DE69727027T2 - Aktive medizinische Vorrichtung von der Art eines Defibrillator/Kardiovertierer mit verbesserter Unterscheidung von Tachykardien - Google Patents

Aktive medizinische Vorrichtung von der Art eines Defibrillator/Kardiovertierer mit verbesserter Unterscheidung von Tachykardien Download PDF

Info

Publication number
DE69727027T2
DE69727027T2 DE69727027T DE69727027T DE69727027T2 DE 69727027 T2 DE69727027 T2 DE 69727027T2 DE 69727027 T DE69727027 T DE 69727027T DE 69727027 T DE69727027 T DE 69727027T DE 69727027 T2 DE69727027 T2 DE 69727027T2
Authority
DE
Germany
Prior art keywords
cardiovert
defibrillator
active
improved
medical device
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
DE69727027T
Other languages
English (en)
Other versions
DE69727027D1 (de
Inventor
Remi Nitzsche
Nicolas Iscolo
Christine Henry
Jean-Luc Bonnet
Marcel Limousin
Daniel Kroiss
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.)
Sorin CRM SAS
Original Assignee
Ela Medical SAS
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 Ela Medical SAS filed Critical Ela Medical SAS
Publication of DE69727027D1 publication Critical patent/DE69727027D1/de
Application granted granted Critical
Publication of DE69727027T2 publication Critical patent/DE69727027T2/de
Anticipated expiration legal-status Critical
Expired - Lifetime 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
    • A61N1/38—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
    • 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
DE69727027T 1996-10-25 1997-10-23 Aktive medizinische Vorrichtung von der Art eines Defibrillator/Kardiovertierer mit verbesserter Unterscheidung von Tachykardien Expired - Lifetime DE69727027T2 (de)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
FR9613083A FR2755019B1 (fr) 1996-10-25 1996-10-25 Dispositif medical actif du type defibrillateur/cardioverteur implantable a discrimination perfectionnee des tachycardies

Publications (2)

Publication Number Publication Date
DE69727027D1 DE69727027D1 (de) 2004-02-05
DE69727027T2 true DE69727027T2 (de) 2004-10-21

Family

ID=9497062

Family Applications (1)

Application Number Title Priority Date Filing Date
DE69727027T Expired - Lifetime DE69727027T2 (de) 1996-10-25 1997-10-23 Aktive medizinische Vorrichtung von der Art eines Defibrillator/Kardiovertierer mit verbesserter Unterscheidung von Tachykardien

Country Status (5)

Country Link
US (1) US5868793A (de)
EP (1) EP0838235B1 (de)
JP (1) JP4201860B2 (de)
DE (1) DE69727027T2 (de)
FR (1) FR2755019B1 (de)

