DE602005017386D1 - Vorrichtung und verfahren zur erzeugung einer "lepars"-intervallbasierten stimulation - Google Patents

Vorrichtung und verfahren zur erzeugung einer "lepars"-intervallbasierten stimulation

Info

Publication number
DE602005017386D1
DE602005017386D1 DE602005017386T DE602005017386T DE602005017386D1 DE 602005017386 D1 DE602005017386 D1 DE 602005017386D1 DE 602005017386 T DE602005017386 T DE 602005017386T DE 602005017386 T DE602005017386 T DE 602005017386T DE 602005017386 D1 DE602005017386 D1 DE 602005017386D1
Authority
DE
Germany
Prior art keywords
interval
fusion
lepars
depolarization
conduction
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.)
Active
Application number
DE602005017386T
Other languages
English (en)
Inventor
Gelder Lambertus Mathijs Van
Martinus Servatius Pilmeyer
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.)
Medtronic Inc
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
Publication of DE602005017386D1 publication Critical patent/DE602005017386D1/de
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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
    • A61N1/36842—Multi-site stimulation in the same chamber
    • 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
    • A61N1/362—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
    • A61N1/362—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
DE602005017386T 2004-03-17 2005-03-15 Vorrichtung und verfahren zur erzeugung einer "lepars"-intervallbasierten stimulation Active DE602005017386D1 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US10/802,419 US7254442B2 (en) 2004-03-17 2004-03-17 Apparatus and method for “LEPARS” interval-based fusion pacing
PCT/US2005/008732 WO2005089867A1 (en) 2004-03-17 2005-03-15 Apparatus and methods for 'lepars' interval-based fusion pacing

Publications (1)

Publication Number Publication Date
DE602005017386D1 true DE602005017386D1 (de) 2009-12-10

Family

ID=34962814

Family Applications (1)

Application Number Title Priority Date Filing Date
DE602005017386T Active DE602005017386D1 (de) 2004-03-17 2005-03-15 Vorrichtung und verfahren zur erzeugung einer "lepars"-intervallbasierten stimulation

Country Status (6)

Country Link
US (1) US7254442B2 (de)
EP (1) EP1753503B1 (de)
AT (1) ATE446787T1 (de)
CA (1) CA2559445A1 (de)
DE (1) DE602005017386D1 (de)
WO (1) WO2005089867A1 (de)

