JP4970428B2 - 心臓デバイス - Google Patents
心臓デバイス Download PDFInfo
- Publication number
- JP4970428B2 JP4970428B2 JP2008509164A JP2008509164A JP4970428B2 JP 4970428 B2 JP4970428 B2 JP 4970428B2 JP 2008509164 A JP2008509164 A JP 2008509164A JP 2008509164 A JP2008509164 A JP 2008509164A JP 4970428 B2 JP4970428 B2 JP 4970428B2
- Authority
- JP
- Japan
- Prior art keywords
- capture
- cardiac
- heart
- signal
- electrode
- 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.)
- Expired - Fee Related
Links
- 230000000747 cardiac effect Effects 0.000 claims description 122
- 238000001514 detection method Methods 0.000 claims description 84
- 210000005242 cardiac chamber Anatomy 0.000 claims description 75
- 230000002861 ventricular Effects 0.000 claims description 36
- 230000000638 stimulation Effects 0.000 claims description 13
- 230000035945 sensitivity Effects 0.000 claims description 2
- 210000005241 right ventricle Anatomy 0.000 description 78
- 210000005240 left ventricle Anatomy 0.000 description 63
- 230000004044 response Effects 0.000 description 42
- 238000000034 method Methods 0.000 description 28
- 230000001746 atrial effect Effects 0.000 description 25
- 230000008602 contraction Effects 0.000 description 12
- 238000007726 management method Methods 0.000 description 12
- 230000033764 rhythmic process Effects 0.000 description 12
- 238000012360 testing method Methods 0.000 description 11
- 210000005245 right atrium Anatomy 0.000 description 10
- 210000003462 vein Anatomy 0.000 description 10
- 230000000763 evoking effect Effects 0.000 description 9
- 238000012795 verification Methods 0.000 description 9
- 230000006870 function Effects 0.000 description 8
- 238000013459 approach Methods 0.000 description 7
- 230000035939 shock Effects 0.000 description 7
- 208000033986 Device capturing issue Diseases 0.000 description 6
- 210000002837 heart atrium Anatomy 0.000 description 6
- 210000005246 left atrium Anatomy 0.000 description 6
- 239000013598 vector Substances 0.000 description 6
- 238000004891 communication Methods 0.000 description 5
- 230000003247 decreasing effect Effects 0.000 description 5
- 230000000694 effects Effects 0.000 description 5
- 230000004927 fusion Effects 0.000 description 5
- 206010003119 arrhythmia Diseases 0.000 description 4
- 210000003748 coronary sinus Anatomy 0.000 description 4
- 230000002169 extracardiac Effects 0.000 description 4
- 238000007920 subcutaneous administration Methods 0.000 description 4
- 230000006793 arrhythmia Effects 0.000 description 3
- 239000011159 matrix material Substances 0.000 description 3
- 230000037361 pathway Effects 0.000 description 3
- 230000010287 polarization Effects 0.000 description 3
- 238000010998 test method Methods 0.000 description 3
- 238000011282 treatment Methods 0.000 description 3
- 206010007559 Cardiac failure congestive Diseases 0.000 description 2
- 206010019280 Heart failures Diseases 0.000 description 2
- 239000002131 composite material Substances 0.000 description 2
- 238000012790 confirmation Methods 0.000 description 2
- 230000003111 delayed effect Effects 0.000 description 2
- 238000013461 design Methods 0.000 description 2
- 238000003745 diagnosis Methods 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 238000002513 implantation Methods 0.000 description 2
- 230000028161 membrane depolarization Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 210000004165 myocardium Anatomy 0.000 description 2
- 238000002560 therapeutic procedure Methods 0.000 description 2
- 206010007558 Cardiac failure chronic Diseases 0.000 description 1
- 208000032366 Oversensing Diseases 0.000 description 1
- 238000007792 addition Methods 0.000 description 1
- 238000004458 analytical method Methods 0.000 description 1
- 210000001992 atrioventricular node Anatomy 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 238000009125 cardiac resynchronization therapy Methods 0.000 description 1
- 210000000748 cardiovascular system Anatomy 0.000 description 1
- 210000004027 cell Anatomy 0.000 description 1
