JP5184525B2 - 心臓ペーシング治療供給システム - Google Patents
心臓ペーシング治療供給システム Download PDFInfo
- Publication number
- JP5184525B2 JP5184525B2 JP2009518259A JP2009518259A JP5184525B2 JP 5184525 B2 JP5184525 B2 JP 5184525B2 JP 2009518259 A JP2009518259 A JP 2009518259A JP 2009518259 A JP2009518259 A JP 2009518259A JP 5184525 B2 JP5184525 B2 JP 5184525B2
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- Prior art keywords
- local
- cardiac
- pacing
- wave
- timing
- 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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Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/362—Heart stimulators
- A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
- A61N1/36585—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
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/362—Heart stimulators
- A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
- A61N1/368—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/362—Heart stimulators
- A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
- A61N1/368—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions
- A61N1/3684—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions for stimulating the heart at multiple sites of the ventricle or the atrium
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/362—Heart stimulators
- A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
- A61N1/368—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions
- A61N1/3682—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions with a variable atrioventricular delay
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/362—Heart stimulators
- A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
- A61N1/368—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions
- A61N1/3684—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions for stimulating the heart at multiple sites of the ventricle or the atrium
- A61N1/36843—Bi-ventricular stimulation
Landscapes
- Health & Medical Sciences (AREA)
- Cardiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Biophysics (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- Physiology (AREA)
- Radiology & Medical Imaging (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Physics & Mathematics (AREA)
- Pathology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Surgery (AREA)
- Electrotherapy Devices (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US11/478,286 | 2006-06-29 | ||
| US11/478,286 US8527048B2 (en) | 2006-06-29 | 2006-06-29 | Local and non-local sensing for cardiac pacing |
| PCT/US2007/014968 WO2008005270A2 (en) | 2006-06-29 | 2007-06-27 | Local and non-local sensing for cardiac pacing |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2009542331A JP2009542331A (ja) | 2009-12-03 |
| JP2009542331A5 JP2009542331A5 (enExample) | 2010-08-12 |
| JP5184525B2 true JP5184525B2 (ja) | 2013-04-17 |
Family
ID=38686660
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2009518259A Expired - Fee Related JP5184525B2 (ja) | 2006-06-29 | 2007-06-27 | 心臓ペーシング治療供給システム |
Country Status (4)
| Country | Link |
|---|---|
| US (1) | US8527048B2 (enExample) |
| EP (1) | EP2038007B1 (enExample) |
| JP (1) | JP5184525B2 (enExample) |
| WO (1) | WO2008005270A2 (enExample) |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8690908B2 (en) | 2002-12-06 | 2014-04-08 | Intuitive Surgical Operations, Inc. | Flexible wrist for surgical tool |
| US8911428B2 (en) | 2001-06-29 | 2014-12-16 | Intuitive Surgical Operations, Inc. | Apparatus for pitch and yaw rotation |
| US9005112B2 (en) | 2001-06-29 | 2015-04-14 | Intuitive Surgical Operations, Inc. | Articulate and swapable endoscope for a surgical robot |
Families Citing this family (27)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20060247693A1 (en) * | 2005-04-28 | 2006-11-02 | Yanting Dong | Non-captured intrinsic discrimination in cardiac pacing response classification |
| US8521284B2 (en) | 2003-12-12 | 2013-08-27 | Cardiac Pacemakers, Inc. | Cardiac response classification using multisite sensing and pacing |
| US7774064B2 (en) * | 2003-12-12 | 2010-08-10 | Cardiac Pacemakers, Inc. | Cardiac response classification using retriggerable classification windows |
| US7706866B2 (en) * | 2004-06-24 | 2010-04-27 | Cardiac Pacemakers, Inc. | Automatic orientation determination for ECG measurements using multiple electrodes |
| US7805185B2 (en) | 2005-05-09 | 2010-09-28 | Cardiac Pacemakers, In. | Posture monitoring using cardiac activation sequences |
| US7509170B2 (en) * | 2005-05-09 | 2009-03-24 | Cardiac Pacemakers, Inc. | Automatic capture verification using electrocardiograms sensed from multiple implanted electrodes |
| US7917196B2 (en) | 2005-05-09 | 2011-03-29 | Cardiac Pacemakers, Inc. | Arrhythmia discrimination using electrocardiograms sensed from multiple implanted electrodes |
| US7797036B2 (en) * | 2004-11-30 | 2010-09-14 | Cardiac Pacemakers, Inc. | Cardiac activation sequence monitoring for ischemia detection |
| US7457664B2 (en) | 2005-05-09 | 2008-11-25 | Cardiac Pacemakers, Inc. | Closed loop cardiac resynchronization therapy using cardiac activation sequence information |