Families Citing this family (41)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7113823B2 (en) * 2001-10-26 2006-09-26 Cardiac Pacemakers, Inc. Morphology-based optimization of cardiac resynchronization therapy
US7286876B2 (en) * 2001-10-26 2007-10-23 Cardiac Pacemakers, Inc. Template-based capture verification for multi-site pacing
US7177689B2 (en) 2001-10-26 2007-02-13 Cardiac Pacemakers, Inc. Method and apparatus for capture verification and threshold determination
US7181284B2 (en) * 2004-03-17 2007-02-20 Medtronic, Inc. Apparatus and methods of energy efficient, atrial-based Bi-ventricular fusion-pacing
US7313438B2 (en) * 2004-06-01 2007-12-25 Cardiac Pacemakers, Inc. Selective chamber ATP pacing
US7555336B2 (en) * 2004-12-20 2009-06-30 Medtronic, Inc. Automatic LV/RV capture verification and diagnostics
US7555340B2 (en) * 2005-04-01 2009-06-30 Cardiac Pacemakers, Inc. Electrogram morphology-based CRT optimization
US8214041B2 (en) * 2005-04-19 2012-07-03 Medtronic, Inc. Optimization of AV intervals in single ventricle fusion pacing through electrogram morphology
US8175703B2 (en) * 2006-01-25 2012-05-08 Cardiac Pacemakers, Inc. Cardiac resynchronization therapy parameter optimization
US20070191892A1 (en) * 2006-02-03 2007-08-16 Mullen Thomas J Apparatus and methods for automatic adjustment of av interval to ensure delivery of cardiac resynchronization therapy
US8046065B2 (en) 2006-02-03 2011-10-25 Medtronic, Inc. Fusion pacing enhancements
US7930027B2 (en) * 2007-04-30 2011-04-19 Medtronic, Inc. Method and apparatus to deliver mechanically fused pacing therapy
US20090234414A1 (en) * 2008-03-13 2009-09-17 Sambelashvili Aleksandre T Apparatus and methods of optimizing atrioventricular pacing delay intervals
US8145308B2 (en) * 2008-03-13 2012-03-27 Medtronic, Inc. Method and apparatus for determining a parameter associated with delivery of therapy in a medical device
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
US9566013B2 (en) * 2008-03-13 2017-02-14 Medtronic, Inc. Methods and apparatus for monitoring P-wave duration and end and QRS duration with an implantable medical device
US7941218B2 (en) * 2008-03-13 2011-05-10 Medtronic, Inc. Apparatus and methods of optimizing atrioventricular pacing delay intervals
US20090275998A1 (en) 2008-04-30 2009-11-05 Medtronic, Inc. Extra-cardiac implantable device with fusion pacing capability
US20090275999A1 (en) * 2008-04-30 2009-11-05 Burnes John E Extra-cardiac implantable device with fusion pacing capability
WO2009137502A1 (en) * 2008-05-07 2009-11-12 Cardiac Pacemakers, Inc. Method and apparatus to ensure consistent left ventricular pacing
US9314634B2 (en) * 2008-11-03 2016-04-19 Pacesetter, Inc. Initiation tests and guidelines for implementing cardiac therapy
EP2403590B1 (de) * 2009-02-27 2016-07-13 Medtronic, Inc System für konditionales biventrikuläres pacing
US9020596B2 (en) 2011-07-15 2015-04-28 Cardiac Pacemakers, Inc. Management of fusion beat detection during capture threshold determination
US20130053918A1 (en) 2011-08-30 2013-02-28 Aleksandre T. Sambelashvili Left-ventricular pacing site selection guided by electrogram morphology analysis
US9597511B2 (en) 2011-10-31 2017-03-21 Medtronic, Inc. Method to assess hemodynamic performance during cardiac resynchronization therapy optimization using admittance waveforms and derivatives
US9199087B2 (en) 2011-11-21 2015-12-01 Medtronic, Inc. Apparatus and method for selecting a preferred pacing vector in a cardiac resynchronization device
US8639333B2 (en) 2011-11-21 2014-01-28 Medtronic, Inc. Method and apparatus for adaptive cardiac resynchronization therapy employing a multipolar left ventricular lead
US8694099B2 (en) 2012-02-17 2014-04-08 Medronic, Inc. Criteria for optimal electrical resynchronization derived from multipolar leads or multiple electrodes during biventricular pacing
US9095718B2 (en) 2012-04-04 2015-08-04 Medtronic, Inc. Heart-sounds based adaptive cardiac resynchronization therapy timing parameter optimization system
US9155897B2 (en) 2012-05-04 2015-10-13 Medtronic, Inc. Criteria for optimal electrical resynchronization during biventricular pacing
US9089710B2 (en) 2012-12-28 2015-07-28 Cardiac Pacemakers, Inc. Systems and methods to optimize pacing fusion with native activation
US9604064B2 (en) 2013-02-21 2017-03-28 Medtronic, Inc. Criteria for optimal electrical resynchronization during fusion pacing
US9352159B2 (en) * 2013-04-09 2016-05-31 Newpace Ltd. Cardiac resynchronization therapy utilizing P-wave sensing and dynamic anticipative left ventricular pacing
US9272148B2 (en) 2013-07-23 2016-03-01 Medtronic, Inc. Combination of feedback on mechanical and electrical resynchronization to select therapy parameters
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
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
US11801390B2 (en) 2018-06-06 2023-10-31 Medtronic, Inc. Identification and adjustment for loss of effective cardiac resynchronization therapy
GB2583496B (en) * 2019-04-30 2022-03-02 Pacertool As Measuring time to fusion as a means of determining degree of parallel activation of the heart
CN113616925B (zh) * 2021-08-10 2024-03-26 昆明医科大学第一附属医院 基于左束支区域起搏融合的双腔动态融合起搏系统及方法
CN114306937B (zh) * 2022-01-10 2022-06-28 丹源医学科技(杭州)有限公司 心房动态超速起搏装置

