DE69221536D1 - Taktempfindlicher Herzschrittmacher - Google Patents

Taktempfindlicher Herzschrittmacher

Info

Publication number
DE69221536D1
DE69221536D1 DE69221536T DE69221536T DE69221536D1 DE 69221536 D1 DE69221536 D1 DE 69221536D1 DE 69221536 T DE69221536 T DE 69221536T DE 69221536 T DE69221536 T DE 69221536T DE 69221536 D1 DE69221536 D1 DE 69221536D1
Authority
DE
Germany
Prior art keywords
heart rate
rate sensitive
pacemaker
sensitive pacemaker
electrode
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
DE69221536T
Other languages
English (en)
Other versions
DE69221536T2 (de
Inventor
Bruno Inguaggiato
Giorgio Corbucci
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 Biomedica Cardio SpA
Original Assignee
Sorin Biomedica Cardio SpA
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 Sorin Biomedica Cardio SpA filed Critical Sorin Biomedica Cardio SpA
Application granted granted Critical
Publication of DE69221536D1 publication Critical patent/DE69221536D1/de
Publication of DE69221536T2 publication Critical patent/DE69221536T2/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
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/056—Transvascular endocardial electrode systems
    • A61N1/0565—Electrode heads
    • 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
    • A61N1/36514—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure
    • A61N1/36542—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure controlled by body motion, e.g. acceleration

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Hematology (AREA)
  • Biophysics (AREA)
  • Physiology (AREA)
  • Vascular Medicine (AREA)
  • Electrotherapy Devices (AREA)
  • Medicines Containing Material From Animals Or Micro-Organisms (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
  • Packaging Of Annular Or Rod-Shaped Articles, Wearing Apparel, Cassettes, Or The Like (AREA)
  • Professional, Industrial, Or Sporting Protective Garments (AREA)
DE69221536T 1991-05-21 1992-05-12 Taktempfindlicher Herzschrittmacher Expired - Lifetime DE69221536T2 (de)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
ITTO910376A IT1245814B (it) 1991-05-21 1991-05-21 Dispositivo cardiostimolatore del tipo rate responsive

Publications (2)

Publication Number Publication Date
DE69221536D1 true DE69221536D1 (de) 1997-09-18
DE69221536T2 DE69221536T2 (de) 1998-01-15

Family

ID=11409360

Family Applications (1)

Application Number Title Priority Date Filing Date
DE69221536T Expired - Lifetime DE69221536T2 (de) 1991-05-21 1992-05-12 Taktempfindlicher Herzschrittmacher

Country Status (6)

Country Link
US (1) US5304208A (de)
EP (1) EP0515319B1 (de)
AT (1) ATE156715T1 (de)
DE (1) DE69221536T2 (de)
ES (1) ES2108102T3 (de)
IT (1) IT1245814B (de)

Families Citing this family (89)

