JP5065030B2 - 発生源分別を実行する心臓システム - Google Patents
発生源分別を実行する心臓システム Download PDFInfo
- Publication number
- JP5065030B2 JP5065030B2 JP2007534884A JP2007534884A JP5065030B2 JP 5065030 B2 JP5065030 B2 JP 5065030B2 JP 2007534884 A JP2007534884 A JP 2007534884A JP 2007534884 A JP2007534884 A JP 2007534884A JP 5065030 B2 JP5065030 B2 JP 5065030B2
- Authority
- JP
- Japan
- Prior art keywords
- cardiac
- signal
- vector
- patient
- heart
- 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
- 238000000926 separation method Methods 0.000 title claims description 78
- 210000004903 cardiac system Anatomy 0.000 title claims description 11
- 239000013598 vector Substances 0.000 claims description 572
- 230000000747 cardiac effect Effects 0.000 claims description 428
- 210000002216 heart Anatomy 0.000 claims description 216
- 230000004913 activation Effects 0.000 claims description 153
- 230000008859 change Effects 0.000 claims description 99
- 239000002131 composite material Substances 0.000 claims description 78
- 238000002560 therapeutic procedure Methods 0.000 claims description 56
- 230000036544 posture Effects 0.000 claims description 49
- 230000002861 ventricular Effects 0.000 claims description 42
- 230000000694 effects Effects 0.000 claims description 39
- 238000004891 communication Methods 0.000 claims description 32
- 206010003119 arrhythmia Diseases 0.000 claims description 31
- 230000033764 rhythmic process Effects 0.000 claims description 31
- 206010047302 ventricular tachycardia Diseases 0.000 claims description 30
- 238000009125 cardiac resynchronization therapy Methods 0.000 claims description 23
- 238000002513 implantation Methods 0.000 claims description 23
- 230000033001 locomotion Effects 0.000 claims description 23
- 230000000638 stimulation Effects 0.000 claims description 23
- 230000008602 contraction Effects 0.000 claims description 22
- 230000006793 arrhythmia Effects 0.000 claims description 21
- 230000002123 temporal effect Effects 0.000 claims description 21
- 230000001746 atrial effect Effects 0.000 claims description 20
- 208000003734 Supraventricular Tachycardia Diseases 0.000 claims description 18
- 230000004044 response Effects 0.000 claims description 18
- 239000008280 blood Substances 0.000 claims description 13
- 210000004369 blood Anatomy 0.000 claims description 13
- 230000009471 action Effects 0.000 claims description 12
- 208000001871 Tachycardia Diseases 0.000 claims description 11
- 238000003745 diagnosis Methods 0.000 claims description 9
- 230000000241 respiratory effect Effects 0.000 claims description 9
- 230000003595 spectral effect Effects 0.000 claims description 8
- 208000010125 myocardial infarction Diseases 0.000 claims description 7
- 210000000115 thoracic cavity Anatomy 0.000 claims description 7
- 206010019280 Heart failures Diseases 0.000 claims description 6
- 210000005242 cardiac chamber Anatomy 0.000 claims description 6
- 230000006794 tachycardia Effects 0.000 claims description 6
- 206010007559 Cardiac failure congestive Diseases 0.000 claims description 5
- 230000036772 blood pressure Effects 0.000 claims description 5
- 210000000038 chest Anatomy 0.000 claims description 5
- 239000012530 fluid Substances 0.000 claims description 5
- 208000019622 heart disease Diseases 0.000 claims description 5
- 238000012545 processing Methods 0.000 claims description 5
- 210000003403 autonomic nervous system Anatomy 0.000 claims description 4
- 230000036760 body temperature Effects 0.000 claims description 4
- 230000036471 bradycardia Effects 0.000 claims description 4
- 208000006218 bradycardia Diseases 0.000 claims description 4
- 201000010099 disease Diseases 0.000 claims description 3
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims description 3
- 230000004927 fusion Effects 0.000 claims description 3
- 230000002093 peripheral effect Effects 0.000 claims description 3
- 230000002028 premature Effects 0.000 claims description 3
- 238000012360 testing method Methods 0.000 claims description 3
- 238000002651 drug therapy Methods 0.000 claims description 2
