DE60316296D1 - Vorrichtung und verfahren zur optimierung der pumpfunktion des herzens - Google Patents
Vorrichtung und verfahren zur optimierung der pumpfunktion des herzensInfo
- Publication number
- DE60316296D1 DE60316296D1 DE60316296T DE60316296T DE60316296D1 DE 60316296 D1 DE60316296 D1 DE 60316296D1 DE 60316296 T DE60316296 T DE 60316296T DE 60316296 T DE60316296 T DE 60316296T DE 60316296 D1 DE60316296 D1 DE 60316296D1
- Authority
- DE
- Germany
- Prior art keywords
- optimizing
- heart
- pump function
- stimulation parameters
- optimum values
- 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
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
- A61N1/365—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
-
- 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
- A61N1/368—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions
- A61N1/3684—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions for stimulating the heart at multiple sites of the ventricle or the atrium
- A61N1/36842—Multi-site stimulation in the same chamber
-
- 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
- A61N1/368—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions
- A61N1/3684—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions for stimulating the heart at multiple sites of the ventricle or the atrium
- A61N1/36843—Bi-ventricular stimulation
-
- 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
- A61N1/368—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions
- A61N1/3682—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions with a variable atrioventricular delay
-
- 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
- A61N1/368—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions
- A61N1/3684—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions for stimulating the heart at multiple sites of the ventricle or the atrium
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US206131 | 2002-07-26 | ||
US10/206,131 US7206634B2 (en) | 2002-07-26 | 2002-07-26 | Method and apparatus for optimizing cardiac pumping performance |
PCT/US2003/022989 WO2004011088A1 (en) | 2002-07-26 | 2003-07-24 | Apparatus and method for optimizing cardiac pumping performance |
Publications (2)
Publication Number | Publication Date |
---|---|
DE60316296D1 true DE60316296D1 (de) | 2007-10-25 |
DE60316296T2 DE60316296T2 (de) | 2008-06-05 |
Family
ID=30770223
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
DE60316296T Expired - Lifetime DE60316296T2 (de) | 2002-07-26 | 2003-07-24 | Vorrichtung und verfahren zur optimierung der pumpfunktion des herzens |
Country Status (7)
Country | Link |
---|---|
US (1) | US7206634B2 (de) |
EP (1) | EP1525026B1 (de) |
JP (1) | JP2005533608A (de) |
AT (1) | ATE372809T1 (de) |
AU (1) | AU2003259215A1 (de) |
DE (1) | DE60316296T2 (de) |
WO (1) | WO2004011088A1 (de) |
Families Citing this family (52)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7158830B2 (en) * | 1998-05-08 | 2007-01-02 | Cardiac Pacemakers, Inc. | Method and apparatus for optimizing stroke volume during DDD resynchronization therapy using adjustable atrio-ventricular delays |
US6144880A (en) * | 1998-05-08 | 2000-11-07 | Cardiac Pacemakers, Inc. | Cardiac pacing using adjustable atrio-ventricular delays |
US7110817B2 (en) * | 1998-05-08 | 2006-09-19 | Cardiac Pacemakers, Inc. | Method and apparatus for optimizing ventricular synchrony during DDD resynchronization therapy using adjustable atrio-ventricular delays |
US6597951B2 (en) | 2001-03-16 | 2003-07-22 | Cardiac Pacemakers, Inc. | Automatic selection from multiple cardiac optimization protocols |
US7127289B2 (en) * | 2001-12-05 | 2006-10-24 | Cardiac Pacemakers, Inc. | Cardiac resynchronization system employing mechanical measurement of cardiac walls |
US7206634B2 (en) | 2002-07-26 | 2007-04-17 | Cardiac Pacemakers, Inc. | Method and apparatus for optimizing cardiac pumping performance |
US7720522B2 (en) * | 2003-02-25 | 2010-05-18 | Medtronic, Inc. | Fiducial marker devices, tools, and methods |
US7787934B2 (en) * | 2002-07-29 | 2010-08-31 | Medtronic, Inc. | Fiducial marker devices, tools, and methods |
US20040030237A1 (en) * | 2002-07-29 | 2004-02-12 | Lee David M. | Fiducial marker devices and methods |
