WO2006055202A3 - Hemodynamic optimization system for biventricular implants - Google Patents

Hemodynamic optimization system for biventricular implants Download PDF

Info

Publication number
WO2006055202A3
WO2006055202A3 PCT/US2005/038656 US2005038656W WO2006055202A3 WO 2006055202 A3 WO2006055202 A3 WO 2006055202A3 US 2005038656 W US2005038656 W US 2005038656W WO 2006055202 A3 WO2006055202 A3 WO 2006055202A3
Authority
WO
WIPO (PCT)
Prior art keywords
patient
implant
hemodynamic
biventricular
order
Prior art date
Application number
PCT/US2005/038656
Other languages
French (fr)
Other versions
WO2006055202A2 (en
Inventor
Todd J Cohen
Original Assignee
Todd J Cohen
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 Todd J Cohen filed Critical Todd J Cohen
Priority to EP05813822A priority Critical patent/EP1819396A4/en
Publication of WO2006055202A2 publication Critical patent/WO2006055202A2/en
Publication of WO2006055202A3 publication Critical patent/WO2006055202A3/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
    • A61N1/3627—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
    • A61N1/36514—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
    • A61N1/368—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions
    • A61N1/3684—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions for stimulating the heart at multiple sites of the ventricle or the atrium
    • A61N1/36843—Bi-ventricular stimulation
    • 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 system for monitoring a patient (100) and treating the malfunctioning heart of the patient, either in an automatic mode or in a semiautomatic mode, includes means which derive at least one physiologic signal from or related to the patient's circulatory system representative of hemodynamic status. A feedback loop is implemented in a biventricular implant, in order to automatically or selectively optimize the patient's clinical hemodynamic status. Accordingly, the biventricular implant will be programmed to go through a series of AV delay (155), RV-LV timing (110) and heart rate (130) sequences which scan a preselected range of programmable values and apply those values to the patient's heart. Hemodynamic patient measurements will be recorded and preferably graphed over those applied values. The optimal AV delay (165), RV-LV timing sequence (120) and pacing rate (140) can then be selected either manually by a technician, physician or other operator, or automatically via the implant in order to secure the best personalized timing sequence for the patient Preferably, the implant will also be capable of automatically recording hemodynamic information and adjusting intervals, in order to optimize hemodynamica without third party intervention. Also preferably, the automatic adjusting feature can be selectively programmed on or off using the device programmer, to control manual or automatic intervention.
PCT/US2005/038656 2004-11-16 2005-10-24 Hemodynamic optimization system for biventricular implants WO2006055202A2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
EP05813822A EP1819396A4 (en) 2004-11-16 2005-10-24 Hemodynamic optimization system for biventricular implants

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US10/989,841 US7239915B2 (en) 2003-12-16 2004-11-16 Hemodynamic optimization system for biventricular implants
US10/989,841 2004-11-16

Publications (2)

Publication Number Publication Date
WO2006055202A2 WO2006055202A2 (en) 2006-05-26
WO2006055202A3 true WO2006055202A3 (en) 2007-06-14

Family

ID=36407595

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2005/038656 WO2006055202A2 (en) 2004-11-16 2005-10-24 Hemodynamic optimization system for biventricular implants

Country Status (3)

Country Link
US (1) US7239915B2 (en)
EP (1) EP1819396A4 (en)
WO (1) WO2006055202A2 (en)

