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Class 607/14 - Treating or preventing abnormally high heart rate


Subclass of Class 607 - Surgery: light, thermal, and electrical application
Definition: Subject matter under 9 for preventing the delivery of the
No. of patents: 768
Last issue date: 05/29/2012


1                      
NumberTitleIssue Date
8190257System to treat AV-conducted ventricular tachyarrhythmia
Various aspects of the present subject matter provide devices and methods to treat AV-conducted ventricular tachyarrhythmia (AVCVT). According to various embodiments of the method, an AVCVT is sensed, an IVC-LA fat pad is stimulated when the AVCVT is sensed to block...
05/29/2012
8185200Disable for atrioventricular delay adjustment
An apparatus comprises an electrical stimulation circuit, a ventricular sensing circuit, a ventricular sensing timer, and an atrial pacing timer. The ventricular sensing circuit detects an intrinsic ventricular tachyarrhythmia depolarization. The ventricular sensing...
05/22/2012
8175706Overlapping pacing and tachyarrhythmia detection zones
An example implantable medical device (IMD), such as an implantable cardioverter defibrillator, may be configured to store a ventricular tachycardia zone, wherein the ventricular tachycardia zone specifies ventricular depolarization rates indicative of ventricular t...
05/08/2012
8175705System and method for sustained baroreflex stimulation
Various aspects of the present subject matter provide an implantable medical device. In various embodiments, the device comprises a baroreflex stimulator and a controller. The baroreflex stimulator is adapted to generate a stimulation signal to stimulate a barorefle...
05/08/2012
8170668Baroreflex sensitivity monitoring and trending for tachyarrhythmia detection and therapy
A system comprising an implantable medical device (IMD) that includes a tachyarrhythmia detector, a baroreflex detector to obtain baroreflex information, and a processor in communication with the tachyarrhythmia detector and the baroreflex detector. The processor ad...
05/01/2012
8165675Systems and methods for use with an implantable medical device for discriminating VT and SVT based on ventricular depolarization event timing
Techniques are described for discriminating ventricular tachycardia (VT) from supraventricular tachycardia (SVT) using an implantable medical device capable of multi-site ventricular sensing. In one example, ventricular depolarization events are detected within a pa...
04/24/2012
8150514Spectral selection of operating mode in an implantable stimulator device
A spectral fingerprint technique is disclosed that allows an ICD to eliminate unnecessary shocks to the heart. ...
04/03/2012
8116867Methods and devices for tachyarrhythmia sensing and high-pass filter bypass
The present invention, in illustrative embodiments, includes methods and devices for analyzing cardiac signals in an implantable cardiac stimulus system. Within the analysis, a threshold may be defined related to a cardiac event rate. If the cardiac event rate does ...
02/14/2012
8103344Method, device, implantable stimulator and dual chamber cardiac therapy system
In a device and method in a dual chamber pacing system operating in an atrial synchronized mode, the cardiac stimulator is connectable to a lead arrangement arranged for sensing atrial electrical and mechanical activity. Upon detection of an atrial arrhythmia based ...
01/24/2012
8073538Treatment of cardiac arrhythmia by modification of neuronal signaling through fat pads of the heart
To control cardiac arrhythmias such as atrial fibrillation post-operatively, various non-ablative agents include polymers, fibroblasts, neurotoxins, and growth factors are introduced into one or more cardiac fat pads into the atrioventricular nodal fat pad in proxim...
12/06/2011
8055340Method and device for comprehensive anti-tachyarrhythmia therapy
A method and apparatus for delivering therapy to treat ventricular tachyarrhythmias is described. In one embodiment, neural stimulation, anti-tachycardia pacing, and shock therapy are employed in a progressive sequence upon detection of a ventricular tachycardia.
11/08/2011
8055341Backup pacing during tachycardia
A tachycardia episode can be detected in a subject using a processor, and whether the tachycardia episode is a sustained tachycardia episode can be determined during a period of time. A backup pacing can be provided in response to the detecting tachycardia episode a...
11/08/2011
8050758Method and apparatus for selecting and timing anti-tachyarrhythmia pacing using cardiac cycle length stability
An implantable medical device delivers anti-tachyarrhythmia therapies including anti-tachyarrhythmia pacing (ATP). When a tachyarrhythmia episode is detected, the implantable medical device analyzes cardiac cycle length stability to determine whether and/or when to ...
