JP5183467B2 - 電気機械的タイミングに基づく心臓治療制御システム - Google Patents
電気機械的タイミングに基づく心臓治療制御システム Download PDFInfo
- Publication number
- JP5183467B2 JP5183467B2 JP2008519599A JP2008519599A JP5183467B2 JP 5183467 B2 JP5183467 B2 JP 5183467B2 JP 2008519599 A JP2008519599 A JP 2008519599A JP 2008519599 A JP2008519599 A JP 2008519599A JP 5183467 B2 JP5183467 B2 JP 5183467B2
- Authority
- JP
- Japan
- Prior art keywords
- heart
- ventricular
- therapy
- controller
- electrode
- 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
- 229940030602 cardiac therapy drug Drugs 0.000 title description 2
- 210000002216 heart Anatomy 0.000 claims description 131
- 230000002861 ventricular Effects 0.000 claims description 60
- 238000002560 therapeutic procedure Methods 0.000 claims description 40
- 238000011282 treatment Methods 0.000 claims description 39
- 230000000694 effects Effects 0.000 claims description 37
- 230000000747 cardiac effect Effects 0.000 claims description 35
- 230000004913 activation Effects 0.000 claims description 34
- 230000001746 atrial effect Effects 0.000 claims description 19
- 238000009125 cardiac resynchronization therapy Methods 0.000 claims description 17
- 210000005240 left ventricle Anatomy 0.000 claims description 15
- 210000003462 vein Anatomy 0.000 claims description 11
- 210000005241 right ventricle Anatomy 0.000 claims description 9
- 230000017531 blood circulation Effects 0.000 claims description 8
- 230000004872 arterial blood pressure Effects 0.000 claims description 6
- 230000008859 change Effects 0.000 claims description 6
- 238000012377 drug delivery Methods 0.000 claims description 6
- 210000001519 tissue Anatomy 0.000 claims description 6
- 230000001133 acceleration Effects 0.000 claims description 5
- 238000007914 intraventricular administration Methods 0.000 claims description 5
- 210000001147 pulmonary artery Anatomy 0.000 claims description 5
- 230000008081 blood perfusion Effects 0.000 claims description 4
- 238000004137 mechanical activation Methods 0.000 claims description 4
- 230000002441 reversible effect Effects 0.000 claims description 4
- 206010071436 Systolic dysfunction Diseases 0.000 claims description 3
- 230000007383 nerve stimulation Effects 0.000 claims description 3
- 230000009885 systemic effect Effects 0.000 claims description 3
- 210000004204 blood vessel Anatomy 0.000 claims description 2
- 239000000835 fiber Substances 0.000 claims description 2
- 210000004351 coronary vessel Anatomy 0.000 claims 1
- 210000005003 heart tissue Anatomy 0.000 claims 1
- 210000001308 heart ventricle Anatomy 0.000 claims 1
- 238000000034 method Methods 0.000 description 33
- 210000005245 right atrium Anatomy 0.000 description 14
- 230000000638 stimulation Effects 0.000 description 12
- 206010019280 Heart failures Diseases 0.000 description 11
- 239000008280 blood Substances 0.000 description 11
- 210000004369 blood Anatomy 0.000 description 11
- 206010007559 Cardiac failure congestive Diseases 0.000 description 10
- 238000001514 detection method Methods 0.000 description 10
- 230000006870 function Effects 0.000 description 9
- 230000035939 shock Effects 0.000 description 8
- 210000003748 coronary sinus Anatomy 0.000 description 7
- 238000002513 implantation Methods 0.000 description 7
- 238000004891 communication Methods 0.000 description 6
- 230000008602 contraction Effects 0.000 description 6
- 230000004044 response Effects 0.000 description 6
- 238000004458 analytical method Methods 0.000 description 5
- 206010003119 arrhythmia Diseases 0.000 description 4
- 230000006793 arrhythmia Effects 0.000 description 4
- 230000007423 decrease Effects 0.000 description 4
- 230000028161 membrane depolarization Effects 0.000 description 4
- 238000012544 monitoring process Methods 0.000 description 4
- 230000002107 myocardial effect Effects 0.000 description 4
- 230000007935 neutral effect Effects 0.000 description 4
- 238000005086 pumping Methods 0.000 description 4
- 208000031229 Cardiomyopathies Diseases 0.000 description 3
