DE60114507D1 - Verfahren und Vorrichtung zur biventrikulären Stimulation und zur Überwachung des Einfanges - Google Patents

Verfahren und Vorrichtung zur biventrikulären Stimulation und zur Überwachung des Einfanges

Info

Publication number
DE60114507D1
DE60114507D1 DE60114507T DE60114507T DE60114507D1 DE 60114507 D1 DE60114507 D1 DE 60114507D1 DE 60114507 T DE60114507 T DE 60114507T DE 60114507 T DE60114507 T DE 60114507T DE 60114507 D1 DE60114507 D1 DE 60114507D1
Authority
DE
Germany
Prior art keywords
capture
monitoring
biventricular pacing
biventricular
pacing
Prior art date
Legal status (The legal status 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 status listed.)
Expired - Fee Related
Application number
DE60114507T
Other languages
English (en)
Other versions
DE60114507T2 (de
Inventor
Mark W Kroll
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Pacesetter Inc
Original Assignee
Pacesetter 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
Application filed by Pacesetter Inc filed Critical Pacesetter Inc
Application granted granted Critical
Publication of DE60114507D1 publication Critical patent/DE60114507D1/de
Publication of DE60114507T2 publication Critical patent/DE60114507T2/de
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362Heart stimulators
    • A61N1/3627Heart stimulators for treating a mechanical deficiency of the heart, e.g. congestive heart failure or cardiomyopathy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362Heart stimulators
    • A61N1/37Monitoring; Protecting
    • A61N1/371Capture, i.e. successful stimulation
    • A61N1/3712Auto-capture, i.e. automatic adjustment of the stimulation threshold
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362Heart stimulators
    • A61N1/365Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • A61N1/368Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions
DE60114507T 2000-05-15 2001-05-15 Verfahren und Vorrichtung zur biventrikulären Stimulation und zur Überwachung des Einfanges Expired - Fee Related DE60114507T2 (de)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US20427700P 2000-05-15 2000-05-15
US204277P 2000-05-15
US09/847,703 US20010049543A1 (en) 2000-05-15 2001-05-01 Method and apparatus for biventricular stimulation and capture monitoring
US847703 2001-05-01

Publications (2)

Publication Number Publication Date
DE60114507D1 true DE60114507D1 (de) 2005-12-08
DE60114507T2 DE60114507T2 (de) 2006-06-08

Family

ID=26899330

Family Applications (1)

Application Number Title Priority Date Filing Date
DE60114507T Expired - Fee Related DE60114507T2 (de) 2000-05-15 2001-05-15 Verfahren und Vorrichtung zur biventrikulären Stimulation und zur Überwachung des Einfanges

Country Status (3)

Country Link
US (1) US20010049543A1 (de)
EP (1) EP1155711B1 (de)
DE (1) DE60114507T2 (de)

