DE69432870D1 - Verfahren zur Ermittlung der optimalen Dauer eines elektrischen Impulses zur Elektroschockbehandlung von Herzarrhythmien - Google Patents

Verfahren zur Ermittlung der optimalen Dauer eines elektrischen Impulses zur Elektroschockbehandlung von Herzarrhythmien

Info

Publication number
DE69432870D1
DE69432870D1 DE69432870T DE69432870T DE69432870D1 DE 69432870 D1 DE69432870 D1 DE 69432870D1 DE 69432870 T DE69432870 T DE 69432870T DE 69432870 T DE69432870 T DE 69432870T DE 69432870 D1 DE69432870 D1 DE 69432870D1
Authority
DE
Germany
Prior art keywords
procedure
determining
electrical pulse
cardiac arrhythmias
optimal duration
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 - Lifetime
Application number
DE69432870T
Other languages
English (en)
Inventor
Raymond E Ideker
Gregory P Walcott
Stephen J Hahn
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.)
University of Durham
Cardiac Pacemakers Inc
Duke University
Original Assignee
University of Durham
Cardiac Pacemakers Inc
Duke University
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 University of Durham, Cardiac Pacemakers Inc, Duke University filed Critical University of Durham
Application granted granted Critical
Publication of DE69432870D1 publication Critical patent/DE69432870D1/de
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39Heart defibrillators
    • A61N1/3925Monitoring; Protecting
    • A61N1/3937Monitoring output parameters
DE69432870T 1993-10-06 1994-09-30 Verfahren zur Ermittlung der optimalen Dauer eines elektrischen Impulses zur Elektroschockbehandlung von Herzarrhythmien Expired - Lifetime DE69432870D1 (de)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US08/132,373 US5540723A (en) 1993-10-06 1993-10-06 Method and apparatus for delivering an optimum shock duration in treating cardiac arrhythmias

Publications (1)

Publication Number Publication Date
DE69432870D1 true DE69432870D1 (de) 2003-07-31

Family

ID=22453721

Family Applications (2)

Application Number Title Priority Date Filing Date
DE69422052T Expired - Lifetime DE69422052T2 (de) 1993-10-06 1994-09-30 Vorrichtung zum erzeugen von elektroschocks optimaler dauer zur behandlung von herzarrhythmien
DE69432870T Expired - Lifetime DE69432870D1 (de) 1993-10-06 1994-09-30 Verfahren zur Ermittlung der optimalen Dauer eines elektrischen Impulses zur Elektroschockbehandlung von Herzarrhythmien

Family Applications Before (1)

Application Number Title Priority Date Filing Date
DE69422052T Expired - Lifetime DE69422052T2 (de) 1993-10-06 1994-09-30 Vorrichtung zum erzeugen von elektroschocks optimaler dauer zur behandlung von herzarrhythmien

Country Status (7)

Country Link
US (2) US5540723A (de)
EP (2) EP0722349B1 (de)
JP (1) JPH09506791A (de)
AU (1) AU7925694A (de)
CA (1) CA2173323C (de)
DE (2) DE69422052T2 (de)
WO (1) WO1995009673A1 (de)

