-
公开(公告)号：US10722717B2
公开(公告)日：2020-07-28
申请号：US15910032
申请日：2018-03-02
Applicant: Medtronic, Inc.
Inventor： Scott A. Hareland , James D. Reinke , Jon D. Schell
Abstract: In some examples, an implantable medical device determines that another medical device delivered an anti-tachyarrhythmia shock, and delivers post-shock pacing in response to the determination. The implantable medical device may be configured to both detect the delivery of the shock in a sensed electrical signal and, if delivery of the shock is not detected, determine that the shock was delivered based on detection of asystole of the heart. The asystole may be detected based on the sensed electrical signal. In some examples, an implantable medical device is configured to revert from a post-shock pacing mode to a baseline pacing mode by iteratively testing a plurality of decreasing values of pacing pulse magnitude until loss of capture is detected. The implantable medical device may update a baseline value of the pacing pulse magnitude for the baseline mode based on the detection of loss of capture.
-
公开(公告)号：US10561850B2
公开(公告)日：2020-02-18
申请号：US15804361
申请日：2017-11-06
Applicant: Medtronic, Inc.
Inventor： James D. Reinke , James K. Carney , Can Cinbis , David J. Peichel , Joseph Ballis
Abstract: An implantable medical device comprises a communication module that comprises at least one of a receiver module and a transmitter module. The receiver module is configured to both receive from an antenna and demodulate an RF telemetry signal, and receive from a plurality of electrodes and demodulate a tissue conduction communication (TCC) signal. The transmitter module is configured to modulate and transmit both an RF telemetry signal via the antenna and a TCC signal via the plurality of electrodes. The RF telemetry signal and the TCC signal are both within a predetermined band for RF telemetry communication. In some examples, the IMD comprises a switching module configured to selectively couple one of the plurality of electrodes and the antenna to the receiver module or transmitter module.
-
23.发明授权公开(公告)号：US10448855B2
公开(公告)日：2019-10-22
申请号：US14686947
申请日：2015-04-15
Applicant: Medtronic, Inc.
Inventor： James D. Reinke , Xusheng Zhang , Vinod Sharma , Vladimir P. Nikolski , Michael B. Terry , Scott A. Hareland , Daniel L. Hansen , Donna M. Salmi
IPC: A61B5/04 , A61B5/0464 , A61B5/00 , A61N1/37
Abstract: In situations in which an implantable medical device (IMD) (e.g., an extravascular ICD) is co-implanted with a leadless pacing device (LPD), it may be important that the IMD knows when the LPD is delivering pacing, such as anti-tachycardia pacing (ATP). Techniques are described herein for detecting, with the IMD and based on the sensed electrical signal, pacing pulses and adjusting operation to account for the detected pulses, e.g., blanking the sensed electrical signal or modifying a tachyarrhythmia detection algorithm. In one example, the IMD includes a pace pulse detector that detects, based on the processing of sensed electrical signals, delivery of a pacing pulse from a second implantable medical device and blank, based on the detection of the pacing pulse, the sensed electrical signal to remove the pacing pulse from the sensed electrical signal.
-
公开(公告)号：US20170296827A1
公开(公告)日：2017-10-19
申请号：US15487713
申请日：2017-04-14
Applicant: MEDTRONIC, INC.
Inventor： Hyun J. Yoon , Wade M. Demmer , Matthew J. Hoffman , Robert A. Betzold , Jonathan D. Edmonson , Michael L. Ellingson , Ben W. Herberg , Juliana E. Pronovici , James D. Reinke , Todd J. Sheldon , Paul R. Solheim
CPC classification number: A61N1/3718 , A61N1/3684 , A61N1/3688 , A61N1/3931 , A61N1/3956
Abstract: Implantable medical systems enter an exposure mode of operation, either manually via a down linked programming instruction or by automatic detection by the implantable system of exposure to a magnetic disturbance. A controller then determines the appropriate exposure mode by considering various pieces of information including the device type including whether the device has defibrillation capability, pre-exposure mode of therapy including which chambers have been paced, and pre-exposure cardiac activity that is either intrinsic or paced rates. Additional considerations may include determining whether a sensed rate during the exposure mode is physiologic or artificially produced by the magnetic disturbance. When the sensed rate is physiologic, then the controller uses the sensed rate to trigger pacing and otherwise uses asynchronous pacing at a fixed rate.
-
公开(公告)号：US20150073507A1
公开(公告)日：2015-03-12
申请号：US14060649
申请日：2013-10-23
Applicant: Medtronic, Inc.
