JP5036561B2 - 心拍変動を使用する電気的刺激の制御 - Google Patents
心拍変動を使用する電気的刺激の制御 Download PDFInfo
- Publication number
- JP5036561B2 JP5036561B2 JP2007552170A JP2007552170A JP5036561B2 JP 5036561 B2 JP5036561 B2 JP 5036561B2 JP 2007552170 A JP2007552170 A JP 2007552170A JP 2007552170 A JP2007552170 A JP 2007552170A JP 5036561 B2 JP5036561 B2 JP 5036561B2
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- Prior art keywords
- stimulation
- parameter
- hrv
- pacing
- pulse
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- 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.)
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- 238000009125 cardiac resynchronization therapy Methods 0.000 description 19
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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
- A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
- A61N1/36592—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by the heart rate variability
-
- 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
- A61B5/024—Measuring pulse rate or heart rate
- A61B5/02405—Determining heart rate variability
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/40—Detecting, measuring or recording for evaluating the nervous system
- A61B5/4029—Detecting, measuring or recording for evaluating the nervous system for evaluating the peripheral nervous systems
- A61B5/4035—Evaluating the autonomic nervous system
-
- 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
- A61N1/365—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
Landscapes
- Health & Medical Sciences (AREA)
- Cardiology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Physiology (AREA)
- Biophysics (AREA)
- Animal Behavior & Ethology (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Physics & Mathematics (AREA)
- Pathology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- Electrotherapy Devices (AREA)
Applications Claiming Priority (7)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US11/037,309 US7672725B2 (en) | 2005-01-18 | 2005-01-18 | Method and apparatus for using heart rate variability as a safety check in electrical therapies |
| US11/037,723 US7580745B2 (en) | 2005-01-18 | 2005-01-18 | Method and apparatus for using heart rate variability to control maximum tracking rate in pacing therapy |
| US11/037,308 | 2005-01-18 | ||
| US11/037,723 | 2005-01-18 | ||
| US11/037,308 US7672724B2 (en) | 2005-01-18 | 2005-01-18 | Method and apparatus for optimizing electrical stimulation parameters using heart rate variability |
| US11/037,309 | 2005-01-18 | ||
| PCT/US2006/000963 WO2006078519A2 (en) | 2005-01-18 | 2006-01-12 | Control of electrical stimulation using heart rate variability |
Related Child Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2012009614A Division JP5312619B2 (ja) | 2005-01-18 | 2012-01-20 | 心拍変動を使用する電気的刺激の制御 |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2008526456A JP2008526456A (ja) | 2008-07-24 |
| JP2008526456A5 JP2008526456A5 (https=) | 2009-03-26 |
| JP5036561B2 true JP5036561B2 (ja) | 2012-09-26 |
Family
ID=36215479
Family Applications (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2007552170A Expired - Fee Related JP5036561B2 (ja) | 2005-01-18 | 2006-01-12 | 心拍変動を使用する電気的刺激の制御 |
| JP2012009614A Expired - Fee Related JP5312619B2 (ja) | 2005-01-18 | 2012-01-20 | 心拍変動を使用する電気的刺激の制御 |
Family Applications After (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2012009614A Expired - Fee Related JP5312619B2 (ja) | 2005-01-18 | 2012-01-20 | 心拍変動を使用する電気的刺激の制御 |
