WO2006004700A1 - Fibrillation/tachycardia discrimination based on egm intra-cardiac pressure - Google Patents
Fibrillation/tachycardia discrimination based on egm intra-cardiac pressure Download PDFInfo
- Publication number
- WO2006004700A1 WO2006004700A1 PCT/US2005/022832 US2005022832W WO2006004700A1 WO 2006004700 A1 WO2006004700 A1 WO 2006004700A1 US 2005022832 W US2005022832 W US 2005022832W WO 2006004700 A1 WO2006004700 A1 WO 2006004700A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- arrhythmia
- atrial
- pressure signal
- signal
- response
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
- A61B5/6879—Means for maintaining contact with the body
- A61B5/6882—Anchoring means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
- A61B5/021—Measuring pressure in heart or blood vessels
- A61B5/0215—Measuring pressure in heart or blood vessels by means inserted into the body
-
- 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
-
- 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
- A61N1/3621—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
- A61N1/36—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
- A61N1/36514—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure
- A61N1/36564—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure controlled by blood pressure
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
- A61B5/0031—Implanted circuitry
-
- 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
- A61B5/25—Bioelectric electrodes therefor
- A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
- A61B5/28—Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
- A61B5/283—Invasive
- A61B5/287—Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
-
- 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
- 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
- A61B5/7253—Details of waveform analysis characterised by using transforms
- A61B5/7257—Details of waveform analysis characterised by using transforms using Fourier transforms
-
- 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
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Cardiology (AREA)
- Engineering & Computer Science (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Biomedical Technology (AREA)
- Biophysics (AREA)
- Physics & Mathematics (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Pathology (AREA)
- Surgery (AREA)
- Physiology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- Hematology (AREA)
- Artificial Intelligence (AREA)
- Mathematical Physics (AREA)
- Evolutionary Computation (AREA)
- Signal Processing (AREA)
- Psychiatry (AREA)
- Fuzzy Systems (AREA)
- Computer Vision & Pattern Recognition (AREA)
- Vascular Medicine (AREA)
- Electrotherapy Devices (AREA)
Abstract
Description
Claims
Priority Applications (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP05763887A EP1784127A1 (en) | 2004-06-29 | 2005-06-22 | Fibrillation /tachycardia discrimination based on egm and intra-cardiac pressure |
JP2007519345A JP2008504888A (en) | 2004-06-29 | 2005-06-22 | Medical devices that classify arrhythmias |
CA002567871A CA2567871A1 (en) | 2004-06-29 | 2005-06-22 | Fibrillation/tachycardia discrimination based on egm intra-cardiac pressure |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/881,541 | 2004-06-29 | ||
US10/881,541 US7233822B2 (en) | 2004-06-29 | 2004-06-29 | Combination of electrogram and intra-cardiac pressure to discriminate between fibrillation and tachycardia |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2006004700A1 true WO2006004700A1 (en) | 2006-01-12 |
Family
ID=35107008
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2005/022832 WO2006004700A1 (en) | 2004-06-29 | 2005-06-22 | Fibrillation/tachycardia discrimination based on egm intra-cardiac pressure |
Country Status (5)
Country | Link |
---|---|
US (1) | US7233822B2 (en) |
EP (1) | EP1784127A1 (en) |
JP (1) | JP2008504888A (en) |
CA (1) | CA2567871A1 (en) |
WO (1) | WO2006004700A1 (en) |
Cited By (1)
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---|---|---|---|---|
US9037223B2 (en) | 2012-01-10 | 2015-05-19 | The Regents Of The University Of Michigan | Atrial fibrillation classification using power measurement |
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US20190357827A1 (en) | 2003-08-01 | 2019-11-28 | Dexcom, Inc. | Analyte sensor |
US7596412B1 (en) * | 2004-08-26 | 2009-09-29 | Pacesetter, Inc. | Opto-electrical coherence detection of hemodynamically compromising arrhythmia |
US7308308B1 (en) * | 2004-09-16 | 2007-12-11 | Pacesetter, Inc. | Method to monitor progression of atrial fibrillation and to detect its susceptibility for termination |
