DE60044978D1 - Automatische erregungsbestätigung und restladungsableitung - Google Patents
Automatische erregungsbestätigung und restladungsableitungInfo
- Publication number
- DE60044978D1 DE60044978D1 DE60044978T DE60044978T DE60044978D1 DE 60044978 D1 DE60044978 D1 DE 60044978D1 DE 60044978 T DE60044978 T DE 60044978T DE 60044978 T DE60044978 T DE 60044978T DE 60044978 D1 DE60044978 D1 DE 60044978D1
- Authority
- DE
- Germany
- Prior art keywords
- heart
- patient
- capture verification
- evoked response
- detected
- 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.)
- Expired - Lifetime
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
- A61N1/37—Monitoring; Protecting
- A61N1/371—Capture, i.e. successful stimulation
- A61N1/3712—Auto-capture, i.e. automatic adjustment of the stimulation threshold
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10S128/00—Surgery
- Y10S128/901—Suppression of noise in electric signal
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US09/470,269 US6473649B1 (en) | 1999-12-22 | 1999-12-22 | Rate management during automatic capture verification |
PCT/US2000/034796 WO2001045792A1 (en) | 1999-12-22 | 2000-12-20 | Automatic capture verification and afterpotential reduction |
Publications (1)
Publication Number | Publication Date |
---|---|
DE60044978D1 true DE60044978D1 (de) | 2010-10-28 |
Family
ID=23866921
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
DE60044978T Expired - Lifetime DE60044978D1 (de) | 1999-12-22 | 2000-12-20 | Automatische erregungsbestätigung und restladungsableitung |
Country Status (6)
Country | Link |
---|---|
US (1) | US6473649B1 (de) |
EP (1) | EP1239919B1 (de) |
AT (1) | ATE481130T1 (de) |
AU (1) | AU2587501A (de) |
DE (1) | DE60044978D1 (de) |
WO (1) | WO2001045792A1 (de) |
Families Citing this family (59)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7158831B2 (en) * | 2002-09-13 | 2007-01-02 | Cardiac Pacemakers, Inc. | Method and apparatus for cardiac pacing with variable safety margin |
US7082335B2 (en) * | 2002-09-30 | 2006-07-25 | Medtronic, Inc. | Multipolar pacing method and apparatus |
US7031764B2 (en) * | 2002-11-08 | 2006-04-18 | Cardiac Pacemakers, Inc. | Cardiac rhythm management systems and methods using multiple morphology templates for discriminating between rhythms |
US7349738B1 (en) * | 2003-02-19 | 2008-03-25 | Pacesetter, Inc. | Detecting atrial evoked response |
EP1515441B1 (de) * | 2003-09-05 | 2010-01-20 | Biotronik GmbH & Co. KG | Spannungsfester MOS-Schalter |
US7813799B2 (en) | 2003-12-08 | 2010-10-12 | Cardiac Pacemakers, Inc. | Adaptive safety pacing |
US7181284B2 (en) * | 2004-03-17 | 2007-02-20 | Medtronic, Inc. | Apparatus and methods of energy efficient, atrial-based Bi-ventricular fusion-pacing |
US7627366B1 (en) | 2004-05-17 | 2009-12-01 | Pacesetter, Inc. | Analysis of polarization information |
US7212849B2 (en) * | 2004-10-28 | 2007-05-01 | Cardiac Pacemakers, Inc. | Methods and apparatuses for arrhythmia detection and classification using wireless ECG |
DE102004059973A1 (de) * | 2004-12-13 | 2006-06-22 | Imi Intelligent Medical Implants Ag | Vorrichtung zur Steuerung der elektrischen Ladung an Stimulationselektroden |
US7330761B2 (en) * | 2004-12-15 | 2008-02-12 | Cardiac Pacemakers, Inc. | Baseline adaptation for cardiac pacing response classification |
US7587240B2 (en) * | 2004-12-15 | 2009-09-08 | Cardiac Pacemakers, Inc. | Atrial capture verification |
US7734347B2 (en) * | 2004-12-15 | 2010-06-08 | Cardiac Pacemakers, Inc. | Cardiac pacing response classification based on waveform feature variability |
