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公开(公告)号：US20210345969A1
公开(公告)日：2021-11-11
申请号：US17385481
申请日：2021-07-26
Applicant: Medtronic, Inc.
Inventor： Ya-Jian Cheng , Jerry D. Reiland
Abstract: This disclosure is directed to techniques for identifying false detection of asystole in a cardiac electrogram that include determining whether at least one of a plurality of false asystole detection criteria are satisfied. In some examples, the plurality of false asystole detection criteria includes a first false asystole detection criterion including a reduced amplitude threshold for detecting cardiac depolarizations in the cardiac electrogram, and a second false asystole detection criterion for detecting decaying noise in the cardiac electrogram.
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12.发明申请METHOD AND APPARATUS FOR ADJUSTING A THRESHOLD DURING ATRIAL ARRHYTHMIA EPISODE DETECTION IN AN IMPLANTABLE MEDICAL DEVICE 有权用于在可植入医疗器械中进行急性心律失常检测中调整阈值的方法和装置公开(公告)号：US20160235317A1
公开(公告)日：2016-08-18
申请号：US14926419
申请日：2015-10-29
Applicant: Medtronic, Inc.
Inventor： Shantanu Sarkar , Daniel L. Hansen , Grant A. Neitzell , Jerry D. Reiland , Ryan Wyszynski
IPC: A61B5/04 , A61B5/0464 , A61B5/046 , A61B5/042 , A61B5/0456
CPC classification number: A61B5/046 , A61B5/04 , A61B5/04012 , A61B5/04014 , A61B5/04017 , A61B5/0452 , A61B5/0456 , A61B5/0464 , A61B5/686 , A61N1/3624 , A61N1/36507 , A61N1/36592 , A61N1/395 , A61N1/3987
Abstract: An implantable medical device and method for determining an atrial arrhythmia event that includes a cardiac sensing device comprising a housing having circuitry positioned therein, a plurality of electrodes electrically coupled to the circuitry to sense a cardiac signal, and a processor configured to generate an initial detection of an atrial arrhythmia event in response to an atrial arrhythmia threshold, determine whether a P-wave occurs during the initial detection, determine an adaptive threshold in response to the P-wave being detected, adjust the atrial arrhythmia threshold in response to the adaptive threshold, and generate a subsequent initial detection of an atrial arrhythmia event using the adjusted atrial arrhythmia threshold.
Abstract translation: 一种用于确定房性心律失常事件的可植入医疗装置和方法，其包括心脏感测装置，所述心脏感测装置包括具有放置在其中的电路的壳体，电耦合到所述电路以感测心脏信号的多个电极，以及被配置为产生初始检测的处理器 响应于房性心律失常阈值的心房心律失常事件，确定在初始检测期间是否发生P波，响应于检测到的P波确定自适应阈值，响应于自适应阈值调整心房心律失常阈值 ，并使用调整的心房心律失常阈值产生随后的心房心律失常事件的初始检测。
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公开(公告)号：US11937948B2
公开(公告)日：2024-03-26
申请号：US17385481
申请日：2021-07-26
Applicant: Medtronic, Inc.
Inventor： Ya-Jian Cheng , Jerry D. Reiland
CPC classification number: A61B5/7221 , A61B5/287 , A61B5/364
Abstract: This disclosure is directed to techniques for identifying false detection of asystole in a cardiac electrogram that include determining whether at least one of a plurality of false asystole detection criteria are satisfied. In some examples, the plurality of false asystole detection criteria includes a first false asystole detection criterion including a reduced amplitude threshold for detecting cardiac depolarizations in the cardiac electrogram, and a second false asystole detection criterion for detecting decaying noise in the cardiac electrogram.
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14.发明授权公开(公告)号：US11464985B2
公开(公告)日：2022-10-11
申请号：US16935047
申请日：2020-07-21
Applicant: Medtronic, Inc.
