发明授权
- 专利标题: Method of continuous capture verification in cardiac resynchronization devices
- 专利标题(中): 心脏再同步装置中连续捕获验证的方法
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申请号: US12501691申请日: 2009-07-13
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公开(公告)号: US08417337B2公开(公告)日: 2013-04-09
- 发明人: James W. Busacker , Todd J. Sheldon
- 申请人: James W. Busacker , Todd J. Sheldon
- 申请人地址: US MN Minneapolis
- 专利权人: Medtronic, Inc.
- 当前专利权人: Medtronic, Inc.
- 当前专利权人地址: US MN Minneapolis
- 代理商 Reed A. Duthler
- 主分类号: A61N1/00
- IPC分类号: A61N1/00
摘要:
In bi-ventricular pacing devices (including CRT devices) analysis of myocardial electrogram signals in one ventricle (e.g., a left ventricle, or “LV”) can be used to infer capture or loss-of-capture (LOC) of an earlier stimulus pulse in the same ventricle, on a continuous (every pacing cycle), triggered, aperiodic and/or periodic basis. Rather than using an evoked-response principle as has been the basis of capture detection in prior art and other systems, a principle employed via the present invention uses evidence of inter-ventricular conduction (i.e., from the opposite chamber) and/or atrio-ventricular conduction as evidence of LOC, since a non-capturing pacing stimulus provided to a first chamber will allow the myocardial tissue of the first chamber to remain non-refractory and thus inter-ventricular and atrio-ventricular wavefront propagation and conduction can commence and be detected thereby revealing whether LOC has occurred.
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