DE69821663D1 - Ischämie-Detektor zur Erkennung der Repolarisierung des Herzens - Google Patents

Ischämie-Detektor zur Erkennung der Repolarisierung des Herzens

Info

Publication number
DE69821663D1
DE69821663D1 DE69821663T DE69821663T DE69821663D1 DE 69821663 D1 DE69821663 D1 DE 69821663D1 DE 69821663 T DE69821663 T DE 69821663T DE 69821663 T DE69821663 T DE 69821663T DE 69821663 D1 DE69821663 D1 DE 69821663D1
Authority
DE
Germany
Prior art keywords
repolarization
heart
detect
ischemia detector
ischemia
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
DE69821663T
Other languages
English (en)
Other versions
DE69821663T2 (de
Inventor
Christer Ekwall
Kjell Noren
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.)
St Jude Medical AB
Original Assignee
St Jude Medical AB
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 St Jude Medical AB filed Critical St Jude Medical AB
Application granted granted Critical
Publication of DE69821663D1 publication Critical patent/DE69821663D1/de
Publication of DE69821663T2 publication Critical patent/DE69821663T2/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
    • A61N1/36—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
    • A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • A61N1/36585—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by two or more physical parameters
DE69821663T 1997-03-26 1998-03-12 Ischämie-Detektor zur Erkennung der Repolarisierung des Herzens Expired - Lifetime DE69821663T2 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
SE9701122 1997-03-26
SE9701122A SE9701122D0 (sv) 1997-03-26 1997-03-26 Medical implant

Publications (2)

Publication Number Publication Date
DE69821663D1 true DE69821663D1 (de) 2004-03-25
DE69821663T2 DE69821663T2 (de) 2004-12-23

Family

ID=20406329

Family Applications (1)

Application Number Title Priority Date Filing Date
DE69821663T Expired - Lifetime DE69821663T2 (de) 1997-03-26 1998-03-12 Ischämie-Detektor zur Erkennung der Repolarisierung des Herzens

Country Status (5)

Country Link
US (1) US6016443A (de)
EP (1) EP0867146B1 (de)
JP (1) JPH10263094A (de)
DE (1) DE69821663T2 (de)
SE (1) SE9701122D0 (de)

