (de) 1999-11-11
JPH06205749A (ja) 1994-07-26
EP0597459B1 (fr) 1999-10-06
EP0597459A2 (fr) 1994-05-18
ATE185279T1 (de) 1999-10-15
JP3022102B2 (ja) 2000-03-15
EP0597459A3 (fr) 1995-05-31
ES2139621T3 (es) 2000-02-16
DE69326668T2 (de) 2000-06-08
AU5060993A (en) 1994-06-02
AU661415B2 (en) 1995-07-20
CA2109035A1 (fr) 1994-05-14

Similar Documents

Publication Publication Date Title
DK0597459T3 (da) Implanterbar cardioverter/defibrillator mod takykardi
US5383910A (en) Method and apparatus for tachyarrhythmia detection and treatment
EP0709112B1 (fr) Stimulateur cardiaque pour supprimer la fibrillation atriale sélectivement par cardioversion
US5720295A (en) Pacemaker with improved detection of atrial fibrillation
US5738105A (en) Method and apparatus for sensing R-waves using both near field and far field sensing simultaneously
US5910120A (en) Method and system for detecting dislodgment of an implanted right atrial endocardial lead
US7764997B2 (en) Method and apparatus for using atrial discrimination algorithms to determine optimal pacing therapy and therapy timing
US7027861B2 (en) Method and apparatus for affecting atrial defibrillation with bi-atrial pacing
US5107850A (en) Method and apparatus for classifying and treating cardiac arrhythmias based on atrial and ventricular activity
US5243980A (en) Method and apparatus for discrimination of ventricular and supraventricular tachycardia
US5458620A (en) Cardiac arrhythmia detection using interdependent multiple parameter settings
US6904319B2 (en) Method and apparatus for inhibiting atrial tachyarrhythmia therapy
EP0919256B1 (fr) Appareil pour traiter une tachycardie basé sur la stabilité ventriculaire
CA2108701A1 (fr) Defibrillateur auriculaire et methode de stimulation de pre-cardioversion
US6658286B2 (en) Atrial and ventricular tachyarrhythmia detection system and method
EP1893288A1 (fr) Defibrillateur a synchronisation automatique implantable presentant une configuration de detection a ajustement automatique
US6249699B1 (en) Cardioverter and method for cardioverting an atrial tachyarrhythmia in the presence of atrial pacing
JP2002522124A (ja) ウインドウに基づく心房不整頻搏検出システムを有する心房電気除細動機および方法
CA2108700A1 (fr) Defibrillateur auriculaire et methode permettant d'ameliorer la detection de la fibrillation auriculaire
US6347249B1 (en) Method and system for detecting dislodgement of an implanted right atrial endocardial lead using a sensing period derived from a ventrical lead
US5991662A (en) Method and system for detecting dislodgment of an implanted right atrial endocardial lead using sensing periods established with one other lead
Hintringer et al. Inappropriate detection of supraventricular arrhythmias by implantable dual chamber defibrillators: a comparison of four different algorithms
US6058327A (en) Implantable device with automatic sensing adjustment
Jung et al. What Is the Best Algorithm to Discriminate Between Supraventricular and Ventricular Tachyarrhythmias?
Lu et al. Ventricular fibrillation detection using the evoked electrogram from the braided endocardial defibrillation lead