WO2009006327A1 - Systèmes, dispositifs et procédés pour suivre l'efficacité de la stimulation cardiaque - Google Patents

Systèmes, dispositifs et procédés pour suivre l'efficacité de la stimulation cardiaque Download PDF

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Publication number
WO2009006327A1
WO2009006327A1 PCT/US2008/068630 US2008068630W WO2009006327A1 WO 2009006327 A1 WO2009006327 A1 WO 2009006327A1 US 2008068630 W US2008068630 W US 2008068630W WO 2009006327 A1 WO2009006327 A1 WO 2009006327A1
Authority
WO
WIPO (PCT)
Prior art keywords
pacing
heart
electrodes
electrode
lead
Prior art date
Application number
PCT/US2008/068630
Other languages
English (en)
Inventor
Qingsheng Zhu
Daniel Felipe Ortega
Original Assignee
Action Medical, Inc.
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
Priority claimed from US12/147,293 external-priority patent/US8014861B2/en
Priority claimed from US12/147,339 external-priority patent/US8010191B2/en
Application filed by Action Medical, Inc. filed Critical Action Medical, Inc.
Publication of WO2009006327A1 publication Critical patent/WO2009006327A1/fr

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
    • A61N1/37—Monitoring; Protecting
    • A61N1/371—Capture, i.e. successful stimulation
    • 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
    • A61N1/3627—Heart stimulators for treating a mechanical deficiency of the heart, e.g. congestive heart failure or cardiomyopathy

Abstract

La présente invention concerne divers systèmes, procédés, dispositifs organisations mis en œuvre pour la stimulation cardiaque. L'un des modes de réalisation concerne des procédés et systèmes permettant de déterminer le point de stimulation dans le ventricule droit du cœur et à proximité du faisceau de His. En l'occurrence, on envoie un signal de stimulation dans le ventricule droit au point considéré, ce qui produit une capture ventriculaire dont on surveille les propriétés. On se sert alors des résultats que donne la capture surveillée pour vérifier l'efficacité du signal de stimulation par rapport à la fonction cardiaque. La fonction cardiaque considérée peut être par exemple l'un au moins des éléments que sont la largeur des QRS, le fractionnement et la synchronisation de la stimulation électrique d'un site d'activation retardée d'un ventricule gauche par rapport au QRS.
PCT/US2008/068630 2007-06-29 2008-06-27 Systèmes, dispositifs et procédés pour suivre l'efficacité de la stimulation cardiaque WO2009006327A1 (fr)

Applications Claiming Priority (8)

Application Number Priority Date Filing Date Title
US94730807P 2007-06-29 2007-06-29
US94732207P 2007-06-29 2007-06-29
US60/947,322 2007-06-29
US60/947,308 2007-06-29
US12/147,293 2008-06-26
US12/147,293 US8014861B2 (en) 2004-12-20 2008-06-26 Systems, devices and methods relating to endocardial pacing for resynchronization
US12/147,339 2008-06-26
US12/147,339 US8010191B2 (en) 2004-12-20 2008-06-26 Systems, devices and methods for monitoring efficiency of pacing

Publications (1)

Publication Number Publication Date
WO2009006327A1 true WO2009006327A1 (fr) 2009-01-08

Family

ID=40226491

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2008/068630 WO2009006327A1 (fr) 2007-06-29 2008-06-27 Systèmes, dispositifs et procédés pour suivre l'efficacité de la stimulation cardiaque

Country Status (1)

Country Link
WO (1) WO2009006327A1 (fr)