- 230000004660 morphological change Effects 0.000 claims description 2
- 208000031225 myocardial ischemia Diseases 0.000 claims description 2
- 230000001537 neural effect Effects 0.000 claims description 2
- 230000007170 pathology Effects 0.000 claims description 2
- 238000001228 spectrum Methods 0.000 claims description 2
- 230000000007 visual effect Effects 0.000 claims description 2
- 230000000977 initiatory effect Effects 0.000 claims 2
- 210000004072 lung Anatomy 0.000 claims 2
- 206010010356 Congenital anomaly Diseases 0.000 claims 1
- 238000007914 intraventricular administration Methods 0.000 claims 1
- 230000001575 pathological effect Effects 0.000 claims 1
- 230000035790 physiological processes and functions Effects 0.000 claims 1
- 230000002792 vascular Effects 0.000 claims 1
- 238000000034 method Methods 0.000 description 120
- 238000012544 monitoring process Methods 0.000 description 63
- 238000001514 detection method Methods 0.000 description 51
- 230000036961 partial effect Effects 0.000 description 41
- 239000011159 matrix material Substances 0.000 description 29
- 238000004422 calculation algorithm Methods 0.000 description 27
- 230000006870 function Effects 0.000 description 27
- 230000028161 membrane depolarization Effects 0.000 description 26
- 238000005194 fractionation Methods 0.000 description 24
- 210000002837 heart atrium Anatomy 0.000 description 21
- 230000008569 process Effects 0.000 description 17
- 238000010586 diagram Methods 0.000 description 14
- 238000011282 treatment Methods 0.000 description 14
- 238000007920 subcutaneous administration Methods 0.000 description 12
- 210000005240 left ventricle Anatomy 0.000 description 11
- 238000004458 analytical method Methods 0.000 description 10
- 230000008901 benefit Effects 0.000 description 10
- 238000013194 cardioversion Methods 0.000 description 10
- 238000012880 independent component analysis Methods 0.000 description 10
- 208000028867 ischemia Diseases 0.000 description 10
- 230000009467 reduction Effects 0.000 description 10
- 238000011156 evaluation Methods 0.000 description 9
- 238000005457 optimization Methods 0.000 description 9
- 238000000513 principal component analysis Methods 0.000 description 8
- 210000002027 skeletal muscle Anatomy 0.000 description 8
- 238000004364 calculation method Methods 0.000 description 7
- 238000001914 filtration Methods 0.000 description 7
- 238000007726 management method Methods 0.000 description 7
- 206010020880 Hypertrophy Diseases 0.000 description 6
- 238000013459 approach Methods 0.000 description 6
- 230000000875 corresponding effect Effects 0.000 description 6
- 239000006185 dispersion Substances 0.000 description 6
- 238000005259 measurement Methods 0.000 description 6
- 210000004165 myocardium Anatomy 0.000 description 6
- 210000005241 right ventricle Anatomy 0.000 description 6
- 239000013589 supplement Substances 0.000 description 6
- 238000004448 titration Methods 0.000 description 6
- 206010061216 Infarction Diseases 0.000 description 5
- 238000010009 beating Methods 0.000 description 5
- 230000007574 infarction Effects 0.000 description 5
- 230000000670 limiting effect Effects 0.000 description 5
- 230000000877 morphologic effect Effects 0.000 description 5
- 238000007781 pre-processing Methods 0.000 description 5
- 230000001225 therapeutic effect Effects 0.000 description 5
- 210000001519 tissue Anatomy 0.000 description 5
- 210000001992 atrioventricular node Anatomy 0.000 description 4
- 210000004351 coronary vessel Anatomy 0.000 description 4
- 238000013461 design Methods 0.000 description 4
- 230000004069 differentiation Effects 0.000 description 4
- 230000010247 heart contraction Effects 0.000 description 4
- 230000004217 heart function Effects 0.000 description 4
- 238000002156 mixing Methods 0.000 description 4
- 230000036285 pathological change Effects 0.000 description 4
- 231100000915 pathological change Toxicity 0.000 description 4
- 210000005245 right atrium Anatomy 0.000 description 4
- 230000009466 transformation Effects 0.000 description 4
- 208000033988 Device pacing issue Diseases 0.000 description 3
