ATE552778T1 - Implantierbare medizinische vorrichtung zur beurteilung der thorax-impedanz - Google Patents

Implantierbare medizinische vorrichtung zur beurteilung der thorax-impedanz

Info

Publication number
ATE552778T1
ATE552778T1 AT08008225T AT08008225T ATE552778T1 AT E552778 T1 ATE552778 T1 AT E552778T1 AT 08008225 T AT08008225 T AT 08008225T AT 08008225 T AT08008225 T AT 08008225T AT E552778 T1 ATE552778 T1 AT E552778T1
Authority
AT
Austria
Prior art keywords
current
impedance
measuring
determination unit
voltage
Prior art date
Application number
AT08008225T
Other languages
English (en)
Inventor
Sharon Lefkov
David Hastings
Voir Christopher S De
Garth Garner
Dirk Muessig
Hannes Kraetschmer
Original Assignee
Biotronik Crm Patent Ag
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 Biotronik Crm Patent Ag filed Critical Biotronik Crm Patent Ag
Application granted granted Critical
Publication of ATE552778T1 publication Critical patent/ATE552778T1/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
    • A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves
    • A61B5/053—Measuring electrical impedance or conductance of a portion of the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves
    • A61B5/053—Measuring electrical impedance or conductance of a portion of the body
    • A61B5/0538—Measuring electrical impedance or conductance of a portion of the body invasively, e.g. using a catheter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/48—Other medical applications
    • A61B5/4869—Determining body composition
    • A61B5/4875—Hydration status, fluid retention of the body
    • A61B5/4878—Evaluating oedema
    • 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
    • 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
    • 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
    • A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7271—Specific aspects of physiological measurement analysis
    • A61B5/7285—Specific aspects of physiological measurement analysis for synchronizing or triggering a physiological measurement or image acquisition with a physiological event or waveform, e.g. an ECG signal
    • 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)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Biophysics (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Radiology & Medical Imaging (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Cardiology (AREA)
  • Physiology (AREA)
  • Hematology (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Electrotherapy Devices (AREA)
AT08008225T 2007-05-29 2008-04-30 Implantierbare medizinische vorrichtung zur beurteilung der thorax-impedanz ATE552778T1 (de)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US11/754,973 US7970462B2 (en) 2007-05-29 2007-05-29 Implantable medical devices evaluating thorax impedance

Publications (1)

Publication Number Publication Date
ATE552778T1 true ATE552778T1 (de) 2012-04-15

Family

ID=39650570

Family Applications (1)

Application Number Title Priority Date Filing Date
AT08008225T ATE552778T1 (de) 2007-05-29 2008-04-30 Implantierbare medizinische vorrichtung zur beurteilung der thorax-impedanz

Country Status (3)

Country Link
US (1) US7970462B2 (de)
EP (1) EP1997427B1 (de)
AT (1) ATE552778T1 (de)

