JP2008540040A - モジュール式抗頻拍性不整脈治療システム - Google Patents
モジュール式抗頻拍性不整脈治療システム Download PDFInfo
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- 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
- A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
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- 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
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- 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
- A61N1/3621—Heart stimulators for treating or preventing abnormally high heart rate
- A61N1/3622—Heart stimulators for treating or preventing abnormally high heart rate comprising two or more electrodes co-operating with different heart regions
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- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/362—Heart stimulators
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- 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
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- 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
- A61N1/36585—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by two or more physical parameters
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- 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
- A61N1/372—Arrangements in connection with the implantation of stimulators
- A61N1/37211—Means for communicating with stimulators
- A61N1/37217—Means for communicating with stimulators characterised by the communication link, e.g. acoustic or tactile
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- 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
- A61N1/372—Arrangements in connection with the implantation of stimulators
- A61N1/375—Constructional arrangements, e.g. casings
- A61N1/3756—Casings with electrodes thereon, e.g. leadless stimulators
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- 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
- A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
- A61N1/39—Heart defibrillators
- A61N1/3925—Monitoring; Protecting
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- 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
- A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
- A61N1/39—Heart defibrillators
- A61N1/3956—Implantable devices for applying electric shocks to the heart, e.g. for cardioversion
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- 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
- A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
- A61N1/39—Heart defibrillators
- A61N1/3956—Implantable devices for applying electric shocks to the heart, e.g. for cardioversion
- A61N1/3962—Implantable devices for applying electric shocks to the heart, e.g. for cardioversion in combination with another heart therapy
- A61N1/39622—Pacing therapy
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- 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
- A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
- A61N1/39—Heart defibrillators
- A61N1/3987—Heart defibrillators characterised by the timing or triggering of the shock
Abstract
Description
参照により本明細書に組み込まれている、2005年5月18日に出願した米国特許出願第11/131,583号の優先権の利益をここに主張するものである。