Country Status (4)
| Country | Link |
|---|---|
| US (2) | US7672724B2 (https=) |
| EP (2) | EP2554216B1 (https=) |
| JP (2) | JP5036561B2 (https=) |
| WO (1) | WO2006078519A2 (https=) |
Families Citing this family (30)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6678547B2 (en) * | 2001-03-08 | 2004-01-13 | Cardiac Pacemakers, Inc. | Cardiac rhythm management system using time-domain heart rate variability indicia |
| US7672725B2 (en) * | 2005-01-18 | 2010-03-02 | Cardiac Pacemakers, Inc. | Method and apparatus for using heart rate variability as a safety check in electrical therapies |
| US7672724B2 (en) * | 2005-01-18 | 2010-03-02 | Cardiac Pacemakers, Inc. | Method and apparatus for optimizing electrical stimulation parameters using heart rate variability |
| US7580745B2 (en) | 2005-01-18 | 2009-08-25 | Cardiac Pacemakers, Inc. | Method and apparatus for using heart rate variability to control maximum tracking rate in pacing therapy |
| US7561923B2 (en) * | 2005-05-09 | 2009-07-14 | Cardiac Pacemakers, Inc. | Method and apparatus for controlling autonomic balance using neural stimulation |
| US20080091255A1 (en) * | 2006-10-11 | 2008-04-17 | Cardiac Pacemakers | Implantable neurostimulator for modulating cardiovascular function |
| WO2008070189A2 (en) | 2006-12-06 | 2008-06-12 | The Cleveland Clinic Foundation | Method and system for treating acute heart failure by neuromodulation |
| US8308649B2 (en) * | 2007-03-23 | 2012-11-13 | St. Jude Medical Ab | Implantable cardiac device and method for monitoring the status of a cardiovascular disease |
| US7751889B1 (en) * | 2007-04-11 | 2010-07-06 | Pacesetter, Inc. | Closed loop programming for individual adjustment of electro-mechanical synchrony |
| US20080306564A1 (en) * | 2007-06-11 | 2008-12-11 | Cardiac Pacemakers, Inc | Method and apparatus for short-term heart rate variability monitoring and diagnostics |
| JP5292416B2 (ja) * | 2008-03-13 | 2013-09-18 | 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 | 断続的な治療を制御するための自律神経平衡監視 |
| US8532769B2 (en) * | 2009-10-30 | 2013-09-10 | Medtronic, Inc. | Heart rate variability distinction |
| US9402550B2 (en) * | 2011-04-29 | 2016-08-02 | Cybertronics, Inc. | Dynamic heart rate threshold for neurological event detection |
| EP2948217B1 (en) * | 2013-01-25 | 2018-03-14 | Cardiac Pacemakers, Inc. | Systems to identify cardiac dysynchrony |
| GB2526249B (en) * | 2014-03-20 | 2016-06-29 | Branton Jakes | Device for the automated non-invasive dynamically adaptive electrical stimulation of the vagus nerve |
| WO2015179634A2 (en) | 2014-05-22 | 2015-11-26 | CARDIONOMIC, Inc. | Catheter and catheter system for electrical neuromodulation |
| EP3194017A1 (en) | 2014-09-08 | 2017-07-26 | Cardionomic, Inc. | Methods for electrical neuromodulation of the heart |
| US10493278B2 (en) * | 2015-01-05 | 2019-12-03 | CARDIONOMIC, Inc. | Cardiac modulation facilitation methods and systems |
| CN109310863A (zh) | 2016-03-09 | 2019-02-05 | 卡迪诺米克公司 | 心脏收缩性神经刺激系统和方法 |
| EP3664703A4 (en) | 2017-09-13 | 2021-05-12 | Cardionomic, Inc. | NEUROSTIMULATION SYSTEMS AND METHODS FOR INFLUENCING HEART CONTRACTILITY |
| CN112292178A (zh) * | 2018-06-14 | 2021-01-29 | 美敦力公司 | 用于心脏重塑的心脏起搏治疗的递送 |
| JP2021535776A (ja) | 2018-08-13 | 2021-12-23 | カーディオノミック,インク. | 心収縮及び/又は弛緩に作用するシステムおよび方法 |
| WO2020080986A1 (en) * | 2018-10-17 | 2020-04-23 | Maquet Critical Care Ab | Lung recruitment in mechanical ventilation |
