公开(公告)号：US20100114200A1

公开(公告)日：2010-05-06

申请号：US12362814

申请日：2009-01-30

申请人： Paul G. Krause ,  John E. Burnes ,  William T. Donofrio ,  David J. Peichel ,  Gerald P. Arne ,  Xiaohong Zhou ,  James D. Reinke

发明人： Paul G. Krause ,  John E. Burnes ,  William T. Donofrio ,  David J. Peichel ,  Gerald P. Arne ,  Xiaohong Zhou ,  James D. Reinke

IPC分类号： A61N1/37 ,  A61N1/362

CPC分类号： A61N1/08 ,  A61N1/36114 ,  A61N1/37 ,  A61N1/37258 ,  A61N1/37288

摘要： Electrical crosstalk between two implantable medical devices or two different therapy modules of a common implantable medical device may be evaluated, and, in some examples, mitigated. In some examples, one of the implantable medical devices or therapy modules delivers electrical stimulation to a nonmyocardial tissue site or a nonvascular cardiac tissue site, and the other implantable medical device or therapy module delivers cardiac rhythm management therapy to a heart of the patient.

公开(公告)号：US20100114199A1

公开(公告)日：2010-05-06

申请号：US12362809

申请日：2009-01-30

申请人： Paul G. Krause ,  John E. Burnes ,  William T. Donofrio ,  David J. Peichel ,  Gerald P. Arne ,  Xiaohong Zhou ,  James D. Reinke ,  Timothy Davis

发明人： Paul G. Krause ,  John E. Burnes ,  William T. Donofrio ,  David J. Peichel ,  Gerald P. Arne ,  Xiaohong Zhou ,  James D. Reinke ,  Timothy Davis

IPC分类号： A61N1/362 ,  A61N1/39

CPC分类号： A61N1/3622 ,  A61N1/36114 ,  A61N1/36185 ,  A61N1/3686 ,  A61N1/3688

摘要： Electrical crosstalk between two implantable medical devices or two different therapy modules of a common implantable medical device may be evaluated, and, in some examples, mitigated. In some examples, one of the implantable medical devices or therapy modules delivers electrical stimulation to a nonmyocardial tissue site or a nonvascular cardiac tissue site, and the other implantable medical device or therapy module delivers cardiac rhythm management therapy to a heart of the patient.

公开(公告)号：US20100114197A1

公开(公告)日：2010-05-06

申请号：US12362773

申请日：2009-01-30

申请人： John E. Burnes ,  Paul G. Krause ,  William T. Donofrio ,  Gerald P. Arne ,  David J. Peichel ,  Xiaohong Zhou ,  James D. Reinke ,  Timothy Davis

发明人： John E. Burnes ,  Paul G. Krause ,  William T. Donofrio ,  Gerald P. Arne ,  David J. Peichel ,  Xiaohong Zhou ,  James D. Reinke ,  Timothy Davis

IPC分类号： A61N1/365 ,  A61N1/37

CPC分类号： A61N1/3605 ,  A61N1/36114 ,  A61N1/36521 ,  A61N1/37 ,  A61N1/37258 ,  A61N1/37288

摘要： Electrical crosstalk between two implantable medical devices or two different therapy modules of a common implantable medical device may be evaluated, and, in some examples, mitigated. In some examples, one of the implantable medical devices or therapy modules delivers electrical stimulation to a nonmyocardial tissue site or a nonvascular cardiac tissue site, and the other implantable medical device or therapy module delivers cardiac rhythm management therapy to a heart of the patient.

公开(公告)号：US20100114196A1

公开(公告)日：2010-05-06

申请号：US12362768

申请日：2009-01-30

申请人： John E. Burnes ,  Paul G. Krause ,  William T. Donofrio ,  James D. Reinke ,  Gerald P. Arne ,  David J. Peichel ,  Xiaohong Zhou ,  Timothy Davis

发明人： John E. Burnes ,  Paul G. Krause ,  William T. Donofrio ,  James D. Reinke ,  Gerald P. Arne ,  David J. Peichel ,  Xiaohong Zhou ,  Timothy Davis

IPC分类号： A61N1/365

CPC分类号： A61N1/36114 ,  A61N1/3622 ,  A61N1/37247 ,  A61N1/37258 ,  A61N1/3962 ,  A61N2001/083

摘要： Electrical crosstalk between two implantable medical devices or two different therapy modules of a common implantable medical device may be evaluated, and, in some examples, mitigated. In some examples, one of the implantable medical devices or therapy modules delivers electrical stimulation to a nonmyocardial tissue site or a nonvascular cardiac tissue site, and the other implantable medical device or therapy module delivers cardiac rhythm management therapy to a heart of the patient.

