DE60138555D1 - Impulserzeugersystem - Google Patents

Impulserzeugersystem

Info

Publication number
DE60138555D1
DE60138555D1 DE60138555T DE60138555T DE60138555D1 DE 60138555 D1 DE60138555 D1 DE 60138555D1 DE 60138555 T DE60138555 T DE 60138555T DE 60138555 T DE60138555 T DE 60138555T DE 60138555 D1 DE60138555 D1 DE 60138555D1
Authority
DE
Germany
Prior art keywords
pacing
rate
intrinsic cardiac
pulse generator
generator system
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
DE60138555T
Other languages
English (en)
Inventor
Victor T Chen
Gary T Seim
Milton M Morris
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.)
Cardiac Pacemakers Inc
Original Assignee
Cardiac Pacemakers 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 Cardiac Pacemakers Inc filed Critical Cardiac Pacemakers Inc
Application granted granted Critical
Publication of DE60138555D1 publication Critical patent/DE60138555D1/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
    • A61N1/3621—Heart stimulators for treating or preventing abnormally high heart rate
    • A61N1/3622—Heart stimulators for treating or preventing abnormally high heart rate comprising two or more electrodes co-operating with different heart regions
    • 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
    • A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39—Heart defibrillators
    • A61N1/3956—Implantable devices for applying electric shocks to the heart, e.g. for cardioversion
    • A61N1/3962—Implantable devices for applying electric shocks to the heart, e.g. for cardioversion in combination with another heart therapy
    • A61N1/39622—Pacing therapy
DE60138555T 2000-09-14 2001-09-14 Impulserzeugersystem Expired - Lifetime DE60138555D1 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US09/662,091 US6829504B1 (en) 2000-09-14 2000-09-14 System and method for preventing recurrence of atrial tachyarrhythmia
PCT/US2001/028596 WO2002022207A1 (en) 2000-09-14 2001-09-14 Pulse generator system and method

Publications (1)

Publication Number Publication Date
DE60138555D1 true DE60138555D1 (de) 2009-06-10

Family

ID=24656345

Family Applications (1)

Application Number Title Priority Date Filing Date
DE60138555T Expired - Lifetime DE60138555D1 (de) 2000-09-14 2001-09-14 Impulserzeugersystem

Country Status (7)

Country Link
US (3) US6829504B1 (de)
EP (2) EP2077136B1 (de)
AT (2) ATE429955T1 (de)
AU (1) AU2001289060A1 (de)
DE (1) DE60138555D1 (de)
ES (2) ES2376516T3 (de)
WO (1) WO2002022207A1 (de)

