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171.
公开(公告)号:US20190262617A1
公开(公告)日:2019-08-29
申请号:US15903550
申请日:2018-02-23
Applicant: Medtronic, Inc.
Inventor: Subham Ghosh
Abstract: A cardiac pacemaker that delivers cardiac pacing therapy that includes delivering the cardiac pacing therapy from a cardiac pacing device, sensing a pacing event from a plurality of electrodes of the pacing device, and sensing an electromechanical signal from an electromechanical sensor of the pacing device. A pre-ejection period is determined in response to the sensed electromechanical signal, and a left ventricular ejection time is determined in response to the sensed electromechanical signal. The pacemaker device performs one or both of adjusting a pacing parameter setting and generating an alert in response to the determined pre-ejection period and the determined left ventricular ejection time.
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公开(公告)号:US20190261876A1
公开(公告)日:2019-08-29
申请号:US15906822
申请日:2018-02-27
Applicant: Medtronic, Inc.
Inventor: Subham Ghosh , Joshua J. Blauer
IPC: A61B5/044 , A61B5/04 , A61B5/0408 , A61B5/00 , A61B5/0468 , G16H50/50
Abstract: The exemplary systems and methods may be configured to monitor electrical activity from a patient using a plurality of external electrodes. The exemplary systems and methods may be further configured to provide a model heart representative of the patient's heart based on at least one of a plurality of patient characteristics. The model heart can include a plurality of segments. The exemplary systems and methods may be further configured to determine a value of electrical activity for each of a plurality of anatomic regions of the model heart based on the mapped electrical activity. Each of the plurality of anatomic regions can include a subset of the plurality of segments.
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173.
公开(公告)号:US10391318B2
公开(公告)日:2019-08-27
申请号:US15221995
申请日:2016-07-28
Applicant: Medtronic, Inc.
Inventor: Subham Ghosh
IPC: A61N1/37 , A61B5/042 , A61N1/365 , A61N1/368 , A61N1/375 , A61N1/372 , A61N1/05 , A61N1/39 , A61B5/0452 , A61B5/0456 , A61B5/0468 , A61N1/362 , A61B5/00
Abstract: A medical device and medical device system for determining capture during delivery of a ventricular pacing therapy that includes a subcutaneous sensing device comprising a subcutaneous electrode to sense a subcutaneous cardiac signal and to emit a trigger signal in response to the sensed cardiac signal, an intracardiac therapy delivery device capable of being implanted within a left ventricle of a heart to receive the trigger signal and deliver the ventricular pacing therapy to the left ventricle in response to the emitted trigger signal, and a processor positioned within the subcutaneous sensing device, the processor configured to compare a beat of the subcutaneous cardiac signal sensed by the sensing device subsequent to the ventricular pacing therapy being delivered to a baseline template associated with a non-paced beat, and determine whether the delivered ventricular pacing therapy captures the left ventricle in response to the comparing.
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公开(公告)号:US20190192860A1
公开(公告)日:2019-06-27
申请号:US15853102
申请日:2017-12-22
Applicant: Medtronic, Inc.
Inventor: Subham Ghosh , Zhongping Yang
IPC: A61N1/37 , A61B5/0408 , A61B5/00 , A61B5/04 , A61N1/365
CPC classification number: A61N1/3706 , A61B5/04012 , A61B5/04085 , A61B5/6823 , A61B5/686 , A61N1/36114 , A61N1/36507 , A61N2001/0585
Abstract: Cardiac electrical heterogeneity information may be used to determine whether one or more His bundle paced settings for His bundle pacing therapy are acceptable for His bundle pacing. Cardiac electrical heterogeneity information may be generated during His bundle pacing, and the evaluation against baseline information and/or other information to determine whether the His bundle paced settings are acceptable.
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公开(公告)号:US10251555B2
公开(公告)日:2019-04-09
申请号:US13916377
申请日:2013-06-12
Applicant: Medtronic, Inc.
Inventor: Subham Ghosh , Manfred Justen , Eric Schilling
Abstract: Systems, methods, and interfaces are described herein for assisting in noninvasive location selection for an implantable electrode for use in cardiac therapy. Mechanical motion information and surrogate electrical activation times may be used to identify one or more candidate site regions.
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公开(公告)号:US20190030331A1
公开(公告)日:2019-01-31
申请号:US16047619
申请日:2018-07-27
Applicant: Medtronic, Inc.
Inventor: Subham Ghosh , D'Anne E. Kudlik , Karen J. Kleckner , Melissa M. Rhodes , Keelia Doyle
IPC: A61N1/36 , A61B5/0456 , A61N1/32 , A61N1/368 , A61B5/0472
Abstract: Systems and methods are described herein for selection of a cardiac cycle, or heartbeat, from a plurality of cardiac cycles monitored over time. The cardiac cycle may be selected using various metrics including a single-cycle metric and a cycle-series metric. Further, the selected cardiac cycle may be used for further cardiac analysis (for example, to generate electrical activation times).
