CA2330579A1 - Method and apparatus for treatment of arrhythmias - Google Patents

Method and apparatus for treatment of arrhythmias Download PDF

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Publication number
CA2330579A1
CA2330579A1 CA002330579A CA2330579A CA2330579A1 CA 2330579 A1 CA2330579 A1 CA 2330579A1 CA 002330579 A CA002330579 A CA 002330579A CA 2330579 A CA2330579 A CA 2330579A CA 2330579 A1 CA2330579 A1 CA 2330579A1
Authority
CA
Canada
Prior art keywords
atrial
arrhythmias
treatment
pulses
assure
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
CA002330579A
Other languages
French (fr)
Other versions
CA2330579C (en
Inventor
Eduardo N. Warman
Michael R. S. Hill
David K. L. Peterson
Rahul Mehra
Luc R. Mongeon
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.
Eduardo N. Warman
Michael R. S. Hill
David K. L. Peterson
Rahul Mehra
Luc R. Mongeon
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., Eduardo N. Warman, Michael R. S. Hill, David K. L. Peterson, Rahul Mehra, Luc R. Mongeon filed Critical Medtronic, Inc.
Publication of CA2330579A1 publication Critical patent/CA2330579A1/en
Application granted granted Critical
Publication of CA2330579C publication Critical patent/CA2330579C/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
    • A61N1/38—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
    • 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
    • A61N1/3621—Heart stimulators for treating or preventing abnormally high heart rate
    • A61N1/3622—Heart stimulators for treating or preventing abnormally high heart rate comprising two or more electrodes co-operating with different heart regions
    • 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
    • A61N1/3987—Heart defibrillators characterised by the timing or triggering of the shock

Abstract

An implantable anti-tachyarrhythmia device which delivers atrial cardioversion or defibrillation pulses heart in response to detection of atrial tachyarrhythmias. The pulses are synchronized to atrial and ventricular events in such a fashion as to assure they occur outside of the vulnerable periods associated with both chambers.
CA002330579A 1998-04-30 1999-03-03 Method and apparatus for treatment of arrhythmias Expired - Fee Related CA2330579C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US09/070,690 US6091988A (en) 1998-04-30 1998-04-30 Apparatus for treating atrial tachyarrhythmias with synchronized shocks
US09/070,690 1998-04-30
PCT/US1999/004662 WO1999056823A1 (en) 1998-04-30 1999-03-03 Method and apparatus for treatment of arrhythmias

Publications (2)

Publication Number Publication Date
CA2330579A1 true CA2330579A1 (en) 1999-11-11
CA2330579C CA2330579C (en) 2003-10-21

Family

ID=22096819

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002330579A Expired - Fee Related CA2330579C (en) 1998-04-30 1999-03-03 Method and apparatus for treatment of arrhythmias

Country Status (6)

Country Link
US (1) US6091988A (en)
EP (1) EP1075313B1 (en)
JP (1) JP2002513657A (en)
CA (1) CA2330579C (en)
DE (1) DE69925266T2 (en)
WO (1) WO1999056823A1 (en)