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US7113823B2 (en) * 2001-10-26 2006-09-26 Cardiac Pacemakers, Inc. Morphology-based optimization of cardiac resynchronization therapy
US7286876B2 (en) * 2001-10-26 2007-10-23 Cardiac Pacemakers, Inc. Template-based capture verification for multi-site pacing
US7177689B2 (en) * 2001-10-26 2007-02-13 Cardiac Pacemakers, Inc. Method and apparatus for capture verification and threshold determination
SE0104337D0 (sv) 2001-12-19 2001-12-19 St Jude Medical An implantable heart stimulating device, a system including such a device and a manner of using the system
US6768924B2 (en) * 2002-01-03 2004-07-27 Cardiac Pacemakers, Inc. Method and apparatus for capture verification based on propagated electrical activity
GB0205771D0 (en) 2002-03-12 2002-04-24 Monitoring Tech Ltd Method and apparatus for the setting or adjustment of a cardiac pacemaker
US6839592B2 (en) 2002-04-22 2005-01-04 Medtronic, Inc. Cardiac resynchronization with adaptive A1-A2 and/or V1-V2 intervals
US7139610B2 (en) 2002-04-26 2006-11-21 Medtronic, Inc. Capture management in multi-site pacing
SE0201822D0 (sv) * 2002-06-14 2002-06-14 St Jude Medical A heart monitoring and stimulating device, a system including such a device and use of the system
US7203543B2 (en) * 2002-10-23 2007-04-10 Cardiac Pacemakers, Inc. Method and system for detecting capture using a coronary vein electrode
DE10250996A1 (de) * 2002-10-30 2004-05-13 Biotronik Meß- und Therapiegeräte GmbH & Co. Ingenieurbüro Berlin Stimulationsvorrichtung mit Stimulationserfolgskontrolle
US7123963B2 (en) * 2002-10-31 2006-10-17 Medtronic, Inc. Method of automatic evoked response sensing vector selection using evoked response waveform analysis
US7305265B2 (en) * 2002-11-25 2007-12-04 Terumo Kabushiki Kaisha Heart treatment equipment for treating heart failure
US7024241B1 (en) * 2002-12-05 2006-04-04 Pacesetter, Inc. Pacing pulse waveforms that support simultaneous intracardiac signal sensing and analysis
SE0203724D0 (sv) 2002-12-16 2002-12-16 St Jude Medical A cardiac stimulating device
US7299094B1 (en) 2003-01-29 2007-11-20 Pacesetter, Inc. System and method for implementing autocapture within biventricular implantable cardiac stimulation systems
US7702388B2 (en) * 2003-02-28 2010-04-20 Cardiac Pacemakers, Inc. Cardiac therapy triggered by capture verification
US20040215276A1 (en) * 2003-04-25 2004-10-28 Patrick Scholten Form analysis to detect evoked response
US7233826B2 (en) * 2003-04-25 2007-06-19 Medtronic, Inc. Bi-ventricular and single-ventricle pacing
US7831303B2 (en) * 2003-06-17 2010-11-09 Medtronic, Inc. Cardiac pacing apparatus and method for continuous capture management
SE0301800D0 (sv) * 2003-06-23 2003-06-23 St Jude Medical Evoked response detector
US7353061B2 (en) 2003-09-25 2008-04-01 St. Jude Medical Ab Biventricular stimulation device with shortened inter-ventricular delay
US7190993B2 (en) 2003-11-04 2007-03-13 Medtronic, Inc. Implantable medical device having optical fiber for sensing electrical activity
US7412287B2 (en) * 2003-12-22 2008-08-12 Cardiac Pacemakers, Inc. Automatic sensing vector selection for morphology-based capture verification
US7236825B2 (en) * 2004-04-30 2007-06-26 Medtronic, Inc. Cardiac activity sensing during pacing in implantable devices
US7561914B2 (en) * 2004-12-20 2009-07-14 Medtronic, Inc. Method of continuous capture verification in cardiac resynchronization devices
US8131366B2 (en) 2005-03-03 2012-03-06 St. Jude Medical Ab Biventricular heart stimulator and method of controlling a biventricular heart stimulator
US7373202B1 (en) 2005-03-31 2008-05-13 Pacesetter, Inc. Unipolar and bipolar lead cardiac pacemaker and method for inhibiting anode stimulation
US7555340B2 (en) * 2005-04-01 2009-06-30 Cardiac Pacemakers, Inc. Electrogram morphology-based CRT optimization
US8401665B2 (en) 2005-04-01 2013-03-19 Boston Scientific Neuromodulation Corporation Apparatus and methods for detecting position and migration of neurostimulation leads
US7565195B1 (en) 2005-04-11 2009-07-21 Pacesetter, Inc. Failsafe satellite pacemaker system
US7634313B1 (en) 2005-04-11 2009-12-15 Pacesetter, Inc. Failsafe satellite pacemaker system
US7583998B2 (en) * 2005-06-21 2009-09-01 Cardiac Pacemakers, Inc. Multi-chamber cardiac capture detection using cross chamber sensing
US7546161B1 (en) * 2006-01-11 2009-06-09 Pacesetter, Inc. Methods for loss of capture and fusion avoidance in biventricular pacing therapy
EP1981586B1 (de) * 2006-01-31 2015-08-19 St. Jude Medical AB System zur erfassung elektrischer vorkommnisse in herzkammern
US7920920B1 (en) * 2006-08-31 2011-04-05 Pacesetter, Inc. Algorithm for capture detection
US7941219B2 (en) * 2006-09-08 2011-05-10 Cardiac Pacemakers, Inc. Capture detection based on propagated depolarization from a remote pacing site
US8396539B2 (en) * 2007-02-16 2013-03-12 Medtronic, Inc. Implantable medical device having optical fiber for sensing electrical activity
US8718769B2 (en) * 2008-10-27 2014-05-06 Medtronic, Inc. Monitoring ventricular capture of applied stimulation using sensed ventricular pressures
US8639327B2 (en) 2010-04-29 2014-01-28 Medtronic, Inc. Nerve signal differentiation in cardiac therapy
US8888699B2 (en) 2010-04-29 2014-11-18 Medtronic, Inc. Therapy using perturbation and effect of physiological systems
US8620425B2 (en) 2010-04-29 2013-12-31 Medtronic, Inc. Nerve signal differentiation in cardiac therapy
US8725259B2 (en) 2011-01-19 2014-05-13 Medtronic, Inc. Vagal stimulation
US8718763B2 (en) 2011-01-19 2014-05-06 Medtronic, Inc. Vagal stimulation
US8706223B2 (en) 2011-01-19 2014-04-22 Medtronic, Inc. Preventative vagal stimulation
US8781582B2 (en) 2011-01-19 2014-07-15 Medtronic, Inc. Vagal stimulation
US8781583B2 (en) 2011-01-19 2014-07-15 Medtronic, Inc. Vagal stimulation
US9020596B2 (en) 2011-07-15 2015-04-28 Cardiac Pacemakers, Inc. Management of fusion beat detection during capture threshold determination
WO2018017361A1 (en) 2016-07-20 2018-01-25 Cardiac Pacemakers, Inc. Method and system for determining pace timing in a leadless cardiac pacemaker system
US10918858B2 (en) 2016-07-20 2021-02-16 Cardiac Pacemakers, Inc. Cardiac volume sensing via an implantable medical device in support of cardiac resynchronization therapy
US10874860B2 (en) 2016-07-20 2020-12-29 Cardiac Pacemakers, Inc. Method and system for determining a cardiac cycle pace time in accordance with metabolic demand in a leadless cardiac pacemaker system
JP7038115B2 (ja) 2016-10-27 2022-03-17 カーディアック ペースメイカーズ, インコーポレイテッド 圧力センサを備えた植込み型医療装置
EP3668592B1 (de) 2017-08-18 2021-11-17 Cardiac Pacemakers, Inc. Implantierbare medizinische vorrichtung mit drucksensor

