JP5220419B2 - 心臓捕捉検証および逆行管理システム - Google Patents

心臓捕捉検証および逆行管理システム Download PDF

Info

Publication number
JP5220419B2
JP5220419B2 JP2007546797A JP2007546797A JP5220419B2 JP 5220419 B2 JP5220419 B2 JP 5220419B2 JP 2007546797 A JP2007546797 A JP 2007546797A JP 2007546797 A JP2007546797 A JP 2007546797A JP 5220419 B2 JP5220419 B2 JP 5220419B2
Authority
JP
Japan
Prior art keywords
cardiac
pacing
response
capture
atrial
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
JP2007546797A
Other languages
English (en)
Japanese (ja)
Other versions
JP2008523902A5 (enExample
JP2008523902A (ja
Inventor
チャン、ジン
ガーグ、アンクール
ドウム、ダグラス、アール．
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
Priority claimed from US11/012,430 external-priority patent/US7930029B2/en
Priority claimed from US11/012,608 external-priority patent/US7330761B2/en
Priority claimed from US11/012,692 external-priority patent/US8229561B2/en
Priority claimed from US11/012,433 external-priority patent/US7587240B2/en
Priority claimed from US11/012,443 external-priority patent/US7908006B2/en
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 JP2008523902A publication Critical patent/JP2008523902A/ja
Publication of JP2008523902A5 publication Critical patent/JP2008523902A5/ja
Application granted granted Critical
Publication of JP5220419B2 publication Critical patent/JP5220419B2/ja
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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
    • A61N1/37—Monitoring; Protecting
    • A61N1/371—Capture, i.e. successful stimulation
    • 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
    • A61B5/35—Detecting specific parameters of the electrocardiograph cycle by template matching
    • 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
    • A61B5/7235—Details of waveform analysis
    • A61B5/7264—Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems
    • 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
    • A61B5/7217—Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal of noise originating from a therapeutic or surgical apparatus, e.g. from a pacemaker
    • 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
    • A61N1/37—Monitoring; Protecting
    • A61N1/371—Capture, i.e. successful stimulation
    • A61N1/3712—Auto-capture, i.e. automatic adjustment of the stimulation threshold
    • A61N1/3714—Atrial capture
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Cardiology (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Physics & Mathematics (AREA)
  • Animal Behavior & Ethology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biomedical Technology (AREA)
  • Molecular Biology (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Artificial Intelligence (AREA)
  • Surgery (AREA)
  • Medical Informatics (AREA)
  • Psychiatry (AREA)
  • Evolutionary Computation (AREA)
  • Physiology (AREA)
  • Mathematical Physics (AREA)
  • Computer Vision & Pattern Recognition (AREA)
  • Fuzzy Systems (AREA)
  • Signal Processing (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Electrotherapy Devices (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
JP2007546797A 2004-12-15 2005-12-12 心臓捕捉検証および逆行管理システム Expired - Fee Related JP5220419B2 (ja)

Applications Claiming Priority (11)

Application Number Priority Date Filing Date Title
US11/012,430 US7930029B2 (en) 2004-12-15 2004-12-15 Template initialization for evoked response detection
US11/012,608 2004-12-15
US11/012,692 2004-12-15
US11/012,608 US7330761B2 (en) 2004-12-15 2004-12-15 Baseline adaptation for cardiac pacing response classification
US11/012,430 2004-12-15
US11/012,443 2004-12-15
US11/012,692 US8229561B2 (en) 2004-12-15 2004-12-15 Atrial retrograde management
US11/012,433 US7587240B2 (en) 2004-12-15 2004-12-15 Atrial capture verification
US11/012,433 2004-12-15
US11/012,443 US7908006B2 (en) 2004-12-15 2004-12-15 Cardiac pacing response classification using an adaptable classification interval
PCT/US2005/044816 WO2006065707A2 (en) 2004-12-15 2005-12-12 Cardiac capture verification and retrograde management

Related Child Applications (3)

