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69 results about "Cardiac conduction" patented technology

Rate control during AF using cellular intervention to modulate AV node

A biologic intervention method and apparatus generates a persistent modification to an AV node that is physiologically stable after the agent has matured but is alterable with subsequent application of an agent. Specifically, the generic agent is used to modulate a node in a cardiac conduction system including rate control using one and a combination of a family of K+ channel or equivalent. Specifically, the channel is implemented to slow conduction by generating an outward current during optimization of action potential and repolarization phase thus decreasing the current that is available to excite downstream cells. A Kv 1.3 channel, for example, may be used as the biologic channel. The invention enables reversal of the modulation or adjustment for various heart rates (BPM) based on medical and patient-specific needs.
Owner:MEDTRONIC INC

Method and system for characterizing a representative cardiac beat using multiple templates

The present invention provides a method and system for characterizing one beat of a patient's supraventricular rhythm. A plurality of templates is provided and updated using a plurality of qualified beats. Updating occurs by temporally aligning the shock channel waveforms of the template beats using rate channel fiducial points. The template beats are combined by point-by-point addition of the shock channel waveforms. The resultant updated template characterizes one of the patient's supraventricular conducted cardiac beats.
Owner:CARDIAC PACEMAKERS INC

Bi-ventricular ventricular capture management in cardiac resyncronization therapy delivery devices

The present invention provides a technique for verifying pacing capture of a ventricular chamber, particularly to ensure desired delivery of a ventricular pacing regime (e.g., “CRT”). The invention also provides ventricular capture management by delivering a single ventricular pacing stimulus and checking inter-ventricular conduction during a temporal window to determine if the stimulus captured. If a loss-of-capture (LOC) signal results from the capture management testing, then the applied pacing pulses are modified and the conduction test repeated. If LOC, an alert message can issue. Other aspects include: use of a trend of A-RV / LV and LV-RV timing intervals to monitor changes in the patient's heart conduction properties; bi-ventricular verification test and search—while still pacing BiV by detecting latent sense; single-V pacing threshold search, use of timing of sense in other V chamber to establish capture and LOC windows; (iv) use of a premature V pace rather than short AV interval if VV cannot be discriminated from AV; (v) option to run a threshold search only if the Bi-ventricular verification test fails.
Owner:MEDTRONIC INC

Ventricular conduction delay trending system and method

A method and system for ascertaining the condition of the heart's conduction system in a patient treated for congestive heart failure with pacing therapy. In accordance with the invention, changes in ventricular activation patterns are monitored over time in order to detect changes in the heart's conduction system that may occur due to physiological regeneration of conduction pathways. The activation patterns are reflected by electrogram signals detected from different ventricular locations. By measuring the difference in conduction times of an excitation impulse traveling from the AV node to the different ventricular locations, a parameter representative of the heart's conduction system is obtained that may be used to adjust the pacing therapy in accordance therewith.
Owner:CARDIAC PACEMAKERS INC

Atrial retrograde management

ActiveUS20060129199A1Reduce atrial retrograde conductionHeart defibrillatorsHeart stimulatorsAtrial cavityCardiac cycle
Methods and systems for classifying cardiac responses to pacing stimulation and / or preventing retrograde cardiac conduction are described. Following delivery of a pacing pulse to an atrium of the patient's heart during a cardiac cycle, the system senses in the atrium for a retrograde P-wave. The system classifies the atrial response to the pacing pulse based on detection of the retrograde P-wave. The system may also sense for an atrial evoked response and utilize the atrial evoked response in classifying the cardiac pacing response. If capture is not detected, the system may deliver additional atrial pacing pulses to reduce atrial retrograde conduction. A backup pace may be delivered to prevent the atrial retrograde conduction if an atrial evoked response is not detected during a cardiac cycle. Alternatively, retrograde management may involve delaying a next scheduled pace may be until expiration of an atrial effective refractory period.
Owner:CARDIAC PACEMAKERS INC

Atrial capture verification

Methods and systems for classifying cardiac responses to pacing stimulation and / or preventing retrograde cardiac conduction are described. Following delivery of a pacing pulse to an atrium of the patient'heart during a cardiac cycle, the system senses in the atrium for a retrograde P-wave. The system classifies the atrial response to the pacing pulse based on detection of the retrograde P-wave. The system may also sense for an atrial evoked response and utilize the atrial evoked response in classifying the cardiac pacing response.
Owner:CARDIAC PACEMAKERS INC

System and method for assessing cardiac performance through transcardiac impedance monitoring

