Crossover adapter and crossover lead

    公开(公告)号:US11406834B2

    公开(公告)日:2022-08-09

    申请号:US16038660

    申请日:2018-07-18

    申请人: Morton M. Mower

    发明人: Morton M. Mower

    摘要: An adapter includes a first connector, a second connector, and a circuit that reverses a polarity of a signal received at the first connector. Moreover, a lead includes a connector including a cathode terminal and an anode terminal, an electrode including a tip and a ring, and a circuit that connects the anode terminal of the connector to the tip of the electrode and that connects the cathode terminal of the connector to the ring of the electrode.

    System and method for breaking reentry circuits by cooling cardiac tissue
    4.
    发明授权
    System and method for breaking reentry circuits by cooling cardiac tissue 失效
    通过冷却心脏组织破坏再入电路的系统和方法

    公开(公告)号:US07840264B1

    公开(公告)日:2010-11-23

    申请号:US11731203

    申请日:2007-03-30

    申请人: Morton M. Mower

    发明人: Morton M. Mower

    IPC分类号: A61N1/00

    摘要: Systems and methods to inhibit the conduction of certain spurious electrical impulses in the heart. Inhibition of spurious electrical impulses in the heart is accomplished by cooling one or more targeted portions of the heart. Optionally, inhibition of spurious electrical impulses may be accomplished by cooling of cardiac tissue in combination with pacing of the heart.

    摘要翻译: 抑制心脏中某些杂散电脉冲传导的系统和方法。 通过冷却心脏的一个或多个目标部分来实现对心脏中的杂散电脉冲的抑制。 任选地,可以通过与心脏的起搏相结合来冷却心脏组织来实现寄生电脉冲的抑制。

    System and method for managing detrimental cardiac remodeling
    5.
    发明授权
    System and method for managing detrimental cardiac remodeling 有权
    用于管理有害心脏重塑的系统和方法

    公开(公告)号:US07440800B2

    公开(公告)日:2008-10-21

    申请号:US11141403

    申请日:2005-05-31

    申请人: Morton M. Mower

    发明人: Morton M. Mower

    IPC分类号: A61N1/00

    CPC分类号: A61N1/3627 A61N1/3684

    摘要: A system and method for managing and inhibiting cardiac remodeling in MI patients. Bi-ventricular stimulation is constantly provided with and without sensing to encourage normal pumping of the heart on a consistent basis. Pulses are administered using an anodal pulse followed by a cathodal pulse to stimulate cardiac muscle contraction. Stem cells are administered to MI areas to encourage regeneration of cardiac tissue in the damaged area. Stimulation may be provided to both healthy and compromised cardiac tissue.

    摘要翻译: 一种用于管理和抑制MI患者心脏重塑的系统和方法。 不间断地提供双心室刺激,有助于不受感染,以鼓励心脏正常泵送。 使用阳极脉冲随后阴极脉冲施用脉冲以刺激心肌收缩。 将干细胞施用于MI区域以促进损伤区域中心脏组织的再生。 刺激可以提供给健康和妥协的心脏组织。

    Methods, apparatus, and systems for multiple stimulation from a single stimulator
    6.
    发明授权
    Methods, apparatus, and systems for multiple stimulation from a single stimulator 有权
    来自单个刺激器的多次刺激的方法,装置和系统

    公开(公告)号:US07231249B2

    公开(公告)日:2007-06-12

    申请号:US10625526

    申请日:2003-07-24

    申请人: Morton M. Mower

    发明人: Morton M. Mower

    IPC分类号: A61N1/00

    摘要: Methods, apparatus, and systems are provided to stimulate multiple sites in a heart. A controller senses electrical activity associated with sinus rhythm of the heart. A signal generator is configured to generate an electrical signal for stimulating the heart. Based on the electrical signal, a distributor circuit then distributes the stimulating signals, such as pacing pulses, to a heart. The distributor circuit may vary the delay time between stimulating signals, inhibit a stimulating signal, trigger application of a stimulating signal, or vary the characteristics, such as the pulse width and amplitude, of a stimulating signal.

