DE68919425D1 - Schrittmacher mit verbesserter automatischer Ausgangsregelung. - Google Patents

Schrittmacher mit verbesserter automatischer Ausgangsregelung.

Info

Publication number
DE68919425D1
DE68919425D1 DE68919425T DE68919425T DE68919425D1 DE 68919425 D1 DE68919425 D1 DE 68919425D1 DE 68919425 T DE68919425 T DE 68919425T DE 68919425 T DE68919425 T DE 68919425T DE 68919425 D1 DE68919425 D1 DE 68919425D1
Authority
DE
Germany
Prior art keywords
pacemaker
output control
improved automatic
automatic output
improved
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
DE68919425T
Other languages
English (en)
Other versions
DE68919425T3 (de
DE68919425T2 (de
Inventor
Francis J Callaghan
William Vollmann
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.)
Pacesetter Inc
Original Assignee
Telectronics NV
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
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=22632598&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=DE68919425(D1) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Application filed by Telectronics NV filed Critical Telectronics NV
Application granted granted Critical
Publication of DE68919425D1 publication Critical patent/DE68919425D1/de
Publication of DE68919425T2 publication Critical patent/DE68919425T2/de
Publication of DE68919425T3 publication Critical patent/DE68919425T3/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
    • A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • A61N1/36507—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by gradient or slope of the 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
    • A61N1/37—Monitoring; Protecting
    • A61N1/3706—Pacemaker parameters
    • 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
    • A61N1/3712—Auto-capture, i.e. automatic adjustment of the stimulation threshold
DE68919425T 1988-03-25 1989-03-28 Schrittmacher mit verbesserter automatischer Ausgangsregelung. Expired - Fee Related DE68919425T3 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US173566 1988-03-25
US07/173,566 US4878497A (en) 1988-03-25 1988-03-25 Pacemaker with improved automatic output regulation

Publications (3)

Publication Number Publication Date
DE68919425D1 true DE68919425D1 (de) 1995-01-05
DE68919425T2 DE68919425T2 (de) 1995-06-01
DE68919425T3 DE68919425T3 (de) 2004-08-19

Family

ID=22632598

Family Applications (1)

Application Number Title Priority Date Filing Date
DE68919425T Expired - Fee Related DE68919425T3 (de) 1988-03-25 1989-03-28 Schrittmacher mit verbesserter automatischer Ausgangsregelung.

Country Status (3)

Country Link
US (1) US4878497A (de)
EP (1) EP0334681B2 (de)
DE (1) DE68919425T3 (de)

Families Citing this family (71)

