Pacing methods and devices using feedback controlled timing

Overview

Information

Number: 7139608
Application: 10/210587
Filing date: 07/31/2002
Issue date: 11/21/2006
Inventor(s): Raymond E. Ideker, Gregory P. Walcott

US Classification: 607/17

Citations

Cardiac Pacemakers (25)

Number	Title	Issue Date
4850357	Biphasic pulse generator for an implantable defibrillator	1989/07/25
5107834	Low energy multiple shock defibrillation/cardioversion discharge technique and electrode configuration	1992/04/28
5269319	Unitary intravascular defibrillating catheter with bipolar sensing	1993/12/14
6285907	System providing ventricular pacing and biventricular coordination	2001/09/04
5230337	Process for implanting subcutaneous defibrillation electrodes	1993/07/27
5251624	Pulse generator for use in an implantable atrial defibrillator	1993/10/12
5267559	Atrial defibrillator and method for providing atrial sensing	1993/12/07
5269298	Atrial defibrillator and method for providing synchronized delayed cardioversion	1993/12/14
5405375	Combined mapping, pacing, and defibrillating catheter	1995/04/11
5282836	Atrial defibrillator and method for providing pre-cardioversion pacing	1994/02/01
5350402	Atrial defibrillator and method for providing T wave detection and interval timing prior to cardioversion	1994/09/27
5403354	Defibrillator and method utilizing three channel sensing	1995/04/04
5395373	Atrial defibrillator and method for setting energy threshold values	1995/03/07
5387233	Intravenous cardiac lead with improved fixation and method	1995/02/07
5304139	Improved lead configuration for an atrial defibrillator	1994/04/19
5433729	Atrial defibrillator, lead systems, and method	1995/07/18
5348021	Apparatus and method for reliably detecting a depolarization activation wave of the heart and atrial defibrillator utilizing same	1994/09/20
5441519	Implantable atrial defibrillator having delayed intervention therapy	1995/08/15
5464432	Implantable atrial defibrillator having an intermittently activated fibrillation detector	1995/11/07
5304218	Cardiac lead implanting arrangement and method	1994/04/19
5312444	Crosspoint switch with improved discharge control for use in an implantable defibrillator	1994/05/17
5486199	System and method for reducing false positives in atrial fibrillation detection	1996/01/23
5313953	Implantable cardiac patient monitor	1994/05/24
5476498	Coronary sinus channel lead and method	1995/12/19
5332400	Atrial defibrillator and method for providing pre-cardioversion warning	1994/07/26

PaceSetter (21)

Number	Title	Issue Date
5464429	Apparatus for producing heart defibrillation sequences from stimulation pulses and defibrillation shocks	1995/11/07
5470348	Device for stimulating living tissue	1995/11/28
5476499	Medical electrode lead with atrial electrode at the distal and ventricular electrode between the distal and proximal ends	1995/12/19
4444195	Cardiac lead having multiple ring electrodes	1984/04/24
5487753	Rate-responsive pacemaker with anaerobic threshold adaptation and method	1996/01/30
5489293	Method and apparatus for treating cardiac tachyarrhythmia	1996/02/06
5456706	Cardiac defibrillation lead having defibrillation and atrial sensing electrodes	1995/10/10
5431682	Implantable heart defibrillator	1995/07/11
5554176	Implantable electrode and sensor lead apparatus	1996/09/10
5431681	Combination pacing and defibrillating lead having sensing capability	1995/07/11
5584865	Defibrillator with output stage using switching network and three electrode	1996/12/17
5235978	Implantable arrangement for the defibrillation or cardioversion of a heart	1993/08/17
5235977	Electrode arrangement for an implantable defibrillator/cardioverter	1993/08/17
5620471	System and method for discriminating between atrial and ventricular arrhythmias and for applying cardiac therapy therefor	1997/04/15
5209229	Apparatus and method employing plural electrode configurations for cardioversion of atrial fibrillation in an arrhythmia control system	1993/05/11
5201808	Minute volume rate-responsive pacemaker employing impedance sensing on a unipolar lead	1993/04/13
5184616	Apparatus and method for generation of varying waveforms in arrhythmia control system	1993/02/09
4901725	Minute volume rate-responsive pacemaker	1990/02/20
5431683	Electrode system for a defibrillator	1995/07/11
5800469	Pacemaker with anaerobic threshold determination	1998/09/01
4567901	Prebent ventricular/atrial cardiac pacing lead	1986/02/04

Medtronic (15)