- 206010052337 Diastolic dysfunction Diseases 0.000 description 3
- 208000033774 Ventricular Remodeling Diseases 0.000 description 3
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 3
- 230000008901 benefit Effects 0.000 description 3
- 230000006835 compression Effects 0.000 description 3
- 238000007906 compression Methods 0.000 description 3
- 238000010586 diagram Methods 0.000 description 3
- 238000005259 measurement Methods 0.000 description 3
- 210000001087 myotubule Anatomy 0.000 description 3
- 230000001537 neural effect Effects 0.000 description 3
- 229910052760 oxygen Inorganic materials 0.000 description 3
- 239000001301 oxygen Substances 0.000 description 3
- 238000007920 subcutaneous administration Methods 0.000 description 3
- 210000002620 vena cava superior Anatomy 0.000 description 3
- 206010007558 Cardiac failure chronic Diseases 0.000 description 2
- 230000003044 adaptive effect Effects 0.000 description 2
- 239000002333 angiotensin II receptor antagonist Substances 0.000 description 2
- 238000003491 array Methods 0.000 description 2
- 210000001715 carotid artery Anatomy 0.000 description 2
- 230000003205 diastolic effect Effects 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 230000002169 extracardiac Effects 0.000 description 2
- 208000019622 heart disease Diseases 0.000 description 2
- 230000004217 heart function Effects 0.000 description 2
- 210000005246 left atrium Anatomy 0.000 description 2
- 238000007726 management method Methods 0.000 description 2
- 230000002503 metabolic effect Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 230000037081 physical activity Effects 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 238000007634 remodeling Methods 0.000 description 2
- 230000033764 rhythmic process Effects 0.000 description 2
- 210000001321 subclavian vein Anatomy 0.000 description 2
- 239000000126 substance Substances 0.000 description 2
- 208000024891 symptom Diseases 0.000 description 2
- 230000001225 therapeutic effect Effects 0.000 description 2
- 230000032258 transport Effects 0.000 description 2
- 208000017667 Chronic Disease Diseases 0.000 description 1
- 206010020772 Hypertension Diseases 0.000 description 1
- 210000001015 abdomen Anatomy 0.000 description 1
- 230000005856 abnormality Effects 0.000 description 1
- 238000007792 addition Methods 0.000 description 1
- 230000002411 adverse Effects 0.000 description 1
- 229940125364 angiotensin receptor blocker Drugs 0.000 description 1
- 210000000709 aorta Anatomy 0.000 description 1
- 210000001765 aortic valve Anatomy 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000036772 blood pressure Effects 0.000 description 1
- 238000004364 calculation method Methods 0.000 description 1
- 239000003990 capacitor Substances 0.000 description 1
- 210000005242 cardiac chamber Anatomy 0.000 description 1
- 230000003683 cardiac damage Effects 0.000 description 1
- 210000000748 cardiovascular system Anatomy 0.000 description 1
- 210000004027 cell Anatomy 0.000 description 1
- 238000006243 chemical reaction Methods 0.000 description 1
- 230000003750 conditioning effect Effects 0.000 description 1
- 239000004020 conductor Substances 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 238000013480 data collection Methods 0.000 description 1
- 238000013500 data storage Methods 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 238000005265 energy consumption Methods 0.000 description 1
- 230000000763 evoking effect Effects 0.000 description 1
- 238000001914 filtration Methods 0.000 description 1
- 210000003709 heart valve Anatomy 0.000 description 1
- 238000002847 impedance measurement Methods 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 230000000297 inotrophic effect Effects 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 239000011159 matrix material Substances 0.000 description 1
- 210000004115 mitral valve Anatomy 0.000 description 1
- 208000010125 myocardial infarction Diseases 0.000 description 1
- 210000004165 myocardium Anatomy 0.000 description 1