US7297114B2 (en) * | 2005-01-25 | 2007-11-20 | Pacesetter, Inc. | System and method for distinguishing among cardiac ischemia, hypoglycemia and hyperglycemia using an implantable medical device |
US7756572B1 (en) | 2005-01-25 | 2010-07-13 | Pacesetter, Inc. | System and method for efficiently distinguishing among cardiac ischemia, hypoglycemia and hyperglycemia using an implantable medical device and an external system |
US7181283B2 (en) * | 2005-03-31 | 2007-02-20 | Medtronic, Inc. | System and method for controlling implantable medical device parameters in response to atrial pressure attributes |
US7630763B2 (en) | 2005-04-20 | 2009-12-08 | Cardiac Pacemakers, Inc. | Thoracic or intracardiac impedance detection with automatic vector selection |
US7590443B2 (en) * | 2005-04-27 | 2009-09-15 | Pacesetter, Inc | System and method for detecting hypoglycemia based on a paced depolarization integral using an implantable medical device |
US20060271121A1 (en) | 2005-05-25 | 2006-11-30 | Cardiac Pacemakers, Inc. | Closed loop impedance-based cardiac resynchronization therapy systems, devices, and methods |
US8494618B2 (en) * | 2005-08-22 | 2013-07-23 | Cardiac Pacemakers, Inc. | Intracardiac impedance and its applications |
US9839781B2 (en) | 2005-08-22 | 2017-12-12 | Cardiac Pacemakers, Inc. | Intracardiac impedance and its applications |
EP1921980A4 (en) | 2005-08-31 | 2010-03-10 | Univ Virginia | Improving the accuracy of continuous glucose sensors |
US7974691B2 (en) * | 2005-09-21 | 2011-07-05 | Cardiac Pacemakers, Inc. | Method and apparatus for controlling cardiac resynchronization therapy using cardiac impedance |
US8224415B2 (en) | 2009-01-29 | 2012-07-17 | Abbott Diabetes Care Inc. | Method and device for providing offset model based calibration for analyte sensor |
US9675290B2 (en) | 2012-10-30 | 2017-06-13 | Abbott Diabetes Care Inc. | Sensitivity calibration of in vivo sensors used to measure analyte concentration |
US8219173B2 (en) | 2008-09-30 | 2012-07-10 | Abbott Diabetes Care Inc. | Optimizing analyte sensor calibration |
US9392969B2 (en) | 2008-08-31 | 2016-07-19 | Abbott Diabetes Care Inc. | Closed loop control and signal attenuation detection |
US7630748B2 (en) | 2006-10-25 | 2009-12-08 | Abbott Diabetes Care Inc. | Method and system for providing analyte monitoring |
US8391978B2 (en) * | 2006-04-26 | 2013-03-05 | Medtronic, Inc. | Method and apparatus for adjusting sensitivity using intracardiac pressure data |
WO2008052199A2 (en) | 2006-10-26 | 2008-05-02 | Abbott Diabetes Care, Inc. | Method, system and computer program product for real-time detection of sensitivity decline in analyte sensors |
US8019410B1 (en) | 2007-08-22 | 2011-09-13 | Pacesetter, Inc. | System and method for detecting hypoglycemia using an implantable medical device based on pre-symptomatic physiological responses |
US8216138B1 (en) | 2007-10-23 | 2012-07-10 | Abbott Diabetes Care Inc. | Correlation of alternative site blood and interstitial fluid glucose concentrations to venous glucose concentration |
US20090164239A1 (en) | 2007-12-19 | 2009-06-25 | Abbott Diabetes Care, Inc. | Dynamic Display Of Glucose Information |
US8126553B2 (en) | 2008-06-02 | 2012-02-28 | Medtronic, Inc. | Sensing integrity determination based on cardiovascular pressure |
US7945324B2 (en) * | 2008-06-30 | 2011-05-17 | Data Sciences International, Inc. | Pressure sensing lead systems for implantable stimulators |
US20100057158A1 (en) * | 2008-08-26 | 2010-03-04 | Pacesetter, Inc. | Neurostimulation Based On Glycemic Condition |
US9326707B2 (en) | 2008-11-10 | 2016-05-03 | Abbott Diabetes Care Inc. | Alarm characterization for analyte monitoring devices and systems |
WO2010111209A1 (en) * | 2009-03-23 | 2010-09-30 | Medtronic, Inc. | Combined hemodynamic and egm-based arrhythmia detection |
WO2010121229A1 (en) | 2009-04-16 | 2010-10-21 | Abbott Diabetes Care Inc. | Analyte sensor calibration management |
US8185181B2 (en) * | 2009-10-30 | 2012-05-22 | Abbott Diabetes Care Inc. | Method and apparatus for detecting false hypoglycemic conditions |
WO2011112753A1 (en) | 2010-03-10 | 2011-09-15 | Abbott Diabetes Care Inc. | Systems, devices and methods for managing glucose levels |
US8635046B2 (en) | 2010-06-23 | 2014-01-21 | Abbott Diabetes Care Inc. | Method and system for evaluating analyte sensor response characteristics |
US10092229B2 (en) | 2010-06-29 | 2018-10-09 | Abbott Diabetes Care Inc. | Calibration of analyte measurement system |
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WO2012172027A2 (en) * | 2011-06-15 | 2012-12-20 | MAX-PLANCK-Gesellschaft zur Förderung der Wissenschaften e.V. | Apparatus for and method of terminating a high frequency arrhythmic electric state of a biological tissue |
WO2013066849A1 (en) | 2011-10-31 | 2013-05-10 | Abbott Diabetes Care Inc. | Model based variable risk false glucose threshold alarm prevention mechanism |
