ATE484314T1 - Gerät zur bestimmung von oversensing in einem medizinprodukt - Google Patents

Gerät zur bestimmung von oversensing in einem medizinprodukt

Info

Publication number
ATE484314T1
ATE484314T1 AT05826150T AT05826150T ATE484314T1 AT E484314 T1 ATE484314 T1 AT E484314T1 AT 05826150 T AT05826150 T AT 05826150T AT 05826150 T AT05826150 T AT 05826150T AT E484314 T1 ATE484314 T1 AT E484314T1
Authority
AT
Austria
Prior art keywords
determining
electrode configuration
medical device
cardiac signal
oversensing
Prior art date
Application number
AT05826150T
Other languages
English (en)
Inventor
Bruce Gunderson
Original Assignee
Medtronic 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 Medtronic Inc filed Critical Medtronic Inc
Application granted granted Critical
Publication of ATE484314T1 publication Critical patent/ATE484314T1/de

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
    • A61N1/37—Monitoring; Protecting
    • A61N1/3702—Physiological parameters
    • A61N1/3704—Circuits specially adapted therefor, e.g. for sensitivity control
    • 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
    • A61N1/3925—Monitoring; Protecting

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Cardiology (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Biophysics (AREA)
  • Physiology (AREA)
  • Electrotherapy Devices (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)
AT05826150T 2004-12-01 2005-12-01 Gerät zur bestimmung von oversensing in einem medizinprodukt ATE484314T1 (de)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US63200004P 2004-12-01 2004-12-01
US11/107,533 US7266409B2 (en) 2004-12-01 2005-04-15 Method and apparatus for determining oversensing in a medical device
PCT/US2005/043347 WO2006060497A1 (en) 2004-12-01 2005-12-01 Method and apparatus for determining oversensing in a medical device

Publications (1)

Publication Number Publication Date
ATE484314T1 true ATE484314T1 (de) 2010-10-15

Family

ID=36032170

Family Applications (1)

Application Number Title Priority Date Filing Date
AT05826150T ATE484314T1 (de) 2004-12-01 2005-12-01 Gerät zur bestimmung von oversensing in einem medizinprodukt

Country Status (5)

Country Link
US (1) US7266409B2 (de)
EP (1) EP1827596B1 (de)
AT (1) ATE484314T1 (de)
DE (1) DE602005024166D1 (de)
WO (1) WO2006060497A1 (de)