Application Number Title Priority Date Filing Date
JP2012206329A Division JP5674737B2 (ja) 2004-12-15 2012-09-19 逆行管理を実行する心臓システム
JP2012206328A Division JP5833517B2 (ja) 2004-12-15 2012-09-19 ペーシングパルスに対する心臓応答を分類するための医療システム
JP2012206330A Division JP5613740B2 (ja) 2004-12-15 2012-09-19 医療システム及び心臓システム

Publications (3)

Publication Number Publication Date
JP2008523902A JP2008523902A (ja) 2008-07-10
JP2008523902A5 JP2008523902A5 (enExample) 2009-02-05
JP5220419B2 true JP5220419B2 (ja) 2013-06-26

Family

ID=36123922

Family Applications (4)

Application Number Title Priority Date Filing Date
JP2007546797A Expired - Fee Related JP5220419B2 (ja) 2004-12-15 2005-12-12 心臓捕捉検証および逆行管理システム
JP2012206328A Expired - Fee Related JP5833517B2 (ja) 2004-12-15 2012-09-19 ペーシングパルスに対する心臓応答を分類するための医療システム
JP2012206330A Expired - Fee Related JP5613740B2 (ja) 2004-12-15 2012-09-19 医療システム及び心臓システム
JP2012206329A Expired - Fee Related JP5674737B2 (ja) 2004-12-15 2012-09-19 逆行管理を実行する心臓システム

Family Applications After (3)

Application Number Title Priority Date Filing Date
JP2012206328A Expired - Fee Related JP5833517B2 (ja) 2004-12-15 2012-09-19 ペーシングパルスに対する心臓応答を分類するための医療システム
JP2012206330A Expired - Fee Related JP5613740B2 (ja) 2004-12-15 2012-09-19 医療システム及び心臓システム
JP2012206329A Expired - Fee Related JP5674737B2 (ja) 2004-12-15 2012-09-19 逆行管理を実行する心臓システム

Country Status (3)

Country Link
EP (5) EP1838388B1 (enExample)
JP (4) JP5220419B2 (enExample)
WO (1) WO2006065707A2 (enExample)

Families Citing this family (24)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7477932B2 (en) 2003-05-28 2009-01-13 Cardiac Pacemakers, Inc. Cardiac waveform template creation, maintenance and use
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
US7499751B2 (en) * 2005-04-28 2009-03-03 Cardiac Pacemakers, Inc. Cardiac signal template generation using waveform clustering
US7457666B2 (en) * 2005-05-25 2008-11-25 Cardiac Pacemakers, Inc. Retrograde atrial sensing for identifying sub-threshold atrial pacing
US8290590B2 (en) 2006-11-17 2012-10-16 Cardiac Pacemakers, Inc. Dynamic morphology based atrial automatic threshold
US7801610B2 (en) 2006-11-17 2010-09-21 Cardiac Pacemakers, Inc. Methods and systems for management of atrial retrograde conduction and pacemaker mediated tachyarrhythmia
US8086308B2 (en) 2007-06-27 2011-12-27 Pacesetter, Inc. Implantable medical device for identifying and managing intrinsic reentrant tachycardia
US7986993B1 (en) 2007-06-27 2011-07-26 Pacesetter, Inc. Implantable cardiac device providing AV interval hysteresis to promote intrinsic conduction while providing PMT avoidance and method
US9037239B2 (en) 2007-08-07 2015-05-19 Cardiac Pacemakers, Inc. Method and apparatus to perform electrode combination selection
US8265736B2 (en) 2007-08-07 2012-09-11 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
US8321014B2 (en) 2008-10-06 2012-11-27 Cardiac Pacemakers, Inc. Dynamic cardiac resynchronization therapy by tracking intrinsic conduction
US8452405B2 (en) 2009-05-05 2013-05-28 Cardiac Pacemakers, Inc. Methods and systems for mitigating the occurrence of arrhythmia during atrial pacing
US8768453B2 (en) 2010-10-13 2014-07-01 Boston Scientific Neuromodulation Corporation Monitoring electrode voltages in an implantable medical device system having daisy-chained electrode-driver integrated circuits
EP3154628B1 (en) * 2014-06-12 2023-08-09 Cardiac Pacemakers, Inc. Systems for rate responsive pacing with a leadless cardiac pacemaker
CN107073276B (zh) * 2014-08-28 2020-09-15 心脏起搏器股份公司 针对医疗装置的能量自适应通信
CN107530002B (zh) * 2015-03-04 2021-04-30 心脏起搏器股份公司 用于治疗心律失常的系统和方法
US10463305B2 (en) 2016-10-27 2019-11-05 Cardiac Pacemakers, Inc. Multi-device cardiac resynchronization therapy with timing enhancements
US10881861B2 (en) * 2018-01-10 2021-01-05 Medtronic, Inc. Adaptive cardiac resynchronization therapy
US11123566B2 (en) * 2018-01-10 2021-09-21 Medtronic, Inc. Cardiac resynchronization therapy diagnostics
CN111529938B (zh) * 2020-05-07 2023-05-30 乐普医学电子仪器股份有限公司 用于植入式心脏起搏器心室起搏的逐跳监测电路和方法
US11925807B2 (en) * 2020-09-17 2024-03-12 Michael V Orlov Methods for operating a dual-chamber pacemaker to avoid triggering atrial fibrillation and perpetuation of repetitive ventriculo-atrial synchrony

