Non-invasive method and apparatus for cardiac pacemaker...

Surgery: light – thermal – and electrical application – Light – thermal – and electrical application – Electrical therapeutic systems

Reexamination Certificate

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C607S017000

Reexamination Certificate

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10941427

ABSTRACT:
A plethysmogram signal is sensed from a patient and provided to a programmer device for monitoring the condition of the patient and for optimizing pacing parameters of a cardiac device implanted in the patient. The programmer device analyzes the plethysmogram signal for cardiac performance associated with different pacing parameters. The cardiac performance is indicated by, for example, a pulse amplitude response, a degree of pulsus alternans, or irregularity in the pressure pulses detected in an atrial fibrillation patient. The pacing parameters resulting in the best cardiac performance are selected as the optimum pacing parameters. In one embodiment, the programmer device monitors a Valsalva maneuver performed by a patient. Optimum pacing parameters are derived by analysis of the plethysmogram signals obtained during performance of the Valsalva maneuver while the patient is paced using different pacing parameters.

REFERENCES:
patent: 4519395 (1985-05-01), Hrushesky
patent: 4922907 (1990-05-01), Hedin et al.
patent: 4930518 (1990-06-01), Hrushesky
patent: 5156147 (1992-10-01), Warren et al.
patent: 5168869 (1992-12-01), Chirife
patent: 5188106 (1993-02-01), Nappholz et al.
patent: 5197467 (1993-03-01), Steinhaus et al.
patent: 5291895 (1994-03-01), McIntyre
patent: 5312452 (1994-05-01), Salo
patent: 5318595 (1994-06-01), Ferek-Petric et al.
patent: 5330511 (1994-07-01), Boute
patent: 5334222 (1994-08-01), Salo et al.
patent: 5413592 (1995-05-01), Schroeppel
patent: 5417717 (1995-05-01), Salo et al.
patent: 5454838 (1995-10-01), Vallana et al.
patent: 5466245 (1995-11-01), Spinelli et al.
patent: 5487752 (1996-01-01), Salo et al.
patent: 5514163 (1996-05-01), Markowitz et al.
patent: 5527347 (1996-06-01), Shelton et al.
patent: 5534016 (1996-07-01), Boute
patent: 5540727 (1996-07-01), Tockman et al.
patent: 5544661 (1996-08-01), Davis et al.
patent: 5549650 (1996-08-01), Bornzin et al.
patent: 5554177 (1996-09-01), Kieval et al.
patent: 5562711 (1996-10-01), Yerich et al.
patent: 5578064 (1996-11-01), Prutchi
patent: 5584868 (1996-12-01), Salo et al.
patent: 5609612 (1997-03-01), Plicchi et al.
patent: 5626620 (1997-05-01), Kieval et al.
patent: 5626623 (1997-05-01), Kieval et al.
patent: 5628777 (1997-05-01), Moberg et al.
patent: 5674256 (1997-10-01), Carlson
patent: 5690689 (1997-11-01), Sholder
patent: 5700283 (1997-12-01), Salo
patent: 5713930 (1998-02-01), van der Veen et al.
patent: 5713933 (1998-02-01), Condie et al.
patent: 5716383 (1998-02-01), Kieval et al.
patent: 5749906 (1998-05-01), Kieval et al.
patent: 5800471 (1998-09-01), Baumann
patent: 5836975 (1998-11-01), DeGroot
patent: 5836987 (1998-11-01), Baumann et al.
patent: 5891176 (1999-04-01), Bornzin
patent: 6058329 (2000-05-01), Salo et al.
patent: 6070100 (2000-05-01), Bakels et al.
patent: 6144878 (2000-11-01), Schroeppel et al.
patent: 6144880 (2000-11-01), Ding et al.
patent: 6208901 (2001-03-01), Hartung
patent: 6223082 (2001-04-01), Bakels et al.
patent: 6280389 (2001-08-01), Ding et al.
patent: 6311089 (2001-10-01), Mann et al.
patent: 6371922 (2002-04-01), Baumann et al.
patent: 6430439 (2002-08-01), Wentkowski et al.
patent: 6438421 (2002-08-01), Stahmann et al.
patent: 6449510 (2002-09-01), Albers et al.
patent: 6480742 (2002-11-01), Stahmann et al.
patent: 6491639 (2002-12-01), Turcott
patent: 6507756 (2003-01-01), Heynen et al.
patent: 6512952 (2003-01-01), Stahmann et al.
patent: 6522921 (2003-02-01), Stahmann et al.
patent: 6522923 (2003-02-01), Turcott
patent: 6553258 (2003-04-01), Stahmann et al.
patent: 6597951 (2003-07-01), Kramer et al.
patent: 6665564 (2003-12-01), Lincoln et al.
patent: 6832113 (2004-12-01), Belalcazar
patent: 6963777 (2005-11-01), Lincoln et al.
patent: 7206636 (2007-04-01), Turcott
