DE69233272D1 - Verfahren und gerät zur energieregelung beim stimulieren in einem herzschrittmacher - Google Patents

Verfahren und gerät zur energieregelung beim stimulieren in einem herzschrittmacher

Info

Publication number
DE69233272D1
DE69233272D1 DE69233272T DE69233272T DE69233272D1 DE 69233272 D1 DE69233272 D1 DE 69233272D1 DE 69233272 T DE69233272 T DE 69233272T DE 69233272 T DE69233272 T DE 69233272T DE 69233272 D1 DE69233272 D1 DE 69233272D1
Authority
DE
Germany
Prior art keywords
stimulating
heart pacemaker
regulating energy
regulating
energy
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 - Lifetime
Application number
DE69233272T
Other languages
English (en)
Other versions
DE69233272T2 (de
Inventor
Anne Dubreuil
Remi Nitzsche
Georges Wanderstok
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.)
Sorin CRM SAS
Original Assignee
Ela Medical SAS
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 Ela Medical SAS filed Critical Ela Medical SAS
Application granted granted Critical
Publication of DE69233272D1 publication Critical patent/DE69233272D1/de
Publication of DE69233272T2 publication Critical patent/DE69233272T2/de
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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
    • A61N1/3712—Auto-capture, i.e. automatic adjustment of the stimulation threshold
DE69233272T 1991-08-09 1992-08-07 Verfahren und gerät zur energieregelung beim stimulieren in einem herzschrittmacher Expired - Lifetime DE69233272T2 (de)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
FR9110169 1991-08-09
FR9110169A FR2680093B1 (fr) 1991-08-09 1991-08-09 Procede de controle de l'energie de stimulation dans un stimulateur cardiaque.
PCT/FR1992/000779 WO1993002741A1 (fr) 1991-08-09 1992-08-07 Procede et dispositif de controle de l'energie de stimulation dans un stimulateur cardiaque

Publications (2)

Publication Number Publication Date
DE69233272D1 true DE69233272D1 (de) 2004-01-29
DE69233272T2 DE69233272T2 (de) 2004-09-30

Family

ID=9416089

Family Applications (1)

Application Number Title Priority Date Filing Date
DE69233272T Expired - Lifetime DE69233272T2 (de) 1991-08-09 1992-08-07 Verfahren und gerät zur energieregelung beim stimulieren in einem herzschrittmacher

Country Status (5)

Country Link
US (1) US5411533A (de)
EP (1) EP0552357B1 (de)
DE (1) DE69233272T2 (de)
FR (1) FR2680093B1 (de)
WO (1) WO1993002741A1 (de)

Families Citing this family (53)

