JP5042994B2 - 埋め込み可能心臓刺激デバイス - Google Patents
埋め込み可能心臓刺激デバイス Download PDFInfo
- Publication number
- JP5042994B2 JP5042994B2 JP2008508982A JP2008508982A JP5042994B2 JP 5042994 B2 JP5042994 B2 JP 5042994B2 JP 2008508982 A JP2008508982 A JP 2008508982A JP 2008508982 A JP2008508982 A JP 2008508982A JP 5042994 B2 JP5042994 B2 JP 5042994B2
- Authority
- JP
- Japan
- Prior art keywords
- pacing
- rate
- rate limit
- therapy
- pacing rate
- 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
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
- A61N1/3621—Heart stimulators for treating or preventing abnormally high heart rate
- A61N1/3622—Heart stimulators for treating or preventing abnormally high heart rate comprising two or more electrodes co-operating with different heart regions
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/316—Modalities, i.e. specific diagnostic methods
- A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
- A61B5/346—Analysis of electrocardiograms
- A61B5/349—Detecting specific parameters of the electrocardiograph cycle
- A61B5/363—Detecting tachycardia or bradycardia
-
- 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
- A61N1/3702—Physiological parameters
Landscapes
- 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)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US11/118,689 US7881786B2 (en) | 2005-04-29 | 2005-04-29 | Suppression of high rate pacing for reducing myocardial ischemic irritability |
| US11/118,689 | 2005-04-29 | ||
| PCT/US2006/015397 WO2006118846A2 (en) | 2005-04-29 | 2006-04-24 | Suppression of high rate pacing for reducing myocardial ischemic irritability |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2008539009A JP2008539009A (ja) | 2008-11-13 |
| JP2008539009A5 JP2008539009A5 (enExample) | 2009-05-14 |
| JP5042994B2 true JP5042994B2 (ja) | 2012-10-03 |
Family
ID=37235470
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2008508982A Expired - Fee Related JP5042994B2 (ja) | 2005-04-29 | 2006-04-24 | 埋め込み可能心臓刺激デバイス |
Country Status (6)
| Country | Link |
|---|---|
| US (1) | US7881786B2 (enExample) |
| EP (1) | EP1899005B1 (enExample) |
| JP (1) | JP5042994B2 (enExample) |
| AT (1) | ATE510584T1 (enExample) |
| CA (1) | CA2605436A1 (enExample) |
| WO (1) | WO2006118846A2 (enExample) |
Families Citing this family (99)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US7668594B2 (en) | 2005-08-19 | 2010-02-23 | Cardiac Pacemakers, Inc. | Method and apparatus for delivering chronic and post-ischemia cardiac therapies |
| JP4470063B2 (ja) * | 2004-08-27 | 2010-06-02 | 大名 魏 | 導出12誘導心電図の構築方法およびモニタリング装置 |
| US7295874B2 (en) | 2005-01-06 | 2007-11-13 | Cardiac Pacemakers, Inc. | Intermittent stress augmentation pacing for cardioprotective effect |
| US7962208B2 (en) | 2005-04-25 | 2011-06-14 | Cardiac Pacemakers, Inc. | Method and apparatus for pacing during revascularization |
| US7894896B2 (en) * | 2005-05-13 | 2011-02-22 | Cardiac Pacemakers, Inc. | Method and apparatus for initiating and delivering cardiac protection pacing |
| US7917210B2 (en) * | 2005-05-13 | 2011-03-29 | Cardiac Pacemakers, Inc. | Method and apparatus for cardiac protection pacing |