Number	Title	Issue Date
6795732	Implantable medical device employing sonomicrometer output signals for detection and measurement of cardiac mechanical function	2004/09/21
5447519	Method and apparatus for discrimination of monomorphic and polymorphic arrhythmias and for treatment thereof	1995/09/05
5861012	Atrial and ventricular capture detection and threshold-seeking pacemaker	1999/01/19
5609621	Right ventricular outflow tract defibrillation lead	1997/03/11
5683429	Method and apparatus for cardiac pacing to prevent atrial fibrillation	1997/11/04
5800470	Respiratory muscle electromyographic rate responsive pacemaker	1998/09/01
5165403	Difibrillation lead system and method of use	1992/11/24
5292338	Atrial defibrillator employing transvenous and subcutaneous electrodes and method of use	1994/03/08
5324309	Overlapping pulse cardioversion or defibrillation	1994/06/28
5331966	Subcutaneous multi-electrode sensing system, method and pacer	1994/07/26
5344430	Method and apparatus for termination of ventricular tachycardia and ventricular fibrillation	1994/09/06
4693253	Automatic implantable defibrillator and pacer	1987/09/15
4643201	Single-pass A-V lead	1987/02/17
4499907	Energy limiting cardioversion lead	1985/02/19
4355646	Transvenous defibrillating lead	1982/10/26

ALABAMA AT BIRMINGHAM, UNIVERSITY OF (8)

Number	Title	Issue Date
5978704	Method and apparatus for treating cardiac arrhythmia	1999/11/02
5978705	Method and apparatus for treating cardiac arrhythmia using auxiliary pulse	1999/11/02
5987354	Dual shock atrial defibrillation apparatus	1999/11/16
6002962	Implantable triphasic waveform defibrillator	1999/12/14
6006131	Dual current pathway atrial defibrillation apparatus	1999/12/21
6148230	Method for the monitoring and treatment of spontaneous cardiac arrhythmias	2000/11/14
6275730	Method and apparatus for treating cardiac arrythmia	2001/08/14
6327500	Dual shock atrial defibrillation apparatus	2001/12/04

Intermedics (4)

Number	Title	Issue Date
5433730	Conductive pouch electrode for defibrillation	1995/07/18
6263241	Method and apparatus for treatment of cardiac electromechanical dissociation	2001/07/17
5578064	Rate responsive cardiac pacemaker with impedance sensing	1996/11/26
4800883	Apparatus for generating multiphasic defibrillation pulse waveform	1989/01/31

Angeion (3)

Number	Title	Issue Date
5366485	Apparatus for defibrillation pretreatment of a heart	1994/11/22
5522853	Method and apparatus for progressive recruitment of cardiac fibrillation	1996/06/04
5718718	Method and apparatus for polarity reversal of consecutive defibrillation countershocks having back biasing precharge pulses	1998/02/17

Ela Medical (3)

Number	Title	Issue Date
5697953	Implantable cardioverter defibrillator having a smaller displacement volume	1997/12/16
5531764	Implantable defibrillator system and method having successive changeable defibrillation waveforms	1996/07/02
5303702	Automatic adjustment of the control function for a rate adaptive pacemaker	1994/04/19

MIROWSKI FAMILY VENTURES L.L.C. (2)

Number	Title	Issue Date
4559946	Method and apparatus for correcting abnormal cardiac activity by low energy shocks	1985/12/24
4928688	Method and apparatus for treating hemodynamic disfunction	1990/05/29

Baxter International (1)

Number	Title	Issue Date
3995623	Multipurpose flow-directed catheter	1976/12/07

Siemens Pacesetter (1)

Number	Title	Issue Date
5560369	Cardiac arrhythmia detection system for an implantable stimulation device and method	1996/10/01

St. Jude Medical (1)

Number	Title	Issue Date
5423772	Coronary sinus catheter	1995/06/13

Purdue Research Foundation (1)

Number	Title	Issue Date
4708145	Sequential-pulse, multiple pathway defibrillation method	1987/11/24

DUTHLER, REED A. (1)

Number	Title	Issue Date
5314430	Atrial defibrillator employing transvenous and subcutaneous electrodes and method of use	1994/05/24

Duke University (1)

Number	Title	Issue Date
5224476	Method and apparatus for controlling fibrillation or tachycardia	1993/07/06

Case Western Reserve University (1)

Number	Title	Issue Date
4637397	Triphasic wave defibrillation	1987/01/20

APPLIED CARDIAC ELECTROPHYSIOLOGY (1)

