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DE60315068D1 - Apparat zum unterscheiden von polymorphen von monomorphen tachyarrhythmien - Google Patents

Apparat zum unterscheiden von polymorphen von monomorphen tachyarrhythmien

Info

Publication number
DE60315068D1
DE60315068D1 DE60315068T DE60315068T DE60315068D1 DE 60315068 D1 DE60315068 D1 DE 60315068D1 DE 60315068 T DE60315068 T DE 60315068T DE 60315068 T DE60315068 T DE 60315068T DE 60315068 D1 DE60315068 D1 DE 60315068D1
Authority
DE
Germany
Prior art keywords
tachyarrhythmies
monomoth
polymorphes
distinction
monomoth tachyarrhythmies
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
DE60315068T
Other languages
English (en)
Other versions
DE60315068T2 (de
Inventor
Mark L Brown
Shantanu Sarkar
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.)
Medtronic Inc
Original Assignee
Medtronic 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 Medtronic Inc filed Critical Medtronic Inc
Application granted granted Critical
Publication of DE60315068D1 publication Critical patent/DE60315068D1/de
Publication of DE60315068T2 publication Critical patent/DE60315068T2/de
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7235—Details of waveform analysis
    • A61B5/7253—Details of waveform analysis characterised by using transforms
    • A61B5/726—Details of waveform analysis characterised by using transforms using Wavelet transforms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346—Analysis of electrocardiograms
    • A61B5/349—Detecting specific parameters of the electrocardiograph cycle
    • A61B5/361—Detecting fibrillation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346—Analysis of electrocardiograms
    • A61B5/349—Detecting specific parameters of the electrocardiograph cycle
    • A61B5/363—Detecting tachycardia or bradycardia
    • 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
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A61B5/0031—Implanted circuitry

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Cardiology (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Medical Informatics (AREA)
  • Biophysics (AREA)
  • Computer Vision & Pattern Recognition (AREA)
  • Artificial Intelligence (AREA)
  • Physiology (AREA)
  • Psychiatry (AREA)
  • Signal Processing (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Electrotherapy Devices (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Other Investigation Or Analysis Of Materials By Electrical Means (AREA)
DE60315068T 2002-12-04 2003-12-03 Unterscheidung polymorpher von monomorphen Tachyarrhythmien Expired - Lifetime DE60315068T2 (de)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US653000 1991-02-08
US43092602P 2002-12-04 2002-12-04
US430926P 2002-12-04
US10/653,000 US7130677B2 (en) 2002-12-04 2003-08-29 Methods and apparatus for discriminating polymorphic tachyarrhythmias from monomorphic tachyarrhythmias facilitating detection of fibrillation
PCT/US2003/038353 WO2004050185A2 (en) 2002-12-04 2003-12-03 Methods and apparatus for discriminating polymorphic from monomorphic tachyarrhythmias

Publications (2)

Publication Number Publication Date
DE60315068D1 true DE60315068D1 (de) 2007-08-30
DE60315068T2 DE60315068T2 (de) 2007-10-31

Family

ID=32474611

Family Applications (1)

Application Number Title Priority Date Filing Date
DE60315068T Expired - Lifetime DE60315068T2 (de) 2002-12-04 2003-12-03 Unterscheidung polymorpher von monomorphen Tachyarrhythmien

Country Status (7)

Country Link
US (1) US7130677B2 (de)
EP (1) EP1569720B1 (de)
JP (1) JP4423207B2 (de)
AU (1) AU2003298830A1 (de)
CA (1) CA2508702A1 (de)
DE (1) DE60315068T2 (de)
WO (1) WO2004050185A2 (de)

