公开(公告)号：US11406838B2

公开(公告)日：2022-08-09

申请号：US16658473

申请日：2019-10-21

Applicant: Medtronic, Inc.

Inventor： David A. Anderson ,  Mark T. Marshall ,  Vladimir P. Nikolski ,  Robert T. Sawchuk ,  Amy E. Thompson-Nauman ,  John D. Wahlstrand ,  Gregory A. Younker

IPC: A61N1/39 ,  A61N1/362 ,  A61N1/365 ,  A61N1/37 ,  A61N1/375

Abstract: An implantable medical device is configured to control a therapy module to couple a capacitor array comprising a plurality of capacitors to a plurality of extra-cardiovascular electrodes and control the therapy module to deliver a composite pacing pulse to a patient's heart via the plurality of extra-cardiovascular electrodes by sequentially discharging at least a portion of the plurality capacitors to produce a series of at least two individual pulses that define the composite pacing pulse.

公开(公告)号：US10449362B2

公开(公告)日：2019-10-22

申请号：US15368197

申请日：2016-12-02

Applicant: Medtronic, Inc.

Inventor： David A. Anderson ,  Mark T. Marshall ,  Vladimir P. Nikolski ,  Robert T. Sawchuk ,  Amy E. Thompson-Nauman ,  John D. Wahlstrand ,  Gregory A. Younker

IPC: A61N1/00 ,  A61N1/362 ,  A61N1/365 ,  A61N1/37 ,  A61N1/375 ,  A61N1/39

Abstract: An implantable medical device is configured to control a therapy module to couple a capacitor array comprising a plurality of capacitors to a plurality of extra-cardiovascular electrodes and control the therapy module to deliver a composite pacing pulse to a patient's heart via the plurality of extra-cardiovascular electrodes by sequentially discharging at least a portion of the plurality capacitors to produce a series of at least two individual pulses that define the composite pacing pulse.

公开(公告)号：US10350425B2

公开(公告)日：2019-07-16

申请号：US16051841

申请日：2018-08-01

Applicant: Medtronic, Inc.

Inventor： Vladimir P. Nikolski ,  David A. Anderson ,  Mark T. Marshall ,  Robert T. Sawchuk ,  Amy E. Thompson-Nauman ,  John D. Wahlstrand ,  Gregory A. Younker

IPC: A61N1/39 ,  A61N1/38 ,  A61N1/378

Abstract: An extra-cardiovascular implantable cardioverter defibrillator (ICD) is configured to induce a tachyarrhythmia by charging a high voltage capacitor to a voltage amplitude and delivering a series of pulses to a patient's heart by discharging the capacitor via an extra-cardiovascular electrode vector. Delivering the series of pulses includes recharging the high-voltage capacitor during an inter-pulse interval between consecutive pulses of the series of pulses.

公开(公告)号：US10182729B2

公开(公告)日：2019-01-22

申请号：US15253229

申请日：2016-08-31

Applicant: Medtronic, Inc.

Inventor： Todd M. Zielinski ,  David A. Anderson ,  Tom D. Bennett ,  James K. Carney ,  Can Cinbis ,  Yong K. Cho ,  Jonathan L. Kuhn ,  Brian B. Lee ,  Richard J. O'Brien ,  Eduardo N. Warman ,  Vinod Sharma

IPC: A61B5/04 ,  A61B5/021 ,  A61B5/00 ,  A61B5/0205 ,  A61B5/026 ,  A61B5/0402 ,  A61B5/08

Abstract: The exemplary systems and methods may monitor one or more signals to be used to assess the hemodynamic status of a patient. The one or more signals may be used to calculate, or determine, a plurality of pulse transit times. The plurality of pulse transit times may be used to determine hemodynamic status values that may be indicative of a patient's aggregate hemodynamic status.

公开(公告)号：US10155119B2

公开(公告)日：2018-12-18

申请号：US15367777

申请日：2016-12-02

Applicant: Medtronic, Inc.

Inventor： David A. Anderson ,  Mark T. Marshall ,  Vladimir P. Nikolski ,  Robert T. Sawchuk ,  Amy E. Thompson-Nauman ,  John D. Wahlstrand ,  Gregory A. Younker

IPC: A61N1/39 ,  A61N1/362 ,  A61N1/37 ,  A61N1/375 ,  A61N1/05

Abstract: This disclosure is directed to techniques for delivering cardiac pacing pulses to a patient's heart by a cardiac system, such as an extra-cardiovascular ICD system. An ICD operating according to the techniques disclosed herein delivers cardiac pacing pulses using high-voltage therapy circuitry typically configured for delivering high-voltage cardioversion/defibrillation shocks. The ICD delivers the high-voltage pacing therapy via extra-cardiovascular electrodes, such as one or more extra-cardiovascular electrodes carried by a medical electrical lead extending from the ICD and/or the housing of the ICD.

公开(公告)号：US20210315629A1

公开(公告)日：2021-10-14

申请号：US17182594

申请日：2021-02-23

Applicant: Medtronic, Inc.

