DE602004031649D1 - Verfahren und gerät zum nachweis und zur diskriminierung von arrhythmien - Google Patents
Verfahren und gerät zum nachweis und zur diskriminierung von arrhythmienInfo
- Publication number
- DE602004031649D1 DE602004031649D1 DE602004031649T DE602004031649T DE602004031649D1 DE 602004031649 D1 DE602004031649 D1 DE 602004031649D1 DE 602004031649 T DE602004031649 T DE 602004031649T DE 602004031649 T DE602004031649 T DE 602004031649T DE 602004031649 D1 DE602004031649 D1 DE 602004031649D1
- Authority
- DE
- Germany
- Prior art keywords
- arrhythmies
- discriminating
- detecting
- discriminating arrhythmies
- 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.)
- Active
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
- A61B5/7235—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
- 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
- A61B5/361—Detecting 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
- A61N1/36—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
- A61N1/3956—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
- A61B5/363—Detecting tachycardia or bradycardia
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/682,982 US7076290B2 (en) | 2003-10-10 | 2003-10-10 | Method and apparatus for detecting and discriminating arrhythmias |
PCT/US2004/033533 WO2005034745A1 (en) | 2003-10-10 | 2004-10-08 | Method and apparatus for detecting and discriminating arrhythmias |
Publications (1)
Publication Number | Publication Date |
---|---|
DE602004031649D1 true DE602004031649D1 (de) | 2011-04-14 |
Family
ID=34422637
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
DE602004031649T Active DE602004031649D1 (de) | 2003-10-10 | 2004-10-08 | Verfahren und gerät zum nachweis und zur diskriminierung von arrhythmien |
Country Status (6)
Country | Link |
---|---|
US (1) | US7076290B2 (de) |
EP (1) | EP1677673B1 (de) |
JP (1) | JP4625463B2 (de) |
CA (1) | CA2541359A1 (de) |
DE (1) | DE602004031649D1 (de) |
WO (1) | WO2005034745A1 (de) |
Families Citing this family (50)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7587240B2 (en) * | 2004-12-15 | 2009-09-08 | Cardiac Pacemakers, Inc. | Atrial capture verification |
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 |
US7734347B2 (en) * | 2004-12-15 | 2010-06-08 | Cardiac Pacemakers, Inc. | Cardiac pacing response classification based on waveform feature variability |
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 |
DE102005047320A1 (de) * | 2005-09-30 | 2007-04-05 | Biotronik Crm Patent Ag | Detektor für atriales Flimmern und Flattern |
US8532772B2 (en) * | 2005-11-28 | 2013-09-10 | Medtronic, Inc. | Method and apparatus for post-processing of episodes detected by a medical device |
US8401644B2 (en) * | 2005-11-28 | 2013-03-19 | Medtronic, Inc. | Method and apparatus for post-processing of episodes detected by a medical device |
US8010186B1 (en) | 2006-07-19 | 2011-08-30 | Pacesetter, Inc. | System and related methods for identifying a fibrillation driver |
US7801610B2 (en) * | 2006-11-17 | 2010-09-21 | Cardiac Pacemakers, Inc. | Methods and systems for management of atrial retrograde conduction and pacemaker mediated tachyarrhythmia |
US8290590B2 (en) * | 2006-11-17 | 2012-10-16 | Cardiac Pacemakers, Inc. | Dynamic morphology based atrial automatic threshold |
DE102006061988A1 (de) | 2006-12-21 | 2008-07-03 | Biotronik Crm Patent Ag | Detektor für atriales Flimmern und Flattern |
JP5028579B2 (ja) * | 2007-02-16 | 2012-09-19 | 国立大学法人東北大学 | 不整脈信号検出装置および除細動装置 |
US8055339B2 (en) | 2007-04-11 | 2011-11-08 | Cardiac Pacemakers, Inc. | Reverse pacing-mode switch |