Families Citing this family (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7203540B2 (en) * 2003-12-22 2007-04-10 Cardiac Pacemakers, Inc. Method and system for setting cardiac resynchronization therapy parameters
US7123960B2 (en) 2003-12-22 2006-10-17 Cardiac Pacemakers, Inc. Method and system for delivering cardiac resynchronization therapy with variable atrio-ventricular delay
US7613514B2 (en) * 2005-04-19 2009-11-03 Cardiac Pacemakers, Inc. Selective resynchronization therapy optimization based on user preference
US7769451B2 (en) * 2005-04-28 2010-08-03 Medtronic, Inc. Method and apparatus for optimizing cardiac resynchronization therapy
US20070129764A1 (en) * 2005-12-06 2007-06-07 Burnes John E Method and apparatus for optimizing pacing parameters
US7844331B2 (en) * 2005-12-20 2010-11-30 Cardiac Pacemakers, Inc. Method and apparatus for controlling anti-tachyarrhythmia pacing using hemodynamic sensor
US8005543B2 (en) 2006-05-08 2011-08-23 Cardiac Pacemakers, Inc. Heart failure management system
US7640058B2 (en) * 2006-09-29 2009-12-29 Biotronik Crm Patent Ag Biventricular heart stimulator
US7805194B1 (en) 2006-11-03 2010-09-28 Pacesetter, Inc. Matrix optimization method of individually adapting therapy in an implantable cardiac therapy device
US8868183B2 (en) * 2006-12-21 2014-10-21 Cardiac Pacemakers, Inc. Method and apparatus to implement multiple parameter sets in an implantable device
US7835792B2 (en) 2007-04-30 2010-11-16 Biotronik Crm Patent Ag Implantable cardiac device
US7930022B2 (en) 2007-05-07 2011-04-19 Cardiac Pacemakers, Inc. System and method to determine hemodynamic tolerability
US8768466B2 (en) * 2007-10-12 2014-07-01 Cardiac Pacemakers, Inc. Method and apparatus to trend and optimize an implantable medical device using a patient management system
US8509892B2 (en) 2008-06-19 2013-08-13 Cardiac Pacemakers, Inc. Method and apparatus for controlling anti-tachyarrhythmia therapy using hemodynamic tolerability
US9446246B2 (en) * 2008-11-07 2016-09-20 Pacesetter, Inc. Identification of electro-mechanical dysynchrony with a non-cardiac resynchronization therapeutic device
EP2353641B1 (en) * 2010-02-09 2013-01-23 Sorin CRM SAS Active implantable medical device for cardiac resynchronisation with automatic, real-time optimisation of the interventricular and atrioventricular delays
US20130211472A1 (en) * 2010-10-27 2013-08-15 St. Jude Medical Ab Cardiac resynchronization therapy optimization

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6512953B2 (en) * 2000-05-11 2003-01-28 Pacesetter, Inc. System and method for automatically verifying capture during multi-chamber stimulation
US20040147969A1 (en) * 2000-01-11 2004-07-29 Brian Mann System for detecting, diagnosing, and treating cardiovascular disease

