ATE446788T1 - Implantierbare medizinische vorrichtung, insebesondere zur stimulation, resynchronisierung,defibrillation, und/oder cardioversion mit diagnostischen mitteln zur vorhersage des klinischen zustands des patienten - Google Patents

Implantierbare medizinische vorrichtung, insebesondere zur stimulation, resynchronisierung,defibrillation, und/oder cardioversion mit diagnostischen mitteln zur vorhersage des klinischen zustands des patienten

Info

Publication number
ATE446788T1
ATE446788T1 AT06291503T AT06291503T ATE446788T1 AT E446788 T1 ATE446788 T1 AT E446788T1 AT 06291503 T AT06291503 T AT 06291503T AT 06291503 T AT06291503 T AT 06291503T AT E446788 T1 ATE446788 T1 AT E446788T1
Authority
AT
Austria
Prior art keywords
patient
cardioversion
resynchronization
defibrillation
predicting
Prior art date
Application number
AT06291503T
Other languages
English (en)
Inventor
Cyrille Casset
Jean-Mathieu Torralba
Original Assignee
Ela Medical Sa
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 Sa filed Critical Ela Medical Sa
Application granted granted Critical
Publication of ATE446788T1 publication Critical patent/ATE446788T1/de

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/08—Measuring devices for evaluating the respiratory organs
    • A61B5/085—Measuring impedance of respiratory organs or lung elasticity
    • A61B5/086—Measuring impedance of respiratory organs or lung elasticity by impedance pneumography
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/08—Measuring devices for evaluating the respiratory organs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Measuring devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb
    • A61B5/1118—Determining activity level
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A61B5/686—Permanently implanted devices, e.g. pacemakers, other stimulators, biochips
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7235—Details of waveform analysis
    • A61B5/7264—Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/74—Details of notification to user or communication with user or patient; User input means
    • A61B5/746—Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms
    • 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
    • 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
    • A61N1/3702—Physiological parameters
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02—Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0219—Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
    • 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
    • A61N1/3627—Heart stimulators for treating a mechanical deficiency of the heart, e.g. congestive heart failure or cardiomyopathy
    • 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
    • A61N1/36521—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure the parameter being derived from measurement of an electrical impedance
    • 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
    • A61N1/36585—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by two or more physical parameters

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Biophysics (AREA)
  • Physics & Mathematics (AREA)
  • Physiology (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Pathology (AREA)
  • Medical Informatics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Pulmonology (AREA)
  • Artificial Intelligence (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Evolutionary Computation (AREA)
  • Fuzzy Systems (AREA)
  • Mathematical Physics (AREA)
  • Computer Vision & Pattern Recognition (AREA)
  • Psychiatry (AREA)
  • Signal Processing (AREA)
  • Electrotherapy Devices (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
AT06291503T 2005-09-27 2006-09-25 Implantierbare medizinische vorrichtung, insebesondere zur stimulation, resynchronisierung,defibrillation, und/oder cardioversion mit diagnostischen mitteln zur vorhersage des klinischen zustands des patienten ATE446788T1 (de)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
FR0509837A FR2891152A1 (fr) 2005-09-27 2005-09-27 Dispositif medical implantable actif, notamment dispositif de stimulation, resynchronisation, defibrillation et/ou cardioversion, comprenant des moyens de diagnostic predictif de l'etat du patient.

Publications (1)

Publication Number Publication Date
ATE446788T1 true ATE446788T1 (de) 2009-11-15

Family

ID=36593714

Family Applications (1)

Application Number Title Priority Date Filing Date
AT06291503T ATE446788T1 (de) 2005-09-27 2006-09-25 Implantierbare medizinische vorrichtung, insebesondere zur stimulation, resynchronisierung,defibrillation, und/oder cardioversion mit diagnostischen mitteln zur vorhersage des klinischen zustands des patienten

Country Status (5)

Country Link
US (2) US8798748B2 (de)
EP (1) EP1767244B1 (de)
AT (1) ATE446788T1 (de)
DE (1) DE602006010003D1 (de)
FR (1) FR2891152A1 (de)

Families Citing this family (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
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
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.
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
FR2986158A1 (fr) 2012-01-31 2013-08-02 Sorin Crm Sas Dispositif medical implantable actif comprenant des moyens de diagnostic de l'insuffisance cardiaque
US9050107B2 (en) 2012-05-30 2015-06-09 Depuy (Ireland) Method of surgically preparing a patient's femur
CN110146317B (zh) * 2019-04-29 2021-11-12 北京和欣运达科技有限公司 一种建筑物机电设备健康状态的诊断方法和装置

