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公开(公告)号：US09901266B2
公开(公告)日：2018-02-27
申请号：US14738022
申请日：2015-06-12
Applicant: Greatbatch Ltd.
Inventor： Rodolphe Katra
IPC: A61B5/02 , A61B5/024 , A61B5/0245 , A61B5/00 , A61B5/046 , A61N1/39 , A61N1/362 , A61B5/0205 , A61B5/0488 , A61B5/053 , A61B5/145 , A61B5/11 , A61N1/05
CPC classification number: A61B5/02405 , A61B5/0022 , A61B5/0031 , A61B5/0205 , A61B5/0245 , A61B5/046 , A61B5/0488 , A61B5/053 , A61B5/1118 , A61B5/14532 , A61B5/4833 , A61B5/4848 , A61B5/686 , A61B5/6869 , A61B5/7275 , A61B5/7282 , A61N1/0587 , A61N1/3622 , A61N1/3624 , A61N1/395 , G06F19/00
Abstract: A medical device includes a housing configured for implantation within a body of a patient. Detection circuitry is disposed in the housing and coupled to an electrode arrangement. The detection circuitry is configured to sense a cardiac electrical signal from the patient. A processor is coupled to the detection circuitry and configured to compute a first measure of heart rate variability (HRV) using the cardiac electrical signal, and compute a second measure of HRV using the cardiac electrical signal, the second measure of HRV differing from the first measure of HRV. The processor is also configured to produce an index of patient status derived from a ratio of the first and second measures of HRV, such that the index is a normalized HRV metric personalized to the patient. The processor or a remote system can use the index to assess acute and chronic changes in patient status.
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公开(公告)号：US09161775B1
公开(公告)日：2015-10-20
申请号：US13889779
申请日：2013-05-08
Applicant: Greatbatch Ltd.
Inventor： Rodolphe Katra , Walter J. Dobrovolny , Scott Kimmel
IPC: A61B17/32 , A61B17/3209 , A61M25/06
CPC classification number: A61B17/3468 , A61B5/0006 , A61B5/0205 , A61B5/0402 , A61B5/042 , A61B5/053 , A61B5/6847 , A61B5/686 , A61B17/3209 , A61B2017/320056 , A61B2560/063 , A61M25/0668
Abstract: A tunneling tool for implanting a medical device into body tissue is described. The tunneling tool comprises a first leg and a second leg. An intermediate portion of the second leg is shaped to nest a medical device therein. A hub connects the first and second distal leg ends together. A sheath providing a lumen extends from the hub to an open end distal of the first and second legs. The first and second legs are manipulatable to separate the hub and the sheath into two portions, a first split portion connected to the first leg and a second split portion connected to the second leg. When a medical device is nested in the tunneling tool, breaking the tunneling tool apart enables the first and second split portions to be removed from body tissue, leaving the implanted medical device behind.
Abstract translation: 描述了用于将医疗装置植入身体组织的隧道工具。 隧道工具包括第一腿和第二腿。 第二腿的中间部分成形为将医疗装置嵌入其中。 轮毂将第一和第二远端腿端连接在一起。 提供内腔的护套从轮毂延伸到第一和第二腿的远端的开口端。 第一和第二腿是可操纵的以将轮毂和护套分成两部分，连接到第一腿的第一分割部分和连接到第二腿部的第二分割部分。 当医疗设备嵌套在隧道工具中时，将隧道工具分开使得能够从身体组织中移除第一和第二分割部分，留下植入的医疗设备。
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13.发明申请公开(公告)号：US20140257115A1
公开(公告)日：2014-09-11
申请号：US14200550
申请日：2014-03-07
Applicant: Greatbatch Ltd.
Inventor： Rodolphe Katra , Niranjan Chakravarthy
IPC: A61B5/11 , A61B5/0402 , A61B5/04
CPC classification number: A61B5/1118 , A61B5/04 , A61B5/0402 , A61B5/0428 , A61B5/0452 , A61B5/1123 , A61B5/4809 , A61B5/7207 , A61N1/362
Abstract: A medical device includes a housing and an electrode arrangement coupled to the housing and configured to sense an electrical physiologic signal from a patient. The device also includes detection circuitry coupled to the electrode arrangement and configured to obtain a cardiac signal component and a non-cardiac signal component from the physiological signal. A processor is coupled to the detection circuitry. The processor is configured to detect patient activity using at least the non-cardiac signal component and discriminate between voluntary and involuntary activity of the patient based on a comparison of temporally aligned cardiac and non-cardiac signal components.
