JP2011512945A - 植え込み型除細動システムを使用する心房除細動 - Google Patents
植え込み型除細動システムを使用する心房除細動 Download PDFInfo
- Publication number
- JP2011512945A JP2011512945A JP2010548787A JP2010548787A JP2011512945A JP 2011512945 A JP2011512945 A JP 2011512945A JP 2010548787 A JP2010548787 A JP 2010548787A JP 2010548787 A JP2010548787 A JP 2010548787A JP 2011512945 A JP2011512945 A JP 2011512945A
- Authority
- JP
- Japan
- Prior art keywords
- pulse
- electrode
- electrical pulse
- defibrillation
- volts
- 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
Links
- 230000001746 atrial effect Effects 0.000 title description 41
- 206010061592 cardiac fibrillation Diseases 0.000 claims abstract description 60
- 230000002600 fibrillogenic effect Effects 0.000 claims abstract description 56
- 230000000747 cardiac effect Effects 0.000 claims abstract description 39
- 230000035939 shock Effects 0.000 claims abstract description 21
- 239000003990 capacitor Substances 0.000 claims description 41
- 238000000034 method Methods 0.000 claims description 40
- 238000004891 communication Methods 0.000 claims description 37
- 210000002837 heart atrium Anatomy 0.000 claims description 30
- 230000005684 electric field Effects 0.000 claims description 20
- 230000006870 function Effects 0.000 claims description 18
- 238000007599 discharging Methods 0.000 claims description 17
- 206010003658 Atrial Fibrillation Diseases 0.000 claims description 12
- 239000003814 drug Substances 0.000 claims description 10
- 229940079593 drug Drugs 0.000 claims description 9
- 238000012377 drug delivery Methods 0.000 claims description 7
- 230000004044 response Effects 0.000 claims description 3
- 230000003213 activating effect Effects 0.000 claims description 2
- 206010003119 arrhythmia Diseases 0.000 claims description 2
- 230000000202 analgesic effect Effects 0.000 claims 2
- 230000006793 arrhythmia Effects 0.000 claims 1
- 230000008450 motivation Effects 0.000 claims 1
- 238000010278 pulse charging Methods 0.000 claims 1
- 229940124597 therapeutic agent Drugs 0.000 claims 1
- 210000005245 right atrium Anatomy 0.000 description 33
- 210000005241 right ventricle Anatomy 0.000 description 22
- 210000003102 pulmonary valve Anatomy 0.000 description 20
- 210000003748 coronary sinus Anatomy 0.000 description 13
- 230000002861 ventricular Effects 0.000 description 13
- 238000012545 processing Methods 0.000 description 12
- 210000000591 tricuspid valve Anatomy 0.000 description 9
- 210000001147 pulmonary artery Anatomy 0.000 description 8
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- 230000008901 benefit Effects 0.000 description 5
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- 210000003462 vein Anatomy 0.000 description 5
- 230000008602 contraction Effects 0.000 description 4
- 206010047281 Ventricular arrhythmia Diseases 0.000 description 3
- 210000003157 atrial septum Anatomy 0.000 description 3
- 230000033001 locomotion Effects 0.000 description 3
- 208000003663 ventricular fibrillation Diseases 0.000 description 3
- 206010033372 Pain and discomfort Diseases 0.000 description 2
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- PCHJSUWPFVWCPO-UHFFFAOYSA-N gold Chemical compound [Au] PCHJSUWPFVWCPO-UHFFFAOYSA-N 0.000 description 1
- 229910052737 gold Inorganic materials 0.000 description 1
- 239000010931 gold Substances 0.000 description 1
- 239000007943 implant Substances 0.000 description 1
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Images
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
- A61N1/38—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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/142—Pressure infusion, e.g. using pumps
- A61M5/14244—Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body
- A61M5/14276—Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body specially adapted for implantation
-
- 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
- A61N1/3906—Heart defibrillators characterised by the form of the shockwave
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/05—General characteristics of the apparatus combined with other kinds of therapy
- A61M2205/054—General characteristics of the apparatus combined with other kinds of therapy with electrotherapy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2210/00—Anatomical parts of the body
