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公开(公告)号：US10441798B2
公开(公告)日：2019-10-15
申请号：US15487736
申请日：2017-04-14
Applicant: MEDTRONIC, INC.
Inventor： Hyun J. Yoon , Wade M. Demmer , Matthew J. Hoffman , Robert A. Betzold , Jonathan D. Edmonson , Michael L. Ellingson , Mark K. Erickson , Ben E. Herberg , Juliana E. Pronovici , James D. Reinke , Todd J. Sheldon , Paul R. Solheim
Abstract: Implantable medical systems enter an exposure mode of operation, either manually via a down linked programming instruction or by automatic detection by the implantable system of exposure to a magnetic disturbance. A controller then determines the appropriate exposure mode by considering various pieces of information including the device type including whether the device has defibrillation capability, pre-exposure mode of therapy including which chambers have been paced, and pre-exposure cardiac activity that is either intrinsic or paced rates. Additional considerations may include determining whether a sensed rate during the exposure mode is physiologic or artificially produced by the magnetic disturbance. When the sensed rate is physiologic, then the controller uses the sensed rate to trigger pacing and otherwise uses asynchronous pacing at a fixed rate.
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公开(公告)号：US10293167B2
公开(公告)日：2019-05-21
申请号：US15487713
申请日：2017-04-14
Applicant: MEDTRONIC, INC.
Inventor： Hyun J. Yoon , Wade M. Demmer , Matthew J. Hoffman , Robert A. Betzold , Jonathan D. Edmonson , Michael L. Ellingson , Ben W. Herberg , Juliana E. Pronovici , James D. Reinke , Todd J. Sheldon , Paul R. Solheim
Abstract: Implantable medical systems enter an exposure mode of operation, either manually via a down linked programming instruction or by automatic detection by the implantable system of exposure to a magnetic disturbance. A controller then determines the appropriate exposure mode by considering various pieces of information including the device type including whether the device has defibrillation capability, pre-exposure mode of therapy including which chambers have been paced, and pre-exposure cardiac activity that is either intrinsic or paced rates. Additional considerations may include determining whether a sensed rate during the exposure mode is physiologic or artificially produced by the magnetic disturbance. When the sensed rate is physiologic, then the controller uses the sensed rate to trigger pacing and otherwise uses asynchronous pacing at a fixed rate.
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公开(公告)号：US20190111271A1
公开(公告)日：2019-04-18
申请号：US15783573
申请日：2017-10-13
Applicant: Medtronic, Inc.
Inventor： Wade M. Demmer , Yong K. Cho , Michael F. Hess , Todd J. Sheldon
Abstract: Techniques for minimizing rate of depletion of a non-rechargeable power source, to extend the operational lifetime of an implantable medical device that includes the non-rechargeable power source, by enforcing operational-mode-specific communication protocols whereby inter-device communication between the implantable medical device and another implantable medical device is such that level of power draw from the non-rechargeable power source by the implantable medical device is less than level of power draw from the rechargeable power source by the another implantable medical device for the implantable medical devices to engage in communication with each other.
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公开(公告)号：US20180161580A1
公开(公告)日：2018-06-14
申请号：US15377717
申请日：2016-12-13
Applicant: Medtronic, Inc.
Inventor： Wade M. Demmer , Yong K. Cho , Mark K. Erickson , Todd J. Sheldon
CPC classification number: A61N1/3688 , A61N1/3627 , A61N1/36514 , A61N1/36585 , A61N1/3682 , A61N1/3704 , A61N1/37288 , A61N1/3756
Abstract: An intracardiac pacemaker system is configured to produce physiological atrial event signals by a sensing circuit of a ventricular intracardiac pacemaker and select a first atrial event input as the physiological atrial event signals. The ventricular intracardiac pacemaker detects atrial events from the selected first atrial event input, determines if input switching criteria are met, and switches from the first atrial event input to a second atrial event input in response to the input switching criteria being met. The second atrial event input includes broadcast atrial event signals produced by a second implantable medical device and received by the ventricular intracardiac pacemaker.
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公开(公告)号：US20170296835A1
公开(公告)日：2017-10-19
申请号：US15487736
申请日：2017-04-14
Applicant: MEDTRONIC, INC.
