JP2023538263A - 体外循環補助のための制御 - Google Patents

体外循環補助のための制御 Download PDF

Info

Publication number
JP2023538263A
JP2023538263A JP2023507687A JP2023507687A JP2023538263A JP 2023538263 A JP2023538263 A JP 2023538263A JP 2023507687 A JP2023507687 A JP 2023507687A JP 2023507687 A JP2023507687 A JP 2023507687A JP 2023538263 A JP2023538263 A JP 2023538263A
Authority
JP
Japan
Prior art keywords
ecg
data points
signal
amplitude change
time
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
JP2023507687A
Other languages
English (en)
Japanese (ja)
Other versions
JP2023538263A5 (enExample
Inventor
ハインケ、マティアス
ヘールト、ヨハンネス
エシンガー、ステフェン
シムンディック、イーボ
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.)
Offenburg University of Applied Sciences
Original Assignee
Offenburg University of Applied Sciences
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 Offenburg University of Applied Sciences filed Critical Offenburg University of Applied Sciences
Publication of JP2023538263A publication Critical patent/JP2023538263A/ja
Publication of JP2023538263A5 publication Critical patent/JP2023538263A5/ja
Pending legal-status Critical Current

Links

Images

Classifications

    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/63—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
    • 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
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
    • A61M1/3621—Extra-corporeal blood circuits
    • A61M1/3666—Cardiac or cardiopulmonary bypass, e.g. heart-lung machines
    • 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
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/369—Electroencephalography [EEG]
    • 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
    • A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/10—Location thereof with respect to the patient's body
    • A61M60/104—Extracorporeal pumps, i.e. the blood being pumped outside the patient's body
    • A61M60/109—Extracorporeal pumps, i.e. the blood being pumped outside the patient's body incorporated within extracorporeal blood circuits or systems
    • 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
    • A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/10—Location thereof with respect to the patient's body
    • A61M60/104—Extracorporeal pumps, i.e. the blood being pumped outside the patient's body
    • A61M60/117—Extracorporeal pumps, i.e. the blood being pumped outside the patient's body for assisting the heart, e.g. transcutaneous or external ventricular assist devices
    • 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
    • A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/20—Type thereof
    • A61M60/205—Non-positive displacement blood pumps
    • A61M60/216—Non-positive displacement blood pumps including a rotating member acting on the blood, e.g. impeller
    • 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
    • A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/50—Details relating to control
    • A61M60/508—Electronic control means, e.g. for feedback regulation
    • A61M60/515—Regulation using real-time patient data
    • 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
    • A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/50—Details relating to control
    • A61M60/508—Electronic control means, e.g. for feedback regulation
    • A61M60/562—Electronic control means, e.g. for feedback regulation for making blood flow pulsatile in blood pumps that do not intrinsically create pulsatile flow
    • A61M60/569—Electronic control means, e.g. for feedback regulation for making blood flow pulsatile in blood pumps that do not intrinsically create pulsatile flow synchronous with the native heart beat
    • 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
    • A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/50—Details relating to control
    • A61M60/585—User interfaces

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biomedical Technology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Cardiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Mechanical Engineering (AREA)
  • Medical Informatics (AREA)
  • Vascular Medicine (AREA)
  • Psychology (AREA)
  • Biophysics (AREA)
  • Business, Economics & Management (AREA)
  • General Business, Economics & Management (AREA)
  • Epidemiology (AREA)
  • Primary Health Care (AREA)
  • Surgery (AREA)
  • Psychiatry (AREA)
  • Physics & Mathematics (AREA)
  • Molecular Biology (AREA)
  • Pathology (AREA)
  • Human Computer Interaction (AREA)
  • Pulmonology (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
  • External Artificial Organs (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
JP2023507687A 2020-08-03 2021-08-03 体外循環補助のための制御 Pending JP2023538263A (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
DE102020004698.3 2020-08-03
DE102020004698.3A DE102020004698A1 (de) 2020-08-03 2020-08-03 Steuerung für eine extrakorporale Kreislaufunterstützung
PCT/EP2021/071695 WO2022029139A1 (de) 2020-08-03 2021-08-03 Steuerung für eine extrakorporale kreislaufunterstützung

Publications (2)