- 230000001734 parasympathetic effect Effects 0.000 description 1
- 230000036961 partial effect Effects 0.000 description 1
- 230000037361 pathway Effects 0.000 description 1
- 230000010412 perfusion Effects 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
- 210000003102 pulmonary valve Anatomy 0.000 description 1
- 230000035485 pulse pressure Effects 0.000 description 1
- 238000000718 qrs complex Methods 0.000 description 1
- 230000002829 reductive effect Effects 0.000 description 1
- 230000002336 repolarization Effects 0.000 description 1
- 230000036387 respiratory rate Effects 0.000 description 1
- 230000000284 resting effect Effects 0.000 description 1
- 239000004065 semiconductor Substances 0.000 description 1
- 229910052710 silicon Inorganic materials 0.000 description 1
- 239000010703 silicon Substances 0.000 description 1
- 230000003595 spectral effect Effects 0.000 description 1
- 230000002889 sympathetic effect Effects 0.000 description 1
- 230000001360 synchronised effect Effects 0.000 description 1
- 210000000115 thoracic cavity Anatomy 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
- 210000000591 tricuspid valve Anatomy 0.000 description 1
- 210000001186 vagus nerve Anatomy 0.000 description 1
- 206010047302 ventricular tachycardia Diseases 0.000 description 1
- 238000005303 weighing 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
- A61B7/00—Instruments for auscultation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/142—Pressure infusion, e.g. using pumps
- A61M5/14244—Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body
- A61M5/14276—Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body specially adapted for implantation
-
- 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
- A61N1/36585—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by two or more physical parameters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B7/00—Instruments for auscultation
- A61B7/02—Stethoscopes
- A61B7/04—Electric stethoscopes
-
- 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
-
- 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
- A61N1/372—Arrangements in connection with the implantation of stimulators
- A61N1/375—Constructional arrangements, e.g. casings
- A61N1/3756—Casings with electrodes thereon, e.g. leadless stimulators
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Cardiology (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- Physiology (AREA)
- Biophysics (AREA)
- Vascular Medicine (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Hospice & Palliative Care (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Surgery (AREA)
- Electrotherapy Devices (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US11/168,024 | 2005-06-28 | ||
| US11/168,024 US9265949B2 (en) | 2005-06-28 | 2005-06-28 | Method and apparatus for controlling cardiac therapy based on electromechanical timing |
| PCT/US2006/025524 WO2007002888A1 (en) | 2005-06-28 | 2006-06-28 | System for controlling cardiac therapy based on electromechanical timing |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2008546507A JP2008546507A (ja) | 2008-12-25 |
| JP2008546507A5 JP2008546507A5 (enExample) | 2009-08-13 |
| JP5183467B2 true JP5183467B2 (ja) | 2013-04-17 |
Family
ID=37101949
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2008519599A Expired - Fee Related JP5183467B2 (ja) | 2005-06-28 | 2006-06-28 | 電気機械的タイミングに基づく心臓治療制御システム |
Country Status (4)
| Country | Link |
|---|---|
| US (1) | US9265949B2 (enExample) |
| EP (1) | EP1919557A1 (enExample) |
| JP (1) | JP5183467B2 (enExample) |
| WO (1) | WO2007002888A1 (enExample) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US10252920B2 (en) | 2015-09-07 | 2019-04-09 | International Business Machines Corporation | Flowfield sensors for monitoring liquid flow |
Families Citing this family (58)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6666826B2 (en) * | 2002-01-04 | 2003-12-23 | Cardiac Pacemakers, Inc. | Method and apparatus for measuring left ventricular pressure |
