JP4959678B2 - ベクトルを自動的に選択する胸部または心臓内インピーダンス - Google Patents
ベクトルを自動的に選択する胸部または心臓内インピーダンス Download PDFInfo
- Publication number
- JP4959678B2 JP4959678B2 JP2008507663A JP2008507663A JP4959678B2 JP 4959678 B2 JP4959678 B2 JP 4959678B2 JP 2008507663 A JP2008507663 A JP 2008507663A JP 2008507663 A JP2008507663 A JP 2008507663A JP 4959678 B2 JP4959678 B2 JP 4959678B2
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Images
Classifications
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- 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
- A61B5/0205—Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves
- A61B5/053—Measuring electrical impedance or conductance of a portion of the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves
- A61B5/053—Measuring electrical impedance or conductance of a portion of the body
- A61B5/0538—Measuring electrical impedance or conductance of a portion of the body invasively, e.g. using a catheter
-
- 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
- A61N1/36128—Control systems
- A61N1/36146—Control systems specified by the stimulation parameters
- A61N1/36182—Direction of the electrical field, e.g. with sleeve around stimulating electrode
- A61N1/36185—Selection of the electrode configuration
-
- 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
- A61N1/36514—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure
- A61N1/36521—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure the parameter being derived from measurement of an electrical impedance
-
- 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
- A61N1/3686—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions configured for selecting the electrode configuration on a lead
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Cardiology (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Public Health (AREA)
- Radiology & Medical Imaging (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Biophysics (AREA)
- Physiology (AREA)
- Molecular Biology (AREA)
- Surgery (AREA)
- Medical Informatics (AREA)
- Physics & Mathematics (AREA)
- Pathology (AREA)
- Neurology (AREA)
- Neurosurgery (AREA)
- Hematology (AREA)
- Pulmonology (AREA)
- Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
- Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
- Electrotherapy Devices (AREA)
- Ultra Sonic Daignosis Equipment (AREA)
- Invalid Beds And Related Equipment (AREA)
- Management, Administration, Business Operations System, And Electronic Commerce (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US11/110,418 | 2005-04-20 | ||
| US11/110,418 US7630763B2 (en) | 2005-04-20 | 2005-04-20 | Thoracic or intracardiac impedance detection with automatic vector selection |
| PCT/US2006/009646 WO2006115607A1 (en) | 2005-04-20 | 2006-03-16 | Thoracic or intracardiac impedance selecting vector automatically |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2008536618A JP2008536618A (ja) | 2008-09-11 |
| JP2008536618A5 JP2008536618A5 (enExample) | 2009-05-07 |
| JP4959678B2 true JP4959678B2 (ja) | 2012-06-27 |
Family
ID=36616909
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2008507663A Expired - Fee Related JP4959678B2 (ja) | 2005-04-20 | 2006-03-16 | ベクトルを自動的に選択する胸部または心臓内インピーダンス |
Country Status (6)
| Country | Link |
|---|---|
| US (4) | US7630763B2 (enExample) |
| EP (2) | EP2133117B1 (enExample) |
| JP (1) | JP4959678B2 (enExample) |
| AT (2) | ATE443537T1 (enExample) |
| DE (2) | DE602006020643D1 (enExample) |
| WO (1) | WO2006115607A1 (enExample) |
Families Citing this family (48)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US7226422B2 (en) | 2002-10-09 | 2007-06-05 | Cardiac Pacemakers, Inc. | Detection of congestion from monitoring patient response to a recumbent position |