Inventor： Robert M. Ecker , Matthew P. Hanly , Charles R. Gordon , Gary J. Pauly , Michael B. Terry , Jerry D. Reiland , Hyun J. Yoon , Ryan D. Wyszynski , Jon E. Thissen
Abstract: Techniques for switching an implantable medical device (IMD) from a first mode to a second mode in relation to signals obtained from internal sensors are described. The internal sensors may include a temperature sensor and a biosensor. In some examples, processing circuitry of the IMD may make a first preliminary determination that the IMD is implanted based on a first signal from the temperature sensor. In response to the first preliminary determination being that the IMD is implanted, the processing circuitry may make a second preliminary determination that the IMD is implanted based on a second signal from the biosensor. The processing circuitry may switch the IMD from a first mode to a second mode based on both the first preliminary determination and the second preliminary determination being that the IMD is implanted.
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公开(公告)号：US20210339028A1
公开(公告)日：2021-11-04
申请号：US16866178
申请日：2020-05-04
Applicant: Medtronic, Inc.
Inventor： Matthew J. Hoffman , Matthew P. Hanly , Evan S. Johnson , Gary J. Pauly , Jerry D. Reiland , Melani G. Sullivan , Ryan D. Wyszynski , Hyun J. Yoon
Abstract: Techniques are disclosed for using a rate of wireless telemetry of an implantable medical device (IMD) to estimate a remaining longevity of a power source of the IMD. For example, the IMD sets a timer indicative of a remaining power capacity of the power source until a recommended replacement time (RRT) threshold. The IMD determines a power consumption of the IMD due to telemetry and updates, based on the power consumption of the IMD due to telemetry, the timer indicative of the remaining power capacity of the power source. The IMD determines, based on expiration of the timer indicative of the remaining power capacity of the power source, that the power source has reached the RRT threshold. In some examples, the IMD may output, to an external device and for display to a user, an indication that the power source has reached the RRT threshold.
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Patent Agency Ranking
16.发明申请公开(公告)号：US20210267528A1
公开(公告)日：2021-09-02
申请号：US17323836
申请日：2021-05-18
Applicant: Medtronic, Inc.
Inventor： Shantanu Sarkar , Michael L. Hudziak , Jerry D. Reiland , Erin N. Reisfeld
Abstract: A system and method for detecting and verifying bradycardia/asystole episodes includes sensing an electrogram (EGM) signal. The EGM signal is compared to a primary threshold to sense events in the EGM signal, and at least one of a bradycardia or an asystole is detected based on the comparison. In response to detecting at least one of a bradycardia or an asystole, the EGM signal is compared to a secondary threshold to sense events under-sensed by the primary threshold. The validity of the bradycardia or the asystole is determined based on the detected under-sensed events.
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公开(公告)号：US11071500B2
公开(公告)日：2021-07-27
申请号：US16401553
申请日：2019-05-02
Applicant: Medtronic, Inc.
Inventor： Ya-Jian Cheng , Jerry D. Reiland
Abstract: This disclosure is directed to techniques for identifying false detection of asystole in a cardiac electrogram that include determining whether at least one of a plurality of false asystole detection criteria are satisfied. In some examples, the plurality of false asystole detection criteria includes a first false asystole detection criterion including a reduced amplitude threshold for detecting cardiac depolarizations in the cardiac electrogram, and a second false asystole detection criterion for detecting decaying noise in the cardiac electrogram.
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18.发明申请公开(公告)号：US20160235992A1
公开(公告)日：2016-08-18
申请号：US14695111
申请日：2015-04-24
Applicant: Medtronic, Inc.
