JP5210882B2 - 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 - Google Patents
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 Download PDFInfo
- Publication number
- JP5210882B2 JP5210882B2 JP2008547298A JP2008547298A JP5210882B2 JP 5210882 B2 JP5210882 B2 JP 5210882B2 JP 2008547298 A JP2008547298 A JP 2008547298A JP 2008547298 A JP2008547298 A JP 2008547298A JP 5210882 B2 JP5210882 B2 JP 5210882B2
- Authority
- JP
- Japan
- Prior art keywords
- cardiac
- oxygen saturation
- heart
- lead
- electrotherapy
- 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
- 230000000747 cardiac effect Effects 0.000 title claims description 150
- 230000002107 myocardial effect Effects 0.000 title claims description 30
- 230000036284 oxygen consumption Effects 0.000 title claims description 19
- 238000000034 method Methods 0.000 title description 52
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 claims description 143
- 229910052760 oxygen Inorganic materials 0.000 claims description 143
- 239000001301 oxygen Substances 0.000 claims description 143
- 238000001827 electrotherapy Methods 0.000 claims description 47
- 230000002861 ventricular Effects 0.000 claims description 42
- 239000008280 blood Substances 0.000 claims description 37
- 210000004369 blood Anatomy 0.000 claims description 37
- 210000003462 vein Anatomy 0.000 claims description 29
- 238000002560 therapeutic procedure Methods 0.000 claims description 23
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- 210000004204 blood vessel Anatomy 0.000 claims 1
- 210000005240 left ventricle Anatomy 0.000 description 14
- 206010007559 Cardiac failure congestive Diseases 0.000 description 12
- 206010019280 Heart failures Diseases 0.000 description 12
- 238000004891 communication Methods 0.000 description 11
- 210000005245 right atrium Anatomy 0.000 description 10
- 230000001746 atrial effect Effects 0.000 description 9
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- 238000009125 cardiac resynchronization therapy Methods 0.000 description 8
- 230000008569 process Effects 0.000 description 8
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- 210000005241 right ventricle Anatomy 0.000 description 7
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- 206010049447 Tachyarrhythmia Diseases 0.000 description 2
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- 210000002318 cardia Anatomy 0.000 description 2
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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
- A61N1/3627—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
- 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
- A61N1/36557—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure controlled by chemical substances in blood
Landscapes
- Health & Medical Sciences (AREA)
- Cardiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- Radiology & Medical Imaging (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Physiology (AREA)
- Chemical Kinetics & Catalysis (AREA)
- Biophysics (AREA)
- Chemical & Material Sciences (AREA)
- General Chemical & Material Sciences (AREA)
- Hematology (AREA)
- Hospice & Palliative Care (AREA)
- Electrotherapy Devices (AREA)
- Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US11/316,123 US9155896B2 (en) | 2005-12-22 | 2005-12-22 | Method and apparatus for improving cardiac efficiency based on myocardial oxygen consumption |
| US11/316,123 | 2005-12-22 | ||
| PCT/US2006/047214 WO2007075321A1 (en) | 2005-12-22 | 2006-12-11 | Method and apparatus for improving cardiac efficiency based on myocardial oxygen consumption |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2009521263A JP2009521263A (ja) | 2009-06-04 |
| JP2009521263A5 JP2009521263A5 (enExample) | 2010-01-28 |
| JP5210882B2 true JP5210882B2 (ja) | 2013-06-12 |
Family
ID=37876869
