WO1995013845A1 - Cardiac wall motion-based system and method - Google Patents
Cardiac wall motion-based system and method Download PDFInfo
- Publication number
- WO1995013845A1 WO1995013845A1 PCT/US1994/013133 US9413133W WO9513845A1 WO 1995013845 A1 WO1995013845 A1 WO 1995013845A1 US 9413133 W US9413133 W US 9413133W WO 9513845 A1 WO9513845 A1 WO 9513845A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- cardiac
- electrical stimulation
- amount
- wall motion
- implantable
- Prior art date
Links
- 230000000747 cardiac effect Effects 0.000 title claims abstract description 163
- 230000033001 locomotion Effects 0.000 title claims abstract description 79
- 238000000034 method Methods 0.000 title claims description 23
- 230000000638 stimulation Effects 0.000 claims abstract description 92
- 230000010247 heart contraction Effects 0.000 claims abstract description 67
- 230000004936 stimulating effect Effects 0.000 claims abstract description 48
- 230000004044 response Effects 0.000 claims abstract description 9
- 238000012360 testing method Methods 0.000 claims description 36
- 208000003663 ventricular fibrillation Diseases 0.000 claims description 34
- 230000035939 shock Effects 0.000 claims description 25
- 208000010496 Heart Arrest Diseases 0.000 claims description 21
- 238000002560 therapeutic procedure Methods 0.000 claims description 18
- 230000000763 evoking effect Effects 0.000 claims description 16
- 230000001133 acceleration Effects 0.000 claims description 9
- 230000001225 therapeutic effect Effects 0.000 claims description 9
- 210000005003 heart tissue Anatomy 0.000 claims description 8
- 238000012544 monitoring process Methods 0.000 claims description 5
- 230000003247 decreasing effect Effects 0.000 claims 6
- 230000001105 regulatory effect Effects 0.000 claims 2
- 238000012795 verification Methods 0.000 abstract description 35
- 230000008602 contraction Effects 0.000 description 17
- 208000006218 bradycardia Diseases 0.000 description 8
- 230000036471 bradycardia Effects 0.000 description 8
- 238000001514 detection method Methods 0.000 description 8
- 230000000694 effects Effects 0.000 description 8
- 230000003044 adaptive effect Effects 0.000 description 6
- 206010003119 arrhythmia Diseases 0.000 description 6
- 230000008901 benefit Effects 0.000 description 5
- 238000013194 cardioversion Methods 0.000 description 5
- 238000010586 diagram Methods 0.000 description 5
- 230000036279 refractory period Effects 0.000 description 5
- 230000002269 spontaneous effect Effects 0.000 description 5
- 238000002513 implantation Methods 0.000 description 4
- 238000002633 shock therapy Methods 0.000 description 4
- 238000001356 surgical procedure Methods 0.000 description 4
- 230000006793 arrhythmia Effects 0.000 description 3
- 238000012545 processing Methods 0.000 description 3
- 238000011084 recovery Methods 0.000 description 3
- 206010047302 ventricular tachycardia Diseases 0.000 description 3
- 230000004308 accommodation Effects 0.000 description 2
- 238000013459 approach Methods 0.000 description 2
- 230000037020 contractile activity Effects 0.000 description 2
- 238000007796 conventional method Methods 0.000 description 2
- 238000011161 development Methods 0.000 description 2
- 238000010790 dilution Methods 0.000 description 2
- 239000012895 dilution Substances 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 238000000718 qrs complex Methods 0.000 description 2
- 230000009467 reduction Effects 0.000 description 2
- 238000012935 Averaging Methods 0.000 description 1