Family Cites Families (115)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3614955A (en) * 1970-02-09 1971-10-26 Medtronic Inc Standby defibrillator and method of operation
USRE27652E (en) 1970-02-09 1973-05-29 M Mirowski Electronic standby defibrillator
US3614954A (en) * 1970-02-09 1971-10-26 Medtronic Inc Electronic standby defibrillator
US3716059A (en) * 1970-08-24 1973-02-13 Cardiac Resuscitator Corp Cardiac resuscitator
US3942536A (en) * 1971-03-15 1976-03-09 Mieczyslaw Mirowski Cardioverting device having single intravascular catheter electrode system and method for its use
US3878564A (en) * 1972-04-14 1975-04-22 Shang J Yao Blood and tissue detoxification method
US3866615A (en) * 1973-01-15 1975-02-18 Daigle Claude W Portable electronic cardiac stimulator
US4316472C1 (en) * 1974-04-25 2001-08-14 Mieczyslaw Mirowski Cardioverting device with stored energy selecting means and discharge initiating means and related method
US4572191B1 (en) * 1974-04-25 2000-10-24 Mirowski Miecyslaw Command atrial cardioverter
US4197854A (en) * 1974-07-19 1980-04-15 Medicor Muvek Process and apparatus for patient danger recognition and forecasting of a danger condition, especially in case of intensive medical care
US4184493A (en) * 1975-09-30 1980-01-22 Mieczyslaw Mirowski Circuit for monitoring a heart and for effecting cardioversion of a needy heart
US4202340A (en) * 1975-09-30 1980-05-13 Mieczyslaw Mirowski Method and apparatus for monitoring heart activity, detecting abnormalities, and cardioverting a malfunctioning heart
US4164946A (en) * 1977-05-27 1979-08-21 Mieczyslaw Mirowski Fault detection circuit for permanently implanted cardioverter
US4210149A (en) * 1978-04-17 1980-07-01 Mieczyslaw Mirowski Implantable cardioverter with patient communication
US4223678A (en) * 1978-05-03 1980-09-23 Mieczyslaw Mirowski Arrhythmia recorder for use with an implantable defibrillator
US4291699A (en) * 1978-09-21 1981-09-29 Purdue Research Foundation Method of and apparatus for automatically detecting and treating ventricular fibrillation
US4254775A (en) * 1979-07-02 1981-03-10 Mieczyslaw Mirowski Implantable defibrillator and package therefor
US4323075A (en) * 1979-07-02 1982-04-06 Mieczyslaw Mirowski Battery failure compensation for a power supply used in an implantable defibrillator
US4403614A (en) * 1979-07-19 1983-09-13 Medtronic, Inc. Implantable cardioverter
US4295474A (en) * 1979-10-02 1981-10-20 The Johns Hopkins University Recorder with patient alarm and service request systems suitable for use with automatic implantable defibrillator
US4300567A (en) 1980-02-11 1981-11-17 Mieczyslaw Mirowski Method and apparatus for effecting automatic ventricular defibrillation and/or demand cardioversion through the means of an implanted automatic defibrillator
US4303075A (en) 1980-02-11 1981-12-01 Mieczyslaw Mirowski Method and apparatus for maximizing stroke volume through atrioventricular pacing using implanted cardioverter/pacer
DK238080A (en) * 1980-06-03 1981-12-04 P Pless GIANT STIMULATION PROBLEMS FOR ELECTRIC STIMULATION OF THE HEART
US4576170A (en) * 1980-07-09 1986-03-18 Micro-Circuits Company Heart monitor and defibrillator device
US4475551A (en) * 1980-08-05 1984-10-09 Mieczyslaw Mirowski Arrhythmia detection and defibrillation system and method
US4440172A (en) * 1980-10-02 1984-04-03 Mieczyslaw Mirowski Apparatus for combining pacing and cardioverting functions in a single implanted device
US4407288B1 (en) * 1981-02-18 2000-09-19 Mieczyslaw Mirowski Implantable heart stimulator and stimulation method
US4693253A (en) * 1981-03-23 1987-09-15 Medtronic, Inc. Automatic implantable defibrillator and pacer
US4393877A (en) * 1981-05-15 1983-07-19 Mieczyslaw Mirowski Heart rate detector
