WO2008079840A3 - Rate adaptive cardiac pacing systems and methods - Google Patents

Rate adaptive cardiac pacing systems and methods Download PDF

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Publication number
WO2008079840A3
WO2008079840A3 PCT/US2007/088042 US2007088042W WO2008079840A3 WO 2008079840 A3 WO2008079840 A3 WO 2008079840A3 US 2007088042 W US2007088042 W US 2007088042W WO 2008079840 A3 WO2008079840 A3 WO 2008079840A3
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WO
WIPO (PCT)
Prior art keywords
rate
cardiac
time
change
function
Prior art date
Application number
PCT/US2007/088042
Other languages
French (fr)
Other versions
WO2008079840A2 (en
Inventor
Allan Charles Shuros
Donald L Hopper
Michael John Kane
Original Assignee
Cardiac Pacemakers Inc
Allan Charles Shuros
Donald L Hopper
Michael John Kane
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
Application filed by Cardiac Pacemakers Inc, Allan Charles Shuros, Donald L Hopper, Michael John Kane filed Critical Cardiac Pacemakers Inc
Priority to EP07855250.2A priority Critical patent/EP2122521B1/en
Priority to EP18201636.0A priority patent/EP3460803B1/en
Priority to JP2009543162A priority patent/JP5246960B2/en
Publication of WO2008079840A2 publication Critical patent/WO2008079840A2/en
Publication of WO2008079840A3 publication Critical patent/WO2008079840A3/en

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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
    • 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
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/40—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
    • 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
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Primary Health Care (AREA)
  • Medical Informatics (AREA)
  • Epidemiology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Radiology & Medical Imaging (AREA)
  • Physiology (AREA)
  • Biophysics (AREA)
  • Business, Economics & Management (AREA)
  • General Business, Economics & Management (AREA)
  • Surgery (AREA)
  • Urology & Nephrology (AREA)
  • Electrotherapy Devices (AREA)

Abstract

The invention relates to cardiac rhythm management systems, and more particularly, to rate adaptive cardiac pacing systems and methods. In an embodiment, the invention includes a method for providing rate-adaptive cardiac pacing therapy from an implantable medical device, the method including sensing a pulmonary function of a patient; determining a rate of change in the pulmonary function; sensing a cardiac function of the patient; determining a rate of change in the cardiac function; and calculating a target pacing rate based on an existing pacing rate, the rate of change in the pulmonary function, and the rate of change in the cardiac function. In an embodiment, the invention includes a method of controlling a cardiac rhythm management device in response to exertion of a patient, the method including sensing the patient's pulmonary function at a first time t1 and at a second time t2 ; calculating a rate of change of the pulmonary function between time t1 and time t2 ; sensing the patient's cardiac function at time t3 and t4; calculating a rate of change of the cardiac function between time t3 and time t4; and setting a desired pacing rate. Embodiments of the invention also include cardiac rhythm management devices.
PCT/US2007/088042 2006-12-20 2007-12-19 Rate adaptive cardiac pacing systems and methods WO2008079840A2 (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
EP07855250.2A EP2122521B1 (en) 2006-12-20 2007-12-19 Rate adaptive cardiac pacing systems and methods
EP18201636.0A EP3460803B1 (en) 2006-12-20 2007-12-19 Rate adaptive cardiac pacing systems and methods
JP2009543162A JP5246960B2 (en) 2006-12-20 2007-12-19 Rate-adaptive cardiac pacing system and method

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US11/613,740 2006-12-20
US11/613,740 US8406879B2 (en) 2006-12-20 2006-12-20 Rate adaptive cardiac pacing systems and methods

Publications (2)

Publication Number Publication Date
WO2008079840A2 WO2008079840A2 (en) 2008-07-03
WO2008079840A3 true WO2008079840A3 (en) 2008-09-18

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Application Number Title Priority Date Filing Date
PCT/US2007/088042 WO2008079840A2 (en) 2006-12-20 2007-12-19 Rate adaptive cardiac pacing systems and methods

Country Status (4)

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US (2) US8406879B2 (en)
EP (2) EP2122521B1 (en)
JP (1) JP5246960B2 (en)
WO (1) WO2008079840A2 (en)

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Also Published As

Publication number Publication date
US20080154139A1 (en) 2008-06-26
US8406879B2 (en) 2013-03-26
EP3460803B1 (en) 2023-02-22
US8738133B2 (en) 2014-05-27
US20130184776A1 (en) 2013-07-18
JP5246960B2 (en) 2013-07-24
JP2010514469A (en) 2010-05-06
EP2122521B1 (en) 2019-01-23
EP3460803A1 (en) 2019-03-27
WO2008079840A2 (en) 2008-07-03
EP2122521A2 (en) 2009-11-25

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