WO2006065707A2 (en) * | 2004-12-15 | 2006-06-22 | Cardiac Pacemakers, Inc. | Cardiac capture verification and retrograde management |
US8229561B2 (en) | 2004-12-15 | 2012-07-24 | Cardiac Pacemakers, Inc. | Atrial retrograde management |
US7930029B2 (en) * | 2004-12-15 | 2011-04-19 | Cardiac Pacemakers, Inc. | Template initialization for evoked response detection |
US7908006B2 (en) * | 2004-12-15 | 2011-03-15 | Cardiac Pacemakers, Inc. | Cardiac pacing response classification using an adaptable classification interval |
US7457666B2 (en) * | 2005-05-25 | 2008-11-25 | Cardiac Pacemakers, Inc. | Retrograde atrial sensing for identifying sub-threshold atrial pacing |
US7657314B2 (en) * | 2005-06-28 | 2010-02-02 | Cardiac Pacemakers, Inc. | Methods and systems for selecting capture verification modes |
EP2021071B1 (de) * | 2006-05-16 | 2013-08-14 | St. Jude Medical AB | Implantierbares herzstimulationsgerät mit automatischem aussetzen der automatischen fangschwellenbestimmung |
US8290590B2 (en) | 2006-11-17 | 2012-10-16 | Cardiac Pacemakers, Inc. | Dynamic morphology based atrial automatic threshold |
US7801610B2 (en) * | 2006-11-17 | 2010-09-21 | Cardiac Pacemakers, Inc. | Methods and systems for management of atrial retrograde conduction and pacemaker mediated tachyarrhythmia |
US8406879B2 (en) * | 2006-12-20 | 2013-03-26 | Cardiac Pacemakers, Inc. | Rate adaptive cardiac pacing systems and methods |
US8340768B2 (en) * | 2007-12-12 | 2012-12-25 | Cardiac Pacemakers, Inc. | Sensing threshold control to limit amplitude tracking |
US8452405B2 (en) * | 2009-05-05 | 2013-05-28 | Cardiac Pacemakers, Inc. | Methods and systems for mitigating the occurrence of arrhythmia during atrial pacing |
WO2011069535A1 (en) | 2009-12-08 | 2011-06-16 | St. Jude Medical Ab | Cardiac stimulating device with backup pulse |
WO2011088043A1 (en) * | 2010-01-12 | 2011-07-21 | Cardiac Pacemakers, Inc. | Use of significant point methodology to prevent inappropriate therapy |
US8565879B2 (en) | 2010-03-30 | 2013-10-22 | Cardiac Pacemakers, Inc. | Method and apparatus for pacing safety margin |
US8725261B2 (en) | 2010-12-23 | 2014-05-13 | Cardiac Pacemakers, Inc. | Rate initialization and overdrive pacing for capture threshold testing |
US8744556B2 (en) | 2011-02-04 | 2014-06-03 | Cardiac Pacemakers, Inc. | Noise detection in implantable medical devices |
US9872990B2 (en) | 2011-05-13 | 2018-01-23 | Saluda Medical Pty Limited | Method and apparatus for application of a neural stimulus |
CA2835486C (en) | 2011-05-13 | 2022-07-19 | Saluda Medical Pty Limited | Method and apparatus for measurement of neural response - a |
JP6243328B2 (ja) | 2011-05-13 | 2017-12-06 | サルーダ・メディカル・ピーティーワイ・リミテッド | 神経刺激を制御するための方法および装置 |
US10568559B2 (en) | 2011-05-13 | 2020-02-25 | Saluda Medical Pty Ltd | Method and apparatus for measurement of neural response |
EP2707095B1 (de) | 2011-05-13 | 2018-09-26 | Saluda Medical Pty Limited | Vorrichtung zur anwendung eines neuronalen stimulus |
US20140236042A1 (en) | 2011-05-13 | 2014-08-21 | Saluda Medical Pty. Ltd. | Method and apparatus for measurement of neural response |
US9974455B2 (en) | 2011-05-13 | 2018-05-22 | Saluda Medical Pty Ltd. | Method and apparatus for estimating neural recruitment |
US9008772B2 (en) | 2011-11-29 | 2015-04-14 | Cardiac Pacemakers, Inc. | Hybrid autothreshold |
US9295850B2 (en) * | 2012-04-24 | 2016-03-29 | Medtronic, Inc. | Charge-balancing during electrical stimulation |
WO2014071445A1 (en) | 2012-11-06 | 2014-05-15 | Saluda Medical Pty Ltd | Method and system for controlling electrical conditions of tissue |
