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公开(公告)号：US20200368540A1
公开(公告)日：2020-11-26
申请号：US16990188
申请日：2020-08-11
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：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.
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公开(公告)号：US20160310726A1
公开(公告)日：2016-10-27
申请号：US15136709
申请日：2016-04-22
Applicant: Medtronic, Inc.
Inventor： Wade M. Demmer , Matthew D. Bonner , Vladimir Grubac
Abstract: An elongated implantable medical device for delivering electrical stimulation pulses to a patient includes a housing having a housing proximal end and a housing distal end and an electrical conductor having a conductor proximal end and a conductor distal end. The conductor distal end extends from the housing proximal end. The housing has a first fixation force at a first implant site after being implanted in a patient's body, and the conductor proximal end has a second fixation force at a second implant site after being implanted in a patient's body. The second fixation force is different than the first fixation force.
Abstract translation: 用于向患者传送电刺激脉冲的细长可植入医疗装置包括具有壳体近端和壳体远端的壳体和具有导体近端和导体远端的电导体。 导体远端从壳体近端延伸。 壳体在被植入患者体内之后在第一植入部位具有第一固定力，并且导体近端在植入患者体内之后在第二植入部位具有第二固定力。 第二固定力与第一固定力不同。
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公开(公告)号：US20160310722A1
公开(公告)日：2016-10-27
申请号：US14694775
申请日：2015-04-23
Applicant: Medtronic, Inc.
Inventor： Wade M. Demmer
CPC classification number: A61N1/059 , A61N1/362 , A61N1/36592 , A61N1/37205 , A61N1/37217 , A61N1/37264 , A61N1/3756 , A61N2001/37294
Abstract: An implantable pacemaker has a first housing and a second housing tethered to the first housing by an elongated electrical conductor. The elongated electrical conductor has a proximal end coupled to the first housing and a distal end coupled to the second housing and includes a signal line configured to carry an electrical signal between the first housing and the second housing.
Abstract translation: 植入式起搏器具有通过细长电导体连接到第一壳体的第一壳体和第二壳体。 细长电导体具有联接到第一壳体的近端和耦合到第二壳体的远端，并且包括配置为在第一壳体和第二壳体之间承载电信号的信号线。
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35.发明申请公开(公告)号：US20160279425A1
公开(公告)日：2016-09-29
申请号：US14712556
申请日：2015-05-14
Applicant: Medtronic, Inc.
Inventor： Wade M. Demmer
CPC classification number: A61N1/378 , A61N1/365 , A61N1/3682 , A61N1/3684 , A61N1/3688 , A61N1/3708
Abstract: An implantable medical device includes circuitry for generating and delivering electrical stimulation therapy. A power source is included in the implantable medical device for storage of the energy for the stimulation therapy. Techniques and circuits are provided for minimizing energy losses associated with the storage of the stimulation therapy energy. The implantable medical device circuitry includes charging circuitry that is operated in at least a first mode and a second mode, such that the charging circuit is operable in one of the at least first and second modes based on whether an intrinsic cardiac event is detected. The charging circuit is operable to charge the output capacitor to a first threshold capacity that is less than a pacing capacity of the output capacitor until a given cardiac cycle elapses without a sensed intrinsic cardiac event during operation in the first mode.
Abstract translation: 可植入医疗装置包括用于产生和递送电刺激疗法的电路。 可植入医疗装置中包括电源，用于储存用于刺激疗法的能量。 技术和电路被提供用于最小化与刺激治疗能量的储存相关联的能量损失。 可植入医疗装置电路包括以至少第一模式和第二模式操作的充电电路，使得根据是否检测到内在心脏事件，充电电路可操作于至少第一和第二模式之一。 充电电路可操作以将输出电容器充电到小于输出电容器的起搏能力的第一阈值电容，直到在第一模式中操作期间经过没有感测到的固有心脏事件的给定心动周期。
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Patent Agency Ranking
公开(公告)号：US20160175603A1
公开(公告)日：2016-06-23
申请号：US14657001
申请日：2015-03-13
Applicant: Medtronic, Inc.
Inventor： Todd J. Sheldon , Wade M. Demmer , Teresa A. Whitman
CPC classification number: A61N1/3962 , A61B5/0464 , A61B5/686 , A61B5/6869 , A61N1/3621 , A61N1/36542 , A61N1/36578 , A61N1/36585
Abstract: An implantable medical device system includes a pacemaker and an implantable cardioverter defibrillator (ICD). The pacemaker is configured to confirm a hemodynamically unstable rhythm based on an activity metric determined from an activity sensor signal after detecting a ventricular tachyarrhythmia and withhold anti-tachycardia pacing (ATP) pulses in response to confirming the hemodynamically unstable rhythm. The pacemaker may deliver ATP when a hemodynamically unstable rhythm is not confirmed based on the activity metric. The ICD is configured to detect the ATP and withhold a shock therapy in response to detecting the ATP in some examples.
