WO2005000206A3 - System and method for detecting, diagnosing, and treating cardiovascular disease - Google Patents

System and method for detecting, diagnosing, and treating cardiovascular disease Download PDF

Info

Publication number
WO2005000206A3
WO2005000206A3 PCT/US2004/016186 US2004016186W WO2005000206A3 WO 2005000206 A3 WO2005000206 A3 WO 2005000206A3 US 2004016186 W US2004016186 W US 2004016186W WO 2005000206 A3 WO2005000206 A3 WO 2005000206A3
Authority
WO
WIPO (PCT)
Prior art keywords
operable
signal
generate
indicative
cardiovascular disease
Prior art date
Application number
PCT/US2004/016186
Other languages
French (fr)
Other versions
WO2005000206A2 (en
Inventor
Neal L Eigler
James S Whiting Ph D
Brian Mann
Original Assignee
Savacor Inc
Neal L Eigler
James S Whiting Ph D
Brian Mann
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 Savacor Inc, Neal L Eigler, James S Whiting Ph D, Brian Mann filed Critical Savacor Inc
Priority to CA2525193A priority Critical patent/CA2525193C/en
Priority to AU2004251601A priority patent/AU2004251601A1/en
Priority to JP2006533330A priority patent/JP2007503286A/en
Priority to EP04753077A priority patent/EP1622680A4/en
Priority to NZ543592A priority patent/NZ543592A/en
Publication of WO2005000206A2 publication Critical patent/WO2005000206A2/en
Publication of WO2005000206A3 publication Critical patent/WO2005000206A3/en

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
    • A61N1/36564—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure controlled by blood pressure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/021—Measuring pressure in heart or blood vessels
    • A61B5/02108—Measuring pressure in heart or blood vessels from analysis of pulse wave characteristics
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/021—Measuring pressure in heart or blood vessels
    • A61B5/0215—Measuring pressure in heart or blood vessels by means inserted into the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/48—Other medical applications
    • A61B5/4836—Diagnosis combined with treatment in closed-loop systems or methods
    • A61B5/4839—Diagnosis combined with treatment in closed-loop systems or methods combined with drug delivery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6879—Means for maintaining contact with the body
    • A61B5/6882—Anchoring means
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/30—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/63—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2560/00—Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
    • A61B2560/02—Operational features
    • A61B2560/0204—Operational features of power management
    • A61B2560/0209—Operational features of power management adapted for power saving
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/021—Measuring pressure in heart or blood vessels
    • 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
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/37211—Means for communicating with stimulators
    • A61N1/37235—Aspects of the external programmer
    • A61N1/37247—User interfaces, e.g. input or presentation means
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/40—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades

Abstract

An apparatus for treating cardiovascular disease in a medical patient includes one or more sensors (155), an implantable housing (7), at least one implantable lead (10), a signal processor (157), and a signaling device (166). The sensor (155) is operable to generate a sensor signal indicative of fluid pressure within the left atrium (36) of the heart (33). The implantable housing (7) includes a cardiac rhythm management apparatus (159), such as a pacemaker or a defibrillator. The cardiac rhythm management apparatus (159) includes an electrode (15), which is operable to deliver an electrical stimulus to a location in the heart (33). The electrical stimulus is delivered based at least in part on the sensor signal. The lead (10) is coupled to the implantable housing (7), and to the electrode (14). The signal processor (157) is operable to generate a processor output indicative of a treatment, and is based at least in part on the sensor signal. The signaling device (166) is operable to generate at least two distinct treatment signais distinguishable from one another by the patient. Each signal is indicative of a différent therapeutic treatment, and is based at least in part on the processor output.
PCT/US2004/016186 2003-05-13 2004-05-12 System and method for detecting, diagnosing, and treating cardiovascular disease WO2005000206A2 (en)

Priority Applications (5)

Application Number Priority Date Filing Date Title
CA2525193A CA2525193C (en) 2003-05-13 2004-05-12 System and method for detecting, diagnosing, and treating cardiovascular disease
AU2004251601A AU2004251601A1 (en) 2003-05-13 2004-05-12 System and method for detecting, diagnosing, and treating cardiovascular disease
JP2006533330A JP2007503286A (en) 2003-05-13 2004-05-12 System and method for detecting, diagnosing and treating cardiovascular disease
EP04753077A EP1622680A4 (en) 2003-05-13 2004-05-12 System and method for detecting, diagnosing, and treating cardiovascular disease
NZ543592A NZ543592A (en) 2003-05-13 2004-05-12 System and method for detecting, diagnosing, and treating cardiovascular disease

Applications Claiming Priority (6)

Application Number Priority Date Filing Date Title
US47046803P 2003-05-13 2003-05-13
US60/470,468 2003-05-13
US10/697,960 US6970742B2 (en) 2000-01-11 2003-10-29 Method for detecting, diagnosing, and treating cardiovascular disease
US10/698,031 2003-10-29
US10/697,960 2003-10-29
US10/698,031 US7483743B2 (en) 2000-01-11 2003-10-29 System for detecting, diagnosing, and treating cardiovascular disease

Publications (2)

Publication Number Publication Date
WO2005000206A2 WO2005000206A2 (en) 2005-01-06
WO2005000206A3 true WO2005000206A3 (en) 2005-04-07

Family

ID=37421116

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2004/016186 WO2005000206A2 (en) 2003-05-13 2004-05-12 System and method for detecting, diagnosing, and treating cardiovascular disease

Country Status (6)

Country Link
US (5) US7483743B2 (en)
EP (1) EP1622680A4 (en)
AU (1) AU2004251601A1 (en)
CA (1) CA2525193C (en)
NZ (1) NZ543592A (en)
WO (1) WO2005000206A2 (en)

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US20040147969A1 (en) 2004-07-29
US7483743B2 (en) 2009-01-27
US6970742B2 (en) 2005-11-29
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US9055917B2 (en) 2015-06-16
CA2525193A1 (en) 2005-01-06
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AU2004251601A2 (en) 2005-01-06
EP1622680A2 (en) 2006-02-08
US20160129260A1 (en) 2016-05-12
US20070232936A1 (en) 2007-10-04
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US7717854B2 (en) 2010-05-18
US20040167580A1 (en) 2004-08-26

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