US20040019265A1 (en) * | 2002-07-29 | 2004-01-29 | Mazzocchi Rudy A. | Fiducial marker devices, tools, and methods |
US7139608B2 (en) * | 2002-07-31 | 2006-11-21 | Uab Research Foundation | Pacing methods and devices using feedback controlled timing |
US7013176B2 (en) | 2003-01-28 | 2006-03-14 | Cardiac Pacemakers, Inc. | Method and apparatus for setting pacing parameters in cardiac resynchronization therapy |
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 |
US7092759B2 (en) * | 2003-07-30 | 2006-08-15 | Medtronic, Inc. | Method of optimizing cardiac resynchronization therapy using sensor signals of septal wall motion |
US9002452B2 (en) | 2003-11-07 | 2015-04-07 | Cardiac Pacemakers, Inc. | Electrical therapy for diastolic dysfunction |
US7184835B2 (en) * | 2003-12-12 | 2007-02-27 | Cardiac Pacemakers, Inc. | Method and apparatus for adjustable AVD programming using a table |
US7123960B2 (en) | 2003-12-22 | 2006-10-17 | Cardiac Pacemakers, Inc. | Method and system for delivering cardiac resynchronization therapy with variable atrio-ventricular delay |
US7181284B2 (en) * | 2004-03-17 | 2007-02-20 | Medtronic, Inc. | Apparatus and methods of energy efficient, atrial-based Bi-ventricular fusion-pacing |
US7171271B2 (en) * | 2004-05-11 | 2007-01-30 | Pacesetter, Inc. | System and method for evaluating heart failure using an implantable medical device based on heart rate during patient activity |
US20060041279A1 (en) * | 2004-08-18 | 2006-02-23 | Yinghong Yu | Detection and treatment of prolonged inter-atrial delay in cardiac resynchronization patients |
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 |
US7366567B2 (en) * | 2005-03-23 | 2008-04-29 | Cardiac Pacemakers, Inc. | Method for treating myocardial infarction |
US8036743B2 (en) * | 2005-03-31 | 2011-10-11 | Proteus Biomedical, Inc. | Automated optimization of multi-electrode pacing for cardiac resynchronization |
US7613514B2 (en) * | 2005-04-19 | 2009-11-03 | Cardiac Pacemakers, Inc. | Selective resynchronization therapy optimization based on user preference |
US8538519B2 (en) * | 2005-04-25 | 2013-09-17 | Cardiac Pacemakers, Inc. | Method and system for treatment of mechanical cardiac asynchrony |
US20060271121A1 (en) | 2005-05-25 | 2006-11-30 | Cardiac Pacemakers, Inc. | Closed loop impedance-based cardiac resynchronization therapy systems, devices, and methods |
US9839781B2 (en) | 2005-08-22 | 2017-12-12 | Cardiac Pacemakers, Inc. | Intracardiac impedance and its applications |
US7775983B2 (en) * | 2005-09-16 | 2010-08-17 | Cardiac Pacemakers, Inc. | Rapid shallow breathing detection for use in congestive heart failure status determination |
EP1957159B1 (de) * | 2005-11-30 | 2015-09-09 | St. Jude Medical AB | Implantierbarer herzstimulator zur überwachung des herzzyklus im menschlichen herz |
US7766840B2 (en) * | 2005-12-01 | 2010-08-03 | Cardiac Pacemakers, Inc. | Method and system for heart failure status evaluation based on a disordered breathing index |
US7662105B2 (en) | 2005-12-14 | 2010-02-16 | Cardiac Pacemakers, Inc. | Systems and methods for determining respiration metrics |
US8175703B2 (en) * | 2006-01-25 | 2012-05-08 | Cardiac Pacemakers, Inc. | Cardiac resynchronization therapy parameter optimization |
US7819816B2 (en) * | 2006-03-29 | 2010-10-26 | Cardiac Pacemakers, Inc. | Periodic disordered breathing detection |
US7869871B2 (en) | 2006-03-31 | 2011-01-11 | Cardiac Pacemakers, Inc. | Pacing therapy for diastolic heart failure |
US8016764B1 (en) * | 2006-11-08 | 2011-09-13 | Pacesetter, Inc. | Systems and methods for evaluating ventricular dyssynchrony using atrial and ventricular pressure measurements obtained by an implantable medical device |
US8052611B2 (en) | 2007-03-14 | 2011-11-08 | Cardiac Pacemakers, Inc. | Method and apparatus for management of heart failure hospitalization |
US7930027B2 (en) | 2007-04-30 | 2011-04-19 | Medtronic, Inc. | Method and apparatus to deliver mechanically fused pacing therapy |
JP5149390B2 (ja) * | 2007-10-29 | 2013-02-20 | 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 | 心室部位間の刺激遅延の判定 |
JP5181149B2 (ja) * | 2007-11-30 | 2013-04-10 | 国立大学法人東北大学 | 心臓状態解析装置および除細動装置 |
US20090163971A1 (en) * | 2007-12-19 | 2009-06-25 | Cardiac Pacemakers, Inc. | Therapy calculation and therapy delivery modes |
WO2009094335A1 (en) * | 2008-01-22 | 2009-07-30 | Cardiac Pacemakers, Inc. | Respiration as a trigger for therapy optimization |
