公开(公告)号：US09393424B2

公开(公告)日：2016-07-19

申请号：US14578698

申请日：2014-12-22

Applicant: Medtronic, Inc.

Inventor： Wade M. Demmer ,  Saul E. Greenhut ,  Todd J. Sheldon ,  David A. Anderson ,  Karen J. Kleckner ,  James K. Carney

IPC: A61N1/00 ,  A61N1/365 ,  A61N1/368 ,  A61N1/375

CPC classification number: A61N1/365 ,  A61N1/0573 ,  A61N1/3627 ,  A61N1/36507 ,  A61N1/36514 ,  A61N1/36528 ,  A61N1/36542 ,  A61N1/36578 ,  A61N1/36585 ,  A61N1/36592 ,  A61N1/368 ,  A61N1/3684 ,  A61N1/3688 ,  A61N1/37205 ,  A61N1/3756

Abstract: A medical device system including a pacemaker implantable in an atrial chamber of a patient's heart is configured to sense near field atrial events from a cardiac signal received by a sensing module of the pacemaker and to sense far field ventricular events. The pacemaker is configured to establish an atrial lower rate interval to control a rate of delivery of atrial pacing pulses, determine a rate of the far field ventricular events sensed by the sensing module, determine an atrial event rate, compare the rate of the sensed far field ventricular events to the atrial event rate, and adjust the atrial lower rate interval in response to the comparison.

Abstract translation: 包括可植入在患者心脏的房室中的起搏器的医疗装置系统被配置为从由起搏器的感测模块接收的心脏信号感测近场心房事件并感测远场心室事件。 心脏起搏器被配置为建立心房较低速率间隔以控制心房起搏脉冲的传递速率，确定由感测模块感测的远场心室事件的速率，确定心房事件发生率，比较感测到的远程速率 场心室事件与心房事件发生率相关，并根据比较调整心房较低速率区间。

公开(公告)号：US20160015985A1

公开(公告)日：2016-01-21

申请号：US14645038

申请日：2015-03-11

Applicant: Medtronic, Inc.

Inventor： Yong K. Cho ,  Wade M. Demmer ,  Michael D. Eggen ,  Kathryn Hilpisch ,  Michael F. Hess ,  Todd J. Sheldon ,  Saul E. Greenhut

IPC: A61N1/37 ,  A61N1/365 ,  A61N1/362

CPC classification number: A61N1/3706 ,  A61B5/0402 ,  A61B5/0464 ,  A61B5/686 ,  A61N1/36 ,  A61N1/3622 ,  A61N1/36592 ,  A61N1/37205 ,  A61N1/3756

Abstract: A medical device system including at least a first implantable medical device and a second implantable medical device is configured to establish by a control module of the first implantable medical device whether the second implantable medical device is present in a patient and self-configure an operating mode of the control module in response to establishing that the second implantable medical device is present.

Abstract translation: 包括至少第一可植入医疗装置和第二可植入医疗装置的医疗装置系统被配置成由第一可植入医疗装置的控制模块建立第二可植入医疗装置是否存在于患者中并且自配置操作模式 响应于确定存在第二可植入医疗装置的控制模块。

公开(公告)号：US20160015322A1

公开(公告)日：2016-01-21

申请号：US14694910

申请日：2015-04-23

Applicant: Medtronic, Inc.

Inventor： Thomas A. Anderson ,  Todd J. Sheldon ,  Matthew D. Bonner ,  Noelle C. Neafus

IPC: A61B5/00 ,  A61B5/042 ,  A61B5/0452

Abstract: A leadless pacing system includes a leadless pacing device and a sensing extension extending from a housing of the leadless pacing device. The sensing extension includes one or more electrodes with which the leadless pacing device may sense electrical cardiac activity. The one or more electrodes of the sensing extension may be carried by a self-supporting body that is configured to passively position the one or more electrodes proximate or within a chamber of the heart other than the chamber in which the LPD is implanted.

公开(公告)号：US09101281B2

公开(公告)日：2015-08-11

申请号：US13626381

申请日：2012-09-25

Applicant: Medtronic, Inc.

