CA2058873A1 - Variable Rate Pacemaker Having Upper Rate Limit Governor Based on Hemodynamic Performance - Google Patents

Variable Rate Pacemaker Having Upper Rate Limit Governor Based on Hemodynamic Performance

Info

Publication number
CA2058873A1
CA2058873A1 CA2058873A CA2058873A CA2058873A1 CA 2058873 A1 CA2058873 A1 CA 2058873A1 CA 2058873 A CA2058873 A CA 2058873A CA 2058873 A CA2058873 A CA 2058873A CA 2058873 A1 CA2058873 A1 CA 2058873A1
Authority
CA
Canada
Prior art keywords
rate
pacemaker
hemodynamic
increase
sensor
Prior art date
Legal status (The legal status 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 status listed.)
Granted
Application number
CA2058873A
Other languages
French (fr)
Other versions
CA2058873C (en
Inventor
Jay A. Warren
Jay O. Millerhagen
Julio C. Spinelli
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Cardiac Pacemakers Inc
Original Assignee
Individual
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
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=24612423&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=CA2058873(A1) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Application filed by Individual filed Critical Individual
Publication of CA2058873A1 publication Critical patent/CA2058873A1/en
Application granted granted Critical
Publication of CA2058873C publication Critical patent/CA2058873C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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
    • A61N1/365—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

Abstract

A rate adaptive pacemaker of the type having a variable rate cardiac stimulating pulse generator and a sensor for monitoring some physiologic parameter whereby the pulse generator stimulating rate can be adjusted to meet physiologic demand is further provided with a hemodynamic sensor which is operative to provide an output signal representing the pumping performance of the heart in response to the pacing stimulation. The signal from the hemodynamic sensor is processed and then used in an algorithm to determine whether further rate increase should be permitted based upon whether the rate increase would be accompanied by a further increase in cardiac output, a plateau or a decrease in cardiac output. Hence, the adaptive rate pacemaker is provided with a real-time, hemodynamic maximum pacing rate instead of a pre-programmed, fixed, maximum rate.
CA002058873A 1991-02-05 1992-01-07 Variable rate pacemaker having upper rate limit governor based on hemodynamic performance Expired - Fee Related CA2058873C (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US07/651,318 1991-02-05
US07/651,318 US5156147A (en) 1991-02-05 1991-02-05 Variable rate pacemaker having upper rate limit governor based on hemodynamic performance

Publications (2)

Publication Number Publication Date
CA2058873A1 true CA2058873A1 (en) 1992-08-06
CA2058873C CA2058873C (en) 1998-10-27

Family

ID=24612423

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002058873A Expired - Fee Related CA2058873C (en) 1991-02-05 1992-01-07 Variable rate pacemaker having upper rate limit governor based on hemodynamic performance

Country Status (6)

Country Link
US (1) US5156147A (en)
EP (1) EP0498533B1 (en)
JP (1) JP2505341B2 (en)
AT (1) ATE135929T1 (en)
CA (1) CA2058873C (en)
DE (1) DE69209339T2 (en)

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Also Published As

Publication number Publication date
EP0498533B1 (en) 1996-03-27
DE69209339D1 (en) 1996-05-02
EP0498533A1 (en) 1992-08-12
JP2505341B2 (en) 1996-06-05
JPH0549703A (en) 1993-03-02
CA2058873C (en) 1998-10-27
DE69209339T2 (en) 1996-08-29
US5156147A (en) 1992-10-20
ATE135929T1 (en) 1996-04-15

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