JP5256197B2 - 心臓治療システム - Google Patents

心臓治療システム Download PDF

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Publication number
JP5256197B2
JP5256197B2 JP2009518249A JP2009518249A JP5256197B2 JP 5256197 B2 JP5256197 B2 JP 5256197B2 JP 2009518249 A JP2009518249 A JP 2009518249A JP 2009518249 A JP2009518249 A JP 2009518249A JP 5256197 B2 JP5256197 B2 JP 5256197B2
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Japan
Prior art keywords
pacing
electrodes
output configuration
heart
patient
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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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JP2009518249A
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English (en)
Japanese (ja)
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JP2009542328A (ja
JP2009542328A5 (enExample
Inventor
ユ、インホン
アルコット−クリシュナムジー、シャンタ
ジョン スタッキー、マイケル
ディン、ジアン
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
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Publication of JP2009542328A publication Critical patent/JP2009542328A/ja
Publication of JP2009542328A5 publication Critical patent/JP2009542328A5/ja
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    • 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
    • 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
    • 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
    • A61N1/36535—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 body position or posture
    • 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
    • A61N1/36542—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 body motion, e.g. acceleration
    • 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
    • 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
    • A61N1/36578—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 mechanical motion of the heart wall, e.g. measured by an accelerometer or microphone
    • 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
    • A61N1/36592—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by the heart rate variability

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Biophysics (AREA)
  • Physiology (AREA)
  • Engineering & Computer Science (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Hematology (AREA)
  • Electrotherapy Devices (AREA)
JP2009518249A 2006-06-30 2007-06-27 心臓治療システム Expired - Fee Related JP5256197B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US11/479,877 2006-06-30
US11/479,877 US8620430B2 (en) 2006-06-30 2006-06-30 Selection of pacing sites to enhance cardiac performance
PCT/US2007/014934 WO2008005260A1 (en) 2006-06-30 2007-06-27 Selection of pacing sites to enhance cardiac performance

Related Child Applications (1)

Application Number Title Priority Date Filing Date
JP2013027928A Division JP2013099601A (ja) 2006-06-30 2013-02-15 心臓治療システム

Publications (3)

Publication Number Publication Date
JP2009542328A JP2009542328A (ja) 2009-12-03
JP2009542328A5 JP2009542328A5 (enExample) 2010-08-12
JP5256197B2 true JP5256197B2 (ja) 2013-08-07

Family

ID=38561228

Family Applications (2)

Application Number Title Priority Date Filing Date
JP2009518249A Expired - Fee Related JP5256197B2 (ja) 2006-06-30 2007-06-27 心臓治療システム
JP2013027928A Pending JP2013099601A (ja) 2006-06-30 2013-02-15 心臓治療システム

Family Applications After (1)

Application Number Title Priority Date Filing Date
JP2013027928A Pending JP2013099601A (ja) 2006-06-30 2013-02-15 心臓治療システム

Country Status (5)

Country Link
US (2) US8620430B2 (enExample)
EP (2) EP2038006B1 (enExample)
JP (2) JP5256197B2 (enExample)
AT (1) ATE551096T1 (enExample)
WO (1) WO2008005260A1 (enExample)

