发明授权
- 专利标题: Methods for setting cardiac pacing parameters in relatively high efficiency pacing systems
- 专利标题(中): 在较高效率起搏系统中设置心脏起搏参数的方法
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申请号: US13193783申请日: 2011-07-29
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公开(公告)号: US08626294B2公开(公告)日: 2014-01-07
- 发明人: Todd J. Sheldon , Wade M. Demmer
- 申请人: Todd J. Sheldon , Wade M. Demmer
- 申请人地址: US MN Minneapolis
- 专利权人: Medtronic, Inc.
- 当前专利权人: Medtronic, Inc.
- 当前专利权人地址: US MN Minneapolis
- 代理商 Reed A. Duthler
- 主分类号: A61N1/368
- IPC分类号: A61N1/368
摘要:
According to some methods, for example, preprogrammed in a microprocessor element of an implantable cardiac pacing system, at least one of a number of periodic pacing threshold searches includes steps to reduce an evoked response amplitude threshold for evoked response signal detection. The reduction may be to a minimum value measurable above zero, for example, as determined by establishing a ‘noise floor’. Alternately, amplitudes of test pacing pulses and corresponding post pulse signals are collected and reviewed to search for a break, to determine a lower value to which the evoked response threshold may be adjusted without detecting noise. Subsequent to reducing the threshold, if no evoked response signal is detected for a test pulse applied at or above a predetermined maximum desirable pulse energy, an operational pacing pulse energy is set to greater than or equal to the maximum desirable in conjunction with a reduction in pacing rate.
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