JP5015256B2 - 応答性神経刺激治療のための埋込み型デバイス - Google Patents

応答性神経刺激治療のための埋込み型デバイス Download PDF

Info

Publication number
JP5015256B2
JP5015256B2 JP2009531497A JP2009531497A JP5015256B2 JP 5015256 B2 JP5015256 B2 JP 5015256B2 JP 2009531497 A JP2009531497 A JP 2009531497A JP 2009531497 A JP2009531497 A JP 2009531497A JP 5015256 B2 JP5015256 B2 JP 5015256B2
Authority
JP
Japan
Prior art keywords
neural stimulation
controller
stimulation
programmed
pulse
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
Application number
JP2009531497A
Other languages
English (en)
Japanese (ja)
Other versions
JP2010505528A (ja
JP2010505528A5 (enExample
Inventor
バドリ アマーサー
イマド リブス
Original Assignee
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
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 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 filed Critical 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
Publication of JP2010505528A publication Critical patent/JP2010505528A/ja
Publication of JP2010505528A5 publication Critical patent/JP2010505528A5/ja
Application granted granted Critical
Publication of JP5015256B2 publication Critical patent/JP5015256B2/ja
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

Links

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
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/3606—Implantable neurostimulators for stimulating central or peripheral nerve system adapted for a particular treatment
    • A61N1/36114—Cardiac control, e.g. by 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
    • A61N1/3627—Heart stimulators for treating a mechanical deficiency of the heart, e.g. congestive heart failure or cardiomyopathy
    • 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

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Public Health (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Neurology (AREA)
  • Neurosurgery (AREA)
  • Hospice & Palliative Care (AREA)
  • Electrotherapy Devices (AREA)
JP2009531497A 2006-10-06 2007-06-01 応答性神経刺激治療のための埋込み型デバイス Expired - Fee Related JP5015256B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US11/539,289 2006-10-06
US11/539,289 US7925342B2 (en) 2006-10-06 2006-10-06 Implantable device for responsive neural stimulation therapy
PCT/US2007/070180 WO2008042476A1 (en) 2006-10-06 2007-06-01 Implantable device for responsive neural stimulation therapy

Publications (3)

Publication Number Publication Date
JP2010505528A JP2010505528A (ja) 2010-02-25
JP2010505528A5 JP2010505528A5 (enExample) 2010-07-15
JP5015256B2 true JP5015256B2 (ja) 2012-08-29

Family

ID=38671004

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2009531497A Expired - Fee Related JP5015256B2 (ja) 2006-10-06 2007-06-01 応答性神経刺激治療のための埋込み型デバイス

Country Status (6)

Country Link
US (1) US7925342B2 (enExample)
EP (1) EP2073895B1 (enExample)
JP (1) JP5015256B2 (enExample)
CN (1) CN101522260B (enExample)
AU (1) AU2007305134B2 (enExample)
WO (1) WO2008042476A1 (enExample)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP3333140B2 (ja) 1989-05-11 2002-10-07 ランデック コーポレイション 温度活性接着剤アセンブリ