Families Citing this family (55)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
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
US5978707A (en) * 1997-04-30 1999-11-02 Cardiac Pacemakers, Inc. Apparatus and method for treating ventricular tachyarrhythmias
US6479523B1 (en) * 1997-08-26 2002-11-12 Emory University Pharmacologic drug combination in vagal-induced asystole
US6556862B2 (en) * 1998-03-19 2003-04-29 Cardiac Pacemakers, Inc. Method and apparatus for treating supraventricular tachyarrhythmias
US6256534B1 (en) * 1998-08-11 2001-07-03 Angeion Corporation Implantable defibrillator with countershock synchronized to P-wave
US6430438B1 (en) 1999-05-21 2002-08-06 Cardiac Pacemakers, Inc. Cardiac rhythm management system with atrial shock timing optimization
US7212860B2 (en) 1999-05-21 2007-05-01 Cardiac Pacemakers, Inc. Apparatus and method for pacing mode switching during atrial tachyarrhythmias
US7181278B2 (en) * 1999-05-21 2007-02-20 Cardiac Pacemakers, Inc. Apparatus and method for ventricular rate regularization
US8064997B2 (en) 1999-05-21 2011-11-22 Cardiac Pacemakers, Inc. Method and apparatus for treating irregular ventricular contractions such as during atrial arrhythmia
JP2003503119A (en) * 1999-06-25 2003-01-28 エモリ ユニバーシティ Vagal nerve stimulation device and method
US7039461B1 (en) 2000-05-13 2006-05-02 Cardiac Pacemakers, Inc. Cardiac pacing system for prevention of ventricular fibrillation and ventricular tachycardia episode
US8512220B2 (en) 2000-05-26 2013-08-20 Cardiac Pacemakers, Inc. Rate smoothing control
JP2004504897A (en) 2000-07-27 2004-02-19 メドトロニック・インコーポレーテッド Atrial cardioverter
US6512951B1 (en) 2000-09-14 2003-01-28 Cardiac Pacemakers, Inc. Delivery of atrial defibrillation shock based on estimated QT interval
US6480742B2 (en) * 2000-12-26 2002-11-12 Cardiac Pacemakers, Inc. Pace counter isolation for cardiac resynchronization pacing
US6957100B2 (en) 2000-12-26 2005-10-18 Cardiac Pacemakers, Inc. Method and system for display of cardiac event intervals in a resynchronization pacemaker
US20020087198A1 (en) * 2000-12-29 2002-07-04 Kramer Andrew P. Apparatus and method for ventricular rate regularization
US6643547B2 (en) * 2001-03-30 2003-11-04 Cardiac Pacemakers, Inc. Method and device for sensing atrial depolarizations during ventricular tachycardia
US6963776B2 (en) 2001-04-05 2005-11-08 Cardiac Pacemakers, Inc. Cardiac rhythm management system synchronizing atrial shock to ventricular depolarization based on length of sensing refractory
US6584350B2 (en) * 2001-04-06 2003-06-24 Cardiac Pacemakers, Inc. Apparatus and method for R-wave detection with dual dynamic sensitivities
US20020188327A1 (en) * 2001-04-26 2002-12-12 Chester Struble Drug delivery for treatment of cardiac arrhythmia
KR100415114B1 (en) * 2001-11-28 2004-01-13 삼성전자주식회사 Apparatus and method for voice multiplexing in asynchronous transfer mode network supporting voice and data service
US7844332B2 (en) 2002-10-18 2010-11-30 Cardiac Pacemakers, Inc. Atrioventricular delay adjustment enhancing ventricular tachyarrhythmia detection
US7313436B2 (en) * 2003-04-30 2007-12-25 Medtronic, Inc. Configurable cardioversion and defibrillation therapies in the presence of coexisting atrial and ventricular arrhythmia
US8903512B2 (en) * 2003-05-15 2014-12-02 Medtronic, Inc. Medical system including a novel bipolar pacing pair
US20040230246A1 (en) * 2003-05-15 2004-11-18 Stein Richard E. Patient controlled therapy management and diagnostic device with human factors interface
