CA2187455A1 - Treatment of Atrial Fibrillation - Google Patents
Treatment of Atrial FibrillationInfo
- Publication number
- CA2187455A1 CA2187455A1 CA2187455A CA2187455A CA2187455A1 CA 2187455 A1 CA2187455 A1 CA 2187455A1 CA 2187455 A CA2187455 A CA 2187455A CA 2187455 A CA2187455 A CA 2187455A CA 2187455 A1 CA2187455 A1 CA 2187455A1
- Authority
- CA
- Canada
- Prior art keywords
- fibrillation
- atrial fibrillation
- treatment
- detection
- bursts
- 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
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
- A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
- A61N1/385—Devices for inducing an abnormal cardiac function, e.g. fibrillation
-
- 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
- A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
- A61N1/39—Heart defibrillators
- A61N1/3956—Implantable devices for applying electric shocks to the heart, e.g. for cardioversion
- A61N1/3962—Implantable devices for applying electric shocks to the heart, e.g. for cardioversion in combination with another heart therapy
- A61N1/39622—Pacing therapy
-
- 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
- A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
- A61N1/39—Heart defibrillators
- A61N1/395—Heart defibrillators for treating atrial fibrillation
Abstract
A method and apparatus for treating fibrillation, particularly atrial fibrillation. In response to detection of fibrillation, a series of low energy pulse bursts is delivered, separated by defined inter-burst intervals, and including bursts unsynchronized to heart depolarizations.
Detection of termination of fibrillation during inter-burst intervals results in cancellation of further pulse bursts to prevent re-induction of fibrillation.
Detection of termination of fibrillation during inter-burst intervals results in cancellation of further pulse bursts to prevent re-induction of fibrillation.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US23057894A | 1994-04-21 | 1994-04-21 | |
US08/230,578 | 1994-04-21 | ||
PCT/US1995/002661 WO1995028988A1 (en) | 1994-04-21 | 1995-03-03 | Treatment of atrial fibrillation |
Publications (2)
Publication Number | Publication Date |
---|---|
CA2187455A1 true CA2187455A1 (en) | 1995-11-02 |
CA2187455C CA2187455C (en) | 2000-11-28 |
Family
ID=22865749
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA002187455A Expired - Fee Related CA2187455C (en) | 1994-04-21 | 1995-03-03 | Treatment of atrial fibrillation |
Country Status (7)
Country | Link |
---|---|
US (1) | US5620468A (en) |
EP (1) | EP0756507B1 (en) |
JP (1) | JP3212611B2 (en) |
AU (1) | AU684351B2 (en) |
CA (1) | CA2187455C (en) |
DE (1) | DE69509650T2 (en) |
WO (1) | WO1995028988A1 (en) |
Families Citing this family (100)
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US6853859B1 (en) * | 1994-05-31 | 2005-02-08 | Galvani, Ltd. | Electrical cardiac output forcer |
US5713924A (en) * | 1995-06-27 | 1998-02-03 | Medtronic, Inc. | Defibrillation threshold reduction system |
JP4175662B2 (en) | 1996-01-08 | 2008-11-05 | インパルス ダイナミクス エヌ.ヴイ. | Electric muscle control device |
US8825152B2 (en) | 1996-01-08 | 2014-09-02 | Impulse Dynamics, N.V. | Modulation of intracellular calcium concentration using non-excitatory electrical signals applied to the tissue |
IL125424A0 (en) * | 1998-07-20 | 1999-03-12 | New Technologies Sa Ysy Ltd | Pacing with hemodynamic enhancement |
US7167748B2 (en) * | 1996-01-08 | 2007-01-23 | Impulse Dynamics Nv | Electrical muscle controller |
US9289618B1 (en) | 1996-01-08 | 2016-03-22 | Impulse Dynamics Nv | Electrical muscle controller |
US8321013B2 (en) * | 1996-01-08 | 2012-11-27 | Impulse Dynamics, N.V. | Electrical muscle controller and pacing with hemodynamic enhancement |
US9713723B2 (en) | 1996-01-11 | 2017-07-25 | Impulse Dynamics Nv | Signal delivery through the right ventricular septum |
US6735471B2 (en) * | 1996-04-30 | 2004-05-11 | Medtronic, Inc. | Method and system for endotracheal/esophageal stimulation prior to and during a medical procedure |