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EP0334675B2 (de) * 1988-03-25 2002-03-27 Telectronics N.V. Frequenzentsprechender Schrittmacher mit geschlossener Regelschleife
EP0453589B1 (de) * 1990-04-24 1994-12-28 Pacesetter AB Anordnung zur Gewebestimulation
DE4013048B4 (de) * 1990-04-24 2004-07-08 St. Jude Medical Ab Anordnung zur Gewebestimulation
US5265603A (en) * 1990-12-12 1993-11-30 Medtronic, Inc. Electronic capture detection for a pacer
US5233985A (en) * 1990-08-10 1993-08-10 Medtronic, Inc. Cardiac pacemaker with operational amplifier output circuit
US5184615A (en) * 1991-03-08 1993-02-09 Telectronics Pacing Systems, Inc. Apparatus and method for detecting abnormal cardiac rhythms using evoked potential measurements in an arrhythmia control system
FR2680093B1 (fr) * 1991-08-09 1993-10-29 Ela Medical Procede de controle de l'energie de stimulation dans un stimulateur cardiaque.
US5312446A (en) * 1992-08-26 1994-05-17 Medtronic, Inc. Compressed storage of data in cardiac pacemakers
US5336244A (en) * 1992-10-07 1994-08-09 Medtronic, Inc. Temperature sensor based capture detection for a pacer
US5342406A (en) * 1992-10-07 1994-08-30 Medtronic, Inc. Oxygen sensor based capture detection for a pacer
US5350410A (en) * 1992-11-23 1994-09-27 Siemens Pacesetter, Inc. Autocapture system for implantable pulse generator
US5330512A (en) * 1992-12-28 1994-07-19 Cardiac Pacemakers, Inc. Electrode charge-neutral sensing of evoked ECG
US5443485A (en) * 1993-09-08 1995-08-22 Intermedics, Inc. Apparatus and method for capture detection in a cardiac stimulator
US5431693A (en) * 1993-12-10 1995-07-11 Intermedics, Inc. Method of verifying capture of the heart by a pacemaker
DE4416779B4 (de) * 1994-05-09 2007-06-06 Biotronik Meß- und Therapiegeräte GmbH & Co. Ingenieurbüro Berlin Vorrichtung zur Vermeidung des zeitlichen Zusammenfallens von stimulierten und spontanen Herzreaktionen
US5480414A (en) * 1994-06-13 1996-01-02 Medtronic, Inc. Method and apparatus for controlling pacemaker during automatic capture detection
US5476487A (en) * 1994-12-28 1995-12-19 Pacesetter, Inc. Autothreshold assessment in an implantable pacemaker
US5626620A (en) * 1995-02-21 1997-05-06 Medtronic, Inc. Dual chamber pacing system and method with continual adjustment of the AV escape interval so as to maintain optimized ventricular pacing for treating cardiomyopathy
SE9501190D0 (sv) * 1995-03-31 1995-03-31 Pacesetter Ab Back-up pulse generator
US5716383A (en) * 1996-02-28 1998-02-10 Medtronic, Inc. Dual chamber pacing system and method with continual adjustment of the AV escape interval so as to maintain optimized ventricular pacing for treating cardiomyopathy
US5702427A (en) * 1996-03-28 1997-12-30 Medtronic, Inc. Verification of capture using pressure waves transmitted through a pacing lead
US5766229A (en) 1996-04-15 1998-06-16 Pacesetter, Inc. Capture verification method and apparatus for implantable pacemaker utilizing heart rhythm stability measurements to minimize the likelihood of fusion
US5766230A (en) * 1996-11-06 1998-06-16 Sulzer Intermedics Inc. Pacemaker with intra-stimulus capture detection
US5873898A (en) * 1997-04-29 1999-02-23 Medtronic, Inc. Microprocessor capture detection circuit and method
US5861013A (en) * 1997-04-29 1999-01-19 Medtronic Inc. Peak tracking capture detection circuit and method
DE19747820A1 (de) * 1997-10-23 1999-04-29 Biotronik Mess & Therapieg Ratenadaptiver Herzschrittmacher
US5954756A (en) * 1998-04-09 1999-09-21 Medtronic, Inc. Microprocessor capture detection circuit and method
FR2798069B1 (fr) * 1999-09-03 2001-10-19 Ela Medical Sa Dispositif medical actif implantable, notamment stimulateur cardiaque, defibrillateur ou cardioverteur a ajustement automatique du niveau des impulsions de stimulation
DE60013097T2 (de) 2000-04-18 2005-09-08 Sorin Biomedica Crm S.R.L., Saluggia Einheit zur Bestimmung der Wirksamkeit der Stimulation in einem Herzschrittmacher
US6456881B1 (en) 2000-08-02 2002-09-24 Pacesetter, Inc. System and method of identifying fusion for dual-chamber automatic capture stimulation device
US7069080B2 (en) 2000-09-18 2006-06-27 Cameron Health, Inc. Active housing and subcutaneous electrode cardioversion/defibrillating system
US6952610B2 (en) * 2000-09-18 2005-10-04 Cameron Health, Inc. Current waveforms for anti-tachycardia pacing for a subcutaneous implantable cardioverter- defibrillator
US7146212B2 (en) 2000-09-18 2006-12-05 Cameron Health, Inc. Anti-bradycardia pacing for a subcutaneous implantable cardioverter-defibrillator
