ES2171442T3 - Dispositivo implantable activo. - Google Patents

Dispositivo implantable activo.

Info

Publication number
ES2171442T3
ES2171442T3 ES94403060T ES94403060T ES2171442T3 ES 2171442 T3 ES2171442 T3 ES 2171442T3 ES 94403060 T ES94403060 T ES 94403060T ES 94403060 T ES94403060 T ES 94403060T ES 2171442 T3 ES2171442 T3 ES 2171442T3
Authority
ES
Spain
Prior art keywords
active device
implantable active
noise
threshold
useful 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
Application number
ES94403060T
Other languages
English (en)
Inventor
Renzo Dalmolin
Catherine Paris
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.)
Sorin CRM SAS
Original Assignee
Ela Medical SAS
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 Ela Medical SAS filed Critical Ela Medical SAS
Application granted granted Critical
Publication of ES2171442T3 publication Critical patent/ES2171442T3/es
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
    • A61N1/36514—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
    • 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
    • A61B5/7203—Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal
    • 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
    • A61N1/37—Monitoring; Protecting
    • A61N1/3702—Physiological parameters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/08—Detecting, measuring or recording devices for evaluating the respiratory organs
    • A61B5/0809—Detecting, measuring or recording devices for evaluating the respiratory organs by impedance pneumography

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Cardiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biophysics (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Physiology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Signal Processing (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Artificial Intelligence (AREA)
  • Hematology (AREA)
  • Computer Vision & Pattern Recognition (AREA)
  • Psychiatry (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Electrotherapy Devices (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)

Abstract

EL DISPOSITIVO IMPLANTABLE ACTIVO ESTA BAJO EL CONTROL DE UN PARAMETRO FISIOLOGICO. UNA MAGNITUD REPRESENTATIVA DEL PARAMETRO FISIOLOGICO ESTA MEDIDA EN PRESENCIA DE SEÑAL UTIL PARA DETERMINAR UN VALOR DEL PARAMETRO, Y A CONTINUACION EN AUSENCIA DE SEÑAL UTIL PARA DETERMINAR EL RUIDO. EL RUIDO SE COMPARA CON UN UMBRAL. EN CASO DE SOBREPASAR EL UMBRAL, SE TOMA EN CUENTA ESTE HECHO PARA LA SUSPENSION EVENTUAL DE UNA FUNCION DEL DISPOSITIVO.
ES94403060T 1993-12-31 1994-12-30 Dispositivo implantable activo. Expired - Lifetime ES2171442T3 (es)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
FR9315960A FR2714611B1 (fr) 1993-12-31 1993-12-31 Procédé de contrôle d'un dispositif implantable actif.

Publications (1)

Publication Number Publication Date
ES2171442T3 true ES2171442T3 (es) 2002-09-16

Family

ID=9454647

Family Applications (1)

Application Number Title Priority Date Filing Date
ES94403060T Expired - Lifetime ES2171442T3 (es) 1993-12-31 1994-12-30 Dispositivo implantable activo.

Country Status (5)

Country Link
US (1) US5522860A (es)
EP (1) EP0663219B1 (es)
DE (1) DE69430186T2 (es)
ES (1) ES2171442T3 (es)
FR (1) FR2714611B1 (es)

Families Citing this family (57)