Inventor： Michael A. Reinert ,  Eric R. Williams ,  Todd J. Sheldon

IPC: A61N1/08 ,  A61B5/053 ,  A61B5/0424 ,  A61N1/375 ,  A61N1/37 ,  A61B5/00 ,  A61B5/042 ,  A61B5/11 ,  A61N1/05 ,  A61N1/365

CPC classification number: A61B5/0538 ,  A61B5/0031 ,  A61B5/0422 ,  A61B5/0424 ,  A61B5/11 ,  A61B5/686 ,  A61B5/6869 ,  A61B5/6882 ,  A61B5/6883 ,  A61B2560/0276 ,  A61B2560/0468 ,  A61N1/0597 ,  A61N1/36542 ,  A61N1/371 ,  A61N1/3756 ,  A61N2001/083

Abstract: Techniques for determining an attachment stability of leadless pacing device (LPD) implanted within a patient are described. For example, the LPD may detect one or more stability metrics from one or more electrodes of the LPD and/or an activity sensor within the LPD. Based on one or more of these stability metrics, e.g., a mechanical motion of the LPD, a stability module within the LPD may determine the attachment stability of the LPD within the patient. If the attachment stability is insufficient to provide efficacious therapy or indicates at least partial dislodgement of the LPD from tissue, the LPD may wirelessly transmit stability information to an external device. In some examples, the LPD may be implanted within a chamber of the heart.

Abstract translation: 描述了用于确定植入在患者体内的无引脚起搏装置（LPD）的附着稳定性的技术。 例如，LPD可以从LPD的一个或多个电极和/或LPD内的活动传感器检测一个或多个稳定性度量。 基于这些稳定性度量中的一个或多个，例如LPD的机械运动，LPD内的稳定性模块可以确定患者体内LPD的附着稳定性。 如果连接稳定性不足以提供有效的治疗或指示LPD至少部分从组织移走，则LPD可以将稳定性信息无线传输到外部设备。 在一些实例中，LPD可以植入心脏的腔室内。

公开(公告)号：US20140135867A1

公开(公告)日：2014-05-15

申请号：US13790683

申请日：2013-03-08

Applicant: Medtronic, Inc.

Inventor： Wade M. Demmer ,  Greggory R. Herr ,  Supriya Ketkar ,  Karen J. Kleckner ,  Todd J. Sheldon ,  Robert W. Stadler

IPC: A61N1/37

CPC classification number: A61N1/371 ,  A61N1/3686 ,  A61N1/3712

Abstract: Various techniques for facilitating selection of a pacing vector for pacing a chamber of a heart are described. One example method described includes, for each of a plurality of vectors, delivering a pacing pulse to capture a first heart chamber, determining a first time interval between the pacing pulse and a sensed event in a second heart chamber, determining a capture detection window in response to the determined first time interval, and enabling a capture detection module to iteratively decrease a pacing pulse magnitude delivered in the first heart chamber until an event in the second heart chamber is not sensed during the determined capture detection window.

Abstract translation: 描述了用于促进选择用于心脏室的起搏矢量的各种技术。 所描述的一个示例性方法包括：对于多个向量中的每一个，递送起搏脉冲以捕获第一心室，确定起搏脉冲与第二心室中的感测事件之间的第一时间间隔，确定第二心室中的捕获检测窗口 响应于确定的第一时间间隔，并且使得捕获检测模块能够迭代地减少在第一心室中递送的起搏脉冲幅度，直到在确定的捕获检测窗口期间没有感测到在第二心室中的事件。

公开(公告)号：US20140121720A1

公开(公告)日：2014-05-01

申请号：US13665601

申请日：2012-10-31

Applicant: MEDTRONIC, INC.

Inventor： Matthew D. Bonner ,  Saul E. Greenhut ,  Todd J. Sheldon ,  Wade M. Demmer

IPC: A61N1/365

CPC classification number: H01M2/021 ,  A61N1/0587 ,  A61N1/36507 ,  A61N1/36578 ,  A61N1/368 ,  A61N1/375 ,  A61N1/3756 ,  H01M2/026 ,  H01M2/0277 ,  H01M2/0285 ,  H01M2/0287 ,  H01M2/06

Abstract: A device includes a signal generator module, a processing module, and a housing. The signal generator module is configured to deliver pacing pulses to an atrium. The processing module is configured to detect a ventricular activation event and determine a length of an interval between the ventricular activation event and a previous atrial event that preceded the ventricular activation event. The processing module is further configured to schedule a time at which to deliver a pacing pulse to the atrium based on the length of the interval and control the signal generator module to deliver the pacing pulse at the scheduled time. The housing is configured for implantation within the atrium. The housing encloses the stimulation generator and the processing module.