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WO2004091720A3 - Subcutaneous cardiac device - Google Patents

Subcutaneous cardiac device Download PDF

Info

Publication number
WO2004091720A3
WO2004091720A3 PCT/US2004/010908 US2004010908W WO2004091720A3 WO 2004091720 A3 WO2004091720 A3 WO 2004091720A3 US 2004010908 W US2004010908 W US 2004010908W WO 2004091720 A3 WO2004091720 A3 WO 2004091720A3
Authority
WO
WIPO (PCT)
Prior art keywords
lead
housing
energy delivery
electrodes
configurations
Prior art date
Application number
PCT/US2004/010908
Other languages
French (fr)
Other versions
WO2004091720A2 (en
Inventor
Eric G Lovett
Mike Favet
Adam W Cates
Kristine M Larsen-Kelly
Paul Haefner
Richard S Sanders
F Roosevelt Gilliam Iii
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
Priority claimed from US10/462,001 external-priority patent/US20040230229A1/en
Priority claimed from US10/785,431 external-priority patent/US20050004615A1/en
Priority claimed from US10/821,248 external-priority patent/US20040215240A1/en
Application filed by Cardiac Pacemakers Inc filed Critical Cardiac Pacemakers Inc
Priority to EP04759310A priority Critical patent/EP1613395A2/en
Priority to JP2006509832A priority patent/JP2006522659A/en
Publication of WO2004091720A2 publication Critical patent/WO2004091720A2/en
Publication of WO2004091720A3 publication Critical patent/WO2004091720A3/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
    • A61N1/368—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions
    • 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
    • A61N1/37—Monitoring; Protecting
    • 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
    • A61N1/375—Constructional arrangements, e.g. casings
    • A61N1/3752—Details of casing-lead connections

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biophysics (AREA)
  • Physiology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Electrotherapy Devices (AREA)

Abstract

A cardiac device includes a housing, and detection circuitry and energy delivery circuitry provided in the housing. One or more subcutaneous, non-intrathoracic electrodes may be coupled to the energy delivery and detection circuitry. A lead interface is provided on the housing and coupled to the energy delivery and detection circuitry. The lead interface is configured to receive at least one lead that includes one or more intrathoracic lead electrodes. A controller is provided in the housing and coupled to the lead interface and the energy delivery and detection circuitry. The system is operable in a multiplicity of configurations, such as a first configuration using the subcutaneous electrodes in the absence of the lead and a second configuration using at least one or more of the lead electrodes. Such configurations include cardiac activity monitoring/recording configurations and cardiac stimulation therapy configurations.
PCT/US2004/010908 2003-04-11 2004-04-09 Subcutaneous cardiac device WO2004091720A2 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
EP04759310A EP1613395A2 (en) 2003-04-11 2004-04-09 Subcutaneous cardiac device
JP2006509832A JP2006522659A (en) 2003-04-11 2004-04-09 Subcutaneous heart device

Applications Claiming Priority (8)

Application Number Priority Date Filing Date Title
US46227203P 2003-04-11 2003-04-11
US60/462,272 2003-04-11
US10/462,001 2003-06-13
US10/462,001 US20040230229A1 (en) 2003-04-11 2003-06-13 Hybrid transthoracic/intrathoracic cardiac stimulation devices and methods
US10/785,431 US20050004615A1 (en) 2003-04-11 2004-02-24 Reconfigurable implantable cardiac monitoring and therapy delivery device
US10/785,431 2004-02-24
US10/821,248 US20040215240A1 (en) 2003-04-11 2004-04-08 Reconfigurable subcutaneous cardiac device
US10/821,248 2004-04-08

Publications (2)

Publication Number Publication Date
WO2004091720A2 WO2004091720A2 (en) 2004-10-28
WO2004091720A3 true WO2004091720A3 (en) 2005-02-03

Family

ID=33304106

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2004/010908 WO2004091720A2 (en) 2003-04-11 2004-04-09 Subcutaneous cardiac device

Country Status (3)

Country Link
EP (1) EP1613395A2 (en)
JP (1) JP2006522659A (en)
WO (1) WO2004091720A2 (en)

