WO2023211947A3 - Determination of lower pacing rate limit - Google Patents

Determination of lower pacing rate limit Download PDF

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Publication number
WO2023211947A3
WO2023211947A3 PCT/US2023/019822 US2023019822W WO2023211947A3 WO 2023211947 A3 WO2023211947 A3 WO 2023211947A3 US 2023019822 W US2023019822 W US 2023019822W WO 2023211947 A3 WO2023211947 A3 WO 2023211947A3
Authority
WO
WIPO (PCT)
Prior art keywords
pacing
rate limit
patient
rate
pacing rate
Prior art date
Application number
PCT/US2023/019822
Other languages
French (fr)
Other versions
WO2023211947A2 (en
Inventor
Matthew J. HOFFMAN
Troy E. Jackson
Markus Meyer
Original Assignee
Medtronic, 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 US18/138,686 external-priority patent/US20230347154A1/en
Application filed by Medtronic, Inc. filed Critical Medtronic, Inc.
Publication of WO2023211947A2 publication Critical patent/WO2023211947A2/en
Publication of WO2023211947A3 publication Critical patent/WO2023211947A3/en

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
    • 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
    • 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

Abstract

A lower pacing rate limit is utilized by pacing devices to initiate pacing in response to a patient's intrinsic rate being less than the lower pacing rate limit. Illustrative systems, devices, and methods may obtain rate modification information related to a patient such as physical characteristics, diagnostic parameters, pathologies, device characteristics of a pacing device implanted in the patient, and patient-reported information. The rate modification information may be used to determine lower pacing rate limit based thereon.
PCT/US2023/019822 2022-04-29 2023-04-25 Determination of lower pacing rate limit WO2023211947A2 (en)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US202263336783P 2022-04-29 2022-04-29
US63/336,783 2022-04-29
US18/138,686 2023-04-24
US18/138,686 US20230347154A1 (en) 2022-04-29 2023-04-24 Determination of lower pacing rate limit

Publications (2)

Publication Number Publication Date
WO2023211947A2 WO2023211947A2 (en) 2023-11-02
WO2023211947A3 true WO2023211947A3 (en) 2024-02-22

Family

ID=86558837

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2023/019822 WO2023211947A2 (en) 2022-04-29 2023-04-25 Determination of lower pacing rate limit

Country Status (1)

Country Link
WO (1) WO2023211947A2 (en)

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4945909A (en) * 1989-06-06 1990-08-07 Cook Pacemaker Corporation Pacemaker with activity-dependent rate limiting
US4972834A (en) * 1988-09-30 1990-11-27 Vitatron Medical B.V. Pacemaker with improved dynamic rate responsiveness
US5814087A (en) * 1996-12-18 1998-09-29 Medtronic, Inc. Rate responsive pacemaker adapted to adjust lower rate limit according to monitored patient blood temperature
US5861011A (en) * 1997-02-14 1999-01-19 Vitatron Medical, B.V. Pacemaker with automatic lower rate limit drop
US8352027B2 (en) * 2003-06-12 2013-01-08 Cardiac Pacemakers, Inc. Implantable cardiac rhythm management system having multiple therapy modalities
US20160174904A1 (en) * 2013-03-14 2016-06-23 Cardiac Pacemakers, Inc. Heart failure management to avoid rehospitalization
US20170056664A1 (en) * 2015-08-28 2017-03-02 Cardiac Pacemakers, Inc. Systems and methods for behaviorally responsive signal detection and therapy delivery

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8831721B2 (en) 2008-04-24 2014-09-09 Medtronic, Inc. Pressure and impedance based discrimination of hemodynamic stability
US8639328B2 (en) 2010-10-29 2014-01-28 Medtronic, Inc. Cardiac therapy based upon impedance signals
US10182729B2 (en) 2016-08-31 2019-01-22 Medtronics, Inc. Systems and methods for monitoring hemodynamic status

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4972834A (en) * 1988-09-30 1990-11-27 Vitatron Medical B.V. Pacemaker with improved dynamic rate responsiveness
US4945909A (en) * 1989-06-06 1990-08-07 Cook Pacemaker Corporation Pacemaker with activity-dependent rate limiting
US5814087A (en) * 1996-12-18 1998-09-29 Medtronic, Inc. Rate responsive pacemaker adapted to adjust lower rate limit according to monitored patient blood temperature
US5861011A (en) * 1997-02-14 1999-01-19 Vitatron Medical, B.V. Pacemaker with automatic lower rate limit drop
US8352027B2 (en) * 2003-06-12 2013-01-08 Cardiac Pacemakers, Inc. Implantable cardiac rhythm management system having multiple therapy modalities
US20160174904A1 (en) * 2013-03-14 2016-06-23 Cardiac Pacemakers, Inc. Heart failure management to avoid rehospitalization
US20170056664A1 (en) * 2015-08-28 2017-03-02 Cardiac Pacemakers, Inc. Systems and methods for behaviorally responsive signal detection and therapy delivery

Also Published As

Publication number Publication date
WO2023211947A2 (en) 2023-11-02

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