DE602005020209D1 - System zur Evaluierung von Herzstörungen - Google Patents

System zur Evaluierung von Herzstörungen

Info

Publication number
DE602005020209D1
DE602005020209D1 DE602005020209T DE602005020209T DE602005020209D1 DE 602005020209 D1 DE602005020209 D1 DE 602005020209D1 DE 602005020209 T DE602005020209 T DE 602005020209T DE 602005020209 T DE602005020209 T DE 602005020209T DE 602005020209 D1 DE602005020209 D1 DE 602005020209D1
Authority
DE
Germany
Prior art keywords
evaluation
cardiac disorders
cardiac
disorders
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.)
Active
Application number
DE602005020209T
Other languages
English (en)
Inventor
Steve Koh
Euljoon Park
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
Publication of DE602005020209D1 publication Critical patent/DE602005020209D1/de
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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
    • A61N1/365Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • A61N1/36514Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure
    • A61N1/36542Heart 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A61B5/0031Implanted circuitry
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/024Detecting, measuring or recording pulse rate or heart rate
    • A61B5/0245Detecting, measuring or recording pulse rate or heart rate by using sensing means generating electric signals, i.e. ECG signals
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • A61B5/1118Determining activity level
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/22Ergometry; Measuring muscular strength or the force of a muscular blow
    • A61B5/221Ergometry, e.g. by using bicycle type apparatus
    • A61B5/222Ergometry, e.g. by using bicycle type apparatus combined with detection or measurement of physiological parameters, e.g. heart rate
    • 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
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0219Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A61B5/0004Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by the type of physiological signal transmitted
    • A61B5/0006ECG or EEG signals
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/08Detecting, measuring or recording devices for evaluating the respiratory organs
    • A61B5/0816Measuring devices for examining respiratory frequency
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/145Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/25Bioelectric electrodes therefor
    • A61B5/279Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
    • A61B5/283Invasive
    • A61B5/287Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/72Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7271Specific aspects of physiological measurement analysis
    • A61B5/7275Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor
DE602005020209T 2004-05-11 2005-05-11 System zur Evaluierung von Herzstörungen Active DE602005020209D1 (de)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US10/844,078 US7171271B2 (en) 2004-05-11 2004-05-11 System and method for evaluating heart failure using an implantable medical device based on heart rate during patient activity

Publications (1)

Publication Number Publication Date
DE602005020209D1 true DE602005020209D1 (de) 2010-05-12

Family

ID=34941253

Family Applications (1)

Application Number Title Priority Date Filing Date
DE602005020209T Active DE602005020209D1 (de) 2004-05-11 2005-05-11 System zur Evaluierung von Herzstörungen

Country Status (3)

Country Link
US (1) US7171271B2 (de)
EP (1) EP1595574B1 (de)
DE (1) DE602005020209D1 (de)

