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公开(公告)号：US11623099B2
公开(公告)日：2023-04-11
申请号：US16884469
申请日：2020-05-27
Applicant: Medtronic, Inc.
Inventor： Berthold Stegemann , Robert W. Stadler , Richard Cornelussen
IPC: A61N1/365 , A61B5/0245 , A61B5/11 , A61B5/00 , A61B5/06 , A61N1/02 , A61N1/372 , A61N1/39 , A61N1/05
Abstract: In some examples, a system may be used for delivering cardiac therapy or cardiac sensing. The system may include an in implantable medical device including a housing configured to be implanted on or within a heart of a patient, a fixation element configured to attach the housing to the heart; and a sensor configured to produce a signal that indicates motion of the implantable medical device. Processing circuitry may be configured to identify one or more impingements between the housing and another structure, such as a tissue of the heart, based on the signal from the sensor and provide an indication of the one or more impingements to a user.
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公开(公告)号：US20190269929A1
公开(公告)日：2019-09-05
申请号：US16290112
申请日：2019-03-01
Applicant: Medtronic, Inc.
Inventor： Vicki L. Bjorklund , Xin Chen , William J. Clemens , Lilian Kornet , Jean Rutten , Berthold Stegemann , Zhongping Yang
Abstract: A method, system and device for implanting an electrode assembly of an implantable medical device in a patient's heart. Positioning one or more radiopaque markers in a coronary sinus of the patient's heart. Positioning, by using the one or more positioned radiopaque markers as a fluoroscopic visual reference, a distal tip of a delivery catheter within a right atrium of the patient's heart so that a distal opening of a lumen of the catheter is against a septal wall of the heart at a location between the ostium of the coronary sinus and the A-V nodal area of the right atrium, and so that the tip of the catheter is generally directed toward a left ventricle of the patient's heart. Advancing the electrode assembly through the lumen of the catheter and into the septal wall.
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公开(公告)号：US20190209845A1
公开(公告)日：2019-07-11
申请号：US15928773
申请日：2018-03-22
Applicant: Medtronic, Inc.
Inventor： Robert W. Stadler , Richard Cornelussen , Berthold Stegemann
CPC classification number: A61N1/36578 , A61N1/3621 , A61N1/3624 , A61N1/36507 , A61N1/3987
Abstract: In some examples, a system can be used for delivering cardiac resynchronization therapy (CRT). The system may include a pacing device configured to be implanted within a patient. The pacing device can include a plurality of electrodes, signal generation circuitry configured to deliver ventricular pacing via the plurality of electrodes, and a sensor configured to produce a signal that indicates mechanical activity of the heart. Processing circuitry can be configured to identify one or more features of a cardiac contraction within the signal, and determine whether the contraction was a fusion beat based on the one or more features.
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公开(公告)号：US12109007B2
公开(公告)日：2024-10-08
申请号：US18492038
申请日：2023-10-23
Applicant: Medtronic, Inc.
Inventor： Alfonso Aranda Hernandez , Richard Cornelussen , Mirko de Melis , Richard Sutton , Berthold Stegemann
IPC: A61B5/0205 , A61B5/00 , A61B5/024 , A61B5/07 , A61B5/08 , A61B5/11 , A61B5/282 , A61B5/349 , A61N1/375
CPC classification number: A61B5/0205 , A61B5/076 , A61B5/686 , A61B5/6861 , A61B5/7282 , A61B5/02405 , A61B5/0816 , A61B5/1116 , A61B5/1118 , A61B5/282 , A61N1/3756
Abstract: In some examples, determining a heart failure status using a medical device comprising one or more sensors includes determining a first value of a heart beat variability metric of a patient while an activity state of a patient satisfies an inactivity criterion based on a signal received from the one or more sensors, and determining, within a predetermined period of time after further determining that the activity state of the patient no longer satisfies the inactivity criterion, a second value of the heart beat variability metric while the activity state of the patient no longer satisfies the inactivity criterion based on the signal. A difference between the first value of the heart beat variability metric and the second value of the heart beat variability metric may be determined and the heart failure status of the patient may be determined based on the difference.
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公开(公告)号：US20240149067A1
公开(公告)日：2024-05-09
申请号：US18413447
申请日：2024-01-16
Applicant: MEDTRONIC, INC.
Inventor： Vicki L. Bjorklund , Xin Chen , William J. Clemens , Lilian Kornet , Jean Rutten , Berthold Stegemann , Zhongping Yang
CPC classification number: A61N1/36843 , A61B5/287 , A61B90/39 , A61N1/0573 , A61N1/059 , A61N1/0592 , A61N1/37512 , A61B2090/3966 , A61B2090/3987 , A61N1/3627 , A61N1/368
Abstract: A method, system and device for implanting an electrode assembly of an implantable medical device in a patient's heart. Positioning one or more radiopaque markers in a coronary sinus of the patient's heart. Positioning, by using the one or more positioned radiopaque markers as a fluoroscopic visual reference, a distal tip of a delivery catheter within a right atrium of the patient's heart so that a distal opening of a lumen of the catheter is against a septal wall of the heart at a location between the ostium of the coronary sinus and the A-V nodal area of the right atrium, and so that the tip of the catheter is generally directed toward a left ventricle of the patient's heart. Advancing the electrode assembly through the lumen of the catheter and into the septal wall.
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Patent Agency Ranking
公开(公告)号：US20240049968A1
公开(公告)日：2024-02-15
申请号：US18492038
申请日：2023-10-23
Applicant: Medtronic, Inc.