Families Citing this family (46)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5873897A (en) * 1997-09-19 1999-02-23 Sulzer Intermedics Inc. Method and apparatus for dual chambered tachyarrhythmia classification and therapy
EP0985428A1 (de) * 1998-08-12 2000-03-15 Pacesetter, Inc. Herzschrittmacher mit sicherer R-Wellensynchronisierung während der Reizungskorrektur einer Vorhofsfibrillierung
US6230055B1 (en) 1999-08-20 2001-05-08 Cardiac Pacemakers, Inc. Method and apparatus for adaptive tachycardia and fibrillation discrimination
US6456871B1 (en) 1999-12-01 2002-09-24 Cardiac Pacemakers, Inc. System and method of classifying tachyarrhythmia episodes as associated or disassociated
FR2803211B1 (fr) 1999-12-29 2002-02-22 Ela Medical Sa Dispositif medical implantable actif, notamment stimulateur cardiaque, defibrillateur et/ou cardiovecteur, comprenant des moyens d'elimination des artefacts de detection des evenements
FR2805469B1 (fr) 2000-02-29 2002-10-18 Ela Medical Sa Dispositif medical implantable actif de type defibrillateur/ cardioverteur implantable a gestion perfectionnee des tachycardies ventriculaires
FR2817154B1 (fr) 2000-11-27 2003-06-06 Ela Medical Sa Dispositif medical actif du type defibrillateur/ cardioverteur implantable a discrimination perfectionnee des fibrillations auriculaires
US6751502B2 (en) * 2001-03-14 2004-06-15 Cardiac Pacemakers, Inc. Cardiac rhythm management system with defibrillation threshold prediction
US7386344B2 (en) * 2004-08-11 2008-06-10 Cardiac Pacemakers, Inc. Pacer with combined defibrillator tailored for bradycardia patients
US6470210B1 (en) * 2001-04-06 2002-10-22 Cardiac Pacemakers, Inc. System and method for continuously monitoring classified atrial arrhythmias
FR2830768B1 (fr) 2001-10-12 2004-07-09 Ela Medical Sa Dispositif medical actif de type defibrillateur/cardiovecteur implantable comportant des moyens de detection de tachycardies sinusales post-therapie
US6748269B2 (en) * 2001-10-17 2004-06-08 Cardiac Pacemakers, Inc. Algorithm for discrimination of 1:1 tachycardias
FR2843884B1 (fr) * 2002-09-04 2005-06-17 Ela Medical Sa Dispositif implantable actif du type defibrillateur, cardioverteur et/ou stimulateur antitachycardique, a discrimination perfectionnee entre tachycardie et fibrillation ventriculaires
FR2844456B1 (fr) * 2002-09-16 2004-10-22 Ela Medical Sa Dispositif medical implantable actif du type defibrillateur, cardioverteur et/ou stimulateur antitachycardique, a frequence maximale elevee de stimulation antibradycardique
FR2864449A1 (fr) 2003-12-29 2005-07-01 Ela Medical Sa Dispositif medical implantable actif, notamment stimulateur cardiaque, a gestion perfectionnee des commutations automatiques de mode aai/ddd en presence de bav paroxystiques
US7930024B2 (en) * 2004-01-08 2011-04-19 Medtronic, Inc. Reducing inappropriate delivery of therapy for suspected non-lethal arrhythmias
US7616994B2 (en) * 2004-05-24 2009-11-10 Cardiac Pacemakers, Inc. Fast post-antitachycardia pacing redetection algorithm
FR2901146A1 (fr) 2006-05-18 2007-11-23 Ela Medical Soc Par Actions Si Dispositif medical implantable actif de stimulation cardiaque, resynchronisation, cardioversion et/ou defibrillation, comportant des moyens de detection d'artefacts de bruit ventriculaire
US7974687B1 (en) 2008-01-21 2011-07-05 Pacesetter, Inc. Methods and systems for enhanced arrhythmia discrimination
DE602009000871D1 (de) * 2008-03-28 2011-04-28 Ela Medical Sa Aktives Medizingerät, das verbesserte Mittel zur Unterscheidung zwischen Tachykardien ventrikulären Ursprungs und Tachykardien supraventrikulären Ursprungs enthält
US8126553B2 (en) * 2008-06-02 2012-02-28 Medtronic, Inc. Sensing integrity determination based on cardiovascular pressure
EP2237835A1 (de) * 2008-06-02 2010-10-13 Medtronic, Inc. Impedanzvariabilitätsanalyse zur identifizierung von leitungsbedingten zuständen
EP2303403B1 (de) 2008-06-02 2016-09-14 Medtronic, Inc. Elektrogramm-speicherung bei verdacht auf nicht-physiologische episoden
WO2009148428A1 (en) * 2008-06-02 2009-12-10 Medtronic, Inc. Electrode lead integrity reports
US20090299421A1 (en) * 2008-06-02 2009-12-03 Medtronic, Inc. Evaluation of implantable medical device sensing integrity based on evoked signals
WO2009149075A1 (en) * 2008-06-02 2009-12-10 Medtronic, Inc. Discrimination of ventricular tachycardia from supraventricular tachycardia
US7974690B2 (en) * 2008-06-30 2011-07-05 Medtronic, Inc. Lead integrity testing during suspected tachyarrhythmias
US9522277B2 (en) * 2008-07-28 2016-12-20 Medtronic, Inc. Lead integrity testing triggered by sensed signal saturation
US7953488B2 (en) * 2008-07-31 2011-05-31 Medtronic, Inc. Pre-qualification of an alternate sensing configuration
US8078277B2 (en) * 2008-10-29 2011-12-13 Medtronic, Inc. Identification and remediation of oversensed cardiac events using far-field electrograms
US10118042B2 (en) 2008-10-31 2018-11-06 Medtronic, Inc. Lead integrity testing triggered by sensed asystole
EP2332462B1 (de) * 2009-12-11 2016-04-06 Sorin CRM SAS Einfacher implantierbarer Einkammer-Defibrillator/Kardioverter mit Erfassung der aurikularen Aktivität über Monokörper-Sonde
US8396543B2 (en) * 2010-01-28 2013-03-12 Medtronic, Inc. Storage of data for evaluation of lead integrity
US8374691B2 (en) 2011-01-10 2013-02-12 Pacesetter, Inc. Methods and systems for determining if an arrhythmia initiated in an atrium or a ventricle
US9002453B2 (en) * 2011-07-29 2015-04-07 Pacesetter, Inc. Devices, systems and methods to perform arrhythmia discrimination based on R-R interval stability corresponding to a plurality of ventricular regions
US9554717B2 (en) 2011-07-29 2017-01-31 Pacesetter, Inc. Devices, systems and methods to monitor and treat heart failure (HF)
US8798731B2 (en) 2011-07-29 2014-08-05 Pacesetter, Inc. Devices, systems and methods to perform arrhythmia discrimination based on the atrial and ventricular activation times
US8437840B2 (en) 2011-09-26 2013-05-07 Medtronic, Inc. Episode classifier algorithm
US8774909B2 (en) 2011-09-26 2014-07-08 Medtronic, Inc. Episode classifier algorithm
US9668668B2 (en) 2011-09-30 2017-06-06 Medtronic, Inc. Electrogram summary
US8744560B2 (en) 2011-09-30 2014-06-03 Medtronic, Inc. Electrogram summary
US8886296B2 (en) 2011-10-14 2014-11-11 Medtronic, Inc. T-wave oversensing
US8521281B2 (en) 2011-10-14 2013-08-27 Medtronic, Inc. Electrogram classification algorithm
FR2982773A1 (fr) 2011-11-22 2013-05-24 Sorin Crm Sas Dispositif medical de type defibrillateur/cardioverteur implantable avec seuil de detection ventriculaire ajustable dynamiquement
CN108471976B (zh) 2016-01-11 2021-07-27 索林Crm联合股份公司 有源植入式医疗除颤设备
JP7257702B2 (ja) 2021-05-31 2023-04-14 ダイワ包材株式会社 袋体