| EP3648470B1 (en) * | 2018-11-05 | 2025-06-04 | GN Hearing A/S | Hearing system with heart condition alert and related methods |
| CA3137307A1 (en) | 2019-05-06 | 2020-11-12 | CARDIONOMIC, Inc. | Systems and methods for denoising physiological signals during electrical neuromodulation |
| EP4640269A3 (en) | 2019-12-31 | 2025-12-31 | Boston Scientific Neuromodulation Corporation | AUTOMATIC INPUT DETERMINATION FOR CLOSED-LOOP ALGORITHMS FOR OPTIMIZING STIMULATION PARAMETERS |
| WO2021257399A1 (en) | 2020-06-16 | 2021-12-23 | CARDIONOMIC, Inc. | Chronically implantable systems and methods for affecting cardiac contractility and/or relaxation |
| US20240017072A1 (en) * | 2022-07-14 | 2024-01-18 | Saluda Medical Pty Ltd | Improved Neurostimulation Therapy Monitoring |
| CN115554605B (zh) * | 2022-11-04 | 2026-01-30 | 西安交通大学 | 一种迷走神经刺激装置和刺激参数优化方法 |
| US20250040868A1 (en) * | 2023-08-03 | 2025-02-06 | Medtronic, Inc. | System for reproductive monitoring |
Family Cites Families (59)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5265617A (en) | 1991-02-20 | 1993-11-30 | Georgetown University | Methods and means for non-invasive, dynamic tracking of cardiac vulnerability by simultaneous analysis of heart rate variability and T-wave alternans |
| US5842997A (en) * | 1991-02-20 | 1998-12-01 | Georgetown University | Non-invasive, dynamic tracking of cardiac vulnerability by simultaneous analysis of heart rate variability and T-wave alternans |
| US5437285A (en) * | 1991-02-20 | 1995-08-01 | Georgetown University | Method and apparatus for prediction of sudden cardiac death by simultaneous assessment of autonomic function and cardiac electrical stability |
| US5203326A (en) * | 1991-12-18 | 1993-04-20 | Telectronics Pacing Systems, Inc. | Antiarrhythmia pacer using antiarrhythmia pacing and autonomic nerve stimulation therapy |
| IT1259358B (it) * | 1992-03-26 | 1996-03-12 | Sorin Biomedica Spa | Dispositivo impiantabile per la rilevazione ed il controllo del tono simpatico-vagale |
| US5291400A (en) * | 1992-04-09 | 1994-03-01 | Spacelabs Medical, Inc. | System for heart rate variability analysis |
| US5891044A (en) * | 1992-10-06 | 1999-04-06 | Gw Scientific, Inc. | Detection of abnormal and induction of normal heart rate variability |
| US5318591A (en) | 1992-11-23 | 1994-06-07 | Siemens Pacesetter, Inc. | Implantable cardioverter-defibrillator having early charging capability |
| WO1995003739A1 (en) * | 1993-08-03 | 1995-02-09 | Peter Walter Kamen | A method of measuring autonomic activity of a patient |
| US5522854A (en) * | 1994-05-19 | 1996-06-04 | Duke University | Method and apparatus for the prevention of arrhythmia by nerve stimulation |
| US5549641A (en) | 1994-10-31 | 1996-08-27 | Incontrol, Inc. | Atrial fibrillation type selective cardiovertor and method |
| US5466245A (en) * | 1994-11-15 | 1995-11-14 | Cardiac Pacemakers, Inc. | Method and apparatus to continuously optimize the A-V delay in a dual chamber pacemaker |
| US5540725A (en) * | 1995-07-11 | 1996-07-30 | Pacesetter, Inc. | Upper rate response for implantable pacemaker based on atrial lock interval pacing |
| US5755671A (en) * | 1995-10-05 | 1998-05-26 | Massachusetts Institute Of Technology | Method and apparatus for assessing cardiovascular risk |
| US6035233A (en) * | 1995-12-11 | 2000-03-07 | Intermedics Inc. | Implantable medical device responsive to heart rate variability analysis |