A system and method for assessing cardiac performance through transcardiac impedance monitoring is described. Intracardiac impedance measures are directly collected through an implantable medical device. The intracardiac impedance measures are correlated to cardiac dimensional measures relative to performance of an intrathoracic pressure maneuver. The cardiac dimensional measures are grouped into at least one measures set corresponding to a temporal phase of the intrathoracic pressure maneuver. The at least one cardiac dimensional measures set is evaluated against a cardiac dimensional trend for the corresponding intrathoracic pressure maneuver temporal phase to represent cardiac performance.
Owner:CARDIAC PACEMAKERS INC

Utilization of electrode spatial arrangements for characterizing cardiac conduction conditions

A system and method are provided for determining electrophysiological data. The system comprises an electronic control unit that is configured to receive electrical signals from a set of electrodes, receive position and orientation data for the set of electrodes from a mapping system, compensate for position and orientation artifacts of the set of electrodes, compose cliques of a subset of neighboring electrodes in the set of electrodes, determine catheter orientation independent information of a target tissue, and output the orientation independent information to a display. The method comprising receiving electrogram data for a set of electrodes (80), compensating for artifacts in sensor positions in the mapping system (81), resolving the bipolar signals into a 3D vector electrogram in the mapping system coordinates (82), manipulating observed unipolar voltage signals and the tangent component of the e-field to estimate the conduction velocity vector (83), and outputting the catheter orientation independent information (84).
Owner:ST JUDE MEDICAL ATRIAL FIBRILLATION DIV

Ischemia detection based on cardiac conduction time

Methods and process for detection of myocardial ischemia involve detection and analysis of changes in electrical conduction velocity within the heart to monitor changes in the condition of the cardiac muscle and indicate possible ischemia. Conduction velocity slows considerably when oxygen supply to the heart is reduced. Analysis of electrical conduction velocity can be used to verify the occurrence of myocardial ischemia in a more reliable manner. Changes in conduction velocity may be monitored based on conduction time between electrodes positioned in the left and right ventricles of the heart. The electrodes may be endocardial or epicardial electrodes. In general, the techniques may involve launching a stimulation waveform at one electrode and sensing a local cardiac depolarization at another electrode to assess conduction time.
Owner:MEDTRONIC INC

Compositions and methods for treating cardiac dysfunction

Disclosed are methods and systems for restoring cardiac function or preventing cardiac dysfunction, particularly cardiac pacing dysfunction by genetic modification of the conduction system of the heart. In one embodiment, the invention provides a method of genetically modifying the cells by delivering to the cells one or more coding sequences in a genetic construct capable of modifying the expression of or conductance of ion channels of the cells of the atrioventricular node cells to suppress conductance of impulses therethrough in combination with pacemaker treatment.
Owner:MEDTRONIC INC

System and method for forming a non-ablative cardiac conduction block

A system forms a cardiac conduction block at a location in a heart of a patient without substantially ablating cardiac tissue. The system includes a delivery system coupled to a source of material that is substantially non-ablative with respect to cardiac tissue. The delivery system delivers the material to the location, and the material at the location forms a conduction block without ablating the cardiac cells there. The material may include living cells, such as for example skeletal myocytes, and / or may include a non-living matter such as biopolymers such as a fibrin glue agent, or collagen agents. An expandable member with needle assembly is used to deliver the material so as to form a non-ablative circumferential conduction block at a location where a pulmonary vein extends from an atrium.
Owner:RGT UNIV OF CALIFORNIA

System and method for forming a non-ablative cardiac conduction block

A system forms a cardiac conduction block at a location in a heart of a patient, generally without substantially ablating cardiac tissue. The system includes a delivery system coupled to a source of material that is substantially non-ablative with respect to cardiac tissue but that substantially interrupts and thus blocks cardiac conduction. The delivery system delivers the material to the location, and the material at the location forms a conduction block without substantially ablating the cardiac cells there. The material includes a synthetic polymer, a polysaccharide (e.g. block polysaccharide, alginate, etc.), or a protein, or an analog, derivative, precursor, or agent thereof, or a combination or blend thereof. The material may include living cells. The delivery assembly may include a needle for injecting the material. An expandable member is provided with a needle assembly to deliver the material and form a non-ablative circumferential conduction block where a pulmonary vein extends from an atrium.
Owner:RGT UNIV OF CALIFORNIA