JP2011528933A (ja) * | 2008-07-22 | 2011-12-01 | 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 | 埋め込み型医療デバイスにおける形態特徴評価 |
US8301233B2 (en) * | 2009-03-31 | 2012-10-30 | Medtronic, Inc. | Detecting a condition of a patient using a probability-correlation based model |
US8855755B2 (en) * | 2009-04-27 | 2014-10-07 | Medtronic, Inc. | Distinguishing between treatable and non-treatable heart rhythms |
US8452405B2 (en) * | 2009-05-05 | 2013-05-28 | Cardiac Pacemakers, Inc. | Methods and systems for mitigating the occurrence of arrhythmia during atrial pacing |
US8229559B2 (en) | 2010-07-15 | 2012-07-24 | Medtronic, Inc. | Evaluation of implantable medical device data |
EP2540341B1 (de) * | 2011-06-28 | 2016-07-27 | BIOTRONIK SE & Co. KG | Herzstimulator zur Abgabe einer kardialen Konktraktilitätsmodulationstherapie |
EP2572634A1 (de) * | 2011-09-23 | 2013-03-27 | Ruprecht-Karls-Universität Heidelberg | System und Computerprogrammprodukt zur automatischen Unterscheidung zwischen Vorhofflattern und Vorhofflimmern |
US8774909B2 (en) | 2011-09-26 | 2014-07-08 | Medtronic, Inc. | Episode classifier algorithm |
US8437840B2 (en) | 2011-09-26 | 2013-05-07 | Medtronic, Inc. | Episode classifier algorithm |
US9668668B2 (en) | 2011-09-30 | 2017-06-06 | Medtronic, Inc. | Electrogram summary |
US8744560B2 (en) | 2011-09-30 | 2014-06-03 | Medtronic, Inc. | Electrogram summary |
US8886296B2 (en) | 2011-10-14 | 2014-11-11 | Medtronic, Inc. | T-wave oversensing |
US8521281B2 (en) | 2011-10-14 | 2013-08-27 | Medtronic, Inc. | Electrogram classification algorithm |
US10905884B2 (en) | 2012-07-20 | 2021-02-02 | Cardialen, Inc. | Multi-stage atrial cardioversion therapy leads |
US10302944B2 (en) * | 2013-06-28 | 2019-05-28 | Seiko Epson Corporation | Head-mount type display device and method of controlling head-mount type display device |
CN106659407B (zh) * | 2014-08-14 | 2020-04-21 | 心脏起搏器股份公司 | 使用心室速率变化性的心房颤动检测 |
US9717437B2 (en) * | 2014-10-22 | 2017-08-01 | Medtronic, Inc. | Atrial arrhythmia detection during intermittent instances of ventricular pacing in a cardiac medical device |
US10219718B2 (en) | 2014-10-22 | 2019-03-05 | Medtronic, Inc. | Atrial arrhythmia episode detection in a cardiac medical device |
US20160113537A1 (en) * | 2014-10-22 | 2016-04-28 | Medtronic, Inc. | Atrial arrhythmia detection during ventricular pacing in a cardiac medical device |
EP3209201B1 (de) * | 2014-10-22 | 2020-05-06 | Medtronic Inc. | Detektion von vorhofarrythmien bei intermittierenden instanzen von ventrikulärer stimulation in einer kardialen medizinischen vorrichtung |
US10213125B2 (en) | 2015-01-23 | 2019-02-26 | Medtronic, Inc. | Atrial arrhythmia episode detection in a cardiac medical device |
US10004418B2 (en) | 2015-01-23 | 2018-06-26 | Medtronic, Inc. | Atrial arrhythmia episode detection in a cardiac medical device |
EP3247453B1 (de) | 2015-01-23 | 2020-11-25 | Medtronic Inc. | Detektion einer episode einer atrialen arhythmie in einer kardialen medizinischen vorrichtung |
US9901276B2 (en) | 2015-02-18 | 2018-02-27 | Medtronic, Inc. | Method and apparatus for identifying sick sinus syndrome in an implantable cardiac monitoring device |
US9486155B2 (en) | 2015-02-18 | 2016-11-08 | Medtronic, Inc. | Method and apparatus for atrial arrhythmia episode detection |
WO2016160674A1 (en) | 2015-04-02 | 2016-10-06 | Cardiac Pacemakers, Inc. | Atrial fibrillation detection |
CN107847746B (zh) | 2015-07-30 | 2021-10-22 | 心脏起搏器股份公司 | 在可植入装置中触发心房纤颤电极 |
WO2017079245A1 (en) | 2015-11-06 | 2017-05-11 | Cardiac Pacemakers, Inc. | System for enhanced atrial fibrillation detection |
US10045710B2 (en) | 2016-03-30 | 2018-08-14 | Medtronic, Inc. | Atrial arrhythmia episode detection in a cardiac medical device |
