ATE510587T1 - Vorrichtung zur optimierung von interventrikulären stimulationsintervallen - Google Patents

Vorrichtung zur optimierung von interventrikulären stimulationsintervallen

Info

Publication number
ATE510587T1
ATE510587T1 AT09725436T AT09725436T ATE510587T1 AT E510587 T1 ATE510587 T1 AT E510587T1 AT 09725436 T AT09725436 T AT 09725436T AT 09725436 T AT09725436 T AT 09725436T AT E510587 T1 ATE510587 T1 AT E510587T1
Authority
AT
Austria
Prior art keywords
interval
values
optimizing
ventricle
parameters
Prior art date
Application number
AT09725436T
Other languages
English (en)
Inventor
Aleksandre Sambelashvili
Thomas Mullen
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 ATE510587T1 publication Critical patent/ATE510587T1/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
    • A61N1/3627—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
    • A61N1/368—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
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/375—Constructional arrangements, e.g. casings
    • A61N1/37512—Pacemakers
    • 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
    • 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
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/375—Constructional arrangements, e.g. casings
    • A61N1/37518—Anchoring of the implants, e.g. fixation
    • 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
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/375—Constructional arrangements, e.g. casings
    • A61N1/3752—Details of casing-lead connections
    • 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
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/375—Constructional arrangements, e.g. casings
    • A61N1/3756—Casings with electrodes thereon, e.g. leadless stimulators

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Biophysics (AREA)
  • Physiology (AREA)
  • Hospice & Palliative Care (AREA)
  • Electrotherapy Devices (AREA)
AT09725436T 2008-03-25 2009-03-11 Vorrichtung zur optimierung von interventrikulären stimulationsintervallen ATE510587T1 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US12/054,799 US7881791B2 (en) 2008-03-25 2008-03-25 Apparatus and methods of optimizing ventricle-to-ventricular pacing delay intervals
PCT/US2009/036818 WO2009120499A1 (en) 2008-03-25 2009-03-11 Apparatus and methods of optimizing ventricle-to-ventricular pacing delay intervals

Publications (1)

Publication Number Publication Date
ATE510587T1 true ATE510587T1 (de) 2011-06-15

Family

ID=40584748

Family Applications (1)

Application Number Title Priority Date Filing Date
AT09725436T ATE510587T1 (de) 2008-03-25 2009-03-11 Vorrichtung zur optimierung von interventrikulären stimulationsintervallen

Country Status (4)

Country Link
US (1) US7881791B2 (de)
EP (1) EP2188011B1 (de)
AT (1) ATE510587T1 (de)
WO (1) WO2009120499A1 (de)

