摘要:
A dual chamber heart pacemaker has atrial and ventricular pulse generators (21, 22) and sense amplifiers (25, 26) which connect respectively to an atrial terminal (11) and a ventricular terminal (12) for connection to the heart. In an atrial synchronous mode, the pacemaker provides ventricular stimulating pulses in response to detected spontaneous atrial contractions, and spaced from them by an A-V interval determined by a timer (31). In an atrial-ventricular sequential mode, a timer (40) causes the pacemaker to deliver sequential atrial and ventricular stimulation pulses which are separated in time by an A-V interval determined by another timer (30). The atrial-ventricular intervals for atrial synchronous mode and atrial-ventricular sequential mode are independent of each other, permitting selection of different A-V intervals for the two modes of operation.
摘要:
An evaluation system for use in conjunction with a body implantable body stimulator, the body stimulator including a stimulation delivering and depolarization sensing lead system. An input connects a digitizer to the lead system, the digitizer digitizing depolarization signals sensed by the lead system. A computing system identifies excursions in the digitized depolarization signals and evaluates identified excursions in accordance with preselected merit criteria. An output gives an indication of at least that excursion having the highest merit that satisfies said merit criteria.
摘要:
An improved atrial synchronous pacemaker and control circuit therefor having a minimum ventricular rate backup mode includes circuitry for preventing occurrence of a closely coupled ventricular pulse which might otherwise occur during the vulnerable repolarization period of the ventricles. A triggering coupling circuit includes a variable or programmable upper rate limit/minimum escape interval timer and switching means therefor for switching to a relatively low maximum rate/minimum escape interval condition while pacing in the ventricular backup mode, and for switching to a higher programmed maximum rate/minimum escape interval limit value while pacing in atrial synchronous mode.
摘要:
Devices and methods for sizing valve apertures and luminal organs. In at least one embodiment of a device for obtaining measurements within a luminal organ of the present disclosure, the device comprises an elongated body having a distal end and at least two electrodes positioned at the distal end of the elongated body or to a portion of the device distal tot the distal end of the elongated body, the device configured to obtain data sufficient to determine a dimensional measurement within the mammalian luminal organ when positioned and operated therein.
摘要:
A volume of a patient can be mapped with a system operable to identify a plurality of locations and save a plurality of locations of a mapping instrument. The mapping instrument can include one or more electrodes that can sense a voltage that can be correlated to a three dimensional location of the electrode at the time of the sensing or measurement. Therefore, a map of a volume can be determined based upon the sensing of the plurality of points without the use of other imaging devices. An implantable medical device can then be navigated relative to the mapping data.
摘要:
A system to determine and illustrate a location of position element within a volume is disclosed. The position element can be used to determine the position of a portion of an instrument. The instrument can include one or both of a cannulated member and a lead member passed through the cannula.
摘要:
A navigation system or combination of navigation systems can be used to provide two or more navigation modalities to navigate a single instrument in a volume. For example, both an Electromagnetic (EM) and Electropotential (EP) navigation system can be used to navigate an instrument within the volume. Image data can also be illustrated relative to a tracked position of the instrument in the volume for navigation.
摘要:
A method and apparatus is provided, including regulating the generation and formation of ice and active warming of an instrument applied to the tissue of a patient. The method may include measuring a parameter from a sensor disposed on the instrument. The forming of ice and active warming of the instrument may be via a thermal source in fluid communication with the instrument.
摘要:
A method and apparatus is provided, including regulating the generation and formation of ice and active warming of an instrument applied to the tissue of a patient. The method may include measuring a parameter from a sensor disposed on the instrument. The forming of ice and active warming of the instrument may be via a thermal source in fluid communication with the instrument.
摘要:
A system for detecting a protrusion of a conductor within an anatomy is provided. The system can include a conductor, an insulator and a protrusion module to indicate a protrusion if the conductor protrudes from the insulator within the anatomy. The conductor can comprise a guide wire, a stylet, a pacing lead, a defibrillation lead, or other conductive instruments. The insulator can comprise a catheter, a sheath a cannula or other insulative instruments. The system can detect protrusion based on an impedance or an electrogram measurement.