JP5208950B2 - 電気エネルギー送達組織部位検証 - Google Patents

電気エネルギー送達組織部位検証 Download PDF

Info

Publication number
JP5208950B2
JP5208950B2 JP2009532378A JP2009532378A JP5208950B2 JP 5208950 B2 JP5208950 B2 JP 5208950B2 JP 2009532378 A JP2009532378 A JP 2009532378A JP 2009532378 A JP2009532378 A JP 2009532378A JP 5208950 B2 JP5208950 B2 JP 5208950B2
Authority
JP
Japan
Prior art keywords
tissue site
electrical energy
tissue
intrinsic
electrical
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
Application number
JP2009532378A
Other languages
English (en)
Japanese (ja)
Other versions
JP2010506610A (ja
JP2010506610A5 (enExample
Inventor
デイビッド ターネス，
Original Assignee
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
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by 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 filed Critical 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
Publication of JP2010506610A publication Critical patent/JP2010506610A/ja
Publication of JP2010506610A5 publication Critical patent/JP2010506610A5/ja
Application granted granted Critical
Publication of JP5208950B2 publication Critical patent/JP5208950B2/ja
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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
    • A61N1/365—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
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/3606—Implantable neurostimulators for stimulating central or peripheral nerve system adapted for a particular treatment
    • A61N1/36114—Cardiac control, e.g. by vagal stimulation
    • 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
    • A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39—Heart defibrillators
    • A61N1/3925—Monitoring; Protecting
    • A61N1/3931—Protecting, e.g. back-up systems
    • 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
    • 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
    • A61N1/37211—Means for communicating with stimulators
    • A61N1/37235—Aspects of the external programmer
    • A61N1/37241—Aspects of the external programmer providing test stimulations

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Radiology & Medical Imaging (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biophysics (AREA)
  • Physiology (AREA)
  • Neurology (AREA)
  • Neurosurgery (AREA)
  • Hematology (AREA)
  • Electrotherapy Devices (AREA)
JP2009532378A 2006-10-13 2007-10-09 電気エネルギー送達組織部位検証 Expired - Fee Related JP5208950B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US11/549,439 US8036739B2 (en) 2006-10-13 2006-10-13 Electrical energy delivery tissue site validation
US11/549,439 2006-10-13
PCT/US2007/021577 WO2008048440A1 (en) 2006-10-13 2007-10-09 Electrical energy delivery tissue site validation

Publications (3)

Publication Number Publication Date
JP2010506610A JP2010506610A (ja) 2010-03-04
JP2010506610A5 JP2010506610A5 (enExample) 2012-07-19
JP5208950B2 true JP5208950B2 (ja) 2013-06-12

Family

ID=39047486

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2009532378A Expired - Fee Related JP5208950B2 (ja) 2006-10-13 2007-10-09 電気エネルギー送達組織部位検証

Country Status (4)

Country Link
US (3) US8036739B2 (enExample)
EP (1) EP2086633B1 (enExample)
JP (1) JP5208950B2 (enExample)
WO (1) WO2008048440A1 (enExample)

Families Citing this family (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8036739B2 (en) 2006-10-13 2011-10-11 Cardiac Pacemakers, Inc. Electrical energy delivery tissue site validation
US8544751B2 (en) * 2009-08-03 2013-10-01 Mehrnaz Nicole Jamali System and method for managing a medical procedure site with a machine readable marking
JP5745617B2 (ja) 2010-04-29 2015-07-08 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 ポート使用状況に基づく植込み型医療機器の構成
US9079032B2 (en) 2010-11-10 2015-07-14 Cardiac Pacemakers, Inc. Power supply management for implantable neurostimulation devices
US8792992B2 (en) 2010-11-10 2014-07-29 Cardiac Pacemakers, Inc. Low-power system and methods for neuromodulation
JP2017501798A (ja) * 2013-12-19 2017-01-19 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 神経組織の位置を特定するシステムおよび方法