| US7189204B2 (en) | 2002-12-04 | 2007-03-13 | Cardiac Pacemakers, Inc. | Sleep detection using an adjustable threshold |
| US7610094B2 (en) | 2003-09-18 | 2009-10-27 | Cardiac Pacemakers, Inc. | Synergistic use of medical devices for detecting medical disorders |
| US7720541B2 (en) | 2003-08-18 | 2010-05-18 | Cardiac Pacemakers, Inc. | Adaptive therapy for disordered breathing |
| US7887493B2 (en) | 2003-09-18 | 2011-02-15 | Cardiac Pacemakers, Inc. | Implantable device employing movement sensing for detecting sleep-related disorders |
| WO2005028029A2 (en) | 2003-08-18 | 2005-03-31 | Cardiac Pacemakers, Inc. | Patient monitoring, diagnosis, and/or therapy systems and methods |
| US7510531B2 (en) | 2003-09-18 | 2009-03-31 | Cardiac Pacemakers, Inc. | System and method for discrimination of central and obstructive disordered breathing events |
| US8606356B2 (en) | 2003-09-18 | 2013-12-10 | Cardiac Pacemakers, Inc. | Autonomic arousal detection system and method |
| US7970470B2 (en) * | 2003-09-18 | 2011-06-28 | Cardiac Pacemakers, Inc. | Diagnosis and/or therapy using blood chemistry/expired gas parameter analysis |
| US7575553B2 (en) | 2003-09-18 | 2009-08-18 | Cardiac Pacemakers, Inc. | Methods and systems for assessing pulmonary disease |
| US7662101B2 (en) | 2003-09-18 | 2010-02-16 | Cardiac Pacemakers, Inc. | Therapy control based on cardiopulmonary status |
| US8002553B2 (en) | 2003-08-18 | 2011-08-23 | Cardiac Pacemakers, Inc. | Sleep quality data collection and evaluation |
| US8251061B2 (en) | 2003-09-18 | 2012-08-28 | Cardiac Pacemakers, Inc. | Methods and systems for control of gas therapy |
| US20070179585A1 (en) * | 2006-01-31 | 2007-08-02 | Mark Chandler | Method and apparatus for treating a wound |
| US8712519B1 (en) * | 2006-03-31 | 2014-04-29 | Pacesetter, Inc. | Closed-loop adaptive adjustment of pacing therapy based on cardiogenic impedance signals detected by an implantable medical device |
| US7647101B2 (en) * | 2006-06-09 | 2010-01-12 | Cardiac Pacemakers, Inc. | Physical conditioning system, device and method |
| US8983598B2 (en) * | 2006-10-04 | 2015-03-17 | Cardiac Pacemakers, Inc. | System for neurally-mediated anti-arrhythmic therapy |
| US7890163B2 (en) * | 2006-10-19 | 2011-02-15 | Cardiac Pacemakers, Inc. | Method and apparatus for detecting fibrillation using cardiac local impedance |
| US8016764B1 (en) * | 2006-11-08 | 2011-09-13 | Pacesetter, Inc. | Systems and methods for evaluating ventricular dyssynchrony using atrial and ventricular pressure measurements obtained by an implantable medical device |
| US7846104B2 (en) * | 2007-02-08 | 2010-12-07 | Heart Force Medical Inc. | Monitoring physiological condition and detecting abnormalities |
| US7840267B2 (en) * | 2007-03-23 | 2010-11-23 | Cardiac Pacemakers, Inc. | Closed-loop resynchronization therapy for mechanical dyssynchrony |
| US20080287818A1 (en) * | 2007-04-19 | 2008-11-20 | Pacesetter, Inc. | Pressure measurement-based ischemia detection |
| US20090149766A1 (en) * | 2007-12-11 | 2009-06-11 | Shuros Allan C | Coronary vein hemodynamic sensor |
| JP5247884B2 (ja) | 2008-08-12 | 2013-07-24 | 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 | 埋め込み型リードおよび冠状静脈圧センサー装置 |
| AU2010254253A1 (en) * | 2009-05-26 | 2011-10-20 | Cardiac Pacemakers, Inc. | System and method for rhythm identification and therapy discrimination using hemodynamic status information |
| WO2010141284A1 (en) * | 2009-06-01 | 2010-12-09 | Cardiac Pacemakers, Inc. | System and method for pacing rate control utilizing patient hemodynamic status information |
| EP2437849B1 (en) | 2009-06-01 | 2017-02-22 | Cardiac Pacemakers, Inc. | System for decompensation detection and treatment based on patient hemodynamics |
| US20110034812A1 (en) * | 2009-08-10 | 2011-02-10 | Abhilash Patangay | Pulmonary artery pressure based systolic timing intervals as a measure of right ventricular systolic performance |