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SE9704312D0 (sv) * 1997-11-24 1997-11-24 Pacesetter Ab Sensing of heart contraction
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FR2784035B1 (fr) * 1998-10-01 2001-01-26 Ela Medical Sa Dispositif medical implantable actif comprenant des moyens de recueil et d'analyse de l'onde de repolarisation ventriculaire
DE19927615B4 (de) * 1999-06-17 2008-10-09 Biotronik Meß- und Therapiegeräte GmbH & Co. Ingenieurbüro Berlin Implantierbare Detektionsvorrichtung zur Erkennung von Ischämie-Zuständen des Herzens
US6360126B1 (en) * 1999-08-20 2002-03-19 Impulse Dynamics N.V. Apparatus and method for controlling the delivery of contractility modulating non-excitatory signals to the heart
US6361522B1 (en) * 1999-10-21 2002-03-26 Cardiac Pacemakers, Inc. Drug delivery system for implantable cardiac device
US6368284B1 (en) * 1999-11-16 2002-04-09 Cardiac Intelligence Corporation Automated collection and analysis patient care system and method for diagnosing and monitoring myocardial ischemia and outcomes thereof
US7369890B2 (en) * 2000-11-02 2008-05-06 Cardiac Pacemakers, Inc. Technique for discriminating between coordinated and uncoordinated cardiac rhythms
US6604000B2 (en) 2000-12-08 2003-08-05 Pacesetter, Inc. Method and device for responding to the detection of ischemia in cardiac tissue
US6821256B2 (en) * 2001-02-01 2004-11-23 Mayo Foundation For Medical Education And Research Non-alternating beat-to-beat fluctuations in T wave morphology
US6840800B2 (en) * 2001-10-10 2005-01-11 Quixemble, Inc. Deflecting securement anchor for electrical fixtures
US6937899B2 (en) * 2001-08-30 2005-08-30 Medtronic, Inc. Ischemia detection
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US7340303B2 (en) * 2001-09-25 2008-03-04 Cardiac Pacemakers, Inc. Evoked response sensing for ischemia detection
US7181268B2 (en) * 2001-12-03 2007-02-20 Medtronic, Inc. Ischemia detection
US6865420B1 (en) 2002-01-14 2005-03-08 Pacesetter, Inc. Cardiac stimulation device for optimizing cardiac output with myocardial ischemia protection
US7039462B2 (en) * 2002-06-14 2006-05-02 Cardiac Pacemakers, Inc. Method and apparatus for detecting oscillations in cardiac rhythm
US7027867B2 (en) * 2002-06-28 2006-04-11 Pacesetter, Inc. Implantable cardiac device having a system for detecting T wave alternan patterns and method
US7089055B2 (en) * 2002-06-28 2006-08-08 Cardiac Pacemakers, Inc. Method and apparatus for delivering pre-shock defibrillation therapy
US7415307B2 (en) * 2002-10-31 2008-08-19 Medtronic, Inc. Ischemia detection based on cardiac conduction time
US7072711B2 (en) * 2002-11-12 2006-07-04 Cardiac Pacemakers, Inc. Implantable device for delivering cardiac drug therapy
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US7218960B1 (en) 2003-06-24 2007-05-15 Pacesetter, Inc. System and method for detecting cardiac ischemia based on T-waves using an implantable medical device
US7225015B1 (en) 2003-06-24 2007-05-29 Pacesetter, Inc. System and method for detecting cardiac ischemia based on T-waves using an implantable medical device
US7274959B1 (en) 2003-06-24 2007-09-25 Pacesetter, Inc. System and method for detecting cardiac ischemia using an implantable medical device
US20190357827A1 (en) 2003-08-01 2019-11-28 Dexcom, Inc. Analyte sensor
US7320675B2 (en) 2003-08-21 2008-01-22 Cardiac Pacemakers, Inc. Method and apparatus for modulating cellular metabolism during post-ischemia or heart failure
US20050137626A1 (en) * 2003-12-19 2005-06-23 Pastore Joseph M. Drug delivery system and method employing external drug delivery device in conjunction with computer network
US7269458B2 (en) 2004-08-09 2007-09-11 Cardiac Pacemakers, Inc. Cardiopulmonary functional status assessment via heart rate response detection by implantable cardiac device
US7389143B2 (en) * 2004-08-12 2008-06-17 Cardiac Pacemakers, Inc. Cardiopulmonary functional status assessment via metabolic response detection by implantable cardiac device
US7567841B2 (en) * 2004-08-20 2009-07-28 Cardiac Pacemakers, Inc. Method and apparatus for delivering combined electrical and drug therapies
