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Class 607/23 - Blood pressure


Subclass of Class 607 - Surgery: light, thermal, and electrical application
Definition: Subject matter for controlling the pacer parameter as a function of blood pressure.
No. of applications: 66
Last issue date: 05/24/2012


1    
Application No.Application TitleIssue Date
20120130443Automatic Adaptation of A-V Delay and HR for Heart Failure using Beat to Beat Measures
Methods and systems to modulate timing intervals for pacing therapy are described. For each cardiac cycle, one or both of an atrioventricular (A-V) timing interval and an atrial (A-A) timing interval are modulated to oppose beat-to-beat ventricular (V-V) timing variabil...
05/24/2012
20120109237SUPRAVENTRICULAR STIMULATION TO CONTROL VENTRICULAR RATE
Various techniques for delivering atrial pacing and supraventricular stimulation to achieve a desired ventricular rate and/or cardiac output are described. One example method described includes delivering a pacing signal configured to cause an atrial depolarization to a...
05/03/2012
20120053651ENDOCARDIAL PACING RELATING TO CONDUCTION ABNORMALITIES
Various systems, methods and arrangements are implemented in connection with ventricular pacing. One such method relates to a method for use in connection with ventricular pacing of a left ventricle of a heart from a pacing lead located in the right ventricle. Ventricul...
03/01/2012
20120041506METHOD FOR TREATING MYOCARDIAL INFARCTION
A method for treating patients after a myocardial infarction which includes pacing therapy is disclosed. A cardiac rhythm management device is configured to deliver pre-excitation pacing to one or more sites in proximity to an infarcted region of the ventricular myocard...
02/16/2012
20120041505PRE-EXCITATION PACING FOR TREATMENT OF HYPERTENSION
Described herein are methods and apparatus for treating hypertension with electrical pre-excitation pacing therapy. Electrical pre-excitation of a hypertrophic region advances the timing of the regional contraction and reduces its contribution to the overall contraction...
02/16/2012
20120029588METHOD AND APPARATUS FOR CONTROL OF CARDIAC THERAPY USING NON-INVASIVE HEMODYNAMIC SENSOR
A cardiac rhythm management (CRM) system includes a non-invasive hemodynamic sensing device and an implantable medical device to sense a hemodynamic signal and derive one or more cardiac performance parameters from the hemodynamic signal. The non-invasive hemodynamic se...
02/02/2012
20120010678METHOD AND SYSTEM FOR TREATMENT OF NEUROCARDIOGENIC SYNCOPE
A method and apparatus for treating or preventing neurocardiogenic syncope is disclosed. Upon detection of bradycardia or a drop in blood pressure indicating the onset of syncope, electrostimulation pulses are delivered during the heart's refractory period. The pulses a...
01/12/2012
20110144709METHOD AND APPARATUS FOR CARDIAC PROTECTION PACING
A pacing system delivers cardiac protection pacing to protect the heart from injuries associated with ischemic events. The pacing system detects an ischemic event and, in response, initiates one or more cardiac protection pacing sequences each including alternative paci...
06/16/2011
20110071588CARDIAC PACING USING ADJUSTABLE ATRIO-VENTRICULAR DELAYS
A pacing system for providing optimal hemodynamic cardiac function for parameters such as contractility (peak left ventricle pressure change during systole or LV+dp/dt), or stroke volume (aortic pulse pressure) using system for calculating atrio-ventricular delays for o...
03/24/2011
20110034812PULMONARY ARTERY PRESSURE BASED SYSTOLIC TIMING INTERVALS AS A MEASURE OF RIGHT VENTRICULAR SYSTOLIC PERFORMANCE
Systems and methods include identifying a first portion and a second portion of a pulmonary artery pressure (PAP) signal during a cardiac cycle. A first timing interval between the first portion and the second portion is obtained and data related to the first timing int...
02/10/2011
20110015692COMBINED REMODELING CONTROL THERAPY AND ANTI-REMODELING THERAPY BY IMPLANTABLE CARDIAC DEVICE
A method and device for delivering ventricular resynchronization pacing therapy in conjunction with electrical stimulation of nerves which alter the activity of the autonomic nervous system is disclosed. Such therapies may be delivered by an implantable device and are u...
01/20/2011
20100324614MEDICAL DEVICE ENCAPSULATED WITHIN BONDED DIES
An implantable medical system includes a first die substrate with a first outer surface. The system also includes a second die substrate with a second outer surface. Furthermore, the system includes a medical device with a first portion that is mounted to the first die ...
12/23/2010
20100305649SYSTEM AND METHOD FOR DECOMPENSATION DETECTION AND TREATMENT BASED ON PATIENT HEMODYNAMICS
A system and method for detecting and treating symptoms of early decompensation utilizing a cardiac rhythm management. The system applies an electrical stimulus to the patient's heart at a first set of pacing parameters including a lower rate limit (LRL) setting, and ac...