* Cited by examiner, † Cited by third party
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IT1256900B (it) * 1992-07-27 1995-12-27 Franco Vallana Procedimento e dispositivo per rilevare la funzionalita` cardiaca.
US5628777A (en) * 1993-07-14 1997-05-13 Pacesetter, Inc. Implantable leads incorporating cardiac wall acceleration sensors and method of fabrication
US5609612A (en) * 1993-10-05 1997-03-11 Sorin Biomedica Cardio S.P.A. Device for determining myocardial function and corresponding procedure and method
IT1260692B (it) * 1993-10-05 1996-04-22 Sorin Biomedica Spa Dispositivo per la determinazione della funzione miocardica e relativoprocedimento.
IT1280992B1 (it) 1995-10-20 1998-02-11 Sorin Biomedica Cardio Spa Perfezionamenti nei dispositivi per la determinazione della funzione miocardica e relativo procedimento.
US5470344A (en) * 1993-10-06 1995-11-28 Vitatron Medical, B.V. Rate responsive pacemake with improved rate change dynamics and pacing method
US5549652A (en) * 1993-11-15 1996-08-27 Pacesetter, Inc. Cardiac wall motion-based automatic capture verification system and method
US5480412A (en) * 1993-11-16 1996-01-02 Pacesetter, Inc. System and method for deriving hemodynamic signals from a cardiac wall motion sensor
US6077236A (en) * 1994-06-07 2000-06-20 Cunningham; David Apparatus for monitoring cardiac contractility
US5549650A (en) * 1994-06-13 1996-08-27 Pacesetter, Inc. System and method for providing hemodynamically optimal pacing therapy
SE9603066D0 (sv) * 1996-08-23 1996-08-23 Pacesetter Ab Electrode for tissue stimulation
IT1291822B1 (it) 1997-04-08 1999-01-21 Leonardo Cammilli Sistema per la defibrillazione elettrica cardiaca impiantabile con attenuazione del dolore derivante dallo shock elettrico mediante
US5941904A (en) * 1997-09-12 1999-08-24 Sulzer Intermedics Inc. Electromagnetic acceleration transducer for implantable medical device
SE9800520D0 (sv) 1998-02-23 1998-02-23 Pacesetter Ab Electrode for tissue stimulation
EP1023916A1 (de) 1999-01-28 2000-08-02 SORIN BIOMEDICA CARDIO S.p.A. Implantierbare Herzreizvorrichtung
US6705999B2 (en) 2001-03-30 2004-03-16 Guidant Corporation Method and apparatus for determining the coronary sinus vein branch accessed by a coronary sinus lead
US6937899B2 (en) 2001-08-30 2005-08-30 Medtronic, Inc. Ischemia detection
US7181268B2 (en) * 2001-12-03 2007-02-20 Medtronic, Inc. Ischemia detection
US7127289B2 (en) * 2001-12-05 2006-10-24 Cardiac Pacemakers, Inc. Cardiac resynchronization system employing mechanical measurement of cardiac walls
US6980866B2 (en) 2001-12-05 2005-12-27 Cardiac Pacemakers, Inc. Apparatus for sensing cardiac contractile function
US7139613B2 (en) * 2002-09-25 2006-11-21 Medtronic, Inc. Implantable medical device communication system with pulsed power biasing
FR2846246B1 (fr) * 2002-10-25 2005-06-24 Ela Medical Sa Dispositif medical implantable actif de type stimulateur cardiaque, defibrillateur, cardioverteur ou dispositif multisite a gestion perfectionne des pauses ou hypopnees respiratoires
JP4465349B2 (ja) * 2003-01-24 2010-05-19 プロテウス バイオメディカル インコーポレイテッド 心臓のパラメーターを測定するための方法およびシステム
US20040158294A1 (en) * 2003-02-12 2004-08-12 Medtronic, Inc. Self-powered implantable element
US7610088B2 (en) 2003-02-28 2009-10-27 Medtronic, Inc. Method and apparatus for assessing left ventricular function and optimizing cardiac pacing intervals based on left ventricular wall motion
US6994676B2 (en) * 2003-04-30 2006-02-07 Medtronic, Inc Method and apparatus for assessing ventricular contractile status
US7130681B2 (en) 2003-05-09 2006-10-31 Medtronic, Inc. Use of accelerometer signal to augment ventricular arrhythmia detection
