JP7631205B2 - 組み合わせたｃｃｍ－ｉｃｄデバイスにおける上室性頻拍の判別 - Google Patents

組み合わせたｃｃｍ－ｉｃｄデバイスにおける上室性頻拍の判別 Download PDF

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Publication number
JP7631205B2
JP7631205B2 JP2021542190A JP2021542190A JP7631205B2 JP 7631205 B2 JP7631205 B2 JP 7631205B2 JP 2021542190 A JP2021542190 A JP 2021542190A JP 2021542190 A JP2021542190 A JP 2021542190A JP 7631205 B2 JP7631205 B2 JP 7631205B2
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Prior art keywords
wavefront
ventricular
locations
sensing
icd
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JP2022523023A5 (cg-RX-API-DMAC7.html
JP2022523023A (ja
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デビッド プラッチ
ジェイソン マイヤーズ
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Impulse Dynamics NV
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Impulse Dynamics NV
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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
    • A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39—Heart defibrillators
    • A61N1/3956—Implantable devices for applying electric shocks to the heart, e.g. for cardioversion
    • 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]
    • A61B5/339—Displays specially adapted therefor
    • A61B5/341—Vectorcardiography [VCG]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • 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
    • A61N1/368—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions
    • A61N1/3682—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions with a variable atrioventricular delay
    • 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
    • A61B5/361—Detecting fibrillation
    • 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
    • A61B5/48—Other medical applications
    • A61B5/4836—Diagnosis combined with treatment in closed-loop systems or methods
    • 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
    • A61N1/3956—Implantable devices for applying electric shocks to the heart, e.g. for cardioversion
    • A61N1/3962—Implantable devices for applying electric shocks to the heart, e.g. for cardioversion in combination with another heart therapy
    • A61N1/39622—Pacing therapy

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Biophysics (AREA)
  • Physiology (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Electrotherapy Devices (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
JP2021542190A 2019-01-23 2020-01-23 組み合わせたｃｃｍ－ｉｃｄデバイスにおける上室性頻拍の判別 Active JP7631205B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201962795612P 2019-01-23 2019-01-23
US62/795,612 2019-01-23
PCT/IB2020/050534 WO2020152619A1 (en) 2019-01-23 2020-01-23 Discrimination of supraventricular tachycardias in combined ccm-icd device

Publications (3)

Publication Number Publication Date
JP2022523023A JP2022523023A (ja) 2022-04-21
JP2022523023A5 JP2022523023A5 (cg-RX-API-DMAC7.html) 2023-01-30
JP7631205B2 true JP7631205B2 (ja) 2025-02-18

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JP2021542190A Active JP7631205B2 (ja) 2019-01-23 2020-01-23 組み合わせたｃｃｍ－ｉｃｄデバイスにおける上室性頻拍の判別

Country Status (5)

Country Link
US (2) US12558557B2 (cg-RX-API-DMAC7.html)
EP (1) EP3914345A1 (cg-RX-API-DMAC7.html)
JP (1) JP7631205B2 (cg-RX-API-DMAC7.html)
CN (1) CN113164753B (cg-RX-API-DMAC7.html)
WO (1) WO2020152619A1 (cg-RX-API-DMAC7.html)

Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2020152619A1 (en) 2019-01-23 2020-07-30 Impulse Dynamics Nv Discrimination of supraventricular tachycardias in combined ccm-icd device
CA3213509A1 (en) 2021-03-29 2022-10-06 David Prutchi Lead positioning for an implantable pulse generator
CN117241857A (zh) * 2021-04-06 2023-12-15 脉冲动力公司 用于抗心动过速起搏装置和方法
CN116870365A (zh) * 2022-01-30 2023-10-13 合源医疗器械(上海)有限公司 脉冲刺激控制方法、装置、医疗系统、电子设备及介质
US20260027376A1 (en) * 2022-08-08 2026-01-29 United Innomed (Shanghai) Limited Medical instrument for delivering pulse stimulation

Citations (8)

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Publication number Priority date Publication date Assignee Title
US5193535A (en) 1991-08-27 1993-03-16 Medtronic, Inc. Method and apparatus for discrimination of ventricular tachycardia from ventricular fibrillation and for treatment thereof
US20030009197A1 (en) 2001-07-03 2003-01-09 Helland John R. Implantable multi-chamber cardiac stimulation device with sensing vectors
JP2006508774A (ja) 2002-12-04 2006-03-16 メドトロニック・インコーポレーテッド 単形性頻脈性不整脈から多形性頻脈性不整脈を識別する方法およびシステム
JP2008515486A (ja) 2004-09-30 2008-05-15 カーディアック ペースメーカーズ，インコーポレイテッド 不整脈分類および療法選択
JP2008515485A (ja) 2004-09-30 2008-05-15 カーディアック ペースメーカーズ，インコーポレイテッド 心臓活性化シーケンスの監視及び追跡調査
US20090143832A1 (en) 2007-10-09 2009-06-04 University Of Pittsburgh-Of The Commonwealth System Of Higher Education Automated Assessment Of Atrioventricular And Ventriculoatrial Conduction
US20100087881A1 (en) 2008-10-06 2010-04-08 Shuros Allan C Preferential mechanical unloading during anti-tachycardia pacing
US20120041508A1 (en) 2009-04-23 2012-02-16 Benny Rousso Implantable lead connector