US4467807A (en) * 1981-11-23 1984-08-28 Medtronic, Inc. Rate adaptive demand pacemaker
US4523595A (en) * 1981-11-25 1985-06-18 Zibell J Scott Method and apparatus for automatic detection and treatment of ventricular fibrillation
US4427011A (en) * 1982-03-18 1984-01-24 Telectronics Pty. Ltd. Tachycardia control pacer with improved detection of tachycardia termination
US4614192A (en) * 1982-04-21 1986-09-30 Mieczyslaw Mirowski Implantable cardiac defibrillator employing bipolar sensing and telemetry means
US4548203A (en) * 1982-06-01 1985-10-22 Purdue Research Foundation Sequential-pulse, multiple pathway defibrillation method
US4559946A (en) 1982-06-18 1985-12-24 Mieczyslaw Mirowski Method and apparatus for correcting abnormal cardiac activity by low energy shocks
US4535774A (en) * 1983-06-30 1985-08-20 Medtronic, Inc. Stroke volume controlled pacer
US4562846A (en) * 1983-09-15 1986-01-07 Duke University System and process for monitoring myocardial integrity
US4548209A (en) * 1984-02-06 1985-10-22 Medtronic, Inc. Energy converter for implantable cardioverter
US4592367A (en) * 1984-02-21 1986-06-03 Mieczyslaw Mirowski Apparatus and method for digital rate averaging
US4603705A (en) * 1984-05-04 1986-08-05 Mieczyslaw Mirowski Intravascular multiple electrode unitary catheter
DE3422913A1 (en) * 1984-06-20 1986-01-02 Siemens AG, 1000 Berlin und 8000 München CONTROL CIRCUIT FOR ADJUSTING THE STIMULATION FREQUENCY OF A PACEMAKER TO THE STRESS OF A PATIENT
US4802481A (en) * 1984-07-19 1989-02-07 Cordis Leads, Inc. Apparatus for controlling pacing of a heart in response to changes in stroke volume
US4708143A (en) 1984-07-19 1987-11-24 Cordis Leads Inc. Method for controlling pacing of a heart in response to changes in stroke volume
US4625730A (en) 1985-04-09 1986-12-02 The Johns Hopkins University Patient ECG recording control for an automatic implantable defibrillator
US4716887A (en) * 1985-04-11 1988-01-05 Telectronics N.V. Apparatus and method for adjusting heart/pacer rate relative to cardiac pCO2 to obtain a required cardiac output
DE3687206D1 (en) * 1985-09-17 1993-01-14 Biotronik Mess & Therapieg HEART PACEMAKER.
DE3688577D1 (en) * 1985-09-17 1993-07-22 Biotronik Mess & Therapieg HEART PACEMAKER.
DE3533597A1 (en) * 1985-09-18 1987-04-16 Biotronik Mess & Therapieg HEART PACEMAKER
US4662377A (en) * 1985-11-07 1987-05-05 Mieczyslaw Mirowski Cardioverting method and apparatus utilizing catheter and patch electrodes
US4770177A (en) * 1986-02-18 1988-09-13 Telectronics N.V. Apparatus and method for adjusting heart/pacer relative to changes in venous diameter during exercise to obtain a required cardiac output.
US4803987A (en) * 1986-06-11 1989-02-14 Intermedics, Inc. Temperature responsive controller for cardiac pacer
EP0249822B1 (en) * 1986-06-16 1991-10-16 Siemens Aktiengesellschaft Frequency-controlled cardiac stimulator
US4830006B1 (en) * 1986-06-17 1997-10-28 Intermedics Inc Implantable cardiac stimulator for detection and treatment of ventricular arrhythmias
US4733667A (en) * 1986-08-11 1988-03-29 Cardiac Pacemakers, Inc. Closed loop control of cardiac stimulator utilizing rate of change of impedance
US4730389A (en) * 1986-08-15 1988-03-15 Medtronic, Inc. Method for fabrication of an implantable hermetic transparent container
DE3636489C1 (en) * 1986-10-27 1988-05-11 Josef Dr Reinhardt Oesophageal probe
US4785812A (en) 1986-11-26 1988-11-22 First Medical Devices Corporation Protection system for preventing defibrillation with incorrect or improperly connected electrodes
US4870341A (en) * 1986-11-26 1989-09-26 First Medical Devices Corporation Impedance measurement circuit