除細動システムなどの抗頻拍性不整脈システムが、無線通信によって互いに通信する少なくとも2つの物理的に分離したモジュールを含む。多くのシステムの実施形態が、図1A〜8Bに示されている。モジュールは、それが体内に埋め込まれたときに物理的に分離した他の構成要素と共に使用される構成要素である。例えば図1Aでは、モジュール105は、モジュール110と共に使用され、モジュール110から物理的に分離している。
図1は、モジュール式抗頻拍性不整脈治療システム100の実施形態である。一実施形態では、抗頻拍性不整脈システム100は、協調治療を行うために協力する2つの分離した抗頻拍性不整脈治療モジュール105、110を含む。モジュール105は2つの電極106、107を含み、モジュール110は2つの電極111、112を含む。一実施形態では、モジュール105、106はそれぞれ、密封された電子回路ユニットを含む。一実施形態では、密封された電子回路ユニットは、ハウジングとヘッダを含み、電極106、107、111、112は、ハウジング上又はヘッダ上に位置するか、あるいはモジュール・ヘッダに結合されたリードに収容される。一実施形態では、モジュール105は、電極106から心臓101の一部を経由して電極107へ抗頻拍性不整脈治療を行い、モジュール110は、電極111から心臓101の一部を経由して電極112へ抗頻拍性不整脈治療を行う。一実施形態では、モジュールは、無線通信によって互いに通信する。一実施形態では、モジュール105、110は、無線通信によって、抗頻拍性不整脈治療を調整するか又は同期させる。
Claims (27)
- 埋込み可能な第1及び第2の回路を含むモジュール式埋込可能装置であって、
前記第1の回路が、生理的パラメータを検知するためのセンサと、前記第2の回路に無線通信を送信するための無線送信器回路とを含み、
前記第2の回路が、前記第1の回路から物理的に分離しており、前記第2の回路が、前記無線通信を受信するための無線受信器回路と、応答抗頻拍性不整脈治療を行うための抗頻拍性不整脈治療回路とを含む、モジュール式埋込可能装置。 - 前記第2の回路が、前記第1の回路から受信された前記生理的パラメータから導出された情報を分析して前記抗頻拍性不整脈治療を決定するためのコントローラ回路を含む、請求項1に記載のモジュール式埋込可能装置。
- 前記第1の回路が、固有の電気心信号を検出するためのセンス増幅回路を含み、前記無線通信が、前記固有の電気心信号から導出された情報を含む、請求項1に記載のモジュール式埋込可能装置。
- 前記第1の回路が、心音を検出するための心音センサを含み、前記無線通信が、前記心音から導出された情報を含む、請求項1に記載のモジュール式埋込可能装置。
- 前記第1の回路が、呼吸を測定するための呼吸センサを含み、前記無線通信が、前記呼吸から導出された情報を含む、請求項1に記載のモジュール式埋込可能装置。
- 前記第1及び第2の回路から分離した埋込み可能な第3の回路をさらに含み、前記第3の回路が、横隔膜ペーシング・パルスを送り出すための横隔膜刺激回路を含む、請求項5に記載のモジュール式埋込可能装置。
- 前記第1及び第2の回路から分離した埋込み可能な第3の回路をさらに含み、前記第3の回路が、ペーシング・パルスを送り出すためのペーシング刺激回路を含む、請求項1に記載のモジュール式埋込可能装置。
- 前記第1の回路が、血圧を検出するための血圧センサを備え、前記無線通信が、前記血圧から導出された情報を含み、前記ペーシング刺激回路が、前記血圧から導出された前記情報に応答して前記ペーシング・パルスの送り出しを調整するように構成される、請求項7に記載のモジュール式埋込可能装置。
- 前記第3の回路が、前記第1の回路から物理的に離れて位置するが、前記第1の回路に電気的に接続される、請求項7に記載のモジュール式埋込可能装置。
- 前記第1の回路が、固有の電気心房信号を検知するための心房センシング回路を含み、前記無線通信が、前記心房信号から導出された情報を含み、
前記モジュール式埋込可能装置が、固有の電気心室信号を検知しかつ前記心室信号から導出された情報を含む無線通信を送信するための心室センシング回路をさらに含み、
前記第2の回路が、前記心房信号と前記心室信号の少なくとも一方から導出された情報を分析して前記抗頻拍性不整脈治療を決定するためのコントローラ回路を含む、請求項1に記載のモジュール式埋込可能装置。 - 生理的パラメータを検知するためのセンサと、前記生理的パラメータから導出された情報を含む通信を送信するための通信回路又は駆動回路とを含む埋込み可能な第1の回路、
前記第1の埋込み可能な回路からの前記通信を受信するための受信器回路と、前記生理的パラメータから導出された前記情報を分析するためのコントローラ回路と、無線治療命令を送信するための無線送信器回路とを含む、前記第1の回路から物理的に分離した埋込み可能な第2の回路、及び
前記無線治療命令を受信するための無線受信器と、抗頻拍性不整脈治療を行うための抗頻拍性不整脈治療回路とを含む、前記第2の回路から物理的に分離した埋込み可能な第3の回路を含む、モジュール式装置。 - 前記第1の回路が、前記第2の回路に電気的に接続される、請求項11に記載のモジュール式装置。
- 前記第1の回路が、前記生理的パラメータから導出された情報を含む無線通信を前記第2の回路に送信するための無線送信器を含む、請求項11に記載のモジュール式装置。
- 前記第1の回路が、固有の電気心信号を検知するためのセンス増幅回路を含み、前記無線通信が、前記固有の電気心信号から導出された情報を含む、請求項13に記載のモジュール式装置。
- 前記第1の回路が、心臓の中に埋め込まれるように形成されかつ構成される、請求項13に記載のモジュール式装置。
- 前記第1の回路が、肺血管の中に埋め込まれるように形成されかつ構成される、請求項13に記載のモジュール式装置。
- 前記第1の回路が、末梢心臓血管の中に埋め込まれるように形成されかつ構成される、請求項13に記載のモジュール式装置。
- 前記第3の回路が、前記第1の回路に電気的に接続される、請求項11に記載のモジュール式装置。
- 前記第2の回路が、前記無線通信を人体又は動物体を通る電気信号として送信するように構成され、前記人体又は動物体が、前記無線通信用の導電媒体として使用される、請求項11に記載のモジュール式装置。
- 前記第2の回路が、前記第1の回路又は第3の回路を交換することなく第2の回路を交換できるように、皮下に埋め込むように形成されかつ構成される、請求項11に記載のモジュール式装置。
- 前記モジュール式装置が、少なくとも2つの生理的パラメータを同時に検知するように構成され、前記少なくとも2つの生理的パラメータに関する情報を記録するように構成されたメモリ回路をさらに含む、請求項11に記載のモジュール式装置。
- 前記第1、第2、又は第3の回路を交換することなく交換されるように構成された埋込み可能なメモリ回路をさらに含む、請求項11に記載のモジュール式装置。
- 前記センサが、少なくとも1つの化学物質を検出するように構成され、前記通信が、前記化学物質の検出から導出された情報を含む、請求項11に記載のモジュール式装置。
- 前記抗頻拍性不整脈治療が、少なくとも1つの薬物を送り出すことを含む、請求項11に記載のモジュール式装置。
- 第1の除細動ショックを送り出すように構成された埋込み可能な第1の除細動回路モジュールと、
前記第1の除細動ショックと同時に第2の除細動ショックを送り出すように構成された、前記第1の除細動回路モジュールから物理的に分離した埋込み可能な第2の除細動回路モジュールと、