- 230000009989 contractile response Effects 0.000 description 1
- 238000013480 data collection Methods 0.000 description 1
- 238000013500 data storage Methods 0.000 description 1
- 230000004069 differentiation Effects 0.000 description 1
- 238000005265 energy consumption Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 230000005284 excitation Effects 0.000 description 1
- 239000000284 extract Substances 0.000 description 1
- 230000010247 heart contraction Effects 0.000 description 1
- 210000005003 heart tissue Anatomy 0.000 description 1
- 230000000004 hemodynamic effect Effects 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 210000001087 myotubule Anatomy 0.000 description 1
- 238000005086 pumping Methods 0.000 description 1
- 230000029058 respiratory gaseous exchange Effects 0.000 description 1
- 230000001020 rhythmical effect Effects 0.000 description 1
- 238000010187 selection method Methods 0.000 description 1
- 210000001321 subclavian vein Anatomy 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 210000002620 vena cava superior Anatomy 0.000 description 1
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
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/362—Heart stimulators
- A61N1/37—Monitoring; Protecting
- A61N1/371—Capture, i.e. successful stimulation
- A61N1/3712—Auto-capture, i.e. automatic adjustment of the stimulation threshold
-
- 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
-
- 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
- A61N1/36843—Bi-ventricular stimulation
Landscapes
- Health & Medical Sciences (AREA)
- Cardiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (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)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US11/116,563 US7392088B2 (en) | 2005-04-28 | 2005-04-28 | Capture detection for multi-chamber pacing |
| US11/116,563 | 2005-04-28 | ||
| PCT/US2006/016196 WO2006116668A1 (en) | 2005-04-28 | 2006-04-27 | Capture detection for multi-chamber pacing |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2008539040A JP2008539040A (ja) | 2008-11-13 |
| JP2008539040A5 JP2008539040A5 (https=) | 2009-06-18 |
| JP4970428B2 true JP4970428B2 (ja) | 2012-07-04 |
Family
ID=36941958
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2008509164A Expired - Fee Related JP4970428B2 (ja) | 2005-04-28 | 2006-04-27 | 心臓デバイス |
Country Status (4)
| Country | Link |
|---|---|
| US (2) | US7392088B2 (https=) |
| EP (1) | EP1896126A1 (https=) |
| JP (1) | JP4970428B2 (https=) |
| WO (1) | WO2006116668A1 (https=) |
Families Citing this family (15)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US7392088B2 (en) * | 2005-04-28 | 2008-06-24 | Cardiac Pacemakers, Inc. | Capture detection for multi-chamber pacing |
| US7529578B2 (en) | 2005-07-12 | 2009-05-05 | Cardiac Pacemakers, Inc. | Multi channel approach to capture verification |
| US7778696B2 (en) * | 2005-11-21 | 2010-08-17 | Cardiac Pacemakers, Inc. | Selection of cardiac capture verification modes |
| JP5061011B2 (ja) * | 2008-03-31 | 2012-10-31 | フクダ電子株式会社 | ペースメーカパルス検出装置 |
| US8467871B2 (en) * | 2008-10-03 | 2013-06-18 | Cardiac Pacemakers, Inc. | Methods and apparatuses for cardiac resynchronization therapy mode selection based on intrinsic conduction |
| US8718769B2 (en) * | 2008-10-27 | 2014-05-06 | Medtronic, Inc. | Monitoring ventricular capture of applied stimulation using sensed ventricular pressures |
| EP2308558B1 (de) * | 2009-10-07 | 2012-10-31 | Biotronik CRM Patent AG | Biventrikulärer Herzstimulator |
| US8718770B2 (en) | 2010-10-21 | 2014-05-06 | Medtronic, Inc. | Capture threshold measurement for selection of pacing vector |
| US8355784B2 (en) | 2011-05-13 | 2013-01-15 | Medtronic, Inc. | Dynamic representation of multipolar leads in a programmer interface |
| US8781584B2 (en) | 2012-11-15 | 2014-07-15 | Medtronic, Inc. | Capture threshold measurement for selection of pacing vector |
| US9579065B2 (en) * | 2013-03-12 | 2017-02-28 | Cameron Health Inc. | Cardiac signal vector selection with monophasic and biphasic shape consideration |
