DE69324265T2 - Apparat zur detektion und therapie von tachykardie und herzflimmern - Google Patents

Apparat zur detektion und therapie von tachykardie und herzflimmern

Info

Publication number
DE69324265T2
DE69324265T2 DE69324265T DE69324265T DE69324265T2 DE 69324265 T2 DE69324265 T2 DE 69324265T2 DE 69324265 T DE69324265 T DE 69324265T DE 69324265 T DE69324265 T DE 69324265T DE 69324265 T2 DE69324265 T2 DE 69324265T2
Authority
DE
Germany
Prior art keywords
therapying
tachycardia
flags
detecting
therapying tachycardia
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 - Fee Related
Application number
DE69324265T
Other languages
English (en)
Other versions
DE69324265D1 (de
Inventor
Walter H Olson
David K Peterson
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
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 filed Critical Medtronic Inc
Publication of DE69324265D1 publication Critical patent/DE69324265D1/de
Application granted granted Critical
Publication of DE69324265T2 publication Critical patent/DE69324265T2/de
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
    • A61N1/36—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
    • 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
    • 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
DE69324265T 1993-01-29 1993-12-15 Apparat zur detektion und therapie von tachykardie und herzflimmern Expired - Fee Related DE69324265T2 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US08/010,906 US5342402A (en) 1993-01-29 1993-01-29 Method and apparatus for detection and treatment of tachycardia and fibrillation
PCT/US1993/012230 WO1994016768A1 (en) 1993-01-29 1993-12-15 Method and apparatus for detection and treatment of tachycardia and fibrillation

Publications (2)

Publication Number Publication Date
DE69324265D1 DE69324265D1 (de) 1999-05-06
DE69324265T2 true DE69324265T2 (de) 1999-12-09

Family

ID=21747969

Family Applications (1)

Application Number Title Priority Date Filing Date
DE69324265T Expired - Fee Related DE69324265T2 (de) 1993-01-29 1993-12-15 Apparat zur detektion und therapie von tachykardie und herzflimmern

Country Status (7)

Country Link
US (1) US5342402A (de)
EP (1) EP0681499B1 (de)
JP (1) JPH08505794A (de)
AU (1) AU670997B2 (de)
CA (1) CA2153335C (de)
DE (1) DE69324265T2 (de)
WO (1) WO1994016768A1 (de)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE10152741A1 (de) * 2001-07-25 2003-02-13 Biotronik Mess & Therapieg Herztherapiegerät