Families Citing this family (66)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7801604B2 (en) * 2006-08-29 2010-09-21 Cardiac Pacemakers, Inc. Controlled titration of neurostimulation therapy
US7925342B2 (en) 2006-10-06 2011-04-12 Cardiac Pacemakers, Inc. Implantable device for responsive neural stimulation therapy
US9089700B2 (en) 2008-08-11 2015-07-28 Cibiem, Inc. Systems and methods for treating dyspnea, including via electrical afferent signal blocking
US9079031B2 (en) * 2008-09-11 2015-07-14 Trifectas Medical Corp. Method for improving functional recovery after stroke by electrical stimulation of a cranial nerve
US8457747B2 (en) 2008-10-20 2013-06-04 Cyberonics, Inc. Neurostimulation with signal duration determined by a cardiac cycle
US8548593B2 (en) * 2008-11-10 2013-10-01 Cardiac Pacemakers, Inc. Distal end converter for a medical device lead
WO2010104700A1 (en) * 2009-03-09 2010-09-16 Cardiac Pacemakers, Inc. Systems for autonomic nerve modulation comprising electrodes implantable in a lymphatic vessel
US8463377B2 (en) * 2009-05-26 2013-06-11 Cardiac Pacemakers, Inc. Temperature assisted stimulation
JP5502992B2 (ja) * 2009-05-26 2014-05-28 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 移植可能な医療器具のためのリードアセンブリ
US8285373B2 (en) 2009-07-15 2012-10-09 Cardiac Pacemakers, Inc. Remote sensing in an implantable medical device
US8301241B2 (en) 2009-07-15 2012-10-30 Cardiac Pacemakers, Inc. Remote pace detection in an implantable medical device
JP5548771B2 (ja) 2009-07-15 2014-07-16 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 埋め込み型医療装置における生理的振動検出
JP5577469B2 (ja) 2010-09-15 2014-08-20 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 神経刺激リードのリード構成の自動選択
US9026214B2 (en) * 2011-06-23 2015-05-05 Cardiac Pacemakers, Inc. Systems and methods for avoiding aspiration during autonomic modulation therapy
US8996114B2 (en) 2011-06-28 2015-03-31 Cardiac Pacemakers, Inc. Strain relief feature for an implantable medical device lead
JP2014521400A (ja) 2011-07-07 2014-08-28 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 植え込み型医療装置リード用の絶縁および安定機構
US8918191B2 (en) 2011-12-07 2014-12-23 Cyberonics, Inc. Implantable device for providing electrical stimulation of cervical vagus nerves for treatment of chronic cardiac dysfunction with bounded titration
US8600505B2 (en) 2011-12-07 2013-12-03 Cyberonics, Inc. Implantable device for facilitating control of electrical stimulation of cervical vagus nerves for treatment of chronic cardiac dysfunction
US8918190B2 (en) 2011-12-07 2014-12-23 Cyberonics, Inc. Implantable device for evaluating autonomic cardiovascular drive in a patient suffering from chronic cardiac dysfunction
US10188856B1 (en) 2011-12-07 2019-01-29 Cyberonics, Inc. Implantable device for providing electrical stimulation of cervical vagus nerves for treatment of chronic cardiac dysfunction
US8577458B1 (en) 2011-12-07 2013-11-05 Cyberonics, Inc. Implantable device for providing electrical stimulation of cervical vagus nerves for treatment of chronic cardiac dysfunction with leadless heart rate monitoring
US8630709B2 (en) 2011-12-07 2014-01-14 Cyberonics, Inc. Computer-implemented system and method for selecting therapy profiles of electrical stimulation of cervical vagus nerves for treatment of chronic cardiac dysfunction
US9005100B2 (en) 2011-12-15 2015-04-14 The Board Of Trustees Of The Leland Stanford Jr. University Apparatus and methods for treating pulmonary hypertension
US8571654B2 (en) 2012-01-17 2013-10-29 Cyberonics, Inc. Vagus nerve neurostimulator with multiple patient-selectable modes for treating chronic cardiac dysfunction
US8700150B2 (en) 2012-01-17 2014-04-15 Cyberonics, Inc. Implantable neurostimulator for providing electrical stimulation of cervical vagus nerves for treatment of chronic cardiac dysfunction with bounded titration
JP2013165768A (ja) * 2012-02-14 2013-08-29 Olympus Corp 神経刺激装置およびその制御方法
US8903509B2 (en) 2012-03-21 2014-12-02 Cardiac Pacemakers Inc. Systems and methods for stimulation of vagus nerve
CN104519817B (zh) 2012-04-24 2017-11-10 西比姆公司 用于颈动脉体摘除的血管内导管和方法
US9402677B2 (en) 2012-06-01 2016-08-02 Cibiem, Inc. Methods and devices for cryogenic carotid body ablation
EP2854681A4 (en) 2012-06-01 2016-02-17 Cibiem Inc PERCUTANEOUS METHODS AND DEVICES FOR CAROTIDE BODY ABLATION
WO2014005155A1 (en) 2012-06-30 2014-01-03 Cibiem, Inc. Carotid body ablation via directed energy
US8688212B2 (en) 2012-07-20 2014-04-01 Cyberonics, Inc. Implantable neurostimulator-implemented method for managing bradycardia through vagus nerve stimulation
EP2903686B1 (en) 2012-10-02 2018-10-24 Cardiac Pacemakers, Inc. Pinch to open cuff electrode
EP2903685B1 (en) 2012-10-02 2019-08-07 Cardiac Pacemakers, Inc. Pinch to open cuff electrode
US9452290B2 (en) 2012-11-09 2016-09-27 Cyberonics, Inc. Implantable neurostimulator-implemented method for managing tachyarrhythmia through vagus nerve stimulation
US8923964B2 (en) 2012-11-09 2014-12-30 Cyberonics, Inc. Implantable neurostimulator-implemented method for enhancing heart failure patient awakening through vagus nerve stimulation
US9643008B2 (en) 2012-11-09 2017-05-09 Cyberonics, Inc. Implantable neurostimulator-implemented method for enhancing post-exercise recovery through vagus nerve stimulation
CN102908191A (zh) 2012-11-13 2013-02-06 陈绍良 多极同步肺动脉射频消融导管
US12082868B2 (en) 2012-11-13 2024-09-10 Pulnovo Medical (Wuxi) Co., Ltd. Multi-pole synchronous pulmonary artery radiofrequency ablation catheter
US11241267B2 (en) 2012-11-13 2022-02-08 Pulnovo Medical (Wuxi) Co., Ltd Multi-pole synchronous pulmonary artery radiofrequency ablation catheter
US9827036B2 (en) 2012-11-13 2017-11-28 Pulnovo Medical (Wuxi) Co., Ltd. Multi-pole synchronous pulmonary artery radiofrequency ablation catheter
US10258789B2 (en) 2012-12-07 2019-04-16 Medtronic, Inc. Minimally invasive implantable neurostimulation system
EP2938396B1 (en) 2012-12-28 2017-02-22 Cardiac Pacemakers, Inc. Stimulation cuff and implantation tool
WO2014126857A1 (en) 2013-02-13 2014-08-21 Cardiac Pacemakers, Inc. Cuff electrode with integrated tendril
US9643011B2 (en) 2013-03-14 2017-05-09 Cyberonics, Inc. Implantable neurostimulator-implemented method for managing tachyarrhythmic risk during sleep through vagus nerve stimulation
US9999773B2 (en) 2013-10-30 2018-06-19 Cyberonics, Inc. Implantable neurostimulator-implemented method utilizing multi-modal stimulation parameters
JP6455843B2 (ja) * 2013-11-01 2019-01-23 メドトロニック モニタリング インコーポレイテッド 生理学的値を監視し処理するための装置およびその作動方法
US9511228B2 (en) 2014-01-14 2016-12-06 Cyberonics, Inc. Implantable neurostimulator-implemented method for managing hypertension through renal denervation and vagus nerve stimulation
EP3116408B1 (en) 2014-03-12 2018-12-19 Cibiem, Inc. Ultrasound ablation catheter
US9409024B2 (en) 2014-03-25 2016-08-09 Cyberonics, Inc. Neurostimulation in a neural fulcrum zone for the treatment of chronic cardiac dysfunction
US9713719B2 (en) 2014-04-17 2017-07-25 Cyberonics, Inc. Fine resolution identification of a neural fulcrum for the treatment of chronic cardiac dysfunction
US9950169B2 (en) 2014-04-25 2018-04-24 Cyberonics, Inc. Dynamic stimulation adjustment for identification of a neural fulcrum
US9415224B2 (en) 2014-04-25 2016-08-16 Cyberonics, Inc. Neurostimulation and recording of physiological response for the treatment of chronic cardiac dysfunction
US9272143B2 (en) 2014-05-07 2016-03-01 Cyberonics, Inc. Responsive neurostimulation for the treatment of chronic cardiac dysfunction
US9533153B2 (en) 2014-08-12 2017-01-03 Cyberonics, Inc. Neurostimulation titration process
US9770599B2 (en) 2014-08-12 2017-09-26 Cyberonics, Inc. Vagus nerve stimulation and subcutaneous defibrillation system
US9737716B2 (en) 2014-08-12 2017-08-22 Cyberonics, Inc. Vagus nerve and carotid baroreceptor stimulation system
US9504832B2 (en) 2014-11-12 2016-11-29 Cyberonics, Inc. Neurostimulation titration process via adaptive parametric modification
US9757574B2 (en) 2015-05-11 2017-09-12 Rainbow Medical Ltd. Dual chamber transvenous pacemaker
US10271797B2 (en) * 2016-04-01 2019-04-30 Cardiac Pacemakers, Inc. Detection of worsening heart failure
CN106075724A (zh) * 2016-06-12 2016-11-09 肖波 植入式迷走神经双通道刺激装置
WO2019014250A1 (en) * 2017-07-11 2019-01-17 The General Hospital Corporation SYSTEMS AND METHODS FOR NERVOUS STIMULATION WITH RESPIRATORY SYNCHRONIZATION
JP7245233B2 (ja) * 2017-09-14 2023-03-23 リヴァノヴァ ユーエスエイ インコーポレイテッド 植え込み型神経刺激装置のためのカスタマイズ可能な漸増
AU2018392315B2 (en) * 2017-12-18 2024-11-21 Dan Sachs Devices, systems and methods for therapeutic muscle stimulation
US10974079B2 (en) * 2018-08-29 2021-04-13 General Electric Company Neuromodulation techniques
EP4108197A1 (en) 2021-06-24 2022-12-28 Gradient Denervation Technologies Systems for treating tissue

