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    SENSING CARDIAC SIGNALS WITH LEADS IMPLANTED IN EPIDURAL SPACE
    2.
    发明公开
    SENSING CARDIAC SIGNALS WITH LEADS IMPLANTED IN EPIDURAL SPACE 审中-公开

    公开(公告)号：EP4249044A2

    公开(公告)日：2023-09-27

    申请号：EP23191378.1

    申请日：2021-09-20

    申请人： Medtronic, Inc.

    发明人： LI, Jiashu ,  KRAMER, Jeffrey ,  SHARMA, Vinod

    IPC分类号： A61N1/36

    摘要： Techniques are disclosed for using a cardiac signal sensed via a plurality of electrodes disposed on one or more leads implanted within an epidural space of a patient to control spinal cord stimulation (SCS) therapy. In one example, an implantable medical device (IMD) senses an electrical signal via a plurality of electrodes disposed on one or more leads implanted within an epidural space of a patient. Processing circuitry determines, from the electrical signal, one or more cardiac features indicative of activity of a heart of the patient. The processing circuitry controls, based on the one or more cardiac features, delivery of SCS therapy to the patient.

    PACE PULSE DETECTOR FOR AN IMPLANTABLE MEDICAL DEVICE
    4.
    发明公开
    PACE PULSE DETECTOR FOR AN IMPLANTABLE MEDICAL DEVICE 审中-公开
    ÜR UNG UNG UNG UNG UNG UNG UNG UNG UNG UNG UNG UNG UNG UNG UNG UNG

    公开(公告)号：EP3134181A1

    公开(公告)日：2017-03-01

    申请号：EP15718127.2

    申请日：2015-04-16

    申请人： Medtronic, Inc.

    发明人： REINKE, James D. ,  ZHANG, Xusheng ,  SHARMA, Vinod ,  NIKOLSKI, Vladimir P. ,  TERRY, Michael B. ,  HARELAND, Scott A. ,  HANSEN, Daniel L. ,  SALMI, Donna M.

    IPC分类号： A61N1/39 ,  A61B5/04

    CPC分类号： A61B5/0464 ,  A61B5/04017 ,  A61B5/686 ,  A61N1/371 ,  A61N1/3962

    摘要： In situations in which an implantable medical device (e.g., a subcutaneous ICD) is co-implanted with a leadless pacing device (LPD), it may be important that the subcutaneous ICD knows when the LPD is delivering pacing, such as anti-tachycardia pacing (ATP). Techniques are described herein for detecting, with the ICD and based on the sensed electrical signal, pacing pulses and adjusting operation to account for the detected pulses, e.g., blanking the sensed electrical signal or modifying a tachyarrhythmia detection algorithm. In one example, the ICD includes a first pace pulse detector configured to obtain a sensed electrical signal and analyze the sensed electrical signal to detect a first type of pulses having a first set of characteristics and a second pace pulse detector configured to obtain the sensed electrical signal and analyze the sensed electrical signal to detect a second type of pulses having a second set of characteristics.

    摘要翻译： 在可植入医疗器械（如皮下ICD）共同植入无引线起搏器（LPD）的情况下，重要的是皮下ICD知道LPD何时发出起搏，如抗心动过速起搏 （ATP）。 本文描述了用于利用ICD并基于感测到的电信号，用于检测起搏脉冲和调整操作以考虑检测到的脉冲的技术，例如消隐感测的电信号或修改快速性心律失常检测算法。 在一个示例中，ICD包括第一步调脉冲检测器，其被配置为获得感测的电信号并且分析所感测的电信号以检测具有第一组特性的第一类型的脉冲和被构造成获得感测的电的第二起搏脉冲检测器 信号并分析感测的电信号以检测具有第二组特性的第二类型的脉冲。

    METHOD FOR PREDICITING RECURRING VENTRICULAR ARRHYTHMIAS
    5.
    发明公开
    METHOD FOR PREDICITING RECURRING VENTRICULAR ARRHYTHMIAS 有权
    用于预测RECURRING室性心律失常

    公开(公告)号：EP1494582A1

    公开(公告)日：2005-01-12

    申请号：EP03719539.3

    申请日：2003-04-02

    申请人： Medtronic, Inc.