Families Citing this family (39)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2009075868A1 (en) * 2007-12-12 2009-06-18 Cardiac Pacemakers, Inc. Painless non-stimulating lead impedance measurement
US8366615B2 (en) * 2009-01-05 2013-02-05 Texas Heart Institute Introducer sheath with electrodes
US9078627B2 (en) 2008-01-04 2015-07-14 Texas Heart Institute Introducer sheath with electrodes
US8273023B2 (en) * 2009-01-05 2012-09-25 Texas Heart Institute Introducer sheathe with electrodes
US8961417B2 (en) * 2008-01-04 2015-02-24 Texas Heart Institute Catheter with electrodes for impedance and/or conduction velocity measurement
EP2135549B1 (de) 2008-06-17 2013-03-13 Biotronik CRM Patent AG Nachtatmungsrate zur Herzfehlerüberwachung
US8255046B2 (en) 2008-07-31 2012-08-28 Medtronic, Inc. Detecting worsening heart failure based on impedance measurements
US9713701B2 (en) 2008-07-31 2017-07-25 Medtronic, Inc. Using multiple diagnostic parameters for predicting heart failure events
US8032212B2 (en) * 2008-09-15 2011-10-04 Pacesetter, Inc. System and method for monitoring thoracic fluid levels based on impedance using an implantable medical device
US8632473B2 (en) 2009-01-30 2014-01-21 Medtronic, Inc. Detecting worsening heart failure based on fluid accumulation with respiratory confirmation
US8900140B2 (en) * 2009-10-27 2014-12-02 Cardiac Pacemakers, Inc. Multiple vector fluid localization
US8271072B2 (en) 2009-10-30 2012-09-18 Medtronic, Inc. Detecting worsening heart failure
US8958875B2 (en) * 2010-02-03 2015-02-17 Medtronic, Inc. Stimulation mode switching based on tissue impedance stability
EP2364644B1 (de) * 2010-03-09 2016-04-13 BIOTRONIK SE & Co. KG Elektromedizinisches Implantat und Überwachungssystem
EP2415396B1 (de) 2010-08-06 2016-08-17 BIOTRONIK SE & Co. KG Herzmonitor
US8639328B2 (en) 2010-10-29 2014-01-28 Medtronic, Inc. Cardiac therapy based upon impedance signals
US8428720B2 (en) 2010-10-29 2013-04-23 Medtronic, Inc. Posture-induced changes to physiological parameters
US20120150060A1 (en) * 2010-12-10 2012-06-14 Pacesetter, Inc. Method and system to estimate impedance of a pseudo sensing vector
WO2012082698A2 (en) 2010-12-15 2012-06-21 Cardiac Pacemakers, Inc. Posture detection using thoracic impedance
EP2651291A2 (de) 2010-12-15 2013-10-23 Cardiac Pacemakers, Inc. Nachweis von herzdekompensation mit mehreren sensoren
JP2012157463A (ja) * 2011-01-31 2012-08-23 Olympus Corp 生体インピーダンス測定装置
US9211414B2 (en) 2011-05-12 2015-12-15 Biotronik Se & Co Kg Implantable heart stimulator and method for trending analysis of ventricular activation time
US8718750B2 (en) 2011-05-26 2014-05-06 Biotronik Se & Co. Kg Heart stimulator and method for A-V delay optimization
WO2012170119A1 (en) * 2011-06-06 2012-12-13 St. Jude Medical, Atrial Fibrillation Division, Inc. Noise tolerant localization systems and methods
WO2013121327A1 (en) 2012-02-15 2013-08-22 Koninklijke Philips Electronics N.V. Biompedance spectrography system and method
PL398277A1 (pl) * 2012-02-29 2013-09-02 Bone Vitae Spólka Akcyjna Sposób sterowania elektrodami do pomiaru bioimpedancyjnych i urzadzenie do pomiarów bioimpedancyjnych
US9808206B1 (en) * 2013-09-09 2017-11-07 Scanadu, Inc. Data acquisition quality and data fusion for personal portable wireless vital signs scanner
US9456763B2 (en) * 2013-09-11 2016-10-04 Medtronic, Inc. Apparatus and method for simultaneous capture of biopotential and tissue impedance signals
US9199086B2 (en) 2014-01-17 2015-12-01 Medtronic, Inc. Cardiac resynchronization therapy optimization based on intracardiac impedance
US9387330B2 (en) 2014-01-17 2016-07-12 Medtronic, Inc. Cardiac resynchronization therapy optimization based on intracardiac impedance and heart sounds
EP2957321B1 (de) * 2014-06-19 2018-10-10 BIOTRONIK SE & Co. KG Vorrichtung zur optimierung von schrittmacherparametern
US9993173B2 (en) 2015-09-30 2018-06-12 Biotronik Se & Co. Kg Analysis of ECG data for arrhythmia
US10952686B2 (en) 2016-08-02 2021-03-23 Medtronic, Inc. Mobile application to prompt physical action to measure physiologic response in implantable device
US12478285B2 (en) 2016-08-02 2025-11-25 Medtronic, Inc. Accelerometer signal change as a measure of patient functional status
US11717186B2 (en) 2019-08-27 2023-08-08 Medtronic, Inc. Body stability measurement
US12611115B2 (en) 2019-09-27 2026-04-28 Medtronic, Inc. Determining likelihood of an adverse health event based on various physiological diagnostic states
US12575755B2 (en) 2019-09-27 2026-03-17 Medtronic, Inc. Determining health condition statuses using subcutaneous impedance measurements
US11602313B2 (en) 2020-07-28 2023-03-14 Medtronic, Inc. Determining a fall risk responsive to detecting body position movements
US20230136130A1 (en) * 2021-11-01 2023-05-04 Medtronic, Inc. Hematocrit sensor based on impedance measurement in cardiovascular implantable electronic devices