Families Citing this family (33)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20130053918A1 (en) 2011-08-30 2013-02-28 Aleksandre T. Sambelashvili Left-ventricular pacing site selection guided by electrogram morphology analysis
US9956416B2 (en) 2011-12-22 2018-05-01 Medtronic, Inc. Monitoring activation times for use in determining pacing effectiveness
US8886315B2 (en) 2011-12-23 2014-11-11 Medtronic, Inc. Effectiveness of ventricular sense response in CRT
US9002454B2 (en) 2011-12-23 2015-04-07 Medtronic, Inc. Tracking pacing effectiveness based on waveform features
US8886307B2 (en) 2012-01-30 2014-11-11 Medtronic, Inc. Adaptive cardiac resynchronization therapy
US9511233B2 (en) 2013-11-21 2016-12-06 Medtronic, Inc. Systems and methods for leadless cardiac resynchronization therapy
US9669224B2 (en) 2014-05-06 2017-06-06 Medtronic, Inc. Triggered pacing system
US9492671B2 (en) 2014-05-06 2016-11-15 Medtronic, Inc. Acoustically triggered therapy delivery
US10004906B2 (en) 2015-07-16 2018-06-26 Medtronic, Inc. Confirming sensed atrial events for pacing during resynchronization therapy in a cardiac medical device and medical device system
US9731138B1 (en) 2016-02-17 2017-08-15 Medtronic, Inc. System and method for cardiac pacing
US9802055B2 (en) 2016-04-04 2017-10-31 Medtronic, Inc. Ultrasound powered pulse delivery device
US10729898B2 (en) 2016-04-06 2020-08-04 Cardiac Pacemakers, Inc. Multi-site CRT capture verification
EP3463563B1 (de) * 2016-05-31 2020-09-23 Medtronic, Inc. Elektrogrammbasierte steuerung der herzresynchronisationstherapie
US11077306B2 (en) 2017-01-27 2021-08-03 Medtronic, Inc. Heart rate based control of cardiac resynchronization therapy
US10694967B2 (en) 2017-10-18 2020-06-30 Medtronic, Inc. State-based atrial event detection
US11058880B2 (en) 2018-03-23 2021-07-13 Medtronic, Inc. VFA cardiac therapy for tachycardia
JP2021518192A (ja) 2018-03-23 2021-08-02 メドトロニック，インコーポレイテッド ＶｆＡ心臓再同期治療
WO2019183507A1 (en) 2018-03-23 2019-09-26 Medtronic, Inc. Av synchronous vfa cardiac therapy
US10596383B2 (en) 2018-04-03 2020-03-24 Medtronic, Inc. Feature based sensing for leadless pacing therapy
US11235161B2 (en) 2018-09-26 2022-02-01 Medtronic, Inc. Capture in ventricle-from-atrium cardiac therapy
US11951313B2 (en) 2018-11-17 2024-04-09 Medtronic, Inc. VFA delivery systems and methods
US12296177B2 (en) 2018-12-21 2025-05-13 Medtronic, Inc. Delivery systems and methods for left ventricular pacing
US11679265B2 (en) 2019-02-14 2023-06-20 Medtronic, Inc. Lead-in-lead systems and methods for cardiac therapy
US11697025B2 (en) 2019-03-29 2023-07-11 Medtronic, Inc. Cardiac conduction system capture
US11213676B2 (en) 2019-04-01 2022-01-04 Medtronic, Inc. Delivery systems for VfA cardiac therapy
US11712188B2 (en) 2019-05-07 2023-08-01 Medtronic, Inc. Posterior left bundle branch engagement
US11305127B2 (en) 2019-08-26 2022-04-19 Medtronic Inc. VfA delivery and implant region detection
US11813466B2 (en) 2020-01-27 2023-11-14 Medtronic, Inc. Atrioventricular nodal stimulation
US12543992B2 (en) 2020-03-30 2026-02-10 Medtronic, Inc. Pacing efficacy determination using a representative morphology of external cardiac signals
US11911168B2 (en) 2020-04-03 2024-02-27 Medtronic, Inc. Cardiac conduction system therapy benefit determination
US12465770B2 (en) 2020-07-31 2025-11-11 Medtronic, Inc. Coronary sinus conduction system pacing and delivery
US11813464B2 (en) 2020-07-31 2023-11-14 Medtronic, Inc. Cardiac conduction system evaluation
CN119655770B (zh) * 2024-11-01 2025-11-18 华中科技大学同济医学院附属同济医院 Crt的v-v间期优化方法、装置、设备及存储介质

Family Cites Families (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6931279B2 (en) 2002-04-22 2005-08-16 Medtronic, Inc. Method and apparatus for implementing task-oriented induction capabilities in an implantable cardioverter defibrillator and programmer
US6839592B2 (en) 2002-04-22 2005-01-04 Medtronic, Inc. Cardiac resynchronization with adaptive A1-A2 and/or V1-V2 intervals
US7209790B2 (en) 2002-09-30 2007-04-24 Medtronic, Inc. Multi-mode programmer for medical device communication
US7013176B2 (en) 2003-01-28 2006-03-14 Cardiac Pacemakers, Inc. Method and apparatus for setting pacing parameters in cardiac resynchronization therapy
US7499750B2 (en) 2003-04-11 2009-03-03 Cardiac Pacemakers, Inc. Noise canceling cardiac electrodes
US7184835B2 (en) 2003-12-12 2007-02-27 Cardiac Pacemakers, Inc. Method and apparatus for adjustable AVD programming using a table
US7555340B2 (en) * 2005-04-01 2009-06-30 Cardiac Pacemakers, Inc. Electrogram morphology-based CRT optimization
US7702390B1 (en) * 2006-12-13 2010-04-20 Pacesetter, Inc. Rate adaptive biventricular and cardiac resynchronization therapy

Also Published As

Publication number Publication date
US20090248103A1 (en) 2009-10-01
EP2188011A1 (de) 2010-05-26
WO2009120499A1 (en) 2009-10-01
EP2188011B1 (de) 2011-05-25
US7881791B2 (en) 2011-02-01

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