Family Cites Families (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5193550A (en) * 1990-11-30 1993-03-16 Medtronic, Inc. Method and apparatus for discriminating among normal and pathological tachyarrhythmias
US5205283A (en) * 1991-07-30 1993-04-27 Medtronic, Inc. Method and apparatus for tachyarrhythmia detection and treatment
FR2685643B1 (fr) * 1991-12-31 1994-03-11 Ela Medical Procede de commande d'un defibrillateur implante.
US5379776A (en) * 1993-04-01 1995-01-10 Telectronics Pacing Systems, Inc. Heart rhythm classification method, and implantable dual chamber cardioverter/defibrillator employing the same
FR2705576B1 (fr) * 1993-05-28 1995-07-07 Ela Medical Sa Procédé d'analyse de l'activité cardiaque pour déterminer si une tachyarythmie est susceptible d'être interrompue par stimulation.

Also Published As

Publication number Publication date
DE69727027D1 (de) 2004-02-05
EP0838235B1 (de) 2004-01-02
US5868793A (en) 1999-02-09
EP0838235A1 (de) 1998-04-29
JPH10155918A (ja) 1998-06-16
FR2755019A1 (fr) 1998-04-30
FR2755019B1 (fr) 1999-04-02
JP4201860B2 (ja) 2008-12-24

Similar Documents

Publication Publication Date Title
DE69727027T2 (de) Aktive medizinische Vorrichtung von der Art eines Defibrillator/Kardiovertierer mit verbesserter Unterscheidung von Tachykardien
DE69727622D1 (de) Aktive medizinische Vorrichtung von der Art eines Defibrillator-Kardiovertierer mit verbesserter Unterscheidung von Tachykardien
DE69732553D1 (de) Herzschrittmacher mit verbesserter Erfassung von atrialer Fibrillation
EP0661078A3 (de) Defibrillationselektrode mit atrialen Sensorelektroden und Defibrillationselektroden.
DE69030767T2 (de) Defibrillationselektrode
DE3689816D1 (de) Gerät zum Erkennen und Beheben von ventrikulären Tachykardien und Fibrillationen.
DE59309561D1 (de) Defibrillierungselektrode
DE617980T1 (de) Herzrhythmusklassifizierung und implantierbarer Zweikammer-Defibrillator/Kardiovertierer der eine solche Klassifizierung verwendet.
DE59308003D1 (de) Defibrillierungselektrode
DE69328709T2 (de) Vorhofdefibrillator und Mittel zur Stimulation vor der Cardioversion
DE69426814D1 (de) Herzschrittmacher- und defibrillationselektrodenleitung, die die erfassung von signalen ermöglicht
IT1234044B (it) Dispositivo per la rilevazione di tachicardia ed elettrostimolatore cardiaco che lo utilizza
DE69332851D1 (de) Implantierbare, medizinische Eingriffsvorrichtung mit verstellbaren Kriterien zur Erkennung von Tachykardien
DE69315930D1 (de) Implantierbares Herz-Defibrillationsgerät
DE69319641T2 (de) Detektion von Tachykardie und Herzflimmern
DE69428177T2 (de) Medizinisches Gerät, insbesondere implantierbarer Defibrillator, mit integrierten Aufzeichnungsfunktionen von Holter
DE69533685D1 (de) Implantierbares Herz-Defibrillationsgerät
DE69103775T2 (de) Vorrichtung zur Unterscheidung von stabilen und instabilen ventriculären tachycardien.
DE69832842D1 (de) Herzschrittmacher, Defibrillator und/oder Cardioverter zur Verringerung von Vorhofsarrythmien
DE69426506T2 (de) Vorhof-Defibrillator zur Nachweisung von T-Wellen und zur Feststellung von Zwischenzeiten von Kardiovertierung
DE69427725D1 (de) Gerät zur EKG-bezogenen Herzdefibrillation
DE69110937T2 (de) Herzschrittmacher zur Beendung von Herzarrhythmia.
DE59709607D1 (de) Implantierbare Vorrichtung zur Tachykardie-Früherkennung und -Unterdrückung beim Herzen
DE68927496D1 (de) Iontophorese Elektrode
DE69323462T2 (de) Implantierbares Herz-Defibrillationsgerät

Legal Events

Date Code Title Description
8364 No opposition during term of opposition