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US5545186A (en) 1995-03-30 1996-08-13 Medtronic, Inc. Prioritized rule based method and apparatus for diagnosis and treatment of arrhythmias
DE19609362C1 (de) * 1996-03-04 1997-06-19 Biotronik Mess & Therapieg Therapiegerät
US5776168A (en) * 1996-04-03 1998-07-07 Medtronic, Inc. EGM recording system for implantable medical device
EP0902707B1 (de) * 1996-05-14 2000-08-16 Medtronic, Inc. Sich auf prioritätsregeln beziehendes gerät für diagnose und behandlung von herzarhythmie
FR2749765B1 (fr) * 1996-06-18 1998-10-02 Ela Medical Sa Dispositif medical actif du type defibrillateur/cardioverteur implantable a discrimination perfectionnee des tachycardies
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
US5987356A (en) * 1997-06-05 1999-11-16 Medtronic, Inc. Method and apparatus for diagnosis and treatment of arrhythmias
US6016442A (en) 1998-03-25 2000-01-18 Cardiac Pacemakers, Inc. System for displaying cardiac arrhythmia data
US6091986A (en) * 1998-04-27 2000-07-18 Medtronic, Inc. Method and apparatus for storage of physiologic signals
US6266554B1 (en) 1999-02-12 2001-07-24 Cardiac Pacemakers, Inc. System and method for classifying cardiac complexes
US6312388B1 (en) 1999-03-12 2001-11-06 Cardiac Pacemakers, Inc. Method and system for verifying the integrity of normal sinus rhythm templates
US6223078B1 (en) 1999-03-12 2001-04-24 Cardiac Pacemakers, Inc. Discrimination of supraventricular tachycardia and ventricular tachycardia events
US7203535B1 (en) 1999-04-01 2007-04-10 Cardiac Pacemakers, Inc. System and method for classifying tachycardia arrhythmias having 1:1 atrial-to-ventricular rhythms
US6330477B1 (en) 1999-04-12 2001-12-11 Medtronic, Inc. Ventricular synchronized atrial pacing mode of implantable cardioverter/defibrillator
US6442429B1 (en) * 1999-06-18 2002-08-27 Medtronic, Inc. Method and apparatus for diagnosis and treatment of arrhythmias
US6415175B1 (en) 1999-08-20 2002-07-02 Cardiac Pacemakers, Inc. Interface for a medical device system
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US6493579B1 (en) 1999-08-20 2002-12-10 Cardiac Pacemakers, Inc. System and method for detection enhancement programming
US6230055B1 (en) 1999-08-20 2001-05-08 Cardiac Pacemakers, Inc. Method and apparatus for adaptive tachycardia and fibrillation discrimination
US6418340B1 (en) 1999-08-20 2002-07-09 Cardiac Pacemakers, Inc. Method and system for identifying and displaying groups of cardiac arrhythmic episodes
US6718198B2 (en) 1999-08-24 2004-04-06 Cardiac Pacemakers, Inc. Arrhythmia display
US6289248B1 (en) 1999-08-20 2001-09-11 Cardiac Pacemakers, Inc. System and method for detecting and displaying parameter interactions
US6445949B1 (en) * 2000-01-05 2002-09-03 Pacesetter, Inc. Implantable cardioversion device with a self-adjusting threshold for therapy selection
US6567691B1 (en) 2000-03-22 2003-05-20 Medtronic, Inc. Method and apparatus diagnosis and treatment of arrhythias
US6400986B1 (en) 2000-04-10 2002-06-04 Cardiac Pacemakers, Inc. Adaptive anti-tachycardia therapy apparatus and method
US6490478B1 (en) * 2000-09-25 2002-12-03 Cardiac Science Inc. System and method for complexity analysis-based cardiac tachyarrhythmia detection
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
US6978177B1 (en) 2000-11-14 2005-12-20 Cardiac Pacemakers, Inc. Method and apparatus for using atrial discrimination algorithms to determine optimal pacing therapy and therapy timing
WO2002056961A2 (en) 2000-11-28 2002-07-25 Medtronic, Inc. Method and apparatus for discrimination of atrial fibrillation using ventricular rate detection
US8548576B2 (en) 2000-12-15 2013-10-01 Cardiac Pacemakers, Inc. System and method for correlation of patient health information and implant device data
US6665558B2 (en) 2000-12-15 2003-12-16 Cardiac Pacemakers, Inc. System and method for correlation of patient health information and implant device data
US6775572B2 (en) * 2001-10-25 2004-08-10 Cardiac Pacemakers, Inc. Method and system for automatic anti-tachycardia pacing
US7330757B2 (en) 2001-11-21 2008-02-12 Cameron Health, Inc. Method for discriminating between ventricular and supraventricular arrhythmias
US7248921B2 (en) 2003-06-02 2007-07-24 Cameron Health, Inc. Method and devices for performing cardiac waveform appraisal
EP1450898B1 (de) * 2001-12-03 2009-07-29 Medtronic, Inc. Zweikammer-herzschrittmacher-system zur diagnose und behebung von arrhythmien
US6885890B2 (en) * 2001-12-20 2005-04-26 Cardiac Pacemakers, Inc. Apparatus and method for multi-site anti-tachycardia pacing
US6909916B2 (en) * 2001-12-20 2005-06-21 Cardiac Pacemakers, Inc. Cardiac rhythm management system with arrhythmia classification and electrode selection
US7076298B2 (en) * 2002-06-14 2006-07-11 Medtronic, Inc. Method and apparatus for prevention of arrhythmia clusters using overdrive pacing
FR2843884B1 (fr) * 2002-09-04 2005-06-17 Ela Medical Sa Dispositif implantable actif du type defibrillateur, cardioverteur et/ou stimulateur antitachycardique, a discrimination perfectionnee entre tachycardie et fibrillation ventriculaires
US7103405B2 (en) * 2002-12-04 2006-09-05 Medtronic, Inc. Methods and apparatus for discriminating polymorphic tachyarrhythmias from monomorphic tachyarrhythmias facilitating detection of fibrillation