Abstract translation: 医疗装置包括壳体和耦合到壳体并被配置为感测来自患者的电生理信号的电极装置。 该装置还包括耦合到电极装置并被配置为从生理信号获得心脏信号分量和非心脏信号分量的检测电路。 处理器耦合到检测电路。 处理器被配置为使用至少非心脏信号分量来检测患者活动，并且基于时间对准的心脏和非心脏信号分量的比较来区分患者的自愿活动和非自愿活动。
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公开(公告)号：US10376184B2
公开(公告)日：2019-08-13
申请号：US14200550
申请日：2014-03-07
Applicant: Greatbatch Ltd.
Inventor： Rodolphe Katra , Niranjan Chakravarthy
IPC: A61B5/11 , A61B5/04 , A61B5/0402 , A61B5/00 , A61B5/0428 , A61B5/0452 , A61N1/362
Abstract: A medical device includes a housing and an electrode arrangement coupled to the housing and configured to sense an electrical physiologic signal from a patient. The device also includes detection circuitry coupled to the electrode arrangement and configured to obtain a cardiac signal component and a non-cardiac signal component from the physiological signal. A processor is coupled to the detection circuitry. The processor is configured to detect patient activity using at least the non-cardiac signal component and discriminate between voluntary and involuntary activity of the patient based on a comparison of temporally aligned cardiac and non-cardiac signal components.
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公开(公告)号：US10052489B2
公开(公告)日：2018-08-21
申请号：US14665309
申请日：2015-03-23
Applicant: Greatbatch Ltd.
Inventor： Rodolphe Katra , Scott Kimmel , Lawrence Kane , Daniel Chase
CPC classification number: A61N1/37229 , A61B17/3468 , A61B2017/320044 , A61B2017/320056 , A61M25/0668 , A61N1/0504
Abstract: In various examples, an apparatus is configured for subcutaneously inserting an implantable device within a patient. The apparatus includes a dilator portion including a dilator including a dilator length. The dilator portion is configured to separate tissue to create a subcutaneous pocket within the patient sized and shaped to accommodate an implantable device within the subcutaneous pocket. A sheath portion includes a sheath sized and shaped to accommodate the dilator within a sheath lumen. The sheath is configured to accommodate an antenna of the implantable device with the dilator removed from within the sheath. The sheath includes a sheath length that is at least substantially as long as an antenna length. The sheath is configured to separate to allow removal of the sheath around the implantable device to remove the sheath from and leave the implantable device within the subcutaneous pocket within the patient.
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Patent Agency Ranking
公开(公告)号：US20130304051A1
公开(公告)日：2013-11-14
申请号：US13875621
申请日：2013-05-02
Applicant: GREATBATCH LTD.
Inventor： Scott Kimmel , Rodolphe Katra
CPC classification number: A61M39/1011 , A61B17/3439 , A61B17/3478 , A61B18/1477 , A61B18/18 , A61B2017/00247 , A61B2018/1425 , A61B2090/034 , A61B2090/08021 , A61B2218/007 , A61M2025/0079
Abstract: In various examples, an apparatus includes a needle cannula including a proximal end and a distal end The needle cannula includes a lumen extending from the proximal end to the distal end. A handle is disposed at the proximal end of the needle cannula. An electrocautery receiver is associated with the handle and electrically coupled to the needle cannula, wherein, with an electrocautery device activated and placed within the electrocautery receiver, electrical energy is conducted from the electrocautery device to the distal end of the needle cannula to selectively electrocauterize tissue in contact with the distal end of the needle cannula.
Abstract translation: 在各种示例中，一种装置包括一针头套管，其包括近端和远端。针插管包括从近端延伸到远端的内腔。 把手设置在针插管的近端处。 电烙术接收器与手柄相关联并且电耦合到针插管，其中，通过激活并放置在电烙术接收器内的电烙术装置将电能从电烙术装置传导到针套管的远端，以选择性地电烙组织 与针插管的远端接触。
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公开(公告)号：US20130304036A1
公开(公告)日：2013-11-14
申请号：US13888845
申请日：2013-05-07
Applicant: Greatbatch Ltd.
