JP6795501B2 - 抗頻拍ペーシング（ａｔｐ）の最適化システム及び方法 - Google Patents

抗頻拍ペーシング（ａｔｐ）の最適化システム及び方法 Download PDF

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JP6795501B2
JP6795501B2 JP2017526044A JP2017526044A JP6795501B2 JP 6795501 B2 JP6795501 B2 JP 6795501B2 JP 2017526044 A JP2017526044 A JP 2017526044A JP 2017526044 A JP2017526044 A JP 2017526044A JP 6795501 B2 JP6795501 B2 JP 6795501B2
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Prior art keywords
pacing
tachycardia
electrodes
atp
time
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Japanese (ja)
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JP2017529197A (ja
JP2017529197A5 (enExample
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カイザー，ダニエル，ウォルター
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Cardioflow Technologies LLC
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Cardioflow Technologies LLC
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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
    • A61N1/3621—Heart stimulators for treating or preventing abnormally high heart rate
    • A61N1/3622—Heart stimulators for treating or preventing abnormally high heart rate comprising two or more electrodes 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
    • A61N1/36514—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
    • 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
    • A61B5/363—Detecting tachycardia or bradycardia
    • 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
    • A61B5/7271—Specific aspects of physiological measurement analysis
    • A61B5/7282—Event detection, e.g. detecting unique waveforms indicative of a medical condition

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  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Biophysics (AREA)
  • Physiology (AREA)
  • Hematology (AREA)
  • Electrotherapy Devices (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
JP2017526044A 2014-07-29 2015-07-28 抗頻拍ペーシング（ａｔｐ）の最適化システム及び方法 Active JP6795501B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201462030520P 2014-07-29 2014-07-29
US62/030,520 2014-07-29
PCT/US2015/042536 WO2016018945A1 (en) 2014-07-29 2015-07-28 Systems and methods to optimize anti-tachycardial pacing (atp)

Publications (3)

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JP2017529197A JP2017529197A (ja) 2017-10-05
JP2017529197A5 JP2017529197A5 (enExample) 2018-09-06
JP6795501B2 true JP6795501B2 (ja) 2020-12-02

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JP2017526044A Active JP6795501B2 (ja) 2014-07-29 2015-07-28 抗頻拍ペーシング（ａｔｐ）の最適化システム及び方法

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US (3) US9795789B2 (enExample)
EP (1) EP3174459B1 (enExample)
JP (1) JP6795501B2 (enExample)
WO (1) WO2016018945A1 (enExample)

Families Citing this family (20)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10195441B2 (en) * 2015-05-30 2019-02-05 CardioFlow Technologies, LLC Apparatus and methods for optimizing intra-cardiac filling pressures through controlled regurgitation
US10028670B1 (en) 2014-01-14 2018-07-24 CardioFlow Technologies, LLC Apparatus and methods for optimizing volume status and cardiac output
JP6795501B2 (ja) * 2014-07-29 2020-12-02 カルディオフロー テクノロジーズ リミテッド ライアビリティー カンパニーＣａｒｄｉｏｆｌｏｗ Ｔｅｃｈｎｏｌｏｇｉｅｓ，ＬＬＣ 抗頻拍ペーシング（ａｔｐ）の最適化システム及び方法
US9737223B2 (en) 2015-05-13 2017-08-22 Medtronic, Inc. Determining onset of cardiac depolarization and repolarization waves for signal processing
US9610045B2 (en) 2015-07-31 2017-04-04 Medtronic, Inc. Detection of valid signals versus artifacts in a multichannel mapping system
US9782094B2 (en) 2015-07-31 2017-10-10 Medtronic, Inc. Identifying ambiguous cardiac signals for electrophysiologic mapping
EP3411112A4 (en) * 2016-02-02 2019-10-16 Cardioflow Technologies, LLC SYSTEMS AND METHODS FOR OPTIMIZING ANTITACHYCARDIC STIMULATION ALGORITHMS (ATP)
US11027132B2 (en) 2016-03-16 2021-06-08 Medtronic, Inc. Synchronization of anti-tachycardia pacing in an extra-cardiovascular implantable system
US10201710B2 (en) * 2016-04-28 2019-02-12 Medtronic, Inc. Latency-based adaptation of anti-tachyarrhythmia pacing therapy
WO2018017900A1 (en) * 2016-07-20 2018-01-25 CardioFlow Technologies, LLC Apparatus and methods for optimizing intra-cardiac pressures for improved exercise capacity
US10675471B2 (en) 2017-08-15 2020-06-09 Medtronic, Inc. Anti-tachycardia pacing control in an implantable medical device system
EP3456258A1 (en) * 2017-09-14 2019-03-20 Fishel, Robert S. Automated electroanatomical annotation of positive entrainment sites for mapping of active reentrant circuits
US11419539B2 (en) 2017-12-22 2022-08-23 Regents Of The University Of Minnesota QRS onset and offset times and cycle selection using anterior and posterior electrode signals
US10765876B2 (en) 2018-04-27 2020-09-08 Medtronic, Inc. Method and apparatus for delivering anti-tachycardia pacing
US11951319B2 (en) * 2018-08-07 2024-04-09 Pacesetter, Inc. Systems and methods for applying anti-tachycardia pacing using subcutaneous implantable cardioverter-defibrillators
DE102019110283A1 (de) * 2019-04-18 2020-10-22 Biotronik Se & Co. Kg Implantierbare Anordnung zur diagnostischen und/oder therapeutischen Behandlung eines menschlichen oder tierischen Patienten
US12083344B2 (en) 2020-11-24 2024-09-10 Medtronic, Inc. Guiding anti-tachyarrhythmia pacing train design and electrode selection with electrograms
WO2023018626A2 (en) * 2021-08-09 2023-02-16 Vektor Medical, Inc. Tissue state graphic display system
WO2024015555A1 (en) * 2022-07-14 2024-01-18 Maxwell Biomedical Inc. Advanced pacing
EP4596027A1 (en) * 2024-01-30 2025-08-06 CathVision ApS Method of detecting successful entrainment of a part of a human heart

