Pacemaker having PVC response and PMT terminating features
July 18, 2006. Estimated Expiration Date is calculated based on simple USPTO term provisions. It does not account for terminal disclaimers, term adjustments, failure to pay maintenance fees, or other factors which might affect the term of a patent.Patent ReferencesOscillator for demand heart pacer Apparatus for tachycardia investigation or control Atrial refractory control for R-wave rejection in pacemakers Rate related tachycardia control pacer Heart pacemaker with separate A-V intervals for atrial synchronous and atrial-ventricular sequential pacing modes Externally controlled tachycardia control pacer Externally-inhibited tachycardia control pacer Device for detecting retrograde conduction Constant A-A interval control for DVI and DDD cardiac pacemakers Dual chamber pacemaker InventorsAssigneeApplicationNo. 06/887297 filed on 07/18/1986US Classes:607/14Treating or preventing abnormally high heart rateExaminersPrimary: Kamm, William E.Assistant: Keegan, Timothy Attorney, Agent or FirmInternational ClassA61N 1/362 (20060101)AbstractAn atrial tracking dual-chamber pacemaker and method of use for reducing the risk of initiating a pacer mediated tachycardia (PMT), and breaking such a PMT if once started. The pacemaker includes means for sensing a premature ventricular contraction (PVC). The pacemaker operates in a conventional manner unless a PVC is sensed. If a PVC is sensed, in accordance with one embodiment, an extended atrial refractory period is triggered in an attempt to block any retrograde atrial events resulting from the PVC. This is followed by an atrial alert time window. After a prescribed A-V delay subsequent to the timing out or other termination of the atrial alert time window, a ventricular stimulation pulse is generated, unless prior ventricular activity is sensed that inhibits such ventricular stimulation pulse. In accordance with another embodiment, the sensing of a PVC triggers, after a suitable refractory period, a retrograde sense period during which any sensed atrial electrical activity is presumed to be a retrograde event. Appropriate steps are taken in order to deal with the retrograde event to prevent its occurrence from triggering a PMT. If a PMT has started, a prescribed number of cycles of the PMT are counted, after which the same action used in response to a sensed PVC is triggered, which action disrupts the rhythm of the PMT so as to break it. If the PMT is not broken with the first attempt, the PVC response is recurringly generated after a prescribed number of subsequent PMT cycles.Other References
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