Family Cites Families (41)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2820418A (en) * 1954-04-02 1958-01-21 Gen Motors Corp Jet assembly for pumps
DE3732640C1 (de) 1987-09-28 1989-05-18 Alt Eckhard Medizinisches Geraet zum Ermitteln von physiologischen Funktionsparametern
US5174286A (en) * 1990-12-07 1992-12-29 Raul Chirife Sensor for right ventricular and thoracic volumes using the trailing edge value of a generated pulse
US5562711A (en) * 1994-11-30 1996-10-08 Medtronic, Inc. Method and apparatus for rate-responsive cardiac pacing
US5782884A (en) 1996-11-05 1998-07-21 Sulzer Intermedics Inc. Rate responsive cardiac pacemaker with peak impedance detection for rate control
US5876353A (en) * 1997-01-31 1999-03-02 Medtronic, Inc. Impedance monitor for discerning edema through evaluation of respiratory rate
US5957861A (en) * 1997-01-31 1999-09-28 Medtronic, Inc. Impedance monitor for discerning edema through evaluation of respiratory rate
US6473640B1 (en) * 1999-01-25 2002-10-29 Jay Erlebacher Implantable device and method for long-term detection and monitoring of congestive heart failure
US6512949B1 (en) * 1999-07-12 2003-01-28 Medtronic, Inc. Implantable medical device for measuring time varying physiologic conditions especially edema and for responding thereto
US6512952B2 (en) * 2000-12-26 2003-01-28 Cardiac Pacemakers, Inc. Method and apparatus for maintaining synchronized pacing
US6643546B2 (en) * 2001-02-13 2003-11-04 Quetzal Biomedical, Inc. Multi-electrode apparatus and method for treatment of congestive heart failure
US20050090753A1 (en) * 2001-04-02 2005-04-28 Daniel Goor Device for determining hemodynamic state
US6628988B2 (en) * 2001-04-27 2003-09-30 Cardiac Pacemakers, Inc. Apparatus and method for reversal of myocardial remodeling with electrical stimulation
US6595927B2 (en) * 2001-07-23 2003-07-22 Medtronic, Inc. Method and system for diagnosing and administering therapy of pulmonary congestion
US6829501B2 (en) * 2001-12-20 2004-12-07 Ge Medical Systems Information Technologies, Inc. Patient monitor and method with non-invasive cardiac output monitoring
US20030204213A1 (en) * 2002-04-30 2003-10-30 Jensen Donald N. Method and apparatus to detect and monitor the frequency of obstructive sleep apnea
US7172562B2 (en) * 2002-11-22 2007-02-06 Mckinley Laurence M System, method and apparatus for locating, measuring and evaluating the enlargement of a foramen
US7308311B2 (en) * 2002-11-22 2007-12-11 Pacesetter, Inc. Physician programmer system with telemetered sensor waveform
US7313434B2 (en) * 2002-11-25 2007-12-25 Regents Of The University Of Minnesota Impedance monitoring for detecting pulmonary edema and thoracic congestion
US6931272B2 (en) * 2003-04-29 2005-08-16 Medtronic, Inc. Method and apparatus to monitor pulmonary edema
US7967756B2 (en) * 2003-09-18 2011-06-28 Cardiac Pacemakers, Inc. Respiratory therapy control based on cardiac cycle
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
US7937149B2 (en) * 2003-12-03 2011-05-03 Medtronic, Inc. Method and apparatus for detecting change in physiologic parameters
US7272443B2 (en) * 2004-03-26 2007-09-18 Pacesetter, Inc. System and method for predicting a heart condition based on impedance values using an implantable medical device
US7200442B1 (en) * 2004-09-10 2007-04-03 Pacesetter, Inc. Implantable cardiac device with impedance monitoring control and method
US8485979B2 (en) * 2004-12-17 2013-07-16 Medtronic, Inc. System and method for monitoring or treating nervous system disorders
US20080243025A1 (en) * 2004-12-23 2008-10-02 Nils Holmstrom Medical Device
US7447543B2 (en) * 2005-02-15 2008-11-04 Regents Of The University Of Minnesota Pathology assessment with impedance measurements using convergent bioelectric lead fields
US7630763B2 (en) * 2005-04-20 2009-12-08 Cardiac Pacemakers, Inc. Thoracic or intracardiac impedance detection with automatic vector selection
US7785262B2 (en) * 2005-04-25 2010-08-31 University Of Florida Research Foundation, Inc. Method and apparatus for diagnosing respiratory disorders and determining the degree of exacerbations
US7907997B2 (en) * 2005-05-11 2011-03-15 Cardiac Pacemakers, Inc. Enhancements to the detection of pulmonary edema when using transthoracic impedance
US9089275B2 (en) * 2005-05-11 2015-07-28 Cardiac Pacemakers, Inc. Sensitivity and specificity of pulmonary edema detection when using transthoracic impedance
US7340296B2 (en) * 2005-05-18 2008-03-04 Cardiac Pacemakers, Inc. Detection of pleural effusion using transthoracic impedance
WO2006126918A1 (en) * 2005-05-24 2006-11-30 St. Jude Medical Ab A method and a medical device for evaluating the prevalence of different postures of a patient and a computer readable medium for bringing a computer to performing the method
DE602005011499D1 (de) * 2005-06-29 2009-01-15 St Jude Medical Medizinische vorrichtung zur bestimmung der haltung eines patienten
US7798973B2 (en) * 2005-10-13 2010-09-21 Cardiac Pacemakers, Inc. Detection of hypovolemia using implantable medical device
US8204585B2 (en) * 2005-12-20 2012-06-19 Cardiac Pacemakers, Inc. Bio-impedance sensor and sensing method
US8483817B2 (en) * 2006-03-15 2013-07-09 St. Jude Medical, AB Method and implantable medical device for assessing a degree of pulmonary edema of a patient
US20080091114A1 (en) * 2006-10-11 2008-04-17 Pacesetter, Inc. Techniques for Correlating Thoracic Impedance with Physiological Status
US7899522B1 (en) * 2006-10-13 2011-03-01 Pacesetter, Inc. System and method for discriminating acute and chronic heart failure using an implantable medical device

Also Published As

Publication number Publication date
US20080300504A1 (en) 2008-12-04
EP1997427A1 (de) 2008-12-03
US7970462B2 (en) 2011-06-28
EP1997427B1 (de) 2012-04-11

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