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11.发明申请公开(公告)号：US20170157412A1
公开(公告)日：2017-06-08
申请号：US15367448
申请日：2016-12-02
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
CPC classification number: A61N1/385 , A61N1/3782 , A61N1/3925 , A61N1/3956 , A61N1/3962 , A61N1/3981 , A61N1/3987
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.
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公开(公告)号：US20230293892A1
公开(公告)日：2023-09-21
申请号：US18324689
申请日：2023-05-26
Applicant: Medtronic, Inc.
Inventor： Amy E. THOMPSON-NAUMAN , Melissa G.T. CHRISTIE , Mark T. MARSHALL , Thomas H. SPEAR
CPC classification number: A61N1/36521 , A61N1/3706 , A61N1/3956 , A61N1/3925
Abstract: An extra-cardiovascular medical device is configured to select a capacitor configuration from a capacitor array and deliver a low voltage, pacing pulse by discharging the selected capacitor configuration across an extra-cardiovascular pacing electrode vector. In some examples, the medical device is configured to determine the capacitor configuration based on a measured impedance of the extra-cardiovascular pacing electrode vector.
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13.发明公开公开(公告)号：US20230293890A1
公开(公告)日：2023-09-21
申请号：US18324781
申请日：2023-05-26
Applicant: Medtronic, Inc.
CPC classification number: A61N1/3621 , A61N1/39622 , A61B5/363 , A61N1/3712
Abstract: A medical device is configured to deliver therapeutic electrical stimulation pulses by generating frequency modulated electrical stimulation pulse signals. The medical device includes a pulse signal source and a modulator. The pulse signal source generates an electrical stimulation pulse signal having a pulse width. The modulator may include a high frequency modulator configured to modulate a frequency of the pulse signal from a starting frequency down to a minimum frequency during the pulse width. The modulator may include a low frequency bias generator to modulate the offset of the pulse signal between a minimum offset and a maximum offset in other examples.
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14.发明申请公开(公告)号：US20190091467A1
公开(公告)日：2019-03-28
申请号：US16200846
申请日：2018-11-27
Applicant: Medtronic, Inc.
Inventor： Mark T. MARSHALL , Jian CAO , Melissa G.T. CHRISTIE , Paul J. DEGROOT , Vladimir P. NIKOLSKI , Amy E. THOMPSON-NAUMAN
Abstract: Implantable medical electrical leads having electrodes arranged such that a defibrillation coil electrode and a pace/sense electrode(s) are concurrently positioned substantially over the ventricle when implanted as described. The leads include an elongated lead body having a distal portion and a proximal end, a connector at the proximal end of the lead body, a defibrillation electrode located along the distal portion of the lead body, wherein the defibrillation electrode includes a first electrode segment and a second electrode segment proximal to the first electrode segment by a distance. The leads may include at least one pace/sense electrode, which in some instances, is located between the first defibrillation electrode segment and the second defibrillation electrode segment.
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15.发明申请公开(公告)号：US20180339161A1
公开(公告)日：2018-11-29
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
CPC classification number: A61N1/385 , A61N1/3782 , A61N1/3925 , A61N1/3956 , A61N1/3962 , A61N1/3981 , A61N1/3987
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.
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Patent Agency Ranking
16.发明申请公开(公告)号：US20170157414A1
公开(公告)日：2017-06-08
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
CPC classification number: A61N1/3962 , A61N1/0587 , A61N1/3621 , A61N1/3706 , A61N1/371 , A61N1/3712 , A61N1/3758 , A61N1/3925 , A61N1/3987
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.
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公开(公告)号：US20160175580A1
公开(公告)日：2016-06-23
申请号：US14973818
申请日：2015-12-18
Applicant: Medtronic, Inc.
Inventor： Mark T. MARSHALL , Vladimir P. NIKOLSKI , Nathan L. OLSON
IPC: A61N1/05
CPC classification number: A61N1/05 , A61N1/0504 , A61N1/0563
Abstract: An implantable medical electrical lead having an elongate lead body having a proximal end and a distal portion. A plurality of defibrillation electrodes coupled to the distal portion is included, the plurality of electrodes being transitionable from a first configuration in which the defibrillation electrodes are biased in an expanded configuration to a second configuration in which the defibrillation electrodes are in a collapsed configuration. A joint slideably disposed around a portion of the lead body is included, at least a portion of the plurality of defibrillation electrodes being coupled to the joint
Abstract translation: 一种具有细长引线本体的可植入医用电线，其具有近端和远侧部分。 包括耦合到远侧部分的多个除颤电极，所述多个电极可从其中除颤电极以扩张构型偏置到其中除颤电极处于折叠构型的第二配置的第一配置转变。 包括可滑动地设置在引线主体的一部分周围的接头，多个除颤电极的至少一部分耦合到接头
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18.发明申请公开(公告)号：US20160158567A1
公开(公告)日：2016-06-09
申请号：US14963303
申请日：2015-12-09
Applicant: Medtronic, Inc.
Inventor： Mark T. MARSHALL , Gonzalo MARTINEZ , Vladimir P. NIKOLSKI , Nathan L. OLSON , Kevin R. SEIFERT , Teresa A. WHITMAN
Abstract: This disclosure describes an implantable medical electrical lead and an ICD system utilizing the lead. The lead includes a lead body defining a proximal end and a distal portion, wherein at least a part of the distal portion of the lead body defines an undulating configuration. The lead includes a defibrillation electrode that includes a plurality of defibrillation electrode segments disposed along the undulating configuration spaced apart from one another by a distance. The lead also includes at least one electrode disposed between adjacent sections of the plurality of defibrillation sections. The at least one electrode is configured to deliver a pacing pulse to the heart and/or sense cardiac electrical activity of the heart.
Abstract translation: 本公开描述了可植入医疗电引线和利用引线的ICD系统。 引线包括限定近端和远端部分的引线主体，其中引线主体的远端部分的至少一部分限定起伏构型。 引线包括除颤电极，其包括沿着彼此间隔开一定距离的起伏构型设置的多个除颤电极段。 引线还包括设置在多个除颤部分的相邻部分之间的至少一个电极。 所述至少一个电极被配置成将起搏脉冲输送到心脏和/或感测心脏的心脏电活动。
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公开(公告)号：US20200046975A1
公开(公告)日：2020-02-13
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
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.
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公开(公告)号：US20190015671A1
公开(公告)日：2019-01-17
申请号：US16132564
申请日：2018-09-17
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
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.
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