Abstract translation: 可植入医疗装置系统包括起搏器和植入式心律转复除颤器（ICD）。 起搏器被配置为基于在检测到室性快速性心律失常之后从活动传感器信号确定的活动度数来确认血液动力学不稳定的节律，并且响应于确认血流动力学不稳定的节律而拒绝抗心动过速起搏（ATP）脉冲。 基于活动度量，当血液动力学不稳定的节律未得到确认时，起搏器可能会输送ATP。 ICD被配置为检测ATP并且在一些示例中响应于检测到ATP而扣留休克疗法。
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37.发明申请公开(公告)号：US20160114169A1
公开(公告)日：2016-04-28
申请号：US14821047
申请日：2015-08-07
Applicant: Medtronic, Inc.
Inventor： Todd J. Sheldon , Wade M. Demmer , Margaret G. Guo
IPC: A61N1/37
CPC classification number: A61N1/3704 , A61B5/0452 , A61B5/0456 , A61N1/365 , A61N1/3702 , A61N1/37205 , A61N1/3756
Abstract: An intracardiac pacemaker is configured to receive a cardiac electrical signal developed across a pair of electrodes coupled to the pacemaker and detect a crossing of a first sensing threshold of the cardiac electrical signal. A pacing escape interval timer is set to a first pacing escape interval in response to the cardiac electrical signal crossing the first sensing threshold. The pacing escape interval timer is adjusted if the cardiac electrical signal crosses a second sensing threshold during a time limit.
Abstract translation: 心内起搏器被配置为接收在耦合到起搏器的一对电极上产生的心电信号，并且检测心电信号的第一感测阈值的交叉。 响应于穿过第一感测阈值的心电信号，起搏逃避间隔定时器被设置为第一起搏逃逸间隔。 如果在一段时间内心电信号跨越第二感测阈值，调整起搏逃生间隔计时器。
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38.发明申请公开(公告)号：US20150360034A1
公开(公告)日：2015-12-17
申请号：US14716463
申请日：2015-05-19
Applicant: Medtronic, Inc.
Inventor： Wade M. Demmer , Karen J. Kleckner , Paul A. Belk
IPC: A61N1/365
CPC classification number: A61N1/36514 , A61N1/36507 , A61N1/36592
Abstract: Cardiac pacing methods for an implantable single chamber pacing system, establish an offset rate for pacing at a predetermined decrement from either a baseline rate (i.e. dictated by a rate response sensor), or an intrinsic rate. Pacing maintains the offset rate until x of y successive events are paced events, at which time the offset rate is switched to the baseline rate for pacing over a predetermined period of time. Following the period, if an intrinsic event is not immediately detected, within the interval of the offset rate, the rate is switched back to baseline for pacing over an increased period of time. Some methods establish a preference rate, between the offset and baseline rates, wherein an additional criterion, for switching from the offset rate to the baseline rate, is established with respect to the preference rate.
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公开(公告)号：US08923963B2
公开(公告)日：2014-12-30
申请号：US13665492
申请日：2012-10-31
Applicant: Medtronic, Inc.
Inventor： Matthew D. Bonner , Saul E. Greenhut , Todd J. Sheldon , Wade M. Demmer
IPC: A61N1/36
CPC classification number: A61N1/3682 , A61N1/0573 , A61N1/36578 , A61N1/3756 , A61N1/3987
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.
Abstract translation: 一种装置包括信号发生器模块，处理模块和壳体。 信号发生器模块被配置为向心房输送起搏脉冲。 处理模块被配置为检测心室激活事件并且确定心室激活事件与心室激活事件之前的先前心房事件之间的间隔的长度。 处理模块还被配置为基于间隔的长度来安排将起搏脉冲传送到心房的时间，并且控制信号发生器模块以在预定的时间传送起搏脉冲。 外壳被配置为在心房内植入。 壳体包围刺激发生器和处理模块。
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公开(公告)号：US12251566B2
公开(公告)日：2025-03-18
申请号：US18188442
申请日：2023-03-22
Applicant: Medtronic, Inc.
Inventor： Todd J. Sheldon , Wade M. Demmer , Vincent P. Ganion , Juliana E. Pronovici , Vincent E. Splett , Menglong Xing
Abstract: A ventricular pacemaker is configured to determine a ventricular rate interval by determining at least one ventricular event interval between two consecutive ventricular events and determine a rate smoothing ventricular pacing interval based on the ventricular rate interval. The pacemaker is further configured to detect an atrial event from a sensor signal and deliver a ventricular pacing pulse in response to detecting the atrial event from the sensor signal. The pacemaker may start the rate smoothing ventricular pacing interval to schedule a next pacing pulse to be delivered upon expiration of the rate smoothing ventricular pacing interval.
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