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    Leadless pacemaker with end-of-life protection
    93.
    发明授权
    Leadless pacemaker with end-of-life protection 有权
    无终身保护心脏起搏器

    公开(公告)号：US09592393B2

    公开(公告)日：2017-03-14

    申请号：US14577903

    申请日：2014-12-19

    Applicant: Cardiac Pacemakers, Inc.

    Inventor： Jeffrey E. Stahmann ,  Benjamin J. Haasl ,  Keith R. Maile ,  William J. Linder

    IPC: A61N1/37 ,  A61N1/375 ,  A61N1/372 ,  A61N1/39

    CPC classification number: A61N1/3708 ,  A61N1/37223 ,  A61N1/37235 ,  A61N1/3756 ,  A61N1/3962

    Abstract: A leadless cardiac pacing system includes first and second leadless pacing seeds configured to deliver pacing therapy to a first and second location in a patient, respectively. The second seed includes an electrode, a therapy circuit configured to provide electrostimulation energy to the electrode, a communications component, and a power source. The second seed also includes a power manager configured to detect an end-of-life condition associated with the seed and, in response to detecting the end-of-life condition, to communicate a signal that causes the first seed to change from a first operational state to a second operational state, in which the first seed implements one or more operational parameters configured to adapt to a change in an output from the second seed resulting from the second seed entering the end-of-life condition.

    Abstract translation: 一种无引力心脏起搏系统，包括第一和第二无引线起搏种子，分别配置为将起搏治疗递送至患者的第一和第二位置。 第二种子包括电极，被配置为向电极，通信部件和电源提供电刺激能量的治疗电路。 第二种子还包括功率管理器，其被配置为检测与种子相关联的寿命终止状况，并且响应于检测到寿命终止状况，传送使第一种子从第一种子 操作状态到第二操作状态，其中第一种子实现一个或多个操作参数，其被配置为适应从第二种子进入寿命终止状态的第二种子的输出的变化。

    CARDIAC PACING WITH GOVERNOR
    95.
    发明申请
    CARDIAC PACING WITH GOVERNOR 审中-公开
    与总督府合作

    公开(公告)号：US20170056668A1

    公开(公告)日：2017-03-02

    申请号：US15244694

    申请日：2016-08-23

    Applicant: Cardiac Pacemakers, Inc.

    Inventor： Keith R. Maile ,  Michael J. Kane ,  William J. Linder

    IPC: A61N1/365 ,  A61B5/042 ,  A61B5/0452 ,  A61N1/375

    CPC classification number: A61N1/36585 ,  A61B5/0245 ,  A61B5/0422 ,  A61B5/0452 ,  A61B5/1118 ,  A61B5/686 ,  A61B5/6869 ,  A61N1/36514 ,  A61N1/36542 ,  A61N1/3756

    Abstract: A leadless cardiac pacemaker includes a housing and two or more electrodes secured relative to the housing. A controller is configured to receive electrical signals from the two or more electrodes indicative of a heartbeat of the patient's heart and determine a first measure of cardiac load based at least in part on a delay between the Q or R feature and the T feature for the heartbeat. An accelerometer is configured to sense an activity level of the patient and the controller is configured to determine a second measure of cardiac load based at least in part on the activity level of the patient. A pacing rate is based at least in part upon the first measure of cardiac load, with the second measure of cardiac load used as a governor to the determined pacing rate.

    Abstract translation: 无引线心脏起搏器包括壳体和相对于壳体固定的两个或更多个电极。 控制器被配置为从两个或更多个电极接收指示患者心脏的心跳的电信号，并且至少部分地基于Q或R特征与T特征之间的延迟来确定心脏负荷的第一度量 心跳 加速度计被配置为感测患者的活动水平，并且控制器被配置为至少部分地基于患者的活动水平来确定心脏负荷的第二测量。 起搏速率至少部分地基于心脏负荷的第一测量，第二测量心脏负荷用作调节器以确定的起搏速率。

    Medical device systems and methods with multiple communication modes
    96.
    发明授权
    Medical device systems and methods with multiple communication modes 有权
    具有多种通信模式的医疗设备系统和方法

    公开(公告)号：US09572991B2

    公开(公告)日：2017-02-21

    申请号：US14813054

    申请日：2015-07-29

    Applicant: Cardiac Pacemakers, Inc.

    Inventor： Jeffrey E. Stahmann ,  Keith R. Maile ,  Brendan E. Koop ,  Michael J. Kane ,  Jacob M. Ludwig ,  Paul Huelskamp

    IPC: A61N1/37 ,  A61N1/362 ,  A61N1/375 ,  A61N1/372

    CPC classification number: A61N1/37288 ,  A61N1/362 ,  A61N1/371 ,  A61N1/37205 ,  A61N1/37211 ,  A61N1/3727 ,  A61N1/3756

    Abstract: Medical device systems and methods with multiple communication modes. An example medical device system may include a first medical device and a second medical device communicatively coupled to the first medical device. The first medical device may be configured to communicate information to the second medical device in a first communication mode. The first medical device may further be configured to communicate information to the second medical device in a second communication mode after determining that one or more of the communication pulses captured the heart of the patient.

