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91.发明申请APPARATUS TO SELECTIVELY INCREASE MEDICAL DEVICE LEAD INNER CONDUCTOR INDUCTANCE 有权选择性增加医疗器械引导内导体电感的设备公开(公告)号：US20110160816A1
公开(公告)日：2011-06-30
申请号：US12905336
申请日：2010-10-15
摘要： A medical device lead includes an insulative lead body, outer and inner conductive coils, and a flexible core assembly. The outer conductive coil extends through the lead body and is coupled to a first electrode at a distal end of the outer conductive coil. The inner conductive coil extends coaxially with the outer conductive coil, is coupled to a second electrode at a distal end of the inner conductive coil, and includes a central lumen. The flexible core assembly is disposed in the central lumen and is comprised of a material that has a saturation magnetization of at least about 1.5 T and a relative permeability of greater than one. The flexible core assembly includes a positioning interface configured for manipulation of the flexible core assembly such that the flexible core assembly translates through the central lumen during insertion and extraction of the flexible core assembly.
摘要翻译： 医疗器械引线包括绝缘引线体，外部和内部导电线圈以及柔性芯组件。 外部导电线圈延伸穿过引线体并且在外部导电线圈的远端处耦合到第一电极。 与外部导电线圈同轴地延伸的内部导电线圈耦合到内部导电线圈的远端处的第二电极，并且包括中心腔。 柔性芯组件设置在中心腔中，并且由具有至少约1.5T的饱和磁化强度和大于1的相对磁导率的材料构成。 柔性芯组件包括配置用于操纵柔性芯组件的定位接口，使得柔性芯组件在插入和拔出柔性芯组件期间通过中心腔平移。
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公开(公告)号：US20110160808A1
公开(公告)日：2011-06-30
申请号：US12977158
申请日：2010-12-23
IPC分类号： A61N1/36
CPC分类号： A61N1/37 , A61N1/086 , A61N1/3706 , A61N1/3718 , A61N1/37258 , A61N1/3752 , A61N2001/083
摘要： An implantable medical device can include a hermetically-sealed implantable housing, an exposed first conductor located on or near the housing, and at least one insulated second conductor located near the exposed first conductor. In an example, the implantable medical device can include an isolation test circuit to provide a test stimulus to the exposed first conductor and configured to measure a portion of the test stimulus coupled to the second conductor.
摘要翻译： 可植入医疗装置可以包括密封的可植入壳体，位于壳体上或附近的暴露的第一导体，以及位于暴露的第一导体附近的至少一个绝缘的第二导体。 在一个示例中，可植入医疗设备可以包括隔离测试电路，以向暴露的第一导体提供测试刺激，并且被配置为测量耦合到第二导体的测试刺激的一部分。
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公开(公告)号：US20110144712A1
公开(公告)日：2011-06-16
申请号：US12966249
申请日：2010-12-13
CPC分类号： A61N1/36585 , A61N1/36 , A61N1/362 , A61N1/3627 , A61N1/365
摘要： Intermittent delivery of ventricular pacing pulses synchronized to occur during an atrial diastole time period can be used to provide atrial stretch therapy and augment the production and release of atrial natriuretic hormone.
摘要翻译： 间歇性输送心房舒张期同步发生的心室起搏脉冲可用于提供心房伸展疗法，并增加心房钠尿激素的产生和释放。
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公开(公告)号：US20110112592A1
公开(公告)日：2011-05-12
申请号：US13007739
申请日：2011-01-17
CPC分类号： A61N1/36114 , A61N1/3962
摘要： Various aspects of the present subject matter relate to a system. Various embodiments of the system comprise at least one port to connect to at least one lead with at least one electrode, at least one stimulator circuit and at least one controller. The at least one stimulator circuit is connected to the at least one port and is adapted to deliver neural stimulation to a neural stimulation target using the at least one electrode. The at least one controller is adapted to determine when another energy discharge other than the neural stimulation to the neural stimulation target is occurring and to prevent delivery of the neural stimulation simultaneously with the other energy discharge. Other aspects and embodiments are provided herein.
摘要翻译： 本主题的各个方面涉及系统。 系统的各种实施例包括至少一个端口，以连接至少一个引线与至少一个电极，至少一个刺激器电路和至少一个控制器。 所述至少一个刺激器电路连接到所述至少一个端口，并且适于使用所述至少一个电极将神经刺激递送到神经刺激靶。 所述至少一个控制器适于确定何时发生除了对神经刺激靶的神经刺激以外的其他能量放电，并且防止神经刺激与另一能量放电同时传送。 本文提供了其它方面和实施例。
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95.发明授权Arrhythmia discrimination using electrocardiograms sensed from multiple implanted electrodes 有权使用从多个植入电极感测的心电图的心律失常辨别公开(公告)号：US07917196B2
公开(公告)日：2011-03-29
申请号：US11125020
申请日：2005-05-09
申请人： Yi Zhang , Carlos Alberto Ricci , Jeffrey E. Stahmann , Aaron R. McCabe , Scott A. Meyer , Yinghong Yu
发明人： Yi Zhang , Carlos Alberto Ricci , Jeffrey E. Stahmann , Aaron R. McCabe , Scott A. Meyer , Yinghong Yu
IPC分类号： A61B5/0464
CPC分类号： A61B5/04011 , A61B5/7203
摘要： Cardiac monitoring and/or stimulation methods and systems provide for monitoring, diagnosing, defibrillation and pacing therapies, or a combination of these capabilities, including cardiac systems incorporating or cooperating with neuro-stimulating devices, drug pumps, or other therapies. Embodiments relate generally to implantable medical devices employing automated cardiac activation sequence monitoring and/or tracking for arrhythmia discrimination. Embodiments are directed to devices and methods involving sensing a plurality of composite cardiac signals using a plurality of implantable electrodes. A source separation is performed using the sensed plurality of composite cardiac signals and the separation produces one or more cardiac signal vectors associated with one or more cardiac activation sequences that is indicative of ischemia. A change of the one or more cardiac signal vectors is detected using the one or more cardiac signal vectors. Cardiac arrhythmias are discriminated using the one or more cardiac signal vectors.