Inventor： James D. Reinke , Charles R. Gordon , Kevin P. Kuehn , Michael B. Terry
IPC: A61N1/378
CPC classification number: A61N1/3787 , A61B5/04 , A61B5/0422 , A61B2560/04 , A61B2562/16 , A61B2562/225 , A61N1/362 , A61N1/3704 , A61N1/3756 , A61N1/3758 , A61N1/378 , A61N1/3968 , Y10T29/49172
Abstract: The present invention provides an implantable medical device having at least two electrodes coupled to the device housing. The electrodes may be configured for sensing physiological signals such as cardiac signals and alternatively for providing an electrical stimulation therapy such as a pacing or defibrillation therapy. In accordance with aspects of the disclosure, the device housing provides a hermetic enclosure that includes a first housing section that is hermetically coupled to a second housing section. At least one of the at least two electrodes is coupled to an exterior surface of the first housing section that encloses the battery components of the device. The first housing section is electrically insulated from the cathode and anode of the battery.
Abstract translation: 本发明提供一种可植入医疗装置，其具有耦合到装置壳体的至少两个电极。 电极可以被配置用于感测诸如心脏信号的生理信号，或者用于提供诸如起搏或除颤疗法之类的电刺激治疗。 根据本公开的方面，设备壳体提供密封外壳，其包括密封地联接到第二壳体部分的第一壳体部分。 所述至少两个电极中的至少一个耦合到所述第一壳体部分的包围所述装置的电池组件的外表面。 第一壳体部分与电池的阴极和阳极电绝缘。
-
Patent Agency Ranking
公开(公告)号：US20150073247A1
公开(公告)日：2015-03-12
申请号：US14060646
申请日：2013-10-23
Applicant: MEDTRONIC, INC.
Inventor： Charles R. Gordon , Kevin P. Kuehn , James D. Reinke , Michael B. Terry
CPC classification number: A61N1/3787 , A61B5/04 , A61B5/0422 , A61B2560/04 , A61B2562/16 , A61B2562/225 , A61N1/362 , A61N1/3704 , A61N1/3756 , A61N1/3758 , A61N1/378 , A61N1/3968 , Y10T29/49172
Abstract: The present invention provides an implantable medical device having at least two electrodes coupled to the device housing. The electrodes may be configured for sensing physiological signals such as cardiac signals and alternatively for providing an electrical stimulation therapy such as a pacing or defibrillation therapy. In accordance with aspects of the disclosure, the device housing provides a hermetic enclosure that includes a battery case hermetically coupled to a circuit assembly case. At least one of the at least two electrodes is coupled to an exterior surface of the battery case. The battery case is electrically insulated from the cathode and anode of the battery.
Abstract translation: 本发明提供一种可植入医疗装置，其具有耦合到装置壳体的至少两个电极。 电极可以被配置用于感测诸如心脏信号的生理信号，或者用于提供诸如起搏或除颤疗法之类的电刺激治疗。 根据本公开的方面，设备壳体提供密封外壳，其包括密封地联接到电路组件壳体的电池壳体。 至少两个电极中的至少一个耦合到电池壳体的外表面。 电池盒与电池的阴极和阳极电绝缘。
-
公开(公告)号：US20150070022A1
公开(公告)日：2015-03-12
申请号：US14244913
申请日：2014-04-04
Applicant: Medtronic, Inc.
Inventor： Charles R. Gordon , James D. Reinke , Val D. Eisele
CPC classification number: G01R31/3606 , A61N1/18 , G01R31/362
Abstract: A method of generating at least one recommended replacement time signal for a battery is provided. The method includes measuring a plurality of associated unloaded and loaded battery voltages. A delta voltage for each associated unloaded and loaded battery voltage is then determined. A select number of delta voltages are averaged. A minimum delta voltage is determined from a plurality of the averaged delta voltages. At least one recommended replacement time signal for the battery is generated with the use of the minimum delta voltage when at least one averaged delta voltage is detected that has at least reached a replacement threshold.