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US6400986B1 (en) * 2000-04-10 2002-06-04 Cardiac Pacemakers, Inc. Adaptive anti-tachycardia therapy apparatus and method
US7386344B2 (en) * 2004-08-11 2008-06-10 Cardiac Pacemakers, Inc. Pacer with combined defibrillator tailored for bradycardia patients
US6751502B2 (en) * 2001-03-14 2004-06-15 Cardiac Pacemakers, Inc. Cardiac rhythm management system with defibrillation threshold prediction
US6909916B2 (en) 2001-12-20 2005-06-21 Cardiac Pacemakers, Inc. Cardiac rhythm management system with arrhythmia classification and electrode selection
US7031764B2 (en) * 2002-11-08 2006-04-18 Cardiac Pacemakers, Inc. Cardiac rhythm management systems and methods using multiple morphology templates for discriminating between rhythms
US7672717B1 (en) * 2003-10-22 2010-03-02 Bionova Technologies Inc. Method and system for the denoising of large-amplitude artifacts in electrograms using time-frequency transforms
US7242978B2 (en) * 2003-12-03 2007-07-10 Medtronic, Inc. Method and apparatus for generating a template for arrhythmia detection and electrogram morphology classification
US7477942B2 (en) * 2004-08-02 2009-01-13 Cardiac Pacemakers, Inc. ATP therapy for tachyarrhythmias in VF zone
US7933651B2 (en) 2004-11-23 2011-04-26 Cardiac Pacemakers, Inc. Cardiac template generation based on patient response information
US7228173B2 (en) 2004-11-23 2007-06-05 Cardiac Pacemakers, Inc. Cardiac tachyarrhythmia therapy selection based on patient response information
US7894893B2 (en) 2004-09-30 2011-02-22 Cardiac Pacemakers, Inc. Arrhythmia classification and therapy selection
US7277747B2 (en) 2004-11-23 2007-10-02 Cardiac Pacemakers, Inc. Arrhythmia memory for tachyarrhythmia discrimination
EP1814627B1 (de) * 2004-11-18 2010-05-19 Cardiac Pacemakers, Inc. System zur geschlossenen nervenstimulation
US7818056B2 (en) * 2005-03-24 2010-10-19 Cardiac Pacemakers, Inc. Blending cardiac rhythm detection processes
US9555252B2 (en) 2005-04-25 2017-01-31 Cardiac Pacemakers, Inc. Systems for providing neural markers for sensed autonomic nervous system activity
US7640057B2 (en) * 2005-04-25 2009-12-29 Cardiac Pacemakers, Inc. Methods of providing neural markers for sensed autonomic nervous system activity
FR2886858A1 (fr) * 2005-06-09 2006-12-15 Ela Medical Soc Par Actions Si Dispositif medical implantable actif tel que stimulateur cardiaque, cardioverteur et/ou defibrillateur de type aai ou aai/ddd a detection des tachycardies ventriculaires
US7908001B2 (en) 2005-08-23 2011-03-15 Cardiac Pacemakers, Inc. Automatic multi-level therapy based on morphologic organization of an arrhythmia
US8532762B2 (en) 2005-12-20 2013-09-10 Cardiac Pacemakers, Inc. Discriminating polymorphic and monomorphic cardiac rhythms using template generation
US7653431B2 (en) * 2005-12-20 2010-01-26 Cardiac Pacemakers, Inc. Arrhythmia discrimination based on determination of rate dependency
US7991471B2 (en) 2006-03-29 2011-08-02 Medtronic, Inc. Method and apparatus for detecting arrhythmias in a subcutaneous medical device
US7894894B2 (en) * 2006-03-29 2011-02-22 Medtronic, Inc. Method and apparatus for detecting arrhythmias in a subcutaneous medical device
US7941214B2 (en) * 2006-03-29 2011-05-10 Medtronic, Inc. Method and apparatus for detecting arrhythmias in a subcutaneous medical device
US7907993B2 (en) 2006-03-29 2011-03-15 Medtronic, Inc. Method and apparatus for detecting arrhythmias in a medical device
US7738950B2 (en) * 2006-09-13 2010-06-15 Cardiac Pacemakers, Inc. Method and apparatus for identifying potentially misclassified arrhythmic episodes
US7751873B2 (en) * 2006-11-08 2010-07-06 Biotronik Crm Patent Ag Wavelet based feature extraction and dimension reduction for the classification of human cardiac electrogram depolarization waveforms
US7930020B2 (en) * 2007-04-27 2011-04-19 Medtronic, Inc. Morphology based arrhythmia detection
US20090069703A1 (en) * 2007-05-17 2009-03-12 The Cleveland Clinic Foundation System for artifact detection and elimination in an electrocardiogram signal recorded from a patient monitor
US8706220B2 (en) * 2008-04-09 2014-04-22 Medtronic, Inc. Method and apparatus for detecting and treating tachyarrhythmias incorporating diagnostic/therapeutic pacing techniques