* Cited by examiner, † Cited by third party
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US5531772A (en) * 1994-11-18 1996-07-02 Intermedics, Inc. Rate responsive cardiac pacemaker with filtered impedance sensing and method
DE69724373T2 (de) * 1996-03-28 2004-06-24 Medtronic, Inc., Minneapolis Erfassung von mittels katheter oder leitung übermittelten druckwellen
AU5722198A (en) 1996-12-20 1998-07-17 Ep Technologies Inc Unified switching system for electrophysiological stimulation and signal recording and analysis
SE9800126D0 (sv) * 1998-01-20 1998-01-20 Pacesetter Ab Implantable medical device
US5978710A (en) 1998-01-23 1999-11-02 Sulzer Intermedics Inc. Implantable cardiac stimulator with safe noise mode
US6505071B1 (en) * 1999-12-15 2003-01-07 Cardiac Pacemakers, Inc. Cardiac management device with capability of noise detection in automatic capture verification
FR2805998B1 (fr) * 2000-03-07 2002-10-18 Ela Medical Sa Dispositif medical implantable actif, notamment stimulateur cardiaque, defibrillateur et/ou cardioverteur du type multisite comportant des moyens de mesure d'impedance intracardiaque
FR2806311B1 (fr) 2000-03-14 2002-10-18 Ela Medical Sa Dispositif medical implantable actif, notamment stimulateur cardiaque, defibrillateur et/ou cardioverteur et/ou dispositif multisite comportant des moyens de mesure de bioimpedance transseptale
US6522914B1 (en) * 2000-07-14 2003-02-18 Cardiac Pacemakers, Inc. Method and apparatuses for monitoring hemodynamic activities using an intracardiac impedance-derived parameter
US7191000B2 (en) * 2001-07-31 2007-03-13 Cardiac Pacemakers, Inc. Cardiac rhythm management system for edema
US7076283B2 (en) * 2001-10-31 2006-07-11 Medtronic, Inc. Device for sensing cardiac activity in an implantable medical device in the presence of magnetic resonance imaging interference
US7092757B2 (en) * 2002-07-12 2006-08-15 Cardiac Pacemakers, Inc. Minute ventilation sensor with dynamically adjusted excitation current
US7226422B2 (en) * 2002-10-09 2007-06-05 Cardiac Pacemakers, Inc. Detection of congestion from monitoring patient response to a recumbent position
US6868346B2 (en) * 2002-11-27 2005-03-15 Cardiac Pacemakers, Inc. Minute ventilation sensor with automatic high pass filter adjustment
US7101339B2 (en) * 2002-12-13 2006-09-05 Cardiac Pacemakers, Inc. Respiration signal measurement apparatus, systems, and methods
US8050764B2 (en) * 2003-10-29 2011-11-01 Cardiac Pacemakers, Inc. Cross-checking of transthoracic impedance and acceleration signals
US7272442B2 (en) 2002-12-30 2007-09-18 Cardiac Pacemakers, Inc. Automatically configurable minute ventilation sensor
US7477932B2 (en) * 2003-05-28 2009-01-13 Cardiac Pacemakers, Inc. Cardiac waveform template creation, maintenance and use
US7200440B2 (en) 2003-07-02 2007-04-03 Cardiac Pacemakers, Inc. Cardiac cycle synchronized sampling of impedance signal
US20060247693A1 (en) 2005-04-28 2006-11-02 Yanting Dong Non-captured intrinsic discrimination in cardiac pacing response classification
US7319900B2 (en) 2003-12-11 2008-01-15 Cardiac Pacemakers, Inc. Cardiac response classification using multiple classification windows
US8521284B2 (en) * 2003-12-12 2013-08-27 Cardiac Pacemakers, Inc. Cardiac response classification using multisite sensing and pacing
US7774064B2 (en) 2003-12-12 2010-08-10 Cardiac Pacemakers, Inc. Cardiac response classification using retriggerable classification windows
US7488290B1 (en) * 2004-02-19 2009-02-10 Cardiac Pacemakers, Inc. System and method for assessing cardiac performance through transcardiac impedance monitoring
US8025624B2 (en) 2004-02-19 2011-09-27 Cardiac Pacemakers, Inc. System and method for assessing cardiac performance through cardiac vibration monitoring
US7329226B1 (en) 2004-07-06 2008-02-12 Cardiac Pacemakers, Inc. System and method for assessing pulmonary performance through transthoracic impedance monitoring
US7356366B2 (en) * 2004-08-02 2008-04-08 Cardiac Pacemakers, Inc. Device for monitoring fluid status
US7387610B2 (en) 2004-08-19 2008-06-17 Cardiac Pacemakers, Inc. Thoracic impedance detection with blood resistivity compensation
DE102004059082A1 (de) * 2004-12-02 2006-06-08 Biotronik Crm Patent Ag Vorrichtung zum Bestimmen der Thorax-Impedanz
US7761162B2 (en) * 2004-12-13 2010-07-20 Cardiac Pacemakers, Inc. Capture verification with intrinsic response discrimination
US7603170B2 (en) * 2005-04-26 2009-10-13 Cardiac Pacemakers, Inc. Calibration of impedance monitoring of respiratory volumes using thoracic D.C. impedance
US7392086B2 (en) 2005-04-26 2008-06-24 Cardiac Pacemakers, Inc. Implantable cardiac device and method for reduced phrenic nerve stimulation
US7765004B2 (en) * 2005-04-28 2010-07-27 Cardiac Pacemakers, Inc. Methods and systems for managing fusion and noise in cardiac pacing response classification
US7392088B2 (en) * 2005-04-28 2008-06-24 Cardiac Pacemakers, Inc. Capture detection for multi-chamber pacing
US20100063840A1 (en) * 2005-05-03 2010-03-11 Hoyme Kenneth P System and method for managing coordination of collected patient data in an automated patient management system
US20060253300A1 (en) * 2005-05-03 2006-11-09 Somberg Benjamin L System and method for managing patient triage in an automated patient management system
US8781847B2 (en) * 2005-05-03 2014-07-15 Cardiac Pacemakers, Inc. System and method for managing alert notifications in an automated patient management system
US7907997B2 (en) 2005-05-11 2011-03-15 Cardiac Pacemakers, Inc. Enhancements to the detection of pulmonary edema when using transthoracic impedance
US9089275B2 (en) * 2005-05-11 2015-07-28 Cardiac Pacemakers, Inc. Sensitivity and specificity of pulmonary edema detection when using transthoracic impedance
US7340296B2 (en) 2005-05-18 2008-03-04 Cardiac Pacemakers, Inc. Detection of pleural effusion using transthoracic impedance
US8900154B2 (en) 2005-05-24 2014-12-02 Cardiac Pacemakers, Inc. Prediction of thoracic fluid accumulation
US7529578B2 (en) * 2005-07-12 2009-05-05 Cardiac Pacemakers, Inc. Multi channel approach to capture verification
US7496409B2 (en) * 2006-03-29 2009-02-24 Medtronic, Inc. Implantable medical device system and method with signal quality monitoring and response
US8209013B2 (en) 2006-09-14 2012-06-26 Cardiac Pacemakers, Inc. Therapeutic electrical stimulation that avoids undesirable activation
US8265736B2 (en) 2007-08-07 2012-09-11 Cardiac Pacemakers, Inc. Method and apparatus to perform electrode combination selection
US9037239B2 (en) 2007-08-07 2015-05-19 Cardiac Pacemakers, Inc. Method and apparatus to perform electrode combination selection
US8831716B2 (en) 2007-09-11 2014-09-09 Cardiac Pacemakers, Inc. Histogram-based thoracic impedance monitoring
US9357944B2 (en) 2008-01-08 2016-06-07 Cardiac Pacemakers, Inc. Impedance measurement and demodulation using implantable device
AU2009214920B2 (en) 2008-02-14 2012-02-09 Cardiac Pacemakers, Inc. Method and apparatus for phrenic stimulation detection
US8532779B2 (en) 2008-10-31 2013-09-10 Medtronic, Inc. Implantable medical device crosstalk evaluation and mitigation
US8774918B2 (en) 2008-10-31 2014-07-08 Medtronic, Inc. Implantable medical device crosstalk evaluation and mitigation
US9597505B2 (en) 2008-10-31 2017-03-21 Medtronic, Inc. Implantable medical device crosstalk evaluation and mitigation
US8611996B2 (en) * 2008-10-31 2013-12-17 Medtronic, Inc. Implantable medical device crosstalk evaluation and mitigation
US8452394B2 (en) * 2008-10-31 2013-05-28 Medtronic, Inc. Implantable medical device crosstalk evaluation and mitigation
US8688210B2 (en) 2008-10-31 2014-04-01 Medtronic, Inc. Implantable medical device crosstalk evaluation and mitigation
US9775987B2 (en) * 2008-10-31 2017-10-03 Medtronic, Inc. Implantable medical device crosstalk evaluation and mitigation
US20110106191A1 (en) * 2009-10-30 2011-05-05 Medtronic, Inc. Implantable medical device noise mode