US10039469B2 (en) | 2016-03-30 | 2018-08-07 | Medtronic, Inc. | Atrial arrhythmia episode detection in a cardiac medical device |
US10786172B2 (en) * | 2017-03-07 | 2020-09-29 | Cardiac Pacemakers, Inc. | Systems and methods for atrial arrhythmia detection |
US10881317B2 (en) | 2017-03-07 | 2021-01-05 | Cardiac Pacemakers, Inc. | Post-hoc atrial fibrillation detection |
US20200046245A1 (en) * | 2018-08-08 | 2020-02-13 | Pacesetter, Inc. | Method and system to detect atrial flutter waves in cardiac activity signals |
WO2020146518A1 (en) | 2019-01-09 | 2020-07-16 | Cardiac Pacemakers, Inc. | System for enhancing atrial fibrillation detection |
US20210369176A1 (en) * | 2020-06-02 | 2021-12-02 | Pacesetter, Inc. | Methods, devices and systems for identifying false r-r intervals and false arrhythmia detections due to r-wave undersensing or intermittent av conduction block |
Family Cites Families (22)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4316472C1 (en) | 1974-04-25 | 2001-08-14 | Mieczyslaw Mirowski | Cardioverting device with stored energy selecting means and discharge initiating means and related method |
US4375817A (en) | 1979-07-19 | 1983-03-08 | Medtronic, Inc. | Implantable 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 |
US4830006B1 (en) | 1986-06-17 | 1997-10-28 | Intermedics Inc | Implantable cardiac stimulator for detection and treatment of ventricular arrhythmias |
US4949719A (en) | 1989-04-26 | 1990-08-21 | Ventritex, Inc. | Method for cardiac defibrillation |
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 |
US5183040A (en) * | 1991-03-08 | 1993-02-02 | Telectronics Pacing Systems, Inc. | Apparatus and method for detecting abnormal cardiac rhythms using an ultrasound sensor in an arrhythmia control system |
US5284491A (en) | 1992-02-27 | 1994-02-08 | Medtronic, Inc. | Cardiac pacemaker with hysteresis behavior |
US5411524A (en) | 1993-11-02 | 1995-05-02 | Medtronic, Inc. | Method and apparatus for synchronization of atrial defibrillation pulses |
US5545186A (en) | 1995-03-30 | 1996-08-13 | Medtronic, Inc. | Prioritized rule based method and apparatus for diagnosis and treatment of arrhythmias |
US5814081A (en) | 1997-04-07 | 1998-09-29 | Incontrol, Inc. | Atrial flutter cardioverter and method |
US5968079A (en) | 1998-03-18 | 1999-10-19 | Medtronic, Inc. | Method and apparatus for diagnosis and treatment of arrhythmias |
US6091988A (en) | 1998-04-30 | 2000-07-18 | Medtronic, Inc. | Apparatus for treating atrial tachyarrhythmias with synchronized shocks |
CA2430172A1 (en) * | 2000-11-28 | 2002-07-25 | Medtronic, Inc. | Method and apparatus for discrimination of atrial fibrillation using ventricular rate detection |
US6477420B1 (en) | 2001-04-27 | 2002-11-05 | Medtronic, Inc | Control of pacing rate in mode switching implantable medical devices |
-
2003
- 2003-10-10 US US10/682,982 patent/US7076290B2/en active Active
-
2004
- 2004-10-08 JP JP2006534454A patent/JP4625463B2/ja not_active Expired - Fee Related
- 2004-10-08 CA CA002541359A patent/CA2541359A1/en not_active Abandoned
- 2004-10-08 DE DE602004031649T patent/DE602004031649D1/de active Active
- 2004-10-08 WO PCT/US2004/033533 patent/WO2005034745A1/en active Application Filing
- 2004-10-08 EP EP04794799A patent/EP1677673B1/de not_active Not-in-force
Also Published As
Publication number | Publication date |
---|---|
US7076290B2 (en) | 2006-07-11 |
EP1677673B1 (de) | 2011-03-02 |
JP4625463B2 (ja) | 2011-02-02 |
CA2541359A1 (en) | 2005-04-21 |
EP1677673A1 (de) | 2006-07-12 |
WO2005034745A1 (en) | 2005-04-21 |
JP2007508066A (ja) | 2007-04-05 |
US20050080347A1 (en) | 2005-04-14 |
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