- 238000006243 chemical reaction Methods 0.000 description 3
- 230000002596 correlated effect Effects 0.000 description 3
- 238000000354 decomposition reaction Methods 0.000 description 3
- 230000007613 environmental effect Effects 0.000 description 3
- 238000012986 modification Methods 0.000 description 3
- 230000004048 modification Effects 0.000 description 3
- 210000001087 myotubule Anatomy 0.000 description 3
- 238000000718 qrs complex Methods 0.000 description 3
- 238000012546 transfer Methods 0.000 description 3
- 208000003663 ventricular fibrillation Diseases 0.000 description 3
- 238000012795 verification Methods 0.000 description 3
- 206010003658 Atrial Fibrillation Diseases 0.000 description 2
- 241000657949 Elderberry carlavirus D Species 0.000 description 2
- 238000007476 Maximum Likelihood Methods 0.000 description 2
- 206010049447 Tachyarrhythmia Diseases 0.000 description 2
- 210000001015 abdomen Anatomy 0.000 description 2
- 230000002159 abnormal effect Effects 0.000 description 2
- 230000002763 arrhythmic effect Effects 0.000 description 2
- 210000005249 arterial vasculature Anatomy 0.000 description 2
- 230000004087 circulation Effects 0.000 description 2
- 238000007635 classification algorithm Methods 0.000 description 2
- 238000006073 displacement reaction Methods 0.000 description 2
- 230000004064 dysfunction Effects 0.000 description 2
- 230000009177 electrical depolarization Effects 0.000 description 2
- 238000002565 electrocardiography Methods 0.000 description 2
- 239000007789 gas Substances 0.000 description 2
- 230000000004 hemodynamic effect Effects 0.000 description 2
- 230000001788 irregular Effects 0.000 description 2
- 210000005246 left atrium Anatomy 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 239000000203 mixture Substances 0.000 description 2
- 238000012806 monitoring device Methods 0.000 description 2
- 239000012811 non-conductive material Substances 0.000 description 2
- 230000002685 pulmonary effect Effects 0.000 description 2
- 238000005086 pumping Methods 0.000 description 2
- 230000035939 shock Effects 0.000 description 2
- 238000002633 shock therapy Methods 0.000 description 2
- 229920002379 silicone rubber Polymers 0.000 description 2
- 239000004945 silicone rubber Substances 0.000 description 2
- 210000003270 subclavian artery Anatomy 0.000 description 2
- 230000001360 synchronised effect Effects 0.000 description 2
- 230000001960 triggered effect Effects 0.000 description 2
- 206010003662 Atrial flutter Diseases 0.000 description 1
- 206010003671 Atrioventricular Block Diseases 0.000 description 1
- 206010011224 Cough Diseases 0.000 description 1
- 208000007177 Left Ventricular Hypertrophy Diseases 0.000 description 1
- 208000037656 Respiratory Sounds Diseases 0.000 description 1
- 206010041235 Snoring Diseases 0.000 description 1
- 241001661807 Systole Species 0.000 description 1
- 241001325280 Tricardia watsonii Species 0.000 description 1
- 230000005856 abnormality Effects 0.000 description 1
- 230000001154 acute effect Effects 0.000 description 1
- 230000003044 adaptive effect Effects 0.000 description 1
- 238000007792 addition Methods 0.000 description 1
- 230000002411 adverse Effects 0.000 description 1
- 230000003321 amplification Effects 0.000 description 1
- 230000003288 anthiarrhythmic effect Effects 0.000 description 1
- 239000003416 antiarrhythmic agent Substances 0.000 description 1
- 238000003491 array Methods 0.000 description 1
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 1
- 230000006399 behavior Effects 0.000 description 1
- 230000002457 bidirectional effect Effects 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 230000036770 blood supply Effects 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 210000001124 body fluid Anatomy 0.000 description 1
- 210000004027 cell Anatomy 0.000 description 1
- 230000001684 chronic effect Effects 0.000 description 1
- 238000000576 coating method Methods 0.000 description 1
- 230000001276 controlling effect Effects 0.000 description 1
- 230000008878 coupling Effects 0.000 description 1
