DE60129130D1 - Gerät und verfahren zur regelung der verabreichung von nichtexcitatorischen, kardialen, kontraktionsmodulierenden signalen an ein herz - Google Patents

Gerät und verfahren zur regelung der verabreichung von nichtexcitatorischen, kardialen, kontraktionsmodulierenden signalen an ein herz

Info

Publication number
DE60129130D1
DE60129130D1 DE60129130T DE60129130T DE60129130D1 DE 60129130 D1 DE60129130 D1 DE 60129130D1 DE 60129130 T DE60129130 T DE 60129130T DE 60129130 T DE60129130 T DE 60129130T DE 60129130 D1 DE60129130 D1 DE 60129130D1
Authority
DE
Germany
Prior art keywords
cardiac
heart
chamber
events
beat
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
Application number
DE60129130T
Other languages
English (en)
Other versions
DE60129130T2 (de
Inventor
Ziv Belsky
Yuval Mika
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.)
Impulse Dynamics NV
Original Assignee
Impulse Dynamics NV
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 Impulse Dynamics NV filed Critical Impulse Dynamics NV
Publication of DE60129130D1 publication Critical patent/DE60129130D1/de
Application granted granted Critical
Publication of DE60129130T2 publication Critical patent/DE60129130T2/de
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7203—Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal
    • A61B5/7217—Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal of noise originating from a therapeutic or surgical apparatus, e.g. from a pacemaker
    • 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
    • A61N1/3627—Heart stimulators for treating a mechanical deficiency of the heart, e.g. congestive heart failure or cardiomyopathy
    • 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
    • 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
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346—Analysis of electrocardiograms
    • A61B5/349—Detecting specific parameters of the electrocardiograph cycle
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7235—Details of waveform analysis
    • A61B5/7264—Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems
    • 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
    • A61N1/368—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions
DE60129130T 2000-05-16 2001-05-10 Gerät und verfahren zur regelung der verabreichung von nichtexcitatorischen, kardialen, kontraktionsmodulierenden signalen an ein herz Expired - Lifetime DE60129130T2 (de)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US572482 2000-05-16
US09/572,482 US6370430B1 (en) 1999-03-25 2000-05-16 Apparatus and method for controlling the delivery of non-excitatory cardiac contractility modulating signals to a heart
PCT/IL2001/000417 WO2001087134A2 (en) 2000-05-16 2001-05-10 Apparatus and method for controlling the delivery of non-excitatory cardiac contractility modulating signals to a heart

Publications (2)

Publication Number Publication Date
DE60129130D1 true DE60129130D1 (de) 2007-08-09
DE60129130T2 DE60129130T2 (de) 2008-03-06

Family

ID=24288013

Family Applications (1)

Application Number Title Priority Date Filing Date
DE60129130T Expired - Lifetime DE60129130T2 (de) 2000-05-16 2001-05-10 Gerät und verfahren zur regelung der verabreichung von nichtexcitatorischen, kardialen, kontraktionsmodulierenden signalen an ein herz

Country Status (6)

Country Link
US (1) US6370430B1 (de)
EP (1) EP1284786B1 (de)
AT (1) ATE365573T1 (de)
AU (1) AU5663101A (de)
DE (1) DE60129130T2 (de)
WO (1) WO2001087134A2 (de)

