公开(公告)号：US10512784B2

公开(公告)日：2019-12-24

申请号：US15633517

申请日：2017-06-26

Applicant: CARDIAC PACEMAKERS, INC.

Inventor： Stephen J. Hahn ,  Krzysztof Z. Siejko ,  William J. Linder ,  Keith R. Maile ,  Amy Jean Brisben ,  Keith L. Herrmann ,  Brendan E. Koop ,  Benjamin J. Haasl

IPC: A61N1/365 ,  A61N1/375 ,  A61B5/0452 ,  A61N1/372 ,  A61N1/39 ,  A61B5/00 ,  A61N1/362 ,  A61N1/368 ,  A61B5/0456 ,  A61B5/0464

Abstract: Systems, methods and implantable devices configured to provide cardiac resynchronization therapy and/or bradycardia pacing therapy. A first device located in the heart of the patient is configured to receive a communication from a second device and deliver a pacing therapy in response to or in accordance with the received communication. A second device located elsewhere is configured to determine an atrial event has occurred and communicate to the first device to trigger the pacing therapy. The second device may be configured for sensing the atrial event by the use of vector selection and atrial event windowing, among other enhancements. Exception cases are discussed and handled as well.

公开(公告)号：US10391325B2

公开(公告)日：2019-08-27

申请号：US15587020

申请日：2017-05-04

Applicant: CARDIAC PACEMAKERS, INC.

Inventor： Andrew L. De Kock ,  G. Shantanu Reddy ,  Robert D. Brock, II ,  Stephen J. Hahn ,  Brendan E. Koop ,  Moira B. Sweeney ,  Wyatt K. Stahl

IPC: A61N1/00 ,  A61N1/39 ,  A61N1/05 ,  A61N1/38

Abstract: A subcutaneous implantable cardioverter-defibrillator (S-ICD) comprising shocking electrodes configured to reduce the defibrillation threshold. The S-ICD may include a canister housing a source of electrical energy, a capacitor, and operational circuitry that senses heart rhythms and an electrode and lead assembly. The electrode and lead assembly may comprise a lead, at least one sensing electrode, and at least one shocking electrode. The at least one shocking electrode may extend over a length in the range of 50 to 110 millimeters and a width in the range of 1 to 40 millimeters.

公开(公告)号：US20190143130A1

公开(公告)日：2019-05-16

申请号：US16247304

申请日：2019-01-14

Applicant: CARDIAC PACEMAKERS, INC.

Inventor： Keith R. Maile ,  Brendan E. Koop ,  Brian L. Schmidt ,  Michael J. Kane ,  Jacob M. Ludwig ,  Jeffrey E. Stahmann ,  Lance E. Juffer

IPC: A61N1/372 ,  A61B5/024 ,  A61N1/362 ,  A61B5/00 ,  A61N1/375 ,  A61N1/39 ,  H04B13/00 ,  A61B5/02 ,  A61B5/08 ,  A61B5/11

Abstract: Methods and devices for testing and configuring implantable medical device systems. A first medical device and a second medical device communicate with one another using test signals configured to provide data related to the quality of the communication signal to facilitate optimization of the communication approach. Some methods may be performed during surgery to implant one of the medical devices to ensure adequate communication availability.

公开(公告)号：US10050700B2

公开(公告)日：2018-08-14

申请号：US15058412

申请日：2016-03-02

Applicant: CARDIAC PACEMAKERS, INC.

Inventor： Jacob M. Ludwig ,  Michael J. Kane ,  Brendan E. Koop ,  William J. Linder ,  Keith R. Maile ,  Jeffrey E. Stahmann

IPC: H04B7/24 ,  H04L1/12 ,  A61N1/362 ,  A61N1/372 ,  A61B5/00 ,  H04B13/00

CPC classification number: H04B7/24 ,  A61B5/0028 ,  A61B2560/0209 ,  A61N1/362 ,  A61N1/37217 ,  A61N1/37252 ,  A61N1/37288 ,  H04B13/005 ,  H04L1/12

Abstract: Systems and methods for managing communication strategies between implanted medical devices. Methods include temporal optimization relative to one or more identified conditions in the body. A selected characteristic, such as a signal representative or linked to a biological function, is assessed to determine its likely impact on communication capabilities, and one or more communication strategies may be developed to optimize intra-body communication.

公开(公告)号：US09682239B2

公开(公告)日：2017-06-20

申请号：US15006928

申请日：2016-01-26

Applicant: CARDIAC PACEMAKERS, INC.

Inventor： Brendan E. Koop

IPC: A61N1/00 ,  A61N1/365 ,  A61N1/375 ,  A61N1/362 ,  A61N1/372 ,  A61N1/368 ,  A61N1/05

CPC classification number: A61N1/36514 ,  A61N1/0573 ,  A61N1/362 ,  A61N1/368 ,  A61N1/37205 ,  A61N1/37288 ,  A61N1/3756 ,  A61N2001/0585

Abstract: An implantable medical device (IMD) may include a housing having a proximal end and a distal end and a set of one or more electrodes connected to but spaced apart from the housing. The IMD may further include a controller disposed within the housing, wherein the controller is configured to sense cardiac electrical signals, and deliver electrical stimulation pulses via the first set of one or more electrodes. In some embodiments, a first portion of the housing is configured to be disposed at least partly within a coronary sinus of a patient's heart and a second portion of the housing is configured to be disposed at least partly within a right atrium of the patient's heart.