- 208000033986 Device capturing issue Diseases 0.000 description 1
- 238000011366 aggressive therapy Methods 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 230000001427 coherent effect Effects 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 230000006870 function Effects 0.000 description 1
- 238000013101 initial test Methods 0.000 description 1
- 230000001665 lethal effect Effects 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 230000004118 muscle contraction Effects 0.000 description 1
- 230000002107 myocardial effect Effects 0.000 description 1
- 230000000737 periodic effect Effects 0.000 description 1
- 230000033764 rhythmic process Effects 0.000 description 1
- 230000009163 spontaneous depolarization Effects 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
- 230000001360 synchronised effect Effects 0.000 description 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
- A61N1/37—Monitoring; Protecting
- A61N1/371—Capture, i.e. successful stimulation
- A61N1/3712—Auto-capture, i.e. automatic adjustment of the stimulation threshold
-
- 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
- A61N1/36578—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure controlled by mechanical motion of the heart wall, e.g. measured by an accelerometer or microphone
Landscapes
- Health & Medical Sciences (AREA)
- Cardiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Electrotherapy Devices (AREA)
Abstract
Description
Claims
Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP95901246A EP0680364A4 (en) | 1993-11-15 | 1994-11-14 | Cardiac wall motion-based system and method. |
AU10562/95A AU1056295A (en) | 1993-11-15 | 1994-11-14 | Cardiac wall motion-based system and method |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US08/152,659 | 1993-11-15 | ||
US08/152,659 US5549652A (en) | 1993-11-15 | 1993-11-15 | Cardiac wall motion-based automatic capture verification system and method |
Publications (1)
Publication Number | Publication Date |
---|---|
WO1995013845A1 true WO1995013845A1 (en) | 1995-05-26 |
Family
ID=22543838
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US1994/013133 WO1995013845A1 (en) | 1993-11-15 | 1994-11-14 | Cardiac wall motion-based system and method |
Country Status (4)
Country | Link |
---|---|
US (1) | US5549652A (en) |
EP (1) | EP0680364A4 (en) |
AU (1) | AU1056295A (en) |
WO (1) | WO1995013845A1 (en) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE19929091A1 (en) * | 1999-06-24 | 2000-12-28 | Biotronik Mess & Therapieg | Method for controlling the stimulation amplitude of a cardiological implant |
Families Citing this family (44)
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US5713933A (en) * | 1994-11-30 | 1998-02-03 | Medtronic, Inc. | Method and apparatus for automatic pacing threshold determination |
SE9501190D0 (en) * | 1995-03-31 | 1995-03-31 | Pacesetter Ab | Backup pulse generator |
SE9502534D0 (en) * | 1995-07-10 | 1995-07-10 | Pacesetter Ab | Electrophysiological Stimulator with variable stimulation pulse |
US8447399B2 (en) | 1996-08-19 | 2013-05-21 | Mr3 Medical, Llc | System and method for managing detrimental cardiac remodeling |
US7840264B1 (en) | 1996-08-19 | 2010-11-23 | Mr3 Medical, Llc | System and method for breaking reentry circuits by cooling cardiac tissue |
US6295470B1 (en) | 1996-08-19 | 2001-09-25 | The Mower Family Chf Treatment Irrevocable Trust | Antitachycardial pacing |
US6341235B1 (en) | 1996-08-19 | 2002-01-22 | Mower Chf Treatment Irrevocable Trust | Augmentation of electrical conduction and contractility by biphasic cardiac pacing administered via the cardiac blood pool |