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2008547298A Expired - Fee Related JP5210882B2 (ja) | 2005-12-22 | 2006-12-11 | 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 |
Country Status (4)
| Country | Link |
|---|---|
| US (1) | US9155896B2 (enExample) |
| EP (1) | EP1968697A1 (enExample) |
| JP (1) | JP5210882B2 (enExample) |
| WO (1) | WO2007075321A1 (enExample) |
Families Citing this family (15)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8086302B2 (en) * | 2008-06-30 | 2011-12-27 | Medtronic, Inc. | Cardiac signal sensor control based on perfusion sensing |
| US9326711B2 (en) * | 2008-06-30 | 2016-05-03 | Medtronic, Inc. | Optical perfusion sensor detector |
| US10058274B2 (en) * | 2008-06-30 | 2018-08-28 | Medtronic, Inc. | Tissue perfusion sensor control |
| US20100022861A1 (en) * | 2008-07-28 | 2010-01-28 | Medtronic, Inc. | Implantable optical hemodynamic sensor including an extension member |
| US20100022856A1 (en) * | 2008-07-28 | 2010-01-28 | Medtronic, Inc. | Implantable optical hemodynamic sensor including light transmission member |
| EP2437849B1 (en) | 2009-06-01 | 2017-02-22 | Cardiac Pacemakers, Inc. | System for decompensation detection and treatment based on patient hemodynamics |
| US8417336B2 (en) | 2009-06-01 | 2013-04-09 | Cardiac Pacemakers, Inc. | System and method for pacing rate control utilizing patient hemodynamic status information |
| US8571620B2 (en) * | 2009-06-10 | 2013-10-29 | Medtronic, Inc. | Tissue oxygenation monitoring in heart failure |
| US8876727B2 (en) | 2011-05-19 | 2014-11-04 | Medtronic, Inc. | Phrenic nerve stimulation detection using heart sounds |
| US8617082B2 (en) | 2011-05-19 | 2013-12-31 | Medtronic, Inc. | Heart sounds-based pacing optimization |
| US8777874B2 (en) | 2011-05-24 | 2014-07-15 | Medtronic, Inc. | Acoustic based cough detection |
| US20130190582A1 (en) * | 2012-01-25 | 2013-07-25 | Nils Holmstrom | Ischemic region detection |
| US8886311B2 (en) | 2012-01-27 | 2014-11-11 | Medtronic, Inc. | Techniques for mitigating motion artifacts from implantable physiological sensors |
| US9192330B2 (en) | 2012-02-27 | 2015-11-24 | Covidien Lp | System and method for storing and providing patient-related data |
| WO2019241658A2 (en) * | 2018-06-14 | 2019-12-19 | Medtronic, Inc. | Delivery of cardiac pacing therapy for cardiac remodeling |
Family Cites Families (58)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4726383A (en) * | 1982-05-19 | 1988-02-23 | Purdue Research Foundation | Exercise-responsive cardiac pacemaker lead |
| US4543954A (en) * | 1982-05-19 | 1985-10-01 | Purdue Research Foundation | Exercise responsive cardiac pacemaker |
| US5081988A (en) * | 1982-05-19 | 1992-01-21 | Purdue Research Foundation | Exercise responive cardiac pacemaker |
| US4995390A (en) * | 1982-05-19 | 1991-02-26 | Purdue Research Foundation | Exercise responsive cardiac pacemaker |
| US4436092A (en) * | 1982-05-19 | 1984-03-13 | Purdue Research Foundation | Exercise responsive cardiac pacemaker |
| DE3234388A1 (de) * | 1982-09-16 | 1984-04-05 | Siemens AG, 1000 Berlin und 8000 München | Verfahren und vorrichtung zur quantitativen ermittlung der blut-sauerstoff-saettigung aus fotometrischen messwerten |
| EP0249681B1 (de) | 1986-06-16 | 1990-12-27 | Siemens Aktiengesellschaft | Messvorrichtung zur intrakardialen Erfassung der Blutsauerstoffsättigung |
| US4791935A (en) | 1986-08-15 | 1988-12-20 | Medtronic, Inc. | Oxygen sensing pacemaker |
| US4807629A (en) | 1986-08-15 | 1989-02-28 | Medtronic, Inc. | Oxygen sensing pacemaker |
| US4813421A (en) | 1986-08-15 | 1989-03-21 | Medtronic, Inc. | Oxygen sensing pacemaker |
| US4869253A (en) * | 1986-08-18 | 1989-09-26 | Physio-Control Corporation | Method and apparatus for indicating perfusion and oxygen saturation trends in oximetry |
