公开(公告)号：US07444182B2

公开(公告)日：2008-10-28

申请号：US11120258

申请日：2005-05-02

申请人： Alan H. Ostroff ,  Jay A. Warren ,  Gust H. Bardy

发明人： Alan H. Ostroff ,  Jay A. Warren ,  Gust H. Bardy

IPC分类号： A61N1/00

CPC分类号： A61N1/3956 ,  A61B5/0422 ,  A61B5/04525 ,  A61B5/0464 ,  A61B5/686 ,  A61N1/3925 ,  A61N1/3987

摘要： The present invention is direction toward a detection architecture for use in implantable cardiac rhythm devices. The detection architecture of the present invention provides methods and devices for discriminating between arrhythmais. Moreover, by exploiting the enhanced specificity in the origin of the identified arrhythmia, the detection architecture can better discriminate between rhythms appropriate for device therapy and those that are not.

摘要翻译： 本发明是用于可植入心律装置的检测架构的方向。 本发明的检测架构提供了用于区分心律失常的方法和装置。 此外，通过利用识别的心律失常起源的增强的特异性，检测架构可以更好地区分适合于设备治疗的节律和不适合的治疗节律。

公开(公告)号：US07203539B2

公开(公告)日：2007-04-10

申请号：US10794180

申请日：2004-03-05

申请人： Kurt Ware ,  Jay A. Warren

发明人： Kurt Ware ,  Jay A. Warren

IPC分类号： A61N1/00

CPC分类号： A61N1/3937 ,  A61N1/395

摘要： An apparatus and method for delivering electrical shock therapy in order to treat atrial tachyarrhythmias such as fibrillation in which the energy stored in a capacitor used to deliver a shock pulse is monitored and adjusted. A charging circuit is used to charge the capacitor from a supply voltage upon detection of an atrial arrhythmia, and a controller monitors sensed ventricular depolarizations until R-wave synchrony requirements are met so that an atrial shock pulse can be safely delivered. The controller also attempts to maintain the voltage of the capacitor at a specified voltage before delivery of the shock pulse by operation of the charging circuit.

摘要翻译： 一种用于递送电击疗法以用于治疗心房性心律失常（例如颤动）的装置和方法，其中存储在用于递送冲击脉冲的电容器中的能量被监测和调整。 一个充电电路用于在检测到房性心律失常时从电源电压充电，并且控制器监视感测到的心室去极化，直到满足R波同步要求，以便可以安全地传递心房休克脉冲。 控制器还试图通过充电电路的操作在释放冲击脉冲之前将电容器的电压保持在指定的电压。

公开(公告)号：US07139614B2

公开(公告)日：2006-11-21

申请号：US10431136

申请日：2003-05-07

申请人： Avram Scheiner ,  Ronald W. Heil, Jr. ,  Peter T. Kelley ,  Bruce Tockman ,  Randy Westlund ,  Jay A. Warren

发明人： Avram Scheiner ,  Ronald W. Heil, Jr. ,  Peter T. Kelley ,  Bruce Tockman ,  Randy Westlund ,  Jay A. Warren

IPC分类号： A61N1/05

CPC分类号： A61N1/056 ,  A61N1/057 ,  A61N2001/0585

摘要： A lead for monitoring or stimulating cardiac activity is provided. The lead is adapted for implantation on or about the heart within the coronary vasculature and for connection to a signal generator. The lead body has one or more electrodes associated therewith. The lead is constructed and arranged so that when it is implanted, the electrodes are housed in the coronary vasculature and urged into intimate contact a vessel wall. A method for implanting the lead into the coronary vasculature is also provided, the method comprising the steps of inserting a stylet into the lead, inserting the lead into the coronary sinus, advancing the lead from the coronary sinus toward the toward the left atrium and into a coronary vein, removing the stylet, and sensing and pacing the heart. Alternatively, the method comprises placing a guide catheter into the coronary sinus, threading a guide wire into the coronary veins, pushing the lead over the guide wire and into the coronary sinus or the coronary vein, and sensing and pacing the heart via the lead in its implanted site in the coronary sinus or the coronary vein.

公开(公告)号：US07016732B2

公开(公告)日：2006-03-21

申请号：US10338270

申请日：2003-01-07

申请人： Jay A. Warren ,  Jeffrey E. Stahmann

发明人： Jay A. Warren ,  Jeffrey E. Stahmann

IPC分类号： A61N1/365 ,  A61B5/04

CPC分类号： A61N1/371 ,  A61N1/3627

摘要： A cardiac rhythm management device capable of delivering multiple uni-chamber stimulation pulses to a patient's heart and suitable for verifying capture independently for each uni-chamber stimulation pulse. The uni-chamber capture verification mode of the cardiac rhythm management device may be activated via telemetry or by applying a magnetic field proximate the device. During the capture verification mode, bi-chamber pacing, for example, may precede or follow uni-chamber pacing to allow for pacing support. Also, the energy levels of the pacing stimulus over several beats may be varied, thereby verifying the programmed safety margins.

公开(公告)号：US06574505B1

公开(公告)日：2003-06-03

申请号：US09558288

申请日：2000-04-25

申请人： Jay A. Warren

发明人： Jay A. Warren

IPC分类号： A61N139

CPC分类号： A61N1/3622 ,  A61N1/3918 ,  A61N1/3925 ,  A61N1/3956

摘要： A cardiac rhythm management system, such as an implantable cardioverter-defibrillator (ICD), provides atrial anti-tachyarrhythmia therapy, such as a bipolar or unipolar electrical cardioversion countershock, or provides both atrial and ventricular anti-tachyarrhythmia therapy. The atrial and ventricular anti-tachyarrhythmia therapies have independent cardioversion-defibrillation energy levels and other parameters. The system provides an endocardial lead that is convenient to implant for providing anti-tachyarrhythmia therapy. The endocardial lead includes a first supraventricular electrode disposed in the atrium and superior vena cava, and optionally includes a first ventricular electrode and ICD housing electrode.

摘要翻译： 诸如植入式心律转复除颤器（ICD）之类的心律管理系统提供心房反心律失常疗法，例如双相或单极电复律复发，或提供心房和心室心动过速心律失常治疗。 心房和心室反心律失常疗法具有独立的心脏复律除颤能量等参数。 该系统提供了一种便于植入物以提供抗快速性心律失常治疗的心内膜导联。 心内膜包括设置在心房和上腔静脉中的第一室上电极，并且可选地包括第一心室电极和ICD外壳电极。

公开(公告)号：US06564100B2

公开(公告)日：2003-05-13

申请号：US09731124

申请日：2000-12-06

申请人： Jay A. Warren ,  Jeffrey E. Stahmann

发明人： Jay A. Warren ,  Jeffrey E. Stahmann

IPC分类号： A61N137

CPC分类号： A61N1/371 ,  A61N1/3627

摘要： A cardiac rhythm management device capable of delivering multiple uni-chamber stimulation pulses to a patient's heart and suitable for verifying capture independently for each uni-chamber stimulation pulse. The uni-chamber capture verification mode of the cardiac rhythm management device may be activated via telemetry or by applying a magnetic field proximate the device. During the capture verification mode, bi-chamber pacing, for example, may precede or follow uni-chamber pacing to allow for pacing support. Also, the energy levels of the pacing stimulus over several beats may be varied, thereby verifying the programmed safety margins.