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
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- 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
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Classifications
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- 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
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- 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)
Description
Claims (3)
- 患者に治療を送出するための医療デバイスであって、
患者の生理的信号を検出して、前記治療を送出するように構成された複数の電極と、
前記複数の電極に結合され、前記検出された信号に応じて、前記治療の送出を制御するように構成された制御ユニットと、
前記制御ユニットに結合され、前記送出された治療に応じて発生する、増大した心筋被刺激性の存在を判断するように構成されたマイクロプロセッサと、
を備え、
前記制御ユニットが、更に、前記マイクロプロセッサが、前記送出された治療に応じて発生する、増大した心筋被刺激性の前記存在を判断することに応じて、前記治療の送出に関連する上方ペーシングレート限界値を、プログラムされた上方ペーシングレート限界値より低い、調整された上方ペーシングレート限界値に調整するように構成され、
前記増大した心筋被刺激性の存在を判断することが、正常洞調律に自発的に戻る非持続性の心室頻脈事象、正常洞調律に自発的に戻る非持続性の心室細動事象、心室期外収縮の最低レート、及び、心室頻脈クラスタの予測、の1つを検出すること、
を含む、医療デバイス。 - 現在のペーシングレートが、調整された上方ペーシングレート限界値より大きいことに応じて、前記制御ユニットが、調整された、上方ペーシングレート限界値における治療の送出を制御するように構成される、
請求項1に記載の医療デバイス。 - 前記マイクロプロセッサが、前記調整された上方ペーシングレート限界値に関連する所定の期間が終了したか否かを判断し、
前記所定の期間が終了したと判断することに応じて、前記制御ユニットが、前記調整された上方ペーシングレート限界から、前記プログラムされた上方ペーシングレート限界値に、前記上方ペーシングレート限界値を調整する、
請求項1に記載の医療デバイス。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/118,689 | 2005-04-29 | ||
US11/118,689 US7881786B2 (en) | 2005-04-29 | 2005-04-29 | Suppression of high rate pacing for reducing myocardial ischemic irritability |
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 (ja) | 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 (ja) |
EP (1) | EP1899005B1 (ja) |
JP (1) | JP5042994B2 (ja) |
AT (1) | ATE510584T1 (ja) |
CA (1) | CA2605436A1 (ja) |
WO (1) | WO2006118846A2 (ja) |
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2005
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2006
- 2006-04-24 WO PCT/US2006/015397 patent/WO2006118846A2/en active Application Filing
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- 2006-04-24 AT AT06751196T patent/ATE510584T1/de not_active IP Right Cessation
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- 2006-04-24 EP EP06751196A patent/EP1899005B1/en active Active
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CA2605436A1 (en) | 2006-11-09 |
US20060247700A1 (en) | 2006-11-02 |
WO2006118846A2 (en) | 2006-11-09 |
WO2006118846A3 (en) | 2007-02-22 |
JP2008539009A (ja) | 2008-11-13 |
EP1899005B1 (en) | 2011-05-25 |
ATE510584T1 (de) | 2011-06-15 |
EP1899005A2 (en) | 2008-03-19 |
US7881786B2 (en) | 2011-02-01 |
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