12/02/2010
20100305650SYSTEM AND METHOD FOR PACING RATE CONTROL UTILIZING PATIENT HEMODYNAMIC STATUS INFORMATION
A system and method for pacing rate control in a cardiac rhythm management (CRM) system. The method includes acquiring a pressure signal representative of coronary venous pressure (CVP) from a pressure sensor implanted within a coronary vein of the patient and generatin...
12/02/2010
20100298898BAROREFLEX ACTIVATION FOR ARRHYTHMIA TREATMENT
An aspect of the present subject matter relates to a system for providing baroreflex stimulation. An embodiment of the system comprises an adverse event detector to sense an adverse event and provide a signal indicative of the adverse event, and a baroreflex stimulator....
11/25/2010
20100286741CARDIAC RHYTHM MANAGEMENT DEVICE WITH NEURAL SENSOR
Various aspects of the present subject matter relate to a device. In various embodiments, the device comprises at least one port adapted to connect at least one lead, a CRM functions module connected to the port and adapted to provide at least one CRM function using the...
11/11/2010
20100234915Non-bioelectrical pressure-based sensing for temporary pacemakers
For temporary cardiac pacing, non-bioelectrical monitoring of intracardiac blood pressure variations is provided in the right ventricle. Unlike traditional bioelectric sensing, which is accomplished via the pacing leads, pressure based sensing can be independently accom...
09/16/2010
20100228308LEADLESS TISSUE STIMULATION SYSTEMS AND METHODS
Systems including an implantable receiver-stimulator and an implantable controller-transmitter are used for leadless electrical stimulation of body tissues. Cardiac pacing and arrhythmia control is accomplished with one or more implantable receiver-stimulators and an ex...
09/09/2010
20100198294PRE-EXCITATION STIMULUS TIMING BASED ON MECHANICAL EVENT
Techniques for determining when to deliver a pre-excitation signal to damaged cardiac tissue, e.g., infarct tissue, of a ventricle during cardiac pacing are described. A medical device detects an intrinsic or paced atrial depolarization, and then detects a subsequent me...
08/05/2010
20100174336Systems and Methods for Adjusting a Pacing Rate Based on Cardiac Pressure
An implantable medical device includes a pressure input, an excitation source, a detector module, and a processor. The pressure input is configured to be joined to a pressure sensor located proximate to a cardiac chamber of the heart. The pressure input receives pressur...
07/08/2010
20100121400IMPLANTABLE CARDIAC DEVICE AND METHOD FOR MONITORING THE STATUS OF A CARDIOVASCULAR DISEASE
An implantable cardiac device has a heart stimulator for electrically stimulating the heart of a patient, detector that measures a physiologic parameter that is affected by the status of a cardiovascular disease associated with sympathetic activation, a signal processor...
05/13/2010
20100106213MONITORING VENTRICULAR CAPTURE OF APPLIED STIMULATION USING SENSED VENTRICULAR PRESSURES
In general, this disclosure describes techniques for monitoring ventricular capture of electrical stimulation based upon sensed ventricular pressures using an implantable medical device. One example method comprises obtaining a blood pressure signal for a first ventricl...
04/29/2010
20100069989PRESSURE-DRIVEN INTERMITTENT PACING THERAPY
Cardioprotective pre-excitation pacing may be applied to stress or de-stress a particular myocardial region delivering of pacing pulses in a manner that causes a dyssynchronous contraction. Such dyssynchronous contractions are responsible for the desired cardioprotectiv...
03/18/2010
20100049270TRIGGERED HIGH-OUTPUT PACING THERAPY
A device and method for delivering electrical stimulation to the heart in order to improve cardiac function in heart failure patients. The stimulation is delivered as high-output pacing in which the stimulation is excitatory and also of sufficient energy to augment myoc...
02/25/2010
20100042175IMPLANTABLE LEAD AND CORONARY VENOUS PRESSURE SENSOR APPARATUS AND METHOD
A cardiac rhythm management system comprises a medical electrical lead, a pressure sensing element, and an implantable pulse generator. The lead is sized to be advanced through the right atrium and coronary sinus into a coronary vein adjacent to the left ventricle. The ...
02/18/2010
20100016918METHOD FOR DIGITAL CARDIAC RHYTHM MANAGEMENT
A cardiac rhythm management apparatus includes a proximal housing, a distal housing and a lead. The proximal housing includes a first energy storage device. The distal module is implantable within a patient's heart, and includes a second energy storage device, at least ...