| US7922669B2 (en) | 2005-06-08 | 2011-04-12 | Cardiac Pacemakers, Inc. | Ischemia detection using a heart sound sensor |
| US7774057B2 (en) | 2005-09-06 | 2010-08-10 | Cardiac Pacemakers, Inc. | Method and apparatus for device controlled gene expression for cardiac protection |
| US7885710B2 (en) | 2005-12-23 | 2011-02-08 | Cardiac Pacemakers, Inc. | Method and apparatus for tissue protection against ischemia using remote conditioning |
| US8000780B2 (en) | 2006-06-27 | 2011-08-16 | Cardiac Pacemakers, Inc. | Detection of myocardial ischemia from the time sequence of implanted sensor measurements |
| US8615296B2 (en) | 2007-03-06 | 2013-12-24 | Cardiac Pacemakers, Inc. | Method and apparatus for closed-loop intermittent cardiac stress augmentation pacing |
| US8649858B2 (en) * | 2007-06-25 | 2014-02-11 | Boston Scientific Neuromodulation Corporation | Architectures for an implantable medical device system |
| US8706224B1 (en) * | 2007-10-30 | 2014-04-22 | Pacesetter, In. | Systems and methods for paired/coupled pacing and dynamic overdrive/underdrive pacing |
| JP5199394B2 (ja) | 2008-01-29 | 2013-05-15 | 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 | 構成可能な間欠ペーシング治療 |
| US8140155B2 (en) | 2008-03-11 | 2012-03-20 | Cardiac Pacemakers, Inc. | Intermittent pacing therapy delivery statistics |
| US8483826B2 (en) | 2008-03-17 | 2013-07-09 | Cardiac Pacemakers, Inc. | Deactivation of intermittent pacing therapy |
| US9037235B2 (en) | 2008-06-19 | 2015-05-19 | Cardiac Pacemakers, Inc. | Pacing catheter with expandable distal end |
| US8639357B2 (en) | 2008-06-19 | 2014-01-28 | Cardiac Pacemakers, Inc. | Pacing catheter with stent electrode |
| US8244352B2 (en) | 2008-06-19 | 2012-08-14 | Cardiac Pacemakers, Inc. | Pacing catheter releasing conductive liquid |
| US8457738B2 (en) | 2008-06-19 | 2013-06-04 | Cardiac Pacemakers, Inc. | Pacing catheter for access to multiple vessels |
| US9409012B2 (en) | 2008-06-19 | 2016-08-09 | Cardiac Pacemakers, Inc. | Pacemaker integrated with vascular intervention catheter |
| WO2010132203A1 (en) | 2009-05-15 | 2010-11-18 | Cardiac Pacemakers, Inc. | Pacing system with safety control during mode transition |
| US8958873B2 (en) | 2009-05-28 | 2015-02-17 | Cardiac Pacemakers, Inc. | Method and apparatus for safe and efficient delivery of cardiac stress augmentation pacing |
| US8812104B2 (en) | 2009-09-23 | 2014-08-19 | Cardiac Pacemakers, Inc. | Method and apparatus for automated control of pacing post-conditioning |
| US8412326B2 (en) | 2009-10-30 | 2013-04-02 | Cardiac Pacemakers, Inc. | Pacemaker with vagal surge monitoring and response |
| WO2016126968A1 (en) | 2015-02-06 | 2016-08-11 | Cardiac Pacemakers, Inc. | Systems and methods for safe delivery of electrical stimulation therapy |
| WO2016130477A2 (en) | 2015-02-09 | 2016-08-18 | Cardiac Pacemakers, Inc. | Implantable medical device with radiopaque id tag |
| CN107530002B (zh) | 2015-03-04 | 2021-04-30 | 心脏起搏器股份公司 | 用于治疗心律失常的系统和方法 |
| US9853743B2 (en) | 2015-08-20 | 2017-12-26 | Cardiac Pacemakers, Inc. | Systems and methods for communication between medical devices |
| WO2017031347A1 (en) | 2015-08-20 | 2017-02-23 | Cardiac Pacemakers, Inc. | Systems and methods for communication between medical devices |