Families Citing this family (26)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6829504B1 (en) * 2000-09-14 2004-12-07 Cardiac Pacemakers, Inc. System and method for preventing recurrence of atrial tachyarrhythmia
US7236821B2 (en) * 2002-02-19 2007-06-26 Cardiac Pacemakers, Inc. Chronically-implanted device for sensing and therapy
US7076298B2 (en) * 2002-06-14 2006-07-11 Medtronic, Inc. Method and apparatus for prevention of arrhythmia clusters using overdrive pacing
US7139608B2 (en) 2002-07-31 2006-11-21 Uab Research Foundation Pacing methods and devices using feedback controlled timing
US8560063B2 (en) * 2002-09-10 2013-10-15 Uab Research Foundation Post-defibrillation pacing methods and devices
US7127292B2 (en) * 2002-10-31 2006-10-24 Medtronic, Inc. Addressing recurrent atrial fibrillation
US7113822B1 (en) 2003-02-25 2006-09-26 Pacesetter, Inc. System and method for providing cardioversion therapy and overdrive pacing using an implantable cardiac stimulation device
US7079891B1 (en) 2003-02-25 2006-07-18 Pacesetter System and method for providing cardioversion therapy and overdrive pacing using an implantable cardiac stimulation device
US20040210256A1 (en) * 2003-04-17 2004-10-21 Medtronic, Inc. Methods and apparatus for decreasing incidences of early recurrence of atrial fibrillation
US8239045B2 (en) 2003-06-04 2012-08-07 Synecor Llc Device and method for retaining a medical device within a vessel
AU2004251673B2 (en) * 2003-06-04 2010-01-28 Synecor Llc Intravascular electrophysiological system and methods
US7082336B2 (en) * 2003-06-04 2006-07-25 Synecor, Llc Implantable intravascular device for defibrillation and/or pacing
US7617007B2 (en) 2003-06-04 2009-11-10 Synecor Llc Method and apparatus for retaining medical implants within body vessels
US7212855B1 (en) 2003-09-08 2007-05-01 Pacesetter, Inc. System and method for providing preventive overdrive pacing and antitachycardia pacing using an implantable cardiac stimulation device
US7225020B1 (en) 2003-09-08 2007-05-29 Pacesetter, Inc. System and method for providing preventive overdrive pacing and antitachycardia pacing using an implantable cardiac stimulation device
US7363081B1 (en) 2003-09-08 2008-04-22 Pacesetter, Inc. System and method for providing preventive overdrive pacing and antitachycardia pacing using an implantable cardiac stimulation device
US7747335B2 (en) 2003-12-12 2010-06-29 Synecor Llc Implantable medical device having pre-implant exoskeleton
US7697987B2 (en) * 2006-04-26 2010-04-13 Medtronic, Inc. Method and system for detecting cardiac arrhythmias during overdrive pacing
US20080183231A1 (en) * 2007-01-30 2008-07-31 Cardiac Pacemakers, Inc. Systems, devices and methods to alter autonomic tone
US9510764B2 (en) * 2009-04-22 2016-12-06 Cardiac Pacemakers, Inc. Methods for detecting atrial tachyarrhythmia in implantable devices without dedicated atrial sensing
US8239011B2 (en) * 2009-04-29 2012-08-07 Cardiac Pacemakers, Inc. Atrial arrhythmia detection and discrimination based on intracardiac impedance
US8086307B2 (en) * 2009-07-31 2011-12-27 Medtronic, Inc. Terminating tachyarrhythmias
US8812107B2 (en) * 2010-06-29 2014-08-19 Medtronic, Inc. Terminating tachyarrhythmias
US9433459B2 (en) 2010-07-13 2016-09-06 Zoll Medical Corporation Deposit ablation within and external to circulatory systems
EP2903684A4 (de) * 2012-10-01 2016-06-29 Zoll Medical Corp Ablagerungsentfernung innerhalb und ausserhalb von kreislaufsystemen
DE102019110289A1 (de) 2019-04-18 2020-10-22 Biotronik Se & Co. Kg Implantierbare Anordnung zur Stimulation eines menschlichen oder tierischen Herzens