| WO2018081237A1 (en) | 2016-10-27 | 2018-05-03 | Cardiac Pacemakers, Inc. | Use of a separate device in managing the pace pulse energy of a cardiac pacemaker |
| US10474072B2 (en) * | 2018-03-15 | 2019-11-12 | Kabushiki Kaisha Toshiba | Fixing apparatus and image processing apparatus |
| CN109224297B (zh) * | 2018-07-25 | 2022-10-14 | 乐普医学电子仪器股份有限公司 | 一种可提高获取心室起搏阈值成功率的方法 |
| US11015480B2 (en) * | 2018-08-21 | 2021-05-25 | General Electric Company | Feed forward load sensing for hybrid electric systems |
Family Cites Families (79)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US650571A (en) * | 1898-08-05 | 1900-05-29 | Hadwen Swain | Gas or oil engine. |
| US3920005A (en) | 1972-03-16 | 1975-11-18 | Medtronic Inc | Evaluation system for cardiac stimulators |
| US4878497A (en) | 1988-03-25 | 1989-11-07 | Telectronics N.V. | Pacemaker with improved automatic output regulation |
| US5105810A (en) | 1990-07-24 | 1992-04-21 | Telectronics Pacing Systems, Inc. | Implantable automatic and haemodynamically responsive cardioverting/defibrillating pacemaker with means for minimizing bradycardia support pacing voltages |
| US5265603A (en) | 1990-12-12 | 1993-11-30 | Medtronic, Inc. | Electronic capture detection for a pacer |
| US5271411A (en) | 1990-09-21 | 1993-12-21 | Colin Electronics Co., Ltd. | Method and apparatus for ECG signal analysis and cardiac arrhythmia detection |
| US5222493A (en) | 1990-10-01 | 1993-06-29 | Siemens Pacesetter, Inc. | Verification of capture using an indifferent electrode mounted on the pacemaker connector top |
| US5284491A (en) | 1992-02-27 | 1994-02-08 | Medtronic, Inc. | Cardiac pacemaker with hysteresis behavior |
| US5324310A (en) | 1992-07-01 | 1994-06-28 | Medtronic, Inc. | Cardiac pacemaker with auto-capture function |
| US5350410A (en) | 1992-11-23 | 1994-09-27 | Siemens Pacesetter, Inc. | Autocapture system for implantable pulse generator |
| US5443485A (en) | 1993-09-08 | 1995-08-22 | Intermedics, Inc. | Apparatus and method for capture detection in a cardiac stimulator |
| US5431693A (en) | 1993-12-10 | 1995-07-11 | Intermedics, Inc. | Method of verifying capture of the heart by a pacemaker |
| FR2714611B1 (fr) | 1993-12-31 | 1996-03-15 | Ela Medical Sa | Procédé de contrôle d'un dispositif implantable actif. |
| US7027868B2 (en) | 2001-10-30 | 2006-04-11 | Medtronic, Inc. | Capture management improvements |
| US5626620A (en) | 1995-02-21 | 1997-05-06 | Medtronic, Inc. | Dual chamber pacing system and method with continual adjustment of the AV escape interval so as to maintain optimized ventricular pacing for treating cardiomyopathy |
| US5683431A (en) | 1996-03-27 | 1997-11-04 | Medtronic, Inc. | Verification of capture by sensing evoked response across cardioversion electrodes |
| US6295470B1 (en) | 1996-08-19 | 2001-09-25 | The Mower Family Chf Treatment Irrevocable Trust | Antitachycardial pacing |
| US5683434A (en) | 1996-12-06 | 1997-11-04 | Pacesetter, Inc. | Microstrip EMI shunt for an implantable medical device |
| SE9700396D0 (sv) | 1997-02-05 | 1997-02-05 | Pacesetter Ab | Heart stimulating device |
| US6467701B2 (en) * | 1997-09-26 | 2002-10-22 | Mannesmann Vdo Ag | Shield cleaning system |
| US6128535A (en) * | 1997-12-05 | 2000-10-03 | Cardiac Pacemakers, Inc. | Automatic capture verification in multisite cardiac pacing |
| US6434428B1 (en) | 1998-07-29 | 2002-08-13 | Pacesetter, Inc. | System and method for optimizing far-field R-wave sensing by switching electrode polarity during atrial capture verification |
| US6101416A (en) | 1998-07-29 | 2000-08-08 | Pacesetter, Inc. | System and method for atrial autocapture in single-chamber pacemaker modes using far-field detection |
| US6345201B1 (en) * | 1998-07-29 | 2002-02-05 | Pacesetter, Inc. | System and method for ventricular capture using far-field evoked response |
| US6163724A (en) | 1998-09-18 | 2000-12-19 | Medtronic, Inc. | Microprocessor capture detection circuit and method |
