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公开(公告)号:US20190105489A1
公开(公告)日:2019-04-11
申请号:US16214882
申请日:2018-12-10
Applicant: Medtronic, Inc.
Inventor: Amy E. Thompson-Nauman , Melissa G.T. Christie
Abstract: Anchoring mechanisms for an implantable electrical medical lead that is positioned within a substernal space are disclosed. The anchoring mechanisms fixedly-position a distal portion of the lead, that is implanted in the substernal space.
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公开(公告)号:US10080891B2
公开(公告)日:2018-09-25
申请号:US14957651
申请日:2015-12-03
Applicant: Medtronic, Inc.
Inventor: Amy E. Thompson-Nauman , Melissa G. T. Christie , Mark T. Marshall , Thomas H. Spear
CPC classification number: A61N1/08 , A61N1/36521 , A61N1/3706 , A61N1/3925 , A61N1/3956
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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公开(公告)号:US09131865B2
公开(公告)日:2015-09-15
申请号:US14056053
申请日:2013-10-17
Applicant: Medtronic, Inc.
Inventor: Amy E. Thompson-Nauman , Michael J Ebert , Rick D McVenes , Nathan A Grenz
IPC: A61N1/37 , A61B5/0402
CPC classification number: A61B5/0402 , A61B5/0452 , A61B2562/0204 , A61B2562/0219 , A61N1/3622 , A61N1/3627 , A61N1/3702 , A61N1/371
Abstract: A method and medical device for monitoring cardiac function in a patient that includes a plurality of electrodes to deliver cardiac pacing therapy, and a processor configured to determine a pacing threshold in response to initial delivery of the pacing therapy, determine whether there is a change in the pacing threshold during initial delivery of the pacing therapy, adjust a delivery parameter of the pacing therapy in response to determining whether there is a change in the pacing threshold during initial delivery of the pacing therapy, determine whether there is a decrease in the pacing threshold during delivery of the adjusted pacing therapy, and determine hyperkalemia in response to the decrease in the pacing threshold during delivery of the adjusted pacing therapy being present.
Abstract translation: 一种用于监测患者心脏功能的方法和医疗装置,所述方法和医疗装置包括多个用于递送心脏起搏疗法的电极,以及配置成响应于起搏治疗的初始递送确定起搏阈值的处理器,确定是否存在改变 在起搏治疗的初始递送期间的起搏阈值,响应于确定起搏治疗的初始递送期间起搏阈值是否发生变化,调整起搏治疗的输送参数,确定起搏阈值是否有降低 在调整的起搏治疗的交付过程中,并且响应于调节起搏治疗的递送期间起搏阈值的降低来确定高钾血症。
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公开(公告)号:US20250018207A1
公开(公告)日:2025-01-16
申请号:US18765497
申请日:2024-07-08
Applicant: Medtronic, Inc.
Inventor: Amy E. Thompson-Nauman , Matthew J. Hoffman , Vladimir P. Nikolski , Mary M. Morris
Abstract: In some examples, a medical device includes an elongated structure configured to extend from an access point of a patient through an intercostal space within the patient. The medical device may further include a plurality of electrodes comprising a first subset of electrodes and a second subset of electrodes, where at least the first subset of electrodes is carried on a distal portion of the elongated structure. The first subset of electrodes of the plurality of electrodes may be configured to deliver electrical therapy to a heart of the patient or sense cardiac activity. The second subset of electrodes of the plurality of electrodes may be configured to deliver energy to tissue proximate a ribcage of the patient to reduce a sensation in one or more intercostal nerves.
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15.
公开(公告)号:US11697023B2
公开(公告)日:2023-07-11
申请号:US17175806
申请日:2021-02-15
Applicant: Medtronic, Inc.
CPC classification number: A61N1/3621 , A61B5/363 , A61N1/3712 , A61N1/39622
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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公开(公告)号:US11524157B2
公开(公告)日:2022-12-13
申请号:US16885837
申请日:2020-05-28
Applicant: Medtronic, Inc.
Inventor: Amy E. Thompson-Nauman , Melissa G. T. Christie , Paul J. DeGroot , Rick D. McVenes
Abstract: Implantable leadless cardiac pacing systems and methods for providing substernal pacing using the leadless cardiac pacing systems are described. In one embodiment, an implantable leadless cardiac pacing system includes a housing, a first electrode on the housing, a second electrode on the housing, and a pulse generator within the housing and electrically coupled to the first electrode and the second electrode. The housing is implanted substantially within an anterior mediastinum of a patient and the pulse generator is configured to deliver pacing pulses to a heart of the patient via a therapy vector formed between the first and second electrodes.
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公开(公告)号:US11344737B2
公开(公告)日:2022-05-31
申请号:US16678365
申请日:2019-11-08
Applicant: Medtronic, Inc.
Inventor: Amy E. Thompson-Nauman , Melissa G. T. Christie , Paul J. DeGroot , Rick D. McVenes , Becky L. Dolan
Abstract: Substernal implantable cardioveter-defibrillator (ICD) systems and methods for providing substernal electrical stimulation therapy to treat malignant tachyarrhythmia, e.g., ventricular tachycardia (VT) and ventricular fibrillation (VF) are described. In one example, an implantable cardioveter-defibrillator (ICD) system includes an ICD implanted in a patient and an implantable medical electrical lead. The lead includes an elongated lead body having a proximal end and a distal portion, a connector at the proximal end of the lead body configured to couple to the ICD, and one or more electrodes along the distal portion of the elongated lead body. The distal portion of the elongated lead body of the lead is implanted substantially within an anterior mediastinum of the patient and the ICD is configured to deliver electrical stimulation to a heart of the patient using the one or more electrodes.
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公开(公告)号:US11344720B2
公开(公告)日:2022-05-31
申请号:US16725458
申请日:2019-12-23
Applicant: Medtronic, Inc.
Inventor: Amy E. Thompson-Nauman , Melissa G. T. Christie , Rick D. McVenes
Abstract: Implantable cardiac pacing systems and methods for providing substernal pacing are described. In one example, a cardiac pacing system includes a pacemaker implanted in a patient and an implantable medical electrical lead. The implantable medical electrical lead includes an elongated lead body having a proximal end and a distal portion, a connector configured to couple to the pacemaker at the proximal end of the elongated lead body, and one or more electrodes along the distal portion of the elongated lead body, wherein the distal portion of the elongated lead body of the lead is implanted substantially within an anterior mediastinum of the patient and the pacemaker is configured to deliver pacing pulses to a heart of the patient.
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公开(公告)号:US10765858B2
公开(公告)日:2020-09-08
申请号:US14695167
申请日:2015-04-24
Applicant: Medtronic, Inc.
Inventor: Mark T. Marshall , Amy E. Thompson-Nauman , Melissa G. T. Christie , Gonzalo Martinez , Kevin R. Seifert
Abstract: A lead body having a defibrillation electrode positioned along a distal portion of the lead body is described. The defibrillation electrode includes a plurality of electrode segments spaced a distance apart from each other. At least one of the plurality of defibrillation electrode segments includes at least one coated portion and at least one uncoated portion. The at least one coated portion is coated with an electrically insulating material configured to prevent transmission of a low voltage signal (e.g., a pacing pulse) while allowing transmission of a high voltage signal (e.g., a cardioversion defibrillation shock). The at least one uncoated portion is configured to transmit both low voltage and high voltage signals. The lead may also include one or more discrete electrodes proximal, distal or between the defibrillation electrode segments.
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20.
公开(公告)号:US10661073B2
公开(公告)日:2020-05-26
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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