| US10226631B2 (en) | 2015-08-28 | 2019-03-12 | Cardiac Pacemakers, Inc. | Systems and methods for infarct detection |
| WO2017040153A1 (en) | 2015-08-28 | 2017-03-09 | Cardiac Pacemakers, Inc. | Systems and methods for behaviorally responsive signal detection and therapy delivery |
| WO2017040115A1 (en) | 2015-08-28 | 2017-03-09 | Cardiac Pacemakers, Inc. | System for detecting tamponade |
| US10065041B2 (en) | 2015-10-08 | 2018-09-04 | Cardiac Pacemakers, Inc. | Devices and methods for adjusting pacing rates in an implantable medical device |
| US10183170B2 (en) | 2015-12-17 | 2019-01-22 | Cardiac Pacemakers, Inc. | Conducted communication in a medical device system |
| US10905886B2 (en) | 2015-12-28 | 2021-02-02 | Cardiac Pacemakers, Inc. | Implantable medical device for deployment across the atrioventricular septum |
| US10583303B2 (en) | 2016-01-19 | 2020-03-10 | Cardiac Pacemakers, Inc. | Devices and methods for wirelessly recharging a rechargeable battery of an implantable medical device |
| CN109069840B (zh) | 2016-02-04 | 2022-03-15 | 心脏起搏器股份公司 | 具有用于无引线心脏装置的力传感器的递送系统 |
| US11116988B2 (en) | 2016-03-31 | 2021-09-14 | Cardiac Pacemakers, Inc. | Implantable medical device with rechargeable battery |
| US10668294B2 (en) | 2016-05-10 | 2020-06-02 | Cardiac Pacemakers, Inc. | Leadless cardiac pacemaker configured for over the wire delivery |
| US10328272B2 (en) | 2016-05-10 | 2019-06-25 | Cardiac Pacemakers, Inc. | Retrievability for implantable medical devices |
| EP3474945B1 (en) | 2016-06-27 | 2022-12-28 | Cardiac Pacemakers, Inc. | Cardiac therapy system using subcutaneously sensed p-waves for resynchronization pacing management |
| WO2018009569A1 (en) | 2016-07-06 | 2018-01-11 | Cardiac Pacemakers, Inc. | Method and system for determining an atrial contraction timing fiducial in a leadless cardiac pacemaker system |
| WO2018009392A1 (en) | 2016-07-07 | 2018-01-11 | Cardiac Pacemakers, Inc. | Leadless pacemaker using pressure measurements for pacing capture verification |
| WO2018017226A1 (en) | 2016-07-20 | 2018-01-25 | Cardiac Pacemakers, Inc. | System for utilizing an atrial contraction timing fiducial in a leadless cardiac pacemaker system |
| WO2018035343A1 (en) | 2016-08-19 | 2018-02-22 | Cardiac Pacemakers, Inc. | Trans septal implantable medical device |
| CN109640809B (zh) | 2016-08-24 | 2021-08-17 | 心脏起搏器股份公司 | 使用p波到起搏定时的集成式多装置心脏再同步治疗 |
| WO2018039322A1 (en) | 2016-08-24 | 2018-03-01 | Cardiac Pacemakers, Inc. | Cardiac resynchronization using fusion promotion for timing management |
| WO2018057318A1 (en) | 2016-09-21 | 2018-03-29 | Cardiac Pacemakers, Inc. | Leadless stimulation device with a housing that houses internal components of the leadless stimulation device and functions as the battery case and a terminal of an internal battery |
| WO2018057626A1 (en) | 2016-09-21 | 2018-03-29 | Cardiac Pacemakers, Inc. | Implantable cardiac monitor |
| US10758737B2 (en) | 2016-09-21 | 2020-09-01 | Cardiac Pacemakers, Inc. | Using sensor data from an intracardially implanted medical device to influence operation of an extracardially implantable cardioverter |
