ATE530224T1 - Gerät und verfahren zur optimierung von atrioventrikulären pacing-verzögerungsintervallen - Google Patents
Gerät und verfahren zur optimierung von atrioventrikulären pacing-verzögerungsintervallenInfo
- Publication number
- ATE530224T1 ATE530224T1 AT09720935T AT09720935T ATE530224T1 AT E530224 T1 ATE530224 T1 AT E530224T1 AT 09720935 T AT09720935 T AT 09720935T AT 09720935 T AT09720935 T AT 09720935T AT E530224 T1 ATE530224 T1 AT E530224T1
- Authority
- AT
- Austria
- Prior art keywords
- interval
- qrsbeg
- pwend
- avopt
- foregoing
- Prior art date
Links
- 238000000034 method Methods 0.000 title abstract 3
- 230000000737 periodic effect Effects 0.000 abstract 1
- 238000000718 qrs complex Methods 0.000 abstract 1
- 230000001960 triggered effect Effects 0.000 abstract 1
- 230000002861 ventricular Effects 0.000 abstract 1
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
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/316—Modalities, i.e. specific diagnostic methods
- A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
- A61B5/346—Analysis of electrocardiograms
- A61B5/349—Detecting specific parameters of the electrocardiograph cycle
- A61B5/353—Detecting P-waves
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/316—Modalities, i.e. specific diagnostic methods
- A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
- A61B5/346—Analysis of electrocardiograms
- A61B5/349—Detecting specific parameters of the electrocardiograph cycle
-
- 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
- A61N1/372—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)
- Life Sciences & Earth Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Engineering & Computer Science (AREA)
- Public Health (AREA)
- Heart & Thoracic Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- Hospice & Palliative Care (AREA)
- Radiology & Medical Imaging (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Physics & Mathematics (AREA)
- Biophysics (AREA)
- Pathology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Surgery (AREA)
- Electrotherapy Devices (AREA)
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US12/047,935 US20090234414A1 (en) | 2008-03-13 | 2008-03-13 | Apparatus and methods of optimizing atrioventricular pacing delay intervals |
| PCT/US2009/036470 WO2009114447A1 (en) | 2008-03-13 | 2009-03-09 | Apparatus and methods of optimizing atrioventricular pacing delay intervals |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| ATE530224T1 true ATE530224T1 (de) | 2011-11-15 |
Family
ID=40626962
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| AT09720935T ATE530224T1 (de) | 2008-03-13 | 2009-03-09 | Gerät und verfahren zur optimierung von atrioventrikulären pacing-verzögerungsintervallen |
Country Status (4)
| Country | Link |
|---|---|
| US (1) | US20090234414A1 (de) |
| EP (1) | EP2268356B1 (de) |
| AT (1) | ATE530224T1 (de) |
| WO (1) | WO2009114447A1 (de) |
Families Citing this family (73)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20090234413A1 (en) | 2008-03-13 | 2009-09-17 | Sambelashvili Aleksandre T | Apparatus and methods of adjusting atrioventricular pacing delay intervals in a rate adaptive pacemaker |
| US7941218B2 (en) * | 2008-03-13 | 2011-05-10 | Medtronic, Inc. | Apparatus and methods of optimizing atrioventricular pacing delay intervals |
| WO2012061612A2 (en) | 2010-11-03 | 2012-05-10 | Cardioinsight Technologies, Inc. | System and method for assessing heart function |
| US9510763B2 (en) | 2011-05-03 | 2016-12-06 | Medtronic, Inc. | Assessing intra-cardiac activation patterns and electrical dyssynchrony |
| US8886307B2 (en) | 2012-01-30 | 2014-11-11 | Medtronic, Inc. | Adaptive cardiac resynchronization therapy |
| CN102579034B (zh) * | 2012-02-28 | 2013-12-11 | 中国人民解放军总医院 | 房室旁道和房性心律失常的定位装置 |
| US10064567B2 (en) | 2013-04-30 | 2018-09-04 | Medtronic, Inc. | Systems, methods, and interfaces for identifying optimal electrical vectors |
| US9924884B2 (en) | 2013-04-30 | 2018-03-27 | Medtronic, Inc. | Systems, methods, and interfaces for identifying effective electrodes |
| US9877789B2 (en) | 2013-06-12 | 2018-01-30 | Medtronic, Inc. | Implantable electrode location selection |
| US9474457B2 (en) | 2013-06-12 | 2016-10-25 | Medtronic, Inc. | Metrics of electrical dyssynchrony and electrical activation patterns from surface ECG electrodes |