Family Cites Families (77)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4030510A (en) 1970-03-10 1977-06-21 General Electric Company Standby heart pacer
US3857399A (en) * 1970-03-24 1974-12-31 F Zacouto Heart pacer
US4059116A (en) * 1974-12-09 1977-11-22 Medtronic, Inc. Synchronous pacemaker with upper rate stabilization and method of use
US4163451A (en) 1977-10-26 1979-08-07 Cordis Corporation Interactive method and digitally timed apparatus for cardiac pacing arrhythmia treatment
US4284082A (en) 1979-12-12 1981-08-18 Medtronic B.V.Kerkrade Ventricular synchronized atrial pacemaker and method of operation
US4830006B1 (en) 1986-06-17 1997-10-28 Intermedics Inc Implantable cardiac stimulator for detection and treatment of ventricular arrhythmias
US4819643A (en) 1986-11-18 1989-04-11 Mieczyslaw Mirowski Method and apparatus for cardioverter/pacer featuring a blanked pacing channel and a rate detect channel with AGC
US4920965A (en) * 1987-11-25 1990-05-01 Medtronic, Inc. Dual chamber pacemaker with adaptive atrial escape interval
US4945509A (en) 1988-03-14 1990-07-31 International Business Machines Corporation Dual look ahead mask generator
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
DE58909830D1 (de) 1989-10-11 1998-03-12 Siemens Ag In den Körper eines Lebewesens implantierbares medizinisches Gerät mit Mitteln zur Stimulation von Gewebekontraktionen
US4998974A (en) 1990-01-05 1991-03-12 Telectronics Pacing Systems, Inc. Apparatus and method for antitachycardia pacing in dual chamber arrhythmia control system
US5101824A (en) * 1990-04-16 1992-04-07 Siemens-Pacesetter, Inc. Rate-responsive pacemaker with circuitry for processing multiple sensor inputs
US5174289A (en) 1990-09-07 1992-12-29 Cohen Fred M Pacing systems and methods for control of the ventricular activation sequence
US5267560A (en) 1990-09-07 1993-12-07 Cohen Fred M Methods for control of the ventricular activation sequence
JP2655204B2 (ja) * 1991-04-05 1997-09-17 メドトロニック インコーポレーテッド 植え込み型の医療用装置
US5292339A (en) 1991-06-14 1994-03-08 Telectronics Pacing Systems, Inc. Implantable pacemaker/cardioverter/defibrillator device and method incorporating multiple bradycardia support pacing rates
US5205283A (en) 1991-07-30 1993-04-27 Medtronic, Inc. Method and apparatus for tachyarrhythmia detection and treatment
US5269299A (en) 1991-08-05 1993-12-14 Siemens Pacesetter, Inc. System and method for preventing atrial competition during sensor-driven operation of a dual-chamber pacemaker
US5342405A (en) 1991-08-05 1994-08-30 Siemens Pacesetter, Inc. System and method for selecting a mode of operation of a dual-chamber pacemaker
US5301669A (en) 1991-08-05 1994-04-12 Siemens Pacesetter, Inc. System and method for preventing atrial competition during sensor-driven operation of a dual-chamber pacemaker
US5284491A (en) 1992-02-27 1994-02-08 Medtronic, Inc. Cardiac pacemaker with hysteresis behavior
US5417714A (en) * 1992-03-05 1995-05-23 Pacesetter, Inc. DDI pacing with PVC-protected hysteresis and automatic AV interval adjustment
EP0647149B1 (de) 1992-06-30 1997-01-15 Medtronic, Inc. Vorrichtung zur behandlung von herzfehlern
US5446587A (en) * 1992-09-03 1995-08-29 Samsung Electronics Co., Ltd. Projection method and projection system and mask therefor
SE9202825D0 (sv) 1992-09-30 1992-09-30 Siemens Elema Ab Hjaertstimulator
US5282836A (en) 1992-10-23 1994-02-01 Incontrol, Inc. Atrial defibrillator and method for providing pre-cardioversion pacing
US5265600A (en) 1992-10-23 1993-11-30 Incontrol, Inc. Atrial defibrillator and method for providing post-cardioversion pacing
US5207219A (en) 1992-10-23 1993-05-04 Incontrol, Inc. Atrial defibrillator and method for providing interval timing prior to cardioversion
