WO2012125273A3 - His capture verification using electro-mechanical delay - Google Patents

His capture verification using electro-mechanical delay Download PDF

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Publication number
WO2012125273A3
WO2012125273A3 PCT/US2012/026571 US2012026571W WO2012125273A3 WO 2012125273 A3 WO2012125273 A3 WO 2012125273A3 US 2012026571 W US2012026571 W US 2012026571W WO 2012125273 A3 WO2012125273 A3 WO 2012125273A3
Authority
WO
WIPO (PCT)
Prior art keywords
cardiac
electro
bundle
stimulation
mechanical delay
Prior art date
Application number
PCT/US2012/026571
Other languages
French (fr)
Other versions
WO2012125273A2 (en
Inventor
Barun Maskara
Jiang Ding
Shantha Arcot-Krishnamurthy
Allan C. Shuros
Original Assignee
Cardiac Pacemakers, 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 Cardiac Pacemakers, Inc. filed Critical Cardiac Pacemakers, Inc.
Publication of WO2012125273A2 publication Critical patent/WO2012125273A2/en
Publication of WO2012125273A3 publication Critical patent/WO2012125273A3/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
    • A61N1/365—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
    • 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
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B7/00—Instruments for auscultation
    • 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
    • A61N1/37—Monitoring; Protecting
    • A61N1/371—Capture, i.e. successful stimulation
    • 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
    • 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
    • A61N1/36521—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure the parameter being derived from measurement of an electrical impedance
    • 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
    • A61N1/36—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
    • A61N1/36571—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 flow rate, e.g. blood velocity or cardiac output
    • 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
    • A61N1/36578—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 mechanical motion of the heart wall, e.g. measured by an accelerometer or microphone

Abstract

Stimulation energy can be provided to a His-bundle to activate natural cardiac contraction mechanisms. Interval information can be used to describe a cardiac response to His-bundle stimulation, and the interval information can provide cardiac stimulation diagnostic information. For example, interval information can be used to discriminate between intrinsic conduction cardiac contractions and contractions responsive to His-bundle pacing.
PCT/US2012/026571 2011-03-14 2012-02-24 His capture verification using electro-mechanical delay WO2012125273A2 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US201161452412P 2011-03-14 2011-03-14
US61/452,412 2011-03-14

Publications (2)

Publication Number Publication Date
WO2012125273A2 WO2012125273A2 (en) 2012-09-20
WO2012125273A3 true WO2012125273A3 (en) 2013-02-28

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2012/026571 WO2012125273A2 (en) 2011-03-14 2012-02-24 His capture verification using electro-mechanical delay

Country Status (2)

Country Link
US (1) US8761880B2 (en)
WO (1) WO2012125273A2 (en)

Cited By (6)

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US8565880B2 (en) 2010-04-27 2013-10-22 Cardiac Pacemakers, Inc. His-bundle capture verification and monitoring
US8761880B2 (en) 2011-03-14 2014-06-24 Cardiac Pacemakers, Inc. His capture verification using electro-mechanical delay
US8812106B2 (en) 2004-12-20 2014-08-19 Cardiac Pacemakers, Inc. Apparatus for treating the physiological electric conduction of the heart
US8825155B2 (en) 2004-12-20 2014-09-02 Cardiac Pacemakers, Inc. Systems, devices and methods relating to endocardial pacing for resynchronization
US8825159B2 (en) 2004-12-20 2014-09-02 Cardiac Pacemakers, Inc. Devices and methods for steering electrical stimulation in cardiac rhythm management
US9031648B2 (en) 2004-12-20 2015-05-12 Cardiac Pacemakers, Inc. Endocardial pacing devices and methods useful for resynchronization and defibrillation