| US9254091B2 (en) | 2010-07-28 | 2016-02-09 | Medtronic, Inc. | Measurement of cardiac cycle length and pressure metrics from pulmonary arterial pressure |
| 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 |
| US8972009B2 (en) * | 2010-12-22 | 2015-03-03 | Pacesetter, Inc. | Systems and methods for determining optimal interventricular pacing delays based on electromechanical delays |
| US9314205B2 (en) | 2011-04-28 | 2016-04-19 | Medtronic, Inc. | Measurement of cardiac cycle length and pressure metrics from pulmonary arterial pressure |
| US8827913B2 (en) | 2011-05-03 | 2014-09-09 | Medtronic, Inc. | Verification of pressure metrics |
| US8812102B2 (en) | 2011-05-23 | 2014-08-19 | Cardiac Pacemakers, Inc. | Sensor response delay for hemodynamic stability detection during arrhythmia |
| US8965504B2 (en) | 2012-03-02 | 2015-02-24 | Cardiac Pacemakers, Inc. | Systems and methods of characterizing mechanical activation patterns for rhythm discrimination and therapy |
| WO2013184315A1 (en) * | 2012-06-05 | 2013-12-12 | 3M Innovative Properties Company | Enhanced auscultatory sensor and analysis for patient diagnosis |
| KR101400454B1 (ko) | 2012-09-03 | 2014-05-27 | 강원대학교산학협력단 | 심실보조장치 |
| US9301702B2 (en) | 2012-11-19 | 2016-04-05 | Pacesetter, Inc. | Systems and methods for exploiting pulmonary artery pressure obtained from an implantable sensor to detect cardiac rhythm irregularities |
| US9566442B2 (en) | 2012-11-19 | 2017-02-14 | Pacesetter, Inc. | Systems and methods for using pulmonary artery pressure from an implantable sensor to detect mitral regurgitation and optimize pacing delays |
| US9180301B2 (en) * | 2013-03-15 | 2015-11-10 | Cardiac Pacemakers, Inc. | Estimating electromechanical delay to optimize pacing parameters in RBBB patients |
| US9399140B2 (en) | 2014-07-25 | 2016-07-26 | Medtronic, Inc. | Atrial contraction detection by a ventricular leadless pacing device for atrio-synchronous ventricular pacing |
| US9707401B2 (en) | 2014-07-30 | 2017-07-18 | Cardiac Pacemakers, Inc. | Pacing site and configuration optimization using a combination of electrical and mechanical information |
| WO2016100906A1 (en) | 2014-12-18 | 2016-06-23 | Zoll Medical Corporation | Pacing device with acoustic sensor |
| US10321877B2 (en) | 2015-03-18 | 2019-06-18 | Zoll Medical Corporation | Medical device with acoustic sensor |
| KR101630124B1 (ko) * | 2015-04-17 | 2016-06-13 | 강원대학교산학협력단 | 심실보조장치를 이식한 환자의 심장기능 모니터링 방법 |
| US11617538B2 (en) | 2016-03-14 | 2023-04-04 | Zoll Medical Corporation | Proximity based processing systems and methods |
| US11026619B2 (en) * | 2016-04-13 | 2021-06-08 | Cardiac Pacemakers, Inc. | Determining cardiac pacing capture effectiveness of an implantable medical device |
| 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 |
| US11331019B2 (en) | 2017-08-07 | 2022-05-17 | The Research Foundation For The State University Of New York | Nanoparticle sensor having a nanofibrous membrane scaffold |
| JP7233069B2 (ja) * | 2017-09-14 | 2023-03-06 | 株式会社ニューロシューティカルズiVNS | 心筋梗塞処置用制御装置、及び心筋梗塞処置用制御方法 |
| JP7772448B2 (ja) | 2018-03-16 | 2025-11-18 | ゾール メディカル コーポレイション | 生体振動および無線周波数のデータ分析に基づく生理的状態のモニタリング |
| US11285312B2 (en) * | 2018-03-29 | 2022-03-29 | Medtronic, Inc. | Left ventricular assist device adjustment and evaluation |
| US11338143B2 (en) | 2019-03-20 | 2022-05-24 | Neuroceuticals, Inc. | Control apparatus for treating myocardial infarction and control method for treating myocardial infarction |
| EP3721801A1 (en) | 2019-04-12 | 2020-10-14 | ETH Zurich | Cardiac device, method and computer program product |
| GB2583501B (en) * | 2019-04-30 | 2022-02-02 | Pacertool As | Characterisation of cardiac dyssynchrony and dyssynergy |
| US20220047868A1 (en) | 2019-04-30 | 2022-02-17 | Pacertool As | Characterisation of cardiac dyssynchrony and dyssynergy |
| DE102019216780A1 (de) | 2019-10-30 | 2021-05-06 | Neuroloop GmbH | Vorrichtung sowie Verfahren zur Detektion eines innerhalb eines Individuums befindlichen medizinischen aktiven Implantats |