公开(公告)号：US20160228718A1

公开(公告)日：2016-08-11

申请号：US15012443

申请日：2016-02-01

Applicant: CARDIAC PACEMAKERS, INC.

Inventor： Brendan E. Koop

IPC: A61N1/39 ,  A61N1/372 ,  A61N1/375 ,  A61N1/362

CPC classification number: A61N1/3962 ,  A61B5/042 ,  A61B5/04525 ,  A61B5/046 ,  A61B5/0464 ,  A61B5/686 ,  A61B5/7246 ,  A61N1/3621 ,  A61N1/3624 ,  A61N1/37205 ,  A61N1/37217 ,  A61N1/37288 ,  A61N1/3756 ,  A61N1/3925 ,  A61N1/3987

Abstract: Systems and methods for treating cardiac arrhythmias are disclosed. In one embodiment, an SICD comprises two or more electrodes, a charge storage device, and a controller operatively coupled to two or more of the electrodes and the charge storage device. In some embodiments, the controller is configured to monitor cardiac activity of the heart of the patient, detect an occurrence of a cardiac arrhythmia based on the cardiac activity, and determine a type of the detected cardiac arrhythmia from two or more types of cardiac arrhythmias. If the determined type of cardiac arrhythmia is one of a first set of cardiac arrhythmia types, the controller sends an instruction for reception by an LCP to initiate the application of ATP therapy by the LCP. If the determined type of cardiac arrhythmia is not one of the first set cardiac arrhythmia types, the controller does not send the instruction.

Abstract translation: 公开了用于治疗心律失常的系统和方法。 在一个实施例中，SICD包括两个或更多个电极，电荷存储装置和可操作地耦合到两个或更多个电极和电荷存储装置的控制器。 在一些实施例中，控制器被配置为监测患者的心脏的心脏活动，基于心脏活动检测心律失常的发生，并且从两种或更多种类型的心律不齐确定检测到的心律失常的类型。 如果确定的心律失常类型是第一组心律失常类型之一，则控制器发送由LCP接收的指令以开始由LCP应用ATP治疗。 如果确定的心律失常类型不是第一组心律失常类型之一，则控制器不发送指令。

公开(公告)号：US20160059007A1

公开(公告)日：2016-03-03

申请号：US14834948

申请日：2015-08-25

Applicant: CARDIAC PACEMAKERS, INC.

Inventor： Brendan E. Koop

IPC: A61N1/08 ,  A61N1/365 ,  A61N1/39 ,  A61N1/372 ,  A61N1/375 ,  A61N1/36 ,  A61N1/37

CPC classification number: A61N1/08 ,  A61N1/36128 ,  A61N1/36514 ,  A61N1/3718 ,  A61N1/37288 ,  A61N1/3756 ,  A61N1/3931 ,  A61N1/3962

Abstract: A cardiac rhythm management system includes a first implantable medical device configured to monitor a patient's heart rhythm and provide therapy if appropriate, and a second implantable medical device that is configured to monitor the patient's heart rhythm and provide therapy if appropriate. The first implantable medical device is configured to detect a magnetic field indicative of an MRI machine and, upon detecting a magnetic field indicative of an MRI machine, is further configured to communicate the presence of the magnetic field indicative of the MRI machine to the second implantable medical device. The second implantable medical device may then enter an MRI-safe mode.

Abstract translation: 心律管理系统包括被配置为监视患者的心律并且适当地提供治疗的第一可植入医疗装置，以及被配置为监视患者的心律并且适当地提供治疗的第二可植入医疗装置。 第一可植入医疗装置被配置为检测指示MRI机器的磁场，并且在检测到指示MRI机器的磁场时，还被配置为将指示MRI机器的磁场的存在传达到第二可植入 医疗装置。 第二可植入医疗装置然后可以进入MRI安全模式。

公开(公告)号：US20160038742A1

公开(公告)日：2016-02-11

申请号：US14813054

申请日：2015-07-29

Applicant: Cardiac Pacemakers, Inc.

Inventor： Jeffrey E. Stahmann ,  Keith R. Maile ,  Brendan E. Koop ,  Michael J. Kane ,  Jacob M. Ludwig ,  Paul Huelskamp

IPC: A61N1/37

CPC classification number: A61N1/37288 ,  A61N1/362 ,  A61N1/371 ,  A61N1/37205 ,  A61N1/37211 ,  A61N1/3727 ,  A61N1/3756

Abstract: Medical device systems and methods with multiple communication modes. An example medical device system may include a first medical device and a second medical device communicatively coupled to the first medical device. The first medical device may be configured to communicate information to the second medical device in a first communication mode. The first medical device may further be configured to communicate information to the second medical device in a second communication mode after determining that one or more of the communication pulses captured the heart of the patient.

Abstract translation: 具有多种通信模式的医疗设备系统和方法。 示例性医疗设备系统可以包括通信地耦合到第一医疗设备的第一医疗设备和第二医疗设备。 第一医疗设备可以被配置为以第一通信模式向第二医疗设备传送信息。 第一医疗设备还可以被配置为在确定一个或多个通信脉冲捕获患者的心脏之后，以第二通信模式将信息传送到第二医疗设备。