US6721597B1 (en) 2000-09-18 2004-04-13 Cameron Health, Inc. Subcutaneous only implantable cardioverter defibrillator and optional pacer
US7194302B2 (en) 2000-09-18 2007-03-20 Cameron Health, Inc. Subcutaneous cardiac stimulator with small contact surface electrodes
US6754528B2 (en) 2001-11-21 2004-06-22 Cameraon Health, Inc. Apparatus and method of arrhythmia detection in a subcutaneous implantable cardioverter/defibrillator
US6650937B2 (en) * 2000-11-06 2003-11-18 Medtronic, Inc. Method and system for gradual cardiac training using an implantable medical device
US7526341B2 (en) * 2002-03-15 2009-04-28 Medtronic, Inc. Amplitude ramping of waveforms generated by an implantable medical device
US7477932B2 (en) 2003-05-28 2009-01-13 Cardiac Pacemakers, Inc. Cardiac waveform template creation, maintenance and use
DE60316050T2 (de) * 2003-10-27 2008-05-29 St. Jude Medical Ab Vorrichtung zur anpassung der sensitivität eines implantierbaren medizinprodukts
US7319900B2 (en) 2003-12-11 2008-01-15 Cardiac Pacemakers, Inc. Cardiac response classification using multiple classification windows
US20060247693A1 (en) 2005-04-28 2006-11-02 Yanting Dong Non-captured intrinsic discrimination in cardiac pacing response classification
US7774064B2 (en) 2003-12-12 2010-08-10 Cardiac Pacemakers, Inc. Cardiac response classification using retriggerable classification windows
US8521284B2 (en) * 2003-12-12 2013-08-27 Cardiac Pacemakers, Inc. Cardiac response classification using multisite sensing and pacing
US7706866B2 (en) 2004-06-24 2010-04-27 Cardiac Pacemakers, Inc. Automatic orientation determination for ECG measurements using multiple electrodes
US7917196B2 (en) 2005-05-09 2011-03-29 Cardiac Pacemakers, Inc. Arrhythmia discrimination using electrocardiograms sensed from multiple implanted electrodes
US7805185B2 (en) 2005-05-09 2010-09-28 Cardiac Pacemakers, In. Posture monitoring using cardiac activation sequences
US7509170B2 (en) 2005-05-09 2009-03-24 Cardiac Pacemakers, Inc. Automatic capture verification using electrocardiograms sensed from multiple implanted electrodes
US7457664B2 (en) * 2005-05-09 2008-11-25 Cardiac Pacemakers, Inc. Closed loop cardiac resynchronization therapy using cardiac activation sequence information
US7890159B2 (en) 2004-09-30 2011-02-15 Cardiac Pacemakers, Inc. Cardiac activation sequence monitoring and tracking
US7761162B2 (en) * 2004-12-13 2010-07-20 Cardiac Pacemakers, Inc. Capture verification with intrinsic response discrimination
US7392086B2 (en) 2005-04-26 2008-06-24 Cardiac Pacemakers, Inc. Implantable cardiac device and method for reduced phrenic nerve stimulation
US7765004B2 (en) 2005-04-28 2010-07-27 Cardiac Pacemakers, Inc. Methods and systems for managing fusion and noise in cardiac pacing response classification
US7392088B2 (en) * 2005-04-28 2008-06-24 Cardiac Pacemakers, Inc. Capture detection for multi-chamber pacing
US7499751B2 (en) * 2005-04-28 2009-03-03 Cardiac Pacemakers, Inc. Cardiac signal template generation using waveform clustering
US7574260B2 (en) * 2005-04-28 2009-08-11 Cardiac Pacemakers, Inc. Adaptive windowing for cardiac waveform discrimination
US7529578B2 (en) * 2005-07-12 2009-05-05 Cardiac Pacemakers, Inc. Multi channel approach to capture verification
US7894897B1 (en) * 2006-05-03 2011-02-22 Pacesetter, Inc. Implantable cardiac stimulation device providing enhanced capture threshold management in the presence of fusion beats and method
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
US8209013B2 (en) 2006-09-14 2012-06-26 Cardiac Pacemakers, Inc. Therapeutic electrical stimulation that avoids undesirable activation
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
US8265736B2 (en) 2007-08-07 2012-09-11 Cardiac Pacemakers, Inc. Method and apparatus to perform electrode combination selection
US9037239B2 (en) 2007-08-07 2015-05-19 Cardiac Pacemakers, Inc. Method and apparatus to perform electrode combination selection
EP2254661B1 (de) 2008-02-14 2015-10-07 Cardiac Pacemakers, Inc. Gerät zur zwerchfellstimulationsdetektion
US8725261B2 (en) 2010-12-23 2014-05-13 Cardiac Pacemakers, Inc. Rate initialization and overdrive pacing for capture threshold testing
US9138584B2 (en) 2011-04-29 2015-09-22 Medtronic, Inc. Multiphasic pacing in the presence of electromagnetic interference
US9095721B2 (en) 2011-04-29 2015-08-04 Christopher C. Stancer Unipolar pacing in the presence of electromagnetic interference
US9675806B2 (en) 2012-10-09 2017-06-13 Medtronic, Inc. Cardiac pacing during medical procedures
US11730967B2 (en) * 2019-07-18 2023-08-22 Pacesetter, Inc. Systems and methods for improved his bundle and backup pacing timing