US4799493A (en) * 1987-03-13 1989-01-24 Cardiac Pacemakers, Inc. Dual channel coherent fibrillation detection system
DE3709073A1 (en) * 1987-03-19 1988-09-29 Alt Eckhard IMPLANTABLE MEDICAL DEVICE
US5003991A (en) * 1987-03-31 1991-04-02 Olympus Optical Co., Ltd. Hyperthermia apparatus
US4895151A (en) * 1987-07-20 1990-01-23 Telectronics N.V. Apparatus and method for therapy adjustment in implantable
US5027816A (en) * 1987-10-06 1991-07-02 Leonard Bloom Hemodynamically responsive system for and method of treating a malfunctioning heart
US5269301A (en) 1987-10-06 1993-12-14 Leonard Bloom Multimode system for monitoring and treating a malfunctioning heart
US5014698A (en) * 1987-10-06 1991-05-14 Leonard Bloom Method of and system for monitoring and treating a malfunctioning heart
US4774950A (en) * 1987-10-06 1988-10-04 Leonard Bloom Hemodynamically responsive system for and method of treating a malfunctioning heart
US4899751A (en) * 1987-10-06 1990-02-13 Leonard Bloom System for and method of therapeutic stimulation of a patient's heart
US5156148A (en) * 1987-10-06 1992-10-20 Leonard Bloom System for treating a malfunctioning heart
US4984572A (en) * 1988-08-18 1991-01-15 Leonard Bloom Hemodynamically responsive system for and method of treating a malfunctioning heart
US4967749A (en) 1987-10-06 1990-11-06 Leonard Bloom Hemodynamically responsive system for and method of treating a malfunctioning heart
US4899752A (en) * 1987-10-06 1990-02-13 Leonard Bloom System for and method of therapeutic stimulation of a patient's heart
US4967748A (en) 1987-10-06 1990-11-06 Leonard Bloom O2 level responsive system for and method of treating a malfunctioning heart
US5163429A (en) 1987-10-06 1992-11-17 Leonard Bloom Hemodynamically responsive system for treating a malfunctioning heart
US4986270A (en) * 1987-10-06 1991-01-22 Leonard Bloom Hemodynamically responsive system for and method of treating a malfunctioning heart
US4819662A (en) * 1987-10-26 1989-04-11 Cardiac Pacemakers, Inc. Cardiac electrode with drug delivery capabilities
US4869252A (en) * 1988-01-11 1989-09-26 Telectronics N.V. Apparatus and method for controlling pulse energy in antitachyarrhythmia and bradycardia pacing device
US4865036A (en) * 1988-06-10 1989-09-12 Raul Chirife Antitachyarrythmia pacemaker using pre-ejection period to distinguish physiologic from pathologic tachycardia
US4917115A (en) * 1988-07-11 1990-04-17 Vitatron Medical B. V. Pacing system and method for physiological stimulation of the heart utilizing Doppler means
US5002052A (en) * 1988-08-29 1991-03-26 Intermedics, Inc. System and method for detection and treatment of ventricular arrhythmias
US4972834A (en) 1988-09-30 1990-11-27 Vitatron Medical B.V. Pacemaker with improved dynamic rate responsiveness
US4960133A (en) * 1988-11-21 1990-10-02 Brunswick Manufacturing Co., Inc. Esophageal electrode
US4928688A (en) * 1989-01-23 1990-05-29 Mieczyslaw Mirowski Method and apparatus for treating hemodynamic disfunction
US4940052A (en) * 1989-01-25 1990-07-10 Siemens-Pacesetter, Inc. Microprocessor controlled rate-responsive pacemaker having automatic rate response threshold adjustment
US5191885A (en) * 1989-02-06 1993-03-09 Arczo Medical Electronics, Inc. Method of terminating an arrhythmia
US5036848A (en) * 1989-10-16 1991-08-06 Brunswick Biomedical Technologies, Inc. Method and apparatus for controlling breathing employing internal and external electrodes
US5178149A (en) * 1989-11-06 1993-01-12 Michael Imburgia Transesophageal probe having simultaneous pacing and echocardiographic capability, and method of diagnosing heart disease using same
US5005574A (en) * 1989-11-28 1991-04-09 Medical Engineering And Development Institute, Inc. Temperature-based, rate-modulated cardiac therapy apparatus and method