Ventricular conduction delay trending system and method

A method and system for ascertaining the condition of the heart's conduction system in a patient treated for congestive heart failure with pacing therapy. In accordance with the invention, changes in ventricular activation patterns are monitored over time in order to detect changes in the heart's conduction system that may occur due to physiological regeneration of conduction pathways. The activation patterns are reflected by electrogram signals detected from different ventricular locations. By measuring the difference in conduction times of an excitation impulse traveling from the AV node to the different ventricular locations, a parameter representative of the heart's conduction system is obtained that may be used to adjust the pacing therapy in accordance therewith.
Owner:CARDIAC PACEMAKERS INC

Methods and compositions for correction of cardiac conduction disturbances

InactiveUS20060002898A1BiocideVirusesCardiac problemsCardiac conduction disturbances
The invention provides methods for establishing electrical coupling between cardionyocytes and recombinant cells which have been genetically engineered to express a gap junction protein, eg., Connexin protein such as Connexin 43 (CX43) protein, n invention is based on the discovery that genetic modification of skeletal muscle cells to express a recombinant connexin, enables the genetically modified cells to establish electrocommunication with cardiac cells via gap junctions. The recombinant connexin-expressing cells can be used for repair of cardiac issue and for treatment of cardiac disease by transplantation into cardiac tissue.
Owner:RGT UNIV OF CALIFORNIA

System and method for genetically treating cardiac conduction disturbances

InactiveUS7094201B1Improve cardiac conductionCorrects and improves cardiac conductionPeptide/protein ingredientsInternal electrodesGenetic MaterialsCardiac cell
The present invention provides delivery systems for and methods of delivering conduction protein genetic material to cardiac cells in localized areas of the heart to improve the conductance therein. More specifically, there is provided a system and method for delivering connexin proteins or nucleic acid molecules encoding connexin proteins to a site in the heart which has been determined by mapping procedures to have a conduction disturbance. For cases where conduction is impaired, selected genetic material is delivered to cells around the disturbance area, in order to enhance overall conductivity patterns; in other cases, genetic material is selected to slow conduction in affected areas, so as to prevent, e.g., brady-tachy syndrome.
Owner:MEDTRONIC INC

Methods and compositions for correction of cardiac conduction disturbances

The invention provides methods for establishing electrical coupling between cardiomyocytes and recombinant cells which have been genetically engineered to express a connexin protein such as connexin 43 (Cx43) protein. The invention is based on the discovery that genetic modification of skeletal muscle cells to express a recombinant connexin, enables the genetically modified cells to establish electrocommunication with cardiac cells via gap junctions. The recombinant connexin-expressing cells can be used for repair of cardiac tissue and for treatment of cardiac disease by transplantation into cardiac tissue.
Owner:RGT UNIV OF CALIFORNIA

System and Method for Genetically Treating Cardiac Conduction Disturbances

InactiveUS20080008688A1Improve cardiac conductionCorrects and improves cardiac conductionBiocideElectrotherapyGenetic MaterialsCardiac cell
The present invention provides delivery systems for and methods of delivering conduction protein genetic material to cardiac cells in localized areas of the heart to improve the conductance therein. More specifically, there is provided a system and method for delivering connexin proteins or nucleic acid molecules encoding connexin proteins to a site in the heart which has been determined by mapping procedures to have a conduction disturbance. For cases where conduction is impaired, selected genetic material is delivered to cells around the disturbance area, in order to enhance overall conductivity patterns; in other cases, genetic material is selected to slow conduction in affected areas, so as to prevent, e.g., brady-tachy syndrome.
Owner:MEDTRONIC INC

Methods and compositions for correction of cardiac conduction disturbances

The invention provides methods for establishing electrical coupling between cardiomyocytes and recombinant cells which have been genetically engineered to express a gap junction protein, e.g., a connexin protein such as connexin 43 (Cx43) protein. The invention is based on the discovery that genetic modification of skeletal muscle cells to express a recombinant connexin, enables the genetically modified cells to establish electrocommunication with cardiac cells via gap junctions. The recombinant connexin expressing cells can be used for repair of cardiac tissue and for treatment of cardiac disease by transplantation into cardiac tissue.
Owner:RGT UNIV OF CALIFORNIA

Genetic modification of targeted regions of the cardiac conduction system

ActiveUS8013133B2Facilitating and restoring synchronous contractionElectrotherapySugar derivativesCardiac dysfunctionMedicine
Disclosed are methods and systems for preventing or treating cardiac dysfunction, particularly cardiac pacing dysfunction by genetic modification of the conduction system of the heart. In one embodiment, the invention provides a method of genetically modifying the cells by delivering to the cells one or more coding sequence in a genetic construct capable of modifying the expression of ion channels of the cells.
Owner:MEDTRONIC INC