| AU605552B2 (en) * | 1986-12-12 | 1991-01-17 | Mark Yelderman | Oximeter apparatus and method for measuring arterial blood constituents |
| JPS63275324A (ja) * | 1987-05-08 | 1988-11-14 | Hamamatsu Photonics Kk | 診断装置 |
| DE58907652D1 (de) * | 1988-02-05 | 1994-06-16 | Siemens Ag | Verfahren zur anpassung der stimulationsfrequenz eines herzschrittmachers an die belastung eines patienten. |
| US4928688A (en) | 1989-01-23 | 1990-05-29 | Mieczyslaw Mirowski | Method and apparatus for treating hemodynamic disfunction |
| US5085215A (en) * | 1990-03-20 | 1992-02-04 | Telectronics Pacing Systems, Inc. | Metabolic demand driven rate-responsive pacemaker |
| US5058584A (en) | 1990-08-30 | 1991-10-22 | Medtronic, Inc. | Method and apparatus for epidural burst stimulation for angina pectoris |
| US5176138A (en) * | 1991-03-21 | 1993-01-05 | Siemens Pacesetter, Inc. | Implantable pacemaker having means for automatically adjusting stimulation energy as a function of sensed so2 |
| US5199428A (en) * | 1991-03-22 | 1993-04-06 | Medtronic, Inc. | Implantable electrical nerve stimulator/pacemaker with ischemia for decreasing cardiac workload |
| US5213098A (en) * | 1991-07-26 | 1993-05-25 | Medtronic, Inc. | Post-extrasystolic potentiation stimulation with physiologic sensor feedback |
| US5435308A (en) * | 1992-07-16 | 1995-07-25 | Abbott Laboratories | Multi-purpose multi-parameter cardiac catheter |
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| US5891176A (en) * | 1996-05-09 | 1999-04-06 | Pacesetter, Inc. | System and method for providing hemodynamically optimal pacing |
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| US5776060A (en) | 1997-02-20 | 1998-07-07 | University Of Alabama In Huntsville | Method and apparatus for measuring blood oxygen saturation within a retinal vessel with light having several selected wavelengths |
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| US6597951B2 (en) | 2001-03-16 | 2003-07-22 | Cardiac Pacemakers, Inc. | Automatic selection from multiple cardiac optimization protocols |
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| US7260432B2 (en) | 2001-10-11 | 2007-08-21 | Cardiac Pacemakers, Inc. | Timing cycles for synchronized multisite cardiac pacing |
| US6666826B2 (en) * | 2002-01-04 | 2003-12-23 | Cardiac Pacemakers, Inc. | Method and apparatus for measuring left ventricular pressure |
| US6645153B2 (en) * | 2002-02-07 | 2003-11-11 | Pacesetter, Inc. | System and method for evaluating risk of mortality due to congestive heart failure using physiologic sensors |
| US7164948B2 (en) * | 2002-04-22 | 2007-01-16 | Medtronic, Inc. | Cardiac output measurement using dual oxygen sensors in right and left ventricles |
| US7302294B2 (en) | 2003-04-11 | 2007-11-27 | Cardiac Pacemakers, Inc. | Subcutaneous cardiac sensing and stimulation system employing blood sensor |
| FR2861997A1 (fr) | 2003-11-06 | 2005-05-13 | Fred Zacouto | Stimulateur cardiaque orthorythmique inotrope |
| US7181260B2 (en) | 2003-11-14 | 2007-02-20 | Guillermo Gutierrez | Apparatus and method for measuring myocardial oxygen consumption |
| US7467012B1 (en) * | 2005-06-24 | 2008-12-16 | Pacesetter, Inc. | Respiration parameters controlled by heart rate |
-
2005
- 2005-12-22 US US11/316,123 patent/US9155896B2/en active Active
-
2006
- 2006-12-11 EP EP06839300A patent/EP1968697A1/en not_active Withdrawn
- 2006-12-11 JP JP2008547298A patent/JP5210882B2/ja not_active Expired - Fee Related
- 2006-12-11 WO PCT/US2006/047214 patent/WO2007075321A1/en not_active Ceased
Also Published As
| Publication number | Publication date |
|---|---|
| US9155896B2 (en) | 2015-10-13 |
| EP1968697A1 (en) | 2008-09-17 |
| US20070150017A1 (en) | 2007-06-28 |
| JP2009521263A (ja) | 2009-06-04 |
| WO2007075321A1 (en) | 2007-07-05 |
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