- 238000010168 coupling process Methods 0.000 description 1
- 238000005859 coupling reaction Methods 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 238000013480 data collection Methods 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- 230000001934 delay Effects 0.000 description 1
- 230000006866 deterioration Effects 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 238000012850 discrimination method Methods 0.000 description 1
- 230000009977 dual effect Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 230000000763 evoking effect Effects 0.000 description 1
- 230000005284 excitation Effects 0.000 description 1
- 238000002474 experimental method Methods 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
- 238000010304 firing Methods 0.000 description 1
- 238000009499 grossing Methods 0.000 description 1
- 210000003361 heart septum Anatomy 0.000 description 1
- 210000005003 heart tissue Anatomy 0.000 description 1
- 210000001308 heart ventricle Anatomy 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 230000003601 intercostal effect Effects 0.000 description 1
- 230000000302 ischemic effect Effects 0.000 description 1
- 238000012804 iterative process Methods 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 230000003183 myoelectrical effect Effects 0.000 description 1
- 238000003199 nucleic acid amplification method Methods 0.000 description 1
- 229910052760 oxygen Inorganic materials 0.000 description 1
- 239000001301 oxygen Substances 0.000 description 1
- 230000008447 perception Effects 0.000 description 1
- 230000000737 periodic effect Effects 0.000 description 1
- 230000008855 peristalsis Effects 0.000 description 1
- 230000004962 physiological condition Effects 0.000 description 1
- 229920000052 poly(p-xylylene) Polymers 0.000 description 1
- 229920002635 polyurethane Polymers 0.000 description 1
- 239000004814 polyurethane Substances 0.000 description 1
- 230000001144 postural effect Effects 0.000 description 1
- 230000002265 prevention Effects 0.000 description 1
- 230000000644 propagated effect Effects 0.000 description 1
- 230000004088 pulmonary circulation Effects 0.000 description 1
- 230000010349 pulsation Effects 0.000 description 1
- 230000002829 reductive effect Effects 0.000 description 1
- 230000002336 repolarization Effects 0.000 description 1
- 230000004202 respiratory function Effects 0.000 description 1
- 210000002345 respiratory system Anatomy 0.000 description 1
- 230000001020 rhythmical effect Effects 0.000 description 1
- 238000005096 rolling process Methods 0.000 description 1
- 210000001013 sinoatrial node Anatomy 0.000 description 1
- 238000007619 statistical method Methods 0.000 description 1
- 210000003699 striated muscle Anatomy 0.000 description 1
- 230000001629 suppression Effects 0.000 description 1
- 230000002459 sustained effect Effects 0.000 description 1
- 208000011580 syndromic disease Diseases 0.000 description 1
- 210000000779 thoracic wall Anatomy 0.000 description 1
- 230000000451 tissue damage Effects 0.000 description 1
- 231100000827 tissue damage Toxicity 0.000 description 1
- 230000001052 transient effect Effects 0.000 description 1
- 210000005166 vasculature Anatomy 0.000 description 1
- 238000009423 ventilation Methods 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
- A61N1/3627—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
- 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]
- A61B5/339—Displays specially adapted therefor
- A61B5/341—Vectorcardiography [VCG]
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
- A61B5/7203—Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal
-
- 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
-
- 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
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Cardiology (AREA)
- Engineering & Computer Science (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- General Health & Medical Sciences (AREA)
- Radiology & Medical Imaging (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Biophysics (AREA)