US20040199209A1 (en) * | 2003-04-07 | 2004-10-07 | Hill Michael R.S. | Method and system for delivery of vasoactive drugs to the heart prior to and during a medical procedure |
US6628987B1 (en) | 2000-09-26 | 2003-09-30 | Medtronic, Inc. | Method and system for sensing cardiac contractions during vagal stimulation-induced cardiopalegia |
US8036741B2 (en) | 1996-04-30 | 2011-10-11 | Medtronic, Inc. | Method and system for nerve stimulation and cardiac sensing prior to and during a medical procedure |
US7225019B2 (en) * | 1996-04-30 | 2007-05-29 | Medtronic, Inc. | Method and system for nerve stimulation and cardiac sensing prior to and during a medical procedure |
US6006134A (en) | 1998-04-30 | 1999-12-21 | Medtronic, Inc. | Method and device for electronically controlling the beating of a heart using venous electrical stimulation of nerve fibers |
US6449507B1 (en) | 1996-04-30 | 2002-09-10 | Medtronic, Inc. | Method and system for nerve stimulation prior to and during a medical procedure |
US6904318B2 (en) * | 2000-09-26 | 2005-06-07 | Medtronic, Inc. | Method and system for monitoring and controlling systemic and pulmonary circulation during a medical procedure |
US6532388B1 (en) | 1996-04-30 | 2003-03-11 | Medtronic, Inc. | Method and system for endotracheal/esophageal stimulation prior to and during a medical procedure |
US5683429A (en) * | 1996-04-30 | 1997-11-04 | Medtronic, Inc. | Method and apparatus for cardiac pacing to prevent atrial fibrillation |
US7269457B2 (en) * | 1996-04-30 | 2007-09-11 | Medtronic, Inc. | Method and system for vagal nerve stimulation with multi-site cardiac pacing |
US7840264B1 (en) | 1996-08-19 | 2010-11-23 | Mr3 Medical, Llc | System and method for breaking reentry circuits by cooling cardiac tissue |
US7908003B1 (en) | 1996-08-19 | 2011-03-15 | Mr3 Medical Llc | System and method for treating ischemia by improving cardiac efficiency |
US5797967A (en) * | 1996-09-27 | 1998-08-25 | Cardiac Pacemakers, Inc. | System and method to reduce defibrillation requirements |
US5800464A (en) * | 1996-10-03 | 1998-09-01 | Medtronic, Inc. | System for providing hyperpolarization of cardiac to enhance cardiac function |
US5713932A (en) * | 1996-10-28 | 1998-02-03 | Medtronic, Inc. | Method and apparatus for determining atrial lead disclocation and confirming diagnosis of atrial tachyarrhythimias |
US5755737A (en) | 1996-12-13 | 1998-05-26 | Medtronic, Inc. | Method and apparatus for diagnosis and treatment of arrhythmias |
US5836975A (en) * | 1996-12-19 | 1998-11-17 | Medtronic, Inc. | Method and apparatus for diagnosis and treatment of arrhythmias |
US5836981A (en) * | 1997-01-17 | 1998-11-17 | Paceseter, Inc. | Pacemaker circuit and associated methods for generating electrical stimulation signals |
US5792189A (en) * | 1997-04-04 | 1998-08-11 | The Research Foundation Of State University Of New York | Defibrillation utilizing the dominant frequency of fibrillation |
US5814081A (en) * | 1997-04-07 | 1998-09-29 | Incontrol, Inc. | Atrial flutter cardioverter and method |
US5987356A (en) * | 1997-06-05 | 1999-11-16 | Medtronic, Inc. | Method and apparatus for diagnosis and treatment of arrhythmias |
US6479523B1 (en) * | 1997-08-26 | 2002-11-12 | Emory University | Pharmacologic drug combination in vagal-induced asystole |
US5928270A (en) * | 1997-12-02 | 1999-07-27 | Cardiocommand, Inc. | Method and apparatus for incremental cardioversion or defibrillation |
US6556862B2 (en) | 1998-03-19 | 2003-04-29 | Cardiac Pacemakers, Inc. | Method and apparatus for treating supraventricular tachyarrhythmias |
US6246906B1 (en) | 1998-03-19 | 2001-06-12 | Cardiac Pacemakers, Inc. | System and method for treating atrial arrhythmias |
US6091988A (en) * | 1998-04-30 | 2000-07-18 | Medtronic, Inc. | Apparatus for treating atrial tachyarrhythmias with synchronized shocks |
US6081745A (en) * | 1998-08-17 | 2000-06-27 | Medtronic, Inc. | Method and apparatus for treatment of arrhythmias |