01/21/2010
20100016919METHOD AND APPARATUS FOR ELECTRICALLY STIMULATING THE NERVOUS SYSTEM TO IMPROVE VENTRICULAR DYSFUNCTION, HEART FAILURE, AND OTHER CARDIAC CONDITIONS
A method and apparatus are used to provide therapy to a patient experiencing ventricular dysfunction or heart failure. At least one electrode is located in a region associated with nervous tissue, such as nerve bundles T1-T4, in a patient's body. Electrical stimulation ...
01/21/2010
20090270741Coronary Venous System Pressure Sensing
Disclose herein is a method of measuring pressures in a coronary sinus. In one embodiment, the method includes: introducing a distal portion of a lead or tool into the coronary sinus, wherein the distal portion includes first and second pressure sensors and at least one...
10/29/2009
20090254138METHOD AND APPARATUS FOR PULMONARY ARTERY PRESSURE SIGNAL ISOLATION
An implantable system senses a pulmonary artery pressure (PAP) signal using an implantable sensor placed in the pulmonary artery and isolates a plurality of signals from the PAP signal for diagnostic and/or therapeutic use. Each signal is extracted from the PAP signal u...
10/08/2009
20090228060METHOD AND APPARATUS FOR SYNCHRONIZING NEURAL STIMULATION TO CARDIAC CYCLES
A neural stimulator senses a reference signal indicative of cardiac cycles each including a predetermined type timing reference event using a sensor external to the heart and blood vessels. The delivery of the neural stimulation pulses are synchronized to that timing re...
09/10/2009
20090204163METHODS OF MONITORING HEMODYNAMIC STATUS FOR RHYTHM DISCRIMINATION WITHIN THE HEART
Systems and methods of performing rhythm discrimination within a patient's body using sensed hemodynamic signals are disclosed. The method can include the steps of receiving an electrical activity signal from an electrode located within or near the heart, detecting an e...
08/13/2009
20090118783Monitoring Right Ventricular Hemodynamic Function During Pacing Optimization
Method and systems related to monitoring right ventricular function during pacing by a cardiac rhythm management device are described. One or more pacing parameters are selected to provide cardiac resynchronization therapy. For example, the one or more pacing parameters...
05/07/2009
20090088813Cardiac Rhythm Management Device
A medical device for implantation on an epicardial surface of the heart. The device has a transmural member providing optimal electrode locations for various therapies. The hemodynamically optimal therapy is guided by sensed left ventricular pressure and electrical acti...
04/02/2009
20090069855METHOD AND APPARATUS FOR MINIMIZING POST-INFARCT VENTRICULAR REMODELING
A cardiac rhythm management device is configured to deliver pre-excitation pacing to one or more sites in proximity to an infarcted region of the ventricular myocardium. The pre-excitation pacing in conjunction with counterpulsation therapy serves to either prevent or m...
03/12/2009
20090062667Implantable Systemic Blood Pressure Measurement Systems and Methods
Implantable systems, and methods for use therewith, for monitoring arterial blood pressure on a chronic basis are provided herein. A first signal indicative of electrical activity of a patient's heart, and a second signal indicative of mechanical activity of the patient...
03/05/2009
20090054945Method, apparatus, and system to optimize cardiac preload based on measured pulmonary artery pressure
Optimizing cardiac preload based on measured pulmonary artery pressure involves varying, for each repetition of an acute burst protocol, a parameter of pacing applied to a patient's heart during the acute burst protocol. Pulmonary artery pressure is measured during the ...
02/26/2009
20090043349Hemodynamically-Guided Bioventricular Pacemaker
The current invention is an intracardiac pressure guided pacemaker. It has a sensor in pacemaker lead to sense intracardiac pressure, which is used to find the best pacing location in the cardiac chamber and to adjust the timing of pacing signal. It will optimize pacing...
02/12/2009
20090018597System and Method for Estimating Cardiac Pressure Based on Cardiac Electrical Conduction Delays Using an Implantable Medical Device
Techniques are provided for estimating left atrial pressure (LAP) or other cardiac performance parameters based on measured conduction delays. In particular, LAP is estimated based interventricular conduction delays. Predetermined conversion factors stored within the de...
01/15/2009
20080312711PRESSURE-MODULATED ENERGY LEVEL FOR PACING PULSES
Techniques for pacing the heart of a patient as a function of a pressure value make use of a pressure monitor that receives a signal from a pressure sensor in the heart. The pressure monitor measures a pressure value. The pressure monitor may, for example, estimate the ...
12/18/2008
20080306566Implantable Medical Device with Heart Condition Detection
A method for detecting a condition of a heart of a patient using an implantable medical device including the steps of sensing acoustic signals indicative of heart sounds of the heart of the patient; extracting signals corresponding to a first heart sound (S1) and a seco...
12/11/2008
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