    摘要翻译: 提供方法,装置和系统以刺激心脏中的多个部位。 控制器感测与心脏窦性心律相关的电活动。 信号发生器被配置为产生用于刺激心脏的电信号。 基于电信号,分配器电路然后将刺激信号(例如起搏脉冲)分配到心脏。 分配器电路可以改变刺激信号之间的延迟时间,抑制刺激信号,触发施加刺激信号,或改变刺激信号的特性,例如脉冲宽度和幅度。

    System and method for breaking reentry circuits by cooling cardiac tissue
    7.
    发明授权
    System and method for breaking reentry circuits by cooling cardiac tissue 失效
    通过冷却心脏组织来破坏再入电路的系统和方法

    公开(公告)号:US07203537B2

    公开(公告)日:2007-04-10

    申请号:US10754887

    申请日:2004-01-10

    申请人: Morton M. Mower

    发明人: Morton M. Mower

    IPC分类号: A61N1/37

    摘要: Systems and methods to inhibit the conduction of certain spurious electrical impulses in the heart. Inhibition of spurious electrical impulses in the heart is accomplished by cooling one or more targeted portions of the heart. Optionally, inhibition of spurious electrical impulses may be accomplished by cooling of cardiac tissue in combination with pacing of the heart.

    摘要翻译: 抑制心脏中某些杂散电脉冲传导的系统和方法。 通过冷却心脏的一个或多个目标部分来实现对心脏中的杂散电脉冲的抑制。 任选地,可以通过与心脏的起搏相结合来冷却心脏组织来实现寄生电脉冲的抑制。

    Antitachycardial pacing
    8.
    发明授权
    Antitachycardial pacing 有权
    抗心动过速起搏

    公开(公告)号:US06295470B1

    公开(公告)日:2001-09-25

    申请号:US09231570

    申请日:1999-01-14

    申请人: Morton M. Mower

    发明人: Morton M. Mower

    IPC分类号: A61N1362

    摘要: Protocols for antitachycardial pacing including biphasic stimulation administered at, or just above, the diastolic depolarization threshold potential; biphasic or conventional stimulation initiated at, or just above, the diastolic depolarization threshold potential, reduced, upon capture, to below threshold; and biphasic or conventional stimulation administered at a level set just below the diastolic depolarization threshold potential. These protocols result in reliable cardiac capture with a lower stimulation level, thereby causing less damage to the heart, extending battery life, causing less pain to the patient and having greater therapeutic effectiveness. In those protocols using biphasic cardiac pacing, a first and second stimulation phase is administered. The first stimulation phase has a predefined polarity, amplitude and duration. The second stimulation phase also has a predefined polarity, amplitude and duration. The two phases are applied sequentially. Contrary to current thought, anodal stimulation is first applied and followed by cathodal stimulation. In this fashion, pulse conduction through the cardiac muscle is improved together with the increase in contractility.

    摘要翻译: 用于抗心动过速起搏的方案,包括在舒张期去极化阈值电位施用或恰好高于舒张去极化阈值电位的双相刺激; 在舒张去极化阈值电位或之前开始的双相或常规刺激,在捕获时降低到阈值以下; 以及在恰好低于舒张期去极化阈值电位的水平下施用的双相或常规刺激。 这些协议导致可靠的心脏捕获,具有较低的刺激水平,从而对心脏造成较小的损伤,延长电池寿命,对患者造成更少的疼痛并具有更大的治疗效果。 在使用双相心脏起搏的那些方案中,施用第一和第二刺激阶段。 第一刺激阶段具有预定义的极性,幅度和持续时间。 第二刺激阶段也具有预定义的极性,幅度和持续时间。 顺序应用两个阶段。 与目前的想法相反,首先应用阳极刺激,然后进行阴极刺激。 以这种方式,通过心肌的脉冲传导随着收缩性的增加而提高。