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US4754753A (en) 1981-05-12 1988-07-05 Medtronic, Inc. System for sensing electrical depolarization wave signals and their direction
DE69210395T2 (de) * 1991-04-05 1997-01-09 Medtronic Inc Erfassungssystem mit subkutanen mehrfachelektroden
US5181511A (en) * 1991-10-21 1993-01-26 Telectronics Pacing Systems, Inc. Apparatus and method for antitachycardia pacing using a virtual electrode
FR2685624B1 (fr) * 1991-12-31 1994-03-11 Ela Medical Systeme d'analyse de l'activite cardiaque pour dispositif implantable de traitement des tachycardies.
US5263977A (en) * 1992-10-26 1993-11-23 Angeion Corporation Electrode spacing device
US6327499B1 (en) * 1997-08-01 2001-12-04 Eckhard Alt Cardiac stimulator and defibrillator
US6263242B1 (en) 1999-03-25 2001-07-17 Impulse Dynamics N.V. Apparatus and method for timing the delivery of non-excitatory ETC signals to a heart
US6993385B1 (en) * 1999-10-25 2006-01-31 Impulse Dynamics N.V. Cardiac contractility modulation device having anti-arrhythmic capabilities and a method of operating thereof
US6847839B2 (en) * 2001-07-30 2005-01-25 The Trustees Of Columbia University In The City Of New York System and method for determining reentrant ventricular tachycardia isthmus location and shape for catheter ablation
US7225017B1 (en) * 2002-06-12 2007-05-29 Pacesetter, Inc. Parasympathetic nerve stimulation for ICD and/or ATP patients
US7076289B2 (en) * 2002-12-04 2006-07-11 Medtronic, Inc. Methods and apparatus for discriminating polymorphic tachyarrhythmias from monomorphic tachyarrhythmias facilitating detection of fibrillation
US7228176B2 (en) * 2004-07-22 2007-06-05 Cardiac Pacemakers, Inc. Systems, devices, and methods for tachyarrhythmia discrimination or therapy decisions
US7457664B2 (en) * 2005-05-09 2008-11-25 Cardiac Pacemakers, Inc. Closed loop cardiac resynchronization therapy using cardiac activation sequence information
US7634316B2 (en) 2005-04-28 2009-12-15 Imperception, Inc. Method and apparatus for validating a pacing train associated with T-shock delivery
EP1937357B1 (en) * 2005-09-06 2023-11-01 Impulse Dynamics N.V. Apparatus for delivering electrical signals to a heart
US9031646B2 (en) * 2007-10-09 2015-05-12 University of Pittsburgh—of the Commonwealth System of Higher Education Automated assessment of atrioventricular and ventriculoatrial conduction
DE602009000871D1 (de) 2008-03-28 2011-04-28 Ela Medical Sa Aktives Medizingerät, das verbesserte Mittel zur Unterscheidung zwischen Tachykardien ventrikulären Ursprungs und Tachykardien supraventrikulären Ursprungs enthält
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WO2010123679A1 (en) * 2009-04-22 2010-10-28 Cardiac Pacemakers, Inc. Dynamic selection of algorithms for arrhythmia detection
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Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5193535A (en) 1991-08-27 1993-03-16 Medtronic, Inc. Method and apparatus for discrimination of ventricular tachycardia from ventricular fibrillation and for treatment thereof
US20030009197A1 (en) 2001-07-03 2003-01-09 Helland John R. Implantable multi-chamber cardiac stimulation device with sensing vectors
JP2006508774A (ja) 2002-12-04 2006-03-16 メドトロニック・インコーポレーテッド 単形性頻脈性不整脈から多形性頻脈性不整脈を識別する方法およびシステム
JP2008515486A (ja) 2004-09-30 2008-05-15 カーディアック ペースメーカーズ，インコーポレイテッド 不整脈分類および療法選択
JP2008515485A (ja) 2004-09-30 2008-05-15 カーディアック ペースメーカーズ，インコーポレイテッド 心臓活性化シーケンスの監視及び追跡調査
US20090143832A1 (en) 2007-10-09 2009-06-04 University Of Pittsburgh-Of The Commonwealth System Of Higher Education Automated Assessment Of Atrioventricular And Ventriculoatrial Conduction
US20100087881A1 (en) 2008-10-06 2010-04-08 Shuros Allan C Preferential mechanical unloading during anti-tachycardia pacing
US20120041508A1 (en) 2009-04-23 2012-02-16 Benny Rousso Implantable lead connector

Also Published As

Publication number Publication date
JP2022523023A (ja) 2022-04-21
US20220088402A1 (en) 2022-03-24
CN113164753B (zh) 2023-03-24
US20260144996A1 (en) 2026-05-28
CN113164753A (zh) 2021-07-23
WO2020152619A1 (en) 2020-07-30
EP3914345A1 (en) 2021-12-01
US12558557B2 (en) 2026-02-24

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