Four-chamber pacing system for optimizing cardic output and determining heart condition

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United States of America Patent

PATENT NO 6223082
SERIAL NO

09493689

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ATTORNEY / AGENT: (SPONSORED)

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Abstract

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A pacing system and method for providing multiple chamber pacing of a patient's heart, and in particular, pacing programmed for treatment of various forms of heart failure. The system utilizes impedance sensing for determining optimum pacing parameters, e.g., for pacing the left ventricle so that left heart output is maximized. The impedance sensing also is used for determination of arrhythmias or progression of heart failure. Impedance sensing is provided for between selected pairs of the four chambers, to enable optimizing of information for control and diagnosis. In a preferred embodiment impedance measurements are obtained for determining the timing of right heart valve closure or right ventricular contractions, and the timing of delivery of left ventricular pace pulses is adjusted so as to optimally synchronize left ventricular pacing with the right ventricular contractions. Impedance sensing in the left heart also provides timing of mechanical contraction, and the pacemaker controls pacing to maintain bi-ventricular mechanical synchronization adjusted for maximum cardiac output.

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Patent Owner(s)

Patent OwnerAddress
MEDTRONIC INC710 MEDTRONIC PARKWAY MINNEAPOLIS MN 55432

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Inventor(s)

Inventor Name Address # of filed Patents Total Citations
Bakels, Arnoldus Simpelveld, NL 13 1062
de, Roos Cobus Landgraaf, NL 10 938
Leinders, Robert Limbricht, NL 35 2944

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