- Molecular Biology (AREA)
- Surgery (AREA)
- Medical Informatics (AREA)
- Pathology (AREA)
- Signal Processing (AREA)
- Physiology (AREA)
- Physics & Mathematics (AREA)
- Psychiatry (AREA)
- Computer Vision & Pattern Recognition (AREA)
- Artificial Intelligence (AREA)
- Hospice & Palliative Care (AREA)
- Electrotherapy Devices (AREA)
Applications Claiming Priority (15)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US10/955,397 US7890159B2 (en) | 2004-09-30 | 2004-09-30 | Cardiac activation sequence monitoring and tracking |
| US10/955,397 | 2004-09-30 | ||
| US63174204P | 2004-11-30 | 2004-11-30 | |
| US60/631,742 | 2004-11-30 | ||
| US11/079,744 | 2005-03-14 | ||
| US11/079,744 US7797036B2 (en) | 2004-11-30 | 2005-03-14 | Cardiac activation sequence monitoring for ischemia detection |
| US11/124,950 US7805185B2 (en) | 2005-05-09 | 2005-05-09 | Posture monitoring using cardiac activation sequences |
| US11/125,020 | 2005-05-09 | ||
| US11/124,972 | 2005-05-09 | ||
| US11/125,068 | 2005-05-09 | ||
| US11/125,020 US7917196B2 (en) | 2005-05-09 | 2005-05-09 | Arrhythmia discrimination using electrocardiograms sensed from multiple implanted electrodes |
| US11/124,972 US7509170B2 (en) | 2005-05-09 | 2005-05-09 | Automatic capture verification using electrocardiograms sensed from multiple implanted electrodes |
| US11/125,068 US7457664B2 (en) | 2005-05-09 | 2005-05-09 | Closed loop cardiac resynchronization therapy using cardiac activation sequence information |
| US11/124,950 | 2005-05-09 | ||
| PCT/US2005/035638 WO2006039693A1 (en) | 2004-09-30 | 2005-09-30 | Cardiac activation sequence monitoring and tracking |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2008515485A JP2008515485A (ja) | 2008-05-15 |
| JP2008515485A5 JP2008515485A5 (enExample) | 2008-11-20 |
| JP5065030B2 true JP5065030B2 (ja) | 2012-10-31 |
Family
ID=35786548
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2007534884A Expired - Fee Related JP5065030B2 (ja) | 2004-09-30 | 2005-09-30 | 発生源分別を実行する心臓システム |
Country Status (3)
| Country | Link |
|---|---|
| EP (1) | EP1809172B1 (enExample) |
| JP (1) | JP5065030B2 (enExample) |
| WO (1) | WO2006039693A1 (enExample) |
Families Citing this family (33)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8200341B2 (en) * | 2007-02-07 | 2012-06-12 | Cameron Health, Inc. | Sensing vector selection in a cardiac stimulus device with postural assessment |
| US8620430B2 (en) | 2006-06-30 | 2013-12-31 | Cardiac Pacemakers, Inc. | Selection of pacing sites to enhance cardiac performance |
| US8725255B2 (en) | 2006-11-17 | 2014-05-13 | Cardiac Pacemakers, Inc. | Cardiac resynchronization therapy optimization using cardiac activation sequence information |
| JP5775670B2 (ja) * | 2007-02-14 | 2015-09-09 | コーニンクレッカ フィリップス エヌ ヴェ | 動く対象の機能特性を決定するシステム、方法及びコンピュータプログラム |
| US7778698B1 (en) | 2007-06-08 | 2010-08-17 | Pacesetter, Inc. | Method and systems for identifying a vector for monitoring ischemia |
| JP2009031230A (ja) * | 2007-07-30 | 2009-02-12 | Univ Of Tsukuba | 計測データの表示方法 |
| EP2105843B1 (fr) * | 2008-03-28 | 2011-03-16 | Ela Medical | Dispositif médical actif comprenant des moyens perfectionnés de discrimination entre tachycardies d'orgine ventriculaire et tachycardies d'orgine supraventriculaire |
| US20100280841A1 (en) * | 2009-05-04 | 2010-11-04 | Cardiac Pacemakers, Inc. | Adjudication of Arrhythmia Episode Data Systems and Methods |
| US12485010B2 (en) | 2009-05-07 | 2025-12-02 | Edwards Lifesciences Innovation (Israel) Ltd. | Multiple anchor delivery tool |
| EP2434948A1 (en) * | 2009-05-27 | 2012-04-04 | Cardiac Pacemakers, Inc. | Generatation and display of fusion statistics |
| EP2311368B1 (en) * | 2009-10-14 | 2012-03-14 | Biotronik CRM Patent AG | Orientation determination for an implantable medical device |
| JP5805204B2 (ja) | 2010-11-03 | 2015-11-04 | カーディオインサイト テクノロジーズ インコーポレイテッド | 心臓の機能を評価するためのシステム |
| US9186081B2 (en) * | 2010-12-30 | 2015-11-17 | St. Jude Medical, Atrial Fibrillation Division, Inc. | System and method for diagnosing arrhythmias and directing catheter therapies |
