JP2008523892A5 - - Google Patents
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- JP2008523892A5 JP2008523892A5 JP2007546668A JP2007546668A JP2008523892A5 JP 2008523892 A5 JP2008523892 A5 JP 2008523892A5 JP 2007546668 A JP2007546668 A JP 2007546668A JP 2007546668 A JP2007546668 A JP 2007546668A JP 2008523892 A5 JP2008523892 A5 JP 2008523892A5
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- 自立した心臓の感知及びエネルギー送出を提供するように作動可能な複数の胸腔内心臓刺激デバイスを含む心臓刺激システムであって、前記複数の胸腔内心臓刺激デバイスの各々が、
患者の心臓に対して胸腔内に配置されるよう構成されたハウジングと、
前記ハウジングによって支持され、心臓組織又は心血管系内の植込み位置に前記ハウジングを固定するように構成された固定構成と、
前記ハウジングによって支持され、心臓活動を感知して前記心臓組織又は心血管系に刺激エネルギーを送出するように構成された電極構成と、
前記ハウジング内に設けられ、前記電極構成に結合されたエネルギー送出回路と、
前記ハウジング内に設けられ、前記電極構成に結合された検出回路と、
前記ハウジング内に設けられ、前記エネルギー送出回路及び前記検出回路に結合されたコントローラであって、前記植込み位置にふさわしいエネルギー送出プロトコルに従って、前記ハウジングが固定された前記植込み位置の各々にふさわしいように独立して、前記心臓組織又は心血管系へのエネルギーの送出を調整する、コントローラと、
を含む、心臓刺激システム。 - 前記電極構成が心外膜又は心内膜電極構成を含む、請求項1に記載のシステム。
- 前記電極構成が静脈内電極構成を含む、請求項1に記載のシステム。
- 前記電極構成が前記ハウジングの一部の周囲に支持された1つ以上の環状電極を含む、請求項1に記載のシステム。
- 前記ハウジングが、植込み駆動部材の遠位端の受入と摘出部材取付機構の受入のうちの一方又は双方のために構成された1つ以上の凹部を含む、請求項1に記載のシステム。
- 前記エネルギー送出プロトコルが前記心臓の特定の心腔にふさわしいペーシングプロトコルを含む、請求項1に記載のシステム。
- 前記エネルギー送出プロトコルが多心腔ペーシングプロトコルを含む、請求項1に記載のシステム。
- 前記エネルギー送出プロトコルが除細動又はカルディオバージョンプロトコルを含む、請求項1に記載のシステム。
- 前記エネルギー送出プロトコルの各々は心調律管理療法の一部を定義する、請求項1に記載のシステム。
- 前記複数の心臓刺激デバイスの前記コントローラは、調整された前記エネルギー送出プロトコルの各々を介してペーシング治療を行う、請求項1に記載のシステム。
- 前記複数の心臓刺激デバイスの前記コントローラは、調整された前記エネルギー送出プロトコルの各々を介して再同期ペーシング治療を行う、請求項1に記載のシステム。
- 前記複数の心臓刺激デバイスの内の第1の心臓刺激デバイスの植込み位置は第1の心室に関連し、第2の心臓刺激デバイスの植込み位置は前記第1の心室に関連付けられる、請求項1に記載のシステム。
- 前記複数の心臓刺激デバイスの内の第1の心臓刺激デバイスの植込み位置は第1の心室に関連し、第2の心臓刺激デバイスの植込み位置は第2の心室に関連付けられる、請求項1に記載のシステム。
- 自立した心臓の感知及びエネルギー送出を提供するように作動可能な複数の胸腔内心臓刺激デバイスを含む心臓刺激システムであって、前記複数の胸腔内心臓刺激デバイスの各々が、
患者の心臓に対して胸腔内に配置されるよう構成されたハウジングと、
前記ハウジングによって支持され、心臓活動を感知することと前記心臓組織に刺激エネルギーを送出することのいずれか又は双方を行うように構成された電極構成と、
前記ハウジング内に配置され、前記電極構成と結合され、前記電極構成を介して心臓信号を受信することと心臓組織に電気エネルギーを送出することのいずれか又は双方を行うように構成された治療回路と、
前記ハウジング内に設けられ、前記治療回路に結合され、心臓信号を検知することと、前記植込み位置にふさわしいエネルギー送出プロトコルに従って、前記ハウジングが固定された前記植込み位置の各々にふさわしいように独立して、前記心臓組織へエネルギーを送出することのいずれか又は双方を調整するコントローラであって、前記自立した複数の胸腔内心臓刺激デバイスの各々のための前記エネルギー送出プロトコルの各々が、前記自立した複数の胸腔内心臓刺激デバイスにより実行される全体的な治療プロトコルの固有の一部を含む、前記コントローラと、
を含む、心臓刺激システム。 - 自立した心臓の感知及びエネルギー送出を提供するように作動可能な複数の胸腔内心臓刺激デバイスを含む心臓刺激システムであって、前記複数の胸腔内心臓刺激デバイスの各々が、
患者の心臓に対して胸腔内に配置されるよう構成されたハウジングと、
植込み駆動部材の遠位端の受入と摘出部材取付機構の受入のうちの一方又は双方のために構成された1つ以上の凹部と、