- A61M2210/12—Blood circulatory system
- A61M2210/125—Heart
-
- 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
- A61N1/395—Heart defibrillators for treating atrial fibrillation
Landscapes
- Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Cardiology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Radiology & Medical Imaging (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Vascular Medicine (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Electrotherapy Devices (AREA)
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US6428808P | 2008-02-27 | 2008-02-27 | |
| PCT/US2009/033786 WO2009108502A1 (en) | 2008-02-27 | 2009-02-11 | Atrial defibrillation using an implantable defibrillation system |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| JP2011512945A true JP2011512945A (ja) | 2011-04-28 |
| JP2011512945A5 JP2011512945A5 (enExample) | 2012-03-29 |
Family
ID=40510607
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2010548787A Pending JP2011512945A (ja) | 2008-02-27 | 2009-02-11 | 植え込み型除細動システムを使用する心房除細動 |
Country Status (7)
| Country | Link |
|---|---|
| US (1) | US20100324616A1 (enExample) |
| EP (1) | EP2257337B1 (enExample) |
| JP (1) | JP2011512945A (enExample) |
| AU (1) | AU2009217546A1 (enExample) |
| CA (1) | CA2716956A1 (enExample) |
| RU (1) | RU2010135656A (enExample) |
| WO (1) | WO2009108502A1 (enExample) |
Families Citing this family (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2011119662A1 (en) * | 2010-03-23 | 2011-09-29 | Rafael Development Corporation Ltd. | Modes of operation for atrial defibrillation using an implantable defibrillator |
| US20130190833A1 (en) * | 2010-07-23 | 2013-07-25 | Smartwave Medical Ltd. | Use of Electric Fields for Reducing Patient Discomfort During Defibrillation |
| US10905884B2 (en) | 2012-07-20 | 2021-02-02 | Cardialen, Inc. | Multi-stage atrial cardioversion therapy leads |
| US9238148B2 (en) * | 2013-07-10 | 2016-01-19 | Cameron Health, Inc. | Method for increasing buck regulator efficiency using charge recapturing in an implantable cardiac device |
| US11037260B2 (en) * | 2015-03-26 | 2021-06-15 | Zoll Medical Corporation | Emergency response system |
| TR201620482A2 (tr) | 2016-12-31 | 2017-10-23 | Univ Istanbul Teknik | Elektroni̇k teksti̇l tabanli romatoi̇d artri̇t terapi̇ eldi̇veni̇ |
| CN121127189A (zh) * | 2023-03-17 | 2025-12-12 | 盖能适治疗股份有限公司 | 脉冲电场能量输送时序优化 |
Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPH09103504A (ja) * | 1995-09-20 | 1997-04-22 | Pacesetter Ab | 体内埋め込み式心臓デフィブリレータ |
| JP2007301401A (ja) * | 2000-11-22 | 2007-11-22 | Medtronic Inc | 心室性不整脈を検出しかつ治療するための装置 |
Family Cites Families (34)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US507219A (en) * | 1893-10-24 | Stove | ||
| US4727877A (en) * | 1984-12-18 | 1988-03-01 | Medtronic, Inc. | Method and apparatus for low energy endocardial defibrillation |
| US5282837A (en) * | 1991-04-12 | 1994-02-01 | Incontrol, Inc. | Atrial defibrillator and method |
| US5267559A (en) * | 1992-10-23 | 1993-12-07 | Incontrol, Inc. | Atrial defibrillator and method for providing atrial sensing |
| US5269298A (en) * | 1992-10-23 | 1993-12-14 | Incontrol, Inc. | Atrial defibrillator and method for providing synchronized delayed cardioversion |
| US5332400A (en) * | 1992-12-24 | 1994-07-26 | Incontrol, Inc. | Atrial defibrillator and method for providing pre-cardioversion warning |
| US5772994A (en) * | 1993-05-28 | 1998-06-30 | The University Of Pittsburgh | Hematopoietic facilitatory cells and their uses |
| US5489293A (en) * | 1993-08-31 | 1996-02-06 | Ventritex, Inc. | Method and apparatus for treating cardiac tachyarrhythmia |
| US5813999A (en) * | 1995-12-21 | 1998-09-29 | Incontrol, Inc. | Implantable atrial defibrillator providing reduced cardioversion discomfort |
| US6006131A (en) * | 1996-08-13 | 1999-12-21 | Uab Research Foundation | Dual current pathway atrial defibrillation apparatus |
| US5987354A (en) * | 1996-08-13 | 1999-11-16 | Uab Research Foundation | Dual shock atrial defibrillation apparatus |
| US6266563B1 (en) * | 1997-03-14 | 2001-07-24 | Uab Research Foundation | Method and apparatus for treating cardiac arrhythmia |
| US6275730B1 (en) * | 1997-03-14 | 2001-08-14 | Uab Research Foundation | Method and apparatus for treating cardiac arrythmia |