WO2006041337A1 (en) * 2004-10-11 2006-04-20 St Jude Medical Detection of ischemia
US7756572B1 (en) 2005-01-25 2010-07-13 Pacesetter, Inc. System and method for efficiently distinguishing among cardiac ischemia, hypoglycemia and hyperglycemia using an implantable medical device and an external system
US7297114B2 (en) * 2005-01-25 2007-11-20 Pacesetter, Inc. System and method for distinguishing among cardiac ischemia, hypoglycemia and hyperglycemia using an implantable medical device
US7590443B2 (en) 2005-04-27 2009-09-15 Pacesetter, Inc System and method for detecting hypoglycemia based on a paced depolarization integral using an implantable medical device
US20070021678A1 (en) * 2005-07-19 2007-01-25 Cardiac Pacemakers, Inc. Methods and apparatus for monitoring physiological responses to steady state activity
US7706867B1 (en) * 2005-08-04 2010-04-27 Pacesetter, Inc. Methods and systems to correlate arrhythmic and ischemic events
US7529580B2 (en) * 2005-08-11 2009-05-05 Pacesetter, Inc. Detection of renal failure by cardiac implantable medical device
US7400920B1 (en) 2005-08-11 2008-07-15 Pacesetter, Inc. Detection of renal failure by cardiac implantable medical device
CN102440785A (zh) 2005-08-31 2012-05-09 弗吉尼亚大学专利基金委员会 传感器信号处理方法及传感器信号处理装置
US7460900B1 (en) 2005-09-14 2008-12-02 Pacesetter, Inc. Method and apparatus for detecting ischemia using changes in QRS morphology
US7756571B1 (en) 2005-09-16 2010-07-13 Pacesetter, Inc. Methods and systems for detecting the presence of T-wave alternans
US7881792B1 (en) 2005-09-16 2011-02-01 Pacesetter, Inc. Methods and systems for detecting the presence of T-wave alternans
US7738956B1 (en) 2006-01-27 2010-06-15 Pacesetter, Inc. Pacing schemes for revealing T-wave alternans (TWA) at low to moderate heart rates
US8583205B2 (en) 2008-03-28 2013-11-12 Abbott Diabetes Care Inc. Analyte sensor calibration management
US9675290B2 (en) 2012-10-30 2017-06-13 Abbott Diabetes Care Inc. Sensitivity calibration of in vivo sensors used to measure analyte concentration
US9392969B2 (en) 2008-08-31 2016-07-19 Abbott Diabetes Care Inc. Closed loop control and signal attenuation detection
US8219173B2 (en) 2008-09-30 2012-07-10 Abbott Diabetes Care Inc. Optimizing analyte sensor calibration
US7610086B1 (en) 2006-03-31 2009-10-27 Pacesetter, Inc. System and method for detecting cardiac ischemia in real-time using a pattern classifier implemented within an implanted medical device
US8224415B2 (en) 2009-01-29 2012-07-17 Abbott Diabetes Care Inc. Method and device for providing offset model based calibration for analyte sensor
US7630748B2 (en) 2006-10-25 2009-12-08 Abbott Diabetes Care Inc. Method and system for providing analyte monitoring
US7689286B2 (en) * 2006-05-02 2010-03-30 Cardiac Pacemakers, Inc. Myocardium conditioning using myocardial and parasympathetic stimulation
US20100312130A1 (en) * 2006-06-27 2010-12-09 Yi Zhang Graded response to myocardial ischemia
US8000780B2 (en) * 2006-06-27 2011-08-16 Cardiac Pacemakers, Inc. Detection of myocardial ischemia from the time sequence of implanted sensor measurements
US7648464B1 (en) 2006-07-19 2010-01-19 Pacesetter, Inc. Detecting ischemia using an implantable cardiac device based on morphology of cardiac pressure signal
US8108035B1 (en) 2006-10-18 2012-01-31 Pacesetter, Inc. Systems and methods for detecting and compensating for changes in posture during ischemia detection a using an implantable medical device
US8155731B1 (en) 2006-10-18 2012-04-10 Pacesetter, Inc. Systems and methods for detecting and compensating for changes in posture during ischemia detection using an implantable medical device
US8135548B2 (en) 2006-10-26 2012-03-13 Abbott Diabetes Care Inc. Method, system and computer program product for real-time detection of sensitivity decline in analyte sensors
US8014863B2 (en) 2007-01-19 2011-09-06 Cardiac Pacemakers, Inc. Heart attack or ischemia detector
US8265739B1 (en) 2007-01-19 2012-09-11 Pacesetter, Inc. Systems and methods for distinguishing cardiac ischemia from systemic influences on IEGM morphology using an implantable medical device
US8275463B1 (en) 2007-02-01 2012-09-25 Pacesetter, Inc. Recording a context for sensed biological data
