Preferred ADI/R: a permanent pacing mode to eliminate ventricular pacing while maintaining backup support

    公开(公告)号:US09375579B2

    公开(公告)日:2016-06-28

    申请号:US13154761

    申请日:2011-06-07

    IPC分类号: A61N1/372 A61N1/368

    摘要: A preferred atrial-based pacing method and apparatus is provided using an intelligent cardiac pacing system to having the ability to continue atrial-based pacing as long as relatively reliable AV conduction is present. In the event that such relatively reliable AV conduction is not present, mode switching to a DDD/R or a DDI/R pacing mode while continually biased to mode switch back to atrial-based pacing. The standard or relatively reliable AV conduction may be changed either automatically or manually. This increases pacing that utilizes natural AV conduction however possible so as to gain all the benefits of cardiac contractile properties resulting therefrom, while tolerating the occasional missed ventricular depolarization (i.e., non-conducted P-wave). In the event where relatively reliable AV conduction is not present, the pacing mode is switched to a DDD/R mode while detecting a return of the relatively reliable AV conduction (and resulting mode switch to preferred atrial based pacing).

    PREFERRED ADI/R: A PERMANENT PACING MODE TO ELIMINATE VENTRICULAR PACING WHILE MAINTAINING BACKUP SUPPORT
    2.
    发明申请
    PREFERRED ADI/R: A PERMANENT PACING MODE TO ELIMINATE VENTRICULAR PACING WHILE MAINTAINING BACKUP SUPPORT 有权
    优先ADI / R:在维护备份支持时消除静态PAC的永久打开模式

    公开(公告)号:US20110301656A1

    公开(公告)日:2011-12-08

    申请号:US13154761

    申请日:2011-06-07

    IPC分类号: A61N1/368 A61N1/39

    摘要: A preferred atrial-based pacing method and apparatus is provided using an intelligent cardiac pacing system to having the ability to continue atrial-based pacing as long as relatively reliable AV conduction is present. In the event that such relatively reliable AV conduction is not present, mode switching to a DDD/R or a DDI/R pacing mode while continually biased to mode switch back to atrial-based pacing. The standard or relatively reliable AV conduction may be changed either automatically or manually. This increases pacing that utilizes natural AV conduction however possible so as to gain all the benefits of cardiac contractile properties resulting therefrom, while tolerating the occasional missed ventricular depolarization (i.e., non-conducted P-wave). In the event where relatively reliable AV conduction is not present, the pacing mode is switched to a DDD/R mode while detecting a return of the relatively reliable AV conduction (and resulting mode switch to preferred atrial based pacing).

    摘要翻译: 只要存在相对可靠的AV传导,使用智能心脏起搏系统提供优选的基于心房的起搏方法和装置,以具有继续心房起搏的能力。 在不存在这种相对可靠的AV传导的情况下,模式切换到DDD / R或DDI / R起搏模式,同时不断偏向模式切换回基于心房的起搏。 标准或相对可靠的AV传导可以自动或手动改变。 这增加了使用自然AV传导的起搏,尽可能地获得心脏收缩性质的所有益处,同时容忍偶尔的心室去极化(即,未传导的P波)。 在不存在相对可靠的AV导通的情况下,起搏模式被切换到DDD / R模式,同时检测到相对可靠的AV导通的返回(并且导致的模式切换到优选的心房起搏)。

    Preferred ADI/R: a permanent pacing mode to eliminate ventricular pacing while maintaining back support
    3.
    发明授权
    Preferred ADI/R: a permanent pacing mode to eliminate ventricular pacing while maintaining back support 有权
    优选的ADI / R:永久起搏模式,以消除心室起搏,同时保持支持

    公开(公告)号:US07130683B2

    公开(公告)日:2006-10-31

    申请号:US10246816

    申请日:2002-09-17

    IPC分类号: A61N1/368

    摘要: A preferred atrial-based pacing method and apparatus is provided using an intelligent cardiac pacing system to having the ability to continue atrial-based pacing as long as relatively reliable AV conduction is present. In the event that such relatively reliable AV conduction is not present, mode switching to a DDD/R or a DDI/R pacing mode while continually biased to mode switch back to atrial-based pacing. The standard or relatively reliable AV conduction may be changed either automatically or manually. This increases pacing that utilizes natural AV conduction whenever possible so as to gain all the benefits of cardiac contractile properties resulting therefrom, while tolerating the occasional missed ventricular depolarization (i.e., non-conducted P-wave). In the event where relatively reliable AV conduction is not present, the pacing mode is switched to a DDD/R mode while detecting a return of the relatively reliable AV conduction (and resulting mode switch to preferred atrial-based pacing).