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8068911B2 (en) 2004-12-17 2011-11-29 Medtronic, Inc. System and method for regulating cardiopulmonary triggered therapy to the brain
US8108046B2 (en) 2004-12-17 2012-01-31 Medtronic, Inc. System and method for using cardiac events to trigger therapy for treating nervous system disorders
US8112148B2 (en) 2004-12-17 2012-02-07 Medtronic, Inc. System and method for monitoring cardiac signal activity in patients with nervous system disorders
US8112153B2 (en) 2004-12-17 2012-02-07 Medtronic, Inc. System and method for monitoring or treating nervous system disorders
US8209009B2 (en) 2004-12-17 2012-06-26 Medtronic, Inc. System and method for segmenting a cardiac signal based on brain stimulation
US8209019B2 (en) 2004-12-17 2012-06-26 Medtronic, Inc. System and method for utilizing brain state information to modulate cardiac therapy
US8214035B2 (en) 2004-12-17 2012-07-03 Medtronic, Inc. System and method for utilizing brain state information to modulate cardiac therapy
US8485979B2 (en) 2004-12-17 2013-07-16 Medtronic, Inc. System and method for monitoring or treating nervous system disorders
US9008771B2 (en) 2003-12-11 2015-04-14 Cardiac Pacemakers, Inc. Non-captured intrinsic discrimination in cardiac pacing response classification
US9014804B2 (en) 2007-04-27 2015-04-21 Medtronic, Inc. Implantable medical device for treating neurological conditions including ECG sensing
US9037239B2 (en) 2007-08-07 2015-05-19 Cardiac Pacemakers, Inc. Method and apparatus to perform electrode combination selection

Families Citing this family (19)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7330757B2 (en) 2001-11-21 2008-02-12 Cameron Health, Inc. Method for discriminating between ventricular and supraventricular arrhythmias
US7774064B2 (en) 2003-12-12 2010-08-10 Cardiac Pacemakers, Inc. Cardiac response classification using retriggerable classification windows
US7647108B2 (en) 2004-09-30 2010-01-12 Cardiac Pacemakers, Inc. Methods and systems for selection of cardiac pacing electrode configurations
US8229563B2 (en) 2005-01-25 2012-07-24 Cameron Health, Inc. Devices for adapting charge initiation for an implantable cardioverter-defibrillator
US8160697B2 (en) 2005-01-25 2012-04-17 Cameron Health, Inc. Method for adapting charge initiation for an implantable cardioverter-defibrillator
US8116867B2 (en) 2005-08-04 2012-02-14 Cameron Health, Inc. Methods and devices for tachyarrhythmia sensing and high-pass filter bypass
EP1933698A2 (en) 2005-09-16 2008-06-25 The Ohio State University Method and apparatus for detecting intraventricular dyssynchrony
US8131043B2 (en) 2005-09-16 2012-03-06 The Ohio State University Method and apparatus for detecting interventricular dyssynchrony
US8788023B2 (en) 2006-05-26 2014-07-22 Cameron Health, Inc. Systems and methods for sensing vector selection in an implantable medical device
US7783340B2 (en) 2007-01-16 2010-08-24 Cameron Health, Inc. Systems and methods for sensing vector selection in an implantable medical device using a polynomial approach
US8200341B2 (en) 2007-02-07 2012-06-12 Cameron Health, Inc. Sensing vector selection in a cardiac stimulus device with postural assessment
US8948867B2 (en) 2006-09-14 2015-02-03 Cardiac Pacemakers, Inc. Capture detection with cross chamber backup pacing
WO2008133683A1 (en) * 2007-04-27 2008-11-06 Medtronic, Inc. Implantable medical device for treating neurological conditions with an initially disabled cardiac therepy port and leadless ecg sensing
US8265736B2 (en) 2007-08-07 2012-09-11 Cardiac Pacemakers, Inc. Method and apparatus to perform electrode combination selection
CN101939051B (en) 2008-02-14 2013-07-10 心脏起搏器公司 Method and apparatus for phrenic stimulation detection
AU2011245642B2 (en) * 2010-04-29 2014-02-27 Cardiac Pacemakers, Inc. Implantable medical device configuration based on port usage
CN105208928B (en) 2013-03-11 2018-10-19 卡梅伦保健公司 Implement the equipment of arrhythmia detection double standards
US9579065B2 (en) 2013-03-12 2017-02-28 Cameron Health Inc. Cardiac signal vector selection with monophasic and biphasic shape consideration
US11324954B2 (en) 2019-06-28 2022-05-10 Covidien Lp Achieving smooth breathing by modified bilateral phrenic nerve pacing

Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5318594A (en) * 1990-11-30 1994-06-07 Ela Medical DDD type cardiac pacemaker having automatic operating mode switching
US5601607A (en) * 1992-03-19 1997-02-11 Angeion Corporation Implantable cardioverter defibrillator housing plated electrode
WO2000009206A1 (en) * 1998-08-17 2000-02-24 Medtronic, Inc. Method and apparatus for prevention of atrial tachyarrhythmias
US20010005790A1 (en) * 1999-12-02 2001-06-28 Alain Ripart Active implantable medical device, in particular a pacemaker, defibrillator and/or cardiovertor of the multisite type, capable of detecting induced tachycardia
US20020107546A1 (en) * 2000-09-18 2002-08-08 Cameron Health, Inc. Packaging technology for non-transvenous cardioverter/defibrillator devices
EP1234597A2 (en) * 2001-02-23 2002-08-28 Pacesetter, Inc. His bundle sensing device and associated method
US20020147473A1 (en) * 2001-04-06 2002-10-10 Gary Seim Temporary tachyarrhythmia therapy modes for electrophysiologic testing
US20020183637A1 (en) * 2001-04-30 2002-12-05 Cardiac Pacemakers, Inc. Normal cardiac rhythm template generation system and method
US20030023271A1 (en) * 1998-03-19 2003-01-30 William Hsu Method and apparatus for treating supraventricular tachyarrhythmias
EP1304137A2 (en) * 2001-10-19 2003-04-23 Pacesetter, Inc. Anti-tachycardia pacing methods and devices

