WO2001074441A3 - System and method for verifying capture in a multi-site pacemaker - Google Patents

System and method for verifying capture in a multi-site pacemaker Download PDF

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Publication number
WO2001074441A3
WO2001074441A3 PCT/US2001/009877 US0109877W WO0174441A3 WO 2001074441 A3 WO2001074441 A3 WO 2001074441A3 US 0109877 W US0109877 W US 0109877W WO 0174441 A3 WO0174441 A3 WO 0174441A3
Authority
WO
WIPO (PCT)
Prior art keywords
capture
electrode
output
site pacemaker
verifying capture
Prior art date
Application number
PCT/US2001/009877
Other languages
French (fr)
Other versions
WO2001074441A2 (en
Inventor
Renold J Russie
Qingsheng Zhu
Original Assignee
Cardiac Pacemakers 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 Cardiac Pacemakers Inc filed Critical Cardiac Pacemakers Inc
Priority to AU2001249532A priority Critical patent/AU2001249532A1/en
Publication of WO2001074441A2 publication Critical patent/WO2001074441A2/en
Publication of WO2001074441A3 publication Critical patent/WO2001074441A3/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362Heart stimulators
    • A61N1/37Monitoring; Protecting
    • A61N1/371Capture, i.e. successful stimulation
    • A61N1/3712Auto-capture, i.e. automatic adjustment of the stimulation threshold
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362Heart stimulators
    • A61N1/365Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • A61N1/368Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions

Abstract

An apparatus and method for verifying capture by a selected pacing electrode in a multi-site pacemaker. A switching circuit switches the input of an evoked response sensing channel to an unselected electrode. A pacing pulse is then output by the selected electrode,and the presence or absence of capture is determined from the output of the evoked response sensing channel. In one embodiment, a backup pacing pulse is output by an unselected electrode if a loss of capture is detected.
PCT/US2001/009877 2000-03-31 2001-03-28 System and method for verifying capture in a multi-site pacemaker WO2001074441A2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AU2001249532A AU2001249532A1 (en) 2000-03-31 2001-03-28 System and method for verifying capture in a multi-site pacemaker

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US09/540,388 US6615089B1 (en) 2000-03-31 2000-03-31 System and method for verifying capture in a multi-site pacemaker
US09/540,388 2000-03-31

Publications (2)

Publication Number Publication Date
WO2001074441A2 WO2001074441A2 (en) 2001-10-11
WO2001074441A3 true WO2001074441A3 (en) 2002-01-31

Family

ID=24155242

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2001/009877 WO2001074441A2 (en) 2000-03-31 2001-03-28 System and method for verifying capture in a multi-site pacemaker

Country Status (3)

Country Link
US (3) US6615089B1 (en)
AU (1) AU2001249532A1 (en)
WO (1) WO2001074441A2 (en)

