Invention Grant
- Patent Title: Method of continuous capture verification in cardiac resynchronization devices
- Patent Title (中): 心脏再同步装置中连续捕获验证的方法
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Application No.: US12501691Application Date: 2009-07-13
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Publication No.: US08417337B2Publication Date: 2013-04-09
- Inventor: James W. Busacker , Todd J. Sheldon
- Applicant: James W. Busacker , Todd J. Sheldon
- Applicant Address: US MN Minneapolis
- Assignee: Medtronic, Inc.
- Current Assignee: Medtronic, Inc.
- Current Assignee Address: US MN Minneapolis
- Agent Reed A. Duthler
- Main IPC: A61N1/00
- IPC: A61N1/00

Abstract:
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.
Public/Granted literature
- US20090276001A1 METHOD OF CONTINUOUS CAPTURE VERIFICATION IN CARDIAC RESYNCHRONIZATION DEVICES Public/Granted day:2009-11-05
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