| US10463305B2 (en) | 2016-10-27 | 2019-11-05 | Cardiac Pacemakers, Inc. | Multi-device cardiac resynchronization therapy with timing enhancements |
| WO2018081017A1 (en) | 2016-10-27 | 2018-05-03 | Cardiac Pacemakers, Inc. | Implantable medical device with pressure sensor |
| US10413733B2 (en) | 2016-10-27 | 2019-09-17 | Cardiac Pacemakers, Inc. | Implantable medical device with gyroscope |
| WO2018081133A1 (en) | 2016-10-27 | 2018-05-03 | Cardiac Pacemakers, Inc. | Implantable medical device having a sense channel with performance adjustment |
| 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 |
| WO2018081225A1 (en) | 2016-10-27 | 2018-05-03 | Cardiac Pacemakers, Inc. | Implantable medical device delivery system with integrated sensor |
| US10434317B2 (en) | 2016-10-31 | 2019-10-08 | Cardiac Pacemakers, Inc. | Systems and methods for activity level pacing |
| WO2018081713A1 (en) | 2016-10-31 | 2018-05-03 | Cardiac Pacemakers, Inc | Systems for activity level pacing |
| US10583301B2 (en) | 2016-11-08 | 2020-03-10 | Cardiac Pacemakers, Inc. | Implantable medical device for atrial deployment |
| WO2018089308A1 (en) | 2016-11-09 | 2018-05-17 | Cardiac Pacemakers, Inc. | Systems, devices, and methods for setting cardiac pacing pulse parameters for a cardiac pacing device |
| US10881869B2 (en) | 2016-11-21 | 2021-01-05 | Cardiac Pacemakers, Inc. | Wireless re-charge of an implantable medical device |
| US10639486B2 (en) | 2016-11-21 | 2020-05-05 | Cardiac Pacemakers, Inc. | Implantable medical device with recharge coil |
| EP3541471B1 (en) | 2016-11-21 | 2021-01-20 | Cardiac Pacemakers, Inc. | Leadless cardiac pacemaker providing cardiac resynchronization therapy |
| WO2018094342A1 (en) | 2016-11-21 | 2018-05-24 | Cardiac Pacemakers, Inc | Implantable medical device with a magnetically permeable housing and an inductive coil disposed about the housing |
| EP3541473B1 (en) | 2016-11-21 | 2020-11-11 | Cardiac Pacemakers, Inc. | Leadless cardiac pacemaker with multimode communication |
| US11207532B2 (en) | 2017-01-04 | 2021-12-28 | Cardiac Pacemakers, Inc. | Dynamic sensing updates using postural input in a multiple device cardiac rhythm management system |
| US10835753B2 (en) | 2017-01-26 | 2020-11-17 | Cardiac Pacemakers, Inc. | Intra-body device communication with redundant message transmission |
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| US10737102B2 (en) | 2017-01-26 | 2020-08-11 | Cardiac Pacemakers, Inc. | Leadless implantable device with detachable fixation |
| US10905872B2 (en) | 2017-04-03 | 2021-02-02 | Cardiac Pacemakers, Inc. | Implantable medical device with a movable electrode biased toward an extended position |
| US10821288B2 (en) | 2017-04-03 | 2020-11-03 | Cardiac Pacemakers, Inc. | Cardiac pacemaker with pacing pulse energy adjustment based on sensed heart rate |
| EP3668592B1 (en) | 2017-08-18 | 2021-11-17 | Cardiac Pacemakers, Inc. | Implantable medical device with pressure sensor |
| WO2019036568A1 (en) | 2017-08-18 | 2019-02-21 | Cardiac Pacemakers, Inc. | IMPLANTABLE MEDICAL DEVICE COMPRISING A FLOW CONCENTRATOR AND A RECEPTION COIL PROVIDED AROUND THE FLOW CONCENTRATOR |