Publication Number Publication Date
JP2023538263A true JP2023538263A (ja) 2023-09-07
JP2023538263A5 JP2023538263A5 (enExample) 2024-08-14

Family

ID=77447862

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2023507687A Pending JP2023538263A (ja) 2020-08-03 2021-08-03 体外循環補助のための制御

Country Status (6)

Country Link
US (1) US20230420123A1 (enExample)
EP (1) EP4188225A1 (enExample)
JP (1) JP2023538263A (enExample)
CN (1) CN116096455A (enExample)
DE (1) DE102020004698A1 (enExample)
WO (1) WO2022029139A1 (enExample)

Families Citing this family (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE102021005828A1 (de) * 2021-11-24 2023-05-25 Hochschule für Technik, Wirtschaft und Medien Offenburg Vorrichtung und Verfahren zum Überwachen und Optimieren einer zeitlichen Triggerstabilität
DE102022003277A1 (de) * 2022-09-06 2024-03-07 Hochschule für Technik, Wirtschaft und Medien, Körperschaft des Öffentlichen Rechts Steuerung für eine extrakorporale Kreislaufunterstützung bei Herzstimulation
DE102022004903A1 (de) * 2022-12-15 2024-06-20 Xenios Ag Extrakorporale Kreislaufunterstützung mit Herzaktivität-optimierter Verzögerungszeit
DE102023001812A1 (de) * 2023-05-05 2024-11-07 Hochschule für Technik, Wirtschaft und Medien, Körperschaft des Öffentlichen Rechts Verfahren und Vorrichtung zum Überwachen und Optimieren einer zeitlichen Triggerstabilität
DE102023001891A1 (de) * 2023-05-10 2024-11-14 Hochschule für Technik, Wirtschaft und Medien, Körperschaft des Öffentlichen Rechts Verfahren und Vorrichtung zum Überwachen und Optimieren einer zeitlichen Triggerstabilität mittels P- und/ oder T-Welle
CN116304779B (zh) * 2023-05-25 2023-09-01 济宁市健达医疗器械科技有限公司 一种体外循环温度智能测定系统

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH0440963A (ja) * 1990-06-07 1992-02-12 Terumo Corp 血液補助循環装置
JPH05300889A (ja) * 1992-04-27 1993-11-16 T Berrine Howard アーチファクト除去システム、アーチファクト除去方法およびこれらを用いた心電図用信号処理装置
JP2011200268A (ja) * 2010-03-24 2011-10-13 Seiko Epson Corp 生体情報取得装置
JP2013508094A (ja) * 2009-10-22 2013-03-07 ニューパルス， インク． 大動脈内バルーンポンプ及び駆動装置
JP2017018475A (ja) * 2015-07-14 2017-01-26 国立大学法人 筑波大学 心電図解析装置

Family Cites Families (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3430624A (en) * 1966-09-07 1969-03-04 United Aircraft Corp Delay time computer for heart pump system
US3590811A (en) * 1968-12-06 1971-07-06 American Optical Corp Electrocardiographic r-wave detector
CA1325937C (en) * 1987-05-29 1994-01-11 Ingemar H. Lundquist Retroperfusion and retroinfusion control apparatus, system and method
US7215993B2 (en) * 2002-08-06 2007-05-08 Cardiac Pacemakers, Inc. Cardiac rhythm management systems and methods for detecting or validating cardiac beats in the presence of noise
DK2298370T3 (da) 2002-02-21 2014-01-27 Design Mentor Inc Fluidpumpe
US20080249456A1 (en) * 2007-03-27 2008-10-09 Syuuji Inamori Pulsation-type auxiliary circulation system, pulsatile flow generation control device, and pulsatile flow generation control method
DE102010024965A1 (de) 2010-06-24 2011-12-29 Siemens Aktiengesellschaft Verfahren zur Bestimmung eines charakteristischen Verlaufs einer R-Zacke in einem EKG-Signal, Computerprogrammprodukt und elektronisch lesbarer Datenträger zur Durchführung des Verfahrens
KR101426591B1 (ko) * 2012-03-13 2014-08-06 연세대학교 산학협력단 생체 신호의 노이즈 제거 장치 및 방법
US9320447B2 (en) 2014-02-07 2016-04-26 Biosense Webster (Israel) Ltd. Dynamic cancellation of MRI sequencing noise appearing in an ECG signal
US10433749B2 (en) * 2016-08-10 2019-10-08 Biosense Webster (Israel) Ltd. Identifying ECG signals having the same morphology
EP3691524B1 (en) 2017-10-06 2025-09-24 Mayo Foundation for Medical Education and Research Ecg-based cardiac ejection-fraction screening
US11138770B2 (en) * 2017-11-06 2021-10-05 Shanghai United Imaging Healthcare Co., Ltd. Systems and methods for medical imaging
EP3749382B1 (en) * 2018-02-06 2024-04-17 AdjuCor GmbH Determining control parameters for cardiac augmentation devices
CN110037690A (zh) * 2019-04-22 2019-07-23 上海数创医疗科技有限公司 基于改进卷积神经网络的r波定位方法和装置
CN113499082B (zh) * 2020-03-23 2023-12-19 疆域康健创新医疗科技成都有限公司 Qrs波群检测方法、心电检测装置及可读存储介质