US5097830A (en) * 1990-03-30 1992-03-24 Laerdal Manufacturing Corporation Defibrillator with reliability verification
US5097831A (en) * 1990-04-16 1992-03-24 Siemens-Pacesetter, Inc. Rate-responsive pacemaker with circuitry for processing multiple sensor inputs
US5085213A (en) * 1990-06-01 1992-02-04 Leonard Bloom Hemodynamically responsive system for and method of treating a malfunctioning heart
US5054485A (en) * 1990-06-01 1991-10-08 Leonard Bloom Hemodynamically responsive system for and method of treating a malfunctioning heart
US5179952A (en) * 1990-08-13 1993-01-19 Arzco Medical Electronics Inc. Electrocardial stimulator probe
US5119813A (en) * 1990-11-05 1992-06-09 Leonard Bloom Mixed venous oxygen saturation responsive system for and method of treating a malfunctioning heart
US5330505A (en) * 1992-05-08 1994-07-19 Leonard Bloom System for and method of treating a malfunctioning heart
US5265623A (en) 1992-07-16 1993-11-30 Angeion Corporation Optimized field defibrillation catheter
US5334222A (en) 1992-11-03 1994-08-02 Cardiac Pacemakers, Inc. Cardiac stimulating apparatus and method for heart failure therapy
US5417713A (en) * 1993-02-09 1995-05-23 Leonard Bloom Transesophageal defibrillating system
US5549650A (en) * 1994-06-13 1996-08-27 Pacesetter, Inc. System and method for providing hemodynamically optimal pacing therapy
US5836987A (en) 1995-11-15 1998-11-17 Cardiac Pacemakers, Inc. Apparatus and method for optimizing cardiac performance by determining the optimal timing interval from an accelerometer signal
US6070100A (en) * 1997-12-15 2000-05-30 Medtronic Inc. Pacing system for optimizing cardiac output and determining heart condition
US7110817B2 (en) * 1998-05-08 2006-09-19 Cardiac Pacemakers, Inc. Method and apparatus for optimizing ventricular synchrony during DDD resynchronization therapy using adjustable atrio-ventricular delays
US6144880A (en) * 1998-05-08 2000-11-07 Cardiac Pacemakers, Inc. Cardiac pacing using adjustable atrio-ventricular delays
US6708061B2 (en) * 2000-04-07 2004-03-16 Cardiac Pacemakers, Inc. Cardiac rhythm management system with optimization of cardiac performance using heart rate
US6567700B1 (en) * 2000-10-19 2003-05-20 Robert Turcott Implantable cardiac stimulation device and method which optimizes pacing effectiveness
US6792308B2 (en) * 2000-11-17 2004-09-14 Medtronic, Inc. Myocardial performance assessment
US6597951B2 (en) * 2001-03-16 2003-07-22 Cardiac Pacemakers, Inc. Automatic selection from multiple cardiac optimization protocols
US6477417B1 (en) * 2001-04-12 2002-11-05 Pacesetter, Inc. System and method for automatically selecting electrode polarity during sensing and stimulation
US6961616B2 (en) * 2001-09-27 2005-11-01 Cardiac Pacemakers, Inc. Trending of conduction time for optimization of cardiac resynchronization therapy in cardiac rhythm management system
US7260432B2 (en) * 2001-10-11 2007-08-21 Cardiac Pacemakers, Inc. Timing cycles for synchronized multisite cardiac pacing
US6871096B2 (en) * 2001-10-26 2005-03-22 Medtronic, Inc. System and method for bi-ventricular fusion pacing
US6959214B2 (en) * 2001-11-28 2005-10-25 Medtronic, Inc. Implantable medical device for measuring mechanical heart function
EP1350539B1 (en) * 2002-04-03 2006-10-18 Osypka Medical GmbH Apparatus for automatic determination of hemodynamically optimal cardiac pacing parameter values
US6882882B2 (en) * 2002-04-22 2005-04-19 Medtronic, Inc. Atrioventricular delay adjustment
US7228174B2 (en) * 2002-04-29 2007-06-05 Medtronics, Inc. Algorithm for the automatic determination of optimal AV an VV intervals
US20040220636A1 (en) * 2003-04-29 2004-11-04 Medtronic, Inc. Cardiac pacing therapy parameter programming