前記ハウジングによって支持され、心臓組織又は心血管系内の植込み位置に前記ハウジングを固定するように構成され、前記植込み駆動部材によって前記心臓組織又は前記心血管系に係合するように構成された固定構成と、
前記ハウジングによって支持され、心臓活動を感知することと前記心臓組織に刺激エネルギーを送出することのいずれか又は双方を行うように構成された電極構成と、
前記ハウジング内に配置され、前記電極構成と結合され、前記電極構成を介して心臓信号を受信することと心臓組織に電気エネルギーを送出することのいずれか又は双方を行うように構成された治療回路と、
前記ハウジング内に設けられ、前記治療回路に結合され、心臓信号を検知することと、全体的な治療プロトコルの一部に従って前記心臓組織にエネルギーを送出することを調整するように構成されたコントローラであって、前記プロトコルの一部は、前記ハウジングが固定された前記植込み位置の各々にふさわしいように独立して心臓信号の検知及び前記心臓組織へエネルギーを送出することを調整するのにふさわしい、前記前記コントローラと、
を含む、心臓刺激システム。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/014,105 | 2004-12-16 | ||
US11/014,105 US8818504B2 (en) | 2004-12-16 | 2004-12-16 | Leadless cardiac stimulation device employing distributed logic |
PCT/US2005/040123 WO2006065394A1 (en) | 2004-12-16 | 2005-11-03 | Leadless cardiac stimulation device employing distributed logic |
Publications (3)
Publication Number | Publication Date |
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JP2008523892A JP2008523892A (ja) | 2008-07-10 |
JP2008523892A5 true JP2008523892A5 (ja) | 2008-12-18 |
JP5059618B2 JP5059618B2 (ja) | 2012-10-24 |
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Application Number | Title | Priority Date | Filing Date |
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JP2007546668A Expired - Fee Related JP5059618B2 (ja) | 2004-12-16 | 2005-11-03 | 心臓刺激システム |
Country Status (4)
Country | Link |
---|---|
US (7) | US8818504B2 (ja) |
EP (1) | EP1830919A1 (ja) |
JP (1) | JP5059618B2 (ja) |
WO (1) | WO2006065394A1 (ja) |
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2004
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2005
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- 2005-11-03 JP JP2007546668A patent/JP5059618B2/ja not_active Expired - Fee Related
- 2005-11-03 EP EP05825513A patent/EP1830919A1/en not_active Ceased
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2014
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2015
- 2015-07-28 US US14/810,922 patent/US20150328473A1/en not_active Abandoned
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2017
- 2017-05-22 US US15/601,662 patent/US10946203B2/en active Active
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2018
- 2018-01-15 US US15/871,672 patent/US10639489B2/en active Active
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2020
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2021
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