Number	Title	Issue Date
4365639	Catheter, cardiac pacemaker and method of pacing	1982/12/28

ADVANCED MEDICAL DEVICES, (1)

Number	Title	Issue Date
5411527	Difibrillation electrodes and implantation	1995/05/02

Advanced Research & Technology Institute (1)

Number	Title	Issue Date
5366486	Automatic fibrillation detector and defibrillator apparatus and method	1994/11/22

NA (1)

Number	Title	Issue Date
5403351	Method of transvenous defibrillation/cardioversion employing an endocardial lead system	1995/04/04

M.E.D.I.C.O. Italia S.r.l. (1)

Number	Title	Issue Date
5443491	Three-pole electrocatheter	1995/08/22

Abstract

Abstract

Methods, systems and computer program products for cardiac pacing are provided. For pacing using biventricular synchronization in a patient, a first stimulation signal is applied to a first region of a heart of the patient at a first time and a second stimulation signal applied to a second region of the heart of the patient at a second time to provide biventricular synchronization stimulation of the heart. Cardiac function of the patient associated with application of the first and the second stimulation signals is sensed and a timing relationship of the first stimulation signal to the second stimulation signal is adjusted based on the sensed cardiac function. Additionally, a cardiac timing interval, such as the A-V timing interval, may be adjusted by applying stimulation to a heart of the patient utilizing a cardiac timing interval, detecting a change in cardiac function by sensing cardiac function associated with application of the stimulation using the cardiac timing interval and adjusting the cardiac timing interval directly from the detected change in cardiac function.

Assignees with Similar Patents

Cardiac Pacemakers (50)

Number	Title
100023604	System providing ventricular pacing and biventricular coordination
100267327	Mode transition timing for synchronized pacing
100367595	Safety pacing in multi-site CRM devices
100390082	Method and apparatus for capture verification based on propagated electrical activity
7869873	Method and system for setting cardiac resynchronization therapy parameters
100653406	Cardiac rhythm management system with staggered pulses for coordination therapy
100726162	Cardiac rhythm management system with staggered pulses for coordination therapy
8386036	Expert system and method
100768983	Mode transition timing for synchronized pacing
101020806	Capture verification for cardiac resynchronization pacing optimization
101223310	SAFETY PACING IN MULTI-SITE CRM DEVICES
101236048	MORPHOLOGY-BASED OPTIMIZATION OF CARDIAC RESYNCHRONIZATION THERAPY
101356161	Pressure sensing for feedback control of post-MI remodeling control pacing
101519923	APPARATUS AND METHOD FOR PACING MODE SWITCHING DURING ATRIAL TACHYARRHYTHMIAS
101570148	METHOD AND SYSTEM FOR SETTING CARDIAC RESYNCHRONIZATION THERAPY PARAMETERS
101747762	METHOD AND APPARATUS FOR DETECTING OSCILLATIONS IN CARDIAC RHYTHM WITH ELECTROGRAM SIGNALS
101763067	Timing cycles for synchronized multisite cardiac pacing
101806567	System and method for timing synchronized pacing
101848938	SYSTEM AND METHOD FOR CARDIAC RHYTHM MANAGEMENT WITH SYNCHRONIZED PACING PROTECTION PERIOD
101929431	SYSTEM AND METHOD FOR DISPLAYING A HISTOGRAM OF CARDIAC EVENTS
102001577	SYSTEM AND METHOD FOR MANAGING REFRACTORY PERIODS IN A CARDIAC RHYTHM MANAGEMENT DEVICE WITH BIVENTRICULAR SENSING
7245970	Capture verification for cardiac resynchronization pacing optimization
6411848	System providing ventricular pacing and biventricular coordination
6438421	Mode transition timing for synchronized pacing
6480740	Safety pacing in multi-site CRM devices
6768924	Method and apparatus for capture verification based on propagated electrical activity
6795734	Method and apparatus for display of ventricular electrograms
6885890	Apparatus and method for multi-site anti-tachycardia pacing
6957105	Method and apparatus for detecting oscillations in cardiac rhythm with electrogram signals
6963774	Safety pacing in multi-site CRM devices
6999815	Automatic selection of stimulation chamber for ventricular resynchronization therapy
7113823	Morphology-based optimization of cardiac resynchronization therapy
7142914	Mode transition timing for synchronized pacing
7203540	Method and system for setting cardiac resynchronization therapy parameters
7206634	Method and apparatus for optimizing cardiac pumping performance
8369949	Pace counter isolation for cardiac resynchronization pacing
7260432	Timing cycles for synchronized multisite cardiac pacing
7349734	Method and apparatus for delivering defibrillation shock therapy while reducing electrical dispersion due to ventricular conduction disorder
7389141	Biatrial pacing optimization for biventricular pacing
7392088	Capture detection for multi-chamber pacing
7460908	System providing ventricular pacing and biventricular coordination
7536223	Mode transition timing for synchronized pacing
7555340	Electrogram morphology-based CRT optimization
7558628	Morphology-based optimization of cardiac resynchronization therapy
7630765	Safety pacing in multi-site CRM devices
7865241	System and method for cardiac rhythm management with synchronized pacing protection period
7877140	Pressure sensing for feedback control of post-MI remodeling control pacing
7881789	Method and apparatus for detecting oscillations in cardiac rhythm with electrogram signals
7899534	Expert system and method
8364264	Pacing interval adjustment for cardiac pacing response determination