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US7392085B2 (en) 2001-11-21 2008-06-24 Cameron Health, Inc. Multiple electrode vectors for implantable cardiac treatment devices
US7369893B2 (en) * 2004-12-01 2008-05-06 Medtronic, Inc. Method and apparatus for identifying lead-related conditions using prediction and detection criteria
US7333855B2 (en) 2004-12-01 2008-02-19 Medtronic, Inc. Method and apparatus for determining oversensing in a medical device
US7567835B2 (en) * 2005-04-18 2009-07-28 Medtronic, Inc. Method and apparatus for identifying oversensing using far-field intracardiac electrograms and marker channels
US7610090B1 (en) * 2006-03-01 2009-10-27 Pacesetter, Inc. Implantable medical device with automatic sensing adjustment
US7623909B2 (en) * 2006-05-26 2009-11-24 Cameron Health, Inc. Implantable medical devices and programmers adapted for sensing vector selection
US8200341B2 (en) 2007-02-07 2012-06-12 Cameron Health, Inc. Sensing vector selection in a cardiac stimulus device with postural assessment
US7783340B2 (en) 2007-01-16 2010-08-24 Cameron Health, Inc. Systems and methods for sensing vector selection in an implantable medical device using a polynomial approach
US20070276452A1 (en) * 2006-05-26 2007-11-29 Cameron Health, Inc. Implantable medical device systems having initialization functions and methods of operation
US8788023B2 (en) 2006-05-26 2014-07-22 Cameron Health, Inc. Systems and methods for sensing vector selection in an implantable medical device
US7539540B2 (en) * 2006-09-28 2009-05-26 Medtronic, Inc. Troubleshooting methods for a medical system including implantable components
US9381366B2 (en) * 2007-03-16 2016-07-05 Medtronic, Inc. Methods and apparatus for improved IPG rate response using subcutaneous electrodes directly coupled to an implantable medical device (IMD)
US7937135B2 (en) * 2007-05-01 2011-05-03 Medtronic, Inc. Method and apparatus for adjusting a sensing parameter
US7774049B2 (en) * 2007-05-01 2010-08-10 Medtronic, Inc. Method and apparatus for determining oversensing in a medical device
US8095206B2 (en) * 2007-05-01 2012-01-10 Medtronic, Inc. Method and apparatus for detecting arrhythmias in a medical device
US8494630B2 (en) 2008-01-18 2013-07-23 Cameron Health, Inc. Data manipulation following delivery of a cardiac stimulus in an implantable cardiac stimulus device
ES2503240T3 (es) 2008-03-07 2014-10-06 Cameron Health, Inc. Dispositivos para clasificar con precisión la actividad cardíaca
WO2009111764A2 (en) 2008-03-07 2009-09-11 Cameron Health, Inc Accurate cardiac event detection in an implantable cardiac stimulus device
ES2425102T3 (es) 2008-05-07 2013-10-11 Cameron Health, Inc. Dispositivos para clasificar de modo preciso la actividad cardiaca
EP2303403B1 (de) * 2008-06-02 2016-09-14 Medtronic, Inc. Elektrogramm-speicherung bei verdacht auf nicht-physiologische episoden
EP2320999A1 (de) * 2008-06-02 2011-05-18 Medtronic, Inc. Bestimmung der messintegrität auf basis des kardiovaskulären drucks
US8644931B2 (en) * 2008-06-02 2014-02-04 Medtronic, Inc. Impedance variability analysis to identify lead-related conditions
US9037240B2 (en) * 2008-06-02 2015-05-19 Medtronic, Inc. Electrode lead integrity reports
US20090299421A1 (en) * 2008-06-02 2009-12-03 Medtronic, Inc. Evaluation of implantable medical device sensing integrity based on evoked signals
US7974690B2 (en) * 2008-06-30 2011-07-05 Medtronic, Inc. Lead integrity testing during suspected tachyarrhythmias
US9522277B2 (en) 2008-07-28 2016-12-20 Medtronic, Inc. Lead integrity testing triggered by sensed signal saturation
US7953488B2 (en) * 2008-07-31 2011-05-31 Medtronic, Inc. Pre-qualification of an alternate sensing configuration
US8078277B2 (en) 2008-10-29 2011-12-13 Medtronic, Inc. Identification and remediation of oversensed cardiac events using far-field electrograms
US10118042B2 (en) 2008-10-31 2018-11-06 Medtronic, Inc. Lead integrity testing triggered by sensed asystole
US8712523B2 (en) 2008-12-12 2014-04-29 Cameron Health Inc. Implantable defibrillator systems and methods with mitigations for saturation avoidance and accommodation
AU2010273710B2 (en) 2009-06-29 2016-05-26 Cameron Health, Inc. Adaptive confirmation of treatable arrhythmia in implantable cardiac stimulus devices
US8744555B2 (en) 2009-10-27 2014-06-03 Cameron Health, Inc. Adaptive waveform appraisal in an implantable cardiac system
US8265737B2 (en) 2009-10-27 2012-09-11 Cameron Health, Inc. Methods and devices for identifying overdetection of cardiac signals
US8548573B2 (en) 2010-01-18 2013-10-01 Cameron Health, Inc. Dynamically filtered beat detection in an implantable cardiac device
US8396543B2 (en) * 2010-01-28 2013-03-12 Medtronic, Inc. Storage of data for evaluation of lead integrity
US8374692B2 (en) 2010-06-30 2013-02-12 Medtronic, Inc. Identifying a lead related condition based on motion-based lead impedance fluctuations
US8694097B2 (en) 2010-06-30 2014-04-08 Medtronic, Inc. Multi-channel sensing methods in implantable cardiovertor defibrillators
US8774909B2 (en) 2011-09-26 2014-07-08 Medtronic, Inc. Episode classifier algorithm
US8437840B2 (en) 2011-09-26 2013-05-07 Medtronic, Inc. Episode classifier algorithm
US8744560B2 (en) 2011-09-30 2014-06-03 Medtronic, Inc. Electrogram summary
US9668668B2 (en) 2011-09-30 2017-06-06 Medtronic, Inc. Electrogram summary
US8521281B2 (en) 2011-10-14 2013-08-27 Medtronic, Inc. Electrogram classification algorithm
US8886296B2 (en) 2011-10-14 2014-11-11 Medtronic, Inc. T-wave oversensing
US9839784B2 (en) 2012-05-08 2017-12-12 Medtronic, Inc. Identifying lead insulation breaches and externalization of lead conductors
US9572990B2 (en) 2012-07-11 2017-02-21 Medtronic, Inc. System and method for identifying lead dislodgement
US9149645B2 (en) 2013-03-11 2015-10-06 Cameron Health, Inc. Methods and devices implementing dual criteria for arrhythmia detection
US9579065B2 (en) 2013-03-12 2017-02-28 Cameron Health Inc. Cardiac signal vector selection with monophasic and biphasic shape consideration
US10293155B2 (en) 2013-03-15 2019-05-21 Medtronic, Inc. Identify insulation breach using electrograms
US9950155B2 (en) 2013-03-15 2018-04-24 Medtronic, Inc. Identify insulation breach using electrograms
US9008773B2 (en) 2013-03-15 2015-04-14 Medtronic, Inc. Identification of insulation breach using electrograms
US9409026B2 (en) 2014-02-13 2016-08-09 Medtronic, Inc. Lead monitoring frequency based on lead and patient characteristics
US9399141B2 (en) 2014-02-13 2016-07-26 Medtronic, Inc. Lead monitoring frequency based on lead and patient characteristics
US9302100B2 (en) 2014-02-13 2016-04-05 Medtronic, Inc. Lead monitoring frequency based on lead and patient characteristics
US9554714B2 (en) 2014-08-14 2017-01-31 Cameron Health Inc. Use of detection profiles in an implantable medical device
US9199078B1 (en) 2014-10-24 2015-12-01 Medtronic, Inc. Identifying lead problems using amplitudes of far-field cardiac events
US10252068B2 (en) 2015-11-06 2019-04-09 Medtronic, Inc. Reducing false positive lead integrity alerts
US11559241B2 (en) 2019-10-01 2023-01-24 Pacesetter, Inc. Methods and systems for reducing false declarations of arrhythmias
US11559242B2 (en) 2020-01-30 2023-01-24 Pacesetter, Inc. Methods and systems for distinguishing over-sensed R-R intervals from true R-R intervals
US11647940B2 (en) 2020-05-04 2023-05-16 Pacesetter, Inc R-R interval pattern recognition for use in arrhythmia discrimination
US11766207B2 (en) 2020-06-01 2023-09-26 Pacesetter, Inc. Methods, devices and systems for improving R-wave detection and arrhtymia detection accuracy
US12161474B2 (en) 2020-06-02 2024-12-10 Pacesetter, Inc. Methods, devices and systems for identifying false R-R intervals and false arrhythmia detections due to R-wave undersensing or intermittent AV conduction block
US12076574B2 (en) 2020-10-08 2024-09-03 Cardiac Pacemakers, Inc. Cardiac beat classification to avoid delivering shock during ventricular repolarization
US12390167B2 (en) 2021-06-22 2025-08-19 Pacesetter, Inc. Methods and systems for determining whether R-wave detections should be classified as false due to T-wave oversensing (TWO) or P-wave oversensing (PWO)
US12350059B2 (en) 2021-09-07 2025-07-08 Pacesetter, Inc. Robust ventricular sensing of far-field EGM or ECG signals that avoids oversensing of ventricular sensed events