US11103172B2 (en) | 2013-10-28 | 2021-08-31 | Medtronic, Inc. | Devices and methods for sensing physiological signals during stimulation therapy |
JP6730185B2 (ja) | 2013-11-15 | 2020-07-29 | サルーダ・メディカル・ピーティーワイ・リミテッド | 脳神経電位のモニタリング |
CN105848574B9 (zh) | 2013-11-22 | 2020-01-21 | 萨鲁达医疗有限公司 | 用于检测神经测量值中的神经反应的方法和装置 |
US9339656B2 (en) * | 2014-02-28 | 2016-05-17 | Medtronic, Inc. | Methods and systems for identifying reasons for ineffective left ventricular capture in cardiac resynchronization therapy based on EGM morphology |
DK3139999T3 (da) * | 2014-05-05 | 2020-06-22 | Saluda Medical Pty Ltd | Forbedret neutral måling |
US10632307B2 (en) | 2014-07-25 | 2020-04-28 | Saluda Medical Pty Ltd | Neural stimulation dosing |
WO2016077882A1 (en) | 2014-11-17 | 2016-05-26 | Saluda Medical Pty Ltd | Method and device for detecting a neural response in neural measurements |
EP3229890B1 (de) | 2014-12-11 | 2020-05-27 | Saluda Medical Pty Limited | Positionierung einer implantierbaren elektrode |
WO2016090436A1 (en) | 2014-12-11 | 2016-06-16 | Saluda Medical Pty Ltd | Method and device for feedback control of neural stimulation |
AU2016208972B2 (en) | 2015-01-19 | 2021-06-24 | Saluda Medical Pty Ltd | Method and device for neural implant communication |
WO2016161484A2 (en) | 2015-04-09 | 2016-10-13 | Saluda Medical Pty Ltd | Electrode to nerve distance estimation |
AU2016269837B2 (en) | 2015-05-31 | 2021-10-21 | Closed Loop Medical Pty Ltd | Brain neurostimulator electrode fitting |
AU2016273415B2 (en) | 2015-05-31 | 2021-07-15 | Closed Loop Medical Pty Ltd | Monitoring brain neural activity |
EP3261533A4 (de) | 2015-06-01 | 2018-10-31 | Saluda Medical Pty Ltd | Motorische faserneuromodulation |
US11191966B2 (en) | 2016-04-05 | 2021-12-07 | Saluda Medical Pty Ltd | Feedback control of neuromodulation |
JP6791659B2 (ja) * | 2016-06-16 | 2020-11-25 | 日本光電工業株式会社 | 生体電位測定装置 |
EP3474747A4 (de) | 2016-06-24 | 2020-01-22 | Saluda Medical Pty Ltd | Nervenstimulation für reduziertes artefakt |
WO2019108742A1 (en) * | 2017-11-29 | 2019-06-06 | Medtronic, Inc. | Device and method to reduce artifact from tissue conduction communication transmission |
CA3098468A1 (en) | 2018-04-27 | 2019-10-31 | Saluda Medical Pty Ltd | Neurostimulation of mixed nerves |
Family Cites Families (59)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
BE791120A (de) | 1971-11-11 | 1973-03-01 | Medtronic Inc | |
US3920024A (en) | 1973-04-16 | 1975-11-18 | Vitatron Medical Bv | Threshold tracking system and method for stimulating a physiological system |
US4273133A (en) | 1978-11-06 | 1981-06-16 | Medtronic, Inc. | Programmable digital cardiac pacemaker with means to override effects of reed switch closure |
US4273132A (en) | 1978-11-06 | 1981-06-16 | Medtronic, Inc. | Digital cardiac pacemaker with threshold margin check |
US4401120A (en) | 1978-11-06 | 1983-08-30 | Medtronic, Inc. | Digital cardiac pacemaker with program acceptance indicator |
US4253466A (en) | 1978-11-06 | 1981-03-03 | Medtronic, Inc. | Temporary and permanent programmable digital cardiac pacemaker |
US4233985A (en) | 1978-11-06 | 1980-11-18 | Medtronic Inc. | Multi-mode programmable digital cardiac pacemaker |
US4373531A (en) | 1979-04-16 | 1983-02-15 | Vitafin N.V. | Apparatus for physiological stimulation and detection of evoked response |
US4337776A (en) | 1980-08-29 | 1982-07-06 | Telectronics Pty. Ltd. | Impedance measuring pacer |
US4399818A (en) | 1981-04-06 | 1983-08-23 | Telectronics Pty. Ltd. | Direct-coupled output stage for rapid-signal biological stimulator |