US10905884B2 (en) | 2012-07-20 | 2021-02-02 | Cardialen, Inc. | Multi-stage atrial cardioversion therapy leads |
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US9301702B2 (en) * | 2012-11-19 | 2016-04-05 | Pacesetter, Inc. | Systems and methods for exploiting pulmonary artery pressure obtained from an implantable sensor to detect cardiac rhythm irregularities |
US10433773B1 (en) | 2013-03-15 | 2019-10-08 | Abbott Diabetes Care Inc. | Noise rejection methods and apparatus for sparsely sampled analyte sensor data |
US9474475B1 (en) | 2013-03-15 | 2016-10-25 | Abbott Diabetes Care Inc. | Multi-rate analyte sensor data collection with sample rate configurable signal processing |
WO2014152034A1 (en) | 2013-03-15 | 2014-09-25 | Abbott Diabetes Care Inc. | Sensor fault detection using analyte sensor data pattern comparison |
US20170185748A1 (en) | 2014-03-30 | 2017-06-29 | Abbott Diabetes Care Inc. | Method and Apparatus for Determining Meal Start and Peak Events in Analyte Monitoring Systems |
US10039925B2 (en) * | 2014-06-10 | 2018-08-07 | Zoll Medical Corporation | Determining initial treatments from spectral data |
FR3030217B1 (en) * | 2014-12-23 | 2021-09-03 | Clement Bars | HIGH DENSITY REGIONAL MAPPING OF ATRIAL FIBRILLATION SUBSTRATE |
US20170112390A1 (en) * | 2015-10-22 | 2017-04-27 | Medtronic, Inc. | Atrial arrythmia detection using a pressure signal in an implantable medical device and medical system |
US10368808B2 (en) | 2016-11-02 | 2019-08-06 | Medtronic Monitoring, Inc. | System and methods of determining etiology of undiagnosed symptomatic events |
US10342445B2 (en) | 2016-11-03 | 2019-07-09 | Medtronic Monitoring, Inc. | Method and apparatus for detecting electrocardiographic abnormalities based on monitored high frequency QRS potentials |
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US11331022B2 (en) | 2017-10-24 | 2022-05-17 | Dexcom, Inc. | Pre-connected analyte sensors |
US11160481B2 (en) * | 2018-08-22 | 2021-11-02 | Biosense Webster (Israel) Ltd. | Atrial fibrillation mapping using atrial fibrillation cycle length (AFCL) gradients |
WO2024023620A1 (en) | 2022-07-28 | 2024-02-01 | Medtronic, Inc. | Advanced pacing delay during atrial fibrillation |
Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
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EP0317065A2 (en) * | 1987-10-06 | 1989-05-24 | Todd J. Cohen | Hemodynamically responsive system for treating a malfunctioning heart |
US5261401A (en) * | 1988-11-04 | 1993-11-16 | James Baker | Ambulatory cardiac diagnostic units having means for inhibiting pacemaker response |
US20020188215A1 (en) * | 2001-04-30 | 2002-12-12 | Bozidar Ferek-Petric | Methods for adjusting cardiac detection criteria and implantable medical devices using same |
US6599242B1 (en) * | 2000-07-19 | 2003-07-29 | Medtronic, Inc. | Method and apparatus for data compression of heart signals |
EP1410756A1 (en) * | 2002-10-18 | 2004-04-21 | Pacesetter, Inc. | Hemodynamic analysis, in particular in a pacemaker |
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-
2004
- 2004-06-29 US US10/881,541 patent/US7233822B2/en not_active Expired - Fee Related
-
2005
- 2005-06-22 WO PCT/US2005/022832 patent/WO2006004700A1/en active Application Filing
- 2005-06-22 JP JP2007519345A patent/JP2008504888A/en not_active Ceased
- 2005-06-22 CA CA002567871A patent/CA2567871A1/en not_active Abandoned
- 2005-06-22 EP EP05763887A patent/EP1784127A1/en not_active Withdrawn
Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0317065A2 (en) * | 1987-10-06 | 1989-05-24 | Todd J. Cohen | Hemodynamically responsive system for treating a malfunctioning heart |
US5261401A (en) * | 1988-11-04 | 1993-11-16 | James Baker | Ambulatory cardiac diagnostic units having means for inhibiting pacemaker response |
US6599242B1 (en) * | 2000-07-19 | 2003-07-29 | Medtronic, Inc. | Method and apparatus for data compression of heart signals |
US20020188215A1 (en) * | 2001-04-30 | 2002-12-12 | Bozidar Ferek-Petric | Methods for adjusting cardiac detection criteria and implantable medical devices using same |
EP1410756A1 (en) * | 2002-10-18 | 2004-04-21 | Pacesetter, Inc. | Hemodynamic analysis, in particular in a pacemaker |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9037223B2 (en) | 2012-01-10 | 2015-05-19 | The Regents Of The University Of Michigan | Atrial fibrillation classification using power measurement |
Also Published As
Publication number | Publication date |
---|---|
EP1784127A1 (en) | 2007-05-16 |
JP2008504888A (en) | 2008-02-21 |
US20050288725A1 (en) | 2005-12-29 |
CA2567871A1 (en) | 2006-01-12 |
US7233822B2 (en) | 2007-06-19 |
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