    Abstract translation: 具有多种通信模式的医疗设备系统和方法。 示例性医疗设备系统可以包括通信地耦合到第一医疗设备的第一医疗设备和第二医疗设备。 第一医疗设备可以被配置为以第一通信模式向第二医疗设备传送信息。 第一医疗设备还可以被配置为在确定一个或多个通信脉冲捕获患者的心脏之后，以第二通信模式将信息传送到第二医疗设备。

    Medical device with triggered blanking period
    97.
    发明授权
    Medical device with triggered blanking period 有权
    医疗器械触发消隐期

    公开(公告)号：US09526909B2

    公开(公告)日：2016-12-27

    申请号：US14836471

    申请日：2015-08-26

    Applicant: CARDIAC PACEMAKERS, INC.

    Inventor： Jeffrey E. Stahmann ,  Michael J. Kane ,  Paul Huelskamp ,  Keith R. Maile

    IPC: A61N1/00 ,  A61N1/39 ,  A61N1/375 ,  A61N1/37 ,  A61N1/372

    CPC classification number: A61N1/3962 ,  A61N1/3702 ,  A61N1/37217 ,  A61N1/37288 ,  A61N1/3756 ,  A61N1/3925 ,  A61N1/3956

    Abstract: An implantable cardiac rhythm system includes a first implantable medical device configured to detect a first heartbeat from a first location, and a second implantable medical device configured to detect the first heart beat of the patient from a second location. The second implantable medical device, upon detecting the first heart beat, may communicate an indication of the detected first heart beat to the first implantable medical device, and in response, the first implantable medical device may institute a blanking period having a blanking period duration such that a T-wave of the detected first heart beat is blanked out by the first implantable medical device so as to not be interpreted as a subsequent second heart beat. In some instances, the first implantable medical device is an SICD and the second implantable medical device is a LCP.

    Abstract translation: 可植入心律系统包括被配置为从第一位置检测第一心跳的第一可植入医疗装置和被配置为从第二位置检测患者的第一心跳的第二可植入医疗装置。 第二可植入医疗装置在检测到第一心跳时可以将检测到的第一心跳的指示传达到第一可植入医疗装置，并且作为响应，第一可植入医疗装置可以设置具有消隐期间期间的消隐期， 检测到的第一心跳的T波被第一可植入医疗装置消隐，以便不被解释为随后的第二心跳。 在一些情况下，第一可植入医疗装置是SICD，第二可植入医疗装置是LCP。

    IMPLANTABLE MEDICAL DEVICES WITH FLELXIBLE INTERCONNECT HAVING STRAIN RELIEF
    98.
    发明申请
    IMPLANTABLE MEDICAL DEVICES WITH FLELXIBLE INTERCONNECT HAVING STRAIN RELIEF 审中-公开
    具有无菌互连的可植入医疗器械具有应变消除功能

    公开(公告)号：US20160287880A1

    公开(公告)日：2016-10-06

    申请号：US15058302

    申请日：2016-03-02

    Applicant: CARDIAC PACEMAKERS, INC

    Inventor： Jean M. Bobgan ,  Moira B. Sweeney ,  James E. Blood ,  Robert A. Jones ,  John E. Hansen ,  Keith R. Maile

    IPC: A61N1/375 ,  A61N1/372

    CPC classification number: A61N1/375 ,  A61N1/3718 ,  A61N1/3931 ,  A61N1/3956 ,  A61N1/3968

    Abstract: Implantable medical devices including interconnections having strain-relief structure. The interconnections can take the form of flexible circuits. Strain relief gaps and shapes are integrated in the interconnections to relieve forces in each of three dimensions. In some examples, the region of an interconnection which couples with a component of the implantable medical device is separated by a strain relief gap from a connection to a second component and/or a location where the flex bends around a corner.

    Abstract translation: 可植入医疗装置，包括具有应变消除结构的互连。 互连可以采取柔性电路的形式。 应变消除间隙和形状集成在互连中以减轻三维中的每一个的力。 在一些示例中，与可植入医疗装置的部件联接的互连区域通过应变释放间隙与第二部件的连接和/或弯曲部弯曲在拐角处的位置分开。

    TAP SENSOR-ENABLED IMD
    100.
    发明申请
    TAP SENSOR-ENABLED IMD 审中-公开

    公开(公告)号：US20160243373A1

    公开(公告)日：2016-08-25

    申请号：US15050461

    申请日：2016-02-22

    Applicant: Cardiac Pacemakers, Inc.

    Inventor： James R. Kalgren ,  Keith R. Maile ,  Jonathan H. Kelly

    IPC: A61N1/39 ,  A61B5/11 ,  A61B5/01 ,  A61B5/021 ,  A61B5/026 ,  A61B5/00 ,  A61B5/0402

    CPC classification number: A61N1/3987 ,  A61B5/0015 ,  A61B5/0031 ,  A61B5/026 ,  A61B5/0432 ,  A61B5/1117 ,  A61B5/7475 ,  A61N1/37217 ,  A61N1/3962

    Abstract: An implantable medical device (IMD) includes a tap sensor configured to detect an impact event occurring on the surface of the patient's body. The tap sensor is configured to determine whether the impact event (which may be, for example, a tap of a finger or hand upon a surface of the body) likely is a communication directed at the tap sensor. In response to determining that the impact event likely is a communication directed at the tap sensor, the IMD is configured to transition from a first state to a second state.

    Abstract translation: 可植入医疗装置（IMD）包括配置成检测在患者身体表面上发生的冲击事件的抽头传感器。 敲击传感器被配置为确定撞击事件（其可能是例如手指或手在身体表面上的抽头）是否可能是指向抽头传感器的通信。 响应于确定冲击事件可能是针对抽头传感器的通信，IMD被配置为从第一状态转换到第二状态。

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