    摘要翻译: 只要存在相对可靠的AV传导,使用智能心脏起搏系统提供优选的基于心房的起搏方法和装置,以具有继续心房起搏的能力。 在不存在这种相对可靠的AV传导的情况下,模式切换到DDD / R或DDI / R起搏模式,同时不断偏向模式切换回基于心房的起搏。 标准或相对可靠的AV传导可以自动或手动改变。 这增加了使用天然AV传导的起搏,以便尽可能地获得由此产生的心脏收缩性质的所有益处,同时容忍偶尔的心室去极化(即,未传导的P波)。 在不存在相对可靠的AV传导的情况下,起搏模式被切换到DDD / R模式,同时检测相对可靠的AV导通的返回(并且导致的模式切换到优选的基于心房的起搏)。

    Preferred ADI/R: a permanent pacing mode to eliminate ventricular pacing while maintaining backup support
    4.
    发明授权
    Preferred ADI/R: a permanent pacing mode to eliminate ventricular pacing while maintaining backup support 有权
    优选的ADI / R:一种永久起搏模式,可在维持备用支持的同时消除心室起搏

    公开(公告)号:US07957800B2

    公开(公告)日:2011-06-07

    申请号:US11550035

    申请日:2006-10-17

    IPC分类号: A61N1/368

    摘要: A preferred atrial-based pacing method and apparatus is provided using an intelligent cardiac pacing system to having the ability to continue atrial-based pacing as long as relatively reliable AV conduction is present. In the event that such relatively reliable AV conduction is not present, mode switching to a DDD/R or a DDI/R pacing mode while continually biased to mode switch back to atrial-based pacing. The standard or relatively reliable AV conduction may be changed either automatically or manually. This increases pacing that utilizes natural AV conduction however possible so as to gain all the benefits of cardiac contractile properties resulting therefrom, while tolerating the occasional missed ventricular depolarization (i.e., non-conducted P-wave). In the event where relatively reliable AV conduction is not present, the pacing mode is switched to a DDD/R mode while detecting a return of the relatively reliable AV conduction (and resulting mode switch to preferred atrial based pacing).

    摘要翻译: 只要存在相对可靠的AV传导,使用智能心脏起搏系统提供优选的基于心房的起搏方法和装置,以具有继续心房起搏的能力。 在不存在这种相对可靠的AV传导的情况下,模式切换到DDD / R或DDI / R起搏模式,同时不断偏向模式切换回基于心房的起搏。 标准或相对可靠的AV传导可以自动或手动改变。 这增加了使用自然AV传导的起搏,尽可能地获得心脏收缩性质的所有益处,同时容忍偶尔的心室去极化(即,未传导的P波)。 在不存在相对可靠的AV导通的情况下,起搏模式被切换到DDD / R模式,同时检测到相对可靠的AV导通的返回(并且导致的模式切换到优选的心房起搏)。

    System and method for ventricular pacing with progressive conduction check interval
    5.
    发明授权
    System and method for ventricular pacing with progressive conduction check interval 有权
    具有渐进传导检查间隔的心室起搏的系统和方法

    公开(公告)号:US07881793B2

    公开(公告)日:2011-02-01

    申请号:US11096436

    申请日:2005-03-31

    IPC分类号: A61N1/368

    CPC分类号: A61N1/368 A61N1/3688

    摘要: A pacing protocol is provided that reduces or minimizes ventricular pacing in favor of intrinsic conduction. When operating in a mode that provides ventricular pacing, a series of conduction checks are performed to determine if intrinsic conduction has returned. These conduction checks occur according to a predetermined pattern that general includes longer intervals between subsequent attempts. A maximum interval is provided such that conduction checks are not repeated sequentially at the same time of day when at this maximum interval.

    摘要翻译: 提供起搏方案,其减少或最小化心室起搏以有利于内在传导。 当以提供心室起搏的模式操作时,执行一系列导通检查以确定是否内部传导已经返回。 这些传导检查根据预定的模式进行,通常在后续尝试之间包括更长的间隔。 提供最大间隔,使得在该最大间隔的同一天的相同时间不顺序重复传导检查。

    System and method for ventricular pacing with AV interval modulation
    6.
    发明授权
    System and method for ventricular pacing with AV interval modulation 有权
    使用AV间期调制的心室起搏的系统和方法

    公开(公告)号:US07738955B2

    公开(公告)日:2010-06-15

    申请号:US11115605

    申请日:2005-04-27

    IPC分类号: A61N1/372

    CPC分类号: A61N1/368 A61N1/3682

    摘要: A pacing protocol is provided that reduces or minimizes ventricular pacing in favor of intrinsic conduction. When operating in a mode that provides ventricular pacing, a series of conduction checks are performed to determine if intrinsic conduction has returned. These conduction checks occur according to a predetermined pattern that generally includes longer intervals between subsequent attempts. The AV interval provided for dual chamber based pacing is modulated and generally moves from a larger value to a nominal value as the interval between unsuccessful conduction checks increases.

    摘要翻译: 提供起搏方案,其减少或最小化心室起搏以有利于内在传导。 当以提供心室起搏的模式操作时,执行一系列导通检查以确定是否内部传导已经返回。 这些传导检查根据通常在后续尝试之间具有较长间隔的预定模式进行。 为双室起搏提供的AV间隔被调制,并且通常从较大的值移动到不成功的传导检查之间的间隔增加到标称值。