JP2009518115A - 心刺激システム - Google Patents

心刺激システム Download PDF

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Publication number
JP2009518115A
JP2009518115A JP2008544324A JP2008544324A JP2009518115A JP 2009518115 A JP2009518115 A JP 2009518115A JP 2008544324 A JP2008544324 A JP 2008544324A JP 2008544324 A JP2008544324 A JP 2008544324A JP 2009518115 A JP2009518115 A JP 2009518115A
Authority
JP
Japan
Prior art keywords
electrode assembly
wireless electrode
wireless
body portion
heart chamber
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.)
Pending
Application number
JP2008544324A
Other languages
English (en)
Japanese (ja)
Other versions
JP2009518115A5 (enExample
Inventor
ドラスラー，ウィリアム・ジェイ
ピクス，マイケル・ジェイ
ヘイスティングス，ロジャー・エヌ
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.)
Boston Scientific Scimed Inc
Original Assignee
Scimed Life Systems Inc
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 Scimed Life Systems Inc filed Critical Scimed Life Systems Inc
Publication of JP2009518115A publication Critical patent/JP2009518115A/ja
Publication of JP2009518115A5 publication Critical patent/JP2009518115A5/ja
Pending legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A61B5/6848—Needles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/25—Bioelectric electrodes therefor
    • A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28—Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
    • A61B5/283—Invasive
    • A61B5/29—Invasive for permanent or long-term implantation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6879—Means for maintaining contact with the body
    • A61B5/6882—Anchoring means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/056—Transvascular endocardial electrode systems
    • A61N1/057—Anchoring means; Means for fixing the head inside the heart
    • A61N1/0573—Anchoring means; Means for fixing the head inside the heart chacterised by means penetrating the heart tissue, e.g. helix needle or hook
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/0587—Epicardial electrode systems; Endocardial electrodes piercing the pericardium
    • A61N1/059—Anchoring means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A61B5/0031—Implanted circuitry
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/25—Bioelectric electrodes therefor
    • A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28—Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
    • A61B5/283—Invasive
    • 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
    • A61N1/368—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions
    • A61N1/3684—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions for stimulating the heart at multiple sites of the ventricle or the atrium
    • 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
    • A61N1/368—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions
    • A61N1/3684—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions for stimulating the heart at multiple sites of the ventricle or the atrium
    • A61N1/36843—Bi-ventricular stimulation
    • 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
    • A61N1/37205—Microstimulators, e.g. implantable through a cannula
    • 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

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Cardiology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Physics & Mathematics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Vascular Medicine (AREA)
  • Electrotherapy Devices (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
JP2008544324A 2005-12-09 2006-08-28 心刺激システム Pending JP2009518115A (ja)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US74896405P 2005-12-09 2005-12-09
PCT/US2006/033414 WO2007067231A1 (en) 2005-12-09 2006-08-28 Cardiac stimulation system

Publications (2)

Publication Number Publication Date
JP2009518115A true JP2009518115A (ja) 2009-05-07
JP2009518115A5 JP2009518115A5 (enExample) 2009-10-01

Family

ID=37564043

Family Applications (2)

Application Number Title Priority Date Filing Date
JP2008544324A Pending JP2009518115A (ja) 2005-12-09 2006-08-28 心刺激システム
JP2008544332A Expired - Fee Related JP5073672B2 (ja) 2005-12-09 2006-10-13 心臓刺激システム

Family Applications After (1)

Application Number Title Priority Date Filing Date
JP2008544332A Expired - Fee Related JP5073672B2 (ja) 2005-12-09 2006-10-13 心臓刺激システム

Country Status (6)

Country Link
US (6) US7848823B2 (enExample)
EP (2) EP1957147B1 (enExample)
JP (2) JP2009518115A (enExample)
AT (2) ATE493167T1 (enExample)
DE (2) DE602006019309D1 (enExample)
WO (2) WO2007067231A1 (enExample)

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2017525415A (ja) * 2014-06-25 2017-09-07 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 心臓不整脈を治療するためのシステムおよび方法
US10449361B2 (en) 2014-01-10 2019-10-22 Cardiac Pacemakers, Inc. Systems and methods for treating cardiac arrhythmias
JP2022508050A (ja) * 2018-11-19 2022-01-19 マイクロテック メディカル テクノロジーズ リミテッド 取付け要素を有する埋込み型デバイスを配置するシステム及び方法、並びに複数のセンサデバイスを使用して生理学的データを監視する方法
WO2023191058A1 (ja) * 2022-03-31 2023-10-05 日本ゼオン株式会社 医療用マーカー

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* Cited by examiner, † Cited by third party
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US8175702B2 (en) 2004-11-04 2012-05-08 The Washington University Method for low-voltage termination of cardiac arrhythmias by effectively unpinning anatomical reentries
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US9168383B2 (en) 2005-10-14 2015-10-27 Pacesetter, Inc. Leadless cardiac pacemaker with conducted communication
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US8290600B2 (en) 2006-07-21 2012-10-16 Boston Scientific Scimed, Inc. Electrical stimulation of body tissue using interconnected electrode assemblies
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US10449361B2 (en) 2014-01-10 2019-10-22 Cardiac Pacemakers, Inc. Systems and methods for treating cardiac arrhythmias
JP2017525415A (ja) * 2014-06-25 2017-09-07 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 心臓不整脈を治療するためのシステムおよび方法
AU2015279939B2 (en) * 2014-06-25 2018-04-12 Cardiac Pacemakers, Inc. Systems and methods for treating cardiac arrhythmias
JP2022508050A (ja) * 2018-11-19 2022-01-19 マイクロテック メディカル テクノロジーズ リミテッド 取付け要素を有する埋込み型デバイスを配置するシステム及び方法、並びに複数のセンサデバイスを使用して生理学的データを監視する方法
WO2023191058A1 (ja) * 2022-03-31 2023-10-05 日本ゼオン株式会社 医療用マーカー

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WO2007067253A1 (en) 2007-06-14
EP1957147A1 (en) 2008-08-20
US20070135882A1 (en) 2007-06-14
JP5073672B2 (ja) 2012-11-14
ATE499142T1 (de) 2011-03-15
US7848823B2 (en) 2010-12-07
EP1957147B1 (en) 2010-12-29
EP1957148B1 (en) 2011-02-23
EP1957148A1 (en) 2008-08-20
JP2009518116A (ja) 2009-05-07
US20070135883A1 (en) 2007-06-14
US12076164B2 (en) 2024-09-03
ATE493167T1 (de) 2011-01-15
US20220008010A1 (en) 2022-01-13
US11766219B2 (en) 2023-09-26
US20230389876A1 (en) 2023-12-07
US10022538B2 (en) 2018-07-17
US20140039591A1 (en) 2014-02-06
US20180289948A1 (en) 2018-10-11

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