JP4852707B2 - 不整脈事象を識別する医療デバイス及び方法 - Google Patents

不整脈事象を識別する医療デバイス及び方法 Download PDF

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Publication number
JP4852707B2
JP4852707B2 JP2007511587A JP2007511587A JP4852707B2 JP 4852707 B2 JP4852707 B2 JP 4852707B2 JP 2007511587 A JP2007511587 A JP 2007511587A JP 2007511587 A JP2007511587 A JP 2007511587A JP 4852707 B2 JP4852707 B2 JP 4852707B2
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atp
block
mode
therapy
rhythm
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Japanese (ja)
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JP2007536002A5 (enExample
JP2007536002A (ja
Inventor
ブラウン，マーク・エル
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Medtronic Inc
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Medtronic Inc
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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
    • A61N1/3621—Heart stimulators for treating or preventing abnormally high heart rate
    • 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
    • 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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  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Electrotherapy Devices (AREA)
JP2007511587A 2004-05-05 2005-05-05 不整脈事象を識別する医療デバイス及び方法 Expired - Fee Related JP4852707B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US10/839,634 US7317942B2 (en) 2004-05-05 2004-05-05 Dynamic discrimination utilizing anti-tachy pacing therapy in an implantable medical device
US10/839,634 2004-05-05
PCT/US2005/015616 WO2005107865A1 (en) 2004-05-05 2005-05-05 Discrimination of ventricular tachyarrhythmias in an implantable medical device

Publications (3)

Publication Number Publication Date
JP2007536002A JP2007536002A (ja) 2007-12-13
JP2007536002A5 JP2007536002A5 (enExample) 2008-06-26
JP4852707B2 true JP4852707B2 (ja) 2012-01-11

Family

ID=34967590

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2007511587A Expired - Fee Related JP4852707B2 (ja) 2004-05-05 2005-05-05 不整脈事象を識別する医療デバイス及び方法

Country Status (5)

Country Link
US (1) US7317942B2 (enExample)
EP (1) EP1750802A1 (enExample)
JP (1) JP4852707B2 (enExample)
CA (1) CA2565392A1 (enExample)
WO (1) WO2005107865A1 (enExample)

Families Citing this family (34)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7149577B2 (en) * 2002-12-02 2006-12-12 Medtronic, Inc. Apparatus and method using ATP return cycle length for arrhythmia discrimination
DE102005003632A1 (de) 2005-01-20 2006-08-17 Fraunhofer-Gesellschaft zur Förderung der angewandten Forschung e.V. Katheter für die transvaskuläre Implantation von Herzklappenprothesen
US20070213813A1 (en) 2005-12-22 2007-09-13 Symetis Sa Stent-valves for valve replacement and associated methods and systems for surgery
US7896915B2 (en) 2007-04-13 2011-03-01 Jenavalve Technology, Inc. Medical device for treating a heart valve insufficiency
BR112012021347A2 (pt) 2008-02-26 2019-09-24 Jenavalve Tecnology Inc stent para posicionamento e ancoragem de uma prótese valvular em um local de implantação no coração de um paciente
US9044318B2 (en) 2008-02-26 2015-06-02 Jenavalve Technology Gmbh Stent for the positioning and anchoring of a valvular prosthesis
DE102008020022A1 (de) * 2008-04-22 2009-10-29 Biotronik Crm Patent Ag Antitachykarder Herzstimulator
WO2009149075A1 (en) * 2008-06-02 2009-12-10 Medtronic, Inc. Discrimination of ventricular tachycardia from supraventricular tachycardia
US7945324B2 (en) * 2008-06-30 2011-05-17 Data Sciences International, Inc. Pressure sensing lead systems for implantable stimulators
US8064999B2 (en) * 2009-01-30 2011-11-22 Medtronic, Inc. Distance-based analysis of return cycles for tachycardia discrimination
US8831723B2 (en) * 2009-09-30 2014-09-09 Medtronic, Inc. Pace discrimination of tachycardia using atrial-ventricular pacing
US8306620B2 (en) * 2009-09-30 2012-11-06 Medtronic, Inc. Pace discrimination of tachycardia using atrial-ventricular pacing
US10856978B2 (en) 2010-05-20 2020-12-08 Jenavalve Technology, Inc. Catheter system
AU2011257298B2 (en) 2010-05-25 2014-07-31 Jenavalve Technology Inc. Prosthetic heart valve and transcatheter delivered endoprosthesis comprising a prosthetic heart valve and a stent
US9095715B2 (en) 2010-12-23 2015-08-04 Medtronic, Inc. Implanted device data to guide ablation therapy
US9061155B2 (en) 2010-12-23 2015-06-23 Medtronic, Inc. Implanted device data to guide ablation therapy
US8774909B2 (en) 2011-09-26 2014-07-08 Medtronic, Inc. Episode classifier algorithm
US8521269B1 (en) 2012-06-27 2013-08-27 Medtronic, Inc. Determining tachyarrhythmia detection parameters based on prior detected episodes
CN105491978A (zh) 2013-08-30 2016-04-13 耶拿阀门科技股份有限公司 用于假体瓣膜的径向可折叠框架及其制造方法
US9278226B2 (en) * 2014-03-05 2016-03-08 Medtronic, Inc. Shock therapy for monomorphic detected ventricular tachycardia
US10376705B2 (en) 2014-04-01 2019-08-13 Medtronic, Inc. Method and apparatus for discriminating tachycardia events in a medical device
US9526908B2 (en) 2014-04-01 2016-12-27 Medtronic, Inc. Method and apparatus for discriminating tachycardia events in a medical device
US9808640B2 (en) 2014-04-10 2017-11-07 Medtronic, Inc. Method and apparatus for discriminating tachycardia events in a medical device using two sensing vectors
US9352165B2 (en) 2014-04-17 2016-05-31 Medtronic, Inc. Method and apparatus for verifying discriminating of tachycardia events in a medical device having dual sensing vectors
US10278601B2 (en) 2014-04-24 2019-05-07 Medtronic, Inc. Method and apparatus for selecting a sensing vector configuration in a medical device
US10252067B2 (en) 2014-04-24 2019-04-09 Medtronic, Inc. Method and apparatus for adjusting a blanking period during transitioning between operating states in a medical device
US9795312B2 (en) 2014-04-24 2017-10-24 Medtronic, Inc. Method and apparatus for adjusting a blanking period for selecting a sensing vector configuration in a medical device
US10244957B2 (en) 2014-04-24 2019-04-02 Medtronic, Inc. Method and apparatus for selecting a sensing vector configuration in a medical device
US9610025B2 (en) 2014-07-01 2017-04-04 Medtronic, Inc. Method and apparatus for verifying discriminating of tachycardia events in a medical device having dual sensing vectors
JP6829692B2 (ja) 2015-03-20 2021-02-10 イェーナヴァルヴ テクノロジー インコーポレイテッド 心臓弁プロテーゼ送出システム及び導入体シースにより心臓弁プロテーゼを送出するための方法
EP4403138A3 (en) 2015-05-01 2024-10-09 JenaValve Technology, Inc. Device and method with reduced pacemaker rate in heart valve replacement
EP4183371A1 (en) 2016-05-13 2023-05-24 JenaValve Technology, Inc. Heart valve prosthesis delivery system and method for delivery of heart valve prosthesis with introducer sheath and loading system
US11197754B2 (en) 2017-01-27 2021-12-14 Jenavalve Technology, Inc. Heart valve mimicry
WO2024102411A1 (en) 2022-11-09 2024-05-16 Jenavalve Technology, Inc. Catheter system for sequential deployment of an expandable implant