US7996070B2 (en) * 2008-04-24 2011-08-09 Medtronic, Inc. Template matching method for monitoring of ECG morphology changes
DE102008002331A1 (de) * 2008-06-10 2009-12-17 Biotronik Crm Patent Ag Elektrotherapieeinrichtung zur Behandlung tachykarder Rythmusstörungen eines Herzens
US8483808B2 (en) 2009-09-25 2013-07-09 Yanting Dong Methods and systems for characterizing cardiac signal morphology using K-fit analysis
WO2012078678A1 (en) 2010-12-06 2012-06-14 Tyco Healthcare Group Lp Vascular remodeling device
US8165666B1 (en) * 2011-05-02 2012-04-24 Topera, Inc. System and method for reconstructing cardiac activation information
US20130024123A1 (en) * 2011-07-21 2013-01-24 Nellcor Puritan Bennett Ireland Methods and systems for determining physiological parameters using template matching
US8768459B2 (en) 2011-07-31 2014-07-01 Medtronic, Inc. Morphology-based precursor to template matching comparison
US8750994B2 (en) 2011-07-31 2014-06-10 Medtronic, Inc. Morphology-based discrimination algorithm based on relative amplitude differences and correlation of imprints of energy distribution
US8670825B2 (en) 2012-07-31 2014-03-11 Pacesetter, Inc. Method and system for discrimination of VT and SVT arrhythmias
US9186267B2 (en) 2012-10-31 2015-11-17 Covidien Lp Wing bifurcation reconstruction device
US9278226B2 (en) 2014-03-05 2016-03-08 Medtronic, Inc. Shock therapy for monomorphic detected ventricular tachycardia
CN106132481B (zh) * 2014-04-01 2020-01-10 美敦力公司 用于在医疗设备中辨别心动过速事件的方法和装置
US10376705B2 (en) 2014-04-01 2019-08-13 Medtronic, Inc. Method and apparatus for discriminating tachycardia events in a medical device
US9526908B2 (en) 2014-04-01 2016-12-27 Medtronic, Inc. Method and apparatus for discriminating tachycardia events in a medical device
US9808640B2 (en) 2014-04-10 2017-11-07 Medtronic, Inc. Method and apparatus for discriminating tachycardia events in a medical device using two sensing vectors
US9352165B2 (en) 2014-04-17 2016-05-31 Medtronic, Inc. Method and apparatus for verifying discriminating of tachycardia events in a medical device having dual sensing vectors
US10278601B2 (en) 2014-04-24 2019-05-07 Medtronic, Inc. Method and apparatus for selecting a sensing vector configuration in a medical device
US10244957B2 (en) 2014-04-24 2019-04-02 Medtronic, Inc. Method and apparatus for selecting a sensing vector configuration in a medical device
US10252067B2 (en) 2014-04-24 2019-04-09 Medtronic, Inc. Method and apparatus for adjusting a blanking period during transitioning between operating states in a medical device
US9795312B2 (en) 2014-04-24 2017-10-24 Medtronic, Inc. Method and apparatus for adjusting a blanking period for selecting a sensing vector configuration in a medical device
US9610025B2 (en) 2014-07-01 2017-04-04 Medtronic, Inc. Method and apparatus for verifying discriminating of tachycardia events in a medical device having dual sensing vectors
US9956423B2 (en) * 2016-04-27 2018-05-01 Medtronic, Inc. System and method for sensing and detection in an extra-cardiovascular implantable cardioverter defibrillator
JP6951738B2 (ja) * 2017-07-10 2021-10-20 国立大学法人千葉大学 ホログラムデータ作成プログラム及びホログラムデータ作成方法
US20220088402A1 (en) * 2019-01-23 2022-03-24 Impulse Dynamics Nv Discrimination of supraventricular tachycardias in combined ccm-icd device
WO2020160455A1 (en) 2019-01-31 2020-08-06 Arizona Board Of Regents On Behalf Of Arizona State University Stabilizing matrices for implantable electrochemical biosensors
EP3760114B1 (de) * 2019-07-05 2024-01-24 Sorin CRM SAS Subkutan implantierbare medizinische vorrichtung zur verarbeitung der signale einer subkutan implantierbaren medizinischen vorrichtung
EP3760277B1 (de) 2019-07-05 2022-09-21 Sorin CRM SAS Subkutan implantierbares kardiales defibrillationssystem
US11801385B2 (en) 2019-11-07 2023-10-31 Medtronic, Inc. Medical device and method for tachyarrythmia detection
US11931585B2 (en) 2019-12-09 2024-03-19 Medtronic, Inc. Method and apparatus for detecting cardiac event oversensing
US20230158310A1 (en) * 2021-11-22 2023-05-25 Pacesetter, Inc. Method and device for ventricular tachycardia polymorphic\monomorphic discriminator
FR3131191B1 (fr) * 2021-12-24 2024-10-04 Substrate Hd Dispositif de traitement de signaux intracardiaques
WO2024089511A1 (en) 2022-10-26 2024-05-02 Medtronic, Inc. System and method for detecting hemodynamically unstable cardiac rhythms