11/01/2011
8046068Apparatus and method for treating ventricular tachyarrhythmias
A system and method for selectively treating a ventricular tachycardia based on sensed atrial and ventricular intervals from the patient's heart. A detection window of the ten most recent atrial and ventricular intervals are analyzed for the occurrence of either tac...
10/25/2011
8041425Atrial tachyarrhythmia detection using selected atrial intervals
Methods and systems are directed to detecting atrial tachyarrhythmia. A plurality of A-A intervals is detected. The detected A-A intervals are selected and used to detect atrial tachyarrhythmia. Selecting A-A intervals may be based on determining that A-A intervals ...
10/18/2011
8036746Temporary disablement feature for implantable device with anti-tachyarrhythmia functions
An implantable cardiac rhythm management device for delivering anti-tachyarrhythmia therapy is provided with a temporary disablement feature so that the delivery of anti-tachyarrhythmia therapy may be conveniently disabled and re-enabled. The feature is particularly...
10/11/2011
8032217Zoneless tachyarrhythmia detection with real-time rhythm monitoring
A method of using an implantable medical device (IMD) to monitor a ventricular contraction rate of a subject, monitor an atrial contraction rate of the subject, declare tachyarrhythmia if the ventricular contraction rate exceeds the atrial contraction rate, and decl...
10/04/2011
8010193Device and method to discriminate between supraventricular tachycardias and ventricular arrhythmias
This invention provides a method to discriminate between ventricular arrhythmia and supraventricular tachycardia by detecting an earliest arriving electrical signal following antitachycardia pacing. Also disclosed is an implantable cardiac defibrillator that is capa...
08/30/2011
8010194Determining site-to-site pacing delay for multi-site anti-tachycardia pacing
An exemplary method includes delivering a pace using an electrode positioned on the lateral wall of the left ventricle of a heart, sensing the pace using an electrode positioned in the right ventricle of the heart, determining a left to right directional conduction ...
08/30/2011
8005545Parasympathetic stimulation for prevention and treatment of atrial fibrillation
A method is provided, including identifying that a subject is at risk of suffering from atrial fibrillation (AF). Responsively to the identifying, a risk of an occurrence of an episode of the AF is reduced by applying an electrical current to a site of the subject s...
08/23/2011
7991470Post-shock recovery monitoring for tachyarrhythmia discrimination
A cardiac rhythm management device is configured to discriminate between ventricular and supraventricular tachycardias (referred to as SVT/VT discrimination) by utilizing a morphology criterion in which the morphology of electrogram waveforms during ventricular beat...
08/02/2011
7983752Antitachycardiac stimulator
Implantable cardiac stimulator, with chamber stimulation unit connectable to left/right ventricular stimulation electrode to generate/deliver chamber stimulation pulses for stimulation of ventricle; ventricular sensing unit (VSU) to detect respective chamber contrac...
07/19/2011
7970468Method for programming arrhythmia discrimination algorithms in ICDs
Embodiments of the present invention are for use with implantable cardiac devices that have discriminator parameters that the devices use to discriminate between ventricular tachycardia (VT) and supraventricular tachyarrhythmia (SVT). A user is allowed to select a b...
06/28/2011
7953482Delivery of CRT therapy during AT/AF termination
In some embodiments, a method for operating a cardiac rhythm management device may include one or more of the following steps: (a) sensing atrial depolarizations through an implanted atrial electrode, (b) administering a sequential CRT pacing therapy in a sequential...
05/31/2011
7953481Anti-arrhythmic device and a method of delivering anti-arrhythmic cardiac therapy
A cardiac contractility modulating (CCM) device (30) includes an anti-arrhythmic therapy unit (38) for detecting a cardiac arrhythmia in a heart (2) of a patient based on processing electrical signals related to cardiac activity sensed at the he...
05/31/2011
7933650Method and apparatus for selecting and timing anti-tachyarrhythmia pacing using cardiac signal morphology
A cardiac rhythm management (CRM) system includes an implantable medical device that delivers anti-tachyarrhythmia therapies including ATP. When a tachyarrhythmia episode is detected, the implantable medical device analyzes the morphology of a cardiac signal to dete...
04/26/2011
7917216Multi-site pacing for atrial tachyarrhythmias
Tachyarrhythmia is treated by applying anti-tachycardia pacing through at least one multi-site electrode set located on, in or around the heart. The electrode set is arranged and located such that an electrical activation pattern having a wave-front between substant...