Cited By (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8260424B2 (en) 2008-10-24 2012-09-04 Boston Scientific Neuromodulation Corporation Systems and methods for detecting a loss of electrical connectivity between components of implantable medical lead systems
US8285376B2 (en) 2004-12-20 2012-10-09 Cardiac Pacemakers, Inc. Ventricular pacing
US8290586B2 (en) 2004-12-20 2012-10-16 Cardiac Pacemakers, Inc. Methods, devices and systems for single-chamber pacing using a dual-chamber pacing device
US8326423B2 (en) 2004-12-20 2012-12-04 Cardiac Pacemakers, Inc. Devices and methods for steering electrical stimulation in cardiac rhythm management
WO2012125273A3 (fr) * 2011-03-14 2013-02-28 Cardiac Pacemakers, Inc. Vérification de capture de his à l'aide de retard électro-mécanique
US8423139B2 (en) 2004-12-20 2013-04-16 Cardiac Pacemakers, Inc. Methods, devices and systems for cardiac rhythm management using an electrode arrangement
US8538521B2 (en) 2004-12-20 2013-09-17 Cardiac Pacemakers, Inc. Systems, devices and methods for monitoring efficiency of pacing
US8543203B2 (en) 2004-12-20 2013-09-24 Cardiac Pacemakers, Inc. Endocardial pacing devices and methods useful for resynchronization and defibrillation
US8565880B2 (en) 2010-04-27 2013-10-22 Cardiac Pacemakers, Inc. His-bundle capture verification and monitoring
US8688217B2 (en) 2008-10-24 2014-04-01 Boston Scientific Neuromodulation Corporation Method to detect proper lead connection in an implantable stimulation system
US8688234B2 (en) 2008-12-19 2014-04-01 Cardiac Pacemakers, Inc. Devices, methods, and systems including cardiac pacing
US8812105B2 (en) 2004-12-20 2014-08-19 Cardiac Pacemakers, Inc. Circuit-based devices and methods for pulse control of endocardial pacing in cardiac rhythm management
US8825155B2 (en) 2004-12-20 2014-09-02 Cardiac Pacemakers, Inc. Systems, devices and methods relating to endocardial pacing for resynchronization
US8880169B2 (en) 2004-12-20 2014-11-04 Cardiac Pacemakers, Inc. Endocardial pacing relating to conduction abnormalities
EP3918730A4 (fr) * 2019-01-28 2022-11-02 EBR Systems, Inc. Dispositifs, systèmes et procédés pour thérapie de resynchronisation cardiaque

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6161029A (en) * 1999-03-08 2000-12-12 Medtronic, Inc. Apparatus and method for fixing electrodes in a blood vessel
US6542775B2 (en) * 1998-05-08 2003-04-01 Cardiac Pacemakers, Inc. Cardiac pacing using adjustable atrio-ventricular delays
US6766190B2 (en) * 2001-10-31 2004-07-20 Medtronic, Inc. Method and apparatus for developing a vectorcardiograph in an implantable medical device
US20070129764A1 (en) * 2005-12-06 2007-06-07 Burnes John E Method and apparatus for optimizing pacing parameters

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6542775B2 (en) * 1998-05-08 2003-04-01 Cardiac Pacemakers, Inc. Cardiac pacing using adjustable atrio-ventricular delays
US6161029A (en) * 1999-03-08 2000-12-12 Medtronic, Inc. Apparatus and method for fixing electrodes in a blood vessel
US6766190B2 (en) * 2001-10-31 2004-07-20 Medtronic, Inc. Method and apparatus for developing a vectorcardiograph in an implantable medical device
US20070129764A1 (en) * 2005-12-06 2007-06-07 Burnes John E Method and apparatus for optimizing pacing parameters