Families Citing this family (45)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6260552B1 (en) * 1998-07-29 2001-07-17 Myocor, Inc. Transventricular implant tools and devices
US6615089B1 (en) * 2000-03-31 2003-09-02 Cardiac Pacemakers, Inc. System and method for verifying capture in a multi-site pacemaker
US6584362B1 (en) 2000-08-30 2003-06-24 Cardiac Pacemakers, Inc. Leads for pacing and/or sensing the heart from within the coronary veins
US6493586B1 (en) * 2000-08-30 2002-12-10 Cardiac Pacemakers, Inc. Site reversion in cardiac rhythm management
US6480740B2 (en) * 2000-12-26 2002-11-12 Cardiac Pacemakers, Inc. Safety pacing in multi-site CRM devices
FR2820640B1 (en) * 2001-02-09 2004-05-14 Ela Medical Sa ACTIVE IMPLANTABLE MEDICAL DEVICE, IN PARTICULAR CARDIAC STIMULATOR, DEFIBRILLATOR AND / OR CARDIOVERTER OR MULTI-SITE DEVICE, WITH CYCLE-TO-CYCLE CAPTURE TEST
US6768924B2 (en) * 2002-01-03 2004-07-27 Cardiac Pacemakers, Inc. Method and apparatus for capture verification based on propagated electrical activity
US6978178B2 (en) 2002-04-30 2005-12-20 Medtronic, Inc. Method and apparatus for selecting an optimal electrode configuration of a medical electrical lead having a multiple electrode array
SE0203724D0 (en) 2002-12-16 2002-12-16 St Jude Medical A cardiac stimulating device
US7299094B1 (en) 2003-01-29 2007-11-20 Pacesetter, Inc. System and method for implementing autocapture within biventricular implantable cardiac stimulation systems
SE0300917D0 (en) * 2003-03-31 2003-03-31 St Jude Medical Multi-chamber pacing system
US7353061B2 (en) 2003-09-25 2008-04-01 St. Jude Medical Ab Biventricular stimulation device with shortened inter-ventricular delay
US20060247693A1 (en) 2005-04-28 2006-11-02 Yanting Dong Non-captured intrinsic discrimination in cardiac pacing response classification
US7774064B2 (en) 2003-12-12 2010-08-10 Cardiac Pacemakers, Inc. Cardiac response classification using retriggerable classification windows
US20060030906A1 (en) * 2004-08-06 2006-02-09 Carroll William J Switchable and programmable electrode configuration
US7647108B2 (en) * 2004-09-30 2010-01-12 Cardiac Pacemakers, Inc. Methods and systems for selection of cardiac pacing electrode configurations
US7561918B2 (en) * 2005-01-28 2009-07-14 Cyberonics, Inc. Autocapture in a neurostimulator
US7392086B2 (en) * 2005-04-26 2008-06-24 Cardiac Pacemakers, Inc. Implantable cardiac device and method for reduced phrenic nerve stimulation
US7337000B2 (en) 2005-04-28 2008-02-26 Cardiac Pacemakers Inc. Selection of cardiac signal features detected in multiple classification intervals for cardiac pacing response classification
US8731659B2 (en) 2005-09-20 2014-05-20 Cardiac Pacemakers, Inc. Multi-site lead/system using a multi-pole connection and methods therefor
US9295845B2 (en) * 2006-06-29 2016-03-29 Cardiac Pacemakers, Inc. Post-MI pacing with autocapture function
US8948867B2 (en) 2006-09-14 2015-02-03 Cardiac Pacemakers, Inc. Capture detection with cross chamber backup pacing
US8209013B2 (en) 2006-09-14 2012-06-26 Cardiac Pacemakers, Inc. Therapeutic electrical stimulation that avoids undesirable activation
US20090018596A1 (en) * 2007-05-15 2009-01-15 Cvrx, Inc. Baroreflex activation therapy device with pacing cardiac electrical signal detection capability
US9037239B2 (en) 2007-08-07 2015-05-19 Cardiac Pacemakers, Inc. Method and apparatus to perform electrode combination selection
US8265736B2 (en) 2007-08-07 2012-09-11 Cardiac Pacemakers, Inc. Method and apparatus to perform electrode combination selection
US7908004B1 (en) * 2007-08-30 2011-03-15 Pacesetter, Inc. Considering cardiac ischemia in electrode selection
JP5180318B2 (en) * 2007-12-05 2013-04-10 カーディアック ペースメイカーズ, インコーポレイテッド Configuring output channels for pacing
EP2254661B1 (en) 2008-02-14 2015-10-07 Cardiac Pacemakers, Inc. Apparatus for phrenic stimulation detection
US8170671B2 (en) * 2009-06-12 2012-05-01 Pacesetter, Inc. Method and system for overdriving a heart chamber during a threshold search according to an AV delay
US8121688B2 (en) * 2009-06-12 2012-02-21 Pacestter, Inc. Method and system for automatically switching between modes of an implantable medical device
US8886313B2 (en) 2009-07-02 2014-11-11 Cardiac Pacemakers Inc. Systems and methods for ranking and selection of pacing vectors
US8588905B2 (en) 2010-05-28 2013-11-19 Pacesetter, Inc. Method and system for adjusting a stimulation rate of an implantable medical device
WO2012019036A1 (en) 2010-08-06 2012-02-09 Cardiac Pacemakers, Inc. User interface system for use with multipolar pacing leads
KR101652571B1 (en) * 2011-01-20 2016-08-30 티앤더블유 엔지니어링 에이/에스 Personal eeg monitoring device with electrode validation
US9095721B2 (en) 2011-04-29 2015-08-04 Christopher C. Stancer Unipolar pacing in the presence of electromagnetic interference
US9138584B2 (en) 2011-04-29 2015-09-22 Medtronic, Inc. Multiphasic pacing in the presence of electromagnetic interference
US9675806B2 (en) 2012-10-09 2017-06-13 Medtronic, Inc. Cardiac pacing during medical procedures
US11103172B2 (en) * 2013-10-28 2021-08-31 Medtronic, Inc. Devices and methods for sensing physiological signals during stimulation therapy
US10434318B2 (en) 2013-12-18 2019-10-08 Cardiac Pacemakers, Inc. Systems and methods for facilitating selecting of one or more vectors in a medical device
WO2015095593A1 (en) 2013-12-18 2015-06-25 Cardiac Pacemakers, Inc. Method of facilitating selection of a vector for delivering electrical stimulation to a patient
US9750942B2 (en) 2013-12-18 2017-09-05 Cardiac Pacemakers, Inc. Systems and methods for determining parameters for each of a plurality of vectors
US9597515B2 (en) 2014-03-28 2017-03-21 Cardiac Pacemakers, Inc. Systems and methods for facilitating selection of one or more vectors in a medical device
CN110740779B (en) * 2017-04-03 2024-03-08 心脏起搏器股份公司 Cardiac pacemaker with pacing pulse energy modulation based on sensed heart rate
WO2019040069A1 (en) * 2017-08-24 2019-02-28 Siemens Industry, Inc. System and method for qualitative analysis of baseband building automation networks