| US7387610B2 (en) | 2004-08-19 | 2008-06-17 | Cardiac Pacemakers, Inc. | Thoracic impedance detection with blood resistivity compensation |
| US7630763B2 (en) * | 2005-04-20 | 2009-12-08 | Cardiac Pacemakers, Inc. | Thoracic or intracardiac impedance detection with automatic vector selection |
| US7603170B2 (en) | 2005-04-26 | 2009-10-13 | Cardiac Pacemakers, Inc. | Calibration of impedance monitoring of respiratory volumes using thoracic D.C. impedance |
| JP5571307B2 (ja) * | 2005-05-06 | 2014-08-13 | コーニンクレッカ フィリップス エヌ ヴェ | 患者監視システム、コグニティブ装置及び生理情報を遠隔地へ搬送するための方法 |
| US7907997B2 (en) * | 2005-05-11 | 2011-03-15 | Cardiac Pacemakers, Inc. | Enhancements to the detection of pulmonary edema when using transthoracic impedance |
| US9089275B2 (en) | 2005-05-11 | 2015-07-28 | Cardiac Pacemakers, Inc. | Sensitivity and specificity of pulmonary edema detection when using transthoracic impedance |
| US7340296B2 (en) | 2005-05-18 | 2008-03-04 | Cardiac Pacemakers, Inc. | Detection of pleural effusion using transthoracic impedance |
| US20060271121A1 (en) * | 2005-05-25 | 2006-11-30 | Cardiac Pacemakers, Inc. | Closed loop impedance-based cardiac resynchronization therapy systems, devices, and methods |
| US7628757B1 (en) * | 2005-05-25 | 2009-12-08 | Pacesetter, Inc. | System and method for impedance-based detection of pulmonary edema and reduced respiration using an implantable medical system |
| US8790254B2 (en) * | 2005-06-29 | 2014-07-29 | St. Jude Medical Ab | Medical device for determining the posture of patient |
| AU2006265763B2 (en) * | 2005-07-01 | 2012-08-09 | Impedimed Limited | Monitoring system |
| US9839781B2 (en) | 2005-08-22 | 2017-12-12 | Cardiac Pacemakers, Inc. | Intracardiac impedance and its applications |
| US8494618B2 (en) | 2005-08-22 | 2013-07-23 | Cardiac Pacemakers, Inc. | Intracardiac impedance and its applications |
| US8204585B2 (en) * | 2005-12-20 | 2012-06-19 | Cardiac Pacemakers, Inc. | Bio-impedance sensor and sensing method |
| US8712519B1 (en) | 2006-03-31 | 2014-04-29 | Pacesetter, Inc. | Closed-loop adaptive adjustment of pacing therapy based on cardiogenic impedance signals detected by an implantable medical device |
| US8600497B1 (en) | 2006-03-31 | 2013-12-03 | Pacesetter, Inc. | Systems and methods to monitor and treat heart failure conditions |
| US7794404B1 (en) | 2006-03-31 | 2010-09-14 | Pacesetter, Inc | System and method for estimating cardiac pressure using parameters derived from impedance signals detected by an implantable medical device |
| US8200341B2 (en) | 2007-02-07 | 2012-06-12 | Cameron Health, Inc. | Sensing vector selection in a cardiac stimulus device with postural assessment |
| US8788023B2 (en) * | 2006-05-26 | 2014-07-22 | Cameron Health, Inc. | Systems and methods for sensing vector selection in an implantable medical device |
| US8208999B2 (en) | 2007-04-04 | 2012-06-26 | Pacesetter, Inc. | System and method for estimating electrical conduction delays from immittance values measured using an implantable medical device |
| US8504152B2 (en) | 2007-04-04 | 2013-08-06 | Pacesetter, Inc. | System and method for estimating cardiac pressure based on cardiac electrical conduction delays using an implantable medical device |
| US7970462B2 (en) * | 2007-05-29 | 2011-06-28 | Biotronik Crm Patent Ag | Implantable medical devices evaluating thorax impedance |
| US20100331909A1 (en) * | 2008-03-31 | 2010-12-30 | Jaerverus Karin | Anti-arrhythmia implantable medical device |
| US8032212B2 (en) * | 2008-09-15 | 2011-10-04 | Pacesetter, Inc. | System and method for monitoring thoracic fluid levels based on impedance using an implantable medical device |
| US8886313B2 (en) | 2009-07-02 | 2014-11-11 | Cardiac Pacemakers Inc. | Systems and methods for ranking and selection of pacing vectors |
| US8900140B2 (en) * | 2009-10-27 | 2014-12-02 | Cardiac Pacemakers, Inc. | Multiple vector fluid localization |