US20040230247A1 (en) * 2003-05-15 2004-11-18 Stein Richard E. Patient controlled therapy management and diagnostic device with human factors interface
US7076290B2 (en) * 2003-10-10 2006-07-11 Medtronic, Inc. Method and apparatus for detecting and discriminating arrhythmias
US7242978B2 (en) * 2003-12-03 2007-07-10 Medtronic, Inc. Method and apparatus for generating a template for arrhythmia detection and electrogram morphology classification
US7515963B2 (en) 2003-12-16 2009-04-07 Cardiac Pacemakers, Inc. Method of patient initiated electro-cardiogram storage, status query and therapy activation
US7096063B2 (en) * 2004-03-19 2006-08-22 Medtronic, Inc. Method and apparatus for delivering multi-directional defibrillation waveforms
US7136702B2 (en) * 2004-03-19 2006-11-14 Medtronic, Inc. Method and apparatus for delivering multi-directional defibrillation waveforms
US20050234519A1 (en) * 2004-04-15 2005-10-20 Ziegler Paul D Cardiac stimulation device and method for automatic lower pacing rate optimization
US20050245975A1 (en) * 2004-04-15 2005-11-03 Hettrick Douglas A Method and apparatus for controlling delivery of pacing pulses in response to increased ectopic frequency
US7616994B2 (en) * 2004-05-24 2009-11-10 Cardiac Pacemakers, Inc. Fast post-antitachycardia pacing redetection algorithm
US7200438B2 (en) 2004-06-04 2007-04-03 Medtronic, Inc. High frequency atrial burst pacing for improved ventricular rate control during atrial arrhythmias
US7233822B2 (en) * 2004-06-29 2007-06-19 Medtronic, Inc. Combination of electrogram and intra-cardiac pressure to discriminate between fibrillation and tachycardia
US8332030B2 (en) * 2005-04-27 2012-12-11 Medtronic, Inc. Device and method for providing atrial-synchronized ventricular pacing with selective atrial tracking
US7634310B2 (en) * 2006-10-30 2009-12-15 Medtronic, Inc. Method and apparatus for atrial fibrillation detection based on ventricular cycle lengths
US20090149904A1 (en) 2007-12-11 2009-06-11 Cardiac Pacemakers, Inc. Lv unipolar sensing or pacing vector
US20090157133A1 (en) 2007-12-13 2009-06-18 Cardiac Pacemakers, Inc. Supraventricular tachy sensing vector
US9510764B2 (en) 2009-04-22 2016-12-06 Cardiac Pacemakers, Inc. Methods for detecting atrial tachyarrhythmia in implantable devices without dedicated atrial sensing
US8239011B2 (en) * 2009-04-29 2012-08-07 Cardiac Pacemakers, Inc. Atrial arrhythmia detection and discrimination based on intracardiac impedance
US8306620B2 (en) * 2009-09-30 2012-11-06 Medtronic, Inc. Pace discrimination of tachycardia using atrial-ventricular pacing
US8831723B2 (en) 2009-09-30 2014-09-09 Medtronic, Inc. Pace discrimination of tachycardia using atrial-ventricular pacing
US8718762B2 (en) * 2009-09-30 2014-05-06 Medtronic, Inc. Pace discrimination of tachycardia using atrial-ventricular pacing
US8620425B2 (en) 2010-04-29 2013-12-31 Medtronic, Inc. Nerve signal differentiation in cardiac therapy
US8406868B2 (en) 2010-04-29 2013-03-26 Medtronic, Inc. Therapy using perturbation and effect of physiological systems
US8639327B2 (en) 2010-04-29 2014-01-28 Medtronic, Inc. Nerve signal differentiation in cardiac therapy
US8781582B2 (en) 2011-01-19 2014-07-15 Medtronic, Inc. Vagal stimulation
US8706223B2 (en) 2011-01-19 2014-04-22 Medtronic, Inc. Preventative vagal stimulation
US8781583B2 (en) 2011-01-19 2014-07-15 Medtronic, Inc. Vagal stimulation
US8718763B2 (en) 2011-01-19 2014-05-06 Medtronic, Inc. Vagal stimulation
US8725259B2 (en) 2011-01-19 2014-05-13 Medtronic, Inc. Vagal stimulation
US10905884B2 (en) 2012-07-20 2021-02-02 Cardialen, Inc. Multi-stage atrial cardioversion therapy leads