| US11235163B2 (en) | 2017-09-20 | 2022-02-01 | Cardiac Pacemakers, Inc. | Implantable medical device with multiple modes of operation |
| US11185703B2 (en) | 2017-11-07 | 2021-11-30 | Cardiac Pacemakers, Inc. | Leadless cardiac pacemaker for bundle of his pacing |
| CN111417432B (zh) | 2017-12-01 | 2024-04-30 | 心脏起搏器股份公司 | 具有复归行为的无引线心脏起搏器 |
| EP3717063B1 (en) | 2017-12-01 | 2023-12-27 | Cardiac Pacemakers, Inc. | Systems for detecting atrial contraction timing fiducials and determining a cardiac interval from a ventricularly implanted leadless cardiac pacemaker |
| CN111417433B (zh) | 2017-12-01 | 2024-04-30 | 心脏起搏器股份公司 | 从心室植入的无引线心脏起搏器检测心室充盈期间心房收缩定时基准的方法和系统 |
| CN111432874A (zh) | 2017-12-01 | 2020-07-17 | 心脏起搏器股份公司 | 从心室植入的无引线心脏起搏器检测搜索窗口内心房收缩定时基准的方法和系统 |
| CN111556773A (zh) | 2018-01-04 | 2020-08-18 | 心脏起搏器股份公司 | 无逐搏通信的双腔起搏 |
| US11529523B2 (en) | 2018-01-04 | 2022-12-20 | Cardiac Pacemakers, Inc. | Handheld bridge device for providing a communication bridge between an implanted medical device and a smartphone |
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| US11235159B2 (en) | 2018-03-23 | 2022-02-01 | Medtronic, Inc. | VFA cardiac resynchronization therapy |
| US11058880B2 (en) | 2018-03-23 | 2021-07-13 | Medtronic, Inc. | VFA cardiac therapy for tachycardia |
| EP3806951B1 (en) * | 2018-06-14 | 2024-07-24 | Medtronic, Inc. | Delivery of cardiac pacing therapy for cardiac remodeling |
| WO2020065582A1 (en) | 2018-09-26 | 2020-04-02 | Medtronic, Inc. | Capture in ventricle-from-atrium cardiac therapy |
| US11951313B2 (en) | 2018-11-17 | 2024-04-09 | Medtronic, Inc. | VFA delivery systems and methods |
| US12296177B2 (en) | 2018-12-21 | 2025-05-13 | Medtronic, Inc. | Delivery systems and methods for left ventricular pacing |
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| US12465770B2 (en) | 2020-07-31 | 2025-11-11 | Medtronic, Inc. | Coronary sinus conduction system pacing and delivery |
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| US4428378A (en) * | 1981-11-19 | 1984-01-31 | Medtronic, Inc. | Rate adaptive pacer |
| US4554920A (en) * | 1982-11-22 | 1985-11-26 | Intermedics, Inc. | Microprocessor controlled cardiac pacemaker and method for avoiding pacer sustained tachycardia |
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-
2005
- 2005-04-29 US US11/118,689 patent/US7881786B2/en not_active Expired - Fee Related
-
2006
- 2006-04-24 EP EP06751196A patent/EP1899005B1/en active Active
- 2006-04-24 AT AT06751196T patent/ATE510584T1/de not_active IP Right Cessation
- 2006-04-24 WO PCT/US2006/015397 patent/WO2006118846A2/en not_active Ceased
- 2006-04-24 JP JP2008508982A patent/JP5042994B2/ja not_active Expired - Fee Related
- 2006-04-24 CA CA002605436A patent/CA2605436A1/en not_active Abandoned
Also Published As
| Publication number | Publication date |
|---|---|
| US20060247700A1 (en) | 2006-11-02 |
| ATE510584T1 (de) | 2011-06-15 |
| CA2605436A1 (en) | 2006-11-09 |
| WO2006118846A2 (en) | 2006-11-09 |
| JP2008539009A (ja) | 2008-11-13 |
| EP1899005B1 (en) | 2011-05-25 |
| EP1899005A2 (en) | 2008-03-19 |
| US7881786B2 (en) | 2011-02-01 |
| WO2006118846A3 (en) | 2007-02-22 |
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