Family Cites Families (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3593718A (en) * 1967-07-13 1971-07-20 Biocybernetics Inc Physiologically controlled cardiac pacer
US3985142A (en) * 1975-01-14 1976-10-12 Telectronics Pty. Limited Demand heart pacer with improved interference discrimination
FR2440199A1 (fr) * 1978-11-06 1980-05-30 Medtronic Inc Stimulateur cardiaque a la demande
US4533346A (en) * 1979-06-26 1985-08-06 Pharmacontrol Corporation System for automatic feedback-controlled administration of drugs
DE3483882D1 (de) * 1984-02-07 1991-02-07 Schiapparelli Medtronic S P A Herzschrittmacher, abhaengig vom atmungsumfang pro zeiteinheit.
US4702253A (en) * 1985-10-15 1987-10-27 Telectronics N.V. Metabolic-demand pacemaker and method of using the same to determine minute volume
US4779617A (en) * 1986-10-06 1988-10-25 Telectronics N.V. Pacemaker noise rejection system
EP0399059B2 (de) * 1989-05-22 2003-08-20 St. Jude Medical AB Implantierbares medizinisches Gerät zur Detektion von bezüglich einer physiologischen Funktion auftretenden Ereignissen mit einstellbarer Empfindlichkeit und Verfahren zum Betrieb eines solchen Gerätes
US5010887A (en) * 1989-11-17 1991-04-30 Siemens-Pacesetter, Inc. Noise discrimination in implantable pacemakers
FR2671013B1 (fr) * 1990-12-27 1996-09-13 Ela Medical Sa Stimulateur cardiaque a frequence de stimulation asservie.
FR2671012B1 (fr) * 1990-12-27 1993-03-19 Ela Medical Sa Procede de controle d'un stimulateur cardiaque.
US5188177A (en) * 1991-07-16 1993-02-23 The Titan Corporation Magnetic-pulse sealing of oil-well-head pipe
US5188117A (en) * 1991-10-25 1993-02-23 Telectronics Pacing Systems, Inc. Notch filter noise rejection system in a cardiac control device
US5201808A (en) * 1992-02-10 1993-04-13 Telectronics Pacing Systems, Inc. Minute volume rate-responsive pacemaker employing impedance sensing on a unipolar lead
SE9201602D0 (sv) * 1992-05-21 1992-05-21 Siemens Elema Ab Anordning foer att minska stroemfoerbrukningen hos medicinsk, i maenniskokroppen implanterbar, elektrisk utrustning
US5197467A (en) * 1992-06-22 1993-03-30 Telectronics Pacing Systems, Inc. Multiple parameter rate-responsive cardiac stimulation apparatus

Also Published As

Publication number Publication date
EP0663219A1 (fr) 1995-07-19
FR2714611B1 (fr) 1996-03-15
EP0663219B1 (fr) 2002-03-20
US5522860A (en) 1996-06-04
DE69430186T2 (de) 2002-08-22
FR2714611A1 (fr) 1995-07-07
DE69430186D1 (de) 2002-04-25

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