US7949388B1 (en) 2007-03-16 2011-05-24 Pacesetter, Inc. Methods and systems to characterize ST segment variation over time
US7930017B1 (en) 2007-05-25 2011-04-19 Pacesetter, Inc. Method and system for trending variation in coronary burden across multiple heart rate ranges
US7769436B1 (en) 2007-06-04 2010-08-03 Pacesetter, Inc. System and method for adaptively adjusting cardiac ischemia detection thresholds and other detection thresholds used by an implantable medical device
US7865232B1 (en) 2007-08-07 2011-01-04 Pacesetter, Inc. Method and system for automatically calibrating ischemia detection parameters
US8019410B1 (en) 2007-08-22 2011-09-13 Pacesetter, Inc. System and method for detecting hypoglycemia using an implantable medical device based on pre-symptomatic physiological responses
US7725171B1 (en) 2007-08-31 2010-05-25 Pacesetter, Inc. System and method for tracking ST shift data utilizing histograms
US8469897B2 (en) * 2007-10-15 2013-06-25 Pacesetter, Inc. Method and system for tracking quality of life in patients with angina
US8216138B1 (en) 2007-10-23 2012-07-10 Abbott Diabetes Care Inc. Correlation of alternative site blood and interstitial fluid glucose concentrations to venous glucose concentration
US8204592B1 (en) 2007-12-03 2012-06-19 Pacesetter, Inc. System and method for generating and using cardiac ischemia diagnostics based on arrhythmia precursors and arrhythmia episodes
US20090164239A1 (en) 2007-12-19 2009-06-25 Abbott Diabetes Care, Inc. Dynamic Display Of Glucose Information
WO2010014497A1 (en) * 2008-08-01 2010-02-04 Cardiac Pacemakers, Inc. Methods and apparatus for detection of myocardial ischemia upon exertion
US20100057158A1 (en) * 2008-08-26 2010-03-04 Pacesetter, Inc. Neurostimulation Based On Glycemic Condition
US9301698B2 (en) 2008-10-31 2016-04-05 Medtronic, Inc. Method and apparatus to detect ischemia with a pressure sensor
US9326707B2 (en) 2008-11-10 2016-05-03 Abbott Diabetes Care Inc. Alarm characterization for analyte monitoring devices and systems
US8630692B2 (en) 2009-04-30 2014-01-14 Pacesetter, Inc. Method and implantable system for blood-glucose concentration monitoring using parallel methodologies
US8185181B2 (en) 2009-10-30 2012-05-22 Abbott Diabetes Care Inc. Method and apparatus for detecting false hypoglycemic conditions
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US8467862B2 (en) 2010-03-30 2013-06-18 Pacesetter, Inc. Systems and methods related to ST segment monitoring by an implantable medical device
US8635046B2 (en) 2010-06-23 2014-01-21 Abbott Diabetes Care Inc. Method and system for evaluating analyte sensor response characteristics
US10092229B2 (en) 2010-06-29 2018-10-09 Abbott Diabetes Care Inc. Calibration of analyte measurement system
US20130225947A1 (en) 2010-10-29 2013-08-29 St. Jude Medical Ab Implantable medical device
WO2012142502A2 (en) 2011-04-15 2012-10-18 Dexcom Inc. Advanced analyte sensor calibration and error detection
US8989852B2 (en) 2011-08-10 2015-03-24 Pacesetter, Inc. Systems and methods for use by implantable medical devices for detecting and discriminating stroke and cardiac ischemia using electrocardiac signals
US9622691B2 (en) 2011-10-31 2017-04-18 Abbott Diabetes Care Inc. Model based variable risk false glucose threshold alarm prevention mechanism
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US10076285B2 (en) 2013-03-15 2018-09-18 Abbott Diabetes Care Inc. Sensor fault detection using analyte sensor data pattern comparison
US9474475B1 (en) 2013-03-15 2016-10-25 Abbott Diabetes Care Inc. Multi-rate analyte sensor data collection with sample rate configurable signal processing
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Also Published As

Publication number Publication date
JPH10263094A (ja) 1998-10-06
DE69821663T2 (de) 2004-12-23
EP0867146B1 (de) 2004-02-18
EP0867146A1 (de) 1998-09-30
SE9701122D0 (sv) 1997-03-26
US6016443A (en) 2000-01-18

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Legal Events

Date Code Title Description
8328 Change in the person/name/address of the agent

Representative=s name: KRAMER - BARSKE - SCHMIDTCHEN, 81245 MUENCHEN