    发明人： ZHOU, Xiaohong ,  SHARMA, Vinod ,  OLSON, Walter, H.

    IPC分类号： A61B5/0468

    CPC分类号： A61B5/4035 ,  A61B5/046 ,  A61B5/0464 ,  A61N1/3622 ,  A61N1/3962

    摘要： An implantable medical device and method are provided for assessing autonomic tone and risk factors associated with arrhythmias and, based on this assessment, an early recurrence of ventricular tachycardia or ventricular fibrillation is predicted. Specifically, changes in R-R interval, heart rate variability, patient activity, and myocardial ischemia are measured prior to and after a detected an arrhythmia episode. A recurrence score is calculated as a weighted sum of measured parameters and compared to a prediction criterion. The prediction criterion may be a preset threshold score or an individualized episode template based on previously calculated recurrence scores associated with recurring episodes. Stored parameters and episode-related data may be downloaded for offline analyses for optimizing prediction criteria and monitoring patient status.

    DETERMINING PROSPECTIVE RISK OF HEART FAILURE HOSPITALIZATION
    9.
    发明公开
    DETERMINING PROSPECTIVE RISK OF HEART FAILURE HOSPITALIZATION 审中-公开
    确定心力衰竭住院的前瞻性风险

    公开(公告)号：EP3169222A1

    公开(公告)日：2017-05-24

    申请号：EP15747871.0

    申请日：2015-07-14

    申请人： Medtronic, Inc.

    发明人： SHARMA, Vinod ,  WARMAN, Eduardo N. ,  KLECKNER, Karen J.

    IPC分类号： A61B5/00 ,  A61B5/0205 ,  G06F19/00 ,  A61B5/046 ,  A61B5/11 ,  A61B5/0464 ,  A61B5/053

    CPC分类号： A61B5/7275 ,  A61B5/0031 ,  A61B5/0205 ,  A61B5/0432 ,  A61B5/044 ,  A61B5/046 ,  A61B5/0464 ,  A61B5/0537 ,  A61B5/1118 ,  A61B5/14503 ,  A61B5/14532 ,  A61B5/14535 ,  A61B5/14546 ,  A61B5/4836 ,  A61B5/686 ,  A61B5/6869 ,  A61B5/7278 ,  A61B5/7435 ,  A61B5/7475 ,  A61B2505/07 ,  G06F19/00 ,  G16H15/00 ,  G16H50/20 ,  G16H50/30

    摘要： A method of operation of a medical device system for determining prospective heart failure hospitalization risk. The method includes measuring one or more data observations via one or more electrodes of an implanted medical device disposed in a patient's body. The data observations are stored into memory of the implantable medical device of a patient. The data observations are transmitted to an external device. The processor of the external device parses the data observations into one or more evaluation periods. Using the number of observations in one or more evaluation periods, a look up table, stored into memory of the external device, is accessed. The look up table associates prospective heart failure hospitalization risk with the data observations noted in the evaluation period. One or more embodiments involve a weighted prospective heart failure hospitalization risk for the set of evaluation periods. The prospective heart failure hospitalization is then displayed on the graphical user interface.

    摘要翻译： 一种用于确定预期心力衰竭住院风险的医疗设备系统的操作方法。 该方法包括经由布置在患者体内的植入式医疗装置的一个或多个电极测量一个或多个数据观察结果。 数据观察被存储在患者的可植入医疗设备的存储器中。 数据观测被传输到外部设备。 外部设备的处理器将数据观察分析成一个或多个评估时段。 使用一个或多个评估周期中的观察次数，访问存储在外部设备的存储器中的查找表。 查阅表将前瞻性心力衰竭住院风险与评估期间记录的数据观察联系起来。 一个或多个实施例涉及该组评估时期的加权的预期心力衰竭住院风险。 然后在图形用户界面上显示预期的心力衰竭住院。