WO1999058192A1 - Implantable cardiac stimulator with electrode-tissue interface characterization - Google Patents
Implantable cardiac stimulator with electrode-tissue interface characterization Download PDFInfo
- Publication number
- WO1999058192A1 WO1999058192A1 PCT/US1999/009877 US9909877W WO9958192A1 WO 1999058192 A1 WO1999058192 A1 WO 1999058192A1 US 9909877 W US9909877 W US 9909877W WO 9958192 A1 WO9958192 A1 WO 9958192A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- voltage
- empirical
- lead
- helmholtz capacitance
- capacitance
- Prior art date
Links
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
- A61N1/365—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
- A61N1/36521—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure the parameter being derived from measurement of an electrical impedance
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/142—Pressure infusion, e.g. using pumps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/168—Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body
- A61M5/16831—Monitoring, detecting, signalling or eliminating infusion flow anomalies
- A61M5/16854—Monitoring, detecting, signalling or eliminating infusion flow anomalies by monitoring line 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
- A61N1/37—Monitoring; Protecting
- A61N1/3706—Pacemaker parameters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/142—Pressure infusion, e.g. using pumps
- A61M5/14244—Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body
Priority Applications (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP99921710A EP1076583A1 (en) | 1998-05-08 | 1999-05-06 | Implantable cardiac stimulator with electrode-tissue interface characterization |
JP2000548040A JP2002514479A (ja) | 1998-05-08 | 1999-05-06 | 電極−組織界面の特性決定を行う埋込可能な心臓刺激器 |
CA002331581A CA2331581A1 (en) | 1998-05-08 | 1999-05-06 | Implantable cardiac stimulator with electrode-tissue interface characterization |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US09/075,144 | 1998-05-08 | ||
US09/075,144 US6141585A (en) | 1998-05-08 | 1998-05-08 | Implantable cardiac stimulator with electrode-tissue interface characterization |
Publications (1)
Publication Number | Publication Date |
---|---|
WO1999058192A1 true WO1999058192A1 (en) | 1999-11-18 |
Family
ID=22123844
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US1999/009877 WO1999058192A1 (en) | 1998-05-08 | 1999-05-06 | Implantable cardiac stimulator with electrode-tissue interface characterization |
Country Status (5)
Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0913166A3 (de) * | 1997-10-31 | 2000-03-01 | BIOTRONIK Mess- und Therapiegeräte GmbH & Co Ingenieurbüro Berlin | Elektrostimulator |
EP1216723A1 (fr) | 2000-12-22 | 2002-06-26 | Ela Medical | Procédé de mesure de l'impédance complexe d'une sonde de dispositif médical implantable actif, notamment de stimulateur cardiaque, défibrillateur et/ou cardioverteur |
WO2003002198A3 (en) * | 2001-06-29 | 2003-05-01 | Medtronic Inc | Implantable cardioverter/defibrillator |
WO2017096181A1 (en) * | 2015-12-03 | 2017-06-08 | Medtronic, Inc. | Extra-cardiovascular pacing using high-voltage therapy circuitry of an implantable cardioverter defibrillator |
Families Citing this family (54)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6493588B1 (en) * | 1998-03-18 | 2002-12-10 | Mmc/Gatx Partnership No. 1 | Electro-nerve stimulator systems and methods |
US6141585A (en) * | 1998-05-08 | 2000-10-31 | Intermedics Inc. | Implantable cardiac stimulator with electrode-tissue interface characterization |
US7171265B2 (en) | 1998-07-31 | 2007-01-30 | Harbinger Medical, Inc. | Apparatus and method for detecting lead adequacy and quality |
US6721600B2 (en) * | 2000-01-19 | 2004-04-13 | Medtronic, Inc. | Implantable lead functional status monitor and method |
US6629931B1 (en) * | 2000-11-06 | 2003-10-07 | Medtronic, Inc. | Method and system for measuring a source impedance of at least one cardiac electrical signal in a mammalian heart |
US7305266B1 (en) * | 2001-05-14 | 2007-12-04 | Pacesetter, Inc. | Cardiac stimulation devices and methods for measuring impedances associated with the heart |