Family Cites Families (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5313953A (en) 1992-01-14 1994-05-24 Incontrol, Inc. Implantable cardiac patient monitor
US5411031A (en) 1993-11-24 1995-05-02 Incontrol, Inc. Implantable cardiac patient monitor
US5662688A (en) 1995-08-14 1997-09-02 Cardiac Pacemakers, Inc. Slow gain control
US5620466A (en) 1995-08-14 1997-04-15 Cardiac Pacemakers, Inc. Digital AGC using separate gain control and threshold templating
US6144880A (en) 1998-05-08 2000-11-07 Cardiac Pacemakers, Inc. Cardiac pacing using adjustable atrio-ventricular delays
US6055454A (en) 1998-07-27 2000-04-25 Cardiac Pacemakers, Inc. Cardiac pacemaker with automatic response optimization of a physiologic sensor based on a second sensor
US6044298A (en) 1998-10-13 2000-03-28 Cardiac Pacemakers, Inc. Optimization of pacing parameters based on measurement of integrated acoustic noise

Patent Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5318594A (en) * 1990-11-30 1994-06-07 Ela Medical DDD type cardiac pacemaker having automatic operating mode switching
US5601607A (en) * 1992-03-19 1997-02-11 Angeion Corporation Implantable cardioverter defibrillator housing plated electrode
US20030023271A1 (en) * 1998-03-19 2003-01-30 William Hsu Method and apparatus for treating supraventricular tachyarrhythmias
WO2000009206A1 (en) * 1998-08-17 2000-02-24 Medtronic, Inc. Method and apparatus for prevention of atrial tachyarrhythmias
US20010005790A1 (en) * 1999-12-02 2001-06-28 Alain Ripart Active implantable medical device, in particular a pacemaker, defibrillator and/or cardiovertor of the multisite type, capable of detecting induced tachycardia
US20020107546A1 (en) * 2000-09-18 2002-08-08 Cameron Health, Inc. Packaging technology for non-transvenous cardioverter/defibrillator devices
EP1234597A2 (en) * 2001-02-23 2002-08-28 Pacesetter, Inc. His bundle sensing device and associated method
US20020147473A1 (en) * 2001-04-06 2002-10-10 Gary Seim Temporary tachyarrhythmia therapy modes for electrophysiologic testing
US20020183637A1 (en) * 2001-04-30 2002-12-05 Cardiac Pacemakers, Inc. Normal cardiac rhythm template generation system and method
EP1304137A2 (en) * 2001-10-19 2003-04-23 Pacesetter, Inc. Anti-tachycardia pacing methods and devices

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9008771B2 (en) 2003-12-11 2015-04-14 Cardiac Pacemakers, Inc. Non-captured intrinsic discrimination in cardiac pacing response classification
US8068911B2 (en) 2004-12-17 2011-11-29 Medtronic, Inc. System and method for regulating cardiopulmonary triggered therapy to the brain
US8108046B2 (en) 2004-12-17 2012-01-31 Medtronic, Inc. System and method for using cardiac events to trigger therapy for treating nervous system disorders
US8112148B2 (en) 2004-12-17 2012-02-07 Medtronic, Inc. System and method for monitoring cardiac signal activity in patients with nervous system disorders
US8112153B2 (en) 2004-12-17 2012-02-07 Medtronic, Inc. System and method for monitoring or treating nervous system disorders
US8209009B2 (en) 2004-12-17 2012-06-26 Medtronic, Inc. System and method for segmenting a cardiac signal based on brain stimulation
US8209019B2 (en) 2004-12-17 2012-06-26 Medtronic, Inc. System and method for utilizing brain state information to modulate cardiac therapy
US8214035B2 (en) 2004-12-17 2012-07-03 Medtronic, Inc. System and method for utilizing brain state information to modulate cardiac therapy
US8485979B2 (en) 2004-12-17 2013-07-16 Medtronic, Inc. System and method for monitoring or treating nervous system disorders
US9014804B2 (en) 2007-04-27 2015-04-21 Medtronic, Inc. Implantable medical device for treating neurological conditions including ECG sensing
US9037239B2 (en) 2007-08-07 2015-05-19 Cardiac Pacemakers, Inc. Method and apparatus to perform electrode combination selection

Also Published As

Publication number Publication date
JP2006522659A (en) 2006-10-05
WO2004091720A2 (en) 2004-10-28
EP1613395A2 (en) 2006-01-11

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