03/29/2011
7912545Method and apparatus for morphology-based arrhythmia classification using cardiac and other physiological signals
A tachyarrhythmia detection and classification system classifies tachyarrhythmias based on an analysis of morphological features of a cardiac signal enhanced by using one or more physiological parameters indicative of hemodynamic stability and/or activity level. The...
03/22/2011
7894899Method and apparatus to terminate ventricular tachycardia via pacing
An implantable device for terminating ventricular tachycardia is disclosed. The device includes a processor configured to determine a first antitachycardia pulse routine of N pulses. In the routine the first N−1 pulses are separated by a first cycle length and the...
02/22/2011
7890170Rate aberrant beat selection and template formation
A cardiac rhythm management system can be used to detect episode beats associated with cardiac events in a subject's body. These events may be monitored and depolarization morphology information can be derived for candidate arrhythmic beats in an arrhythmia episode....
02/15/2011
7881788Heart treatment apparatus and heart treatment method
Precursor of fatal arrhythmia is detected and by setting the tolerance level for carrying out nerve stimulation depending on the severity degree of the precursor, significant variation of the heart rate is suppressed and induction of the fatal arrhythmia is represse...
02/01/2011
7881789Method and apparatus for detecting oscillations in cardiac rhythm with electrogram signals
A cardiac rhythm management device is configured to detect oscillations in cardiac rhythm by comparing electrogram signals during successive heart beats. Upon detection of electrical alternans, the device may adjust its operating behavior to compensate for the delet...
02/01/2011
7873414Patient characteristic based adaptive anti-tachy pacing programming
A system including at least one implantable sensor circuit adapted to produce an electrical sensor signal related to one or more physiologic cardiovascular events of a subject, a therapy circuit configured to provide anti-tachycardia pacing (ATP) therapy, and a cont...
01/18/2011
7869875Cardiac rhythm management system with maximum tracking rate (MTR) hysteresis
A cardiac rhythm management system provides both a safe maximum pacing rate limit and a physiological maximum pacing rate limit. In one embodiment, a normal maximum tracking rate (MTR) and a hysteresis MTR are provided. The hysteresis MTR is set higher than the norm...
01/11/2011
7860566System and method for achieving regular slow ventricular rhythm in response to atrial fibrillation
A system (10) for achieving a desired cardiac rate and cardiac rhythm in response to atrial fibrillation in a heart includes an atrial fibrillation (AF) detector (40) for detecting AF. The system also includes an atrioventricular node vagal stimulator ...
12/28/2010
7856268Ischemia detection for anti-arrhythmia therapy
An exemplary method includes detecting arrhythmia, detecting myocardial ischemia, determining whether the myocardial ischemia comprises local ischemia or global ischemia and, in response to the determining, calling for delivery of either a local ischemic anti-arrhyt...
12/21/2010
7856267Apparatus and method for pacing mode switching during atrial tachyarrhythmias
A method for operating a cardiac pacemaker in which the mode of operation of the pacemaker is altered in response to detecting an episode of atrial tachycardia. In accordance with the invention, the pacemaker's pacing mode is altered in a manner that attempts to mai...
12/21/2010
7844331Method and apparatus for controlling anti-tachyarrhythmia pacing using hemodynamic sensor
A cardiac rhythm management (CRM) system includes an implantable medical device that delivers anti-tachyarrhythmia therapies including anti-tachyarrhythmia pacing (ATP) and at least one hemodynamic sensor that senses a hemodynamic signal. When a tachyarrhythmia epis...
11/30/2010
7844332Atrioventricular delay adjustment enhancing ventricular tachyarrhythmia detection
This document discusses, among other things, an apparatus comprising an atrial sensing circuit, a ventricular sensing circuit and an atrioventricular (AV) delay adjustment circuit. The atrial sensing circuit detects a first fast atrial pace that concludes a timing i...
11/30/2010
7826899Neurostimulation and neurosensing techniques to optimize atrial anti-tachycardia pacing for termination of atrial tachyarrhythmias
Implantable systems, and method for use therewith, are provided that take advantage of various neuromodulation and neurosensing techniques for either preventing atrial fibrillation (AF) or terminating AF. Specific embodiments, as will be described below, are for use...
11/02/2010
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