FR2533432A1 (fr) | 1982-09-23 | 1984-03-30 | Europ Propulsion | Procede et dispositif de detection de la reponse du coeur a une impulsion electrique de stimulation |
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 |
US4895152A (en) | 1985-12-11 | 1990-01-23 | Telectronics N.V. | System for cardiac pacing |
DE3688070T2 (de) | 1985-12-11 | 1993-06-24 | Telectronics Nv | Apparat zur herzstimulation mit erfassung von hervorgerufenen herzpotentialen. |
US4762136A (en) | 1987-02-19 | 1988-08-09 | Intermedics, Inc. | Low polarization pacing electrodes for capture verification |
US4821724A (en) | 1986-08-01 | 1989-04-18 | Telectronics N.V. | Pacing pulse compensation |
US4779617A (en) | 1986-10-06 | 1988-10-25 | Telectronics N.V. | Pacemaker noise rejection system |
US5161529A (en) | 1988-12-02 | 1992-11-10 | Intermedics, Inc. | Cardiac pacemaker with capture verification |
US5097832A (en) | 1990-03-09 | 1992-03-24 | Siemens-Pacesetter, Inc. | System and method for preventing false pacemaker pvc response |
US5103820A (en) | 1990-08-14 | 1992-04-14 | Medtronic, Inc. | VDD pacemaker with selectable post-ventricular atrial refractory periods |
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 |
US5374282A (en) | 1991-10-31 | 1994-12-20 | Medtronic, Inc. | Automatic sensitivity adjust for cardiac pacemakers |
US5243979A (en) | 1991-11-15 | 1993-09-14 | Medtronic, Inc. | Method and apparatus for implementing activity sensing in a pulse generator |
US5271395A (en) | 1992-04-17 | 1993-12-21 | Medtronic, Inc. | Method and apparatus for rate-responsive cardiac pacing |
US5231986A (en) | 1992-04-27 | 1993-08-03 | Medtronic, Inc. | Method and system for optimizing activity threshold in activity based rate adaptive pacemakers |
US5312453A (en) | 1992-05-11 | 1994-05-17 | Medtronic, Inc. | Rate responsive cardiac pacemaker and method for work-modulating pacing rate deceleration |
US5324310A (en) | 1992-07-01 | 1994-06-28 | Medtronic, Inc. | Cardiac pacemaker with auto-capture function |
US5312446A (en) | 1992-08-26 | 1994-05-17 | Medtronic, Inc. | Compressed storage of data in cardiac pacemakers |
US5320643A (en) | 1992-10-06 | 1994-06-14 | Medtronic, Inc. | Automatic cardiac capture restoration and threshold-seeking method and apparatus |
US5342406A (en) | 1992-10-07 | 1994-08-30 | Medtronic, Inc. | Oxygen sensor based capture detection for a pacer |
US5336244A (en) | 1992-10-07 | 1994-08-09 | Medtronic, Inc. | Temperature sensor based capture detection for a pacer |
US5350410A (en) | 1992-11-23 | 1994-09-27 | Siemens Pacesetter, Inc. | Autocapture system for implantable pulse generator |
US5312454A (en) | 1992-12-14 | 1994-05-17 | Medtronic, Inc. | Apparatus and method of automatically adjusting a sensor signal comparator threshold for an oxygen sensing pacemaker |
US5441524A (en) | 1993-08-30 | 1995-08-15 | Medtronic, Inc. | Energy efficient multiple sensor cardiac pacemaker |
US5365932A (en) | 1993-09-02 | 1994-11-22 | Telectronics Pacing System, Inc. | Cardiac signal sensing device having sensitivity automatically controlled in response to metabolic demand |
FR2712500B1 (fr) | 1993-11-17 | 1996-02-09 | Ela Medical Sa | Procédé de commande automatique du seuil de détection du rythme cardiaque dans un appareil implantable. |
US5431693A (en) | 1993-12-10 | 1995-07-11 | Intermedics, Inc. | Method of verifying capture of the heart by a pacemaker |
US5391192A (en) | 1994-03-04 | 1995-02-21 | Telectronics Pacing Systems, Inc. | Automatic ventricular pacing pulse threshold determination utilizing an external programmer and a surface electrocardiogram |