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US7269458B2 (en) * 2004-08-09 2007-09-11 Cardiac Pacemakers, Inc. Cardiopulmonary functional status assessment via heart rate response detection by implantable cardiac device
US7389143B2 (en) * 2004-08-12 2008-06-17 Cardiac Pacemakers, Inc. Cardiopulmonary functional status assessment via metabolic response detection by implantable cardiac device
US20070021678A1 (en) * 2005-07-19 2007-01-25 Cardiac Pacemakers, Inc. Methods and apparatus for monitoring physiological responses to steady state activity
US8838215B2 (en) * 2006-03-01 2014-09-16 Angel Medical Systems, Inc. Systems and methods of medical monitoring according to patient state
FR2891152A1 (fr) * 2005-09-27 2007-03-30 Ela Medical Soc Par Actions Si Dispositif medical implantable actif, notamment dispositif de stimulation, resynchronisation, defibrillation et/ou cardioversion, comprenant des moyens de diagnostic predictif de l'etat du patient.
US7574255B1 (en) * 2005-11-07 2009-08-11 Pacesetter, Inc. Criteria for monitoring intrathoracic impedance
US7774055B1 (en) 2005-11-07 2010-08-10 Pacesetter, Inc. Left atrial pressure-based criteria for monitoring intrathoracic impedance
US7657310B2 (en) * 2006-01-26 2010-02-02 Cyberonics, Inc. Treatment of reproductive endocrine disorders by vagus nerve stimulation
EP2059299B1 (de) 2006-08-28 2017-07-26 St. Jude Medical AB Bestimmung der zeitlichen schwankung eines medizinischen parameters eines menschen
US7764996B2 (en) 2006-10-31 2010-07-27 Cardiac Pacemakers, Inc. Monitoring of chronobiological rhythms for disease and drug management using one or more implantable device
US8052611B2 (en) 2007-03-14 2011-11-08 Cardiac Pacemakers, Inc. Method and apparatus for management of heart failure hospitalization
US7844336B2 (en) 2007-04-10 2010-11-30 Cardiac Pacemakers, Inc. Implantable medical device configured as a pedometer
US8831714B2 (en) * 2007-05-07 2014-09-09 Cardiac Pacemakers, Inc. Apparatus and method for heart failure indication based on heart rate, onset and tachyarrhythmia
US8868165B1 (en) * 2007-09-28 2014-10-21 Pacesetter, Inc. Use of cardiogenic impedance waveform morphology to analyze cardiac conditions and to adjust treatment therapy
US8175707B1 (en) * 2007-12-06 2012-05-08 Pacesetter, Inc. Enhancement of rate responsive IEGM-based AV/PV and VV delay algorithms
WO2009110996A1 (en) * 2008-03-05 2009-09-11 Cardiac Pacemakers, Inc. Automated heart function classification to standardized classes
US8165840B2 (en) 2008-06-12 2012-04-24 Cardiac Pacemakers, Inc. Posture sensor automatic calibration
JP5588020B2 (ja) * 2010-02-16 2014-09-10 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 日常生活動作における動作に対する生理的反応の動態
US8145307B2 (en) 2010-08-26 2012-03-27 Medtronic, Inc. Method and apparatus for enhancing treatable arrhythmia detection specificity by using accumulated patient activity
US9205274B2 (en) 2011-04-19 2015-12-08 Pacesetter, Inc. Devices, systems, and methods for characterizing a tachycardia and/or selecting treatment for a tachycardia using results of a dominant frequency analysis
US8548587B2 (en) 2011-04-19 2013-10-01 Pacesetter, Inc. Devices, systems and methods for characterizing a tachycardia and/or selecting treatment for a tachycardia using results of a fractionation analysis
WO2012170837A2 (en) * 2011-06-08 2012-12-13 Nader Najafi Implantable wireless sensor systems
US9060745B2 (en) 2012-08-22 2015-06-23 Covidien Lp System and method for detecting fluid responsiveness of a patient
US8731649B2 (en) 2012-08-30 2014-05-20 Covidien Lp Systems and methods for analyzing changes in cardiac output
US9357937B2 (en) 2012-09-06 2016-06-07 Covidien Lp System and method for determining stroke volume of an individual
US9241646B2 (en) 2012-09-11 2016-01-26 Covidien Lp System and method for determining stroke volume of a patient
US20140081152A1 (en) 2012-09-14 2014-03-20 Nellcor Puritan Bennett Llc System and method for determining stability of cardiac output
US8977348B2 (en) 2012-12-21 2015-03-10 Covidien Lp Systems and methods for determining cardiac output
US9435830B2 (en) 2013-01-18 2016-09-06 Cyberonics, Inc. Implantable medical device depth estimation
US9056195B2 (en) 2013-03-15 2015-06-16 Cyberonics, Inc. Optimization of cranial nerve stimulation to treat seizure disorderse during sleep
US10470704B2 (en) * 2013-09-16 2019-11-12 Koninklijke Philips N.V. System and method for estimating cardiovascular fitness of a person
US9610026B2 (en) 2013-09-26 2017-04-04 Cardiac Pacemakers, Inc. Methods and apparatus for detecting heart failure event using rank of thoracic impedance
US9302109B2 (en) 2014-04-25 2016-04-05 Cyberonics, Inc. Cranial nerve stimulation to treat depression during sleep
US9585611B2 (en) 2014-04-25 2017-03-07 Cyberonics, Inc. Detecting seizures based on heartbeat data
EP3009166B1 (de) * 2014-10-16 2019-01-09 Sorin CRM SAS Aktive implantierbare medizinische vorrichtung zur behandlung einer herzinsuffizienz durch stimulation des vagusnervs
US10058708B2 (en) * 2015-06-30 2018-08-28 Cardiac Pacemakers, Inc. Heart failure event detection using minimum heart rate
JP6747344B2 (ja) * 2017-03-14 2020-08-26 オムロンヘルスケア株式会社 血圧データ処理装置、血圧データ処理方法および血圧データ処理プログラム
US20210361467A1 (en) * 2017-12-22 2021-11-25 Coloplast A/S Processing schemes for a medical system, monitor device for a medical appliance and related methods
US11642035B2 (en) 2019-06-28 2023-05-09 Medtronic, Inc. Heart rate recovery assessment
US11504048B2 (en) * 2020-06-10 2022-11-22 Medtronic Monitoring, Inc. Triggering arrhythmia episodes for heart failure and chronotropic incompetence diagnosis and monitoring
US20220071513A1 (en) * 2020-09-08 2022-03-10 Medtronic, Inc. Detection of changes in patient health based on peak and non-peak patient activity data
CN114392496B (zh) * 2022-01-05 2023-03-21 海南大学 一种声光智能化无损骨传导治疗系统
CN114392492B (zh) * 2022-01-05 2023-02-10 海南大学 一种智能化无损光疗系统