US8812114B2 (en) * | 2001-10-18 | 2014-08-19 | Uroplasty, Inc. | Lead set for nerve stimulator and method of operation thereof |
US7536226B2 (en) * | 2001-10-18 | 2009-05-19 | Uroplasty, Inc. | Electro-nerve stimulator system and methods |
US7047083B2 (en) * | 2002-09-30 | 2006-05-16 | Medtronic, Inc. | Method and apparatus for identifying lead-related conditions using lead impedance measurements |
US20040064154A1 (en) * | 2002-09-30 | 2004-04-01 | Norton John D. | Apparatus and method for optimizing capacitor charge in a medical device |
US20040073266A1 (en) * | 2002-10-15 | 2004-04-15 | Haefner Paul A. | Automatic detection of defibrillation lead |
DE10250996A1 (de) * | 2002-10-30 | 2004-05-13 | Biotronik Meß- und Therapiegeräte GmbH & Co. Ingenieurbüro Berlin | Stimulationsvorrichtung mit Stimulationserfolgskontrolle |
US8340762B2 (en) * | 2003-04-23 | 2012-12-25 | Medtronic, Inc. | Pulse generation techniques for implantable pulse generator systems |
US20070100381A1 (en) * | 2003-06-27 | 2007-05-03 | David Snyder | Compensation for cardiac shunt currents during defibrillation |
US7758513B2 (en) * | 2004-03-27 | 2010-07-20 | Samsung Electronics Co., Ltd. | Apparatus and method for simultaneously measuring bio signals |
US7389140B1 (en) * | 2004-06-16 | 2008-06-17 | Kroll Mark W | Adjustment of stimulation current path |
US7447543B2 (en) * | 2005-02-15 | 2008-11-04 | Regents Of The University Of Minnesota | Pathology assessment with impedance measurements using convergent bioelectric lead fields |
EP1868682A1 (de) * | 2005-04-06 | 2007-12-26 | Friederike Scharmer | Elektromedizinische implantierbare oder extrakorporal anwendbare vorrichtung für die organbehandlung und organüberwachung und verfahren zur therapierenden organbehandlung |
US20160361559A1 (en) | 2007-10-12 | 2016-12-15 | Berlin Heals Holding Ag | Electromedical implantable or extracorporeally applicable device for the treatment or monitoring of organs, and method for therapeutic organ treatment |
US7398122B1 (en) * | 2005-04-07 | 2008-07-08 | Pacesetter, Inc. | Self adjusting optimal waveforms |
US8165693B2 (en) | 2005-07-21 | 2012-04-24 | Cyberonics, Inc. | Safe-mode implantable medical devices |
US7636829B2 (en) * | 2006-05-02 | 2009-12-22 | Intel Corporation | System and method for allocating and deallocating memory within transactional code |
WO2007136694A2 (en) | 2006-05-18 | 2007-11-29 | Uroplasty, Inc. | Method and apparatus for stimulating a nerve of a patient |
US7877139B2 (en) | 2006-09-22 | 2011-01-25 | Cameron Health, Inc. | Method and device for implantable cardiac stimulus device lead impedance measurement |
US8068920B2 (en) | 2006-10-03 | 2011-11-29 | Vincent A Gaudiani | Transcoronary sinus pacing system, LV summit pacing, early mitral closure pacing, and methods therefor |
US7930028B2 (en) * | 2006-10-20 | 2011-04-19 | Biotronik Crm Patent Ag | Implantable cardiac device with a shock lead |
US9037240B2 (en) * | 2008-06-02 | 2015-05-19 | Medtronic, Inc. | Electrode lead integrity reports |
WO2009148425A1 (en) * | 2008-06-02 | 2009-12-10 | Medtronic, Inc. | Impedance variability analysis to identify lead-related conditions |
WO2009148426A1 (en) * | 2008-06-02 | 2009-12-10 | Medtronic, Inc. | Sensing integrity determination based on cardiovascular pressure |
US20090299421A1 (en) * | 2008-06-02 | 2009-12-03 | Medtronic, Inc. | Evaluation of implantable medical device sensing integrity based on evoked signals |
EP2303403B1 (en) | 2008-06-02 | 2016-09-14 | Medtronic, Inc. | Electrogram storage for suspected non-physiological episodes |
US7974690B2 (en) * | 2008-06-30 | 2011-07-05 | Medtronic, Inc. | Lead integrity testing during suspected tachyarrhythmias |
US9522277B2 (en) | 2008-07-28 | 2016-12-20 | Medtronic, Inc. | Lead integrity testing triggered by sensed signal saturation |
US7953488B2 (en) * | 2008-07-31 | 2011-05-31 | Medtronic, Inc. | Pre-qualification of an alternate sensing configuration |
US8078277B2 (en) | 2008-10-29 | 2011-12-13 | Medtronic, Inc. | Identification and remediation of oversensed cardiac events using far-field electrograms |