Family Cites Families (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
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
US5713930A (en) * 1996-11-06 1998-02-03 Vitatron Medical, B.V. Dual chamber pacing system and method with control of AV interval
US5935160A (en) * 1997-01-24 1999-08-10 Cardiac Pacemakers, Inc. Left ventricular access lead for heart failure pacing
US6370427B1 (en) * 1998-07-23 2002-04-09 Intermedics, Inc. Method and apparatus for dual chamber bi-ventricular pacing and defibrillation
US6668194B2 (en) * 2001-07-16 2003-12-23 Medtronic, Inc. Method and apparatus for monitoring conduction times in a bi-chamber pacing system
US6871096B2 (en) 2001-10-26 2005-03-22 Medtronic, Inc. System and method for bi-ventricular fusion pacing
US20050055058A1 (en) * 2003-09-08 2005-03-10 Mower Morton M. Method and apparatus for intrachamber resynchronization
US7203540B2 (en) * 2003-12-22 2007-04-10 Cardiac Pacemakers, Inc. Method and system for setting cardiac resynchronization therapy parameters

Also Published As

Publication number Publication date
EP1753503B1 (de) 2009-10-28
US20050209650A1 (en) 2005-09-22
WO2005089867A1 (en) 2005-09-29
US7254442B2 (en) 2007-08-07
ATE446787T1 (de) 2009-11-15
CA2559445A1 (en) 2005-09-29
EP1753503A1 (de) 2007-02-21

Similar Documents

Publication Publication Date Title
DE602005017386D1 (de) Vorrichtung und verfahren zur erzeugung einer "lepars"-intervallbasierten stimulation
ATE539796T1 (de) Gerät für energieeffizientes biventrikuläres fusions-pacing auf vorhofbasis
ATE507873T1 (de) Herzresynchronisationstherapie für patienten mit rechtsbündelblock
EP3260167B1 (de) Implantierbarer schrittmacher ohne anschluss mit synchronisierter atrioventrikulärer stimulation
US6718206B2 (en) Permanent atrial-his-ventricular sequential pacing
JP3548182B2 (ja) 左心ａ−ｖ間隔を最適化するための自動ａ−ｖプログラム機能を備えた心臓ペースメーカ装置
US7158828B2 (en) System and method for timing synchronized pacing
US7865241B2 (en) System and method for cardiac rhythm management with synchronized pacing protection period
ATE444098T1 (de) Vorrichtung zum einstellen von schrittmacher- parametern
JP5397872B2 (ja) 心臓病の治療のためのａｖ遅延の低減
WO2003002196A3 (en) Multi-site ventricular pacing system measuring qrs duration
EP1923098B1 (de) Herzstimulator
US8271084B2 (en) Determination of stimulation delay between ventricular sites
DE60010574D1 (de) Gerät zur Stimulation mehrerer Herzbereiche mit Resynchronisationsvorrichtung zur Behandlung von Herzinsuffizienz
DE60019188D1 (de) Aktive implantierbare medizinische Vorrichtung, insbesondere Herzstimulator, Defibrillator und/oder Kardiovertierer von Typ DDD/AAI, dessen Takt durch die Belastung des Patienten gesteuert wird
US7672723B2 (en) Implantable medical device for biventricular stimulation
FR2863505B1 (fr) Dispositif medical implantable actif multisite comprenant un mode de resynchronisation des ventricules
RU2007132606A (ru) Способ оптимизации частотно-адаптивной атриовентрикулярной задержки в двухкамерных электрокардиостимуляторах
Van Gelder et al. 1AI Semi, Granot, Israel; 2 Meir Hospital, Cardiology, Kfar Saba, Israel; 3Sheba Hospital, Heart Institute, Tel-Aviv, Israel; 4 Haifa University, Neurobiology and Ethology, Haifa, Israel; 5Technion, Electrical Engineering, Haifa, Israel
JP2003126273A (ja) 体外式のマルチサイトペーシング型ペースメーカ

Legal Events

Date Code Title Description
8364 No opposition during term of opposition