US7133718B2 (en) 2003-06-19 2006-11-07 Medtronic, Inc. Method and apparatus for temporarily varying a parameter in an implantable medical device
US7092759B2 (en) 2003-07-30 2006-08-15 Medtronic, Inc. Method of optimizing cardiac resynchronization therapy using sensor signals of septal wall motion
DE502004006169D1 (de) 2003-09-02 2008-03-27 Biotronik Gmbh & Co Kg Vorrichtung zur Behandlung von Schlaf-Apnoe
FR2862543B1 (fr) * 2003-11-21 2010-09-24 Ela Medical Sa Dispositif medical implantable actif comprenant une fonction de suivi de l'activite sympathico-vagale par analyse de l'acceleration endocardiaque
FR2863175A1 (fr) 2003-12-03 2005-06-10 Ela Medical Sa Dispositif medicale implantable actif a fonctions d'enregistrement holter
US7286884B2 (en) 2004-01-16 2007-10-23 Medtronic, Inc. Implantable lead including sensor
US20050159801A1 (en) * 2004-01-16 2005-07-21 Medtronic, Inc. Novel implantable lead including sensor
US20050209649A1 (en) * 2004-03-17 2005-09-22 Bozidar Ferek-Petric Mechanical sensing system for cardiac pacing and/or for cardiac resynchronization therapy
WO2006029090A2 (en) * 2004-09-02 2006-03-16 Proteus Biomedical, Inc. Methods and apparatus for tissue activation and monitoring
WO2006105474A2 (en) * 2005-03-31 2006-10-05 Proteus Biomedical, Inc. Automated optimization of multi-electrode pacing for cardiac resynchronization
FR2879432B1 (fr) 2004-12-21 2007-02-16 Ela Medical Soc Par Actions Si Appareillage pour le diagnostic non invasif des etats de syncope vasovagale chez un patient
US20060161211A1 (en) * 2004-12-31 2006-07-20 Todd Thompson Implantable accelerometer-based cardiac wall position detector
US20080021336A1 (en) 2006-04-24 2008-01-24 Dobak John D Iii Devices and methods for accelerometer-based characterization of cardiac synchrony and dyssynchrony
US20060178586A1 (en) * 2005-02-07 2006-08-10 Dobak John D Iii Devices and methods for accelerometer-based characterization of cardiac function and identification of LV target pacing zones
US20060271121A1 (en) * 2005-05-25 2006-11-30 Cardiac Pacemakers, Inc. Closed loop impedance-based cardiac resynchronization therapy systems, devices, and methods
FR2887460A1 (fr) 2005-06-22 2006-12-29 Ela Medical Soc Par Actions Si Dispositif medical implantable actif a stimulation biventriculaire et optimisation automatique de la configuration de stimulation
EP1898999A4 (de) * 2005-07-01 2011-10-19 Proteus Biomedical Inc Einsetzbare epikardiale elektroden- und sensoranordnung
FR2888123A1 (fr) * 2005-07-05 2007-01-12 Ela Medical Soc Par Actions Si Appareillage pour la detection non invasive de la survenue d'apnees ou d'hypopnees chez un patient
US7848792B2 (en) 2005-07-05 2010-12-07 Ela Medical S.A.S. Detection of apneae and hypopneae in an active implantable medical device
US7983751B2 (en) * 2005-08-12 2011-07-19 Proteus Biomedical, Inc. Measuring conduction velocity using one or more satellite devices
US9839781B2 (en) 2005-08-22 2017-12-12 Cardiac Pacemakers, Inc. Intracardiac impedance and its applications
JP2009521276A (ja) * 2005-12-22 2009-06-04 プロテウス バイオメディカル インコーポレイテッド 植え込み型集積回路
FR2901146A1 (fr) 2006-05-18 2007-11-23 Ela Medical Soc Par Actions Si Dispositif medical implantable actif de stimulation cardiaque, resynchronisation, cardioversion et/ou defibrillation, comportant des moyens de detection d'artefacts de bruit ventriculaire
FR2901147A1 (fr) 2006-05-18 2007-11-23 Ela Medical Soc Par Actions Si Dispositif medical implantable actif de stimulation cardiaque, resynchronisation, cardioversion et/ou defibrillation, comportant des moyens de detection de fracture de sonde