| US5749900A (en) * | 1995-12-11 | 1998-05-12 | Sulzer Intermedics Inc. | Implantable medical device responsive to heart rate variability analysis |
| US5603331A (en) * | 1996-02-12 | 1997-02-18 | Cardiac Pacemakers, Inc. | Data logging system for implantable cardiac device |
| DE19609409C2 (de) | 1996-03-04 | 2000-01-20 | Biotronik Mess & Therapieg | Therapiegerät |
| SE9603635D0 (sv) * | 1996-10-04 | 1996-10-04 | Pacesetter Ab | Implantable stimulator |
| US5893882A (en) * | 1996-12-17 | 1999-04-13 | Medtronic, Inc. | Method and apparatus for diagnosis and treatment of arrhythmias |
| WO1998040014A1 (en) * | 1997-03-10 | 1998-09-17 | Robin Medical Inc. | Method and apparatus for the assessment and display of variability in mechanical activity of the heart, and enhancement of ultrasound contrast imaging by variability analysis |
| SE9701121D0 (sv) * | 1997-03-26 | 1997-03-26 | Pacesetter Ab | Implantable heart stimulator |
| US6042548A (en) * | 1997-11-14 | 2000-03-28 | Hypervigilant Technologies | Virtual neurological monitor and method |
| EP1063917B1 (en) * | 1998-03-17 | 2008-12-24 | The University Of Virginia Patent Foundation | Method and apparatus for the early diagnosis of subacute, potentially catastrophic illness |
| US5941831A (en) * | 1998-04-03 | 1999-08-24 | Pacesetter, Inc. | Method for diagnosing cardiac arrhythmias using interval irregularity |
| US6021351A (en) * | 1998-05-11 | 2000-02-01 | Cardiac Pacemakers, Inc. | Method and apparatus for assessing patient well-being |
| US6301499B1 (en) * | 1998-06-08 | 2001-10-09 | Cardiac Pacemakers, Inc. | Heart rate variability as an indicator of exercise capacity |
| US6026320A (en) * | 1998-06-08 | 2000-02-15 | Cardiac Pacemakers, Inc. | Heart rate variability as an indicator of exercise capacity |
| US6370427B1 (en) | 1998-07-23 | 2002-04-09 | Intermedics, Inc. | Method and apparatus for dual chamber bi-ventricular pacing and defibrillation |
| US6292693B1 (en) * | 1998-11-06 | 2001-09-18 | Impulse Dynamics N.V. | Contractility enhancement using excitable tissue control and multi-site pacing |
| US6253107B1 (en) * | 1998-12-09 | 2001-06-26 | Cambridge Heart, Inc. | Cardiac pacing to induce heart rate variability |
| JP2000166889A (ja) * | 1998-12-11 | 2000-06-20 | Inst Of Physical & Chemical Res | 心拍変動推定方法およびその装置 |
| US6434424B1 (en) | 1998-12-28 | 2002-08-13 | Medtronic, Inc. | Regularization of ventricular rate during atrial tachyarrhythmia |
| AU2977700A (en) | 1999-01-29 | 2000-08-18 | Evgueni N. Bogomolov | Personal physiological monitor |
| US6358201B1 (en) * | 1999-03-02 | 2002-03-19 | Doc L. Childre | Method and apparatus for facilitating physiological coherence and autonomic balance |
| US6508771B1 (en) | 1999-03-05 | 2003-01-21 | Medtronic, Inc. | Method and apparatus for monitoring heart rate |
| US6190324B1 (en) * | 1999-04-28 | 2001-02-20 | Medtronic, Inc. | Implantable medical device for tracking patient cardiac status |
| US6341236B1 (en) * | 1999-04-30 | 2002-01-22 | Ivan Osorio | Vagal nerve stimulation techniques for treatment of epileptic seizures |
| US6430438B1 (en) * | 1999-05-21 | 2002-08-06 | Cardiac Pacemakers, Inc. | Cardiac rhythm management system with atrial shock timing optimization |
| US6390986B1 (en) * | 1999-05-27 | 2002-05-21 | Rutgers, The State University Of New Jersey | Classification of heart rate variability patterns in diabetics using cepstral analysis |
| US6314321B1 (en) | 1999-06-30 | 2001-11-06 | Cardiac Pacemakers, Inc. | Therapy-selection methods for implantable heart monitors |