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US5601612A (en) * 1993-08-06 1997-02-11 Heartstream, Inc. Method for applying a multiphasic waveform
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US5908442A (en) 1996-04-12 1999-06-01 Survivalink Corporation Stepped truncated damped sinusoidal defibrillation waveform
US5991658A (en) * 1996-07-01 1999-11-23 Survivalink Corporation Continual waveform shape reforming method and apparatus for transchest resistance dynamics
US6263239B1 (en) 1996-07-01 2001-07-17 Survivalink Corporation Method and apparatus for determining the second phase of defibrillator devices
US5968080A (en) * 1996-07-01 1999-10-19 Survivalink Corporation Method for determining the second phase of external defibrillator devices
US6411846B1 (en) 1999-08-26 2002-06-25 Survivalink Corporation Method and apparatus for delivering a biphasic defibrillation pulse with variable energy
US5824017A (en) * 1997-03-05 1998-10-20 Physio-Control Corporation H-bridge circuit for generating a high-energy biphasic waveform in an external defibrillator
US5873893A (en) * 1997-03-05 1999-02-23 Physio-Control Corporation Method and apparatus for verifying the integrity of an output circuit before and during application of a defibrillation pulse
US6175765B1 (en) 1997-03-05 2001-01-16 Medtronic Physio-Control Manufacturing Corp. H-bridge circuit for generating a high-energy biphasic waveform in an external defibrillator
US6963773B2 (en) 1997-03-05 2005-11-08 Medtronic Physio-Control Manufacturing Corp. H-bridge circuit for generating a high-energy biphasic waveform in an external defibrillator using single SCR and IGBT switches in an integrated package
AU7107698A (en) * 1997-04-08 1998-10-30 Survivlink Corporation Aami specification optimized truncated exponential waveform
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US6112117A (en) 1997-05-06 2000-08-29 Cardiac Pacemakers, Inc. Method and apparatus for treating cardiac arrhythmia using electrogram features
US6152954A (en) 1998-07-22 2000-11-28 Cardiac Pacemakers, Inc. Single pass lead having retractable, actively attached electrode for pacing and sensing
US6539255B1 (en) 1998-07-16 2003-03-25 Cardiac Science, Inc. Full-tilt exponential defibrillation waveform
US6501990B1 (en) 1999-12-23 2002-12-31 Cardiac Pacemakers, Inc. Extendable and retractable lead having a snap-fit terminal connector
US6463334B1 (en) 1998-11-02 2002-10-08 Cardiac Pacemakers, Inc. Extendable and retractable lead
US6212429B1 (en) * 1998-10-13 2001-04-03 Physio-Control Manufacturing Corporation Method and apparatus for converting a monophasic defibrillator to a biphasic defibrillator
US6208895B1 (en) 1998-10-13 2001-03-27 Physio-Control Manufacturing Corporation Circuit for performing external pacing and biphasic defibrillation
US6317635B1 (en) * 1999-06-30 2001-11-13 Dennis E. Ochs Sensor responsive electrotherapy apparatus
US6442426B1 (en) * 1999-12-01 2002-08-27 Pacesetter, Inc. Implantable ventricular cadioverter-defibrillator employing atrial pacing for preventing a trial fibrillation form ventricular cardioversion and defibrillation shocks
DE10029112A1 (de) * 2000-06-14 2002-01-17 Werner Irnich Defibrillator mit Mitteln zur Erzeugung von Defibrillationsimpulsen mit mindestens zwei Kondensatoren in unterschiedlicher Konfiguration sowie ein entsprechendes Verfahren
US7369890B2 (en) 2000-11-02 2008-05-06 Cardiac Pacemakers, Inc. Technique for discriminating between coordinated and uncoordinated cardiac rhythms
US6689117B2 (en) 2000-12-18 2004-02-10 Cardiac Pacemakers, Inc. Drug delivery system for implantable medical device
US6445953B1 (en) 2001-01-16 2002-09-03 Kenergy, Inc. Wireless cardiac pacing system with vascular electrode-stents
WO2003047685A2 (en) * 2001-12-03 2003-06-12 Medtronic, Inc. Control of arbitrary waveforms for constant delivered energy
US7096062B2 (en) 2002-03-11 2006-08-22 Medtronic Physio-Control Manufacturing Corp. Method for self-test of defibrillation and pacing circuits including a patient isolation switch
US6965796B2 (en) 2002-03-11 2005-11-15 Medtronic Physio-Control Manufacturing Corp. Method and apparatus for self-test of defibrillation and pacing circuits including a patient isolation switch
US8417327B2 (en) * 2002-06-20 2013-04-09 Physio-Control, Inc. Variable frequency impedance measurement
US6968230B2 (en) 2002-06-26 2005-11-22 Medtronic Physio-Control Manufacturing Corp H-bridge circuit for generating a high-energy biphasic and external pacing waveform in an external defibrillator
US20050010252A1 (en) * 2003-07-08 2005-01-13 Ideker Raymond E. Methods, systems and computer program products for defibrillation by applying stimulus to a fastest activating region of a heart
US8060219B2 (en) 2004-12-20 2011-11-15 Cardiac Pacemakers, Inc. Epicardial patch including isolated extracellular matrix with pacing electrodes
US7981065B2 (en) 2004-12-20 2011-07-19 Cardiac Pacemakers, Inc. Lead electrode incorporating extracellular matrix
EP1866029A1 (de) * 2005-03-29 2007-12-19 Koninklijke Philips Electronics N.V. Defibrillator mit impedanzkompensierter energieabgabe
US7398122B1 (en) 2005-04-07 2008-07-08 Pacesetter, Inc. Self adjusting optimal waveforms
US7283871B1 (en) 2005-04-07 2007-10-16 Pacesetter, Inc. Self adjusting optimal waveforms
US7457662B2 (en) * 2005-09-09 2008-11-25 Cardiac Science Corporation Method and apparatus for variable capacitance defibrillation
US8150511B2 (en) * 2006-06-29 2012-04-03 Pacesetter, Inc. Systems and methods for determining an optimal defibrillation shock waveform
US8983598B2 (en) * 2006-10-04 2015-03-17 Cardiac Pacemakers, Inc. System for neurally-mediated anti-arrhythmic therapy
US9352161B2 (en) * 2006-10-26 2016-05-31 Boston Scientific Neuromodulation Corporation Method of maintaining intensity output while adjusting pulse width or amplitude
JP5819957B2 (ja) * 2010-07-01 2015-11-24 カーディアック ペースメイカーズ, インコーポレイテッド 植込型医療デバイスにおける治療回路保護
US9014807B2 (en) 2010-12-20 2015-04-21 Cardiac Pacemakers, Inc. Lead fault detection for implantable medical device
US9126055B2 (en) 2012-04-20 2015-09-08 Cardiac Science Corporation AED faster time to shock method and device
US8868178B2 (en) 2012-12-11 2014-10-21 Galvani, Ltd. Arrhythmia electrotherapy device and method with provisions for mitigating patient discomfort
AU2015218603B2 (en) 2014-02-24 2019-12-05 Element Science, Inc External defibrillator
JP6981966B2 (ja) 2015-08-26 2021-12-17 エレメント サイエンス, インクElement Science, Inc ウェアラブル装置
WO2019080098A1 (zh) * 2017-10-27 2019-05-02 深圳迈瑞生物医疗电子股份有限公司 除颤仪及状态检测管理方法、状态检测管理系统、设备
AU2019357613B2 (en) 2018-10-10 2021-12-09 Element Science, Inc. Wearable medical device with disposable and reusable components