Abstract translation: 提供一种产生电池的至少一个推荐替换时间信号的方法。 该方法包括测量多个关联的未加载和加载的电池电压。 然后确定每个相关联的卸载和加载的电池电压的增量电压。 选择数量的delta电压被平均。 从多个平均的delta电压确定最小的delta电压。 当检测到至少达到至少一个平均的增量电压至少达到替换阈值时，使用最小增量电压生成电池的至少一个推荐的更换时间信号。
-
28.发明申请IMPLANTABLE MEDICAL DEVICE HAVING POWER SUPPLY FOR GENERATING A REGULATED POWER SUPPLY 有权具有用于产生调节电源的电源的可植入医疗装置公开(公告)号：US20140277283A1
公开(公告)日：2014-09-18
申请号：US14203967
申请日：2014-03-11
Applicant: Medtronic, Inc.
Inventor： James D. Reinke , Charles R. Gordon , Shohan T. Hossain , Weizheng Liang , Gregg T. Sarkinen
IPC: A61N1/36
CPC classification number: A61N1/378 , A61N1/025 , A61N1/36125 , A61N1/3782 , A61N1/3981
Abstract: Techniques are disclosed for generating a plurality of output voltages from a single input power source. The techniques include implementing a switched capacitor voltage converter to provide at least two output voltages having different supply ratios. The supply ratio is defined as a function of the input voltage provided to the switched capacitor voltage converter by the power source. The switched capacitor voltage converter includes a plurality of capacitors selectively coupled to a plurality of switches to define at least a first and a second mode with each of the modes having a plurality of configurations. In accordance with aspects of the disclosure, the techniques include coupling the plurality of capacitors to define the first or second mode based on predetermined criteria.
Abstract translation: 公开了用于从单个输入电源产生多个输出电压的技术。 这些技术包括实现开关电容器电压转换器以提供具有不同供应比的至少两个输出电压。 供电比定义为由电源提供给开关电容器电压转换器的输入电压的函数。 开关电容器电压转换器包括选择性地耦合到多个开关以限定至少第一模式和第二模式的多个电容器，其中每个模式具有多个配置。 根据本公开的方面，这些技术包括基于预定标准来耦合多个电容器以限定第一或第二模式。
-
公开(公告)号：US11931589B2
公开(公告)日：2024-03-19
申请号：US17012745
申请日：2020-09-04
Applicant: Medtronic, Inc.
Inventor： James K. Carney , Saul E. Greenhut , Jonathan L. Kuhn , James D. Reinke , David J. Peichel , James W. Busacker
IPC: A61N1/372 , A61B5/00 , A61B5/29 , A61N1/365 , A61N1/39 , H04B13/00 , A61N1/362 , A61N1/368 , A61N1/375
CPC classification number: A61N1/37288 , A61B5/0031 , A61B5/29 , A61B5/4836 , A61N1/365 , A61N1/37276 , A61N1/3925 , A61N1/3962 , H04B13/005 , A61B5/0024 , A61B5/7282 , A61B2560/0209 , A61N1/3627 , A61N1/3684 , A61N1/37205 , A61N1/3756
Abstract: Systems, devices, and techniques for establishing communication between two medical devices are described. In one example, an implantable medical device comprises communication circuitry, therapy delivery circuitry, and processing circuitry configured to initiate a communication window during which the implantable second medical device is capable of receiving the information related to a cardiac event detected by a first medical device, the communication window being one of a plurality of communication windows defined by a communication schedule that corresponds to a transmission schedule in which the first medical device is configured to transmit the information, control the communication circuitry to receive, from the first medical device, the information related to the cardiac event that is indicative of a timing of the cardiac event with respect to a timing of the communication window, schedule and control delivery of a therapy according to the information related to the cardiac event.
-
公开(公告)号：US11918819B2
公开(公告)日：2024-03-05
申请号：US16670522
申请日：2019-10-31
Applicant: Medtronic, Inc.
Inventor： Val D. Eisele , Robert M. Ecker , David J. Peichel , William J. Plombon , James D. Reinke
CPC classification number: A61N1/37276 , A61B5/29 , A61N1/3956 , H04W4/80
Abstract: Techniques for facilitating communication between an implantable medical device and an external device are provided. In one example, a method comprises broadcasting, via communication circuitry of an implantable device, a first set of advertisements at a first advertising rate according to a communication protocol. The method further comprises determining that detection circuitry of the implantable device detected voltage induced by an electromagnetic field at an interface between tissue of a patient and electrodes of the implantable device and in response to the detection of voltage induced by the electromagnetic field, broadcasting, via the communication circuitry, a second set of advertisements at a second advertising rate according to the communication protocol. The second advertising rate is greater than the first advertising rate.
-
-
-
-
-
-
-
-
-
Search Results
82
records
(took 0.023 seconds)