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公开(公告)号:US20180272135A1
公开(公告)日:2018-09-27
申请号:US15989927
申请日:2018-05-25
Applicant: Medtronic, Inc.
Inventor: Robert W. Stadler , Subham Ghosh
CPC classification number: A61N1/371 , A61B5/046 , A61N1/3622 , A61N1/3624 , A61N1/3684 , A61N1/3716
Abstract: The present disclosure relates to cardiac evoked response detection and, more particularly, reducing polarization effects in order to detect an evoked response following delivery of a stimulation pulse. An implantable medical device (IMD) is configured to deliver a ventricular pacing pulse. A signal is sensed in response to the ventricular pacing stimulus. A window is placed over the sensed signal to obtain a set of data from the signal after a paced event. The set of data extracted from the sensed signal comprises a maximum amplitude, a maximum time associated with the maximum amplitude, a minimum amplitude, and a minimum time associated with the minimum amplitude. Responsive to processing the extracted data, the window is delayed to avoid polarization effects. A determination is then made as to whether the ventricular pacing stimulus is capturing the paced ventricle in response to determining whether the maximum time is greater than the minimum time.
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公开(公告)号:US20180242871A1
公开(公告)日:2018-08-30
申请号:US15966523
申请日:2018-04-30
Applicant: Medtronic, Inc.
Inventor: Subham Ghosh , Jeffrey M. Gillberg , Robert W. Stadler
IPC: A61B5/04 , A61B5/02 , A61B5/0408 , A61N1/04 , A61N1/362 , A61N1/368 , A61B5/0402 , A61B5/00 , A61B5/044 , A61B5/0452 , A61B5/05
CPC classification number: A61B5/04012 , A61B5/02 , A61B5/0402 , A61B5/04085 , A61B5/044 , A61B5/0452 , A61B5/05 , A61B5/742 , A61N1/0476 , A61N1/0484 , A61N1/3627 , A61N1/3682 , A61N1/3684
Abstract: Techniques for evaluating cardiac electrical dyssynchrony are described. In some examples, an activation time is determined for each of a plurality of torso-surface potential signals. The dispersion or sequence of these activation times may be analyzed or presented to provide variety of indications of the electrical dyssynchrony of the heart of the patient. In some examples, the locations of the electrodes of the set of electrodes, and thus the locations at which the torso-surface potential signals were sensed, may be projected on the surface of a model torso that includes a model heart. The inverse problem of electrocardiography may be solved to determine electrical activation times for regions of the model heart based on the torso-surface potential signals sensed from the patient.
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公开(公告)号:US09993172B2
公开(公告)日:2018-06-12
申请号:US14228024
申请日:2014-03-27
Applicant: Medtronic, Inc.
Inventor: Jeffrey Gillberg , Subham Ghosh
IPC: A61B5/044 , A61B5/0408 , A61B5/0452 , A61N1/368 , A61N1/37 , A61B5/00 , A61B5/0402 , G06F19/00 , A61B5/0472 , A61B5/11 , A61N1/365 , A61N1/362
CPC classification number: A61N1/3702 , A61B5/0402 , A61B5/0408 , A61B5/04085 , A61B5/044 , A61B5/0452 , A61B5/0472 , A61B5/1107 , A61B5/6823 , A61B5/743 , A61N1/3627 , A61N1/36507 , A61N1/368 , G06F19/00 , G06F19/3481 , G16H20/40 , G16H40/63 , G16H50/30 , G16H50/70
Abstract: Systems, methods, and interfaces are described herein for assisting a user in noninvasive evaluation of patients for cardiac therapy and noninvasive evaluation of cardiac therapy being delivered. The systems, methods, and interfaces may provide graphical representations of cardiac electrical activation times about one or more portions of human anatomy and one or more cardiac health metrics.
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180.
公开(公告)号:US20180140846A1
公开(公告)日:2018-05-24
申请号:US15858017
申请日:2017-12-29
Applicant: Medtronic, Inc.
Inventor: Subham Ghosh , Kushagr Gupta
CPC classification number: A61N1/36514 , A61N1/365 , A61N1/36507 , A61N1/368 , A61N1/3702 , A61N1/37288 , A61N1/3956
Abstract: A medical device system for controlling ventricular pacing therapy during cardiac resynchronization therapy that includes a sensing device to sense a cardiac signal and emit a trigger signal in response to the sensed cardiac signal, a therapy delivery device to deliver the ventricular pacing in response to the emitted trigger signal, and a processor configured to identify a fiducial point of the cardiac signal sensed in real-time, set a window comprising a start point positioned a first distance prior to the fiducial point and an endpoint positioned a second distance less than the first distance subsequent to the fiducial point, determine a signal characteristic of the cardiac signal within the window, determine whether a P-wave is detected in response to the signal characteristic, determine whether an atrio-ventricular interval timer has expired, and emit a trigger signal to deliver the ventricular pacing timed off of the local maximum in response to the P-wave being detected and not timed off of the local maximum in response to the timer being expired.
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