US5312452A (en) * 1992-11-03 1994-05-17 Cardiac Pacemakers, Inc. Cardiac rhythm management device with automatic optimization of performance related pacing parameters
US5334220A (en) 1992-11-13 1994-08-02 Siemens Pacesetter, Inc. Dual-chamber implantable pacemaker having an adaptive AV interval that prevents ventricular fusion beats and method of operating same
US5814077A (en) 1992-11-13 1998-09-29 Pacesetter, Inc. Pacemaker and method of operating same that provides functional atrial cardiac pacing with ventricular support
US5383910A (en) * 1993-02-19 1995-01-24 Medtronic, Inc. Method and apparatus for tachyarrhythmia detection and treatment
US5350409A (en) 1993-04-19 1994-09-27 Vitatron Medical, B.V. Rate adaptive pacemaker with adjustment of sensor rate as a function of sensed sinus rate
FR2705576B1 (fr) 1993-05-28 1995-07-07 Ela Medical Sa Procédé d'analyse de l'activité cardiaque pour déterminer si une tachyarythmie est susceptible d'être interrompue par stimulation.
US5411531A (en) 1993-09-23 1995-05-02 Medtronic, Inc. Method and apparatus for control of A-V interval
US5522859A (en) 1993-09-29 1996-06-04 Medtronic, Inc. Sinus preference method and apparatus for cardiac pacemakers
US5411524A (en) 1993-11-02 1995-05-02 Medtronic, Inc. Method and apparatus for synchronization of atrial defibrillation pulses
US5391189A (en) * 1993-11-04 1995-02-21 Vitatron Medical, B.V. Rate adaptive dual chamber pacing system and method with automatic adjustment of operating parameters for minimizing sensor-sinus competition
US5458623A (en) 1994-03-04 1995-10-17 Telectronics Pacing Systems, Inc. Automatic atrial pacing threshold determination utilizing an external programmer and a surface electrogram
FR2718035B1 (fr) * 1994-04-05 1996-08-30 Ela Medical Sa Procédé de commande d'un stimulateur cardiaque auriculaire double du type triple chambre programmable en mode de repli.
US5584864A (en) 1994-06-14 1996-12-17 Incontrol, Inc. Cardioversion synchronization system and method for an atrial defibrillator
US5487752A (en) * 1994-11-15 1996-01-30 Cardiac Pacemakers, Inc. Automated programmable stimulating device to optimize pacing parameters and method
US5480413A (en) 1994-11-30 1996-01-02 Telectronics Pacing Systems, Inc. Apparatus and method for stabilizing the ventricular rate of a heart during atrial fibrillation
US5601613A (en) 1995-02-07 1997-02-11 Pacesetter, Inc. Method and apparatus for providing enhanced 2:1 block response with rate-responsive AV delay in a pacemaker
US5626620A (en) 1995-02-21 1997-05-06 Medtronic, Inc. Dual chamber pacing system and method with continual adjustment of the AV escape interval so as to maintain optimized ventricular pacing for treating cardiomyopathy
US5534016A (en) 1995-02-21 1996-07-09 Vitatron Medical, B.V. Dual chamber pacing system and method utilizing detection of ventricular fusion for adjustment of the atrial-ventricular delay as therapy for hypertrophic obstructive cardiomyopathy
US5725561A (en) 1995-06-09 1998-03-10 Medtronic, Inc. Method and apparatus for variable rate cardiac stimulation
US5788717A (en) 1995-07-11 1998-08-04 Pacesetter, Inc. Atrial rate determination and atrial tachycardia detection in a dual-chamber implantable pacemaker
US5759196A (en) 1995-09-29 1998-06-02 Medtronic, Inc. Modification of pacemaker tachy response based on FFRW sensing
US5713929A (en) 1996-05-03 1998-02-03 Medtronic, Inc. Arrhythmia and fibrillation prevention pacemaker using ratchet up and decay modes of operation
US5968081A (en) 1996-05-15 1999-10-19 Pacesetter, Inc. System and method for providing improved fallback response in a dual-chamber cardiac pacemaker