US10118042B2 (en) | 2008-10-31 | 2018-11-06 | Medtronic, Inc. | Lead integrity testing triggered by sensed asystole |
CN102596311B (zh) * | 2009-11-05 | 2016-01-13 | 皇家飞利浦电子股份有限公司 | 电肌肉刺激 |
US8396543B2 (en) * | 2010-01-28 | 2013-03-12 | Medtronic, Inc. | Storage of data for evaluation of lead integrity |
US8774909B2 (en) | 2011-09-26 | 2014-07-08 | Medtronic, Inc. | Episode classifier algorithm |
US8437840B2 (en) | 2011-09-26 | 2013-05-07 | Medtronic, Inc. | Episode classifier algorithm |
US9668668B2 (en) | 2011-09-30 | 2017-06-06 | Medtronic, Inc. | Electrogram summary |
US8744560B2 (en) | 2011-09-30 | 2014-06-03 | Medtronic, Inc. | Electrogram summary |
US9289593B1 (en) | 2011-10-11 | 2016-03-22 | A-Hamid Hakki | Endovascular electrode system for tissue stimulation |
US9775991B1 (en) | 2011-10-11 | 2017-10-03 | A-Hamid Hakki | Endovascular electrode system for tissue stimulation with embedded generator |
US10500394B1 (en) | 2011-10-11 | 2019-12-10 | A-Hamid Hakki | Pacemaker system equipped with a flexible intercostal generator |
US8521281B2 (en) | 2011-10-14 | 2013-08-27 | Medtronic, Inc. | Electrogram classification algorithm |
US8886296B2 (en) | 2011-10-14 | 2014-11-11 | Medtronic, Inc. | T-wave oversensing |
US9409026B2 (en) | 2014-02-13 | 2016-08-09 | Medtronic, Inc. | Lead monitoring frequency based on lead and patient characteristics |
US9302100B2 (en) | 2014-02-13 | 2016-04-05 | Medtronic, Inc. | Lead monitoring frequency based on lead and patient characteristics |
US9399141B2 (en) | 2014-02-13 | 2016-07-26 | Medtronic, Inc. | Lead monitoring frequency based on lead and patient characteristics |
US11577075B1 (en) | 2018-10-12 | 2023-02-14 | Vincent A. Gaudiani | Transcoronary sinus pacing of his bundle |
US11648397B1 (en) | 2018-10-12 | 2023-05-16 | Vincent Gaudiani | Transcoronary sinus pacing of posteroseptal left ventricular base |
US11045653B1 (en) | 2021-02-11 | 2021-06-29 | Eagle Point Medical LLC | Multi-electrode leads, adapters, and methods for left bundle branch pacing with depth control |
CN116407758A (zh) * | 2021-12-29 | 2023-07-11 | 精能医学股份有限公司 | 阻抗监控方法、电刺激系统和电脑可读存储媒体 |
Citations (7)
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US4245643A (en) * | 1979-08-15 | 1981-01-20 | Children's Hospital Medical Center | Method and apparatus for measuring the ohmic contact resistance of an electrode attached to body tissue |
US4613850A (en) * | 1983-12-23 | 1986-09-23 | Medel Medizinische Elektronik Handelsges. Mbh | Circuit arrangement for checking the position of electrodes |
US4830006A (en) | 1986-06-17 | 1989-05-16 | Intermedics, Inc. | Implantable cardiac stimulator for detection and treatment of ventricular arrhythmias |
US4899750A (en) | 1988-04-19 | 1990-02-13 | Siemens-Pacesetter, Inc. | Lead impedance scanning system for pacemakers |
US5201865A (en) | 1991-10-28 | 1993-04-13 | Medtronic, Inc. | Medical lead impedance measurement system |
US5431692A (en) * | 1993-08-02 | 1995-07-11 | Telectronics Pacing Systems, Inc. | Method and apparatus for testing compatibility of lead polarity and polarity programming of a cardiac stimulator |
US5534018A (en) | 1994-11-30 | 1996-07-09 | Medtronic, Inc. | Automatic lead recognition for implantable medical device |
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US6141585A (en) * | 1998-05-08 | 2000-10-31 | Intermedics Inc. | Implantable cardiac stimulator with electrode-tissue interface characterization |
FR2818554B1 (fr) | 2000-12-22 | 2003-03-28 | Ela Medical Sa | Procede de mesure de l'impedance complexe d'une sonde de dispositif medical implantable actif, notamment de stimulateur cardiaque, defibrillateur et/ou cardioverteur |
-
1998
- 1998-05-08 US US09/075,144 patent/US6141585A/en not_active Expired - Lifetime
-
1999
- 1999-05-06 EP EP99921710A patent/EP1076583A1/en not_active Withdrawn
- 1999-05-06 JP JP2000548040A patent/JP2002514479A/ja not_active Withdrawn
- 1999-05-06 WO PCT/US1999/009877 patent/WO1999058192A1/en not_active Application Discontinuation
- 1999-05-06 CA CA002331581A patent/CA2331581A1/en not_active Abandoned