ATE422375T1 (de) 2006-06-15 2009-02-15 Ela Medical Sa Aktives medizinisches implantat, insbesondere vorrichtung zur stimulation, resynchronisation, defibrillation und/oder kardioversion, die mittel zur prädiktiven warnung über eine verschlimmerung des krankheitszustands des patienten umfasst
EP1903000B1 (de) * 2006-09-25 2019-09-18 Sorin CRM SAS Implantierbares biokompatibles Bauteil, das ein aktives integriertes Element wie etwa einen Messfühler für einen physiologischen Parameter, ein elektromechanisches Mikrosystem oder einen elektronischen Schaltkreis umfasst
EP2070562B1 (de) 2007-12-13 2010-12-29 Ela Medical Medizinische Vorrichtung zur Bestimmung des Herzzustands eines Patienten, dem ein aktives Implantat zur biventrikulären Stimulation eingesetzt wurde
ATE451870T1 (de) 2008-01-25 2010-01-15 Ela Medical Sa Aktives medizinisches implantat, das bidirektionelle kommunikationsmittel zwischen einem generator und sensoren oder stellgliedern umfasst, die sich am ende einer sonde befinden
EP2092885B1 (de) 2008-02-20 2015-01-28 Ela Medical Analysevorrichtung eines endokardialen Beschleunigungssignals
US8473069B2 (en) * 2008-02-28 2013-06-25 Proteus Digital Health, Inc. Integrated circuit implementation and fault control system, device, and method
ATE511881T1 (de) * 2008-11-19 2011-06-15 Ela Medical Sa Aktives medizinisches implantat, das mit testmitteln zur aurikulären datenerfassung ausgestattet ist
EP2189180B1 (de) 2008-11-19 2011-06-08 Ela Medical Aktives medizinisches Implantat, das mit Berechnungsmitteln der atrioventrikulären Verzögerung ausgestattet ist
EP2196238B1 (de) 2008-12-12 2011-05-25 Ela Medical Aktive implantierbare medizinische Herzvorrichtung mit antitachykarder Vorhofstimulierung und antibradykarder Ventrikelstimulierung
US8369921B2 (en) * 2008-12-31 2013-02-05 St. Jude Medical, Atrial Fibrillation Division, Inc. Accelerometer-based contact sensing assembly and system
JP2012522605A (ja) * 2009-04-02 2012-09-27 プロテウス バイオメディカル インコーポレイテッド 埋め込み型リード線のための方法及び装置
WO2010126503A1 (en) 2009-04-29 2010-11-04 Proteus Biomedical, Inc. Methods and apparatus for leads for implantable devices
EP2263747B1 (de) 2009-06-15 2015-08-26 Sorin CRM SAS Implantierbare Herzprothese mit Mittel zur Analyse der Patiententoleranz bezüglich der Stimulationsart die spontane Atrio-Ventrukuläre Leitung bevorzugend
JP5730872B2 (ja) 2009-07-23 2015-06-10 プロテウス デジタル ヘルス， インコーポレイテッド 固体薄膜コンデンサ
EP2311524B1 (de) 2009-10-19 2011-06-22 Sorin CRM SAS Implantierbarer medizinischer Herzschrittmacher und Verfahren zur Optimierung des Implantatortes für interventrikuläre und atrioventrikuläre Intervalle
US8396563B2 (en) * 2010-01-29 2013-03-12 Medtronic, Inc. Clock synchronization in an implantable medical device system
EP2353641B1 (de) 2010-02-09 2013-01-23 Sorin CRM SAS Implantierbare aktive medizinische Vorrichtung zur Resynchronisation des Herzens mit automatischer Echtzeit-Optimierung der interventrikulären und atrioventrikulären Verzögerungen
EP2357020B1 (de) 2010-02-17 2012-08-29 Sorin CRM SAS Aktive medizinische Vorrichtung vom Typ Herzschrittmacher, Defibrillator und/oder Resynchronisator mit automatischer Optimierung der atrioventrikulären Verzögerung
EP2374503B1 (de) 2010-04-08 2012-07-11 Sorin CRM SAS Aktive implantierbare medizinische Vorrichtung für Vagusnervstimulation mit Optimisierung der Ventrikelfüllung
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
EP2471575B1 (de) 2010-12-29 2018-11-21 Sorin CRM SAS Implantierbare aktive medizinische Vorrichtung zur Aurikelstimulation für die Behandlung von diastolischer Herzinsuffizienz