Family Cites Families (18)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4417592A (en) * 1981-05-11 1983-11-29 Roy John E Digital electroencephalographic instrument and method
FR2735985B1 (fr) * 1995-06-30 1997-12-19 Ela Medical Sa Dispositif medical implantable actif, notamment stimulateur cardiaque, asservi a au moins un parametre physiologique
US5792197A (en) * 1996-04-29 1998-08-11 Nappholz; Tibor A. Implanted cardiac device with means for classifying patient condition
FR2771298B1 (fr) 1997-11-25 2000-01-28 Ela Medical Sa Dispositif medical implantable actif, notamment stimulateur cardiaque, asservi a au moins un parametre physiologique
US6128534A (en) * 1998-06-16 2000-10-03 Pacesetter, Inc. Implantable cardiac stimulation device and method for varying pacing parameters to mimic circadian cycles
FR2780290B1 (fr) * 1998-06-26 2000-09-22 Ela Medical Sa Dispositif medical implantable actif asservi tel que stimulateur cardiaque, defibrillateur et/ou cardioverteur, notamment de type multisites
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
US6731984B2 (en) * 2001-06-07 2004-05-04 Medtronic, Inc. Method for providing a therapy to a patient involving modifying the therapy after detecting an onset of sleep in the patient, and implantable medical device embodying same
US7206635B2 (en) * 2001-06-07 2007-04-17 Medtronic, Inc. Method and apparatus for modifying delivery of a therapy in response to onset of sleep
FR2833177B1 (fr) * 2001-12-07 2004-06-04 Ela Medical Sa Dispositif medical actif comprenant des moyens perfectionnes de discrimination des phases d'eveil et de sommeil
US20040039420A1 (en) * 2002-08-26 2004-02-26 Medtronic Physio-Control Manufacturing Corp. Apparatus, software, and methods for cardiac pulse detection using accelerometer data
US7592909B2 (en) * 2006-01-19 2009-09-22 Board Of Regents, The University Of Texas System Location and tracking system using wireless technology
US7010347B2 (en) * 2004-02-14 2006-03-07 Pacesetter, Inc. Optimization of impedance signals for closed loop programming of cardiac resynchronization therapy devices
US8428717B2 (en) * 2003-10-14 2013-04-23 Medtronic, Inc. Method and apparatus for monitoring tissue fluid content for use in an implantable cardiac device
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
US20070021678A1 (en) * 2005-07-19 2007-01-25 Cardiac Pacemakers, Inc. Methods and apparatus for monitoring physiological responses to steady state activity
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.

Also Published As

Publication number Publication date
FR2891152A1 (fr) 2007-03-30
EP1767244A1 (de) 2007-03-28
EP1767244B1 (de) 2009-10-28
US8798748B2 (en) 2014-08-05
DE602006010003D1 (de) 2009-12-10
US20070073350A1 (en) 2007-03-29
US20140343376A1 (en) 2014-11-20

Similar Documents

Publication Publication Date Title
JP4578440B2 (ja) グルコース分析器
WO2003075745A3 (en) Detection, diagnosis, and monitoring of a medical condition or disease with artificial olfactometry
ATE422375T1 (de) 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
MX2020005042A (es) Sistema para monitorizar pacientes que padecen de enfermedad respiratoria que comprende un dispositivo medico portatil y metodo basado en el uso de este sistema.
DK1706019T3 (da) Dermalt fastgjort sensorindretning
GB2469606B (en) Health Monitoring Method and System
ATE485764T1 (de) Vorrichtung zur schätzung des hämatokrits
ATE484314T1 (de) Gerät zur bestimmung von oversensing in einem medizinprodukt
DE602008004206D1 (de) Medizinische Vorrichtung zur Bestimmung des Herzzustands eines Patienten, dem ein aktives Implantat zur biventrikulären Stimulation eingesetzt wurde
EP1765177A4 (de) Verfahren zum schutz von resonanzsensoren und offene geschützte resonanzsensoren
WO2008060777A3 (en) Elisa for vegf
WO2001028414A3 (de) Vorrichtung zur noninvasiven bestimmung der konzentration von bestandteilen im blut
JP2009148372A (ja) ストレス判定システムおよびストレス改善システム
ATE446788T1 (de) Implantierbare medizinische vorrichtung, insebesondere zur stimulation, resynchronisierung,defibrillation, und/oder cardioversion mit diagnostischen mitteln zur vorhersage des klinischen zustands des patienten
CA2443553C (en) Method and device for mobile or in-patient detecting corporeal functional and metabolic data of a living organism
ATE534430T1 (de) Implantierbarer herzstimulator, vorrichtung und system zur überwachung des status einer herzleitung
US10098584B2 (en) Patient health improvement monitor
MX2007000798A (es) Sistemas y metodos para utilizar lecturas electricas en la determinacion de tratamiento.
US20190180853A1 (en) Crowdsourcing Intraoral Information
Chaudhari et al. Nadi pariksha system for health diagnosis
ATE499611T1 (de) Verfahren zur diagnose von erkrankungen unter bestimmung von apolipoprotein c-i
KR20180102779A (ko) 악력계 제어시스템
JP6506480B2 (ja) 被検体による食べ物及び／又は飲み物の摂取をモニタリングするための装置
DE102013222123A1 (de) Mobile Überwachungsvorrichtung
WO2011135386A1 (en) Apparatus for determining and storing the excitement level of a human individual, comprisind ecg electrodes and a skin resistance monitor

Legal Events

Date Code Title Description
RER Ceased as to paragraph 5 lit. 3 law introducing patent treaties