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US4727877A (en) 1984-12-18 1988-03-01 Medtronic, Inc. Method and apparatus for low energy endocardial defibrillation
US4637397A (en) 1985-05-30 1987-01-20 Case Western Reserve University Triphasic wave defibrillation
US4641656A (en) 1985-06-20 1987-02-10 Medtronic, Inc. Cardioversion and defibrillation lead method
US4800883A (en) * 1986-04-02 1989-01-31 Intermedics, Inc. Apparatus for generating multiphasic defibrillation pulse waveform
US4768512A (en) 1986-05-13 1988-09-06 Mieczyslaw Mirowski Cardioverting system and method with high-frequency pulse delivery
US4827932A (en) 1987-02-27 1989-05-09 Intermedics Inc. Implantable defibrillation electrodes
US4821723A (en) * 1987-02-27 1989-04-18 Intermedics Inc. Biphasic waveforms for defibrillation
US5179946A (en) * 1989-12-28 1993-01-19 Telectronics Pacing Systems, Inc. Apparatus and method for arrhythmia detection by variations in the transcardiac impedance between defibrillation patches
US5163428A (en) * 1990-10-11 1992-11-17 Ventritex, Inc. Implantable cardiac defibrillator with current leakage detecting means
US5230336A (en) * 1991-08-16 1993-07-27 Ventritex, Inc. Method and apparatus for impedance based automatic pulse duration adjustment for defibrillation shock delivery
US5411525A (en) * 1992-01-30 1995-05-02 Cardiac Pacemakers, Inc. Dual capacitor biphasic defibrillator waveform generator employing selective connection of capacitors for each phase
US5222501A (en) * 1992-01-31 1993-06-29 Duke University Methods for the diagnosis and ablation treatment of ventricular tachycardia
US5224476A (en) * 1992-02-24 1993-07-06 Duke University Method and apparatus for controlling fibrillation or tachycardia
US5385575A (en) * 1992-03-24 1995-01-31 Angeion Corporation Implantable cardioverter defibrillator having variable output capacitance
US5607454A (en) 1993-08-06 1997-03-04 Heartstream, Inc. Electrotherapy method and apparatus
US5601612A (en) 1993-08-06 1997-02-11 Heartstream, Inc. Method for applying a multiphasic waveform

Also Published As

Publication number Publication date
JPH09506791A (ja) 1997-07-08
EP0782870B1 (de) 2003-06-25
EP0722349A1 (de) 1996-07-24
EP0722349B1 (de) 1999-12-08
US20010053925A1 (en) 2001-12-20
AU7925694A (en) 1995-05-01
US6643545B2 (en) 2003-11-04
CA2173323C (en) 2005-09-27
DE69422052D1 (de) 2000-01-13
CA2173323A1 (en) 1995-04-13
WO1995009673A1 (en) 1995-04-13
US5540723A (en) 1996-07-30
EP0782870A2 (de) 1997-07-09
DE69422052T2 (de) 2000-08-03
EP0782870A3 (de) 1998-04-01

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