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US8155731B1 (en) * 2006-10-18 2012-04-10 Pacesetter, Inc. Systems and methods for detecting and compensating for changes in posture during ischemia detection using an implantable medical device
WO2010039501A1 (en) * 2008-10-03 2010-04-08 Cardiac Pacemakers, Inc. Methods and apparatuses for cardiac resynchronization therapy mode selection based on intrinsic conduction
US20100121396A1 (en) * 2008-11-10 2010-05-13 Pacesetter, Inc. Enhanced hemodynamics through energy-efficient anodal pacing
EP2379169B9 (en) * 2008-12-17 2015-11-18 St. Jude Medical AB Implantable medical device for monitoring synchronicity of the ventricles of a heart
ES2377698B1 (es) 2009-02-27 2013-02-14 Corrugados Azpeitia S.L. Procedimiento secuencial para la gestión ecológica y limpia de la escoria blanca de acerías en estado pulverulento y equipo para la realización de dicho procedimiento.
US8886313B2 (en) * 2009-07-02 2014-11-11 Cardiac Pacemakers Inc. Systems and methods for ranking and selection of pacing vectors
US9381363B2 (en) * 2009-12-07 2016-07-05 Pacesetter, Inc. Optimal pacing configuration via ventricular conduction delays
EP2402054B1 (en) * 2010-06-30 2013-03-20 St. Jude Medical AB Identification of pacing site
AU2011349645B2 (en) * 2010-12-20 2015-05-28 Cardiac Pacemakers, Inc. Left ventricle-only and right ventricular safety pacing
US10052488B2 (en) 2010-12-20 2018-08-21 Cardiac Pacemakers, Inc. Refractory and blanking intervals in the context of multi-site left ventricular pacing
WO2012087757A1 (en) * 2010-12-20 2012-06-28 Cardiac Pacemakers, Inc. Refractory and blanking intervals for multi-site ventricular pacing
US8972009B2 (en) * 2010-12-22 2015-03-03 Pacesetter, Inc. Systems and methods for determining optimal interventricular pacing delays based on electromechanical delays
EP2586492B1 (en) * 2011-10-24 2014-06-18 St. Jude Medical AB Pacing sequence optimization
US9289145B2 (en) 2013-12-05 2016-03-22 Medtronic, Inc. Identification of abnormal cardiac substrate during left-ventricular pacing
EP3082950B1 (en) * 2013-12-18 2023-06-21 Cardiac Pacemakers, Inc. Method of facilitating selection of a vector for delivering electrical stimulation to a patient
US9656091B2 (en) * 2014-07-11 2017-05-23 Cardiac Pacemakers, Inc. Power saving communication for medical devices
WO2016061202A1 (en) * 2014-10-17 2016-04-21 Cardiac Pacemakers, Inc. System for ambulatory optimization of multi-site pacing using heart sounds
US9789318B2 (en) 2014-10-17 2017-10-17 Cardiac Pacemakers, Inc. Method and apparatus for optimizing multi-site pacing using heart sounds
WO2016126654A2 (en) * 2015-02-05 2016-08-11 Cardiac Pacemakers, Inc. Sensing window management of multipoint pacing
JP6525466B2 (ja) * 2015-07-24 2019-06-05 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 刺激部位選択のためのシステム
US10660577B2 (en) 2016-04-01 2020-05-26 Cardiac Pacamakers, Inc. Systems and methods for detecting worsening heart failure
US10898720B2 (en) 2017-10-17 2021-01-26 Medtronic, Inc. Impedance sensing
WO2025029856A1 (en) * 2023-08-01 2025-02-06 Solo Pace Inc. Systems, methods, and apparatus for ambulatory cardiac pacing
WO2025095934A1 (en) * 2023-10-31 2025-05-08 Chelak Medical Solutions Inc. Systems, devices, and methods of temperature compensation in fiber bragg grating sensing systems in implantable devices

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US6021351A (en) 1998-05-11 2000-02-01 Cardiac Pacemakers, Inc. Method and apparatus for assessing patient well-being
US6044298A (en) 1998-10-13 2000-03-28 Cardiac Pacemakers, Inc. Optimization of pacing parameters based on measurement of integrated acoustic noise
US6285906B1 (en) * 1999-05-26 2001-09-04 Impulse Dynamics N. V. Muscle contraction assist device
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
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Also Published As

Publication number Publication date
JP2009542328A (ja) 2009-12-03
WO2008005260A1 (en) 2008-01-10
EP2038006A1 (en) 2009-03-25
EP2425872A2 (en) 2012-03-07
EP2425872A3 (en) 2012-08-01
ATE551096T1 (de) 2012-04-15
JP2013099601A (ja) 2013-05-23
EP2038006B1 (en) 2012-03-28
US20080004667A1 (en) 2008-01-03
US9020593B2 (en) 2015-04-28
US20140067002A1 (en) 2014-03-06
US8620430B2 (en) 2013-12-31

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