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公开(公告)号:US20180168461A1
公开(公告)日:2018-06-21
申请号:US15385042
申请日:2016-12-20
Applicant: Medtronic, Inc.
Inventor: Mary M. Morris , Ruth N. Klepfer , Tommy D. Bennett
IPC: A61B5/0215 , A61B5/00 , A61B5/0205 , A61N1/362 , A61N1/365 , A61N1/39
CPC classification number: A61B5/0215 , A61B5/0031 , A61B5/0205 , A61B5/02156 , A61B5/1072 , A61B5/1075 , A61B5/11 , A61B5/1116 , A61B5/686 , A61B5/7275 , A61B5/74 , A61B5/7475 , A61B2560/0238 , A61N1/3621 , A61N1/36564 , A61N1/3987
Abstract: A method for monitoring a cardiovascular pressure in a patient may include storing, in a memory of an implantable medical device system and in association with each one or more different patient postures, a respective offset value for the cardiovascular pressure of the patient. The one or more offset values may be determined based on a distance between an implantable pressure sensing device and an anatomical structure of the patient, a location of the implantable pressure sensing device within the patient, or one or more dimensions an anatomical structure of the patient. The method further includes determining a measured value of the cardiovascular pressure and a posture of the patient when the value of the cardiovascular pressure was measured, selecting a stored offset value associated with the current patient posture, and determining an adjusted cardiovascular pressure value based on the selected offset value and the measured cardiovascular pressure value.
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公开(公告)号:US11813464B2
公开(公告)日:2023-11-14
申请号:US17361721
申请日:2021-06-29
Applicant: Medtronic, Inc.
Inventor: Ruth N. Klepfer , Manfred Justen , Subham Ghosh , Jeffrey M. Gillberg
CPC classification number: A61N1/3702 , A61B5/339 , A61B5/366 , A61B5/367 , A61B5/4836 , A61N1/3625 , A61N1/3706 , A61B2560/02
Abstract: Systems, interfaces, and methods are described herein related to the evaluation of a patient's cardiac conduction system and evaluation of cardiac conduction system pacing therapy being delivered to the patient's cardiac conduction system. Evaluation of the patient's cardiac conduction system may utilize a plurality of breakthrough maps to determine where a cardiac conduction system block may be located. Evaluation of cardiac conduction system pacing therapy may utilize various electrical heterogeneity information monitored before and during delivery of cardiac conduction system pacing therapy.
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公开(公告)号:US20230285758A1
公开(公告)日:2023-09-14
申请号:US18200406
申请日:2023-05-22
Applicant: MEDTRONIC, INC.
Inventor: Andrea J. Asleson , Wade M. Demmer , Nathan A. Grenz , Ruth N. Klepfer , Alexander R. Mattson , Kevin Seifert , Zhongping Yang
CPC classification number: A61N1/3684 , A61N1/056 , A61B17/3468 , A61N1/37512 , A61N1/0573 , A61N1/3622 , A61N2001/0578 , A61N2001/0585
Abstract: Systems, devices, and methods may be used to deliver and provide cardiac pacing therapy to a patient. Leads or leadlets carrying one or more left ventricular electrodes may be positioned in or near the interventricular septum to sense and pace left ventricular signals of the patient's heart. In one example, a leadlet including one or more left ventricular electrodes may extend in the coronary sinus from a leadless implantable medical device located in the right atrium.
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公开(公告)号:US20180168463A1
公开(公告)日:2018-06-21
申请号:US15384709
申请日:2016-12-20
Applicant: Medtronic, Inc.
Inventor: Mary M. Morris , Ruth N. Klepfer , Karen J. Kleckner , Joel R. Lauer
IPC: A61B5/0205 , A61B5/00 , A61B5/11 , A61N1/365 , A61N1/39
CPC classification number: A61B5/02055 , A61B5/0024 , A61B5/0031 , A61B5/0215 , A61B5/024 , A61B5/0816 , A61B5/1118 , A61B5/4836 , A61B5/686 , A61B5/6876 , A61B5/7221 , A61B2562/0219 , A61N1/365 , A61N1/3956 , A61N1/3987 , G16H20/30 , G16H40/63
Abstract: Systems, devices disclosed provide example methods comprising determining that a triggering event has occurred based on statuses for a set of physiological parameters associated with the patient, the physiological parameters indicative of the patient engaging in a patient initiated physical activity, generating a trigger output signal in response to the determination that the triggering event has occurred, wirelessly transmitting the trigger output signal to a pressure sensing device implanted in a vessel of the patient, triggering, based on receiving the trigger output signal, the pressure sensing device to sense a cardiovascular pressure of the patient; and transmitting, by the pressure sensing device, a wireless signal comprising data corresponding to the sensed cardiovascular pressure of the patient.
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公开(公告)号:US20150018839A1
公开(公告)日:2015-01-15
申请号:US14332271
申请日:2014-07-15
Applicant: Medtronic, Inc.
Inventor: Mary M. Morris , Avram Scheiner , Ruth N. Klepfer , John E. Burnes
CPC classification number: A61N1/36053 , A61M25/09 , A61N1/05 , A61N1/0551 , A61N1/0558 , A61N1/057 , A61N1/36085 , A61N1/36114 , A61N1/36125 , A61N1/36128
Abstract: This disclosure is directed to extra, intra, and transvascular medical lead placement techniques for arranging medical leads and electrical stimulation and/or sensing electrodes proximate nerve tissue within a patient.