| US6450942B1 (en) | 1999-08-20 | 2002-09-17 | Cardiorest International Ltd. | Method for reducing heart loads in mammals |
| US7062314B2 (en) * | 1999-10-01 | 2006-06-13 | Cardiac Pacemakers, Inc. | Cardiac rhythm management device with triggered diagnostic mode |
| US6678547B2 (en) * | 2001-03-08 | 2004-01-13 | Cardiac Pacemakers, Inc. | Cardiac rhythm management system using time-domain heart rate variability indicia |
| US6480733B1 (en) * | 1999-11-10 | 2002-11-12 | Pacesetter, Inc. | Method for monitoring heart failure |
| US7194305B1 (en) * | 2000-04-07 | 2007-03-20 | Cardiac Pacemakers, Inc. | Cardiac rhythm management system with optimization of cardiac performance using heart rate |
| EP1172125B1 (en) * | 2000-07-11 | 2005-03-09 | SORIN BIOMEDICA CRM S.r.l. | An implantable heart stimulation system with automatic mode switching controlled by sympatho-vagal balance |
| US6856829B2 (en) * | 2000-09-07 | 2005-02-15 | Denso Corporation | Method for detecting physiological condition of sleeping patient based on analysis of pulse waves |
| US6628988B2 (en) * | 2001-04-27 | 2003-09-30 | Cardiac Pacemakers, Inc. | Apparatus and method for reversal of myocardial remodeling with electrical stimulation |
| US7778703B2 (en) * | 2001-08-31 | 2010-08-17 | Bio Control Medical (B.C.M.) Ltd. | Selective nerve fiber stimulation for treating heart conditions |
| DE10151089A1 (de) * | 2001-10-13 | 2003-04-17 | Biotronik Mess & Therapieg | Vorrichtung zur Vorhersage von Tachyarrythmien |
| US7215992B2 (en) * | 2001-10-31 | 2007-05-08 | Cardiac Pacemakers, Inc. | Method for ischemia detection by implantable cardiac device |
| US6973349B2 (en) * | 2001-12-05 | 2005-12-06 | Cardiac Pacemakers, Inc. | Method and apparatus for minimizing post-infarct ventricular remodeling |
| US7123959B2 (en) * | 2002-03-25 | 2006-10-17 | Cardiac Pacemakers, Inc. | Method and apparatus for preventing cardiac arrhythmias with endovascular stimulation |
| US6922585B2 (en) * | 2002-04-05 | 2005-07-26 | Medtronic, Inc. | Method and apparatus for predicting recurring ventricular arrhythmias |
| US7133718B2 (en) * | 2003-06-19 | 2006-11-07 | Medtronic, Inc. | Method and apparatus for temporarily varying a parameter in an implantable medical device |
| US7580745B2 (en) * | 2005-01-18 | 2009-08-25 | Cardiac Pacemakers, Inc. | Method and apparatus for using heart rate variability to control maximum tracking rate in pacing therapy |
| US7672724B2 (en) | 2005-01-18 | 2010-03-02 | Cardiac Pacemakers, Inc. | Method and apparatus for optimizing electrical stimulation parameters using heart rate variability |
| US7672725B2 (en) | 2005-01-18 | 2010-03-02 | Cardiac Pacemakers, Inc. | Method and apparatus for using heart rate variability as a safety check in electrical therapies |
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2005
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Also Published As
| Publication number | Publication date |
|---|---|
| JP2008526456A (ja) | 2008-07-24 |
| JP2012071206A (ja) | 2012-04-12 |
| JP5312619B2 (ja) | 2013-10-09 |
| WO2006078519A3 (en) | 2007-04-19 |
| WO2006078519A2 (en) | 2006-07-27 |
| EP2554216A1 (en) | 2013-02-06 |
| US20060161208A1 (en) | 2006-07-20 |
| EP1846098A2 (en) | 2007-10-24 |
| EP2554216B1 (en) | 2014-03-26 |
| US7672724B2 (en) | 2010-03-02 |
| EP1846098B1 (en) | 2015-04-22 |
| US20100137932A1 (en) | 2010-06-03 |
| US8805503B2 (en) | 2014-08-12 |
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