Inventor： Shantanu Sarkar , Daniel L. Hansen , Grant A. Neitzell , Jerry D. Reiland , Ryan Wyszynski
CPC classification number: A61B5/046 , A61B5/04 , A61B5/04012 , A61B5/04014 , A61B5/04017 , A61B5/0452 , A61B5/0456 , A61B5/0464 , A61B5/686 , A61N1/3624 , A61N1/36507 , A61N1/36592 , A61N1/395 , A61N1/3987
Abstract: A method and implantable medical device for determining an atrial arrhythmia event that includes sensing a cardiac signal, determining an atrial arrhythmia score for identifying the arrhythmia event in response to the sensed cardiac signal, determining a sensing window in response to the sensed cardiac signal, the sensing window having a first portion and a second portion, determining signal characteristics of the sensed cardiac signal within the first portion and within the second portion, determining whether the sensed cardiac signal within the first portion and within the second portion corresponds to a P-wave in response to the determined signal characteristics, determining whether a signal to noise ratio of the sensed cardiac signal within the first portion and the second portion of the sensing window is satisfied, determining whether to update the arrhythmia score in response to the determined P-wave and the determined signal to noise ratio, and determining whether to delivery an arrhythmia therapy in response to the updated arrhythmia score.
Abstract translation: 一种用于确定房性心律失常事件的方法和可植入医疗装置，包括感测心脏信号，确定心房心律失常评分以响应于所感测到的心脏信号来识别心律失常事件，响应于感测的心脏信号确定感测窗口， 检测窗口具有第一部分和第二部分，确定第一部分内部和第二部分内感测到的心脏信号的信号特征，确定第一部分内部和第二部分内感测的心脏信号是否对应于P波 响应于确定的信号特性，确定是否满足感测窗口的第一部分和第二部分内感测到的心脏信号的信噪比，响应于所确定的P波来确定是否更新心律失常评分 并确定信噪比，并确定是否发送 响应于更新的心律失常评分的心律失常治疗。
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19.发明申请公开(公告)号：US20130238840A1
公开(公告)日：2013-09-12
申请号：US13663099
申请日：2012-10-29
Applicant: MEDTRONIC, INC.
Inventor： Kevin K. Walsh , Charles R. Gordon , Paul R. Solheim , Jerry D. Reiland , Robert D. Musto , Duane R. Bigelow
IPC: G06F12/00
CPC classification number: G11C11/005 , G06F3/0601 , G06F3/0646 , G06F3/0668 , G06F3/0679 , G06F12/0238 , G06F12/0246 , G06F12/0623 , G06F12/0868 , G06F13/387 , G06F13/42 , G06F13/4234 , G11C16/10
Abstract: Memory array, system and method for storing data. The memory array has a flash memory array, a random access memory array coupled to the flash memory and configured to receive the data, a memory management module and a data bus. The memory management module is coupled to the random access memory array and to the flash memory array, the memory management module being configured to transfer at least a portion of the data stored in the random access memory array to the flash memory array. The data bus is coupled to the flash memory array and configured to output at least a portion of the data originally stored in the random access memory array from the flash memory array.
Abstract translation: 用于存储数据的存储器阵列，系统和方法。 存储器阵列具有闪存阵列，耦合到闪存并被配置为接收数据的随机存取存储器阵列，存储器管理模块和数据总线。 存储器管理模块耦合到随机存取存储器阵列和闪速存储器阵列，存储器管理模块被配置为将存储在随机存取存储器阵列中的数据的至少一部分传送到闪存阵列。 数据总线耦合到闪速存储器阵列并且被配置为从闪速存储器阵列输出原始存储在随机存取存储器阵列中的数据的至少一部分。
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公开(公告)号：US12167908B2
公开(公告)日：2024-12-17
申请号：US17380705
申请日：2021-07-20
Applicant: Medtronic, Inc.
Inventor： Hyun J. Yoon , Jon E. Thissen , Jerry D. Reiland , Ashley L Galarneau
Abstract: This disclosure is directed to devices, systems, and techniques for dynamically adjusting a bio impedance measurement range. An example device includes a plurality of electrodes. The device also includes sensing circuitry configured to sense a bio impedance and processing circuitry. The processing circuitry is configured to apply an excitation signal to the sensing circuitry and, based on the application of the excitation signal, determine a sensed bio impedance value within a bio impedance measurement range. The processing circuitry is also configured to determine whether the sensed bio impedance value is within a predetermined portion of the bio impedance measurement range for a predetermined period of time and based on the sensed bio impedance value being within the predetermined portion of the bio impedance measurement range for the predetermined period of time, adjust the excitation signal.
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