WO1995009029A3 - Implantable stimulation system and method for terminating cardiac arrhythmias - Google Patents

Implantable stimulation system and method for terminating cardiac arrhythmias Download PDF

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Publication number
WO1995009029A3
WO1995009029A3 PCT/US1994/010646 US9410646W WO9509029A3 WO 1995009029 A3 WO1995009029 A3 WO 1995009029A3 US 9410646 W US9410646 W US 9410646W WO 9509029 A3 WO9509029 A3 WO 9509029A3
Authority
WO
WIPO (PCT)
Prior art keywords
statistically significant
termination
present
starting value
significant starting
Prior art date
Application number
PCT/US1994/010646
Other languages
French (fr)
Other versions
WO1995009029A2 (en
Inventor
Lisa P Weinberg
Jason A Sholder
Original Assignee
Siemens Pacesetter
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 Siemens Pacesetter filed Critical Siemens Pacesetter
Priority to EP94928170A priority Critical patent/EP0673270B1/en
Priority to AU77318/94A priority patent/AU7731894A/en
Priority to DE69430731T priority patent/DE69430731T2/en
Priority to JP7510366A priority patent/JPH08503649A/en
Publication of WO1995009029A2 publication Critical patent/WO1995009029A2/en
Publication of WO1995009029A3 publication Critical patent/WO1995009029A3/en

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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

Abstract

A cardiac arrhythmia is terminated by stimulating the heart during the narrow 'region of susceptibility' or termination window of the arrhythmia cycle based upon a statistically significant starting value. The present invention will store a plurality of successful critically timed intervals in memory (62) and compute central value and a measure of variability via a control system (40) in order to determine the termination window size. The present invention then 'scans' symmetrically-centrifugally about the statistically significant starting value. In an alternate embodiment, the present invention employs ranked scanning is employed. The number and size of steps could be either programmable via a programmer (72), or automatically computed by the pulse generator based upon the termination window size. With each successful termination, the statistically significant starting value is updated. Histograms of the data could also be displayed on a screen as to quickly verify the appropriateness of the computed central value and range.
PCT/US1994/010646 1993-09-23 1994-09-20 Implantable stimulation system and method for terminating cardiac arrhythmias WO1995009029A2 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
EP94928170A EP0673270B1 (en) 1993-09-23 1994-09-20 Implantable stimulation system for terminating cardiac arrhythmias
AU77318/94A AU7731894A (en) 1993-09-23 1994-09-20 Implantable stimulation system and method for terminating cardiac arrhythmias
DE69430731T DE69430731T2 (en) 1993-09-23 1994-09-20 IMPLANTABLE HEART PACEMAKER TO END HEART ARHYTHMIA
JP7510366A JPH08503649A (en) 1993-09-23 1994-09-20 Implantable stimulation system and cardiac arrhythmia arrest method

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US08/125,971 1993-09-23
US08/125,971 US5431689A (en) 1993-09-23 1993-09-23 Implantable stimulation system and method for terminating cardiac arrhythmias

Publications (2)

Publication Number Publication Date
WO1995009029A2 WO1995009029A2 (en) 1995-04-06
WO1995009029A3 true WO1995009029A3 (en) 1995-04-20

Family

ID=22422332

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1994/010646 WO1995009029A2 (en) 1993-09-23 1994-09-20 Implantable stimulation system and method for terminating cardiac arrhythmias

Country Status (6)

Country Link
US (1) US5431689A (en)
EP (1) EP0673270B1 (en)
JP (1) JPH08503649A (en)
AU (1) AU7731894A (en)
DE (1) DE69430731T2 (en)
WO (1) WO1995009029A2 (en)