| US10251555B2 (en) | 2013-06-12 | 2019-04-09 | Medtronic, Inc. | Implantable electrode location selection |
| US9248294B2 (en) | 2013-09-11 | 2016-02-02 | Medtronic, Inc. | Method and apparatus for optimization of cardiac resynchronization therapy using vectorcardiograms derived from implanted electrodes |
| US9511233B2 (en) | 2013-11-21 | 2016-12-06 | Medtronic, Inc. | Systems and methods for leadless cardiac resynchronization therapy |
| US9993172B2 (en) | 2013-12-09 | 2018-06-12 | Medtronic, Inc. | Noninvasive cardiac therapy evaluation |
| US9776009B2 (en) | 2014-03-20 | 2017-10-03 | Medtronic, Inc. | Non-invasive detection of phrenic nerve stimulation |
| 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 |
| US9591982B2 (en) | 2014-07-31 | 2017-03-14 | Medtronic, Inc. | Systems and methods for evaluating cardiac therapy |
| US9586052B2 (en) | 2014-08-15 | 2017-03-07 | Medtronic, Inc. | Systems and methods for evaluating cardiac therapy |
| US9586050B2 (en) | 2014-08-15 | 2017-03-07 | Medtronic, Inc. | Systems and methods for configuration of atrioventricular interval |
| US9764143B2 (en) | 2014-08-15 | 2017-09-19 | Medtronic, Inc. | Systems and methods for configuration of interventricular interval |
| US20160317840A1 (en) * | 2015-01-29 | 2016-11-03 | Medtronic, Inc. | Noninvasive assessment of cardiac resynchronization therapy |
| US11253178B2 (en) | 2015-01-29 | 2022-02-22 | Medtronic, Inc. | Noninvasive assessment of cardiac resynchronization therapy |
| 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 |
| US11219769B2 (en) | 2016-02-26 | 2022-01-11 | Medtronic, Inc. | Noninvasive methods and systems of determining the extent of tissue capture from cardiac pacing |
| US10780279B2 (en) | 2016-02-26 | 2020-09-22 | Medtronic, Inc. | Methods and systems of optimizing right ventricular only pacing for patients with respect to an atrial event and left ventricular event |
| US9802055B2 (en) | 2016-04-04 | 2017-10-31 | Medtronic, Inc. | Ultrasound powered pulse delivery device |
| 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 |
| US10532213B2 (en) | 2017-03-03 | 2020-01-14 | Medtronic, Inc. | Criteria for determination of local tissue latency near pacing electrode |
| US10987517B2 (en) | 2017-03-15 | 2021-04-27 | Medtronic, Inc. | Detection of noise signals in cardiac signals |
| CN110996784B (zh) | 2017-07-28 | 2023-05-30 | 美敦力公司 | 生成激动时间 |
| EP3658227B1 (de) | 2017-07-28 | 2021-05-12 | Medtronic, Inc. | Herzzyklusauswahl |
| US10694967B2 (en) | 2017-10-18 | 2020-06-30 | Medtronic, Inc. | State-based atrial event detection |
| US10492705B2 (en) | 2017-12-22 | 2019-12-03 | Regents Of The University Of Minnesota | Anterior and posterior electrode signals |
| US11419539B2 (en) | 2017-12-22 | 2022-08-23 | Regents Of The University Of Minnesota | QRS onset and offset times and cycle selection using anterior and posterior electrode signals |
| US10786167B2 (en) | 2017-12-22 | 2020-09-29 | Medtronic, Inc. | Ectopic beat-compensated electrical heterogeneity information |
| US10799703B2 (en) | 2017-12-22 | 2020-10-13 | Medtronic, Inc. | Evaluation of his bundle pacing therapy |
| US10433746B2 (en) | 2017-12-22 | 2019-10-08 | Regents Of The University Of Minnesota | Systems and methods for anterior and posterior electrode signal analysis |
| US10617318B2 (en) | 2018-02-27 | 2020-04-14 | Medtronic, Inc. | Mapping electrical activity on a model heart |
| US10668290B2 (en) | 2018-03-01 | 2020-06-02 | Medtronic, Inc. | Delivery of pacing therapy by a cardiac pacing device |
| US10918870B2 (en) | 2018-03-07 | 2021-02-16 | Medtronic, Inc. | Atrial lead placement for treatment of atrial dyssynchrony |
| WO2019183507A1 (en) | 2018-03-23 | 2019-09-26 | Medtronic, Inc. | Av synchronous vfa cardiac therapy |
| US11058880B2 (en) | 2018-03-23 | 2021-07-13 | Medtronic, Inc. | VFA cardiac therapy for tachycardia |
| US10780281B2 (en) | 2018-03-23 | 2020-09-22 | Medtronic, Inc. | Evaluation of ventricle from atrium pacing therapy |
| 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 |
| EP3773187B1 (de) | 2018-03-29 | 2025-02-19 | Medtronic, Inc. | Einstellung und beurteilung einer linksventrikulären unterstützungsvorrichtung |
| US10596383B2 (en) | 2018-04-03 | 2020-03-24 | Medtronic, Inc. | Feature based sensing for leadless pacing therapy |
| US10940321B2 (en) | 2018-06-01 | 2021-03-09 | Medtronic, Inc. | Systems, methods, and interfaces for use in cardiac evaluation |