US6725093B1 (en) * | 1998-11-06 | 2004-04-20 | Impulse Dynamics N.V. | Regulation of excitable tissue control of the heart based on physiological input |
US6078837A (en) * | 1999-01-27 | 2000-06-20 | Medtronic, Inc. | Method and apparatus for treatment of fibrillation |
US8666495B2 (en) | 1999-03-05 | 2014-03-04 | Metacure Limited | Gastrointestinal methods and apparatus for use in treating disorders and controlling blood sugar |
US8019421B2 (en) * | 1999-03-05 | 2011-09-13 | Metacure Limited | Blood glucose level control |
US9101765B2 (en) * | 1999-03-05 | 2015-08-11 | Metacure Limited | Non-immediate effects of therapy |
US8700161B2 (en) | 1999-03-05 | 2014-04-15 | Metacure Limited | Blood glucose level control |
US6195584B1 (en) | 1999-04-30 | 2001-02-27 | Medtronic, Inc. | Method and apparatus for determining atrial lead dislocation |
EP1187656A1 (en) * | 1999-05-26 | 2002-03-20 | Impulse Dynamics N.V. | Local cardiac motion control using applied electrical signals and mechanical force |
AU4776000A (en) | 1999-05-26 | 2000-12-18 | Impulse Dynamic Nv | Shockless defibrillation |
US6442429B1 (en) | 1999-06-18 | 2002-08-27 | Medtronic, Inc. | Method and apparatus for diagnosis and treatment of arrhythmias |
WO2001000273A1 (en) | 1999-06-25 | 2001-01-04 | Emory University | Devices and methods for vagus nerve stimulation |
US6272380B1 (en) | 1999-08-19 | 2001-08-07 | Medtronic, Inc. | Apparatus for treating atrial tachy arrhythmias with synchronized shocks |
US6766195B1 (en) * | 1999-12-28 | 2004-07-20 | Pacesetter, Inc. | Method and apparatus for detecting natural electrical coherence within the heart and for administering therapy based thereon |
WO2002009810A2 (en) | 2000-07-27 | 2002-02-07 | Medtronic, Inc. | Algorithm for synchronization of atrial cardioversion shock |
US6487446B1 (en) | 2000-09-26 | 2002-11-26 | Medtronic, Inc. | Method and system for spinal cord stimulation prior to and during a medical procedure |
US20050014201A1 (en) * | 2001-10-25 | 2005-01-20 | Mordechai Deuthsch | Interactive transparent individual cells biochip processor |
US6668195B2 (en) | 2001-10-30 | 2003-12-23 | Medtronic, Inc. | Methods and apparatus for reducing the likelihood of atrial fibrillation |
US7146214B2 (en) * | 2002-04-22 | 2006-12-05 | Medtronic, Inc. | Anti-tachycardia pacing based on multi-site electrograms |
US20030229379A1 (en) * | 2002-06-06 | 2003-12-11 | Maynard Ramsey | Method for cardioversion or defibrillation using electrical impulses at pacing strength |
US7403819B1 (en) | 2002-06-12 | 2008-07-22 | Pacesetter, Inc. | Parasympathetic nerve stimulation for control of AV conduction |
US7245967B1 (en) * | 2002-06-12 | 2007-07-17 | Pacesetter, Inc. | Parasympathetic nerve stimulation for termination of supraventricular arrhythmias |
US7321794B2 (en) * | 2002-11-15 | 2008-01-22 | Advanced Bionics Corporation | Method and system for treating atrial fibrillation |
US7110811B2 (en) * | 2002-12-30 | 2006-09-19 | Cardiac Pacemakers, Inc. | Method and apparatus for atrial tachyarrhythmia cardioversion |
JP2006519663A (en) | 2003-03-10 | 2006-08-31 | インパルス ダイナミックス エヌヴイ | Apparatus and method for delivering electrical signals for regulating gene expression in heart tissue |
US11439815B2 (en) | 2003-03-10 | 2022-09-13 | Impulse Dynamics Nv | Protein activity modification |
US7499750B2 (en) * | 2003-04-11 | 2009-03-03 | Cardiac Pacemakers, Inc. | Noise canceling cardiac electrodes |
US7536224B2 (en) | 2003-04-30 | 2009-05-19 | Medtronic, Inc. | Method for elimination of ventricular pro-arrhythmic effect caused by atrial therapy |
US7561913B2 (en) | 2003-04-30 | 2009-07-14 | Medtronic, Inc. | Automatic adjusting R-wave synchronization algorithm for atrial cardioversion and defibrillation |
US8792985B2 (en) | 2003-07-21 | 2014-07-29 | Metacure Limited | Gastrointestinal methods and apparatus for use in treating disorders and controlling blood sugar |
US8352031B2 (en) * | 2004-03-10 | 2013-01-08 | Impulse Dynamics Nv | Protein activity modification |