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20040147969A1 (en) * 2000-01-11 2004-07-29 Brian Mann System for detecting, diagnosing, and treating cardiovascular disease
US6512953B2 (en) * 2000-05-11 2003-01-28 Pacesetter, Inc. System and method for automatically verifying capture during multi-chamber stimulation

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See also references of EP1819396A4 *

Also Published As

Publication number Publication date
EP1819396A2 (en) 2007-08-22
EP1819396A4 (en) 2008-04-09
WO2006055202A2 (en) 2006-05-26
US20050131469A1 (en) 2005-06-16
US7239915B2 (en) 2007-07-03

Similar Documents

Publication Publication Date Title
WO2006055202A3 (en) Hemodynamic optimization system for biventricular implants
US8073542B2 (en) Method for secure reprogramming of clinically relevant parameters as part of remote programming of an electronic implant
US5843138A (en) Pacemaker system with enhanced programmable modification capacity
US5081987A (en) Implantable medical device for stimulating a physiological event of a living being with stimulation intensity adaptable to physical activity of the living being
DE69724951T2 (en) DEVICE FOR OPTIMIZING AV DELAY IN A PACEMAKER
US7493165B2 (en) Implantable device and programmer system which permits multiple programmers
JP3340819B2 (en) Cardiac pacemaker
DE69926354T2 (en) INQUIRY OF AN IMPLANTABLE ACTIVE MEDICAL DEVICE USING A HEARABLE SOUND COMMUNICATION
JP4940147B2 (en) System and method for temporary programming for implantable medical devices
USRE42836E1 (en) Method for assessing cardiac functional status
DE69725758T2 (en) DEVICE FOR TIME-CONTROLLING AN IMPLANTABLE MEDICAL DEVICE
AU700754B2 (en) Apparatus and method for automatically determining stimulation parameters
USRE33420E (en) System for controlling an implanted neural stimulator
US5423870A (en) Rate responsive cardiac pacemaker
US20140350641A1 (en) Information processing and storage in a cochlear stimulation system
JPH06511418A (en) Rate-responsive cardiac pacemaker that provides an optimized pacing rate that varies with the patient's physiological demands
WO2001000137A3 (en) Apparatus and method for setting the parameters of an alert window used for timing the delivery of etc signals to a heart under varying cardiac conditions
DE60215458D1 (en) Apparatus for the automatic determination of hemodynamically optimal cardiac stimulation parameter values
JPH0716303A (en) Dual chamber pacemaker
WO2008079840A3 (en) Rate adaptive cardiac pacing systems and methods
WO2004096342A3 (en) Cardiac pacing therapy parameter proramming
EP1260246A3 (en) System and method for bi-chamber stimulation using dynamically adapted interpulse delay
WO1995005868B1 (en) Programming system for a patient's cardiac signal
GB2216011A (en) Activity sensing pacemaker
JPH08500272A (en) Implantable dual-chamber pacemaker with adaptive AV interval to prevent ventricular fusion pulse

Legal Events

Date Code Title Description
AK Designated states

Kind code of ref document: A2

Designated state(s): AE AG AL AM AT AU AZ BA BB BG BR BW BY BZ CA CH CN CO CR CU CZ DE DK DM DZ EC EE EG ES FI GB GD GE GH GM HR HU ID IL IN IS JP KE KG KM KP KR KZ LC LK LR LS LT LU LV LY MA MD MG MK MN MW MX MZ NA NG NI NO NZ OM PG PH PL PT RO RU SC SD SE SG SK SL SM SY TJ TM TN TR TT TZ UA UG US UZ VC VN YU ZA ZM ZW

AL Designated countries for regional patents

Kind code of ref document: A2

Designated state(s): GM KE LS MW MZ NA SD SL SZ TZ UG ZM ZW AM AZ BY KG KZ MD RU TJ TM AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HU IE IS IT LT LU LV MC NL PL PT RO SE SI SK TR BF BJ CF CG CI CM GA GN GQ GW ML MR NE SN TD TG

121 Ep: the epo has been informed by wipo that ep was designated in this application
NENP Non-entry into the national phase

Ref country code: DE

WWE Wipo information: entry into national phase

Ref document number: 2005813822

Country of ref document: EP

WWP Wipo information: published in national office

Ref document number: 2005813822

Country of ref document: EP