Family Cites Families (25)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5222493A (en) * 1990-10-01 1993-06-29 Siemens Pacesetter, Inc. Verification of capture using an indifferent electrode mounted on the pacemaker connector top
US5269299A (en) * 1991-08-05 1993-12-14 Siemens Pacesetter, Inc. System and method for preventing atrial competition during sensor-driven operation of a dual-chamber pacemaker
JPH05207985A (ja) * 1991-11-29 1993-08-20 Nec Corp 心電図波形認識方式
EP0578793B1 (en) * 1992-02-03 1996-11-20 Medtronic, Inc. Dual chamber pacemaker system for delivering atrial sync pulses
US5954754A (en) * 1997-05-05 1999-09-21 Vitatron Medical, B.V. Single pass lead dual chamber pacing system with means for evaluating efficiency of atrial pacing
US6275732B1 (en) * 1998-06-17 2001-08-14 Cardiac Pacemakers, Inc. Multiple stage morphology-based system detecting ventricular tachycardia and supraventricular tachycardia
US6253107B1 (en) * 1998-12-09 2001-06-26 Cambridge Heart, Inc. Cardiac pacing to induce heart rate variability
US6038474A (en) 1999-03-02 2000-03-14 Cardiac Pacemakers, Inc. Pseudo-fusion management during automatic capture verification
US6324421B1 (en) * 1999-03-29 2001-11-27 Medtronic, Inc. Axis shift analysis of electrocardiogram signal parameters especially applicable for multivector analysis by implantable medical devices, and use of same
US6427085B1 (en) * 1999-05-11 2002-07-30 Cardiac Pacemakers, Inc. Cardiac sense amplifier for capture verification
US6505071B1 (en) * 1999-12-15 2003-01-07 Cardiac Pacemakers, Inc. Cardiac management device with capability of noise detection in automatic capture verification
US6473649B1 (en) * 1999-12-22 2002-10-29 Cardiac Pacemakers, Inc. Rate management during automatic capture verification
US6408210B1 (en) * 2000-01-11 2002-06-18 Pacesetter, Inc. System and method for automatic atrial capture detection and atrial pacing threshold determination
US6456881B1 (en) * 2000-08-02 2002-09-24 Pacesetter, Inc. System and method of identifying fusion for dual-chamber automatic capture stimulation device
US6597943B2 (en) * 2000-12-26 2003-07-22 Ge Medical Systems Information Technologies, Inc. Method of using spectral measures to distinguish among atrialfibrillation, atrial-flutter and other cardiac rhythms
US6498949B2 (en) * 2001-02-27 2002-12-24 Pacesetter, Inc. Implantable cardiac device providing repetitive non-reentrant ventriculo-atrial synchronous (RNRVAS) rhythm therapy using VA interval extension and method
JP4718033B2 (ja) * 2001-04-10 2011-07-06 フクダ電子株式会社 心電図情報処理装置及び心電図情報処理方法
US6708058B2 (en) * 2001-04-30 2004-03-16 Cardiac Pacemakers, Inc. Normal cardiac rhythm template generation system and method
US6625489B2 (en) * 2001-08-14 2003-09-23 Medtronic, Inc. Dynamic non-competitive atrial pacing
US7006869B2 (en) * 2001-09-10 2006-02-28 Pacesetter, Inc. Method and device for enhanced capture tracking by discrimination of fusion beats
US6810283B2 (en) * 2001-09-13 2004-10-26 Medtronic, Inc. Multiple templates for filtering of far field R-waves
US6731985B2 (en) * 2001-10-16 2004-05-04 Pacesetter, Inc. Implantable cardiac stimulation system and method for automatic capture verification calibration
US6810284B1 (en) * 2001-11-21 2004-10-26 Pacesetter, Inc. Implantable cardiac stimulation system and method for monitoring diastolic function
US7203543B2 (en) * 2002-10-23 2007-04-10 Cardiac Pacemakers, Inc. Method and system for detecting capture using a coronary vein electrode
US7477932B2 (en) * 2003-05-28 2009-01-13 Cardiac Pacemakers, Inc. Cardiac waveform template creation, maintenance and use