patent: 2001/0047194 (2001-11-01), Thompson et al.
patent: 2002/0133198 (2002-09-01), Kramer et al.
patent: 2002/0143264 (2002-10-01), Ding et al.
patent: 2003/0097158 (2003-05-01), Belalcazar
patent: 2003/0105496 (2003-06-01), Yu et al.
patent: 2003/0199936 (2003-10-01), Struble et al.
patent: 2004/0193223 (2004-09-01), Kramer et al.
patent: 2006/0009818 (2006-01-01), Von Arx et al.
patent: 2007/0150014 (2007-06-01), Kramer et al.
patent: 19720755 (1998-11-01), None
patent: 0474958 (1992-03-01), None
patent: 0793975 (1997-09-01), None
patent: WO-2006008535 (2006-01-01), None
“Itimar Medical and Medtronic Announce Further Cooperation to Advance Diagnostic Innovation”,Business Wire, p. 1254, Full text provided by Dialog,(May 9, 2000),2 pgs.
“Noninvasive MIKRO-TIP Pulse Pressure Transducer Model SPT-301”,Millar Instruments, Inc., Product Information, (2000), 1 pg.
Adolph, Robert J., et al., “Prolongation of Isovolumic Contraction Time in Left Bundle Branch Block”,American Heart Journal, 78, (1969),585-591.
Cazeau, S. , et al., “Multisite stimulation of correction of cardiac asynchrony”,Heart, 84, (2000),579-581.
Cha, Karen , et al., “Pulsus Alternans”,The New England Journal of Medicine, vol. 334, No. 13, (Mar. 28, 1996),834.
Duncan, Sr., Alison M., et al., “The Effect of Biventricular Pacing on Ejection and Filling Hemodynamics in Dilated Cardiomyopathy Patients With Activation Disturbances: the MUSTIC Study”,JACC, Abstracts Poster Session 1167-56, (2001), 1 pg.
Hirschfeld, Stephen , et al., “The isovolumic contraction time of the left ventricle. An echographic study”,Circulation, 54(5), (Nov. 1976),751-756.
Kass, David A., “Improved Left Ventricular Mechanics From Acute VDD Pacing in Patients with Dilated Cardiomyopathy and Ventricular Conduction Delay”,Circulation, 99(12), (Mar. 30, 1999),1567-1573.
Kostis, J. B., “Mechanisms of heart sounds”,American Heart Journal, 89(4), Letter to the Editor,(Apr. 1975),546-547.
Kramer, Andrew P., “Automatic Selection From Multiple Cardiac Optimization Protocols”, U.S. Appl. No. 10/624,458, filed Jul. 21, 2003, 49.
Lab, M , et al., “Pulsus Alternans”,Cardiovascular Research, vol. 27, No. 8, (Aug. 1993),1407-1412.
Leonelli, F. M., et al., “Systolic and Diastolic Effects of Variable Atrioventricular Delay in Patients With Complete Heart Block and Normal Ventricular Function”,The American Journal of Cardiology, 80(3), (Aug. 1997),294-298.
Lincoln, William C., “Cardiac Rhythm Management System and Method Using Time Between Mitral Valve Closure and Aortic Ejection”, U.S. Appl. No. 10/099,865, filed Mar. 13, 2002, 33.
Little, William C., “The Left Ventricular dP/dtmax-End-Diastolic Volume Relation in Closed-Chest Dogs”,Circulation Research, 56, (1985),808-815.
Littmann, L. , et al., “Apparent Bigeminy and Pulsus Alternans in Intermittent Left Bundle-Branch Block”,Clin. Cardiol., vol. 22, (Jul. 1999),490.
McIntyre, K. M., et al., “A Noninvasive Method of Predicting Pulmonary-Capillary Wedge Pressure”,The New England Journal of Medicine, vol. 327, No. 24, (Dec. 10, 1992),1715-1720.
McLaughline, David P., et al., “Pulsus Alternans”,The New England Journal of Medicine, vol. 341, No. 13, (Sep. 23, 1999),955.
Ritter, P. , et al., “A Built-In System Based on the Peak Endocardial Acceleration (PEA) for AV-Delay Optimization in DDDR Pacing”,Pace—Pacing and Clinical Electrophysiology, No. 5, Futura Publishing Company, Inc.,(May 1997),1567.
Ritter, P. , et al., “Determination of the optimal atrioventricular delay in DDD pacing. Comparison between echo and peak endocardial acceleration measurements”,Europace, 1(2), (Apr. 1999),126-130.
Ritter, P. , et al., “New Method for Determining the Optimal Atrio-Ventricular Delay in Patients Paces in DDD Mode for Complete Atrio-Ventricular Block”,Pace, 18, Abstract No. 237, (Apr. 1995),855.
Spodick, D H., et al., “Isovolumetric contraction period of the left ventricle. Results in a normal series and comparison of methods of calculation by atraumatic techniques”,American Heart Journal, 76(4), (Oct. 1968),498-503.
Surawicz, B. , et al., &#x

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