Inventor： Alfonso Aranda Hernandez , Richard Cornelussen , Mirko de Melis , Richard Sutton , Berthold Stegemann
IPC: A61B5/0205 , A61B5/07 , A61B5/00
CPC classification number: A61B5/0205 , A61B5/076 , A61B5/7282 , A61B5/6861 , A61B5/686 , A61N1/3756
Abstract: In some examples, determining a heart failure status using a medical device comprising one or more sensors includes determining a first value of a heart beat variability metric of a patient while an activity state of a patient satisfies an inactivity criterion based on a signal received from the one or more sensors, and determining, within a predetermined period of time after further determining that the activity state of the patient no longer satisfies the inactivity criterion, a second value of the heart beat variability metric while the activity state of the patient no longer satisfies the inactivity criterion based on the signal. A difference between the first value of the heart beat variability metric and the second value of the heart beat variability metric may be determined and the heart failure status of the patient may be determined based on the difference.
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公开(公告)号：US11819699B2
公开(公告)日：2023-11-21
申请号：US17558832
申请日：2021-12-22
Applicant: Medtronic, Inc.
Inventor： Zhongping Yang , Thomas A. Anderson , Brian P. Colin , William J. Clemens , Subham Ghosh , Jeffrey M. Gillberg , Maurice T. I Verbeek , Toine Camps , Lilian Kornet , Berthold Stegemann , Jean Rutten
CPC classification number: A61N1/36843 , A61B5/29 , A61N1/059 , A61N1/0573 , A61N1/368 , A61N1/3688 , A61N1/36592 , A61N1/3752 , A61N1/3754 , A61N1/3756 , A61N1/37512 , A61N1/37518
Abstract: VfA cardiac therapy uses an implantable medical device or system. The implantable medical device includes a tissue-piercing electrode implanted in the basal and/or septal region of the left ventricular myocardium of the patient's heart from the triangle of Koch region of the right atrium through the right atrial endocardium and central fibrous body. The device may include a right atrial electrode, a right atrial motion detector, or both. The device may be implanted completely within the patient's heart or may use one or more leads to implant electrodes in the patient's heart. The device may be used to provide cardiac therapy, including single or multiple chamber pacing, atrioventricular synchronous pacing, asynchronous pacing, triggered pacing, cardiac resynchronization pacing, or tachycardia-related therapy. A separate medical device may be used to provide some functionality for cardiac therapy, such as sensing, pacing, or shock therapy.
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公开(公告)号：US11793411B2
公开(公告)日：2023-10-24
申请号：US16797390
申请日：2020-02-21
Applicant: Medtronic, Inc.
Inventor： Alfonso Aranda Hernandez , Richard Cornelussen , Mirko de Melis , Richard Sutton , Berthold Stegemann
IPC: A61B5/0205 , A61B5/07 , A61B5/00 , A61B5/024 , A61B5/08 , A61B5/11 , A61B5/282 , A61N1/375 , A61B5/349
CPC classification number: A61B5/0205 , A61B5/076 , A61B5/686 , A61B5/6861 , A61B5/7282 , A61B5/02405 , A61B5/0816 , A61B5/1116 , A61B5/1118 , A61B5/282 , A61N1/3756
Abstract: In some examples, determining a heart failure status using a medical device comprising one or more sensors includes determining a first value of a heart beat variability metric of a patient while an activity state of a patient satisfies an inactivity criterion based on a signal received from the one or more sensors, and determining, within a predetermined period of time after further determining that the activity state of the patient no longer satisfies the inactivity criterion, a second value of the heart beat variability metric while the activity state of the patient no longer satisfies the inactivity criterion based on the signal. A difference between the first value of the heart beat variability metric and the second value of the heart beat variability metric may be determined and the heart failure status of the patient may be determined based on the difference.
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公开(公告)号：US20230001215A1
公开(公告)日：2023-01-05
申请号：US17932242
申请日：2022-09-14
Applicant: Medtronic, Inc.
Inventor： Zhongping C. Yang , Becky L. Dolan , Xin Chen , Thomas A. Anderson , Berthold Stegemann , Maurice Verbeek , Michael D. Eggen
Abstract: A pacemaker has a housing and a therapy delivery circuit enclosed by the housing for generating pacing pulses for delivery to a patient's heart. An electrically insulative distal member is coupled directly to the housing and at least one non-tissue piercing cathode electrode is coupled directly to the insulative distal member. A tissue piercing electrode extends away from the housing.
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公开(公告)号：US11278727B2
公开(公告)日：2022-03-22
申请号：US16196732
申请日：2018-11-20
Applicant: Medtronic, Inc.
Inventor： Berthold Stegemann , Richard Cornelussen , Joeri Heynens , Subham Ghosh
Abstract: An implantable device and associated method for delivering multi-site pacing therapy is disclosed. The device comprises a set of electrodes including a first and second left ventricular electrodes spatially separated from one another and a right ventricular electrode, all coupled to an implantable pulse generator. The processing circuit coupled to the implantable pulse generator, the processing circuit configured to determine whether a prospective heart failure condition has occurred and if so to trigger the pulse generator to switch from a first pacing mode to a second pacing mode, the first pacing mode comprising delivering only a first pacing pulse to a left ventricle (LV) and thereafter delivering an RV pacing pulse to the right ventricular electrode within a single cardiac cycle and the second pacing mode comprising delivering first and a second pacing pulses to the LV and thereafter delivering an RV pacing pulse to the right ventricular electrode within a single cardiac cycle.
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