Conduction pathway driven multi-site pacing apparatus

An apparatus comprises a stimulus circuit, a cardiac signal sensing circuit, and a control circuit. The cardiac signal sensing circuit senses a cardiac activity signal using a sensing channel. The stimulus circuit provides electrical pulse energy to a first pacing channel that includes a first left ventricular (LV) electrode and a second pacing channel that includes a second LV electrode. The control circuit initiates delivery of electrical pulse energy using the first and second pacing channels according to a first multi-site LV pacing mode; determines a cardiac event associated with a changein cardiac conduction path using a sensed cardiac activity signal; and changes to a second LV pacing mode in response to determining the cardiac event. The second LV pacing mode is different from thefirst multi-site LV pacing mode in one or more of a pacing site location and inter-electrode stimulus timing.
Owner:CARDIAC PACEMAKERS INC

Genetic modification of targeted regions of the cardiac conduction system

Disclosed are compositions, methods and systems for preventing or treating cardiac dysfunction, particularly cardiac pacing dysfunction by genetic modification of cells of targeted regions of the cardiac conduction system. In particular, a bio-pacemaker composition is delivered to cardiac cells to increase the intrinsic pacemaking rate of the cells, wherein the bio-pacemaker composition increases expression of a channel or subunit thereof that produces funny current and a T-type Ca2+ channel or subunit thereof, and expresses one or more molecules that suppresses the expression of the wild type potassium channel.
Owner:MEDTRONIC INC

Genetic modification of targeted regions of the cardiac conduction system

InactiveUS20070021375A1Facilitating and restoring synchronous contractionCell receptors/surface-antigens/surface-determinantsSugar derivativesCardiac pacemaker electrodeWild type
Disclosed are compositions, methods and systems for preventing or treating cardiac dysfunction, particularly cardiac pacing dysfunction by genetic modification of cells of targeted regions of the cardiac conduction system. In particular, a bio-pacemaker composition is delivered to cardiac cells to increase the intrinsic pacemaking rate of the cells, wherein the bio-pacemaker composition increases expression of a channel or subunit thereof that produces funny current and a T-type Ca2+ channel or subunit thereof, and expresses one or more molecules that suppresses the expression of the wild type potassium channel.
Owner:SHARMA VINOD +1

Method for determining cardiac impulse conduction and associated medical device

A method for determining cardiac impulse conduction, in particular three-dimensional cardiac impulse conduction, in a patient, comprising: generating an image recording of an area of the body of the patient capturing at least partially electrocardiogram electrodes arranged on the body of the patient by an imaging modality; determining positions of the electrocardiogram electrodes in a system of coordinates assigned to the imaging modality; recording of potential data of some of the electrocardiogram electrodes; and reconstructing cardiac impulse conduction depending on the determined positions of the electrocardiogram electrodes, the image recording and the recording of potential data of the electrocardiogram electrodes, wherein at least one image recording is generated substantially simultaneously with the recording of potential data of the electrocardiogram electrodes or is generated in the period between two recordings of potential data of the electrocardiogram electrodes.
Owner:SIEMENS HEALTHCARE GMBH

Method for determining cardiac impulse conduction and associated medical device

A method for determining cardiac impulse conduction, in particular three-dimensional cardiac impulse conduction, in a patient, comprising: generating an image recording of an area of the body of the patient capturing at least partially electrocardiogram electrodes arranged on the body of the patient by an imaging modality; determining positions of the electrocardiogram electrodes in a system of coordinates assigned to the imaging modality; recording of potential data of some of the electrocardiogram electrodes; and reconstructing cardiac impulse conduction depending on the determined positions of the electrocardiogram electrodes, the image recording and the recording of potential data of the electrocardiogram electrodes, wherein at least one image recording is generated substantially simultaneously with the recording of potential data of the electrocardiogram electrodes or is generated in the period between two recordings of potential data of the electrocardiogram electrodes.
Owner:SIEMENS HEALTHCARE GMBH

Methods and compositions for correction of cardiac conduction disturbances

InactiveUS20080019953A1BiocideGenetic material ingredientsCardiac conduction disturbancesCardiac conduction
The invention provides methods for establishing electrical coupling between cardiomyocytes and recombinant cells which have been genetically engineered to express a connexin protein such as connexin 43 (Cx43) protein. The invention is based on the discovery that genetic modification of skeletal muscle cells to express a recombinant connexin, enables the genetically modified cells to establish electrocommunication with cardiac cells via gap junctions. The recombinant connexin-expressing cells can be used for repair of cardiac tissue and for treatment of cardiac disease by transplantation into cardiac tissue.
Owner:RGT UNIV OF CALIFORNIA
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