US11779768B2 (en) | 2004-03-10 | 2023-10-10 | Impulse Dynamics Nv | Protein activity modification |
US7200438B2 (en) * | 2004-06-04 | 2007-04-03 | Medtronic, Inc. | High frequency atrial burst pacing for improved ventricular rate control during atrial arrhythmias |
US8175702B2 (en) | 2004-11-04 | 2012-05-08 | The Washington University | Method for low-voltage termination of cardiac arrhythmias by effectively unpinning anatomical reentries |
EP1827571B1 (en) * | 2004-12-09 | 2016-09-07 | Impulse Dynamics NV | Protein activity modification |
US8244371B2 (en) | 2005-03-18 | 2012-08-14 | Metacure Limited | Pancreas lead |
US7515959B2 (en) | 2005-03-31 | 2009-04-07 | Medtronic, Inc. | Delivery of CRT therapy during AT/AF termination |
EP1898991B1 (en) | 2005-05-04 | 2016-06-29 | Impulse Dynamics NV | Protein activity modification |
US7869867B2 (en) * | 2006-10-27 | 2011-01-11 | Cyberonics, Inc. | Implantable neurostimulator with refractory stimulation |
CA2673971C (en) * | 2006-11-13 | 2016-07-19 | Washington University Of St. Louis | Cardiac pacing using the inferior nodal extension |
US8560066B2 (en) | 2007-12-11 | 2013-10-15 | Washington University | Method and device for three-stage atrial cardioversion therapy |
US8874208B2 (en) | 2007-12-11 | 2014-10-28 | The Washington University | Methods and devices for three-stage ventricular therapy |
WO2009076557A2 (en) * | 2007-12-11 | 2009-06-18 | Washington University Of St. Louis | Method and device for low-energy termination of atrial tachyarrhythmias |
US8386038B2 (en) | 2009-07-01 | 2013-02-26 | Stefano Bianchi | Vagal stimulation during atrial tachyarrhythmia to facilitate cardiac resynchronization therapy |
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US9433791B2 (en) | 2011-05-11 | 2016-09-06 | Medtronic, Inc. | AV nodal stimulation during atrial tachyarrhythmia to prevent inappropriate therapy delivery |
CA2838609C (en) * | 2011-06-15 | 2020-08-18 | Cornell University | Apparatus for and method of terminating a high frequency arrhythmic electric state of a biological tissue |
US9079034B2 (en) | 2012-05-02 | 2015-07-14 | Technology Innovation, Llc | Method for stabilization of cardiac tissue contractions using limit cycles |
US10905884B2 (en) | 2012-07-20 | 2021-02-02 | Cardialen, Inc. | Multi-stage atrial cardioversion therapy leads |
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US10220213B2 (en) | 2015-02-06 | 2019-03-05 | Cardiac Pacemakers, Inc. | Systems and methods for safe delivery of electrical stimulation therapy |
EP3684465B1 (en) | 2017-09-20 | 2021-07-14 | Cardiac Pacemakers, Inc. | Implantable medical device with multiple modes of operation |
US11458319B2 (en) | 2018-07-06 | 2022-10-04 | Cardiac Pacemakers, Inc. | Adjustable sensing in a His-bundle pacemaker |
EP4217053A1 (en) * | 2020-09-23 | 2023-08-02 | Rocky Mountain Biphasic, Inc. | Cardiac pacing via the distal purkinje system with ultra-short pulse widths |
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-
1995
- 1995-03-03 EP EP95913538A patent/EP0756507B1/en not_active Expired - Lifetime
- 1995-03-03 DE DE69509650T patent/DE69509650T2/en not_active Expired - Lifetime
- 1995-03-03 JP JP52762595A patent/JP3212611B2/en not_active Expired - Fee Related
- 1995-03-03 CA CA002187455A patent/CA2187455C/en not_active Expired - Fee Related
- 1995-03-03 WO PCT/US1995/002661 patent/WO1995028988A1/en active IP Right Grant
- 1995-03-03 AU AU20935/95A patent/AU684351B2/en not_active Ceased
-
1996
- 1996-04-02 US US08/627,959 patent/US5620468A/en not_active Expired - Lifetime
Also Published As
Publication number | Publication date |
---|---|
EP0756507A1 (en) | 1997-02-05 |
AU2093595A (en) | 1995-11-16 |
JP3212611B2 (en) | 2001-09-25 |
DE69509650D1 (en) | 1999-06-17 |
WO1995028988A1 (en) | 1995-11-02 |
US5620468A (en) | 1997-04-15 |
EP0756507B1 (en) | 1999-05-12 |
DE69509650T2 (en) | 1999-12-30 |
JPH09505504A (en) | 1997-06-03 |
CA2187455C (en) | 2000-11-28 |
AU684351B2 (en) | 1997-12-11 |
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