| US6148234A (en) * | 1998-09-28 | 2000-11-14 | Medtronic Inc. | Dual site pacing system with automatic pulse output adjustment |
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| US6466820B1 (en) | 1998-12-29 | 2002-10-15 | Medtronic, Inc. | Multi-site cardiac pacing system having trigger pace window |
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| US6270457B1 (en) * | 1999-06-03 | 2001-08-07 | Cardiac Intelligence Corp. | System and method for automated collection and analysis of regularly retrieved patient information for remote patient care |
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| US6477422B1 (en) | 2000-03-22 | 2002-11-05 | Medtronic, Inc. | Method and apparatus for capture detection |
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| US6615082B1 (en) | 2000-05-15 | 2003-09-02 | Pacesetter, Inc. | Method and device for optimally altering stimulation energy to maintain capture of cardiac tissue |
| US6456881B1 (en) | 2000-08-02 | 2002-09-24 | Pacesetter, Inc. | System and method of identifying fusion for dual-chamber automatic capture stimulation device |
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| US6567701B2 (en) | 2000-12-21 | 2003-05-20 | Medtronic, Inc. | Method and system for discriminating captured beats from non-captured beats in a cardiac pacing system |
| DE10128982A1 (de) | 2001-01-17 | 2002-07-18 | Biotronik Mess & Therapieg | Stimulationsvorrichtung mit Stimulationserfolgskontrolle |
| US6658293B2 (en) | 2001-04-27 | 2003-12-02 | Medtronic, Inc. | Method and system for atrial capture detection based on far-field R-wave sensing |
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| SE0203724D0 (sv) * | 2002-12-16 | 2002-12-16 | St Jude Medical | A cardiac stimulating device |
| SE0203728D0 (sv) * | 2002-12-16 | 2002-12-16 | St Jude Medical | An Implantable heart stimulating device, a system including such a device and use of the system |
| SE0203727D0 (sv) * | 2002-12-16 | 2002-12-16 | St Jude Medical | An Implantable heart stimulation device, a system including such a device and use of the system |
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| US8521284B2 (en) | 2003-12-12 | 2013-08-27 | Cardiac Pacemakers, Inc. | Cardiac response classification using multisite sensing and pacing |
| DE602004020123D1 (de) * | 2004-08-31 | 2009-04-30 | St Jude Medical | Vorrichtung und system zur herzstimulierung |
| US7761162B2 (en) | 2004-12-13 | 2010-07-20 | Cardiac Pacemakers, Inc. | Capture verification with intrinsic response discrimination |
| US7330761B2 (en) | 2004-12-15 | 2008-02-12 | Cardiac Pacemakers, Inc. | Baseline adaptation for cardiac pacing response classification |
| US7765004B2 (en) | 2005-04-28 | 2010-07-27 | Cardiac Pacemakers, Inc. | Methods and systems for managing fusion and noise in cardiac pacing response classification |
| US7337000B2 (en) | 2005-04-28 | 2008-02-26 | Cardiac Pacemakers Inc. | Selection of cardiac signal features detected in multiple classification intervals for cardiac pacing response classification |
| US7392088B2 (en) | 2005-04-28 | 2008-06-24 | Cardiac Pacemakers, Inc. | Capture detection for multi-chamber pacing |
| US7529578B2 (en) | 2005-07-12 | 2009-05-05 | Cardiac Pacemakers, Inc. | Multi channel approach to capture verification |
-
2005
- 2005-04-28 US US11/116,563 patent/US7392088B2/en not_active Expired - Lifetime
-
2006
- 2006-04-27 WO PCT/US2006/016196 patent/WO2006116668A1/en not_active Ceased
- 2006-04-27 JP JP2008509164A patent/JP4970428B2/ja not_active Expired - Fee Related
- 2006-04-27 EP EP06751747A patent/EP1896126A1/en not_active Withdrawn
-
2008
- 2008-06-23 US US12/214,852 patent/US8116870B2/en active Active
Also Published As
| Publication number | Publication date |
|---|---|
| US7392088B2 (en) | 2008-06-24 |
| US20090069858A1 (en) | 2009-03-12 |
| EP1896126A1 (en) | 2008-03-12 |
| JP2008539040A (ja) | 2008-11-13 |
| WO2006116668A1 (en) | 2006-11-02 |
| US8116870B2 (en) | 2012-02-14 |
| US20060247694A1 (en) | 2006-11-02 |
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