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US5350410A (en) * 1992-11-23 1994-09-27 Siemens Pacesetter, Inc. Autocapture system for implantable pulse generator
DE4416779B4 (de) * 1994-05-09 2007-06-06 Biotronik Meß- und Therapiegeräte GmbH & Co. Ingenieurbüro Berlin Vorrichtung zur Vermeidung des zeitlichen Zusammenfallens von stimulierten und spontanen Herzreaktionen
US5713933A (en) * 1994-11-30 1998-02-03 Medtronic, Inc. Method and apparatus for automatic pacing threshold determination
US5674254A (en) * 1995-05-22 1997-10-07 Vitatron Medical, B.V. Cardiac pacemaker system and method for determining a measure of pacing threshold without incurring loss of capture
FR2739783B1 (fr) * 1995-10-13 1998-01-23 Ela Medical Sa Dispositif medical du type defibrillateur/cardioverteur implantable actif a defibrillation de l'oreillette
US5954754A (en) * 1997-05-05 1999-09-21 Vitatron Medical, B.V. Single pass lead dual chamber pacing system with means for evaluating efficiency of atrial pacing
US5855594A (en) * 1997-08-08 1999-01-05 Cardiac Pacemakers, Inc. Self-calibration system for capture verification in pacing devices
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
US6361561B1 (en) 1998-10-13 2002-03-26 Pharmacia & Upjohn Ab Injectable intraocular lens
FR2798069B1 (fr) * 1999-09-03 2001-10-19 Ela Medical Sa Dispositif medical actif implantable, notamment stimulateur cardiaque, defibrillateur ou cardioverteur a ajustement automatique du niveau des impulsions de stimulation
EP1147784B1 (de) 2000-04-18 2004-08-18 SORIN BIOMEDICA CRM S.r.l. Einheit zur Bestimmung der Wirksamkeit der Stimulation in einem Herzschrittmacher
US6445952B1 (en) 2000-05-18 2002-09-03 Medtronic, Inc. Apparatus and method for detecting micro-dislodgment of a pacing lead
FR2816218B1 (fr) 2000-11-08 2003-05-09 Ela Medical Sa Dispositif medical actif implantable, notamment stimulateur cardiaque, defibrillateur, cardioverteur ou dispositif multisite, comprenant des moyens de detection d'un risque de situation de fusion
FR2817759B1 (fr) 2000-12-12 2003-01-31 Ela Medical Sa Dispositif medical actif implantable, notamment stimulateur cardiaque, defibrillateur ou cardioverteur, a detection des situations de fusions
FR2820640B1 (fr) * 2001-02-09 2004-05-14 Ela Medical Sa Dispositif medical implantable actif, notamment stimulateur cardiaque, defibrillateur et/ou cardioverteur ou dispositif multisite, avec test de capture cycle a cycle
DE10129649A1 (de) 2001-06-14 2002-12-19 Biotronik Mess & Therapieg Stimulationsgerät
FR2829030B1 (fr) * 2001-08-28 2005-04-01 Ela Medical Sa Dispositif medical actif implantable, notamment stimulateur cardiaque, defibrillateur, cardiovecteur ou dispositif multisite, comprenant des moyens d'ajustement cycle a cycle de l'amplitude de stimulation
US7006869B2 (en) * 2001-09-10 2006-02-28 Pacesetter, Inc. Method and device for enhanced capture tracking by discrimination of fusion beats
US6731985B2 (en) * 2001-10-16 2004-05-04 Pacesetter, Inc. Implantable cardiac stimulation system and method for automatic capture verification calibration
US6643549B1 (en) 2001-10-30 2003-11-04 Kerry Bradley Cardiac stimulation device and method for storing diagnostic data in an automatic capture system
US6950704B1 (en) 2001-11-01 2005-09-27 Pacesetter, Inc. Use of ER signal variability for fusion detection and response in ventricular and atrial autocapture algorithms
US6947794B1 (en) 2002-01-11 2005-09-20 Pacesetter, Inc. System and method with improved automatic testing functions for defining capture thresholds
US6766197B1 (en) 2002-01-11 2004-07-20 Pacesetter, Inc. System and method with improved automatic testing functions for automatic capture verification
DE10250996A1 (de) * 2002-10-30 2004-05-13 Biotronik Meß- und Therapiegeräte GmbH & Co. Ingenieurbüro Berlin Stimulationsvorrichtung mit Stimulationserfolgskontrolle
US20060247693A1 (en) 2005-04-28 2006-11-02 Yanting Dong Non-captured intrinsic discrimination in cardiac pacing response classification
US7774064B2 (en) 2003-12-12 2010-08-10 Cardiac Pacemakers, Inc. Cardiac response classification using retriggerable classification windows
US8521284B2 (en) 2003-12-12 2013-08-27 Cardiac Pacemakers, Inc. Cardiac response classification using multisite sensing and pacing
US7706866B2 (en) 2004-06-24 2010-04-27 Cardiac Pacemakers, Inc. Automatic orientation determination for ECG measurements using multiple electrodes
US7890159B2 (en) * 2004-09-30 2011-02-15 Cardiac Pacemakers, Inc. Cardiac activation sequence monitoring and tracking
US7805185B2 (en) 2005-05-09 2010-09-28 Cardiac Pacemakers, In. Posture monitoring using cardiac activation sequences
US7797036B2 (en) 2004-11-30 2010-09-14 Cardiac Pacemakers, Inc. Cardiac activation sequence monitoring for ischemia detection
US7509170B2 (en) 2005-05-09 2009-03-24 Cardiac Pacemakers, Inc. Automatic capture verification using electrocardiograms sensed from multiple implanted electrodes
US7917196B2 (en) 2005-05-09 2011-03-29 Cardiac Pacemakers, Inc. Arrhythmia discrimination using electrocardiograms sensed from multiple implanted electrodes
US7457664B2 (en) * 2005-05-09 2008-11-25 Cardiac Pacemakers, Inc. Closed loop cardiac resynchronization therapy using cardiac activation sequence information
US7392086B2 (en) 2005-04-26 2008-06-24 Cardiac Pacemakers, Inc. Implantable cardiac device and method for reduced phrenic nerve stimulation
US7574260B2 (en) * 2005-04-28 2009-08-11 Cardiac Pacemakers, Inc. Adaptive windowing for cardiac waveform discrimination
US8527048B2 (en) 2006-06-29 2013-09-03 Cardiac Pacemakers, Inc. Local and non-local sensing for cardiac pacing
US7580741B2 (en) * 2006-08-18 2009-08-25 Cardiac Pacemakers, Inc. Method and device for determination of arrhythmia rate zone thresholds using a probability function
US8209013B2 (en) 2006-09-14 2012-06-26 Cardiac Pacemakers, Inc. Therapeutic electrical stimulation that avoids undesirable activation
US8712507B2 (en) * 2006-09-14 2014-04-29 Cardiac Pacemakers, Inc. Systems and methods for arranging and labeling cardiac episodes
US7941208B2 (en) 2006-11-29 2011-05-10 Cardiac Pacemakers, Inc. Therapy delivery for identified tachyarrhythmia episode types
US8265736B2 (en) 2007-08-07 2012-09-11 Cardiac Pacemakers, Inc. Method and apparatus to perform electrode combination selection
US9037239B2 (en) 2007-08-07 2015-05-19 Cardiac Pacemakers, Inc. Method and apparatus to perform electrode combination selection
JP5276119B2 (ja) 2008-02-14 2013-08-28 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 横隔刺激検出のための方法および装置
EP2349467B1 (de) * 2008-10-06 2017-08-23 Cardiac Pacemakers, Inc. Dynamische kardiale resynchronisationstherapie durch verfolgung von eigenleitung
EP2324885B1 (de) 2009-11-18 2018-10-24 Sorin CRM SAS Aktives medizinisches gerät mit mitteln zum einfangtesten durch auswertung eines kardialen vektogramms
EP2412401B1 (de) 2010-07-26 2022-01-05 Sorin CRM SAS Aktives implantierbares medizinisches gerät mit mitteln zum ventrikulären einfangtesten durch auswertung eines endokardialen beschleunigungssignals
FR2982773A1 (fr) 2011-11-22 2013-05-24 Sorin Crm Sas Dispositif medical de type defibrillateur/cardioverteur implantable avec seuil de detection ventriculaire ajustable dynamiquement
EP2742971B1 (de) 2012-12-14 2015-10-21 Sorin CRM SAS Aktive implantierbare medizinische Vorrichtung vom Typ Herzschrittmacher mit Nachweistest durch vereinfachte Analyse eines Vektogramms
EP3042693B1 (de) 2015-01-12 2017-09-13 Sorin CRM SAS Aktive implantierbare medizinische vorrichtung, insbesondere vom typ autonome kapsel, mit dynamischer optimierung der energie der stimulationsimpulse
US9795791B2 (en) * 2015-10-08 2017-10-24 Pacesetter, Inc. Systems and methods for delivering test and backup pulses from a single capacitor
CN109952129B (zh) 2016-11-09 2024-02-20 心脏起搏器股份公司 为心脏起搏设备设定心脏起搏脉冲参数的系统、设备和方法
US11638675B2 (en) 2018-11-07 2023-05-02 Zenith Technical Innovations, Llc System and method for heat or cold therapy and compression therapy