Family Cites Families (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6141590A (en) * 1997-09-25 2000-10-31 Medtronic, Inc. System and method for respiration-modulated pacing
US6622041B2 (en) 2001-08-21 2003-09-16 Cyberonics, Inc. Treatment of congestive heart failure and autonomic cardiovascular drive disorders
US7277761B2 (en) * 2002-06-12 2007-10-02 Pacesetter, Inc. Vagal stimulation for improving cardiac function in heart failure or CHF patients
JP4252826B2 (ja) * 2003-03-14 2009-04-08 テルモ株式会社 心臓治療装置
US7647114B2 (en) 2003-12-24 2010-01-12 Cardiac Pacemakers, Inc. Baroreflex modulation based on monitored cardiovascular parameter
US20060058852A1 (en) * 2004-09-10 2006-03-16 Steve Koh Multi-variable feedback control of stimulation for inspiratory facilitation
US7587238B2 (en) * 2005-03-11 2009-09-08 Cardiac Pacemakers, Inc. Combined neural stimulation and cardiac resynchronization therapy
US8473049B2 (en) * 2005-05-25 2013-06-25 Cardiac Pacemakers, Inc. Implantable neural stimulator with mode switching
US7925342B2 (en) 2006-10-06 2011-04-12 Cardiac Pacemakers, Inc. Implantable device for responsive neural stimulation therapy

