ES2069529T3 - Metodo y aparato biomedicos para controlar la aplicacion de una terapia a un paciente en respuesta a cambios de condiciones fisiologicas. - Google Patents
Metodo y aparato biomedicos para controlar la aplicacion de una terapia a un paciente en respuesta a cambios de condiciones fisiologicas.Info
- Publication number
- ES2069529T3 ES2069529T3 ES87303932T ES87303932T ES2069529T3 ES 2069529 T3 ES2069529 T3 ES 2069529T3 ES 87303932 T ES87303932 T ES 87303932T ES 87303932 T ES87303932 T ES 87303932T ES 2069529 T3 ES2069529 T3 ES 2069529T3
- Authority
- ES
- Spain
- Prior art keywords
- volume
- beat
- heart
- pulse generator
- signal
- 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
- A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
- A61N1/36514—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure
- A61N1/36521—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure the parameter being derived from measurement of an electrical impedance
Landscapes
- Health & Medical Sciences (AREA)
- Cardiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Biophysics (AREA)
- Physiology (AREA)
- Engineering & Computer Science (AREA)
- Hematology (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)
- Electrotherapy Devices (AREA)
Abstract
UN APARATO BIOMEDICO CAPAZ DE PERCIBIR CAMBIOS EN EL VOLUMEN VENTRICULAR DEL CORAZON O VOLUMEN DE LATIDO Y ENTONCES CAMBIAR EL FUNCIONAMIENTO DEL DISPOSITIVO EN UNA MANERA COMO UNA FUNCION DE VOLUMEN DE LATIDO. UNA SEÑAL (BAJO 5KHZ) DE FRECUENCIA BAJA RELATIVAMENTE ES APLICADA ENTRE LOS ELECTRODOS (12, 13) ESPACIADOS DISPUESTOS EN EL CORAZON Y LA ACCION DE LATIDO DEL CORAZON SIRVE PARA MODULAR ESTA SEÑAL DEBIDO A LOS CAMBIOS EN LA IMPEDANCIA QUE SE PERCIBEN ENTRE ESOS U OTROS ELEMENTOS DENTRO DEL CORAZON. LA SEÑAL PORTADORA MODULABLE ES ENTONCES PROCESADA PARA MOVER LA ONDA ENTONCES DEMODULADAPARA MOVER EL COMPONENTE DE LA FRECUENCIA PORTADORA DEJANDO LA ENVOLTURA QUE ES PROPORCIONAL AL VOLUMEN VENTRICULAR INSTANTANEO. ESTA SEÑAL DE ENVOLTURA ENTONCES CONTIENE EL VOLUMEN DE LATIDO Y LA INFORMACION DEL VOLUMEN VENTRICULAR QUE PUEDA SER USADA POR EL APARATO BIOMEDICO PARA VARIAS ESTOS PARAMETROS OPERANTES. POR EJEMPLO, UNA CORRIENTE PROPORCIONAL PARA CAMBIAR EL VOLUMEN DE LATIDO DEBE SER INYECTADA DENTRO DEL CIRCUITO DE TIEMPO DE UN GENERADOR (21) DE PULSO MARCAPASOS CARDIACO DEL TIPO DEMANDO COMO EL INTERVALO INTERPULSO DEL GENERADOR DE PULSO ES VACIADO EN FUNCION DEL VOLUMEN DE LATIDO.
