CA2104756A1 - Cardiac rhythm management device with automatic optimization of performance related pacing parameters - Google Patents

Cardiac rhythm management device with automatic optimization of performance related pacing parameters

Info

Publication number
CA2104756A1
CA2104756A1 CA002104756A CA2104756A CA2104756A1 CA 2104756 A1 CA2104756 A1 CA 2104756A1 CA 002104756 A CA002104756 A CA 002104756A CA 2104756 A CA2104756 A CA 2104756A CA 2104756 A1 CA2104756 A1 CA 2104756A1
Authority
CA
Canada
Prior art keywords
interval
heart rate
pacemaker
management device
cardiac
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.)
Granted
Application number
CA002104756A
Other languages
French (fr)
Other versions
CA2104756C (en
Inventor
Rodney W. Salo
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.)
Cardiac Pacemakers Inc
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 CA2104756A1 publication Critical patent/CA2104756A1/en
Application granted granted Critical
Publication of CA2104756C publication Critical patent/CA2104756C/en
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
    • A61N1/3627—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
    • A61N1/3682—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions with a variable atrioventricular delay

Abstract

A dual chamber cardiac pacemaker incorporating a microprocessor-based controller which is programmed to automatically establish an A-V interval at a value which provides optimum cardiac function but without the need for a special sensor for measuring cardiac function is described. The microprocessor is programmed to continuously monitor heart rate and variation in heart rate and only when the patient is stable, enter a parameter adjustment loop in which the pacemaker's A-V interval is incremented in several discrete steps and for each step, the corresponding average steady-state heart rate is measured and stored. When the A-V interval incrementation process causes that interval to reach a predetermined upper limit, the pacemaker's A-V
interval is set at the value that corresponds with the minimum average heart rate to thereby maximize cardiac performance.
CA002104756A 1992-11-03 1993-08-24 Cardiac rhythm management device with automatic optimization of performance related pacing parameters Expired - Fee Related CA2104756C (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US07/970,892 1992-11-03
US07/970,892 US5312452A (en) 1992-11-03 1992-11-03 Cardiac rhythm management device with automatic optimization of performance related pacing parameters

Publications (2)

Publication Number Publication Date
CA2104756A1 true CA2104756A1 (en) 1994-05-04
CA2104756C CA2104756C (en) 2001-07-03

Family

ID=25517668

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002104756A Expired - Fee Related CA2104756C (en) 1992-11-03 1993-08-24 Cardiac rhythm management device with automatic optimization of performance related pacing parameters

Country Status (5)

Country Link
US (1) US5312452A (en)
EP (1) EP0596598B1 (en)
JP (1) JP3340819B2 (en)
CA (1) CA2104756C (en)
DE (1) DE69329692T2 (en)