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP3333140B2 (ja) 1989-05-11 2002-10-07 ランデック コーポレイション 温度活性接着剤アセンブリ
JP3410692B2 (ja) 1989-05-11 2003-05-26 ニッタ株式会社 医療用接着剤

Also Published As

Publication number Publication date
WO2008042476A1 (en) 2008-04-10
US7925342B2 (en) 2011-04-12
JP2010505528A (ja) 2010-02-25
AU2007305134B2 (en) 2012-01-19
EP2073895A1 (en) 2009-07-01
CN101522260A (zh) 2009-09-02
EP2073895B1 (en) 2017-04-05
CN101522260B (zh) 2012-10-24
US20080086181A1 (en) 2008-04-10
AU2007305134A1 (en) 2008-04-10

Similar Documents

Publication Publication Date Title
JP5015256B2 (ja) 応答性神経刺激治療のための埋込み型デバイス
JP5133343B2 (ja) 神経刺激療法の制御された滴定
US8483828B2 (en) Combined remodeling control therapy and anti-remodeling therapy by implantable cardiac device
JP5292416B2 (ja) 断続的な治療を制御するための自律神経平衡監視
US9561374B2 (en) Systems, devices and methods for modulating autonomic tone
JP2010505529A (ja) 心臓血管疾患の治療のための分散型神経調節システム

Legal Events

Date Code Title Description
A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20100527

A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20100527

TRDD Decision of grant or rejection written
A01 Written decision to grant a patent or to grant a registration (utility model)

Free format text: JAPANESE INTERMEDIATE CODE: A01

Effective date: 20120514

A01 Written decision to grant a patent or to grant a registration (utility model)

Free format text: JAPANESE INTERMEDIATE CODE: A01

A61 First payment of annual fees (during grant procedure)

Free format text: JAPANESE INTERMEDIATE CODE: A61

Effective date: 20120606

FPAY Renewal fee payment (event date is renewal date of database)

Free format text: PAYMENT UNTIL: 20150615

Year of fee payment: 3

R150 Certificate of patent or registration of utility model

Free format text: JAPANESE INTERMEDIATE CODE: R150

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250

RD03 Notification of appointment of power of attorney

Free format text: JAPANESE INTERMEDIATE CODE: R3D03

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250

LAPS Cancellation because of no payment of annual fees