US7908003B1 (en) | 1996-08-19 | 2011-03-15 | Mr3 Medical Llc | System and method for treating ischemia by improving cardiac efficiency |
US5941904A (en) * | 1997-09-12 | 1999-08-24 | Sulzer Intermedics Inc. | Electromagnetic acceleration transducer for implantable medical device |
EP1102560A4 (en) * | 1998-08-07 | 2003-03-12 | Infinite Biomedical Technologi | Implantable myocardial ischemia detection, indication and action technology |
US6175766B1 (en) | 1999-03-30 | 2001-01-16 | Pacesetter, Inc. | Cardiac pacemaker autothreshold arrangement and method with reliable capture |
US6650940B1 (en) | 2000-02-02 | 2003-11-18 | Cardiac Pacemakers, Inc. | Accelerometer-based heart sound detection for autocapture |
US6363278B1 (en) * | 2000-04-14 | 2002-03-26 | Cardiac Pacemakers, Inc. | Cardiac rhythm management system with staggered pulses for coordination therapy |
US6445952B1 (en) | 2000-05-18 | 2002-09-03 | Medtronic, Inc. | Apparatus and method for detecting micro-dislodgment of a pacing lead |
US20020095190A1 (en) | 2001-01-16 | 2002-07-18 | Bornzin Gene A. | System and method for automating capture verification assessment and pacing threshold assessment using a programmer |
US7346394B2 (en) * | 2001-04-27 | 2008-03-18 | Cardiac Pacemakers, Inc. | Cardiac stimulation at high ventricular wall stress areas |
SE0202042D0 (en) * | 2002-06-28 | 2002-06-28 | St Jude Medical | Implantable cardioverter defibrillator |
US6885889B2 (en) * | 2003-02-28 | 2005-04-26 | Medtronic, Inc. | Method and apparatus for optimizing cardiac resynchronization therapy based on left ventricular acceleration |
US7610088B2 (en) | 2003-02-28 | 2009-10-27 | Medtronic, Inc. | Method and apparatus for assessing left ventricular function and optimizing cardiac pacing intervals based on left ventricular wall motion |
US8116868B2 (en) | 2003-04-11 | 2012-02-14 | Cardiac Pacemakers, Inc. | Implantable device with cardiac event audio playback |
US7130681B2 (en) | 2003-05-09 | 2006-10-31 | Medtronic, Inc. | Use of accelerometer signal to augment ventricular arrhythmia detection |
US7831303B2 (en) * | 2003-06-17 | 2010-11-09 | Medtronic, Inc. | Cardiac pacing apparatus and method for continuous capture management |
US7177684B1 (en) * | 2003-07-03 | 2007-02-13 | Pacesetter, Inc. | Activity monitor and six-minute walk test for depression and CHF patients |
WO2005006946A2 (en) * | 2003-07-03 | 2005-01-27 | New York Univeristy | System and method for assessment of cardiac electrophysiologic stability and modulation of cardiac oscillations |
US7092759B2 (en) | 2003-07-30 | 2006-08-15 | Medtronic, Inc. | Method of optimizing cardiac resynchronization therapy using sensor signals of septal wall motion |
US7286884B2 (en) | 2004-01-16 | 2007-10-23 | Medtronic, Inc. | Implantable lead including sensor |
US7203541B2 (en) * | 2004-03-12 | 2007-04-10 | Medtronic, Inc. | Real-time optimization of right to left ventricular timing sequence in bi-ventricular pacing of heart failure patients |
US7470233B2 (en) * | 2005-01-26 | 2008-12-30 | Medtronic, Inc. | Method and apparatus for muscle function measurement |
US20060235289A1 (en) * | 2005-04-19 | 2006-10-19 | Willem Wesselink | Pacemaker lead with motion sensor |
US7720535B2 (en) * | 2005-08-23 | 2010-05-18 | Cardiac Pacemakers, Inc. | Pacing management during cardiopulmonary resuscitation |
US7869876B2 (en) | 2005-10-07 | 2011-01-11 | Medtronic, Inc. | Method and apparatus for monitoring and optimizing atrial function |