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP19870303932 EP0288630B1 (en) | 1987-05-01 | 1987-05-01 | Biomedical method and apparatus for controlling the administration of therapy to a patient in response to changes in physiologic demand |
Publications (1)
Publication Number | Publication Date |
---|---|
ES2069529T3 true ES2069529T3 (es) | 1995-05-16 |
Family
ID=8197894
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
ES87303932T Expired - Lifetime ES2069529T3 (es) | 1987-05-01 | 1987-05-01 | Metodo y aparato biomedicos para controlar la aplicacion de una terapia a un paciente en respuesta a cambios de condiciones fisiologicas. |
Country Status (3)
Country | Link |
---|---|
EP (1) | EP0288630B1 (es) |
DE (1) | DE3750983T2 (es) |
ES (1) | ES2069529T3 (es) |
Families Citing this family (13)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE3732640C1 (de) * | 1987-09-28 | 1989-05-18 | Alt Eckhard | Medizinisches Geraet zum Ermitteln von physiologischen Funktionsparametern |
US5156147A (en) * | 1991-02-05 | 1992-10-20 | Cardiac Pacemakers, Inc. | Variable rate pacemaker having upper rate limit governor based on hemodynamic performance |
SE9602979D0 (sv) * | 1996-08-14 | 1996-08-14 | Pacesetter Ab | Pacemaker |
US8825158B2 (en) | 2009-08-25 | 2014-09-02 | Lamda Nu, Llc | Method and apparatus for detection of lead conductor anomalies using dynamic electrical parameters |
US9272150B2 (en) * | 2012-06-01 | 2016-03-01 | Lambda Nu Technology Llc | Method for detecting and localizing insulation failures of implantable device leads |
US8812103B2 (en) | 2012-06-01 | 2014-08-19 | Lamda Nu, Llc | Method for detecting and treating insulation lead-to-housing failures |
US9675799B2 (en) | 2012-12-05 | 2017-06-13 | Lambda Nu Technology Llc | Method and apparatus for implantable cardiac lead integrity analysis |
US10039919B2 (en) | 2013-04-30 | 2018-08-07 | Lambda Nu Technology Llc | Methods and apparatus for detecting and localizing partial conductor failures of implantable device leads |
US9486624B2 (en) | 2013-06-13 | 2016-11-08 | Lambda Nu Technology Llc | Detection of implantable lead failures by differential EGM analysis |
US10118031B2 (en) | 2013-06-28 | 2018-11-06 | Lambda Nu Technology Llc | Method and apparatus for implantable cardiac lead integrity analysis |
US9636500B2 (en) | 2014-03-25 | 2017-05-02 | Lambda Nu Technology Llc | Active surveillance of implanted medical leads for lead integrity |
US10252069B1 (en) | 2015-11-19 | 2019-04-09 | Lambda Nu Technology Llc | Micro-charge ICD lead testing method and apparatus |
US10543364B2 (en) | 2017-04-07 | 2020-01-28 | Lambda Nu Technology Llc | Detection of lead electrode dislodgement using cavitary electrogram |
Family Cites Families (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4202340A (en) * | 1975-09-30 | 1980-05-13 | Mieczyslaw Mirowski | Method and apparatus for monitoring heart activity, detecting abnormalities, and cardioverting a malfunctioning heart |
US4291699A (en) * | 1978-09-21 | 1981-09-29 | Purdue Research Foundation | Method of and apparatus for automatically detecting and treating ventricular fibrillation |
US4303075A (en) * | 1980-02-11 | 1981-12-01 | Mieczyslaw Mirowski | Method and apparatus for maximizing stroke volume through atrioventricular pacing using implanted cardioverter/pacer |
US4686987A (en) * | 1981-06-18 | 1987-08-18 | Cardiac Pacemakers, Inc. | Biomedical method and apparatus for controlling the administration of therapy to a patient in response to changes in physiologic demand |
US4535774A (en) * | 1983-06-30 | 1985-08-20 | Medtronic, Inc. | Stroke volume controlled pacer |
-
1987
- 1987-05-01 ES ES87303932T patent/ES2069529T3/es not_active Expired - Lifetime
- 1987-05-01 EP EP19870303932 patent/EP0288630B1/en not_active Expired - Lifetime
- 1987-05-01 DE DE19873750983 patent/DE3750983T2/de not_active Expired - Fee Related
Also Published As
Publication number | Publication date |
---|---|
EP0288630A1 (en) | 1988-11-02 |
DE3750983T2 (de) | 1995-05-18 |
DE3750983D1 (de) | 1995-02-23 |
EP0288630B1 (en) | 1995-01-11 |
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Legal Events
Date | Code | Title | Description |
---|---|---|---|
FG2A | Definitive protection |
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