| US12156999B2 (en) * | 2020-01-29 | 2024-12-03 | Medtronic, Inc. | Ventricular geometric and hemodynamic control by heart rate modulation in LVAD therapy |
Family Cites Families (50)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3995623A (en) * | 1974-12-23 | 1976-12-07 | American Hospital Supply Corporation | Multipurpose flow-directed catheter |
| US4485813A (en) * | 1981-11-19 | 1984-12-04 | Medtronic, Inc. | Implantable dynamic pressure transducer system |
| US4719921A (en) * | 1985-08-28 | 1988-01-19 | Raul Chirife | Cardiac pacemaker adaptive to physiological requirements |
| US4674518A (en) * | 1985-09-06 | 1987-06-23 | Cardiac Pacemakers, Inc. | Method and apparatus for measuring ventricular volume |
| US4773401A (en) * | 1987-08-21 | 1988-09-27 | Cardiac Pacemakers, Inc. | Physiologic control of pacemaker rate using pre-ejection interval as the controlling parameter |
| US4865036A (en) * | 1988-06-10 | 1989-09-12 | Raul Chirife | Antitachyarrythmia pacemaker using pre-ejection period to distinguish physiologic from pathologic tachycardia |
| US5195968A (en) * | 1990-02-02 | 1993-03-23 | Ingemar Lundquist | Catheter steering mechanism |
| US5083563A (en) * | 1990-02-16 | 1992-01-28 | Telectronics Pacing Systems, Inc. | Implantable automatic and haemodynamically responsive cardioverting/defibrillating pacemaker |
| US5129394A (en) * | 1991-01-07 | 1992-07-14 | Medtronic, Inc. | Method and apparatus for controlling heart rate in proportion to left ventricular pressure |
| US5188106A (en) * | 1991-03-08 | 1993-02-23 | Telectronics Pacing Systems, Inc. | Method and apparatus for chronically monitoring the hemodynamic state of a patient using doppler ultrasound |
| US5324326A (en) * | 1991-11-25 | 1994-06-28 | Telectronics Pacing Systems, Inc. | Pressure sensing pacing lead |
| US5203326A (en) * | 1991-12-18 | 1993-04-20 | Telectronics Pacing Systems, Inc. | Antiarrhythmia pacer using antiarrhythmia pacing and autonomic nerve stimulation therapy |
| US5342404A (en) * | 1992-04-03 | 1994-08-30 | Intermedics, Inc. | Implantable medical interventional device |
| US5334222A (en) * | 1992-11-03 | 1994-08-02 | Cardiac Pacemakers, Inc. | Cardiac stimulating apparatus and method for heart failure therapy |
| US5389090A (en) * | 1994-02-07 | 1995-02-14 | Cathco, Inc. | Guiding catheter with straightening dilator |
| US5674256A (en) * | 1995-12-19 | 1997-10-07 | Cardiac Pacemakers, Inc. | Cardiac pre-ejection period detection |
| US6096036A (en) * | 1998-05-05 | 2000-08-01 | Cardiac Pacemakers, Inc. | Steerable catheter with preformed distal shape and method for use |
| US5700283A (en) | 1996-11-25 | 1997-12-23 | Cardiac Pacemakers, Inc. | Method and apparatus for pacing patients with severe congestive heart failure |
| US5755766A (en) * | 1997-01-24 | 1998-05-26 | Cardiac Pacemakers, Inc. | Open-ended intravenous cardiac lead |
| US20020040010A1 (en) * | 1997-07-22 | 2002-04-04 | Anthony Rosenzweig | Use of agents to treat heart disorders |
| US6198952B1 (en) * | 1998-10-30 | 2001-03-06 | Medtronic, Inc. | Multiple lens oxygen sensor for medical electrical lead |
| US6070100A (en) * | 1997-12-15 | 2000-05-30 | Medtronic Inc. | Pacing system for optimizing cardiac output and determining heart condition |
| US6066126A (en) * | 1997-12-18 | 2000-05-23 | Medtronic, Inc. | Precurved, dual curve cardiac introducer sheath |
| US6237398B1 (en) * | 1997-12-30 | 2001-05-29 | Remon Medical Technologies, Ltd. | System and method for monitoring pressure, flow and constriction parameters of plumbing and blood vessels |
| US6059778A (en) * | 1998-05-05 | 2000-05-09 | Cardiac Pacemakers, Inc. | RF ablation apparatus and method using unipolar and bipolar techniques |
| US6144880A (en) * | 1998-05-08 | 2000-11-07 | Cardiac Pacemakers, Inc. | Cardiac pacing using adjustable atrio-ventricular delays |
| US6198974B1 (en) | 1998-08-14 | 2001-03-06 | Cordis Webster, Inc. | Bi-directional steerable catheter |
| US6136021A (en) * | 1999-03-23 | 2000-10-24 | Cardiac Pacemakers, Inc. | Expandable electrode for coronary venous leads |