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2003011391A2 (en) * 2001-07-30 2003-02-13 Medtronic, Inc. Method and apparatus to control delivery of high-voltage and anti-tachy pacing therapy in an implantable medical device

Family Cites Families (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4407288B1 (en) * 1981-02-18 2000-09-19 Mieczyslaw Mirowski Implantable heart stimulator and stimulation method
US4428378A (en) * 1981-11-19 1984-01-31 Medtronic, Inc. Rate adaptive pacer
US4821723A (en) * 1987-02-27 1989-04-18 Intermedics Inc. Biphasic waveforms for defibrillation
US4865036A (en) * 1988-06-10 1989-09-12 Raul Chirife Antitachyarrythmia pacemaker using pre-ejection period to distinguish physiologic from pathologic tachycardia
US4967747A (en) * 1989-05-19 1990-11-06 Ventritex, Inc. Implantable cardiac defibrillator employing a switched capacitor gain/filter stage having a transient-free gain change
US5176137A (en) * 1991-03-01 1993-01-05 Medtronic, Inc. Apparatus for discrimination of stable and unstable ventricular tachycardia and for treatment thereof
US5209229A (en) * 1991-05-20 1993-05-11 Telectronics Pacing Systems, Inc. Apparatus and method employing plural electrode configurations for cardioversion of atrial fibrillation in an arrhythmia control system
US5330505A (en) * 1992-05-08 1994-07-19 Leonard Bloom System for and method of treating a malfunctioning heart
US5251624A (en) * 1992-06-22 1993-10-12 Incontrol, Inc. Pulse generator for use in an implantable atrial defibrillator
US5545186A (en) * 1995-03-30 1996-08-13 Medtronic, Inc. Prioritized rule based method and apparatus for diagnosis and treatment of arrhythmias
US5662688A (en) * 1995-08-14 1997-09-02 Cardiac Pacemakers, Inc. Slow gain control
US6892094B2 (en) 2002-04-30 2005-05-10 Medtronic, Inc. Combined anti-tachycardia pacing (ATP) and high voltage therapy for treating ventricular arrhythmias
US7149577B2 (en) * 2002-12-02 2006-12-12 Medtronic, Inc. Apparatus and method using ATP return cycle length for arrhythmia discrimination

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2003011391A2 (en) * 2001-07-30 2003-02-13 Medtronic, Inc. Method and apparatus to control delivery of high-voltage and anti-tachy pacing therapy in an implantable medical device

Also Published As

Publication number Publication date
US7317942B2 (en) 2008-01-08
WO2005107865A1 (en) 2005-11-17
US20050251217A1 (en) 2005-11-10
CA2565392A1 (en) 2005-11-17
EP1750802A1 (en) 2007-02-14
JP2007536002A (ja) 2007-12-13

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