Inventor： Hyun J. Yoon , Wade M. Demmer , Matthew J. Hoffman , Robert A. Betzold , Jonathan D. Edmonson , Michael L. Ellingson , Mark K. Erickson , Ben E. Herberg , Juliana E. Pronovici , James D. Reinke , Todd J. Sheldon , Paul R. Solheim
Abstract: Implantable medical systems enter an exposure mode of operation, either manually via a down linked programming instruction or by automatic detection by the implantable system of exposure to a magnetic disturbance. A controller then determines the appropriate exposure mode by considering various pieces of information including the device type including whether the device has defibrillation capability, pre-exposure mode of therapy including which chambers have been paced, and pre-exposure cardiac activity that is either intrinsic or paced rates. Additional considerations may include determining whether a sensed rate during the exposure mode is physiologic or artificially produced by the magnetic disturbance. When the sensed rate is physiologic, then the controller uses the sensed rate to trigger pacing and otherwise uses asynchronous pacing at a fixed rate.
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Patent Agency Ranking
公开(公告)号：US09399139B2
公开(公告)日：2016-07-26
申请号：US14578656
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
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 an pacemaker implantable in a chamber of a patient's heart is configured to sense near field events from a cardiac electrical signal, establish a lower rate interval to control a rate of delivery of pacing pulses and schedule a first pacing pulse by starting a pacing escape interval set equal to the lower rate interval. The pacemaker withholds the scheduled pacing pulse in response to sensing a near-field event during the pacing escape interval and schedules a next pacing pulse to be delivered at the lower rate interval from a time that the pacing escape interval is scheduled to expire.
Abstract translation: 包括可植入在患者心脏的腔室中的起搏器的医疗装置系统被配置为从心脏电信号感测近场事件，建立较低的速率间隔以控制起搏脉冲的输送速率，并通过起动调度第一起搏脉冲 起搏逃生间隔等于较低的速率间隔。 起搏器在起搏逃逸间隔期间响应于感测近场事件而保留定时起搏脉冲，并且从起搏逃逸间隔被调度到期的时间起调度下一个起搏脉冲以较低的速率间隔递送。
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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
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。
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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
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。
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公开(公告)号：US20150231400A1
公开(公告)日：2015-08-20
申请号：US14185482
申请日：2014-02-20
Applicant: Medtronic, Inc.
Inventor： Wade M. Demmer , Karen J. Kleckner
IPC: A61N1/37
CPC classification number: A61N1/3712 , A61B5/04001 , A61B5/08 , A61B5/4836 , A61N1/3611 , A61N1/36114 , A61N1/36514 , A61N1/3684 , A61N1/3686 , A61N1/3702
Abstract: A medical device system and method for determining pacing threshold data that includes a cardiac capture sensor, a phrenic nerve stimulation sensor, a pulse generator selectively coupled to a plurality of electrode vectors to deliver a pacing stimulation pulse, and a processor coupled to the cardiac capture sensor, the phrenic nerve stimulation sensor and the pulse generator and configured to deliver the pacing simulation pulse along the plurality of electrode vectors, determine, for each vector of the plurality of vectors, a pacing capture threshold in response to the delivered pacing pulse, deliver a phrenic nerve stimulation pulse along only the vectors of the plurality of vectors that the determined pacing capture threshold is less than a predetermined pacing capture threshold limit, and determine whether phrenic nerve stimulation is detected in response to the delivered phrenic nerve stimulation pulse.
Abstract translation: 一种用于确定起搏阈值数据的医疗装置系统和方法，包括心脏捕获传感器，膈神经刺激传感器，选择性地耦合到多个电极载体以递送起搏刺激脉冲的脉冲发生器，以及耦合到心脏捕获 传感器，膈神经刺激传感器和脉冲发生器，并且被配置为沿着多个电极矢量递送起搏模拟脉冲，针对多个向量中的每个向量确定响应于所输送的起搏脉冲的起搏捕获阈值，递送 所述膈神经刺激脉冲沿着所述多个向量中的所述载体，所述确定的起搏捕获阈值小于预定的起搏捕获阈值极限，并且确定是否响应于递送的膈神经刺激脉冲检测到膈神经刺激。
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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。
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