Cited By (27)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8825159B2 (en) 2004-12-20 2014-09-02 Cardiac Pacemakers, Inc. Devices and methods for steering electrical stimulation in cardiac rhythm management
US8838238B2 (en) 2004-12-20 2014-09-16 Cardiac Pacemakers, Inc. Ventricular pacing
US9031648B2 (en) 2004-12-20 2015-05-12 Cardiac Pacemakers, Inc. Endocardial pacing devices and methods useful for resynchronization and defibrillation
US8326423B2 (en) 2004-12-20 2012-12-04 Cardiac Pacemakers, Inc. Devices and methods for steering electrical stimulation in cardiac rhythm management
US8346358B2 (en) 2004-12-20 2013-01-01 Cardiac Pacemakers, Inc. Pacemaker which reestablishes or keeps the physiological electric conduction of the heart and a method of application
US9008768B2 (en) 2004-12-20 2015-04-14 Cardiac Pacemakers, Inc. Methods, devices and systems for cardiac rhythm management using an electrode arrangement
US8423139B2 (en) 2004-12-20 2013-04-16 Cardiac Pacemakers, Inc. Methods, devices and systems for cardiac rhythm management using an electrode arrangement
US8428715B2 (en) 2004-12-20 2013-04-23 Cardiac Pacemakers, Inc. Methods for treating the physiological electric conduction of the heart
US8437848B2 (en) 2004-12-20 2013-05-07 Cardiac Pacemakers, Inc. Apparatus for treating the physiological electric conduction of the heart
US8538521B2 (en) 2004-12-20 2013-09-17 Cardiac Pacemakers, Inc. Systems, devices and methods for monitoring efficiency of pacing
US8543203B2 (en) 2004-12-20 2013-09-24 Cardiac Pacemakers, Inc. Endocardial pacing devices and methods useful for resynchronization and defibrillation
US8934969B2 (en) 2004-12-20 2015-01-13 Cardiac Pacemakers, Inc. Systems, devices and methods for monitoring efficiency of pacing
US8290586B2 (en) 2004-12-20 2012-10-16 Cardiac Pacemakers, Inc. Methods, devices and systems for single-chamber pacing using a dual-chamber pacing device
US8880169B2 (en) 2004-12-20 2014-11-04 Cardiac Pacemakers, Inc. Endocardial pacing relating to conduction abnormalities
US8903489B2 (en) 2004-12-20 2014-12-02 Cardiac Pacemakers, Inc. Methods, devices and systems for single-chamber pacing using a dual-chamber pacing device
US8812105B2 (en) 2004-12-20 2014-08-19 Cardiac Pacemakers, Inc. Circuit-based devices and methods for pulse control of endocardial pacing in cardiac rhythm management
US8812106B2 (en) 2004-12-20 2014-08-19 Cardiac Pacemakers, Inc. Apparatus for treating the physiological electric conduction of the heart
US8825155B2 (en) 2004-12-20 2014-09-02 Cardiac Pacemakers, Inc. Systems, devices and methods relating to endocardial pacing for resynchronization
US8285376B2 (en) 2004-12-20 2012-10-09 Cardiac Pacemakers, Inc. Ventricular pacing
US8260424B2 (en) 2008-10-24 2012-09-04 Boston Scientific Neuromodulation Corporation Systems and methods for detecting a loss of electrical connectivity between components of implantable medical lead systems
US8688217B2 (en) 2008-10-24 2014-04-01 Boston Scientific Neuromodulation Corporation Method to detect proper lead connection in an implantable stimulation system
US8688234B2 (en) 2008-12-19 2014-04-01 Cardiac Pacemakers, Inc. Devices, methods, and systems including cardiac pacing
US8565880B2 (en) 2010-04-27 2013-10-22 Cardiac Pacemakers, Inc. His-bundle capture verification and monitoring
US8761880B2 (en) 2011-03-14 2014-06-24 Cardiac Pacemakers, Inc. His capture verification using electro-mechanical delay
WO2012125273A3 (fr) * 2011-03-14 2013-02-28 Cardiac Pacemakers, Inc. Vérification de capture de his à l'aide de retard électro-mécanique
US11925812B2 (en) 2019-01-28 2024-03-12 Ebr Systems, Inc. Devices, systems, and methods for cardiac resynchronization therapy
EP3918730A4 (fr) * 2019-01-28 2022-11-02 EBR Systems, Inc. Dispositifs, systèmes et procédés pour thérapie de resynchronisation cardiaque

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