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DE19758109A1 (en) * 1997-12-17 1999-06-24 Biotronik Mess & Therapieg Heart stimulator, e.g. adaptive pacemaker
DE19859652B4 (en) * 1998-12-15 2006-02-16 Biotronik Meß- und Therapiegeräte GmbH & Co. Ingenieurbüro Berlin Dual-chamber pacemakers
US7203535B1 (en) 1999-04-01 2007-04-10 Cardiac Pacemakers, Inc. System and method for classifying tachycardia arrhythmias having 1:1 atrial-to-ventricular rhythms
US6285907B1 (en) 1999-05-21 2001-09-04 Cardiac Pacemakers, Inc. System providing ventricular pacing and biventricular coordination
US6501988B2 (en) 2000-12-26 2002-12-31 Cardiac Pacemakers Inc. Apparatus and method for ventricular rate regularization with biventricular sensing
US7062325B1 (en) * 1999-05-21 2006-06-13 Cardiac Pacemakers Inc Method and apparatus for treating irregular ventricular contractions such as during atrial arrhythmia
US7142918B2 (en) * 2000-12-26 2006-11-28 Cardiac Pacemakers, Inc. Apparatus and method for pacing mode switching during atrial tachyarrhythmias
US7212860B2 (en) * 1999-05-21 2007-05-01 Cardiac Pacemakers, Inc. Apparatus and method for pacing mode switching during atrial tachyarrhythmias
US8064997B2 (en) * 1999-05-21 2011-11-22 Cardiac Pacemakers, Inc. Method and apparatus for treating irregular ventricular contractions such as during atrial arrhythmia
US6351669B1 (en) 1999-05-21 2002-02-26 Cardiac Pacemakers, Inc. Cardiac rhythm management system promoting atrial pacing
US6430438B1 (en) 1999-05-21 2002-08-06 Cardiac Pacemakers, Inc. Cardiac rhythm management system with atrial shock timing optimization
US7181278B2 (en) * 1999-05-21 2007-02-20 Cardiac Pacemakers, Inc. Apparatus and method for ventricular rate regularization
US7177686B1 (en) 1999-11-10 2007-02-13 Pacesetter, Inc. Using photo-plethysmography to monitor autonomic tone and performing pacing optimization based on monitored autonomic tone
US6280389B1 (en) 1999-11-12 2001-08-28 Cardiac Pacemakers, Inc. Patient identification for the pacing therapy using LV-RV pressure loop
US7194305B1 (en) * 2000-04-07 2007-03-20 Cardiac Pacemakers, Inc. Cardiac rhythm management system with optimization of cardiac performance using heart rate
US6708061B2 (en) 2000-04-07 2004-03-16 Cardiac Pacemakers, Inc. Cardiac rhythm management system with optimization of cardiac performance using heart rate
US6371922B1 (en) 2000-04-07 2002-04-16 Cardiac Pacemakers, Inc. Method for measuring baroreflex sensitivity and therapy optimization in heart failure patients
US7239914B2 (en) * 2000-05-13 2007-07-03 Cardiac Pacemakers, Inc. Rate smoothing control
US7039461B1 (en) 2000-05-13 2006-05-02 Cardiac Pacemakers, Inc. Cardiac pacing system for prevention of ventricular fibrillation and ventricular tachycardia episode
US6501987B1 (en) * 2000-05-26 2002-12-31 Cardiac Pacemakers, Inc. Rate smoothing control
US8512220B2 (en) * 2000-05-26 2013-08-20 Cardiac Pacemakers, Inc. Rate smoothing control
US6424865B1 (en) 2000-07-13 2002-07-23 Cardiac Pacemakers, Inc. Ventricular conduction delay trending system and method
US6829504B1 (en) * 2000-09-14 2004-12-07 Cardiac Pacemakers, Inc. System and method for preventing recurrence of atrial tachyarrhythmia
US6512951B1 (en) 2000-09-14 2003-01-28 Cardiac Pacemakers, Inc. Delivery of atrial defibrillation shock based on estimated QT interval
US6957100B2 (en) * 2000-12-26 2005-10-18 Cardiac Pacemakers, Inc. Method and system for display of cardiac event intervals in a resynchronization pacemaker
US20020087198A1 (en) * 2000-12-29 2002-07-04 Kramer Andrew P. Apparatus and method for ventricular rate regularization
US6597951B2 (en) * 2001-03-16 2003-07-22 Cardiac Pacemakers, Inc. Automatic selection from multiple cardiac optimization protocols
US6832113B2 (en) 2001-11-16 2004-12-14 Cardiac Pacemakers, Inc. Non-invasive method and apparatus for cardiac pacemaker pacing parameter optimization and monitoring of cardiac dysfunction
US6882882B2 (en) * 2002-04-22 2005-04-19 Medtronic, Inc. Atrioventricular delay adjustment
US7206634B2 (en) * 2002-07-26 2007-04-17 Cardiac Pacemakers, Inc. Method and apparatus for optimizing cardiac pumping performance
US7013176B2 (en) 2003-01-28 2006-03-14 Cardiac Pacemakers, Inc. Method and apparatus for setting pacing parameters in cardiac resynchronization therapy
US7133718B2 (en) * 2003-06-19 2006-11-07 Medtronic, Inc. Method and apparatus for temporarily varying a parameter in an implantable medical device
US7123960B2 (en) 2003-12-22 2006-10-17 Cardiac Pacemakers, Inc. Method and system for delivering cardiac resynchronization therapy with variable atrio-ventricular delay
US7676261B2 (en) * 2004-09-30 2010-03-09 General Electric Company Method and system for enhancing pace pulses
JP4563785B2 (en) * 2004-12-03 2010-10-13 テルモ株式会社 Heart treatment equipment
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US7775215B2 (en) 2005-02-24 2010-08-17 Ethicon Endo-Surgery, Inc. System and method for determining implanted device positioning and obtaining pressure data
US7658196B2 (en) 2005-02-24 2010-02-09 Ethicon Endo-Surgery, Inc. System and method for determining implanted device orientation
US7699770B2 (en) 2005-02-24 2010-04-20 Ethicon Endo-Surgery, Inc. Device for non-invasive measurement of fluid pressure in an adjustable restriction device
US7927270B2 (en) 2005-02-24 2011-04-19 Ethicon Endo-Surgery, Inc. External mechanical pressure sensor for gastric band pressure measurements
US8066629B2 (en) 2005-02-24 2011-11-29 Ethicon Endo-Surgery, Inc. Apparatus for adjustment and sensing of gastric band pressure
US8016744B2 (en) 2005-02-24 2011-09-13 Ethicon Endo-Surgery, Inc. External pressure-based gastric band adjustment system and method
US8046069B2 (en) * 2005-12-22 2011-10-25 Cardiac Pacemakers, Inc. Method and apparatus for control of cardiac therapy using non-invasive hemodynamic sensor
US8152710B2 (en) 2006-04-06 2012-04-10 Ethicon Endo-Surgery, Inc. Physiological parameter analysis for an implantable restriction device and a data logger
US8870742B2 (en) 2006-04-06 2014-10-28 Ethicon Endo-Surgery, Inc. GUI for an implantable restriction device and a data logger
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Also Published As

Publication number Publication date
US5312452A (en) 1994-05-17
DE69329692D1 (en) 2000-12-28
EP0596598A2 (en) 1994-05-11
JPH06190065A (en) 1994-07-12
EP0596598B1 (en) 2000-11-22
CA2104756C (en) 2001-07-03
EP0596598A3 (en) 1996-06-26
JP3340819B2 (en) 2002-11-05
DE69329692T2 (en) 2001-05-10

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