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5683431A (en) * 1996-03-27 1997-11-04 Medtronic, Inc. Verification of capture by sensing evoked response across cardioversion electrodes
WO1999029368A1 (en) * 1997-12-05 1999-06-17 Cardiac Pacemakers, Inc. Automatic capture verification in multisite cardiac pacing

Family Cites Families (24)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3949758A (en) * 1974-08-01 1976-04-13 Medtronic, Inc. Automatic threshold following cardiac pacer
US4114627A (en) 1976-12-14 1978-09-19 American Hospital Supply Corporation Cardiac pacer system and method with capture verification signal
US4236524A (en) * 1978-11-06 1980-12-02 Medtronic, Inc. Program testing apparatus
US4928688A (en) 1989-01-23 1990-05-29 Mieczyslaw Mirowski Method and apparatus for treating hemodynamic disfunction
US5222493A (en) 1990-10-01 1993-06-29 Siemens Pacesetter, Inc. Verification of capture using an indifferent electrode mounted on the pacemaker connector top
CA2106378A1 (en) 1991-04-05 1992-10-06 Tom D. Bennett Subcutaneous multi-electrode sensing system
US5324310A (en) 1992-07-01 1994-06-28 Medtronic, Inc. Cardiac pacemaker with auto-capture function
DE4231603A1 (en) * 1992-09-17 1994-03-24 Biotronik Mess & Therapieg Pacemaker system
US5443485A (en) 1993-09-08 1995-08-22 Intermedics, Inc. Apparatus and method for capture detection in a cardiac stimulator
US5431693A (en) 1993-12-10 1995-07-11 Intermedics, Inc. Method of verifying capture of the heart by a pacemaker
US5601615A (en) 1994-08-16 1997-02-11 Medtronic, Inc. Atrial and ventricular capture detection and threshold-seeking pacemaker
US5571144A (en) 1995-12-18 1996-11-05 Intermedics, Inc. Method of verifying capture of the atrium by a cardiac stimulator
US5766225A (en) 1996-06-28 1998-06-16 Medtronic, Inc. System and method for distinguishing between VF/VT bradycardia or asystole
US5718720A (en) 1996-12-13 1998-02-17 Sulzer Intermedics Inc. Implantable cardiac stimulator with capture detection and impedance based autotuning of capture detection
US5935160A (en) 1997-01-24 1999-08-10 Cardiac Pacemakers, Inc. Left ventricular access lead for heart failure pacing
US5873898A (en) 1997-04-29 1999-02-23 Medtronic, Inc. Microprocessor capture detection circuit and method
EP1018290A4 (en) * 1997-05-23 2000-08-23 Alpine Microsystems Inc A system and method for packaging integrated circuits
US5792203A (en) 1997-08-18 1998-08-11 Sulzer Intermedics Inc. Universal programmable cardiac stimulation device
US5843136A (en) 1997-11-24 1998-12-01 Cardiac Pacemakers, Inc. Pacing output circuitry for automatic capture threshold detection in cardiac pacing systems
US6345201B1 (en) * 1998-07-29 2002-02-05 Pacesetter, Inc. System and method for ventricular capture using far-field evoked response
US6169921B1 (en) * 1998-12-08 2001-01-02 Cardiac Pacemakers, Inc. Autocapture determination for an implantable cardioverter defibrillator
US6615089B1 (en) 2000-03-31 2003-09-02 Cardiac Pacemakers, Inc. System and method for verifying capture in a multi-site pacemaker
US6456879B1 (en) * 2000-05-15 2002-09-24 Pacesetter, Inc. Method and device for optimally altering stimulation energy to maintain capture of cardiac tissue
US6611712B2 (en) * 2000-12-26 2003-08-26 Cardiac Pacemakers, Inc. Apparatus and method for testing and adjusting a bipolar stimulation configuration

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5683431A (en) * 1996-03-27 1997-11-04 Medtronic, Inc. Verification of capture by sensing evoked response across cardioversion electrodes
WO1999029368A1 (en) * 1997-12-05 1999-06-17 Cardiac Pacemakers, Inc. Automatic capture verification in multisite cardiac pacing

Also Published As

Publication number Publication date
US7623921B2 (en) 2009-11-24
US6963775B2 (en) 2005-11-08
US20040039422A1 (en) 2004-02-26
AU2001249532A1 (en) 2001-10-15
WO2001074441A2 (en) 2001-10-11
US6615089B1 (en) 2003-09-02
US20060069411A1 (en) 2006-03-30

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