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US4374382A (en) 1981-01-16 1983-02-15 Medtronic, Inc. Marker channel telemetry system for a medical device
US4428378A (en) 1981-11-19 1984-01-31 Medtronic, Inc. Rate adaptive pacer
US4913146A (en) 1987-10-13 1990-04-03 Telectronics Pacing Systems Inc. Cardiac sense amplifier with pattern recognition capabilities
US5354319A (en) 1990-01-22 1994-10-11 Medtronic, Inc. Telemetry system for an implantable medical device
US5127404A (en) 1990-01-22 1992-07-07 Medtronic, Inc. Telemetry format for implanted medical device
US5107833A (en) 1990-11-02 1992-04-28 Medtronic, Inc. Telemetry gain adjustment algorithm and signal strength indication in a noisy environment
US5168871A (en) 1990-11-09 1992-12-08 Medtronic, Inc. Method and apparatus for processing quasi-transient telemetry signals in noisy environments
US5117824A (en) 1990-11-14 1992-06-02 Medtronic, Inc. Apparatus for monitoring electrical physiologic signals
US5383909A (en) 1993-01-29 1995-01-24 Medtronic, Inc. Diagnostic telemetry system for an apparatus for detection and treatment of tachycardia and fibrillation
US5324315A (en) 1993-08-12 1994-06-28 Medtronic, Inc. Closed-loop downlink telemetry and method for implantable medical device
US5545186A (en) 1995-03-30 1996-08-13 Medtronic, Inc. Prioritized rule based method and apparatus for diagnosis and treatment of arrhythmias
EP0993842B1 (de) 1996-05-14 2003-01-15 Medtronic, Inc. Sich auf Prioritätsregeln beziehendes Gerät für Diagnose und Behandlung von Herzarryhythmie
US6155267A (en) 1998-12-31 2000-12-05 Medtronic, Inc. Implantable medical device monitoring method and system regarding same
US7167747B2 (en) 2003-05-13 2007-01-23 Medtronic, Inc. Identification of oversensing using sinus R-wave template

Also Published As

Publication number Publication date
US7266409B2 (en) 2007-09-04
WO2006060497A1 (en) 2006-06-08
EP1827596A1 (de) 2007-09-05
US20060116730A1 (en) 2006-06-01
DE602005024166D1 (de) 2010-11-25
EP1827596B1 (de) 2010-10-13

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