DE4427845A1 (de) * | 1994-07-30 | 1996-02-01 | Biotronik Mess & Therapieg | Verfahren zur Aufnahme von für Herzaktionen charakteristischen Signalen und Vorrichtung zu dessen Durchführung |
US5601615A (en) | 1994-08-16 | 1997-02-11 | Medtronic, Inc. | Atrial and ventricular capture detection and threshold-seeking pacemaker |
US5486201A (en) | 1994-09-12 | 1996-01-23 | Pacesetter, Inc. | Active discharge of a coupling capacitor in an implantable medical device |
US5540729A (en) | 1994-12-19 | 1996-07-30 | Medtronic, Inc. | Movement powered medical pulse generator having a full-wave rectifier with dynamic bias |
US5674258A (en) | 1995-03-08 | 1997-10-07 | Medtronic, Inc. | Packaged integrated accelerometer |
US5683431A (en) | 1996-03-27 | 1997-11-04 | Medtronic, Inc. | Verification of capture by sensing evoked response across cardioversion electrodes |
US6067472A (en) * | 1997-03-12 | 2000-05-23 | Medtronic, Inc. | Pacemaker system and method with improved evoked response and repolarization signal detection |
US5755738A (en) | 1997-04-22 | 1998-05-26 | Cardiac Pacemakers, Inc. | Automatic sensing level adjustment for implantable cardiac rhythm management devices |
US5873898A (en) | 1997-04-29 | 1999-02-23 | Medtronic, Inc. | Microprocessor capture detection circuit and method |
US5855594A (en) | 1997-08-08 | 1999-01-05 | Cardiac Pacemakers, Inc. | Self-calibration system for capture verification in pacing devices |
US5891171A (en) * | 1997-10-22 | 1999-04-06 | Pacesetter Incorporated | Apparatus with noise classification in an implantable cardiac device by using an amplifier with a variable threshold |
US6044296A (en) * | 1997-11-24 | 2000-03-28 | Cardiac Pacemakers, Inc. | Pacing output coupling capacitor for automatic capture threshold detection in cardiac pacing systems |
US5843136A (en) * | 1997-11-24 | 1998-12-01 | Cardiac Pacemakers, Inc. | Pacing output circuitry for automatic capture threshold detection in cardiac pacing systems |
US6192273B1 (en) * | 1997-12-02 | 2001-02-20 | The Cleveland Clinic Foundation | Non-programmable automated heart rhythm classifier |
US6169921B1 (en) * | 1998-12-08 | 2001-01-02 | Cardiac Pacemakers, Inc. | Autocapture determination for an implantable cardioverter defibrillator |
US6249701B1 (en) * | 1999-02-12 | 2001-06-19 | Medtronic, Inc. | Implantable device with automatic sensing adjustment |
US6427085B1 (en) * | 1999-05-11 | 2002-07-30 | Cardiac Pacemakers, Inc. | Cardiac sense amplifier for capture verification |
US6192275B1 (en) * | 1999-05-11 | 2001-02-20 | Cardiac Pacemakers, Inc. | Adaptive evoked response sensing for automatic capture verification |
US6226551B1 (en) * | 1999-05-11 | 2001-05-01 | Cardiac Pacemakers, Inc. | Wide-band evoked response sensing for capture verification |
-
1999
- 1999-12-22 US US09/470,269 patent/US6473649B1/en not_active Expired - Lifetime
-
2000
- 2000-12-20 AU AU25875/01A patent/AU2587501A/en not_active Abandoned
- 2000-12-20 DE DE60044978T patent/DE60044978D1/de not_active Expired - Lifetime
- 2000-12-20 AT AT00989365T patent/ATE481130T1/de not_active IP Right Cessation
- 2000-12-20 EP EP00989365A patent/EP1239919B1/de not_active Expired - Lifetime
- 2000-12-20 WO PCT/US2000/034796 patent/WO2001045792A1/en active Application Filing
Also Published As
Publication number | Publication date |
---|---|
ATE481130T1 (de) | 2010-10-15 |
WO2001045792A1 (en) | 2001-06-28 |
US6473649B1 (en) | 2002-10-29 |
EP1239919B1 (de) | 2010-09-15 |
AU2587501A (en) | 2001-07-03 |
EP1239919A1 (de) | 2002-09-18 |
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