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US5514162A (en) 1994-06-07 1996-05-07 Pacesetter, Inc. System and method for automatically determining the slope of a transfer function for a rate-responsive cardiac pacemaker
US6002963A (en) 1995-02-17 1999-12-14 Pacesetter, Inc. Multi-axial accelerometer-based sensor for an implantable medical device and method of measuring motion measurements therefor
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US7127290B2 (en) * 1999-10-01 2006-10-24 Cardiac Pacemakers, Inc. Cardiac rhythm management systems and methods predicting congestive heart failure status
US6249705B1 (en) 1999-10-21 2001-06-19 Pacesetter, Inc. Distributed network system for use with implantable medical devices
US6572557B2 (en) 2000-05-09 2003-06-03 Pacesetter, Inc. System and method for monitoring progression of cardiac disease state using physiologic sensors
US6741885B1 (en) * 2000-12-07 2004-05-25 Pacesetter, Inc. Implantable cardiac device for managing the progression of heart disease and method
US6512952B2 (en) 2000-12-26 2003-01-28 Cardiac Pacemakers, Inc. Method and apparatus for maintaining synchronized pacing
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US6628988B2 (en) 2001-04-27 2003-09-30 Cardiac Pacemakers, Inc. Apparatus and method for reversal of myocardial remodeling with electrical stimulation
US6645153B2 (en) 2002-02-07 2003-11-11 Pacesetter, Inc. System and method for evaluating risk of mortality due to congestive heart failure using physiologic sensors
US6961615B2 (en) * 2002-02-07 2005-11-01 Pacesetter, Inc. System and method for evaluating risk of mortality due to congestive heart failure using physiologic sensors
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Also Published As

Publication number Publication date
US7171271B2 (en) 2007-01-30
EP1595574A1 (de) 2005-11-16
EP1595574B1 (de) 2010-03-31
US20050256545A1 (en) 2005-11-17

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Legal Events

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