公开(公告)号：US20100114195A1

公开(公告)日：2010-05-06

申请号：US12362662

申请日：2009-01-30

申请人： John E. Burnes ,  Chris Zillmer ,  Paul G. Krause ,  Gerald P. Arne ,  Timothy Davis ,  David J. Peichel ,  James D. Reinke ,  William T. Donofrio ,  Xiaohong Zhou

发明人： John E. Burnes ,  Chris Zillmer ,  Paul G. Krause ,  Gerald P. Arne ,  Timothy Davis ,  David J. Peichel ,  James D. Reinke ,  William T. Donofrio ,  Xiaohong Zhou

IPC分类号： A61N1/39 ,  A61N1/36 ,  A61N1/362

CPC分类号： A61N1/0504 ,  A61B5/046 ,  A61N1/0587 ,  A61N1/36114 ,  A61N1/3622 ,  A61N1/365 ,  A61N1/3962

摘要： An implantable medical device may deliver pacing, cardioversion, and/or defibrillation stimulation to a heart of a patient via extravascular electrodes and delivers electrical stimulation to a nonmyocardial tissue site to modulate the autonomic nervous system of the patient. The implantable medical device may include a cardiac therapy module that generates and delivers at least one of pacing, cardioversion, or defibrillation therapy to a patient via an extravascular electrode, and a neurostimulation therapy module that generates and delivers a neurostimulation signal to the patient via a neurostimulation electrode. The cardiac therapy module and neurostimulation therapy module may be disposed in a common housing of the medical device. In some examples, at least one common lead may electrically couple the neurostimulation electrode and the extravascular electrode to the neurostimulation and cardiac therapy modules, respectively.

摘要翻译： 可植入医疗装置可以通过血管外电极向患者的心脏递送起搏，心脏复律和/或除颤刺激，并将电刺激递送至非心肌组织部位以调节患者的自主神经系统。 可植入医疗装置可以包括心脏治疗模块，该心脏治疗模块通过血管外电极产生并向患者提供起搏，心脏复律或除颤疗法中的至少一种，以及神经刺激治疗模块，其通过以下方式产生并递送神经刺激信号给患者 神经刺激电极。 心脏治疗模块和神经刺激治疗模块可以设置在医疗装置的公共壳体中。 在一些示例中，至少一个共同的引线可以将神经刺激电极和血管外电极分别电耦合到神经刺激和心脏治疗模块。

公开(公告)号：US20100114258A1

公开(公告)日：2010-05-06

申请号：US12551377

申请日：2009-08-31

申请人： William T. Donofrio ,  Paul G. Krause ,  James D. Reinke ,  David J. Peichel

发明人： William T. Donofrio ,  Paul G. Krause ,  James D. Reinke ,  David J. Peichel

IPC分类号： A61N1/08

CPC分类号： A61N1/37 ,  A61N1/36125 ,  A61N1/3718 ,  A61N1/378 ,  A61N1/3962

摘要： The disclosure describes techniques of reducing or eliminating a commonality between two modules within the same implantable medical device. Each module within the implantable medical device provides therapy to a patient. The commonality between the two modules exists due to at least one common component shared by the two modules. The commonality between the two modules may create common-mode interference and a shunt current. In accordance with this disclosure, various isolation circuits located at various locations are disclosed to reduce or eliminate the commonality between the two modules. The reduction or elimination of the commonality between the two modules may reduce or eliminate common-mode interference and the shunt current.

公开(公告)号：US20100114248A1

公开(公告)日：2010-05-06

申请号：US12551409

申请日：2009-08-31

申请人： William T. Donofrio ,  Paul G. Krause ,  James D. Reinke ,  David J. Peichel

发明人： William T. Donofrio ,  Paul G. Krause ,  James D. Reinke ,  David J. Peichel

IPC分类号： A61N1/08

CPC分类号： A61N1/378 ,  A61N1/025 ,  A61N1/37 ,  A61N1/3718 ,  A61N1/3962

摘要： The disclosure describes techniques of reducing or eliminating a commonality between two modules within the same implantable medical device. Each module within the implantable medical device provides therapy to a patient. The commonality between the two modules exists due to at least one common component shared by the two modules. The commonality between the two modules may create common-mode interference and a shunt current. In accordance with this disclosure, various isolation circuits located at various locations are disclosed to reduce or eliminate the commonality between the two modules. The reduction or elimination of the commonality between the two modules may reduce or eliminate common-mode interference and the shunt current.