WO2009151516A2 (en) | 2008-05-08 | 2009-12-17 | Cardiac Pacemakers, Inc. | Smart delay for intermittent stress therapy |
US8380309B2 (en) * | 2008-09-30 | 2013-02-19 | Medtronic, Inc. | Method and apparatus to optimize pacing heart rate |
US8090444B2 (en) * | 2008-11-07 | 2012-01-03 | Pacesetter, Inc. | Optimization of cardiac pacing therapy based on paced propagation delay |
US8423141B2 (en) * | 2009-01-30 | 2013-04-16 | Medtronic, Inc. | Pre-excitation stimulus timing based on mechanical event |
US20110009753A1 (en) | 2009-07-10 | 2011-01-13 | Yi Zhang | Respiration Rate Trending for Detecting Early Onset of Worsening Heart Failure |
US20110009760A1 (en) * | 2009-07-10 | 2011-01-13 | Yi Zhang | Hospital Readmission Alert for Heart Failure Patients |
US8805500B2 (en) | 2011-03-15 | 2014-08-12 | Medtronic, Inc. | Atrial nerve stimulation with ventricular pacing |
US9227069B2 (en) | 2011-03-15 | 2016-01-05 | Medtronic, Inc. | Atrial nerve stimulation with ventricular pacing |
US8965504B2 (en) | 2012-03-02 | 2015-02-24 | Cardiac Pacemakers, Inc. | Systems and methods of characterizing mechanical activation patterns for rhythm discrimination and therapy |
CN105451648A (zh) | 2013-08-05 | 2016-03-30 | 心脏起搏器股份公司 | 基于浅快呼吸指数检测心力衰竭的恶化的系统和方法 |
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US6144880A (en) * | 1998-05-08 | 2000-11-07 | Cardiac Pacemakers, Inc. | Cardiac pacing using adjustable atrio-ventricular delays |
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US6512952B2 (en) * | 2000-12-26 | 2003-01-28 | Cardiac Pacemakers, Inc. | Method and apparatus for maintaining synchronized pacing |
US6522923B1 (en) * | 2001-02-09 | 2003-02-18 | Pacesetter, Inc. | Methods, systems and devices for optimizing cardiac pacing parameters using evolutionary algorithms |
US6597951B2 (en) * | 2001-03-16 | 2003-07-22 | Cardiac Pacemakers, Inc. | Automatic selection from multiple cardiac optimization protocols |
US6654637B2 (en) * | 2001-04-30 | 2003-11-25 | Medtronic, Inc. | Method and system for ventricular fusion prevention |
US6937901B2 (en) * | 2001-10-31 | 2005-08-30 | Cardiac Pacemakers, Inc. | Capture verification for cardiac resynchronization pacing optimization |
US6832113B2 (en) * | 2001-11-16 | 2004-12-14 | Cardiac Pacemakers, Inc. | Non-invasive method and apparatus for cardiac pacemaker pacing parameter optimization and monitoring of cardiac dysfunction |
US6959214B2 (en) * | 2001-11-28 | 2005-10-25 | Medtronic, Inc. | Implantable medical device for measuring mechanical heart function |
US7127289B2 (en) | 2001-12-05 | 2006-10-24 | Cardiac Pacemakers, Inc. | Cardiac resynchronization system employing mechanical measurement of cardiac walls |
US6885890B2 (en) * | 2001-12-20 | 2005-04-26 | Cardiac Pacemakers, Inc. | Apparatus and method for multi-site anti-tachycardia pacing |
US6915164B2 (en) * | 2002-04-16 | 2005-07-05 | Pacesetter, Inc. | Automatic capture using independent channels in bi-chamber stimulation |
US7206634B2 (en) | 2002-07-26 | 2007-04-17 | Cardiac Pacemakers, Inc. | Method and apparatus for optimizing cardiac pumping performance |
US7013176B2 (en) * | 2003-01-28 | 2006-03-14 | Cardiac Pacemakers, Inc. | Method and apparatus for setting pacing parameters in cardiac resynchronization therapy |
-
2002
- 2002-07-26 US US10/206,131 patent/US7206634B2/en not_active Expired - Fee Related
-
2003
- 2003-07-24 DE DE60316296T patent/DE60316296T2/de not_active Expired - Lifetime
- 2003-07-24 JP JP2004524715A patent/JP2005533608A/ja active Pending
- 2003-07-24 WO PCT/US2003/022989 patent/WO2004011088A1/en active IP Right Grant
- 2003-07-24 AU AU2003259215A patent/AU2003259215A1/en not_active Abandoned
- 2003-07-24 EP EP03771736A patent/EP1525026B1/de not_active Expired - Lifetime
- 2003-07-24 AT AT03771736T patent/ATE372809T1/de not_active IP Right Cessation
Also Published As
Publication number | Publication date |
---|---|
US7206634B2 (en) | 2007-04-17 |
JP2005533608A (ja) | 2005-11-10 |
EP1525026B1 (de) | 2007-09-12 |
DE60316296T2 (de) | 2008-06-05 |
AU2003259215A1 (en) | 2004-02-16 |
WO2004011088A1 (en) | 2004-02-05 |
ATE372809T1 (de) | 2007-09-15 |
EP1525026A1 (de) | 2005-04-27 |
US20040019365A1 (en) | 2004-01-29 |
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