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公开(公告)号:US20240342488A1
公开(公告)日:2024-10-17
申请号:US18756299
申请日:2024-06-27
Applicant: MEDTRONIC, INC.
Inventor: Ruth N. Klepfer , Manfred Justen , Subham Ghosh , Jeffrey M. Gillberg , Trent M. Fischer , Elizabeth A. Schotzko
IPC: A61N1/365
CPC classification number: A61N1/36585 , A61N1/36521 , A61N1/36592
Abstract: An electrode apparatus includes a portable amplifier and a plurality of external electrodes to be disposed proximate a patient's skin. A portable computing apparatus is operably coupled to the electrode apparatus. The portable computing apparatus is configured to monitor electrical activity from tissue of a patient using the plurality of external electrodes to generate a plurality of electrical signals over time. The portable computing apparatus is configured to perform at least one of optimizing at least one parameter of the of the implantable pacing device based on the plurality of electrical signals and determining cardiac synchrony based on the plurality of electrical signals.
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公开(公告)号:US11969233B2
公开(公告)日:2024-04-30
申请号:US16885396
申请日:2020-05-28
Applicant: Medtronic, Inc.
Inventor: Mary M. Morris , Ruth N. Klepfer , Karen J. Kleckner , Joel R. Lauer
IPC: A61B5/0215 , A61B5/00 , A61B5/0245 , A61B5/07 , A61B5/08 , A61B5/11 , A61N1/365
CPC classification number: A61B5/0215 , A61B5/0024 , A61B5/0031 , A61B5/4561 , A61B5/4836 , A61B5/6876 , A61B5/6882 , A61B5/7221 , A61B5/7285 , A61B5/002 , A61B5/0022 , A61B5/0245 , A61B5/076 , A61B5/0816 , A61B5/1116 , A61B5/1118 , A61B5/6883 , A61B5/746 , A61B2562/0219 , A61B2562/0247 , A61B2562/162 , A61N1/36564
Abstract: A method for monitoring a cardiovascular pressure in a patient includes measuring, by pressure sensing circuitry of an implantable pressure sensing device, the cardiovascular pressure of the patient. The method further includes transmitting, via wireless communication circuitry of the implantable pressure sensing device, the measured cardiovascular pressure to another device. The method further includes determining, by processing circuitry of the other device, whether a posture of the patient at a time of the measured cardiovascular pressure was a target posture for cardiovascular pressure measurements. The method further includes determining, by the processing circuitry of the other device, whether to store or discard the transmitted cardiovascular pressure based on determining whether the posture was the target posture.
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公开(公告)号:US20220032069A1
公开(公告)日:2022-02-03
申请号:US17385259
申请日:2021-07-26
Applicant: Medtronic, Inc.
Inventor: Ruth N. Klepfer , Manfred Justen , Subham Ghosh , Jeffrey M. Gillberg , Trent M. Fischer , Elizabeth A. Schotzko
IPC: A61N1/365
Abstract: An electrode apparatus includes a portable amplifier and a plurality of external electrodes to be disposed proximate a patient's skin. A portable computing apparatus is operably coupled to the electrode apparatus. The portable computing apparatus is configured to monitor electrical activity from tissue of a patient using the plurality of external electrodes to generate a plurality of electrical signals over time. The portable computing apparatus is configured to perform at least one of optimizing at least one parameter of the of the implantable pacing device based on the plurality of electrical signals and determining cardiac synchrony based on the plurality of electrical signals.
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公开(公告)号:US11071865B2
公开(公告)日:2021-07-27
申请号:US15969872
申请日:2018-05-03
Applicant: Medtronic, Inc.
Inventor: Ruth N. Klepfer , Robert W. Stadler
Abstract: An implantable cardiac rhythm management medical device is configured to switch from a first operating mode to a second, ventricular assist device operating mode for detecting cardiac arrhythmias and controlling delivery of anti-arrhythmia therapy during the ventricular assist device operating mode. The implantable medical device may receive a command from another medical device indicating co-implantation of a ventricular assist device with the implantable medical device in a patient and switch from the first mode of operating to the second mode of operating in response to receiving the command. Switching from the first mode to the second mode may include adjusting at least one control parameter used for controlling an electrical stimulation therapy deliverable by the implantable cardiac rhythm management medical device.
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公开(公告)号:US20210060340A1
公开(公告)日:2021-03-04
申请号:US16812321
申请日:2020-03-08
Applicant: Medtronic, Inc.
Inventor: Ruth N. Klepfer , Zhongping Yang , Andrea J. Asleson , Nathan A. Grenz , Kaileigh E. Rock
Abstract: A method includes locating the triangle of Koch region in the right atrium of a patient's heart; securing at least one electrode of an implantable lead or device to cardiac tissue from the triangle of Koch region to deliver ventricle-from-atrium (VfA) cardiac therapy; and testing the location or depth of the at least one electrode to configure VfA cardiac therapy. Locating the target implant region in the triangle of Koch region may include detecting an atrial slow pathway potential (ASP) or atrial pacing output.
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