Inventor： Scott Kimmel , Rodolphe Katra , Kevin Pietsch , Brian Loushine , Jeffrey Zweber , Ed Goff , Blane Larson , Jordon Honeck , Grant Scheibe
IPC: A61B17/34
CPC classification number: A61B17/3417 , A61B17/3439 , A61B17/3478 , A61B18/1477 , A61B18/18 , A61B2017/00247 , A61B2018/1425 , A61B2090/034 , A61B2090/08021 , A61B2218/007 , A61M39/1011 , A61M2025/0079
Abstract: In various examples, an apparatus includes a needle assembly including an outer cannula including a tubular sidewall disposed around a lumen. At least a portion of the sidewall includes an exterior including a polymeric material configured to inhibit skiving of an interior of a dilator with movement of the outer cannula within the dilator. An inner cannula is disposed within the lumen and is selectively slidable with respect to the outer cannula. A handle is disposed at a proximal portion of the needle assembly. The handle includes a first handle portion coupled to and movable with the outer cannula. A second handle portion is coupled to and movable with the inner cannula, wherein the first handle portion is selectively movable with respect to the second handle portion to extend a distal end of the inner cannula from within the lumen of the outer cannula.
Abstract translation: 在各种示例中，装置包括针组件，其包括外套管，其包括围绕管腔设置的管状侧壁。 侧壁的至少一部分包括外部，其包括聚合物材料，该聚合材料被配置为通过外套管在扩张器内的运动来抑制扩张器的内部的刮擦。 内套管设置在内腔内并且可相对于外套管选择性滑动。 手柄设置在针组件的近端部分。 手柄包括联接到外套管并且可与外插管移动的第一手柄部分。 第二把手部分联接到内套管并且可与其移动，其中第一把手部分可相对于第二把手部分选择性地移动，以使内套管的远端从外插管的内腔延伸。
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公开(公告)号：US11065456B2
公开(公告)日：2021-07-20
申请号：US15979700
申请日：2018-05-15
Applicant: Greatbatch Ltd.
Inventor： Rodolphe Katra , Scott Kimmel , Lawrence Kane , Daniel Chase
Abstract: In various examples, an apparatus is configured for subcutaneously inserting an implantable device within a patient. The apparatus includes a dilator portion including a dilator including a dilator length. The dilator portion is configured to separate tissue to create a subcutaneous pocket within the patient sized and shaped to accommodate an implantable device within the subcutaneous pocket. A sheath portion includes a sheath sized and shaped to accommodate the dilator within a sheath lumen. The sheath is configured to accommodate an antenna of the implantable device with the dilator removed from within the sheath. The sheath includes a sheath length that is at least substantially as long as an antenna length. The sheath is configured to separate to allow removal of the sheath around the implantable device to remove the sheath from and leave the implantable device within the subcutaneous pocket within the patient.
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公开(公告)号：US20190059816A1
公开(公告)日：2019-02-28
申请号：US16170542
申请日：2018-10-25
Applicant: Greatbatch Ltd.
Inventor： Rodolphe Katra , Niranjan Chakravarthy
IPC: A61B5/00 , A61B5/08 , A61B5/0205
Abstract: An apparatus, system, and method directed to detecting a physiological signal during discrete time separated detection windows, deriving one or more respiratory disturbance indices from the physiological signal, detecting a respiratory disturbance state in response to the one or more respiratory disturbance indices deviating from a threshold value, interpolating the one or more respiratory disturbance indices between adjacent time separated detection windows, and declaring a respiratory disturbance episode based on the detected respiratory disturbance state during the detection windows and the interpolation between detection windows.
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公开(公告)号：US10130306B2
公开(公告)日：2018-11-20
申请号：US14208021
申请日：2014-03-13
Applicant: Greatbatch Ltd.
Inventor： Rodolphe Katra , Niranjan Chakravarthy
IPC: A61B5/00 , A61B5/0205 , A61B5/08
Abstract: An apparatus, system, and method directed to detecting a physiological signal during discrete time separated detection windows, deriving one or more respiratory disturbance indices from the physiological signal, detecting a respiratory disturbance state in response to the one or more respiratory disturbance indices deviating from a threshold value, interpolating the one or more respiratory disturbance indices between adjacent time separated detection windows, and declaring a respiratory disturbance episode based on the detected respiratory disturbance state during the detection windows and the interpolation between detection windows.
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