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US4686988A (en) * 1984-10-19 1987-08-18 Sholder Jason A Pacemaker system and method for measuring and monitoring cardiac activity and for determining and maintaining capture
US4817605A (en) * 1984-10-19 1989-04-04 Siemens-Pacesetter, Inc. Pacemaker system and method for measuring and monitoring cardiac activity and for determining and maintaining capture
US4708142A (en) * 1985-05-28 1987-11-24 Cordis Corporation Automatic cardiac capture threshold determination system and method
US4788980A (en) * 1986-07-18 1988-12-06 Siemens-Pacesetter, Inc. Pacemaker having PVC response and PMT terminating features
US4809697A (en) * 1987-10-14 1989-03-07 Siemens-Pacesetter, Inc. Interactive programming and diagnostic system for use with implantable pacemaker
US4940052A (en) * 1989-01-25 1990-07-10 Siemens-Pacesetter, Inc. Microprocessor controlled rate-responsive pacemaker having automatic rate response threshold adjustment
US4944298A (en) * 1989-05-23 1990-07-31 Siemens-Pacesetter, Inc. Atrial rate based programmable pacemaker with automatic mode switching means
US5685315A (en) * 1992-12-01 1997-11-11 Pacesetter, Inc. Cardiac arrhythmia detection system for an implantable stimulation device
US5466254A (en) * 1993-09-22 1995-11-14 Pacesetter, Inc. Coronary sinus lead with atrial sensing capability
SE9303121D0 (sv) * 1993-09-24 1993-09-24 Siemens Elema Ab Hjärtstimulator
US5713933A (en) * 1994-11-30 1998-02-03 Medtronic, Inc. Method and apparatus for automatic pacing threshold determination
US5573550A (en) * 1995-04-28 1996-11-12 Pacesetter, Inc. Implantable stimulation device having a low noise, low power, precision amplifier for amplifying cardiac signals
US5766229A (en) * 1996-04-15 1998-06-16 Pacesetter, Inc. Capture verification method and apparatus for implantable pacemaker utilizing heart rhythm stability measurements to minimize the likelihood of fusion
US5720768A (en) * 1996-05-22 1998-02-24 Sulzer Intermedics Inc. Dual chamber pacing with interchamber delay
US6128535A (en) * 1997-12-05 2000-10-03 Cardiac Pacemakers, Inc. Automatic capture verification in multisite cardiac pacing
US6070100A (en) * 1997-12-15 2000-05-30 Medtronic Inc. Pacing system for optimizing cardiac output and determining heart condition
FR2774916B1 (fr) * 1998-02-13 2000-06-16 Ela Medical Sa Dispositif medical implantable actif, notamment stimulateur cardiaque, defibrillateur et/ou cardioverteur, de type multisite
US6122545A (en) * 1998-04-28 2000-09-19 Medtronic, Inc. Multiple channel sequential cardiac pacing method

Also Published As

Publication number Publication date
EP1155711A2 (de) 2001-11-21
US20010049543A1 (en) 2001-12-06
DE60114507T2 (de) 2006-06-08
EP1155711A3 (de) 2003-06-18
EP1155711B1 (de) 2005-11-02

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Legal Events

Date Code Title Description
8364 No opposition during term of opposition
8339 Ceased/non-payment of the annual fee