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US5312441A (en) 1992-04-13 1994-05-17 Medtronic, Inc. Method and apparatus for discrimination of ventricular tachycardia from supraventricular tachycardia and for treatment thereof
US5342402A (en) 1993-01-29 1994-08-30 Medtronic, Inc. Method and apparatus for detection and treatment of tachycardia and fibrillation
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
US5439483A (en) 1993-10-21 1995-08-08 Ventritex, Inc. Method of quantifying cardiac fibrillation using wavelet transform
US5400795A (en) 1993-10-22 1995-03-28 Telectronics Pacing Systems, Inc. Method of classifying heart rhythms by analyzing several morphology defining metrics derived for a patient's QRS complex
US5447519A (en) 1994-03-19 1995-09-05 Medtronic, Inc. Method and apparatus for discrimination of monomorphic and polymorphic arrhythmias and for treatment thereof
US5545186A (en) 1995-03-30 1996-08-13 Medtronic, Inc. Prioritized rule based method and apparatus for diagnosis and treatment of arrhythmias
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US6223078B1 (en) 1999-03-12 2001-04-24 Cardiac Pacemakers, Inc. Discrimination of supraventricular tachycardia and ventricular tachycardia events
DE60029776T2 (de) 1999-05-12 2007-08-02 Medtronic, Inc., Minneapolis Überwachungsvorrichtung mit anwendung von wavelettransformationen zur herzrrhythmusanalyse
FR2807851A1 (fr) 2000-04-14 2001-10-19 Novacor Procede et dispositif de detection de la fibrillation auriculaire cardiaque par la methode des ondelettes
US6745068B2 (en) 2000-11-28 2004-06-01 Medtronic, Inc. Automated template generation algorithm for implantable device
US7062315B2 (en) 2000-11-28 2006-06-13 Medtronic, Inc. Automated template generation algorithm for implantable device
US6980860B2 (en) 2002-10-31 2005-12-27 Medtronic, Inc. Detection of supraventricular tachycardia with 1:1 atrial to ventricular conduction

Also Published As

Publication number Publication date
EP1569720A2 (de) 2005-09-07
JP4423207B2 (ja) 2010-03-03
AU2003298830A8 (en) 2004-06-23
DE60315068T2 (de) 2007-10-31
EP1569720B1 (de) 2007-07-18
US7130677B2 (en) 2006-10-31
JP2006508774A (ja) 2006-03-16
WO2004050185A3 (en) 2004-08-26
CA2508702A1 (en) 2004-06-17
US20040111121A1 (en) 2004-06-10
WO2004050185A2 (en) 2004-06-17
AU2003298830A1 (en) 2004-06-23

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Legal Events

Date Code Title Description
8364 No opposition during term of opposition
8328 Change in the person/name/address of the agent

Representative=s name: KUDLEK & GRUNERT PATENTANWAELTE PARTNERSCHAFT, 803