US5645569A (en) * 1996-06-04 1997-07-08 Incontrol, Inc. Post atrial cardioversion atrial pacing and method
US6058328A (en) 1996-08-06 2000-05-02 Pacesetter, Inc. Implantable stimulation device having means for operating in a preemptive pacing mode to prevent tachyarrhythmias and method thereof
SE9603000D0 (sv) 1996-08-16 1996-08-16 Pacesetter Ab Implantable apparatus
US6141586A (en) * 1996-08-19 2000-10-31 Mower Family Chf Treatment Irrevocable Trust Method and apparatus to allow cyclic pacing at an average rate just above the intrinsic heart rate so as to maximize inotropic pacing effects at minimal heart rates
SE9603635D0 (sv) * 1996-10-04 1996-10-04 Pacesetter Ab Implantable stimulator
US5792193A (en) * 1996-11-05 1998-08-11 Vitatron Medical, B.V. Pacemaker system and method with ventricular rate smoothing during high rate atrial arrhythmia
US5846263A (en) 1996-12-13 1998-12-08 Medtronic, Inc. Apparatus for diagnosis and treatment of arrhythmias
US5893882A (en) * 1996-12-17 1999-04-13 Medtronic, Inc. Method and apparatus for diagnosis and treatment of arrhythmias
US5814085A (en) 1996-12-19 1998-09-29 Medtronic, Inc. Rate stabilization pacemaker
US5840079A (en) 1997-03-27 1998-11-24 Medtronic, Inc. Method and apparatus for treatment of atrial fibrillation
US5983138A (en) 1997-04-04 1999-11-09 Cardiac Pacemakers, Inc. Device and method for ventricular tracking and pacing
US5954752A (en) 1997-04-30 1999-09-21 Medtronic, Inc. Cardioversion energy reduction system
US5978707A (en) 1997-04-30 1999-11-02 Cardiac Pacemakers, Inc. Apparatus and method for treating ventricular tachyarrhythmias
US5999850A (en) 1997-07-21 1999-12-07 Pacesetter, Inc. Pacemaker with safe R-wave synchronization during countershock conversion of atrial fibrillation
US5928271A (en) 1998-02-25 1999-07-27 Medtronic, Inc. Atrial anti-arrhythmia pacemaker and method using high rate atrial and backup ventricular pacing
US5891180A (en) 1998-04-29 1999-04-06 Medtronic Inc. Interrogation of an implantable medical device using audible sound communication
US5978709A (en) 1998-06-16 1999-11-02 Vitatron Medical, B.V. Pacemaker system with improved techniques for preventing and suppressing atrial arrhythmias
US6081746A (en) 1998-08-07 2000-06-27 Pacesetter, Inc. Atrial defibrillation methods and apparatus
US6047210A (en) 1998-09-03 2000-04-04 Cardiac Pacemakers, Inc. Cardioverter and method for cardioverting an atrial tachyarrhythmia while maintaining atrial pacing
US6081747A (en) 1998-11-23 2000-06-27 Pacesetter, Inc. Dual-chamber implantable pacemaker having negative AV/PV hysteresis and ectopic discrimination
US6049735A (en) * 1999-03-01 2000-04-11 Cardiac Pacemakers Inc. Cardiac rhythm management device with detection and therapy for sudden syncopal events
US6351669B1 (en) * 1999-05-21 2002-02-26 Cardiac Pacemakers, Inc. Cardiac rhythm management system promoting atrial pacing
US6285907B1 (en) 1999-05-21 2001-09-04 Cardiac Pacemakers, Inc. System providing ventricular pacing and biventricular coordination
US6829504B1 (en) * 2000-09-14 2004-12-07 Cardiac Pacemakers, Inc. System and method for preventing recurrence of atrial tachyarrhythmia

Also Published As

Publication number Publication date
AU2001289060A1 (en) 2002-03-26
ATE429955T1 (de) 2009-05-15
US20050060000A1 (en) 2005-03-17
WO2002022207A1 (en) 2002-03-21
EP1317307A1 (de) 2003-06-11
US6829504B1 (en) 2004-12-07
US7421294B2 (en) 2008-09-02
ATE536912T1 (de) 2011-12-15
EP1317307B1 (de) 2009-04-29
EP2077136B1 (de) 2011-12-14
EP2077136A2 (de) 2009-07-08
US20080319494A1 (en) 2008-12-25
US8046061B2 (en) 2011-10-25
EP2077136A3 (de) 2010-01-20
ES2326308T3 (es) 2009-10-07
ES2376516T3 (es) 2012-03-14

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