EP2495013B1 (de) 2011-03-03 2013-07-24 Sorin CRM SAS Anordnung für die Suche nach einer optimalen Konfiguration eines Implantats zur bi-, tri- oder multiventrikulären Resynchronisation des Herzens
ITBO20110104A1 (it) * 2011-03-04 2012-09-05 Tre Esse Progettazione Biomedica S R L Apparato per l'uso di un sensore di misura della rotazione e/o delle vibrazioni meccaniche del cuore nei dispositivi telemetrici impiantabili per la rilevazione di parametri elettromeccanici cardiaci a scopi diagnostici e/o terapeutici e/o di monitor
EP2499971B1 (de) 2011-03-18 2015-12-30 Sorin CRM SAS Adaptative Datenverarbeitungsvorrichtung eines endokardialen Beschleunigungssignals
EP2508227B1 (de) 2011-04-06 2013-12-25 Sorin CRM SAS Implantierbare Herzprothese zur Resynchronisation des Herzens durch biventrikuläre Stimulation, die Mittel zur inversen Herzrekonfiguration umfasst
US8855783B2 (en) 2011-09-09 2014-10-07 Enopace Biomedical Ltd. Detector-based arterial stimulation
US8923973B2 (en) 2011-11-10 2014-12-30 Rainbow Medical Ltd. Blood flow control element
US9386991B2 (en) 2012-02-02 2016-07-12 Rainbow Medical Ltd. Pressure-enhanced blood flow treatment
EP2684515B1 (de) 2012-07-13 2014-12-17 Sorin CRM SAS Aktive medizinische Vorrichtung, die Mittel zur Überwachung des Zustands eines Patienten mit Herzinsuffizienzrisiko umfasst
EP2712549B1 (de) 2012-10-01 2015-03-11 Sorin CRM SAS Vorrichtung zur Bewertung der zeitlichen ventrikulären Desynchronisation
EP2737925B1 (de) 2012-11-29 2015-06-17 Sorin CRM SAS Aktive implantierbare Herzprothese mit Erfassung der aurikularen mechanischen Aktivität
EP2803385B1 (de) 2013-05-14 2016-04-06 Sorin CRM SAS Implantierbares CRT-Gerät zur Stimulation beider Ventrikel und zur Erkennung von Erfassungsverlusten und anodischen Stimulationen
EP2839859B1 (de) 2013-08-20 2016-04-27 Sorin CRM SAS Aktive medizinische Vorrichtung, insbesondere Einheit für kardiale Resynchronisationstherapie (CRT), die Alarmmittel zur Vorhersage einer kardialen Dekompensation im Fall einer zentralen Schlafapnoe umfasst
US10512424B2 (en) 2013-12-23 2019-12-24 Medtronic, Inc. Method and apparatus for selecting activity response vector
US9814887B2 (en) 2014-02-06 2017-11-14 Medtronic, Inc. Selection of optimal accelerometer sensing axis for rate response in leadless pacemaker
US9452292B2 (en) 2014-02-24 2016-09-27 Medtronic, Inc. Method and apparatus for detecting loss of capture
US9724518B2 (en) 2014-11-25 2017-08-08 Medtronic, Inc. Dynamic patient-specific filtering of an activity signal within a beating heart
US9937352B2 (en) 2015-10-22 2018-04-10 Medtronic, Inc. Rate responsive cardiac pacing control using posture

Family Cites Families (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2224752B1 (de) * 1973-04-09 1977-09-02 Thomson Medical Telco
DE3535504A1 (de) * 1985-10-04 1987-04-09 Siemens Ag Herzschrittmacher
US4936304A (en) * 1985-10-07 1990-06-26 Thomas Jefferson University Pacing system and method for cardiac pacing as a function of determined myocardial contractility
EP0244446B1 (de) * 1985-10-07 1990-08-22 Thomas Jefferson University Regelung eines schrittmachers als funktion der kontraktilität des herzmuskels
US4922930A (en) * 1989-04-11 1990-05-08 Intermedics, Inc. Implantable device with circadian rhythm adjustment

Also Published As

Publication number Publication date
ATE156715T1 (de) 1997-08-15
DE69221536T2 (de) 1998-01-15
EP0515319B1 (de) 1997-08-13
ITTO910376A0 (it) 1991-05-21
EP0515319A3 (de) 1994-01-12
IT1245814B (it) 1994-10-18
US5304208A (en) 1994-04-19
ES2108102T3 (es) 1997-12-16
EP0515319A2 (de) 1992-11-25
ITTO910376A1 (it) 1992-11-21

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