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US3949758A (en) * 1974-08-01 1976-04-13 Medtronic, Inc. Automatic threshold following cardiac pacer
EP0007189B1 (de) * 1978-06-23 1982-06-02 Vitafin N.V. An physiologische Zustände anpassungsfähiger Herzschrittmacher
US4305396A (en) * 1979-04-16 1981-12-15 Vitatron Medical B.V. Rate adaptive pacemaker and method of cardiac pacing
FR2533432A1 (fr) * 1982-09-23 1984-03-30 Europ Propulsion Procede et dispositif de detection de la reponse du coeur a une impulsion electrique de stimulation
AU2883784A (en) * 1983-06-15 1984-12-20 Medtronic, Inc. Organ capture detection for electrical stimulators
US4644954A (en) * 1984-01-10 1987-02-24 Vitafin N.V. Rate adaptive pacemaker apparatus and method
US4686988A (en) * 1984-10-19 1987-08-18 Sholder Jason A Pacemaker system and method for measuring and monitoring cardiac activity and for determining and maintaining capture
US4729376A (en) * 1985-05-28 1988-03-08 Cordis Corporation Cardiac pacer and method providing means for periodically determining capture threshold and adjusting pulse output level accordingly
US4766901A (en) * 1985-12-18 1988-08-30 Telectronics N.V. Rate responsive pacing system using the integrated evoked potential
DE3787186T2 (de) * 1986-03-19 1994-05-05 Telectronics Nv Taktempfindliche Stimulierung mit Benutzung des ventrikulären Gradienten.
US4759367A (en) * 1986-03-19 1988-07-26 Telectronics N.V Rate responsive pacing using the magnitude of the repolarization gradient of the ventricular gradient

Also Published As

Publication number Publication date
DE68919425T3 (de) 2004-08-19
EP0334681B2 (de) 2004-02-04
EP0334681A1 (de) 1989-09-27
EP0334681B1 (de) 1994-11-23
DE68919425T2 (de) 1995-06-01
US4878497A (en) 1989-11-07

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Legal Events

Date Code Title Description
8363 Opposition against the patent
8327 Change in the person/name/address of the patent owner

Owner name: PACESETTER, INC., SYLMAR, CALIF., US

8328 Change in the person/name/address of the agent

Representative=s name: DERZEIT KEIN VERTRETER BESTELLT

8366 Restricted maintained after opposition proceedings
8339 Ceased/non-payment of the annual fee