| WO2012151498A2 (en) * | 2011-05-04 | 2012-11-08 | Cardioinsight Technologies, Inc. | Signal averaging |
| US9002453B2 (en) | 2011-07-29 | 2015-04-07 | Pacesetter, Inc. | Devices, systems and methods to perform arrhythmia discrimination based on R-R interval stability corresponding to a plurality of ventricular regions |
| US8798731B2 (en) | 2011-07-29 | 2014-08-05 | Pacesetter, Inc. | Devices, systems and methods to perform arrhythmia discrimination based on the atrial and ventricular activation times |
| US9554717B2 (en) | 2011-07-29 | 2017-01-31 | Pacesetter, Inc. | Devices, systems and methods to monitor and treat heart failure (HF) |
| KR101912090B1 (ko) * | 2012-02-08 | 2018-10-26 | 삼성전자 주식회사 | 심방세동 예측 모델 생성장치 및 방법과, 심방세동 예측장치 및 방법 |
| US9801564B2 (en) | 2012-02-29 | 2017-10-31 | General Electric Company | System and method for determining physiological parameters based on electrical impedance measurements |
| US8942800B2 (en) * | 2012-04-20 | 2015-01-27 | Cardiac Science Corporation | Corrective prompting system for appropriate chest compressions |
| EP3517052A1 (en) * | 2012-10-23 | 2019-07-31 | Valtech Cardio, Ltd. | Controlled steering functionality for implant-delivery tool |
| EP2911593B1 (en) | 2012-10-23 | 2020-03-25 | Valtech Cardio, Ltd. | Percutaneous tissue anchor techniques |
| US8666490B1 (en) | 2012-12-13 | 2014-03-04 | Pacesetter, Inc. | Capture confirmation for multi-site pacing |
| CN105722459B (zh) | 2013-08-28 | 2019-06-14 | 波士顿科学医学有限公司 | 在电生理学标测期间估计数据段中激活模式的普遍率 |
| JP6345806B2 (ja) | 2014-06-20 | 2018-06-20 | ボストン サイエンティフィック サイムド,インコーポレイテッドBoston Scientific Scimed,Inc. | 心臓組織のマッピングのための医療装置 |
| US9924885B2 (en) | 2014-07-24 | 2018-03-27 | Medtronic, Inc. | Rhythm discriminator with immunity to body posture |
| US9486637B2 (en) | 2014-07-24 | 2016-11-08 | Medtronic, Inc. | Method and apparatus for accurate separation of supraventricular tachycardia from ventricular tachycardia during posture changes |
| JP6795501B2 (ja) * | 2014-07-29 | 2020-12-02 | カルディオフロー テクノロジーズ リミテッド ライアビリティー カンパニーCardioflow Technologies,LLC | 抗頻拍ペーシング(atp)の最適化システム及び方法 |
| CN107106015A (zh) * | 2014-08-05 | 2017-08-29 | 英诺瓦科公司 | 心脏状态监视系统 |
| KR102257289B1 (ko) * | 2014-08-26 | 2021-05-27 | 삼성전자주식회사 | 심전도 신호를 이용한 사용자 인증 방법 및 장치 |
| EP3270776B1 (en) * | 2015-05-12 | 2020-05-27 | St. Jude Medical, Cardiology Division, Inc. | Systems and methods for orientation independent sensing |
| US20220088402A1 (en) * | 2019-01-23 | 2022-03-24 | Impulse Dynamics Nv | Discrimination of supraventricular tachycardias in combined ccm-icd device |
| EP4299111B1 (en) * | 2019-04-24 | 2025-05-07 | BIOTRONIK SE & Co. KG | Leadless cardiac pacemaker device configured to provide his bundle pacing |
Family Cites Families (11)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO1991019452A1 (en) * | 1990-06-20 | 1991-12-26 | Cedars-Sinai Medical Center | Methods for detecting and evaluating heart disorders |
| US5146926A (en) * | 1990-10-26 | 1992-09-15 | Massachusetts Institute Of Technology | Method and apparatus for imaging electrical activity in a biological system |
| AU654552B2 (en) * | 1991-04-05 | 1994-11-10 | Medtronic, Inc. | Subcutaneous multi-electrode sensing system |
| US6438409B1 (en) * | 1999-03-25 | 2002-08-20 | Medtronic, Inc. | Methods of characterizing ventricular operations and applications thereof |
| US6282440B1 (en) * | 1999-12-31 | 2001-08-28 | Ge Marquette Medical Systems, Inc. | Method to identify electrode placement |
| US6505067B1 (en) * | 2000-11-22 | 2003-01-07 | Medtronic, Inc. | System and method for deriving a virtual ECG or EGM signal |
| AU2002354800A1 (en) * | 2001-07-05 | 2003-01-21 | Softmax, Inc. | System and method for separating cardiac signals |
| US6810282B2 (en) * | 2001-10-25 | 2004-10-26 | GE Medical Systems Information Technolgies, Inc. | Method and apparatus for dynamically selecting an electrocardiogram compression process based on computerized analysis of cardiac rhythm and contour |
| US6766190B2 (en) * | 2001-10-31 | 2004-07-20 | Medtronic, Inc. | Method and apparatus for developing a vectorcardiograph in an implantable medical device |