Family Cites Families (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
SE9202825D0 (sv) * 1992-09-30 1992-09-30 Siemens Elema Ab Hjaertstimulator
US6654639B1 (en) * 2001-05-07 2003-11-25 Pacesetter, Inc. Method and device for multi-chamber cardiac pacing in response to a tachycardia
WO2003020364A2 (en) * 2001-08-28 2003-03-13 Medtronic, Inc. Implantable medical device for treating cardiac mechanical dysfunction by electrical stimulation
US6766196B1 (en) * 2001-10-19 2004-07-20 Pacesetter, Inc. Anti-tachycardia pacing methods and devices
US7107098B2 (en) * 2003-02-20 2006-09-12 Medtronic, Inc. Method and apparatus for generation and selection of tachycardia therapy hierarchy
US7392082B2 (en) * 2003-09-26 2008-06-24 Medtronic, Inc. Inter-episode implementation of closed loop ATP
US7496402B2 (en) * 2004-04-29 2009-02-24 Cardiac Pacemakers, Inc. ATP pacing with entrainment monitoring
WO2006039693A1 (en) * 2004-09-30 2006-04-13 Cardiac Pacemakers, Inc. Cardiac activation sequence monitoring and tracking
EP2004284B1 (en) * 2006-02-15 2011-11-23 Medtronic, Inc. Device for delivering anti-tachycardia pacing therapy
US8401628B2 (en) * 2008-06-04 2013-03-19 Cardiac Pacemakers, Inc. Sensing vector configuration in ICD to assist arrhythmia detection and annotation
US8328728B2 (en) * 2008-08-22 2012-12-11 Pacesetter, Inc. Implantable hemodynamic monitor and methods for use therewith
US8332032B2 (en) * 2009-01-23 2012-12-11 Medtronic, Inc. Hybrid single-chamber to simultaneous pacing method for discrimination of tachycardias
US8064999B2 (en) * 2009-01-30 2011-11-22 Medtronic, Inc. Distance-based analysis of return cycles for tachycardia discrimination
US9510764B2 (en) * 2009-04-22 2016-12-06 Cardiac Pacemakers, Inc. Methods for detecting atrial tachyarrhythmia in implantable devices without dedicated atrial sensing
US8812107B2 (en) * 2010-06-29 2014-08-19 Medtronic, Inc. Terminating tachyarrhythmias
JP6795501B2 (ja) * 2014-07-29 2020-12-02 カルディオフロー テクノロジーズ リミテッド ライアビリティー カンパニーＣａｒｄｉｏｆｌｏｗ Ｔｅｃｈｎｏｌｏｇｉｅｓ，ＬＬＣ 抗頻拍ペーシング（ａｔｐ）の最適化システム及び方法

Also Published As

Publication number Publication date
US20160030743A1 (en) 2016-02-04
EP3174459B1 (en) 2019-09-04
JP2017529197A (ja) 2017-10-05
US11090492B2 (en) 2021-08-17
US10350415B2 (en) 2019-07-16
US20200009381A1 (en) 2020-01-09
US20180117325A1 (en) 2018-05-03
WO2016018945A1 (en) 2016-02-04
EP3174459A1 (en) 2017-06-07
EP3174459A4 (en) 2018-03-14
US9795789B2 (en) 2017-10-24

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