发明公开
EP0952872A1 IMPLANTABLE CARDIAC STIMULATOR WITH CAPTURE DETECTION AND IMPEDANCE BASED AUTOTUNING OF CAPTURE DETECTION
失效
N5000系列的购买证据IMPEDENZGESTEUERTE自动检测检测SET植入起搏器
- 专利标题: IMPLANTABLE CARDIAC STIMULATOR WITH CAPTURE DETECTION AND IMPEDANCE BASED AUTOTUNING OF CAPTURE DETECTION
- 专利标题(中): N5000系列的购买证据IMPEDENZGESTEUERTE自动检测检测SET植入起搏器
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申请号: EP97949800.0申请日: 1997-12-11
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公开(公告)号: EP0952872A1公开(公告)日: 1999-11-03
- 发明人: PRUTCHI, David , PAUL, Patrick, J.
- 申请人: INTERMEDICS INC.
- 申请人地址: 4000 Technology Drive Angleton Texas 77515 US
- 专利权人: INTERMEDICS INC.
- 当前专利权人: INTERMEDICS INC.
- 当前专利权人地址: 4000 Technology Drive Angleton Texas 77515 US
- 代理机构: Beresford, Keith Denis Lewis, et al
- 优先权: US19960766526 19961213
- 国际公布: WO1998025672 19980618
- 主分类号: A61N1
- IPC分类号: A61N1
摘要:
An implantable cardiac stimulator (10) for detecting capture or adjusting the strength or duration of pacing pulses by using an evoked response detector (41) and periodically tuning (334) the evoked response detector. When the electric evoked response detector is to be tuned, capture is verified by detecting the mechanical evoked response, as the magnitude of the stimulating pulse is adjusted to isolate the threshold as detected by the mechanical response detector (42). At the same time, the electrical evoked response is also monitored. The difference between the detected electrical signal following capture as detected by the mechanical response detector and the signal following non-capture is used to tune the electrical evoked response detection apparatus and algorithm. The energy of the pacing pulse can then be optimized (232) by adjusting both strength and duration. A very small safety margin is needed since capture is continuously monitored by the electrical evoked response apparatus and a safety pulse is immediately applied if capture is lost. The safety pulse can be applied in the same cardiac cycle so that the heart beat remains controlled.
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