公开(公告)号：US07218965B2

公开(公告)日：2007-05-15

申请号：US10755454

申请日：2004-01-12

申请人： David Casavant ,  Paul Belk ,  Thomas J. Mullen ,  John C. Stroebel

发明人： David Casavant ,  Paul Belk ,  Thomas J. Mullen ,  John C. Stroebel

IPC分类号： A61N1/368

CPC分类号： A61N1/368 ,  A61N1/3682 ,  A61N1/3688

摘要： An ADI/R mode is implemented using an intelligent pacing system to continually monitor ventricular response. This ensures AV conduction whenever possible so as to gain all the benefits of cardiac contractile properties resulting from native R-waves. In the event where AV conduction is blocked, the pacing mode is switched to a DDD/R mode to ensure a paced R-wave. Thereafter, subsequent to a completed interval of a P-wave, ADI/R pacing resumes to monitor ventricular response.

摘要翻译： 使用智能起搏系统实现ADI / R模式，以持续监测心室反应。 这可以确保AV传导尽可能的，以便获得由天然R波引起的心脏收缩性能的所有好处。 在AV导通被阻止的情况下，起搏模式切换到DDD / R模式以确保节奏R波。 此后，在P波的完成间隔之后，恢复ADI / R起搏以监测心室反应。

公开(公告)号：US09375579B2

公开(公告)日：2016-06-28

申请号：US13154761

申请日：2011-06-07

申请人： David A. Casavant ,  Paul Belk ,  Thomas J. Mullen ,  John C. Stroebel

发明人： David A. Casavant ,  Paul Belk ,  Thomas J. Mullen ,  John C. Stroebel

IPC分类号： A61N1/372 ,  A61N1/368

CPC分类号： A61N1/368 ,  A61N1/3682 ,  A61N1/3688

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).

公开(公告)号：US20110301656A1

公开(公告)日：2011-12-08

申请号：US13154761

申请日：2011-06-07

申请人： David A. Casavant ,  Paul Belk ,  Thomas J. Mullen ,  John C. Stroebel

发明人： David A. Casavant ,  Paul Belk ,  Thomas J. Mullen ,  John C. Stroebel

IPC分类号： A61N1/368 ,  A61N1/39

CPC分类号： A61N1/368 ,  A61N1/3682 ,  A61N1/3688

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）。

公开(公告)号：US07130683B2

公开(公告)日：2006-10-31

申请号：US10246816

申请日：2002-09-17

申请人： David A. Casavant ,  Paul Belk ,  Thomas J. Mullen ,  John C. Stroebel

发明人： David A. Casavant ,  Paul Belk ,  Thomas J. Mullen ,  John C. Stroebel

IPC分类号： A61N1/368

CPC分类号： A61N1/368 ,  A61N1/3682 ,  A61N1/3688

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）。

公开(公告)号：US07957800B2

公开(公告)日：2011-06-07

申请号：US11550035

申请日：2006-10-17

申请人： David A. Casavant ,  Paul Belk ,  Thomas J. Mullen ,  John C. Stroebel

发明人： David A. Casavant ,  Paul Belk ,  Thomas J. Mullen ,  John C. Stroebel

IPC分类号： A61N1/368

CPC分类号： A61N1/368 ,  A61N1/3682 ,  A61N1/3688

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）。

公开(公告)号：US20070060963A1

公开(公告)日：2007-03-15

申请号：US11550035

申请日：2006-10-17

申请人： David Casavant ,  Paul Belk ,  Thomas Mullen ,  John Stroebel

发明人： David Casavant ,  Paul Belk ,  Thomas Mullen ,  John Stroebel

IPC分类号： A61N1/00

CPC分类号： A61N1/368 ,  A61N1/3682 ,  A61N1/3688

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）。

公开(公告)号：US20070060965A1

公开(公告)日：2007-03-15

申请号：US11554762

申请日：2006-10-31

申请人： David Casavant ,  Paul Belk ,  Thomas Mullen ,  John Stroebel

发明人： David Casavant ,  Paul Belk ,  Thomas Mullen ,  John Stroebel

IPC分类号： A61N1/362

CPC分类号： A61N1/368 ,  A61N1/3682 ,  A61N1/3688

摘要： An ADI/R mode is implemented using an intelligent pacing system to continually monitor ventricular response. This ensures AV conduction whenever possible so as to gain all the benefits of cardiac contractile properties resulting from native R-waves. In the event where AV conduction is blocked, the pacing mode is switched to a DDD/R mode to ensure a paced R-wave. Thereafter, subsequent to a completed interval of a p-wave, ADI/R pacing resumes to monitor ventricular response.

摘要翻译： 使用智能起搏系统实现ADI / R模式，以持续监测心室反应。 这可以确保AV传导尽可能的，以便获得由天然R波引起的心脏收缩性能的所有好处。 在AV导通被阻止的情况下，起搏模式切换到DDD / R模式以确保节奏R波。 此后，在p波的完成间隔之后，恢复ADI / R起搏以监测心室反应。

公开(公告)号：US20070060964A1

公开(公告)日：2007-03-15

申请号：US11554749

申请日：2006-10-31

申请人： David Casavant ,  Paul Belk ,  Thomas Mullen ,  John Stroebel

发明人： David Casavant ,  Paul Belk ,  Thomas Mullen ,  John Stroebel

IPC分类号： A61N1/00

CPC分类号： A61N1/368 ,  A61N1/3682 ,  A61N1/3688

摘要： An ADI/R mode is implemented using an intelligent pacing system to continually monitor ventricular response. This ensures AV conduction whenever possible so as to gain all the benefits of cardiac contractile properties resulting from native R-waves. In the event where AV conduction is blocked, the pacing mode is switched to a DDD/R mode to ensure a paced R-wave. Thereafter, subsequent to a completed interval of a p-wave, ADI/R pacing resumes to monitor ventricular response.

公开(公告)号：US20070299478A1

公开(公告)日：2007-12-27

申请号：US11764368

申请日：2007-06-18

申请人： David Casavant ,  Paul Belk

发明人： David Casavant ,  Paul Belk

IPC分类号： A61N1/365

CPC分类号： A61N1/37 ,  A61N1/368

摘要： Rate responsive pacing is limited in an atrial based pacing mode by the AV interval in order to avoid or minimize ventricular encroachment of atrial pacing. The AV or VA interval is used to permit rate responsiveness; modulate rate responsiveness or to determine a dynamic upper sensor rate.

摘要翻译： 速率响应起搏在基于心房的起搏模式中受AV间隔限制，以避免或最小化心房起搏的心室侵入。 AV或VA间隔用于允许速率响应; 调节速率响应或确定动态上传感器速率。

公开(公告)号：US20070005113A1

公开(公告)日：2007-01-04

申请号：US11427571

申请日：2006-06-29

申请人： David Casavant ,  Paul Belk ,  Thomas Mullen ,  John Stroebel

发明人： David Casavant ,  Paul Belk ,  Thomas Mullen ,  John Stroebel

IPC分类号： A61N1/362

CPC分类号： A61N1/368 ,  A61N1/3682 ,  A61N1/3688

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）。