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公开(公告)号:US11819697B2
公开(公告)日:2023-11-21
申请号:US17159596
申请日:2021-01-27
Applicant: Medtronic, Inc.
Inventor: Todd J. Sheldon , Keelia M. Escalante , Greggory R. Herr , Juliana E. Pronovici , Vincent E. Splett
IPC: A61N1/36 , A61N1/365 , A61N1/02 , A61N1/375 , G16H40/67 , G16H50/30 , G16H20/30 , A61N1/372 , A61N1/05
CPC classification number: A61N1/36542 , A61N1/025 , A61N1/3756 , A61N1/37512 , G16H20/30 , G16H40/67 , G16H50/30 , A61N1/0573 , A61N1/37211
Abstract: A medical device includes a motion sensor configured to produce a motion signal and a control circuit configured to set sensing control parameters and sense atrial events from the motion signal during ventricular cycles according to the sensing control parameters. In some examples, the control circuit is configured to determine a feature of the motion signal for at least some ventricular cycles, determine a metric of the motion signal based on the determined features, and adjust at least one of the sensing control parameters based on the metric.
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公开(公告)号:US11724111B2
公开(公告)日:2023-08-15
申请号:US17234746
申请日:2021-04-19
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 , A61N1/3931 , A61N1/3684 , A61N1/3688 , 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.
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公开(公告)号:US20230241401A1
公开(公告)日:2023-08-03
申请号:US18101804
申请日:2023-01-26
Applicant: Medtronic, Inc.
Inventor: Ekaterina M. Ippolito , Troy E. Jackson , Abhijit Kadrolkar , Todd J. Sheldon
IPC: A61N1/365
CPC classification number: A61N1/36542
Abstract: Patient activity or inactivity may be determined based, at least in part, on a movement signal representative, or indicative, of movement of a patient. When the patient is determined to be inactive based the movement signal monitored over a moving time window, cardiac remodeling pacing may be delivered to the patient.
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公开(公告)号:US11607550B2
公开(公告)日:2023-03-21
申请号:US16901110
申请日:2020-06-15
Applicant: Medtronic, Inc.
Inventor: Jian Cao , Wade M. Demmer , Maureen E. Lybarger , Elizabeth A. Mattson , Todd J. Sheldon , Zhongping Yang , Xiaohong Zhou
Abstract: A medical device is configured to sense a cardiac electrical signal and determine from the cardiac electrical signal at least one of a maximum peak amplitude of a positive slope of the cardiac electrical signal and a maximum peak time interval from a pacing pulse to the maximum peak amplitude. The device is configured to determine a capture type of the pacing pulse based on at least one or both of the maximum peak amplitude and the maximum peak time interval.
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公开(公告)号:US11229795B2
公开(公告)日:2022-01-25
申请号:US16656981
申请日:2019-10-18
Applicant: Medtronic, Inc.
Inventor: Aleksandre Sambelashvili , Thomas J. Mullen , Todd J. Sheldon
Abstract: Cardiac resynchronization therapy (CRT) delivered to a heart of a patient may be adjusted based on detection of a surrogate indication of the intrinsic atrioventricular conduction of the heart. In some examples, the surrogate indication is determined to be a sense event of the first depolarizing ventricle of the heart within a predetermined period of time following the delivery of a fusion pacing stimulus to the later depolarizing ventricle. In some examples, the CRT is switched from a fusion pacing configuration to a biventricular pacing configuration if the surrogate indication is not detected, and the CRT is maintained in a fusion pacing configuration if the surrogate indication is detected.
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公开(公告)号:US20210330983A1
公开(公告)日:2021-10-28
申请号:US17369711
申请日:2021-07-07
Applicant: Medtronic, Inc.
Inventor: Todd J. Sheldon , Wade M. Demmer , Karen J. Kleckner , Douglas A. Peterson , Paul R. Solheim
Abstract: An implantable medical device includes an activity sensor, a pulse generator, and a control module. The control module is configured to determine activity metrics from the activity signal and determine an activity metric value at a predetermined percentile of the activity metrics. The control module sets a lower pacing rate set point based on the activity metric value at the predetermined percentile.
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公开(公告)号:US11123005B2
公开(公告)日:2021-09-21
申请号:US16186937
申请日:2018-11-12
Applicant: Medtronic, Inc.
Inventor: Shantanu Sarkar , Wade M. Demmer , Todd J. Sheldon , Vincent E. Splett
IPC: A61B5/0464 , A61B5/363 , A61B5/00 , A61N1/362 , A61N1/39 , A61B5/361 , A61B5/287 , A61B5/316 , A61B5/352
Abstract: An implantable medical device is configured to determine a first atrial arrhythmia score from ventricular events sensed by a sensing circuit of an implantable medical device and determine a second atrial arrhythmia score from an intraventricular signal comprising atrial mechanical event signals attendant to atrial systole and produced by a sensor of the implantable medical device. An atrial arrhythmia is detected based on the first atrial arrhythmia score and the second atrial arrhythmia score.
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公开(公告)号:US10751542B2
公开(公告)日:2020-08-25
申请号:US15783573
申请日:2017-10-13
Applicant: Medtronic, Inc.
Inventor: Wade M. Demmer , Yong K. Cho , Michael F. Hess , Todd J. Sheldon
Abstract: Techniques for minimizing rate of depletion of a non-rechargeable power source, to extend the operational lifetime of an implantable medical device that includes the non-rechargeable power source, by enforcing operational-mode-specific communication protocols whereby inter-device communication between the implantable medical device and another implantable medical device is such that level of power draw from the non-rechargeable power source by the implantable medical device is less than level of power draw from the rechargeable power source by the another implantable medical device for the implantable medical devices to engage in communication with each other.
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公开(公告)号:US10518094B2
公开(公告)日:2019-12-31
申请号:US15669091
申请日:2017-08-04
Applicant: Medtronic, Inc.
Inventor: Todd J. Sheldon , Wade M. Demmer , Karen J. Kleckner , Douglas A. Peterson , Paul R. Solheim
Abstract: An implantable medical device includes an activity sensor, a pulse generator, and a control module. The control module is configured to determine activity metrics from the activity signal and determine an activity metric value at a predetermined percentile of the activity metrics. The control module sets a lower pacing rate set point based on the activity metric value at the predetermined percentile.
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公开(公告)号:US09808633B2
公开(公告)日:2017-11-07
申请号:US13665601
申请日:2012-10-31
Applicant: Medtronic, Inc.
Inventor: Matthew D. Bonner , Saul E. Greenhut , Todd J. Sheldon , Wade M. Demmer
CPC classification number: H01M2/021 , A61N1/0587 , A61N1/36507 , A61N1/36578 , A61N1/368 , A61N1/375 , A61N1/3756 , H01M2/026 , H01M2/0277 , H01M2/0285 , H01M2/0287 , H01M2/06
Abstract: A device includes a signal generator module, a processing module, and a housing. The signal generator module is configured to deliver pacing pulses to an atrium. The processing module is configured to detect a ventricular activation event and determine a length of an interval between the ventricular activation event and a previous atrial event that preceded the ventricular activation event. The processing module is further configured to schedule a time at which to deliver a pacing pulse to the atrium based on the length of the interval and control the signal generator module to deliver the pacing pulse at the scheduled time. The housing is configured for implantation within the atrium. The housing encloses the stimulation generator and the processing module.
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