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5690687A (en) * 1996-08-22 1997-11-25 Pacesetter, Inc. Pacemaker with improved distributed rate pacing
US5853426A (en) * 1997-06-02 1998-12-29 Pacesetter, Inc. Method and apparatus for delivering atrial defibrillaton therapy with improved effectiveness
US6101414A (en) * 1998-02-11 2000-08-08 Pacesetter, Inc. Method and apparatus for antitachycardia pacing with an optimal coupling interval
US6714811B1 (en) * 1999-03-05 2004-03-30 Medtronic, Inc. Method and apparatus for monitoring heart rate
US6508771B1 (en) * 1999-03-05 2003-01-21 Medtronic, Inc. Method and apparatus for monitoring heart rate
US6314321B1 (en) * 1999-06-30 2001-11-06 Cardiac Pacemakers, Inc. Therapy-selection methods for implantable heart monitors
US7127290B2 (en) * 1999-10-01 2006-10-24 Cardiac Pacemakers, Inc. Cardiac rhythm management systems and methods predicting congestive heart failure status
US6272377B1 (en) 1999-10-01 2001-08-07 Cardiac Pacemakers, Inc. Cardiac rhythm management system with arrhythmia prediction and prevention
US6909916B2 (en) * 2001-12-20 2005-06-21 Cardiac Pacemakers, Inc. Cardiac rhythm management system with arrhythmia classification and electrode selection
US8172870B2 (en) 2003-06-09 2012-05-08 Microline Surgical, Inc. Ligation clip applier
US7225020B1 (en) 2003-09-08 2007-05-29 Pacesetter, Inc. System and method for providing preventive overdrive pacing and antitachycardia pacing using an implantable cardiac stimulation device
US7212855B1 (en) 2003-09-08 2007-05-01 Pacesetter, Inc. System and method for providing preventive overdrive pacing and antitachycardia pacing using an implantable cardiac stimulation device
US7363081B1 (en) 2003-09-08 2008-04-22 Pacesetter, Inc. System and method for providing preventive overdrive pacing and antitachycardia pacing using an implantable cardiac stimulation device
US7336999B1 (en) 2005-03-14 2008-02-26 Pacesetter, Inc. Means to check the validity of heart failure surrogate parameters from evoked response using 3-D accelerometer queue
US7373202B1 (en) 2005-03-31 2008-05-13 Pacesetter, Inc. Unipolar and bipolar lead cardiac pacemaker and method for inhibiting anode stimulation
US20060241700A1 (en) * 2005-04-26 2006-10-26 Ghanem Raja N Level crossing detector for detecting noise, sinus rhythm and ventricular fibrillation in subcutaneous or body surface signals
US7881786B2 (en) * 2005-04-29 2011-02-01 Medtronic, Inc. Suppression of high rate pacing for reducing myocardial ischemic irritability
WO2009075725A1 (en) 2007-12-13 2009-06-18 Cardiac Pacemakers, Inc. Supraventricular tachy sensing vector
US8468115B2 (en) * 2009-06-25 2013-06-18 George Mason Intellectual Properties, Inc. Cyclical behavior modification
US10736516B2 (en) 2013-11-21 2020-08-11 Medtronic, Inc. Method and apparatus for accurately determining heart rate variability and sympathetic reserve
US11298066B2 (en) * 2017-07-07 2022-04-12 St. Jude Medical, Cardiology Division, Inc. System and method for electrophysiological mapping
JP2019072329A (en) * 2017-10-18 2019-05-16 オージー技研株式会社 Electrostimulator

Citations (1)

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Publication number Priority date Publication date Assignee Title
US4427011A (en) * 1982-03-18 1984-01-24 Telectronics Pty. Ltd. Tachycardia control pacer with improved detection of tachycardia termination

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GB1493353A (en) * 1973-11-21 1977-11-30 Devices Implants Ltd Device for terminating tachycardia
US3949758A (en) * 1974-08-01 1976-04-13 Medtronic, Inc. Automatic threshold following cardiac pacer
US4312356A (en) * 1979-03-07 1982-01-26 George Edgar Sowton Pacemakers for tachycardia control
US4280502A (en) * 1979-08-08 1981-07-28 Intermedics, Inc. Tachycardia arrester
DE3110014A1 (en) * 1980-05-19 1982-03-25 Telectronics Pty. Ltd., Lane Cove, New South Wales EXTERNALLY RESETTABLE TACHYCARDY REGULATOR PACEMAKER
US4407289A (en) * 1981-03-23 1983-10-04 Telectronics Pty. Ltd. Externally-reset tachycardia control pacer
US4406287A (en) * 1981-07-17 1983-09-27 Telectronics Pty. Ltd. Variable length scanning burst tachycardia control pacer
US4398536A (en) * 1981-07-17 1983-08-16 Telectronics Pty. Ltd. Scanning burst tachycardia control pacer
SE8107269L (en) * 1981-12-04 1983-06-05 Siemens Elema Ab DEVICE FOR ENDING A TAKYCARDI
DE3240430A1 (en) * 1982-11-02 1984-05-03 Siemens AG, 1000 Berlin und 8000 München METHOD AND PACEMAKER TO END TACHYCARDIA
US4726380A (en) * 1983-10-17 1988-02-23 Telectronics, N.V. Implantable cardiac pacer with discontinuous microprocessor, programmable antitachycardia mechanisms and patient data telemetry
US4561442A (en) * 1983-10-17 1985-12-31 Cordis Corporation 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
US4872459A (en) * 1985-08-12 1989-10-10 Intermedics, Inc. Pacemaker for detecting and terminating a tachycardia
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US5103822A (en) * 1990-04-03 1992-04-14 Siemens-Pacesetter, Inc. Pacing system for termination of cardiac arrhythmias utilizing scanning techniques

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4427011A (en) * 1982-03-18 1984-01-24 Telectronics Pty. Ltd. Tachycardia control pacer with improved detection of tachycardia termination

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See also references of EP0673270A4 *

Also Published As

Publication number Publication date
EP0673270B1 (en) 2002-06-05
DE69430731T2 (en) 2003-01-02
DE69430731D1 (en) 2002-07-11
EP0673270A1 (en) 1995-09-27
WO1995009029A2 (en) 1995-04-06
JPH08503649A (en) 1996-04-23
US5431689A (en) 1995-07-11
AU7731894A (en) 1995-04-18
EP0673270A4 (en) 1996-01-03

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