US7676268B2 (en) * | 2006-11-30 | 2010-03-09 | Medtronic, Inc. | Medical methods and systems incorporating wireless monitoring |
US20100099994A1 (en) * | 2007-02-28 | 2010-04-22 | Holmstroem Nils | Implantable heart analyzing device, system and method |
US8180428B2 (en) * | 2007-10-03 | 2012-05-15 | Medtronic, Inc. | Methods and systems for use in selecting cardiac pacing sites |
EP2217144A1 (en) * | 2007-10-03 | 2010-08-18 | Medtronic, Inc. | Selecting cardiac pacing sites |
US8314683B2 (en) * | 2008-05-09 | 2012-11-20 | The Israelife Foundation | Incident response system |
ATE510585T1 (en) * | 2008-12-12 | 2011-06-15 | Ela Medical Sa | ACTIVE IMPLANTABLE MEDICAL HEART DEVICE WITH ANTITACHYCARDIC ATRIAL STIMULATION AND ANTIBRADYCARDIC VENTRICULAR STIMULATION |
US8396563B2 (en) | 2010-01-29 | 2013-03-12 | Medtronic, Inc. | Clock synchronization in an implantable medical device system |
US9101281B2 (en) * | 2011-09-27 | 2015-08-11 | Medtronic, Inc. | IMD stability monitor |
DK3009070T3 (en) * | 2014-07-24 | 2017-10-09 | Goertek Inc | METHOD OF DETECTING HEART RATE IN HEADPHONE AND HEADPHONE THAT CAN DETECT HEART RATE |
EP3025758B1 (en) | 2014-11-28 | 2017-06-28 | Sorin CRM SAS | Active implantable medical device, in particular a leadless capsule, with cycle-to-cycle capture detection by analysing an endocardial acceleration signal |
EP3042693B1 (en) | 2015-01-12 | 2017-09-13 | Sorin CRM SAS | Active implantable medical device, such as an autonomous capsule, with dynamic optimisation of the energy of stimulation pulses |
US9750943B2 (en) | 2015-02-26 | 2017-09-05 | Medtronic, Inc. | Monitoring of pacing capture using acceleration |
WO2017040115A1 (en) | 2015-08-28 | 2017-03-09 | Cardiac Pacemakers, Inc. | System for detecting tamponade |
Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
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US4895152A (en) * | 1985-12-11 | 1990-01-23 | Telectronics N.V. | System for cardiac pacing |
US4969464A (en) * | 1988-03-25 | 1990-11-13 | Telectronics N.V. | Pacemaker with improved automatic output regulation |
EP0572799A1 (en) * | 1992-06-05 | 1993-12-08 | Pacesetter AB | Pacemaker |
US5320643A (en) * | 1992-10-06 | 1994-06-14 | Medtronic, Inc. | Automatic cardiac capture restoration and threshold-seeking method and apparatus |
Family Cites Families (26)
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DK131761C (en) * | 1970-12-22 | 1976-02-09 | Rovsing As Christian | PACEMAKER |
US3757790A (en) * | 1971-05-05 | 1973-09-11 | C Herrmann | Threshold analyzer and stimulator testing device with internal generator |
BE791120A (en) * | 1971-11-11 | 1973-03-01 | Medtronic Inc | |
US3815611A (en) * | 1971-11-26 | 1974-06-11 | Medtronic Inc | Muscle stimulation and/or contraction detection device |
FR2166517A5 (en) * | 1971-12-28 | 1973-08-17 | Gaillard Robert | |
US4091817A (en) * | 1976-09-27 | 1978-05-30 | American Optical Corporation | P-Wave control, R-wave inhibited ventricular stimulation device |
US4232679A (en) * | 1977-01-26 | 1980-11-11 | Pacesetter Systems, Inc. | Programmable human tissue stimulator |
US4140132A (en) * | 1978-03-23 | 1979-02-20 | Dahl Joseph D | Variable rate timer for a cardiac pacemaker |
US4305396A (en) * | 1979-04-16 | 1981-12-15 | Vitatron Medical B.V. | Rate adaptive pacemaker and method of cardiac pacing |
US4485813A (en) * | 1981-11-19 | 1984-12-04 | Medtronic, Inc. | Implantable dynamic pressure transducer system |
US4428378A (en) * | 1981-11-19 | 1984-01-31 | Medtronic, Inc. | Rate adaptive pacer |
US4708143A (en) * | 1984-07-19 | 1987-11-24 | Cordis Leads Inc. | Method for controlling pacing of a heart in response to changes in stroke volume |