    Method and apparatus to allow cyclic pacing at an average rate just
above the intrinsic heart rate so as to maximize inotropic pacing
effects at minimal heart rates
    9.
    发明授权
    Method and apparatus to allow cyclic pacing at an average rate just above the intrinsic heart rate so as to maximize inotropic pacing effects at minimal heart rates 失效
    方法和装置允许以高于内在心率的平均速率进行循环起搏,以便在最小心率下最大化变力起搏效应

    公开(公告)号:US6141586A

    公开(公告)日:2000-10-31

    申请号:US084571

    申请日:1998-05-26

    申请人: Morton M. Mower

    发明人: Morton M. Mower

    摘要: Method and apparatus for cyclic ventricular pacing starting at a rate just above the intrinsic atrial firing rate (overdrive pacing), followed by relaxation to a rate just below the intrinsic atrial firing rate (ventricular escape). The method and apparatus can be applied to one or both ventricles, and can utilize one or more electrodes per ventricle. The electrode(s) can be applied to inner or outer ventricular surfaces. Relaxation protocols as a function of time can be linear, curvilinear to include exponential, or mixtures thereof. Furthermore, relaxation protocols can include one or more periods of time during which the pacing rate is held constant. Typically, the average ventricular pacing rate using this invention will be slightly greater than the intrinsic atrial firing rate, though alternate embodiments that encompass average ventricular pacing rates that are equal to or slightly less than the intrinsic atrial firing rate are also envisioned. Application of this method and apparatus to a heart in need thereof will produce a heart with an optimally minimized energy output requirement.

    摘要翻译: 循环心室起搏的方法和装置,起始速度高于固有心房发射率(超速起搏),然后放松到刚好低于固有心房放电速率(心室逸出)的速率。 该方法和装置可以应用于一个或两个心室,并且可以利用每个心室的一个或多个电极。 电极可以应用于内心室或外心室表面。 作为时间的函数的松弛方案可以是线性的,曲线的包括指数,或其混合物。 此外,放松协议可以包括起搏速率保持恒定的一个或多个时间段。 通常,使用本发明的平均心室起搏速率将稍微大于固有心房放电速率,尽管也可以设想包括等于或略小于固有心房发射率的平均心室起搏速率的替代实施例。 将该方法和装置应用于有需要的心脏将产生具有最佳最小能量输出要求的心脏。

    Augmentation of electrical conduction and contractility by biphasic
cardiac pacing
    10.
    发明授权
    Augmentation of electrical conduction and contractility by biphasic cardiac pacing 失效
    通过双相心脏起搏增强电传导和收缩

    公开(公告)号:US5871506A

    公开(公告)日:1999-02-16

    申请号:US699552

    申请日:1996-08-19

    申请人: Morton M. Mower

    发明人: Morton M. Mower

    摘要: Augmentation of electrical conduction and contractility by biphasic cardiac pacing. A first stimulation phase is administered to the muscle tissue. This first stimulation phase has a predefined polarity, amplitude and duration. A second stimulation phase is then administered to the muscle tissue. This second phase also has a predefined polarity, amplitude and duration. The two phases are applied sequentially. Contrary to current thought, anodal stimulation is first applied and followed by cathodal stimulation. In this fashion, pulse conduction through the cardiac muscle is improved together with an increase in contractility. The technique can also be applied to large muscle tissue stimulation other than cardiac muscle.

    摘要翻译: 通过双相心脏起搏增强电传导和收缩。 向肌肉组织施用第一刺激阶段。 该第一刺激阶段具有预定义的极性,幅度和持续时间。 然后将第二刺激期施用于肌肉组织。 该第二阶段也具有预定义的极性,幅度和持续时间。 顺序应用两个阶段。 与目前的想法相反,首先应用阳极刺激,然后进行阴极刺激。 以这种方式,通过心肌的脉冲传导随着收缩性的增加而提高。 该技术也可应用于心肌以外的大肌肉组织刺激。