JP2022553322A - 心房性不整脈患者のための心臓収縮性調節 - Google Patents

心房性不整脈患者のための心臓収縮性調節 Download PDF

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Publication number
JP2022553322A
JP2022553322A JP2022523514A JP2022523514A JP2022553322A JP 2022553322 A JP2022553322 A JP 2022553322A JP 2022523514 A JP2022523514 A JP 2022523514A JP 2022523514 A JP2022523514 A JP 2022523514A JP 2022553322 A JP2022553322 A JP 2022553322A
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signal
patient
c2ms
planning
atrial
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JP2022553322A5 (enExample
Inventor
デビッド プラッチ
シメオン イオアニス ケディコグル
スタッグ アンジェラ コノリー
デイビッド タミール ベン
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Impulse Dynamics NV
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Impulse Dynamics NV
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Priority to JP2025113035A priority Critical patent/JP2025157299A/ja
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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
    • A61N1/362—Heart stimulators
    • A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • 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
    • A61N1/36585—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by two or more physical parameters
    • 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
    • A61N1/3621—Heart stimulators for treating or preventing abnormally high heart rate
    • A61N1/3624—Heart stimulators for treating or preventing abnormally high heart rate occurring in the atrium, i.e. atrial tachycardia
    • 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
    • A61N1/36592—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by the heart rate variability
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/024—Measuring pulse rate or heart rate
    • A61B5/0245—Measuring pulse rate or heart rate by using sensing means generating electric signals, i.e. ECG signals
    • 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
    • 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
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/36053—Implantable neurostimulators for stimulating central or peripheral nerve system adapted for vagal 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
    • A61N1/362—Heart stimulators
    • A61N1/3628—Heart stimulators using sub-threshold or non-excitatory signals
    • 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
    • A61N1/36842—Multi-site stimulation in the same chamber
    • 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

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  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Physiology (AREA)
  • Biophysics (AREA)
  • Electrotherapy Devices (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
JP2022523514A 2019-10-23 2020-10-22 心房性不整脈患者のための心臓収縮性調節 Pending JP2022553322A (ja)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP2025113035A JP2025157299A (ja) 2019-10-23 2025-07-03 心房性不整脈患者のための心臓収縮性調節

Applications Claiming Priority (9)

Application Number Priority Date Filing Date Title
US201962924776P 2019-10-23 2019-10-23
US201962924782P 2019-10-23 2019-10-23
US62/924,782 2019-10-23
US62/924,776 2019-10-23
US202063001343P 2020-03-29 2020-03-29
US63/001,343 2020-03-29
US202063042061P 2020-06-22 2020-06-22
US63/042,061 2020-06-22
PCT/IB2020/059949 WO2021079319A1 (en) 2019-10-23 2020-10-22 Cardiac contractility modulation for atrial arrhythmia patients

Related Child Applications (1)

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JP2025113035A Division JP2025157299A (ja) 2019-10-23 2025-07-03 心房性不整脈患者のための心臓収縮性調節

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JP2022553322A true JP2022553322A (ja) 2022-12-22
JP2022553322A5 JP2022553322A5 (enExample) 2023-10-23

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JP2022523513A Active JP7707160B2 (ja) 2019-10-23 2020-10-22 心臓電気刺激を計画し、送達する方法
JP2025112367A Pending JP2025143394A (ja) 2019-10-23 2025-07-02 心臓電気刺激を計画し、送達する方法
JP2025113035A Pending JP2025157299A (ja) 2019-10-23 2025-07-03 心房性不整脈患者のための心臓収縮性調節

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JP2022523513A Active JP7707160B2 (ja) 2019-10-23 2020-10-22 心臓電気刺激を計画し、送達する方法
JP2025112367A Pending JP2025143394A (ja) 2019-10-23 2025-07-02 心臓電気刺激を計画し、送達する方法
JP2025113035A Pending JP2025157299A (ja) 2019-10-23 2025-07-03 心房性不整脈患者のための心臓収縮性調節

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US (2) US12521559B2 (enExample)
EP (2) EP4048382A2 (enExample)
JP (4) JP2022553322A (enExample)
CN (2) CN114901350A (enExample)
WO (2) WO2021079319A1 (enExample)

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP4048382A2 (en) 2019-10-23 2022-08-31 Impulse Dynamics NV Methods for planning and delivering cardiac electrical stimulation
EP4126201B1 (en) * 2020-03-29 2024-01-31 Impulse Dynamics NV Cardiac contractility modulation in association with respiration
CA3201926A1 (en) * 2020-12-13 2022-06-16 David Prutchi Combined implantable pulse generator device
US20240001127A1 (en) * 2021-03-29 2024-01-04 Impulse Dynamics Nv Lead positioning for an implantable pulse generator
US12551707B2 (en) 2021-07-02 2026-02-17 Impulse Dynamics Nv Means and methods for using non-excitatory electrical heart failure therapy as a therapy for heart failure with preserved ejection fraction

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EP4126201B1 (en) 2020-03-29 2024-01-31 Impulse Dynamics NV Cardiac contractility modulation in association with respiration
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CN114901350A (zh) 2022-08-12
JP2022553321A (ja) 2022-12-22
EP4048380C0 (en) 2026-01-28
US20220387795A1 (en) 2022-12-08
EP4048380B1 (en) 2026-01-28
US20220379120A1 (en) 2022-12-01
EP4048382A2 (en) 2022-08-31
JP7707160B2 (ja) 2025-07-14
WO2021079318A3 (en) 2021-09-23
WO2021079319A1 (en) 2021-04-29
EP4048380A1 (en) 2022-08-31
JP2025143394A (ja) 2025-10-01
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