US4686988A (en) * | 1984-10-19 | 1987-08-18 | Sholder Jason A | Pacemaker system and method for measuring and monitoring cardiac activity and for determining and maintaining capture |
US4674508A (en) * | 1985-05-28 | 1987-06-23 | Cordis Corporation | Low-power consumption cardiac pacer based on automatic verification of evoked contractions |
GB8526417D0 (en) * | 1985-10-25 | 1985-11-27 | Davies D W | Recognition of ventricular tachycardia |
US4827936A (en) * | 1986-05-14 | 1989-05-09 | Ventritex | Apparatus for stimulating the heart with protected pacer |
DE3631155A1 (en) * | 1986-09-12 | 1988-03-24 | Alt Eckhard | FREQUENCY VARIABLE HEART PACEMAKER WITH STRESS-ADEQUATE FREQUENCY BEHAVIOR |
US4967748A (en) * | 1987-10-06 | 1990-11-06 | Leonard Bloom | O2 level responsive system for and method of treating a malfunctioning heart |
US4774950A (en) * | 1987-10-06 | 1988-10-04 | Leonard Bloom | Hemodynamically responsive system for and method of treating a malfunctioning heart |
US5040535A (en) * | 1989-01-25 | 1991-08-20 | Siemens-Pacesetter, Inc. | Average amplitude controlled rate-responsive pacemaker having automatically adjustable control parameters |
US5040534A (en) * | 1989-01-25 | 1991-08-20 | Siemens-Pacesetter, Inc. | Microprocessor controlled rate-responsive pacemaker having automatic rate response threshold adjustment |
US4989602A (en) * | 1989-04-12 | 1991-02-05 | Siemens-Pacesetter, Inc. | Programmable automatic implantable cardioverter/defibrillator and pacemaker system |
SE9002129D0 (en) * | 1990-06-15 | 1990-06-15 | Siemens Elema Ab | DEVICE FOR STIMULATION OF LIVING WEAVEN |
EP0473070B1 (en) * | 1990-08-24 | 1995-11-29 | Bozidar Ferek-Petric | Cardiac pacing systems with tensiometry |
IT1245814B (en) * | 1991-05-21 | 1994-10-18 | Sorin Biomedica Spa | RATE RESPONSIVE CARDIOSTIMULATOR DEVICE |
IT1256900B (en) * | 1992-07-27 | 1995-12-27 | Franco Vallana | PROCEDURE AND DEVICE TO DETECT CARDIAC FUNCTIONALITY. |
-
1993
- 1993-11-15 US US08/152,659 patent/US5549652A/en not_active Expired - Lifetime
-
1994
- 1994-11-14 AU AU10562/95A patent/AU1056295A/en not_active Abandoned
- 1994-11-14 WO PCT/US1994/013133 patent/WO1995013845A1/en not_active Application Discontinuation
- 1994-11-14 EP EP95901246A patent/EP0680364A4/en not_active Withdrawn
Patent Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4895152A (en) * | 1985-12-11 | 1990-01-23 | Telectronics N.V. | System for cardiac pacing |
US4969464A (en) * | 1988-03-25 | 1990-11-13 | Telectronics N.V. | Pacemaker with improved automatic output regulation |
EP0572799A1 (en) * | 1992-06-05 | 1993-12-08 | Pacesetter AB | Pacemaker |
US5320643A (en) * | 1992-10-06 | 1994-06-14 | Medtronic, Inc. | Automatic cardiac capture restoration and threshold-seeking method and apparatus |
Non-Patent Citations (1)
Title |
---|
See also references of EP0680364A4 * |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE19929091A1 (en) * | 1999-06-24 | 2000-12-28 | Biotronik Mess & Therapieg | Method for controlling the stimulation amplitude of a cardiological implant |
US6339724B1 (en) | 1999-06-24 | 2002-01-15 | BIOTRONIK MESS- UND THERAPIEGERäTE GMBH & CO. INGENIEURBüRO BERLIN | Method of controlling the stimulation amplitude of a cardiologic implant |
Also Published As
Publication number | Publication date |
---|---|
EP0680364A4 (en) | 1996-03-06 |
EP0680364A1 (en) | 1995-11-08 |
AU1056295A (en) | 1995-06-06 |
US5549652A (en) | 1996-08-27 |
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