Family Cites Families (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3920024A (en) * 1973-04-16 1975-11-18 Vitatron Medical Bv Threshold tracking system and method for stimulating a physiological system
US3949758A (en) * 1974-08-01 1976-04-13 Medtronic, Inc. Automatic threshold following cardiac pacer
EP0129503A2 (de) * 1983-06-18 1984-12-27 BIOTRONIK Mess- und Therapiegeräte GmbH & Co Ingenieurbüro Berlin Herzschrittmacher
US4895152A (en) * 1985-12-11 1990-01-23 Telectronics N.V. System for cardiac pacing
US4878497A (en) * 1988-03-25 1989-11-07 Telectronics N.V. Pacemaker with improved automatic output regulation
US4969462A (en) * 1988-03-25 1990-11-13 Telectronics N.V. Pacemaker with improved automatic output regulation
US4969464A (en) * 1988-03-25 1990-11-13 Telectronics N.V. Pacemaker with improved automatic output regulation
US4969460A (en) * 1988-03-25 1990-11-13 Telectronics N.V. Pacemaker with improved automatic output regulation
EP0399063B1 (de) * 1989-05-22 1994-01-05 Pacesetter AB Implantierbares medizinisches Gerät mit Mitteln zum Stimulieren von Gewebekontraktionen mit einstellbarer Stimulationsintensität und Verfahren zum Betrieb eines solchen Gerätes
US5263603A (en) * 1993-02-10 1993-11-23 Insultherm, Inc. Insulation system for storage tanks

Also Published As

Publication number Publication date
FR2680093B1 (fr) 1993-10-29
WO1993002741A1 (fr) 1993-02-18
DE69233272T2 (de) 2004-09-30
EP0552357B1 (de) 2003-12-17
US5411533A (en) 1995-05-02
EP0552357A1 (de) 1993-07-28
FR2680093A1 (fr) 1993-02-12

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