摘要翻译： 本公开描述了减少或消除同一可植入医疗装置内的两个模块之间的共同性的技术。 可植入医疗装置内的每个模块向患者提供治疗。 由于两个模块共享的至少一个公共组件，存在两个模块之间的通用性。 两个模块之间的通用性可能会产生共模干扰和分流电流。 根据本公开，公开了位于各个位置处的各种隔离电路，以减少或消除两个模块之间的共同性。 减少或消除两个模块之间的通用性可以减少或消除共模干扰和分流电流。

公开(公告)号：US08265771B2

公开(公告)日：2012-09-11

申请号：US12610025

申请日：2009-10-30

申请人： William T. Donofrio ,  Paul Gordon Krause ,  Gerald P. Arne ,  James D. Reinke ,  David Jerome Peichel ,  Timothy Davis ,  John E. Burnes

发明人： William T. Donofrio ,  Paul Gordon Krause ,  Gerald P. Arne ,  James D. Reinke ,  David Jerome Peichel ,  Timothy Davis ,  John E. Burnes

IPC分类号： A61N1/08

CPC分类号： A61N1/37 ,  A61N1/3718 ,  A61N1/3787 ,  H02M1/44

摘要： A therapy or monitoring system may implement one or more techniques to mitigate interference between operation of a charging device that charges a first implantable medical device (IMD) implanted in a patient and a second IMD implanted in the patient. In some examples, the techniques may include modifying an operating parameter of the charging device in response to receiving an indication that a second IMD is implanted in the patient. The techniques also may include modifying an operating parameter of the second IMD in response to detecting the presence or operation of the charging device.

摘要翻译： 治疗或监测系统可以实施一种或多种技术，以减轻对植入患者中的第一可植入医疗装置（IMD）充电的充电装置的操作与植入患者体内的第二IMD之间的干扰。 在一些示例中，技术可以包括响应于接收到将第二IMD植入患者中的指示来修改充电装置的操作参数。 这些技术还可以包括响应于检测到充电装置的存在或操作来修改第二IMD的操作参数。

公开(公告)号：US20100114241A1

公开(公告)日：2010-05-06

申请号：US12610025

申请日：2009-10-30

申请人： William T. Donofrio ,  Paul Gordon Krause ,  Gerald P. Arne ,  James D. Reinke ,  David Jerome Peichel ,  Timothy Davis ,  John E. Burnes

发明人： William T. Donofrio ,  Paul Gordon Krause ,  Gerald P. Arne ,  James D. Reinke ,  David Jerome Peichel ,  Timothy Davis ,  John E. Burnes

IPC分类号： A61N1/08

CPC分类号： A61N1/37 ,  A61N1/3718 ,  A61N1/3787 ,  H02M1/44

摘要： A therapy or monitoring system may implement one or more techniques to mitigate interference between operation of a charging device that charges a first implantable medical device (IMD) implanted in a patient and a second IMD implanted in the patient. In some examples, the techniques may include modifying an operating parameter of the charging device in response to receiving an indication that a second IMD is implanted in the patient. The techniques also may include modifying an operating parameter of the second IMD in response to detecting the presence or operation of the charging device.

摘要翻译： 治疗或监测系统可以实施一种或多种技术，以减轻对植入患者中的第一可植入医疗装置（IMD）充电的充电装置的操作与植入患者体内的第二IMD之间的干扰。 在一些示例中，技术可以包括响应于接收到将第二IMD植入患者中的指示来修改充电装置的操作参数。 这些技术还可以包括响应于检测到充电装置的存在或操作来修改第二IMD的操作参数。

公开(公告)号：US08515559B2

公开(公告)日：2013-08-20

申请号：US13359886

申请日：2012-01-27

申请人： Jonathan P. Roberts ,  Can Cinbis ,  David J. Peichel ,  James C. Allan ,  James D. Reinke ,  Kamal Deep Mothilal ,  Erik Griswold ,  George Patras

发明人： Jonathan P. Roberts ,  Can Cinbis ,  David J. Peichel ,  James C. Allan ,  James D. Reinke ,  Kamal Deep Mothilal ,  Erik Griswold ,  George Patras

IPC分类号： A61N1/00

CPC分类号： A61N1/37205 ,  A61B5/0028 ,  A61B5/0031 ,  A61B5/0215 ,  A61B5/6876 ,  A61B5/6882 ,  A61B2562/0247 ,  A61N1/37217 ,  H04B13/005

摘要： This disclosure is directed to an implantable medical device having a communication dipole configured in accordance with the techniques described herein. In one example, the disclosure is directed to an implantable medical device comprising a housing that encloses at least a communication module, a first electrode of a communication dipole electrically coupled to the communication module and an electrically conductive fixation mechanism that is electrically coupled to a portion of the housing and wherein a portion of the fixation mechanism is configured to function as at least part of a second electrode of the communication dipole. The electrically conductive fixation mechanism includes a dielectric material that covers at least part of a surface of the fixation mechanism. The communication module is configured to transmit or receive a modulated signal between the first electrode and second electrode of the communication dipole.

摘要翻译： 本公开涉及具有根据本文所描述的技术配置的通信偶极子的可植入医疗装置。 在一个示例中，本公开涉及可植入医疗装置，其包括壳体，该壳体至少包围通信模块，电耦合到通信模块的通信偶极子的第一电极和电连接到通信模块的部分的导电固定机构 并且其中所述固定机构的一部分被配置为用作所述通信偶极子的第二电极的至少一部分。 导电固定机构包括覆盖固定机构的表面的至少一部分的电介质材料。 通信模块被配置为在通信偶极子的第一电极和第二电极之间发送或接收调制信号。