SYSTEM AND METHOD TO DETERMINE HEMODYNAMIC TOLERABILITY
    21.
    发明申请
    SYSTEM AND METHOD TO DETERMINE HEMODYNAMIC TOLERABILITY 有权
    确定血液动力学耐受性的系统和方法

    公开(公告)号:US20080281367A1

    公开(公告)日:2008-11-13

    申请号:US11745016

    申请日:2007-05-07

    IPC分类号: A61N1/362

    摘要: An implantable medical device detects a tachyarrhythmia of a heart. During the detected tachyarrhythmia, the device determines a local myocardial impedance. Using the local myocardial impedance, the device determines whether there is sufficient perfusion to the heart. The device can then either deliver a less aggressive device therapy in response to the detected tachyarrhythmia when there is sufficient perfusion to the heart, or deliver a more aggressive device therapy in response to the detected tachyarrhythmia when there is insufficient perfusion to the heart. The perfusion information can also be used to alter tachyarrhythmia detection or classification.

    摘要翻译: 可植入医疗装置检测心脏的快速性心律失常。 在检测到的快速性心律失常期间,该装置确定局部心肌阻抗。 使用局部心肌阻抗,该装置确定心脏是否有足够的灌注。 然后,当心脏充分灌注时,该装置可以响应于检测到的快速性心律失常而递送较不激进的装置疗法,或者当心脏灌注不充分时响应于检测到的快速性心律失常而递送更积极的装置疗法。 灌注信息也可用于改变快速性心律失常检测或分类。

    Systems and methods for delivering electric current for spinal cord stimulation
    24.
    发明授权
    Systems and methods for delivering electric current for spinal cord stimulation 有权
    用于输送脊髓刺激电流的系统和方法

    公开(公告)号:US09259568B2

    公开(公告)日:2016-02-16

    申请号:US12431607

    申请日:2009-04-28

    IPC分类号: A61N1/05

    摘要: Various system embodiments comprise a lead having a distal end and a proximal end. The distal end includes a plurality of electrodes. The lead is configured to be fed into a dorsal epidural space of a human to a desired region of a spinal column and to be fed laterally to at least partially encircle a spinal cord in the desired region to place at least one stimulation electrode in position to stimulate a dorsal nerve root and at least another stimulation electrode in position to stimulate a ventral nerve root. The desired region may include cervical vertebrae, thoracic vertebrae, or lumbar vertebrae. Some embodiments stimulate the spinal cord in the T1-T5 region.

    摘要翻译: 各种系统实施例包括具有远端和近端的引线。 远端包括多个电极。 引线被配置为被馈送到人的背部硬膜外区域到脊柱的期望区域,并且被横向地供给至少部分地包围所需区域中的脊髓,以将至少一个刺激电极置于适当位置 刺激背神经根和至少另一个刺激电极,以刺激腹侧神经根。 所需区域可包括颈椎,胸椎或腰椎。 一些实施方案刺激T1-T5区域中的脊髓。

    Deployable sensor platform on the lead system of an implantable device
    26.
    发明授权
    Deployable sensor platform on the lead system of an implantable device 有权
    可植入装置引导系统上的可部署传感器平台

    公开(公告)号:US08694129B2

    公开(公告)日:2014-04-08

    申请号:US12686050

    申请日:2010-01-12

    IPC分类号: A61B5/02

    摘要: Systems and methods for deploying a sensor assembly onto a cardiac lead are disclosed. The sensor assembly can include a resilient cuff having one or more sensor modules for sensing physiological parameters within the body. The resilient cuff may have a substantially cylindrical shape having an inner diameter that is smaller than an outer diameter of the lead body onto which the cuff is deployed such that the cuff is retained on the lead body by frictional forces. The sensor assembly may be deployed in conjunction with a new lead to be implanted within a chamber of the patient's heart or a body vessel, or may be deployed onto an existing, implanted lead implanted within the patient's body.

    摘要翻译: 公开了将传感器组件部署到心脏引线上的系统和方法。 传感器组件可以包括具有用于感测身体内的生理参数的一个或多个传感器模块的弹性袖带。 弹性箍可以具有基本上圆柱形的形状,其内径小于引导体的外径,袖带在其上展开,使得袖带通过摩擦力保持在引线体上。 传感器组件可以与将要植入患者心脏或身体容器的腔室内的新导线一起部署,或者可以部署到植入患者体内的现有植入的导线上。

    Method and device for cardiac vasoactive therapy
    27.
    发明授权
    Method and device for cardiac vasoactive therapy 失效
    心脏血管活性治疗的方法和装置

    公开(公告)号:US08600499B2

    公开(公告)日:2013-12-03

    申请号:US11566896

    申请日:2006-12-05

    IPC分类号: A61N1/362

    摘要: A method and device for treating myocardial ischemia in which an implantable pulse generator delivers electrical stimulation to electrodes disposed near a coronary artery. The stimulation parameters may be adjusted to produce vasodilation and/or vasoconstriction of the artery. The device may be configured to operate in a vasodilation and/or vasoconstriction mode in accordance with specified entry and exit conditions.

    摘要翻译: 一种用于治疗心肌缺血的方法和装置,其中植入式脉冲发生器将电刺激递送到设置在冠状动脉附近的电极。 可以调节刺激参数以产生动脉的血管舒张和/或血管收缩。 该装置可以被配置为根据指定的入口和出口条件在血管舒张和/或血管收缩模式中操作。

    Cardiac mechanical vibration monitor using information indicative of lead motion
    29.
    发明授权
    Cardiac mechanical vibration monitor using information indicative of lead motion 有权
    心脏机械振动监测器使用指示引导运动的信息

    公开(公告)号:US08532770B2

    公开(公告)日:2013-09-10

    申请号:US13168547

    申请日:2011-06-24

    IPC分类号: A61N1/365

    摘要: Systems and methods to monitor cardiac mechanical vibrations using information indicative of lead motion are described. In an example, a system including an implantable medical device can include an excitation circuit configured to provide a non-tissue stimulating, non-therapeutic electrical excitation signal to a portion of an implantable lead. A receiver circuit can be configured to obtain information indicative of a mechanical vibration of the implantable lead due at least in part to one or more of an impact of at least a portion of the heart to the implantable lead, or friction contact between the implantable lead and cardiac tissue. The system can include a processor circuit configured to determine one or more of a lead mechanical status, or information indicative of valvular activity using the information indicative of the mechanical vibration of the implantable lead.

    摘要翻译: 描述使用指示引导运动的信息来监测心脏机械振动的系统和方法。 在一个示例中,包括可植入医疗装置的系统可以包括被配置为向可植入引线的一部分提供非组织刺激的非治疗电激励信号的激励电路。 接收器电路可以被配置为获得指示可植入引线的机械振动的信息,其至少部分地由至少一部分心脏到可植入引线的冲击或可植入引线之间的摩擦接触 和心脏组织。 该系统可以包括处理器电路,其被配置为使用指示可植入引线的机械振动的信息来确定引导机械状态或指示瓣膜活动的信息中的一个或多个。