| US11304641B2 (en) | 2018-06-01 | 2022-04-19 | Medtronic, Inc. | Systems, methods, and interfaces for use in cardiac evaluation |
| US11273312B2 (en) | 2018-09-21 | 2022-03-15 | Pacesetter, Inc. | Method and system for dynamic device-based delay adjustment |
| US11154719B2 (en) | 2018-09-21 | 2021-10-26 | Pacesetter, Inc. | Method and system utilizing a percentage-based atrio-ventricular delay adjustment |
| 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 |
| US11547858B2 (en) | 2019-03-29 | 2023-01-10 | Medtronic, Inc. | Systems, methods, and devices for adaptive 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 |
| US11497431B2 (en) | 2019-10-09 | 2022-11-15 | Medtronic, Inc. | Systems and methods for configuring cardiac therapy |
| US12201843B2 (en) | 2019-10-09 | 2025-01-21 | Medtronic, Inc. | Synchronizing external electrical activity |
| US11642533B2 (en) | 2019-11-04 | 2023-05-09 | Medtronic, Inc. | Systems and methods for evaluating cardiac therapy |
| US11813466B2 (en) | 2020-01-27 | 2023-11-14 | Medtronic, Inc. | Atrioventricular nodal stimulation |
| US12383183B2 (en) | 2020-01-30 | 2025-08-12 | Medtronic, Inc. | Disturbance detection and removal in cardiac signals |
| 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 |
| US12023503B2 (en) | 2020-07-30 | 2024-07-02 | Medtronic, Inc. | ECG belt systems to interoperate with IMDs |
| US11813464B2 (en) | 2020-07-31 | 2023-11-14 | Medtronic, Inc. | Cardiac conduction system evaluation |
| US12465770B2 (en) | 2020-07-31 | 2025-11-11 | Medtronic, Inc. | Coronary sinus conduction system pacing and delivery |
| US12280260B2 (en) | 2020-12-02 | 2025-04-22 | Medtronic, Inc. | Evaluation and adjustment of left bundle branch (LBB) pacing therapy |
Family Cites Families (13)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5179949A (en) * | 1990-12-07 | 1993-01-19 | Raul Chirife | Cardiac pacemaker with automatic a-v programming for optimization of left heart a-v interval |
| US5741308A (en) * | 1992-11-13 | 1998-04-21 | Pacesetter, Inc. | Dual-chamber implantable pacemaker and method of operating same for automatically setting the pacemaker's AV interval as a function of a natural measured conduction time |
| US5334220A (en) * | 1992-11-13 | 1994-08-02 | Siemens Pacesetter, Inc. | Dual-chamber implantable pacemaker having an adaptive AV interval that prevents ventricular fusion beats and method of operating same |
| US6871096B2 (en) * | 2001-10-26 | 2005-03-22 | Medtronic, Inc. | System and method for bi-ventricular fusion pacing |
| 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 |
| US6876881B2 (en) * | 2002-08-16 | 2005-04-05 | Cardiac Pacemakers, Inc. | Cardiac rhythm management system with respiration synchronous optimization of cardiac performance using atrial cycle length |
| US7558623B2 (en) * | 2002-09-20 | 2009-07-07 | Angel Medical Systems, Inc. | Means and method for the detection of cardiac events |
| US7209790B2 (en) | 2002-09-30 | 2007-04-24 | Medtronic, Inc. | Multi-mode programmer for medical device communication |
| US7079895B2 (en) * | 2003-04-25 | 2006-07-18 | Medtronic, Inc. | Cardiac pacing for optimal intra-left ventricular resynchronization |
| US7254442B2 (en) * | 2004-03-17 | 2007-08-07 | Medtronic, Inc. | Apparatus and method for “LEPARS” interval-based fusion pacing |
| US7181284B2 (en) * | 2004-03-17 | 2007-02-20 | Medtronic, Inc. | Apparatus and methods of energy efficient, atrial-based Bi-ventricular fusion-pacing |
| US8214041B2 (en) * | 2005-04-19 | 2012-07-03 | Medtronic, Inc. | Optimization of AV intervals in single ventricle fusion pacing through electrogram morphology |
| US7647105B2 (en) * | 2005-11-30 | 2010-01-12 | Medtronics, Inc. | Method and system for detecting and treating junctional rhythms |
-
2008
- 2008-03-13 US US12/047,935 patent/US20090234414A1/en not_active Abandoned
-
2009
- 2009-03-09 EP EP09720935A patent/EP2268356B1/de not_active Not-in-force
- 2009-03-09 AT AT09720935T patent/ATE530224T1/de not_active IP Right Cessation
- 2009-03-09 WO PCT/US2009/036470 patent/WO2009114447A1/en not_active Ceased
Also Published As
| Publication number | Publication date |
|---|---|
| EP2268356B1 (de) | 2011-10-26 |
| US20090234414A1 (en) | 2009-09-17 |
| WO2009114447A1 (en) | 2009-09-17 |
| EP2268356A1 (de) | 2011-01-05 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| RER | Ceased as to paragraph 5 lit. 3 law introducing patent treaties |