US7076289B2 (en) * 2002-12-04 2006-07-11 Medtronic, Inc. Methods and apparatus for discriminating polymorphic tachyarrhythmias from monomorphic tachyarrhythmias facilitating detection of fibrillation
US7130677B2 (en) * 2002-12-04 2006-10-31 Medtronic, Inc. Methods and apparatus for discriminating polymorphic tachyarrhythmias from monomorphic tachyarrhythmias facilitating detection of fibrillation
US7191006B2 (en) 2002-12-05 2007-03-13 Cardiac Pacemakers, Inc. Cardiac rhythm management systems and methods for rule-illustrative parameter entry
US7103404B2 (en) * 2003-02-27 2006-09-05 Medtronic,Inc. Detection of tachyarrhythmia termination
PL1617770T3 (pl) * 2003-04-22 2013-05-31 Patrick Leahy Urządzenie chirurgiczne
US7751892B2 (en) 2003-05-07 2010-07-06 Cardiac Pacemakers, Inc. Implantable medical device programming apparatus having a graphical user interface
US7130681B2 (en) 2003-05-09 2006-10-31 Medtronic, Inc. Use of accelerometer signal to augment ventricular arrhythmia detection
US7500955B2 (en) 2003-06-27 2009-03-10 Cardiac Pacemaker, Inc. Signal compression based on curvature parameters
US7792571B2 (en) * 2003-06-27 2010-09-07 Cardiac Pacemakers, Inc. Tachyarrhythmia detection and discrimination based on curvature parameters
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US20050038478A1 (en) * 2003-08-11 2005-02-17 Klepfer Ruth N. Activation recovery interval for classification of cardiac beats in an implanted device
US8332022B2 (en) * 2003-08-29 2012-12-11 Medtronic, Inc. Methods and apparatus for discriminating polymorphic tachyarrhythmias from monomorphic tachyarrhythmias facilitating detection of fibrillation
US7496402B2 (en) * 2004-04-29 2009-02-24 Cardiac Pacemakers, Inc. ATP pacing with entrainment monitoring
US7515956B2 (en) 2004-05-12 2009-04-07 Cardiac Pacemakers, Inc. Template based AV/VA interval comparison for the discrimination of cardiac arrhythmias
US7616994B2 (en) * 2004-05-24 2009-11-10 Cardiac Pacemakers, Inc. Fast post-antitachycardia pacing redetection algorithm
US7228176B2 (en) * 2004-07-22 2007-06-05 Cardiac Pacemakers, Inc. Systems, devices, and methods for tachyarrhythmia discrimination or therapy decisions
US7228173B2 (en) * 2004-11-23 2007-06-05 Cardiac Pacemakers, Inc. Cardiac tachyarrhythmia therapy selection based on patient response information
US7894893B2 (en) * 2004-09-30 2011-02-22 Cardiac Pacemakers, Inc. Arrhythmia classification and therapy selection
US7379771B2 (en) * 2004-11-01 2008-05-27 Cardiac Pacemakers, Inc. Conduction based automatic therapy selection
JP4635609B2 (ja) * 2005-01-06 2011-02-23 ソニー株式会社 高周波信号受信装置
US8160697B2 (en) 2005-01-25 2012-04-17 Cameron Health, Inc. Method for adapting charge initiation for an implantable cardioverter-defibrillator
US7818056B2 (en) * 2005-03-24 2010-10-19 Cardiac Pacemakers, Inc. Blending cardiac rhythm detection processes
US7474916B2 (en) * 2005-04-28 2009-01-06 Medtronic, Inc. Method and apparatus for discriminating ventricular and supraventricular tachyarrhythmias
US8116867B2 (en) 2005-08-04 2012-02-14 Cameron Health, Inc. Methods and devices for tachyarrhythmia sensing and high-pass filter bypass
US7908001B2 (en) 2005-08-23 2011-03-15 Cardiac Pacemakers, Inc. Automatic multi-level therapy based on morphologic organization of an arrhythmia
US8046060B2 (en) 2005-11-14 2011-10-25 Cardiac Pacemakers, Inc. Differentiating arrhythmic events having different origins
US8532762B2 (en) * 2005-12-20 2013-09-10 Cardiac Pacemakers, Inc. Discriminating polymorphic and monomorphic cardiac rhythms using template generation
US7613672B2 (en) 2006-04-27 2009-11-03 Cardiac Pacemakers, Inc. Medical device user interface automatically resolving interaction between programmable parameters
US8527048B2 (en) 2006-06-29 2013-09-03 Cardiac Pacemakers, Inc. Local and non-local sensing for cardiac pacing
US7580741B2 (en) 2006-08-18 2009-08-25 Cardiac Pacemakers, Inc. Method and device for determination of arrhythmia rate zone thresholds using a probability function
US8712507B2 (en) * 2006-09-14 2014-04-29 Cardiac Pacemakers, Inc. Systems and methods for arranging and labeling cardiac episodes
US7941208B2 (en) 2006-11-29 2011-05-10 Cardiac Pacemakers, Inc. Therapy delivery for identified tachyarrhythmia episode types
US7873414B2 (en) * 2007-04-17 2011-01-18 Cardiac Pacemakers, Inc. Patient characteristic based adaptive anti-tachy pacing programming
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CA2717442C (en) 2008-03-07 2017-11-07 Cameron Health, Inc. Accurate cardiac event detection in an implantable cardiac stimulus device
ES2386623T3 (es) 2008-05-07 2012-08-23 Cameron Health, Inc. Dispositivos para clasificar de modo preciso la actividad cardiaca
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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE10152741A1 (de) * 2001-07-25 2003-02-13 Biotronik Mess & Therapieg Herztherapiegerät
US6748267B2 (en) 2001-07-25 2004-06-08 Biotronik Mess-Und Therapiegeraete Gmbh & Co. Heart therapy device

Also Published As

Publication number Publication date
EP0681499A1 (de) 1995-11-15
CA2153335A1 (en) 1994-08-04
EP0681499B1 (de) 1999-03-31
WO1994016768A1 (en) 1994-08-04
DE69324265D1 (de) 1999-05-06
AU5850294A (en) 1994-08-15
JPH08505794A (ja) 1996-06-25
AU670997B2 (en) 1996-08-08
US5342402A (en) 1994-08-30
CA2153335C (en) 1998-11-24

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