前記第1及び第2の除細動ショックの協調送り出しを命令するように構成されたコントローラ回路とを含む、モジュール式埋込可能装置。 - 前記コントローラ回路が、前記第1及び第2の除細動回路モジュールの少なくとも一方に無線で通信可能に結合される、請求項25に記載のモジュール式埋込可能装置。
- 前記コントローラ回路が、前記第1の除細動回路と第2の除細動回路を外すことなく、皮下に埋め込まれかつ外されるように形成されかつ構成される、請求項25に記載のモジュール式埋込可能装置。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/131,583 US8391990B2 (en) | 2005-05-18 | 2005-05-18 | Modular antitachyarrhythmia therapy system |
US11/131,583 | 2005-05-18 | ||
PCT/US2006/018824 WO2006124833A2 (en) | 2005-05-18 | 2006-05-16 | Modular antitachyarrhythmia therapy system |
Publications (2)
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JP2008540040A true JP2008540040A (ja) | 2008-11-20 |
JP5127701B2 JP5127701B2 (ja) | 2013-01-23 |
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Application Number | Title | Priority Date | Filing Date |
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JP2008512423A Expired - Fee Related JP5127701B2 (ja) | 2005-05-18 | 2006-05-16 | モジュール式抗頻拍性不整脈治療システム |
Country Status (5)
Country | Link |
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US (9) | US8391990B2 (ja) |
EP (1) | EP1904166B1 (ja) |
JP (1) | JP5127701B2 (ja) |
AT (1) | ATE513578T1 (ja) |
WO (1) | WO2006124833A2 (ja) |
Cited By (73)
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JP2011510760A (ja) * | 2008-02-11 | 2011-04-07 | カーディアック ペースメイカーズ, インコーポレイテッド | 心臓内の調律識別のための血行動態の監視方法 |
JP2013519494A (ja) * | 2010-02-17 | 2013-05-30 | カーディアック ペースメイカーズ, インコーポレイテッド | 呼吸センサを使用した不整脈中の血行動態安定の検出 |
US9002467B2 (en) | 2005-05-18 | 2015-04-07 | Cardiac Pacemakers, Inc. | Modular antitachyarrhythmia therapy system |
US9526909B2 (en) | 2014-08-28 | 2016-12-27 | Cardiac Pacemakers, Inc. | Medical device with triggered blanking period |
JP2017501838A (ja) * | 2014-01-10 | 2017-01-19 | カーディアック ペースメイカーズ, インコーポレイテッド | 心臓不整脈を検出するシステムおよび方法 |
JP2017505216A (ja) * | 2014-02-10 | 2017-02-16 | カーディアック ペースメイカーズ, インコーポレイテッド | 機器間通信を用いたマルチチャンバリードレスペースメーカ |
JP2017513680A (ja) * | 2014-04-25 | 2017-06-01 | メドトロニック,インコーポレイテッド | 検出されるペーシングに応答した植え込み型カーディオバータ−除細動器(icd)の頻脈性不整脈検出修正 |
US9669230B2 (en) | 2015-02-06 | 2017-06-06 | Cardiac Pacemakers, Inc. | Systems and methods for treating cardiac arrhythmias |
JP2017514570A (ja) * | 2014-04-15 | 2017-06-08 | カーディアック ペースメイカーズ, インコーポレイテッド | 自立した抗頻脈ペーシング機能を有するペーシングデバイス |
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ATE513578T1 (de) | 2011-07-15 |
US9993654B2 (en) | 2018-06-12 |
US8903500B2 (en) | 2014-12-02 |
US10363428B2 (en) | 2019-07-30 |
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JP5127701B2 (ja) | 2013-01-23 |
US9242113B2 (en) | 2016-01-26 |
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US20060265018A1 (en) | 2006-11-23 |
EP1904166A2 (en) | 2008-04-02 |
US20130053908A1 (en) | 2013-02-28 |
US20180256909A1 (en) | 2018-09-13 |
EP1904166B1 (en) | 2011-06-22 |
US20150258345A1 (en) | 2015-09-17 |
US20160236000A1 (en) | 2016-08-18 |
US11083898B2 (en) | 2021-08-10 |
US20190329059A1 (en) | 2019-10-31 |
US9352164B2 (en) | 2016-05-31 |
US9002467B2 (en) | 2015-04-07 |
US20150039041A1 (en) | 2015-02-05 |
WO2006124833A2 (en) | 2006-11-23 |
US8649859B2 (en) | 2014-02-11 |
US20150190638A1 (en) | 2015-07-09 |
WO2006124833A3 (en) | 2007-05-31 |
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