摘要翻译： 心脏监测和/或刺激方法和系统提供监测，诊断，除颤和起搏治疗，或这些能力的组合，包括结合或与神经刺激装置，药物泵或其他疗法组合的心脏系统。 实施例一般涉及使用自动心脏激活序列监测和/或跟踪用于心律失常鉴别的可植入医疗装置。 实施例涉及使用多个可植入电极感测多个复合心脏信号的装置和方法。 使用感测的多个复合心脏信号进行源分离，并且分离产生与指示缺血的一个或多个心脏激活序列相关联的一个或多个心脏信号载体。 使用一个或多个心脏信号矢量检测一个或多个心脏信号矢量的改变。 使用一个或多个心脏信号载体来区分心律失常。
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96.发明授权公开(公告)号：US07865241B2
公开(公告)日：2011-01-04
申请号：US12176861
申请日：2008-07-21
IPC分类号： A61N1/368
CPC分类号： A61N1/3627 , A61N1/3684
摘要： A device and method for cardiac rhythm management in which a heart chamber is paced in accordance with a pacing mode that employs sense signals from the opposite chamber. A protection period triggered by the sensing of intrinsic activity in the paced chamber is used to inhibit pacing without otherwise disturbing the pacing algorithm.
摘要翻译： 一种用于心律管理的装置和方法，其中心室根据采用来自相对室的感测信号的起搏模式而起搏。 通过感觉起搏室内部活动触发的保护期限被用于抑制起搏而不打扰起搏算法。
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97.发明申请公开(公告)号：US20100256702A1
公开(公告)日：2010-10-07
申请号：US12819688
申请日：2010-06-21
IPC分类号： A61N1/368
CPC分类号： A61N1/3627 , A61N1/36521 , A61N1/3684
摘要： A method and device for delivering pre-excitation pacing to prevent or reduce cardiac remodeling following a myocardial infarction is described. The pre-excitation pacing is modulated in accordance with an assessment of cardiac function in order to balance the beneficial effects of stress reduction with hemodynamic compromise.
摘要翻译： 描述了用于递送预激发起搏以预防或减少心肌梗塞后的心脏重塑的方法和装置。 根据心脏功能的评估调节预激励起搏，以平衡应力减少与血液动力学妥协的有益效果。
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公开(公告)号：US07805192B2
公开(公告)日：2010-09-28
申请号：US11549368
申请日：2006-10-13
IPC分类号： A61N1/00
CPC分类号： A61N1/3622 , A61N1/3627 , A61N1/3684
摘要： A method for operating a cardiac pacemaker in which the mode of operation of the pacemaker is altered in response to detecting an episode of atrial tachycardia. In accordance with the invention, the pacemaker's pacing mode is altered in a manner that attempts to maintain hemodynamic stability during the atrial tachycardia. Such a mode switch is particularly applicable to pacemaker patients suffering from some degree of congestive heart failure.
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99.发明授权Reduction of left-ventricular offset interaction with tachyarrhythmia detection 有权减慢与心律失常检测的左心室偏移相互作用公开(公告)号：US07801609B2
公开(公告)日：2010-09-21
申请号：US11522691
申请日：2006-09-18
IPC分类号： A61N1/00
CPC分类号： A61N1/3627 , A61N1/3684
摘要： A device and method for improving tachyarrhythmia detection when the ventricles are resynchronized by delivering paces to both ventricles separated by a specified offset interval. Timing of escape intervals and tachyarrhythmia detection is based upon senses from one of the ventricles designated as a rate ventricle. A reversion pacing mode is provided in order to prevent tachyarrhythmia detection from being compromised when the rate ventricle is paced after the other ventricle.
摘要翻译： 通过向两个心室分配指定的偏移间隔来逐步重新同步心室，从而改善快速性心律失常检测的装置和方法。 逃避间隔和快速性心律失常检测的时间是基于指定为速率心室的心室之一的感觉。 提供回波起搏模式，以便当速率心室在另一脑室之后起搏时，防止快速性心律失常检测受到损害。
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100.发明申请公开(公告)号：US20100222835A1
公开(公告)日：2010-09-02
申请号：US12780079
申请日：2010-05-14
IPC分类号： A61N1/368
CPC分类号： A61N1/3622 , A61N1/3684
摘要： A system, method, or device classifies an arrhythmia according to the temporal order in which a depolarization wave associated with a particular heart contraction is received at a plurality of electrodes. One or more antiarrhythmia therapies is mapped to each arrhythmia classification. When a particularly classified arrhythmia is detected, the correspondingly mapped therapy list is selected and an appropriate antiarrhythmia therapy delivered. In one example, the particular therapy delivered in response to an arrhythmia depends at least in part on its historical success in treating arrhythmias of that classification.
摘要翻译： 系统，方法或装置根据在多个电极处接收与特定心脏收缩相关联的去极化波的时间顺序对心律失常进行分类。 一种或多种抗心律失常疗法被映射到每种心律失常分类。 当检测到特别分类的心律失常时，选择相应地映射的治疗列表并进行适当的抗心律失常治疗。 在一个示例中，响应于心律失常递送的特定治疗至少部分地取决于其在治疗该分类的心律失常方面的历史成功。
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