| US7890159B2 (en) * | 2004-09-30 | 2011-02-15 | Cardiac Pacemakers, Inc. | Cardiac activation sequence monitoring and tracking |
| US7392086B2 (en) | 2005-04-26 | 2008-06-24 | Cardiac Pacemakers, Inc. | Implantable cardiac device and method for reduced phrenic nerve stimulation |
| US20080004665A1 (en) * | 2006-06-29 | 2008-01-03 | Mccabe Aaron R | Determination of cardiac pacing parameters based on non-localized sensing |
| US9345887B2 (en) | 2006-06-29 | 2016-05-24 | Cardiac Pacemakers Inc. | Local and non-local sensing for cardiac pacing |
| US8527048B2 (en) | 2006-06-29 | 2013-09-03 | Cardiac Pacemakers, Inc. | Local and non-local sensing for cardiac pacing |
| US8209013B2 (en) * | 2006-09-14 | 2012-06-26 | Cardiac Pacemakers, Inc. | Therapeutic electrical stimulation that avoids undesirable activation |
| US8265736B2 (en) | 2007-08-07 | 2012-09-11 | Cardiac Pacemakers, Inc. | Method and apparatus to perform electrode combination selection |
| US9037239B2 (en) | 2007-08-07 | 2015-05-19 | Cardiac Pacemakers, Inc. | Method and apparatus to perform electrode combination selection |
| JP5276119B2 (ja) | 2008-02-14 | 2013-08-28 | 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 | 横隔刺激検出のための方法および装置 |
| US20090234413A1 (en) | 2008-03-13 | 2009-09-17 | Sambelashvili Aleksandre T | Apparatus and methods of adjusting atrioventricular pacing delay intervals in a rate adaptive pacemaker |
| US7941218B2 (en) * | 2008-03-13 | 2011-05-10 | Medtronic, Inc. | Apparatus and methods of optimizing atrioventricular pacing delay intervals |
| US8321014B2 (en) | 2008-10-06 | 2012-11-27 | Cardiac Pacemakers, Inc. | Dynamic cardiac resynchronization therapy by tracking intrinsic conduction |
| US9026209B2 (en) * | 2009-07-28 | 2015-05-05 | Biotronik Crm Patent Ag | Ventricular cardiac stimulator |
| US8880160B2 (en) * | 2011-07-22 | 2014-11-04 | Cardiac Pacemakers, Inc. | Optimization of LV and RV lead placement based on electrical delays |
| US10004906B2 (en) | 2015-07-16 | 2018-06-26 | Medtronic, Inc. | Confirming sensed atrial events for pacing during resynchronization therapy in a cardiac medical device and medical device system |
| 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 |
| US10694967B2 (en) | 2017-10-18 | 2020-06-30 | Medtronic, Inc. | State-based atrial event detection |
| US12083344B2 (en) * | 2020-11-24 | 2024-09-10 | Medtronic, Inc. | Guiding anti-tachyarrhythmia pacing train design and electrode selection with electrograms |
Family Cites Families (299)
| Publication number | Priority date | Publication date | Assignee | Title |
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| US725962A (en) * | 1902-06-18 | 1903-04-21 | Sylvester W Higgins | Minnow-net. |
| US3920005A (en) | 1972-03-16 | 1975-11-18 | Medtronic Inc | Evaluation system for cardiac stimulators |
| US4686332A (en) | 1986-06-26 | 1987-08-11 | International Business Machines Corporation | Combined finger touch and stylus detection system for use on the viewing surface of a visual display device |
| US4388927A (en) | 1979-12-13 | 1983-06-21 | American Hospital Supply Corporation | Programmable digital cardiac pacer |
| US4562841A (en) | 1982-08-05 | 1986-01-07 | Cardiac Pacemakers, Inc. | Programmable multi-mode cardiac pacemaker |
| US4550221A (en) | 1983-10-07 | 1985-10-29 | Scott Mabusth | Touch sensitive control device |
| US4953551A (en) | 1987-01-14 | 1990-09-04 | Medtronic, Inc. | Method of defibrillating a heart |
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-
2006
- 2006-06-29 US US11/478,286 patent/US8527048B2/en not_active Expired - Fee Related
-
2007
- 2007-06-27 JP JP2009518259A patent/JP5184525B2/ja not_active Expired - Fee Related
- 2007-06-27 EP EP07809967.8A patent/EP2038007B1/en not_active Not-in-force
- 2007-06-27 WO PCT/US2007/014968 patent/WO2008005270A2/en not_active Ceased
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| US9005112B2 (en) | 2001-06-29 | 2015-04-14 | Intuitive Surgical Operations, Inc. | Articulate and swapable endoscope for a surgical robot |
| US9717486B2 (en) | 2001-06-29 | 2017-08-01 | Intuitive Surgical Operations, Inc. | Apparatus for pitch and yaw rotation |
| US9730572B2 (en) | 2001-06-29 | 2017-08-15 | Intuitive Surgical Operations, Inc. | Articulate and swappable endoscope for a surgical robot |
| US8690908B2 (en) | 2002-12-06 | 2014-04-08 | Intuitive Surgical Operations, Inc. | Flexible wrist for surgical tool |
| US8790243B2 (en) | 2002-12-06 | 2014-07-29 | Intuitive Surgical Operations, Inc. | Flexible wrist for surgical tool |
| US9095317B2 (en) | 2002-12-06 | 2015-08-04 | Intuitive Surgical Operations, Inc. | Flexible wrist for surgical tool |
Also Published As
| Publication number | Publication date |
|---|---|
| US20080009909A1 (en) | 2008-01-10 |
| EP2038007A2 (en) | 2009-03-25 |
| JP2009542331A (ja) | 2009-12-03 |
| WO2008005270A3 (en) | 2008-04-10 |
| EP2038007B1 (en) | 2016-03-09 |
| WO2008005270A2 (en) | 2008-01-10 |
| WO2008005270A8 (en) | 2008-06-05 |
| US8527048B2 (en) | 2013-09-03 |
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