- 1999-12-06 US US09/454,742 patent/US6564099B2/en not_active Expired - Lifetime
- 1999-12-06 US US09/454,619 patent/US6473648B1/en not_active Expired - Lifetime
-
2003
- 2003-02-21 US US10/371,609 patent/US6788972B2/en not_active Expired - Lifetime
-
2004
- 2004-06-21 US US10/872,637 patent/US7200441B2/en not_active Expired - Fee Related
Patent Citations (8)
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US4245643A (en) * | 1979-08-15 | 1981-01-20 | Children's Hospital Medical Center | Method and apparatus for measuring the ohmic contact resistance of an electrode attached to body tissue |
US4613850A (en) * | 1983-12-23 | 1986-09-23 | Medel Medizinische Elektronik Handelsges. Mbh | Circuit arrangement for checking the position of electrodes |
US4830006A (en) | 1986-06-17 | 1989-05-16 | Intermedics, Inc. | Implantable cardiac stimulator for detection and treatment of ventricular arrhythmias |
US4830006B1 (en) | 1986-06-17 | 1997-10-28 | Intermedics Inc | Implantable cardiac stimulator for detection and treatment of ventricular arrhythmias |
US4899750A (en) | 1988-04-19 | 1990-02-13 | Siemens-Pacesetter, Inc. | Lead impedance scanning system for pacemakers |
US5201865A (en) | 1991-10-28 | 1993-04-13 | Medtronic, Inc. | Medical lead impedance measurement system |
US5431692A (en) * | 1993-08-02 | 1995-07-11 | Telectronics Pacing Systems, Inc. | Method and apparatus for testing compatibility of lead polarity and polarity programming of a cardiac stimulator |
US5534018A (en) | 1994-11-30 | 1996-07-09 | Medtronic, Inc. | Automatic lead recognition for implantable medical device |
Cited By (13)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6304781B1 (en) | 1997-10-31 | 2001-10-16 | BIOTRONIK MESS- UND THERAPIEGERäTE GMBH & CO. INGENIEURBüERO BERLIN | Electrostimulator |
EP0913166A3 (de) * | 1997-10-31 | 2000-03-01 | BIOTRONIK Mess- und Therapiegeräte GmbH & Co Ingenieurbüro Berlin | Elektrostimulator |
US6907290B2 (en) | 2000-12-22 | 2005-06-14 | Ela Medical S.A. | Measurement of the complex impedance of an implantable lead |
EP1216723A1 (fr) | 2000-12-22 | 2002-06-26 | Ela Medical | Procédé de mesure de l'impédance complexe d'une sonde de dispositif médical implantable actif, notamment de stimulateur cardiaque, défibrillateur et/ou cardioverteur |
FR2818554A1 (fr) | 2000-12-22 | 2002-06-28 | Ela Medical Sa | Procede de mesure de l'impedance complexe d'une sonde de dispositif medical implantable actif, notamment de stimulateur cardiaque, defibrillateur et/ou cardioverteur |
US7050851B2 (en) | 2001-06-29 | 2006-05-23 | Medtronic, Inc. | Implantable cardioverter/defibrillator with housing electrode and lead detection and switching circuitry |
WO2003002198A3 (en) * | 2001-06-29 | 2003-05-01 | Medtronic Inc | Implantable cardioverter/defibrillator |
WO2017096181A1 (en) * | 2015-12-03 | 2017-06-08 | Medtronic, Inc. | Extra-cardiovascular pacing using high-voltage therapy circuitry of an implantable cardioverter defibrillator |
CN108290047A (zh) * | 2015-12-03 | 2018-07-17 | 美敦力公司 | 使用植入式复律除颤器的高压治疗电路进行心血管外起搏 |
US10080905B2 (en) | 2015-12-03 | 2018-09-25 | Medtronic, Inc. | Extra-cardiovascular pacing by an implantable cardioverter defibrillator |
US10155119B2 (en) | 2015-12-03 | 2018-12-18 | Medtronic, Inc. | Extra-cardiovascular pacing using high-voltage therapy circuitry of an implantable cardioverter defibrillator |
US10556118B2 (en) | 2015-12-03 | 2020-02-11 | Medtronic, Inc. | Extra-cardiovascular pacing by an implantable cardioverter defibrillator |
US11524166B2 (en) | 2015-12-03 | 2022-12-13 | Medtronic, Inc. | Extra-cardiovascular pacing by an implantable cardioverter defibrillator |
Also Published As
Publication number | Publication date |
---|---|
JP2002514479A (ja) | 2002-05-21 |
US6564099B2 (en) | 2003-05-13 |
US20040230245A1 (en) | 2004-11-18 |
EP1076583A1 (en) | 2001-02-21 |
US6141585A (en) | 2000-10-31 |
US20030014085A1 (en) | 2003-01-16 |
US6788972B2 (en) | 2004-09-07 |
US7200441B2 (en) | 2007-04-03 |
US6473648B1 (en) | 2002-10-29 |
US20030125779A1 (en) | 2003-07-03 |
CA2331581A1 (en) | 1999-11-18 |
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