| JP4430744B2 (ja) * | 1997-03-14 | 2010-03-10 | ユニヴァーシティ・オヴ・アラバマ・アト・バーミンガム・リサーチ・ファンデイション | 心臓の電気的除細動を行う、そのような治療を必要とする患者のためのインプラント可能なシステム |
| US5836976A (en) * | 1997-04-30 | 1998-11-17 | Medtronic, Inc. | Cardioversion energy reduction system |
| US5978704A (en) * | 1997-06-03 | 1999-11-02 | Uab Research Foundation | Method and apparatus for treating cardiac arrhythmia |
| US6243603B1 (en) * | 1998-09-15 | 2001-06-05 | Uab Research Foundation | Methods and apparatus for detecting medical conditions of the heart |
| US7596409B2 (en) * | 1999-06-07 | 2009-09-29 | The Johns Hopkins University | Cardiac shock electrode system and corresponding implantable defibrillator system |
| US20020026223A1 (en) * | 1999-12-24 | 2002-02-28 | Riff Kenneth M. | Method and a system for using implanted medical device data for accessing therapies |
| WO2001078835A1 (en) * | 2000-04-13 | 2001-10-25 | Uab Research Foundation | Inter-atrial septum electrode for atrial defibrillation |
| US7092754B2 (en) * | 2000-09-18 | 2006-08-15 | Cameron Health, Inc. | Monophasic waveform for anti-bradycardia pacing for a subcutaneous implantable cardioverter-defibrillator |
| US6556865B2 (en) * | 2001-01-29 | 2003-04-29 | Uab Research Foundation | Method for improving cardiac function following delivery of a defibrillation shock |
| US6751502B2 (en) * | 2001-03-14 | 2004-06-15 | Cardiac Pacemakers, Inc. | Cardiac rhythm management system with defibrillation threshold prediction |
| US20020188327A1 (en) * | 2001-04-26 | 2002-12-12 | Chester Struble | Drug delivery for treatment of cardiac arrhythmia |
| US6748268B1 (en) * | 2001-08-31 | 2004-06-08 | Pacesetter, Inc. | Three lead universal pacing and shocking system |
| US7522958B2 (en) * | 2003-03-13 | 2009-04-21 | Uab Research Foundation | Methods and systems for reducing discomfort from cardiac defibrillation shocks |
| US20040220628A1 (en) * | 2003-04-11 | 2004-11-04 | Wagner Darrell Orvin | Subcutaneous defibrillation timing correlated with induced skeletal muscle contraction |
| US7158826B1 (en) * | 2003-04-30 | 2007-01-02 | Pacesetter, Inc. | System and method for generating pain inhibition pulses using an implantable cardiac stimulation device |
| US7212865B2 (en) * | 2004-05-25 | 2007-05-01 | Philip Cory | Nerve stimulator and method |
| US7480531B1 (en) * | 2004-05-26 | 2009-01-20 | Pacesetter, Inc. | System and method for reducing pain associated with cardioversion shocks generated by implantable cardiac stimulation devices |
| US7711425B2 (en) * | 2005-08-22 | 2010-05-04 | Cardiac Pacemakers, Inc. | Defibrillation threshold prediction methods and systems |
| US20070265667A1 (en) * | 2006-05-15 | 2007-11-15 | Dirk Muessig | Semi-automatic atrial defibrillation system, implantable atrial defibrillator and portable communication device |
| US20090005827A1 (en) * | 2007-06-26 | 2009-01-01 | David Weintraub | Wearable defibrillator |
| US8160717B2 (en) * | 2008-02-19 | 2012-04-17 | Cardiac Pacemakers, Inc. | Model reference identification and cancellation of magnetically-induced voltages in a gradient magnetic field |
-
2009
- 2009-02-11 EP EP09714993.4A patent/EP2257337B1/en not_active Not-in-force
- 2009-02-11 AU AU2009217546A patent/AU2009217546A1/en not_active Abandoned
- 2009-02-11 RU RU2010135656/14A patent/RU2010135656A/ru not_active Application Discontinuation
- 2009-02-11 JP JP2010548787A patent/JP2011512945A/ja active Pending
- 2009-02-11 WO PCT/US2009/033786 patent/WO2009108502A1/en not_active Ceased
- 2009-02-11 CA CA2716956A patent/CA2716956A1/en not_active Abandoned
-
2010
- 2010-06-25 US US12/823,507 patent/US20100324616A1/en not_active Abandoned
Patent Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPH09103504A (ja) * | 1995-09-20 | 1997-04-22 | Pacesetter Ab | 体内埋め込み式心臓デフィブリレータ |
| JP2007301401A (ja) * | 2000-11-22 | 2007-11-22 | Medtronic Inc | 心室性不整脈を検出しかつ治療するための装置 |
Also Published As
| Publication number | Publication date |
|---|---|
| RU2010135656A (ru) | 2012-04-10 |
| US20100324616A1 (en) | 2010-12-23 |
| EP2257337B1 (en) | 2013-04-10 |
| WO2009108502A1 (en) | 2009-09-03 |
| AU2009217546A1 (en) | 2009-09-03 |
| CA2716956A1 (en) | 2009-09-03 |
| EP2257337A1 (en) | 2010-12-08 |
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