| US6309350B1 (en) * | 1999-05-03 | 2001-10-30 | Tricardia, L.L.C. | Pressure/temperature/monitor device for heart implantation |
| US6312378B1 (en) * | 1999-06-03 | 2001-11-06 | Cardiac Intelligence Corporation | System and method for automated collection and analysis of patient information retrieved from an implantable medical device for remote patient care |
| US6270457B1 (en) * | 1999-06-03 | 2001-08-07 | Cardiac Intelligence Corp. | System and method for automated collection and analysis of regularly retrieved patient information for remote patient care |
| US6280433B1 (en) * | 1999-09-09 | 2001-08-28 | Medtronic, Inc. | Introducer system |
| US6221011B1 (en) * | 1999-07-26 | 2001-04-24 | Cardiac Intelligence Corporation | System and method for determining a reference baseline of individual patient status for use in an automated collection and analysis patient care system |
| SE9902848D0 (sv) * | 1999-08-05 | 1999-08-05 | Pacesetter Ab | A cardiac stimulating device |
| US6280389B1 (en) * | 1999-11-12 | 2001-08-28 | Cardiac Pacemakers, Inc. | Patient identification for the pacing therapy using LV-RV pressure loop |
| US6440066B1 (en) * | 1999-11-16 | 2002-08-27 | Cardiac Intelligence Corporation | Automated collection and analysis patient care system and method for ordering and prioritizing multiple health disorders to identify an index disorder |
| US6398728B1 (en) * | 1999-11-16 | 2002-06-04 | Cardiac Intelligence Corporation | Automated collection and analysis patient care system and method for diagnosing and monitoring respiratory insufficiency and outcomes thereof |
| US6368284B1 (en) * | 1999-11-16 | 2002-04-09 | Cardiac Intelligence Corporation | Automated collection and analysis patient care system and method for diagnosing and monitoring myocardial ischemia and outcomes thereof |
| US6336903B1 (en) * | 1999-11-16 | 2002-01-08 | Cardiac Intelligence Corp. | Automated collection and analysis patient care system and method for diagnosing and monitoring congestive heart failure and outcomes thereof |
| US6408214B1 (en) * | 2000-07-11 | 2002-06-18 | Medtronic, Inc. | Deflectable tip catheter for CS pacing |
| US6398738B1 (en) * | 2000-09-25 | 2002-06-04 | Millar Instruments, Inc. | Method and apparatus for reconstructing a high fidelity pressure waveform with a balloon catheter |
| US6530914B1 (en) * | 2000-10-24 | 2003-03-11 | Scimed Life Systems, Inc. | Deflectable tip guide in guide system |
| CA2426810A1 (en) * | 2000-10-26 | 2002-06-13 | Medtronic, Inc. | Method and apparatus for electrically stimulating the nervous system to improve ventricular dysfunction, heart failure, and other cardiac comditions |
| US6628988B2 (en) * | 2001-04-27 | 2003-09-30 | Cardiac Pacemakers, Inc. | Apparatus and method for reversal of myocardial remodeling with electrical stimulation |
| US20050027323A1 (en) * | 2001-10-30 | 2005-02-03 | Medtronic, Inc. | Implantable medical device for monitoring cardiac blood pressure and chamber dimension |
| US6666826B2 (en) * | 2002-01-04 | 2003-12-23 | Cardiac Pacemakers, Inc. | Method and apparatus for measuring left ventricular pressure |
| US7164948B2 (en) * | 2002-04-22 | 2007-01-16 | Medtronic, Inc. | Cardiac output measurement using dual oxygen sensors in right and left ventricles |
| US7065400B2 (en) | 2003-08-20 | 2006-06-20 | Pacesetter, Inc. | Method and apparatus for automatically programming CRT devices |
| US7174203B2 (en) * | 2004-11-18 | 2007-02-06 | Inovise Medical, Inc. | Method and system relating to monitoring and characterizing heart condition |
| US20080287818A1 (en) * | 2007-04-19 | 2008-11-20 | Pacesetter, Inc. | Pressure measurement-based ischemia detection |
-
2005
- 2005-06-28 US US11/168,024 patent/US9265949B2/en active Active
-
2006
- 2006-06-28 JP JP2008519599A patent/JP5183467B2/ja not_active Expired - Fee Related
- 2006-06-28 EP EP06774332A patent/EP1919557A1/en not_active Withdrawn
- 2006-06-28 WO PCT/US2006/025524 patent/WO2007002888A1/en not_active Ceased