Also Published As

Publication number Publication date
EP2404639A1 (en) 2012-01-11
EP2394697A1 (en) 2011-12-14
JP2013027715A (ja) 2013-02-07
EP2397186A1 (en) 2011-12-21
JP2012245402A (ja) 2012-12-13
EP2394697B1 (en) 2018-10-24
EP2397186B1 (en) 2018-01-24
WO2006065707A3 (en) 2006-10-19
EP2399645B1 (en) 2016-03-30
JP2008523902A (ja) 2008-07-10
EP2404639B1 (en) 2013-05-29
WO2006065707A2 (en) 2006-06-22
JP5674737B2 (ja) 2015-02-25
JP5833517B2 (ja) 2015-12-16
JP5613740B2 (ja) 2014-10-29
EP2399645A1 (en) 2011-12-28
EP1838388B1 (en) 2013-04-10
JP2012245403A (ja) 2012-12-13
EP1838388A2 (en) 2007-10-03

Similar Documents

Publication Publication Date Title
JP5674737B2 (ja) 逆行管理を実行する心臓システム
US7203543B2 (en) Method and system for detecting capture using a coronary vein electrode
JP4625813B2 (ja) 複数の分類ウインドウを用いる心臓応答の分類
US7908006B2 (en) Cardiac pacing response classification using an adaptable classification interval
US7957803B2 (en) Atrial capture verification
US9216292B2 (en) Dynamic morphology based atrial automatic threshold
US7330761B2 (en) Baseline adaptation for cardiac pacing response classification
US8229561B2 (en) Atrial retrograde management
US7734347B2 (en) Cardiac pacing response classification based on waveform feature variability
US7930029B2 (en) Template initialization for evoked response detection
US8364264B2 (en) Pacing interval adjustment for cardiac pacing response determination
US7801610B2 (en) Methods and systems for management of atrial retrograde conduction and pacemaker mediated tachyarrhythmia

Legal Events

Date Code Title Description
A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20081210

A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20081210

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: 20110824

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20110830

A601 Written request for extension of time

Free format text: JAPANESE INTERMEDIATE CODE: A601

Effective date: 20111130

A602 Written permission of extension of time

Free format text: JAPANESE INTERMEDIATE CODE: A602

Effective date: 20111207

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20120229

RD04 Notification of resignation of power of attorney

Free format text: JAPANESE INTERMEDIATE CODE: A7424

Effective date: 20120301

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20120619

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20120919

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: 20130212

A61 First payment of annual fees (during grant procedure)

Free format text: JAPANESE INTERMEDIATE CODE: A61

Effective date: 20130306

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

Free format text: PAYMENT UNTIL: 20160315

Year of fee payment: 3

R150 Certificate of patent or registration of utility model

Ref document number: 5220419

Country of ref document: JP

Free format text: JAPANESE INTERMEDIATE CODE: R150

Free format text: JAPANESE INTERMEDIATE CODE: R150

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