| US7263399B2 (en) * | 2002-04-29 | 2007-08-28 | Medtronic, Inc. | Apparatus and methods for analysis of cardiac device stored episodes containing sensed signals and waveforms |
| US6884218B2 (en) * | 2002-12-09 | 2005-04-26 | Charles W. Olson | Three dimensional vector cardiograph and method for detecting and monitoring ischemic events |
-
2005
- 2005-09-30 WO PCT/US2005/035638 patent/WO2006039693A1/en not_active Ceased
- 2005-09-30 EP EP05806702.6A patent/EP1809172B1/en not_active Expired - Lifetime
- 2005-09-30 JP JP2007534884A patent/JP5065030B2/ja not_active Expired - Fee Related
Also Published As
| Publication number | Publication date |
|---|---|
| EP1809172B1 (en) | 2017-07-12 |
| WO2006039693A1 (en) | 2006-04-13 |
| JP2008515485A (ja) | 2008-05-15 |
| EP1809172A1 (en) | 2007-07-25 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| JP5065030B2 (ja) | 発生源分別を実行する心臓システム | |
| US7890159B2 (en) | Cardiac activation sequence monitoring and tracking | |
| US7805185B2 (en) | Posture monitoring using cardiac activation sequences | |
| US7917196B2 (en) | Arrhythmia discrimination using electrocardiograms sensed from multiple implanted electrodes | |
| US8626276B2 (en) | Cardiac activation sequence monitoring for ischemia detection | |
| US7509170B2 (en) | Automatic capture verification using electrocardiograms sensed from multiple implanted electrodes | |
| US7917215B2 (en) | Closed loop cardiac resynchronization therapy using cardiac activation sequence information | |
| US7941206B2 (en) | Automatic orientation determination for ECG measurements using multiple electrodes | |
| US8725255B2 (en) | Cardiac resynchronization therapy optimization using cardiac activation sequence information | |
| US7236819B2 (en) | Separation of a subcutaneous cardiac signal from a plurality of composite signals | |
| US7970473B2 (en) | Systems and methods for detection of VT and VF from remote sensing electrodes | |
| US20120296228A1 (en) | Heart sounds-based pacing optimization | |
| US8000786B2 (en) | Multiple pulse defibrillation for subcutaneous implantable cardiac devices | |
| US7403813B1 (en) | Systems and methods for detection of VT and VF from remote sensing electrodes |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20080930 |
|
| A621 | Written request for application examination |
Free format text: JAPANESE INTERMEDIATE CODE: A621 Effective date: 20080930 |
|
| RD03 | Notification of appointment of power of attorney |
Free format text: JAPANESE INTERMEDIATE CODE: A7423 Effective date: 20090206 |
|
| RD04 | Notification of resignation of power of attorney |
Free format text: JAPANESE INTERMEDIATE CODE: A7424 Effective date: 20090212 |
|
| A977 | Report on retrieval |
Free format text: JAPANESE INTERMEDIATE CODE: A971007 Effective date: 20110714 |
|
| A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20110824 |
|
| A601 | Written request for extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A601 Effective date: 20111115 |
|
| A602 | Written permission of extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A602 Effective date: 20111122 |
|
| A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20120223 |
|
| RD04 | Notification of resignation of power of attorney |
Free format text: JAPANESE INTERMEDIATE CODE: A7424 Effective date: 20120301 |
|
| 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: 20120807 |
|
| 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: 20120809 |
|
| R150 | Certificate of patent or registration of utility model |
Ref document number: 5065030 Country of ref document: JP Free format text: JAPANESE INTERMEDIATE CODE: R150 Free format text: JAPANESE INTERMEDIATE CODE: R150 |
|
| FPAY | Renewal fee payment (event date is renewal date of database) |
Free format text: PAYMENT UNTIL: 20150817 Year of fee payment: 3 |
|
| R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
| R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
| R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
| 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 |