PaceSetter (8)

Number	Title
103158283	Implantable Cardiac Stimulation Device and Method for Measuring Intrinsic Activity Metrics in Multi-Site Pacing
7509168	Cardiac stimulation device and method providing pacemaker mediated tachycardia detection during biventricular pacing stimulation
7546161	Methods for loss of capture and fusion avoidance in biventricular pacing therapy
7299094	System and method for implementing autocapture within biventricular implantable cardiac stimulation systems
7676265	Implantable cardiac stimulation device and method providing dynamic sensing configurations for bichamber stimulation and tachyarrhythmia detection
7085603	System and method for automatically verifying capture during multi-chamber stimulation
7933649	Implantable cardiac stimulation device and method for measuring intrinsic activity metrics in multi-site pacing
6512953	System and method for automatically verifying capture during multi-chamber stimulation

NA (6)

Number	Title
102658632	METHOD AND SYSTEM FOR SETTING CARDIAC RESYNCHRONIZATION THERAPY PARAMETERS
102638288	PACE COUNTER ISOLATION FOR CARDIAC RESYNCHRONIZATION PACING
102457581	METHOD AND SYSTEM FOR DELIVERING CARDIAC RESYNCHRONIZATION THERAPY WITH VARIABLE ATRIO-VENTRICULAR DELAY
102400949	SAFETY PACING IN MULTI-SITE CRM DEVICES
102301847	ELECTROGRAM MORPHOLOGY-BASED CRT OPTIMIZATION
102239713	MORPHOLOGY-BASED OPTIMIZATION OF CARDIAC RESYNCHRONIZATION THERAPY

St. Jude Medical (3)

Number	Title
7203542	Implantable biventricular cardiac stimulator with capture monitoring by IECG analysis
100512322	Implantable cardiac stimulator and method for controling pacing dependent on the farfield ECG
100610804	Implantable biventricular cardiac stimulator with capture monitoring by IECG analysis

Medtronic (2)

Number	Title
7233826	Bi-ventricular and single-ventricle pacing
6842642	Adjustable cardiac resynchronization

Referenced by

Medtronic (9)

Number	Title	Issue Date
7389147	Therapy delivery mode selection	2008/06/17
7406351	Activity sensing for stimulator control	2008/07/29
7647121	Therapy delivery mode selection	2010/01/12
7720548	Impedance-based stimulation adjustment	2010/05/18
8108049	Impedance-based stimulation adjustment	2012/01/31
8121702	Impedance-based stimulation adjustment	2012/02/21
8483839	Activity sensing for stimulator control	2013/07/09
8825175	Impedance-based stimulation adjustment	2014/09/02
8831737	Activity sensing for stimulator control	2014/09/09

Cardiac Pacemakers (4)

Number	Title	Issue Date
7904156	Modulation of AV delay to control ventricular interval variability	2011/03/08
8290587	Modulation of AV delay to control ventricular interval variability	2012/10/16
8463380	Automatic adaptation of A-V delay and HR for heart failure using beat to beat measures	2013/06/11
8761879	Automatic modulation of pacing timing intervals using beat to beat measures	2014/06/24

GE AVIATION SYSTEMS (1)

Number	Title	Issue Date
10979993	Aircraft time synchronization system	2021/04/13

western sydney local health district (1)

Number	Title	Issue Date
11517264	Methods and apparatuses for monitoring cardiac dysfunction	2022/12/06

Tech Analysis

Class	Subclass	Type	Reference Factor	Citation Factor	Strength	Grant time	Early grant (%)
607	17	Emerging	Sustaining	Average	Medium	Slow	76.6