Family Cites Families (35)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4572191B1 (en) * 1974-04-25 2000-10-24 Mirowski Miecyslaw Command atrial cardioverter
US4232679A (en) * 1977-01-26 1980-11-11 Pacesetter Systems, Inc. Programmable human tissue stimulator
US4375817A (en) * 1979-07-19 1983-03-08 Medtronic, Inc. Implantable cardioverter
US4384585A (en) * 1981-03-06 1983-05-24 Medtronic, Inc. Synchronous intracardiac cardioverter
US4726380A (en) * 1983-10-17 1988-02-23 Telectronics, N.V. Implantable cardiac pacer with discontinuous microprocessor, programmable antitachycardia mechanisms and patient data telemetry
US4577633A (en) * 1984-03-28 1986-03-25 Medtronic, Inc. Rate scanning demand pacemaker and method for treatment of tachycardia
US4727877A (en) * 1984-12-18 1988-03-01 Medtronic, Inc. Method and apparatus for low energy endocardial defibrillation
US4587970A (en) * 1985-01-22 1986-05-13 Telectronics N.V. Tachycardia reversion pacer
CA1290813C (en) * 1985-08-12 1991-10-15 Michael B. Sweeney Pacemaker for detecting and terminating a tachycardia
US4800883A (en) * 1986-04-02 1989-01-31 Intermedics, Inc. Apparatus for generating multiphasic defibrillation pulse waveform
US4830006B1 (en) * 1986-06-17 1997-10-28 Intermedics Inc Implantable cardiac stimulator for detection and treatment of ventricular arrhythmias
US4953551A (en) * 1987-01-14 1990-09-04 Medtronic, Inc. Method of defibrillating a heart
US4949719A (en) * 1989-04-26 1990-08-21 Ventritex, Inc. Method for cardiac defibrillation
US5007422A (en) * 1989-06-06 1991-04-16 Ventritex, Inc. Method for combiner cardiac pacing and defibrillation
US5088488A (en) * 1989-12-22 1992-02-18 Medtronic, Inc. Method and apparatus for implementing histogram storage and trend analysis in a medical stimulator
US5052388A (en) * 1989-12-22 1991-10-01 Medtronic, Inc. Method and apparatus for implementing activity sensing in a pulse generator
US5074301A (en) * 1990-07-16 1991-12-24 Telectronics Pacing Systems, Inc. Apparatus and method for atrial pace before ventricular shock in dual chamber arrhythmia control system
US5107850A (en) * 1990-11-02 1992-04-28 Cardiac Pacemakers, Inc. Method and apparatus for classifying and treating cardiac arrhythmias based on atrial and ventricular activity
US5188105A (en) * 1990-11-14 1993-02-23 Medtronic, Inc. Apparatus and method for treating a tachyarrhythmia
US5163427A (en) * 1990-11-14 1992-11-17 Medtronic, Inc. Apparatus for delivering single and multiple cardioversion and defibrillation pulses
US5117824A (en) 1990-11-14 1992-06-02 Medtronic, Inc. Apparatus for monitoring electrical physiologic signals
US5161527A (en) * 1991-02-13 1992-11-10 Telectronics Pacing Systems, Inc. Apparatus and method for detecting abnormal cardiac rhythms in dual chamber arrhythmia control system
US5490862A (en) * 1991-04-12 1996-02-13 Adams; John M. Atrial defibrillator having patient activated modality
US5275621A (en) * 1992-04-13 1994-01-04 Medtronic, Inc. Method and apparatus for terminating tachycardia
US5269298A (en) * 1992-10-23 1993-12-14 Incontrol, Inc. Atrial defibrillator and method for providing synchronized delayed cardioversion
AU7729094A (en) * 1993-09-15 1995-04-03 Pacesetter, Inc. Synchronized cardioverter shock therapy for preemptive depolarization
US5411524A (en) * 1993-11-02 1995-05-02 Medtronic, Inc. Method and apparatus for synchronization of atrial defibrillation pulses
DE69509650T2 (en) * 1994-04-21 1999-12-30 Medtronic Inc TREATMENT OF ATRIAL FIBRILLATIONS
US5562708A (en) * 1994-04-21 1996-10-08 Medtronic, Inc. Method and apparatus for treatment of atrial fibrillation
US5464433A (en) * 1994-06-14 1995-11-07 Incontrol, Inc. Atrial defibrillator and method providing dual reset of an interval timer
US5549641A (en) * 1994-10-31 1996-08-27 Incontrol, Inc. Atrial fibrillation type selective cardiovertor and method
US5545186A (en) * 1995-03-30 1996-08-13 Medtronic, Inc. Prioritized rule based method and apparatus for diagnosis and treatment of arrhythmias
US5620471A (en) * 1995-06-16 1997-04-15 Pacesetter, Inc. System and method for discriminating between atrial and ventricular arrhythmias and for applying cardiac therapy therefor
US5674249A (en) * 1996-05-02 1997-10-07 Incontrol, Inc. Atrial defibrillation system having a portable communication device
US5755737A (en) * 1996-12-13 1998-05-26 Medtronic, Inc. Method and apparatus for diagnosis and treatment of arrhythmias

Also Published As

Publication number Publication date
JP2002513657A (en) 2002-05-14
WO1999056823A1 (en) 1999-11-11
EP1075313B1 (en) 2005-05-11
DE69925266T2 (en) 2005-10-06
DE69925266D1 (en) 2005-06-16
US6091988A (en) 2000-07-18
CA2330579C (en) 2003-10-21
EP1075313A1 (en) 2001-02-14

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