Family Cites Families (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE58906649D1 (de) * 1989-05-22 1994-02-17 Siemens Ag Implantierbares medizinisches Gerät mit Mitteln zum Stimulieren von Gewebekontraktionen mit einstellbarer Stimulationsintensität und Verfahren zum Betrieb eines solchen Gerätes.
US5814073A (en) 1996-12-13 1998-09-29 Bonutti; Peter M. Method and apparatus for positioning a suture anchor
US6915149B2 (en) * 1996-01-08 2005-07-05 Biosense, Inc. Method of pacing a heart using implantable device
US7269457B2 (en) * 1996-04-30 2007-09-11 Medtronic, Inc. Method and system for vagal nerve stimulation with multi-site cardiac pacing
US7020530B1 (en) * 1999-03-30 2006-03-28 The Uab Research Foundation Method and apparatus for passive cardiac stimulation
US6450942B1 (en) 1999-08-20 2002-09-17 Cardiorest International Ltd. Method for reducing heart loads in mammals
EP1395335A1 (en) 2001-05-29 2004-03-10 Medtronic, Inc. Closed-loop neuromodulation for prevention and treatment of cardiac conditions
JP2004194936A (ja) * 2002-12-19 2004-07-15 Japan Science & Technology Agency 治療的電気刺激装置の管理システム
WO2006012033A2 (en) * 2004-06-30 2006-02-02 Cvrx, Inc. Lockout connector arrangement for implantable medical device
US7672733B2 (en) * 2004-10-29 2010-03-02 Medtronic, Inc. Methods and apparatus for sensing cardiac activity via neurological stimulation therapy system or medical electrical lead
US20080249375A1 (en) 2004-11-02 2008-10-09 Martin Obel Arrangement and Method for Evaluating Operational Effectiveness of Implantable Medical Electrode Leads for Different Lead Placements
US8036739B2 (en) 2006-10-13 2011-10-11 Cardiac Pacemakers, Inc. Electrical energy delivery tissue site validation

Also Published As

Publication number Publication date
US8036739B2 (en) 2011-10-11
WO2008048440A1 (en) 2008-04-24
EP2086633A1 (en) 2009-08-12
US20080091243A1 (en) 2008-04-17
JP2010506610A (ja) 2010-03-04
US8676307B2 (en) 2014-03-18
EP2086633B1 (en) 2012-07-11
US9662500B2 (en) 2017-05-30
US20140277230A1 (en) 2014-09-18
US20120010675A1 (en) 2012-01-12

Similar Documents

Publication Publication Date Title
US8718770B2 (en) Capture threshold measurement for selection of pacing vector
CN107073273B (zh) 拥有具有较低电力模式的传感器的无引线心脏起搏器
EP2081643B1 (en) System for neurally-mediated anti-arrhythmic therapy
CN104797292B (zh) 用于促进选择起搏向量的医疗设备
EP2621585B1 (en) Prioritized programming of multi-electrode pacing leads
US8509896B2 (en) Biventricular cardiac stimulator
JP6510660B2 (ja) 心不整脈を治療するためのシステムおよび方法
US20120095521A1 (en) Detection of heart rhythm using an accelerometer
US7233825B2 (en) Impedance measurement in implanted device
US12263347B2 (en) Medical device system and method for determining His bundle pacing capture
WO2013162782A1 (en) Heart sound -based pacing vector selection system
US20150360041A1 (en) Systems and methods for treating cardiac arrhythmias
JP5015933B2 (ja) 除細動閾値推定システム
JP5208950B2 (ja) 電気エネルギー送達組織部位検証
CN108472488A (zh) 基于诱发响应的多部位起搏捕获确定
US8019415B2 (en) Cardiac stimulator with stimulation success monitoring

Legal Events

Date Code Title Description
A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20100805

A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20100805

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20120529

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20120605

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20120903

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: 20130206

A61 First payment of annual fees (during grant procedure)

Free format text: JAPANESE INTERMEDIATE CODE: A61

Effective date: 20130220

FPAY Renewal fee payment (event date is renewal date of database)

Free format text: PAYMENT UNTIL: 20160301

Year of fee payment: 3

R150 Certificate of patent or registration of utility model

Ref document number: 5208950

Country of ref document: JP

Free format text: JAPANESE INTERMEDIATE CODE: R150

Free format text: JAPANESE INTERMEDIATE CODE: R150

RD03 Notification of appointment of power of attorney

Free format text: JAPANESE INTERMEDIATE CODE: R3D03

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