WO2010051154A3 - Heart failure patient management using an implantable monitoring system - Google Patents

Heart failure patient management using an implantable monitoring system Download PDF

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Publication number
WO2010051154A3
WO2010051154A3 PCT/US2009/060316 US2009060316W WO2010051154A3 WO 2010051154 A3 WO2010051154 A3 WO 2010051154A3 US 2009060316 W US2009060316 W US 2009060316W WO 2010051154 A3 WO2010051154 A3 WO 2010051154A3
Authority
WO
WIPO (PCT)
Prior art keywords
patient management
monitoring system
heart failure
failure patient
implantable monitoring
Prior art date
Application number
PCT/US2009/060316
Other languages
French (fr)
Other versions
WO2010051154A2 (en
Inventor
Yong K. Cho
Venkatesh R. Manda
Brandon S. Sparks
Tommy D. Bennett
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.
Priority to EP09741102.9A priority Critical patent/EP2370161B1/en
Publication of WO2010051154A2 publication Critical patent/WO2010051154A2/en
Publication of WO2010051154A3 publication Critical patent/WO2010051154A3/en

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
    • 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
    • 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]
    • 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
    • A61N1/368—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode 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
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/37211—Means for communicating with stimulators
    • A61N1/37252—Details of algorithms or data aspects of communication system, e.g. handshaking, transmitting specific data or segmenting data
    • A61N1/37282—Details of algorithms or data aspects of communication system, e.g. handshaking, transmitting specific data or segmenting data characterised by communication with experts in remote locations using a network
    • 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
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
    • 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
    • A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves 
    • A61B5/053—Measuring electrical impedance or conductance of a portion of the body
    • 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
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/37211—Means for communicating with stimulators
    • A61N1/37235—Aspects of the external programmer
    • A61N1/37247—User interfaces, e.g. input or presentation means

Abstract

An implantable medical device system and method provide physiological variable monitoring for use in patient management. A target value for a physiological variable and formulations for computing metrics of the physiological variable are stored. Values of the physiological variable are determined from a sensed physiological signal and are used to compute a selected metric. The metric is compared to the stored target value.
PCT/US2009/060316 2008-10-31 2009-10-12 Heart failure patient management using an implantable monitoring system WO2010051154A2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
EP09741102.9A EP2370161B1 (en) 2008-10-31 2009-10-12 Heart failure patient management using an implantable monitoring system

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US12/262,254 US8777850B2 (en) 2008-10-31 2008-10-31 Heart failure patient management using an implantable monitoring system
US12/262,254 2008-10-31

Publications (2)

Publication Number Publication Date
WO2010051154A2 WO2010051154A2 (en) 2010-05-06
WO2010051154A3 true WO2010051154A3 (en) 2011-10-13

Family

ID=41557426

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2009/060316 WO2010051154A2 (en) 2008-10-31 2009-10-12 Heart failure patient management using an implantable monitoring system

Country Status (3)

Country Link
US (1) US8777850B2 (en)
EP (1) EP2370161B1 (en)
WO (1) WO2010051154A2 (en)

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US8672853B2 (en) * 2010-06-15 2014-03-18 Bam Labs, Inc. Pressure sensor for monitoring a subject and pressure sensor with inflatable bladder
US20120109243A1 (en) * 2010-10-28 2012-05-03 Medtronic, Inc. Heart failure monitoring and notification
US9066659B2 (en) 2011-04-08 2015-06-30 Cardiac Pacemakers, Inc. Transient sensor response to posture as a measure of patient status
EP2701795B1 (en) 2011-04-28 2020-12-09 Interventional Autonomics Corporation Neuromodulation systems for treating acute heart failure syndromes
DE102011101939A1 (en) 2011-05-18 2012-11-22 Biobserve GmbH A method of creating a behavioral analysis of a rodent in an arena and method of creating an image of the rodent
CA2878396A1 (en) 2011-07-11 2013-02-28 Interventional Autonomics Corporation System and method for neuromodulation
US20130072995A1 (en) 2011-07-11 2013-03-21 Terrance Ransbury Catheter system for acute neuromodulation
US9446240B2 (en) 2011-07-11 2016-09-20 Interventional Autonomics Corporation System and method for neuromodulation
US8868185B2 (en) 2011-10-31 2014-10-21 Medtronic, Inc. Use of thoracic and extra-thoracic impedance for diagnostic monitoring
US20130110190A1 (en) 2011-10-31 2013-05-02 Medtronic, Inc. Method to assess hemodynamic performance during cardiac resynchronization therapy optimization using admittance waveforms and derivatives
WO2014097047A1 (en) 2012-12-19 2014-06-26 Koninklijke Philips N.V. Detection of respiratory disorders
WO2014158986A1 (en) * 2013-03-12 2014-10-02 Cardiac Pacemakers, Inc. Medical device with multiple sensor fusion
WO2015065674A1 (en) * 2013-11-04 2015-05-07 Cardiac Pacemakers, Inc. Heart failure detection and risk stratification system
US10573415B2 (en) 2014-04-21 2020-02-25 Medtronic, Inc. System for using patient data combined with database data to predict and report outcomes
US10172568B2 (en) 2014-07-14 2019-01-08 Medtronic, Inc. Determining prospective risk of heart failure hospitalization
JP6520140B2 (en) * 2015-01-22 2019-05-29 Tdk株式会社 Information processing apparatus, blood pressure value calculation method and program
CN108601943B (en) 2015-12-14 2022-06-17 美敦力公司 Implantable medical sensor and fixation system
JP2019525274A (en) * 2016-05-26 2019-09-05 エアービズ, インコーポレイテッドAirviz, Inc. High density data collection, storage and retrieval
US10952681B2 (en) 2017-09-05 2021-03-23 Medtronic, Inc. Differentiation of heart failure risk scores for heart failure monitoring
US11128937B2 (en) * 2019-08-20 2021-09-21 Blackberry Limited Apparatus and method for maintaining parameter ranges for remote sensing devices

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WO2006081453A2 (en) * 2005-01-27 2006-08-03 Medtronic, Inc. Method and apparatus for continuous pulse contour cardiac output
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US20070255112A1 (en) * 2006-04-28 2007-11-01 Taepke Robert T Ii Volume depletion detection

Also Published As

Publication number Publication date
US20100113890A1 (en) 2010-05-06
EP2370161A2 (en) 2011-10-05
US8777850B2 (en) 2014-07-15
EP2370161B1 (en) 2014-03-05
WO2010051154A2 (en) 2010-05-06

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