| WO2011063858A1 (en) * | 2009-11-30 | 2011-06-03 | St. Jude Medical Ab | Method and device for detecting noise |
| US20120150060A1 (en) * | 2010-12-10 | 2012-06-14 | Pacesetter, Inc. | Method and system to estimate impedance of a pseudo sensing vector |
| US8750981B2 (en) * | 2011-08-25 | 2014-06-10 | Pacesetter, Inc. | Systems and methods for assessing heart failure and controlling cardiac resynchronization therapy using hybrid impedance measurement configurations |
| CN104144641B (zh) | 2011-12-23 | 2017-04-05 | 心脏起搏器股份公司 | 生理状态指示仪器和方法 |
| US9560980B2 (en) * | 2012-01-31 | 2017-02-07 | Medtronic, Inc. | Automatic selection of electrode vectors for assessing risk of heart failure decompensation events |
| US9579065B2 (en) | 2013-03-12 | 2017-02-28 | Cameron Health Inc. | Cardiac signal vector selection with monophasic and biphasic shape consideration |
| US9636029B1 (en) | 2013-03-14 | 2017-05-02 | Vital Connect, Inc. | Adaptive selection of digital ECG filter |
| US9750942B2 (en) | 2013-12-18 | 2017-09-05 | Cardiac Pacemakers, Inc. | Systems and methods for determining parameters for each of a plurality of vectors |
| JP2017501800A (ja) | 2013-12-18 | 2017-01-19 | 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 | 患者に対して電気刺激を送達するためのベクトルの選択を行う方法 |
| EP3082951B1 (en) | 2013-12-18 | 2020-12-09 | Cardiac Pacemakers, Inc. | Systems for facilitating selecting of one or more vectors in a medical device |
| US9782092B2 (en) | 2014-11-14 | 2017-10-10 | Siemens Medical Solutions Usa, Inc. | Patient signal analysis based on vector analysis |
| US9549681B2 (en) | 2014-11-18 | 2017-01-24 | Siemens Medical Solutions Usa, Inc. | Matrix-based patient signal analysis |
| WO2018017361A1 (en) | 2016-07-20 | 2018-01-25 | Cardiac Pacemakers, Inc. | Method and system for determining pace timing in a leadless cardiac pacemaker system |
| US10918858B2 (en) | 2016-07-20 | 2021-02-16 | Cardiac Pacemakers, Inc. | Cardiac volume sensing via an implantable medical device in support of cardiac resynchronization therapy |
| US10874860B2 (en) | 2016-07-20 | 2020-12-29 | Cardiac Pacemakers, Inc. | Method and system for determining a cardiac cycle pace time in accordance with metabolic demand in a leadless cardiac pacemaker system |
| US10765871B2 (en) | 2016-10-27 | 2020-09-08 | Cardiac Pacemakers, Inc. | Implantable medical device with pressure sensor |
| US10195429B1 (en) | 2017-08-02 | 2019-02-05 | Lungpacer Medical Inc. | Systems and methods for intravascular catheter positioning and/or nerve stimulation |
| US11065459B2 (en) | 2017-08-18 | 2021-07-20 | Cardiac Pacemakers, Inc. | Implantable medical device with pressure sensor |
| JP7436455B2 (ja) * | 2019-03-28 | 2024-02-21 | テルモ株式会社 | 測定デバイス、測定システム及び決定方法 |
| US11771900B2 (en) | 2019-06-12 | 2023-10-03 | Lungpacer Medical Inc. | Circuitry for medical stimulation systems |
| CN114748052B (zh) * | 2022-04-12 | 2025-08-12 | 广州国家实验室 | 呼吸电阻抗成像激励参数选择方法、装置、设备与介质 |
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Also Published As
| Publication number | Publication date |
|---|---|
| EP2133117B1 (en) | 2011-03-09 |
| EP1885444B1 (en) | 2009-09-23 |
| US20110301471A1 (en) | 2011-12-08 |
| ATE443537T1 (de) | 2009-10-15 |
| US20100056884A1 (en) | 2010-03-04 |
| JP2008536618A (ja) | 2008-09-11 |
| US8014860B2 (en) | 2011-09-06 |
| DE602006009392D1 (de) | 2009-11-05 |
| DE602006020643D1 (de) | 2011-04-21 |
| ATE500864T1 (de) | 2011-03-15 |
| EP2133117A1 (en) | 2009-12-16 |
| EP1885444A1 (en) | 2008-02-13 |
| US8473050B2 (en) | 2013-06-25 |
| US20130281867A1 (en) | 2013-10-24 |
| US7630763B2 (en) | 2009-12-08 |
| US8761876B2 (en) | 2014-06-24 |
| US20060241512A1 (en) | 2006-10-26 |
| WO2006115607A1 (en) | 2006-11-02 |
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