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US10252920B2 (en) | 2015-09-07 | 2019-04-09 | International Business Machines Corporation | Flowfield sensors for monitoring liquid flow |
Also Published As
| Publication number | Publication date |
|---|---|
| WO2007002888A1 (en) | 2007-01-04 |
| EP1919557A1 (en) | 2008-05-14 |
| JP2008546507A (ja) | 2008-12-25 |
| US9265949B2 (en) | 2016-02-23 |
| US20060293714A1 (en) | 2006-12-28 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| JP5183467B2 (ja) | 電気機械的タイミングに基づく心臓治療制御システム | |
| US11147965B2 (en) | Method and system for determining pace timing in a leadless cardiac pacemaker system | |
| US10874860B2 (en) | Method and system for determining a cardiac cycle pace time in accordance with metabolic demand in a leadless cardiac pacemaker system | |
| US10688304B2 (en) | Method and system for utilizing an atrial contraction timing fiducial in a leadless cardiac pacemaker system | |
| US8032214B2 (en) | Method and apparatus for optimizing ventricular synchrony during DDD resynchronization therapy using adjustable atrio-ventricular delays | |
| US7974695B2 (en) | Method and apparatus for optimizing stroke volume during DDD resynchronization therapy using adjustable atrio-ventricular delays | |
| US20190381315A1 (en) | System and metod for pacing parameter optimization using heart sounds | |
| US7184835B2 (en) | Method and apparatus for adjustable AVD programming using a table | |
| EP2263748B1 (en) | Multi-site ventricular pacing device with parasympathetic stimulation | |
| JP4731559B2 (ja) | 埋込み可能心臓デバイスによるリモデリング制御治療と抗リモデリング治療との組合せ法 | |
| US20080288013A1 (en) | Pulmonary pressure monitoring | |
| EP1879647A1 (en) | Method and apparatus for optimizing cardiac resynchronization therapy | |
| EP1879651A1 (en) | Measurement of coronary sinus parameters to optimize left ventricular performance | |
| JP2009521263A (ja) | 心筋酸素消費量に基づいて心臓効率を向上させる方法及び装置 | |
| US8825156B2 (en) | System and method for decompensation detection and treatment based on patient hemodynamics | |
| EP1957159B1 (en) | Implantable cardiac stimulator for monitoring the heart cycle in a human heart | |
| US8768461B2 (en) | Systems and methods for controlling paired pacing interpulse intervals to reduce contractility disequilibrium using an implantable medical device |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| RD02 | Notification of acceptance of power of attorney |
Free format text: JAPANESE INTERMEDIATE CODE: A7422 Effective date: 20090306 |
|
| RD03 | Notification of appointment of power of attorney |
Free format text: JAPANESE INTERMEDIATE CODE: A7423 Effective date: 20090306 |
|
| RD04 | Notification of resignation of power of attorney |
Free format text: JAPANESE INTERMEDIATE CODE: A7424 Effective date: 20090317 |
|
| A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20090623 |
|
| A621 | Written request for application examination |
Free format text: JAPANESE INTERMEDIATE CODE: A621 Effective date: 20090623 |
|
| A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20111205 |
|
| A601 | Written request for extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A601 Effective date: 20120301 |
|
| A602 | Written permission of extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A602 Effective date: 20120308 |
|
| A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20120605 |
|
| 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: 20121225 |
|
| A61 | First payment of annual fees (during grant procedure) |
Free format text: JAPANESE INTERMEDIATE CODE: A61 Effective date: 20130115 |
|
| R150 | Certificate of patent or registration of utility model |
Free format text: JAPANESE INTERMEDIATE CODE: R150 |
|
| FPAY | Renewal fee payment (event date is renewal date of database) |
Free format text: PAYMENT UNTIL: 20160125 Year of fee payment: 3 |
|
| RD03 | Notification of appointment of power of attorney |
Free format text: JAPANESE INTERMEDIATE CODE: R3D03 |
|
| LAPS | Cancellation because of no payment of annual fees |