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US7840264B1 (en) 1996-08-19 2010-11-23 Mr3 Medical, Llc System and method for breaking reentry circuits by cooling cardiac tissue
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AU1049901A (en) 1999-10-25 2001-05-08 Impulse Dynamics N.V. Cardiac contractility modulation device having anti-arrhythmic capabilities and a method of operating thereof
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US6493586B1 (en) * 2000-08-30 2002-12-10 Cardiac Pacemakers, Inc. Site reversion in cardiac rhythm management
US6584362B1 (en) * 2000-08-30 2003-06-24 Cardiac Pacemakers, Inc. Leads for pacing and/or sensing the heart from within the coronary veins
US6684100B1 (en) * 2000-10-31 2004-01-27 Cardiac Pacemakers, Inc. Curvature based method for selecting features from an electrophysiologic signals for purpose of complex identification and classification
US6829505B2 (en) 2000-12-26 2004-12-07 Cardiac Pacemakers, Inc. System and method for cardiac rhythm management with synchronized pacing protection period
US7003347B2 (en) * 2000-12-26 2006-02-21 Cardiac Pacemakers, Inc. System and method for cardiac rhythm management with dynamically adjusted synchronized chamber pacing protection period
US6480740B2 (en) 2000-12-26 2002-11-12 Cardiac Pacemakers, Inc. Safety pacing in multi-site CRM devices
US6512952B2 (en) * 2000-12-26 2003-01-28 Cardiac Pacemakers, Inc. Method and apparatus for maintaining synchronized pacing
DE10104451B4 (de) * 2001-02-01 2006-10-05 Siemens Ag Einrichtung zur Durchführung einer physiologisch gesteuerten Messung an einem Lebewesen
EP1429839A2 (de) * 2001-08-28 2004-06-23 Medtronic, Inc. Implantierbare medizinische vorrichtung zur behandlung von mechanischen herzfunktionsstörungen durch elektrische stimulation
US20040122294A1 (en) * 2002-12-18 2004-06-24 John Hatlestad Advanced patient management with environmental data
US6950702B2 (en) * 2002-07-15 2005-09-27 Cardiac Pacemakers, Inc. Use of curvature based features for beat detection
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
SE0203726D0 (sv) * 2002-12-16 2002-12-16 St Jude Medical An Implantable heart stimulating device, a system including such a device and use of the system
US7792571B2 (en) * 2003-06-27 2010-09-07 Cardiac Pacemakers, Inc. Tachyarrhythmia detection and discrimination based on curvature parameters
US7500955B2 (en) * 2003-06-27 2009-03-10 Cardiac Pacemaker, Inc. Signal compression based on curvature parameters
US7292888B2 (en) * 2003-08-11 2007-11-06 Medtronic, Inc. Cardiac stimulation during a refractory period
US7184832B2 (en) * 2003-10-07 2007-02-27 Medtronic, Inc. Refractory period tracking and arrhythmia detection
US20050075674A1 (en) * 2003-10-07 2005-04-07 Zillmer Glenn C. Extra-systolic stimulation therapy delivery and sensing via different electrode sets
US7277747B2 (en) * 2004-11-23 2007-10-02 Cardiac Pacemakers, Inc. Arrhythmia memory for tachyarrhythmia discrimination
US7614533B2 (en) * 2005-04-08 2009-11-10 Boal Kimi L Combination diaper bag and infant carrier
WO2007029254A2 (en) * 2005-09-06 2007-03-15 Impulse Dynamics N.V. Apparatus and method for delivering electrical signals to a heart
US7623913B2 (en) * 2006-08-01 2009-11-24 Cameron Health, Inc. Implantable medical devices using heuristic filtering in cardiac event detection
US7751888B1 (en) 2006-08-28 2010-07-06 Pacesetter, Inc. Systems and methods for delivering stimulation pulses using an implantable cardiac stimulation device
WO2008070189A2 (en) 2006-12-06 2008-06-12 The Cleveland Clinic Foundation Method and system for treating acute heart failure by neuromodulation
US20080280341A1 (en) * 2007-05-08 2008-11-13 Kenknight Bruce System And Method For Local Field Stimulation
US20090088827A1 (en) * 2007-10-02 2009-04-02 Cardiac Pacemakers, Inc Lead assembly providing sensing or stimulation of spaced-apart myocardial contact areas
JP5525532B2 (ja) * 2008-09-16 2014-06-18 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 心筋収縮能調整を組み込んだ心臓機能管理
US9132275B2 (en) 2010-11-18 2015-09-15 Cardiac Pacemakers, Inc. Automatic determination of chronotropic incompetence using atrial pacing at rest
EP2628503B1 (de) 2012-02-16 2016-02-24 BIOTRONIK SE & Co. KG Herzstimulator für eine kardiale Kontraktilitätsmodulation
AU2015264121B2 (en) 2014-05-22 2020-05-28 CARDIONOMIC, Inc. Catheter and catheter system for electrical neuromodulation
US20150342485A1 (en) * 2014-05-30 2015-12-03 Dräger Medical GmbH System and method for visually determining a physiological signal threshold
AU2015315570B2 (en) 2014-09-08 2020-05-14 CARDIONOMIC, Inc. Methods for electrical neuromodulation of the heart
AU2015315658B2 (en) 2014-09-08 2019-05-23 CARDIONOMIC, Inc. Catheter and electrode systems for electrical neuromodulation
EP3610917A1 (de) 2015-01-05 2020-02-19 Cardionomic, Inc. Herzmodulationermöglichungsverfahren und -systeme
AU2017229496B2 (en) 2016-03-09 2022-03-31 CARDIONOMIC, Inc. Cardiac contractility neurostimulation systems and methods
EP3664703A4 (de) 2017-09-13 2021-05-12 Cardionomic, Inc. Neurostimulationssysteme und verfahren zur beeinflussung der herzkontraktilität
JP2021535776A (ja) 2018-08-13 2021-12-23 カーディオノミック，インク． 心収縮及び／又は弛緩に作用するシステムおよび方法
JP2022531658A (ja) 2019-05-06 2022-07-08 カーディオノミック，インク． 電気神経調節中に生理学的信号をノイズ除去するためのシステムおよび方法

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Also Published As

Publication number Publication date
WO2001087134A2 (en) 2001-11-22
EP1284786A2 (de) 2003-02-26
EP1284786B1 (de) 2007-06-27
ATE365573T1 (de) 2007-07-15
DE60129130T2 (de) 2008-03-06
WO2001087134A3 (en) 2002-05-02
EP1284786A4 (de) 2004-12-15
AU5663101A (en) 2001-11-26
US6370430B1 (en) 2002-04-09

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