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US8010191B2 (en) 2004-12-20 2011-08-30 Cardiac Pacemakers, Inc. Systems, devices and methods for monitoring efficiency of pacing
US8050756B2 (en) 2004-12-20 2011-11-01 Cardiac Pacemakers, Inc. Circuit-based devices and methods for pulse control of endocardial pacing in cardiac rhythm management
US8423139B2 (en) 2004-12-20 2013-04-16 Cardiac Pacemakers, Inc. Methods, devices and systems for cardiac rhythm management using an electrode arrangement
US8010192B2 (en) 2004-12-20 2011-08-30 Cardiac Pacemakers, Inc. Endocardial pacing relating to conduction abnormalities
US8688234B2 (en) 2008-12-19 2014-04-01 Cardiac Pacemakers, Inc. Devices, methods, and systems including cardiac pacing
US20130261685A1 (en) * 2012-03-29 2013-10-03 Cardiac Pacemakers, Inc. Coordinated his-bundle pacing and high energy therapy
US9168382B2 (en) * 2012-10-11 2015-10-27 Cardiac Pacemakers, Inc. Method and apparatus for selective his bundle pacing
WO2014099595A2 (en) * 2012-12-19 2014-06-26 Cardiac Pacemakers, Inc. Method and apparatus for right ventricular resynchronization
US9642551B2 (en) 2015-01-28 2017-05-09 Siemens Healthcare Gmbh Evaluating Atrio-Ventricular conduction in a heart
US10765875B2 (en) 2017-05-04 2020-09-08 University Of Utah Research Foundation Implantable cardiac devices and methods for delivering low energy, pain-free defibrillation signals for ventricular arrhythmias
US10981001B2 (en) * 2017-07-18 2021-04-20 Pacesetter, Inc. Systems and methods for automated capture threshold testing and associated his bundle pacing
CN111225715B (en) 2017-10-17 2024-03-26 美敦力公司 Bundle-supported pacing apparatus and method
US10926095B2 (en) * 2017-11-02 2021-02-23 Cardiac Pacemakers, Inc. Systems and methods for correcting cardiac conduction abnormality using his-bundle pacing
CN111315443B (en) * 2017-11-08 2023-10-31 美敦力公司 Implantable medical devices and methods for determining His bundle pacing capture
US20190201698A1 (en) * 2018-01-04 2019-07-04 Cardiac Pacemakers, Inc. His-bundle pacing system with left-ventricular pacing
US10842999B2 (en) 2018-03-22 2020-11-24 Medtronic, Inc. Monitoring of His Bundle pacing capture during ventricular pacing therapy
CN113164739A (en) * 2018-06-29 2021-07-23 Clph有限责任公司 Apparatus, system, and method for HIS beam lead placement
US11224752B2 (en) * 2018-07-06 2022-01-18 Cardiac Pacemakers, Inc. His-bundle pacing capture verification
US10406370B1 (en) 2018-07-15 2019-09-10 Eagle Point Medical LLC Single conduit multi-electrode cardiac pacemaker and methods of using thereof
US11000689B2 (en) 2018-07-15 2021-05-11 Eagle Point Medical LLC Leadless multi-electrode cardiac pacemakers and methods of implantation thereof
US10695558B2 (en) 2018-07-15 2020-06-30 Eagle Point Medical LLC Single conduit multi-electrode cardiac pacemaker and methods of using thereof
US10729902B1 (en) 2018-07-15 2020-08-04 Eagle Point Medical LLC Intraseptal multi-electrode cardiac pacemaker and methods of use thereof
US10850107B2 (en) * 2018-11-05 2020-12-01 Pacesetter, Inc. Automated optimization of his bundle pacing for cardiac resynchronization therapy
EP3679984A1 (en) 2019-01-11 2020-07-15 BIOTRONIK SE & Co. KG Implantable assembly for stimulating a human or animal heart
US11679265B2 (en) 2019-02-14 2023-06-20 Medtronic, Inc. Lead-in-lead systems and methods for cardiac therapy
US11291845B2 (en) 2019-02-18 2022-04-05 Medtronic, Inc. Medical device system and method for determining His bundle pacing capture
US20200353249A1 (en) * 2019-05-07 2020-11-12 Pacesetter, Inc. Frequency domain-based methods for his bundle capture classification
US11607550B2 (en) * 2019-06-25 2023-03-21 Medtronic, Inc. His-Purkinje system capture detection
US20220387804A1 (en) * 2019-10-24 2022-12-08 Biotronik Se & Co. Kg Implantable Medical Device Having a His Bundle Electrode Lead Port
US11717688B2 (en) * 2020-04-07 2023-08-08 Medtronic, Inc. Medical device and method for detecting atrioventricular block
US20230233866A1 (en) * 2020-06-23 2023-07-27 Biotronik Se & Co. Kg Implantable medical device with electrode dislocation recognition
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US11752347B2 (en) 2020-07-31 2023-09-12 Medtronic, Inc. Cardiac conduction system pacing
WO2023144635A1 (en) * 2022-01-26 2023-08-03 Medtronic, Inc. Medical device and method for cardiac pacing of the his-purkinje conduction system

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