Inventor： Zhongping Yang ,  Anthony W. Rorvick ,  Brian D. Pederson ,  Randal Schulhauser ,  Nicolas Coulombe ,  David A. Anderson ,  Joseph D. Brannan ,  Mark T. Stewart ,  Jean-Pierre Lalonde

IPC: A61B18/02 ,  A61B18/14 ,  A61B18/18

Abstract: A method of creating a shunt between a right atrium and a left atrium of a mammalian heart including puncturing an atrial septum between the right atrium and the left atrium to create a shunt. An ablation device having balloon is advanced at least partially through the shunt. The balloon is inflated and configured to thermally isolate the atrial septum from blood within the left atrium and the right atrium. Ablation energy is delivered to ablate the atrial septum.

公开(公告)号：US10765790B2

公开(公告)日：2020-09-08

申请号：US15969030

申请日：2018-05-02

Applicant: Medtronic, Inc.

Inventor： Aleksandre T. Sambelashvili ,  David A. Anderson ,  James K. Carney ,  David M. Steinhaus ,  Narendra K. Simha

IPC: A61M1/10 ,  A61M5/172 ,  A61M1/12

Abstract: An example pump thrombosis detection system includes a transducer and processing circuitry. The transducer may be configured to generate a signal representative of a mechanical wave from a mechanical circulatory support device. The processing circuitry is communicatively coupled to the transducer. The processing circuitry may be configured to determine an indication of pump thrombosis based on the signal and, based on the indication of pump thrombosis, control the pump thrombosis detection system to at least one of generate an alert or initiate an intervention.

公开(公告)号：US10080905B2

公开(公告)日：2018-09-25

申请号：US15367516

申请日：2016-12-02

Applicant: Medtronic, Inc.

Inventor： David A. Anderson ,  Mark T. Marshall ,  Vladimir P. Nikolski ,  Robert T. Sawchuk ,  Amy E. Thompson-Nauman ,  John D. Wahlstrand ,  Gregory A. Younker

IPC: A61N1/37 ,  A61N1/39 ,  A61N1/375 ,  A61N1/362

CPC classification number: A61N1/3962 ,  A61N1/0587 ,  A61N1/3621 ,  A61N1/3706 ,  A61N1/371 ,  A61N1/3712 ,  A61N1/3758 ,  A61N1/3925 ,  A61N1/3987

Abstract: An extra-cardiovascular implantable cardioverter defibrillator (ICD) having a low voltage therapy module and a high voltage therapy module is configured to select, by a control module of the ICD, a pacing output configuration from at least a low-voltage pacing output configuration of the low voltage therapy module and a high-voltage pacing output configuration of the high voltage therapy module. The high voltage therapy module includes a high voltage capacitor having a first capacitance and the low voltage therapy module includes a plurality of low voltage capacitors each having up to a second capacitance that is less than the first capacitance. The ICD control module controls a respective one of the low voltage therapy module or the high voltage therapy module to deliver extra-cardiovascular pacing pulses in the selected pacing output configuration via extra-cardiovascular electrodes coupled to the ICD.

公开(公告)号：US20150126833A1

公开(公告)日：2015-05-07

申请号：US14533581

申请日：2014-11-05

Applicant: Medtronic, Inc.

Inventor： David A. Anderson ,  Noah D. Barka ,  Erin D. Grassl ,  Matthew D. Bonner

IPC: A61B5/0205 ,  A61B7/04 ,  A61B5/053 ,  A61B7/00 ,  A61B5/042 ,  A61B5/00 ,  A61B5/1455 ,  A61B5/11 ,  A61N1/365 ,  A61B5/026

CPC classification number: A61B5/0205 ,  A61B5/0006 ,  A61B5/026 ,  A61B5/0261 ,  A61B5/042 ,  A61B5/046 ,  A61B5/0538 ,  A61B5/11 ,  A61B5/1116 ,  A61B5/14552 ,  A61B5/6867 ,  A61B5/7207 ,  A61B7/003 ,  A61B7/023 ,  A61B7/04 ,  A61N1/3622 ,  A61N1/3627 ,  A61N1/36514 ,  A61N1/36521 ,  A61N1/36557 ,  A61N1/36571 ,  A61N1/36578 ,  A61N1/36585

Abstract: Disclosed techniques include monitoring a physiological characteristic of a patient with a sensor that is mounted to an inner wall of a thoracic cavity of the patient, and sending a signal based on the monitored physiological characteristic from the sensor to a remote device.

Abstract translation: 所公开的技术包括使用安装到患者胸腔内壁的传感器监测患者的生理特征，以及基于所监测的生理特征从传感器向远程设备发送信号。

公开(公告)号：US12280266B2

公开(公告)日：2025-04-22

申请号：US18406065

申请日：2024-01-05

Applicant: Medtronic, Inc.

Inventor： David A. Anderson ,  Mark T. Marshall ,  Vladimir P. Nikolski ,  Robert T. Sawchuk ,  Amy E. Thompson-Nauman ,  John D. Wahlstrand ,  Gregory A. Younker

IPC: A61N1/39 ,  A61N1/362 ,  A61N1/365 ,  A61N1/37 ,  A61N1/375

Abstract: An implantable medical device has a therapy module configured to generate a composite pacing pulse including a series of at least two individual pulses. The therapy module is configured to generate the composite pacing pulse by generating a first pulse of the at least two individual pulses by selectively coupling a first portion of a plurality of capacitors to an output signal line and generate a second pulse of the at least two individual pulses by selectively coupling a second portion of the plurality of capacitors to the output signal line.