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH0440963A (ja) * 1990-06-07 1992-02-12 Terumo Corp 血液補助循環装置
JPH05300889A (ja) * 1992-04-27 1993-11-16 T Berrine Howard アーチファクト除去システム、アーチファクト除去方法およびこれらを用いた心電図用信号処理装置
JP2013508094A (ja) * 2009-10-22 2013-03-07 ニューパルス， インク． 大動脈内バルーンポンプ及び駆動装置
JP2011200268A (ja) * 2010-03-24 2011-10-13 Seiko Epson Corp 生体情報取得装置
JP2017018475A (ja) * 2015-07-14 2017-01-26 国立大学法人 筑波大学 心電図解析装置

Also Published As

Publication number Publication date
EP4188225A1 (de) 2023-06-07
US20230420123A1 (en) 2023-12-28
DE102020004698A1 (de) 2022-02-03
WO2022029139A1 (de) 2022-02-10
WO2022029139A8 (de) 2023-02-23
CN116096455A (zh) 2023-05-09

Similar Documents

Publication Publication Date Title
US8155739B2 (en) Cardiac resynchronization therapy optimization using mechanical dyssynchrony and shortening parameters from realtime electrode motion tracking
US6865419B2 (en) Method and apparatus for measurement of mean pulmonary artery pressure from a ventricle in an ambulatory monitor
US8175693B2 (en) Cardiac resynchronization therapy optimization using electromechanical delay from realtime electrode motion tracking
US7704209B2 (en) Method and apparatus for continuous pulse contour cardiac output
US20230420123A1 (en) Control for an extracorporeal circulatory support
CN103619241B (zh) 用于从肺动脉压力测量心动周期长度和压力度量的系统
US20110184301A1 (en) Heart failure detector
WO2018026481A1 (en) Change in physiological parameter in response to exertion event
US20140142444A1 (en) Systems and methods for using pulmonary artery pressure from an implantable sensor to detect mitral regurgitation and optimize pacing delays
US6813514B1 (en) System and method for emulating a surface EKG using an implantable cardiac stimulation device
US20240285931A1 (en) Control for extracorporeal circulatory support
US20200170526A1 (en) Detection and monitoring using high frequency electrogram analysis
US6980850B1 (en) System and method for emulating a surface EKG using an implantable cardiac stimulation device
EP1848328A1 (en) Derivation of flow contour from pressure waveform
US9254094B2 (en) Detection and monitoring using high frequency electrogram analysis
US20240180484A1 (en) Implantable medical devices and methods and systems for use therewith for monitoring arterial blood pressure
US8265739B1 (en) Systems and methods for distinguishing cardiac ischemia from systemic influences on IEGM morphology using an implantable medical device
CN121285337A (zh) 由p和/或t波监测并优化时间触发稳定性的方法及装置
EP2537460B1 (en) Method and system for ischemia detection
EP2954841A1 (en) Detection and monitoring using high frequency electrogram analysis

Legal Events

Date Code Title Description
A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20240805

A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20240805

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20250624

A977 Report on retrieval

Free format text: JAPANESE INTERMEDIATE CODE: A971007

Effective date: 20250627

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20250918

A02 Decision of refusal

Free format text: JAPANESE INTERMEDIATE CODE: A02

Effective date: 20251202