摘要:
An aluminum electrolytic capacitor with an aluminum housing defining a chamber, and having a feed-through aperture providing communication with the chamber from outside of the housing. A number of aluminum anode layers are positioned within the chamber, and a feed-through member formed of a first conductive material occupies the feed-through aperture. The feed-through member has an inner end extending into the chamber, an outer end extending externally from the housing, and an insulative sleeve encompassing an intermediate portion of the feed-through member and directly contacting the housing at the feed-through aperture to prevent electrical contact between the feed-through member and the housing. A connection element formed of a second different conductive material is attached to the inner end of feed-through member and spaced apart from the housing. A compressible insulative gasket may be positioned between the housing and the connection element to provide insulation and a fluid seal.
摘要:
Implantable systems, and methods for use therewith, for monitoring arterial blood pressure on a chronic basis are provided herein. A first signal indicative of electrical activity of a patient's heart, and a second signal indicative of mechanical activity of the patient's heart, are obtained using implanted electrodes and an implanted sensor. By measuring the times between various features of the first signal relative to features of the second signal, values indicative of systolic pressure and diastolic pressure can be determined. In specific embodiments, such features are used to determine a peak pulse arrival time (PPAT), which is used to determine the value indicative of systolic pressure. Additionally, a peak-to-peak amplitude at the maximum peak of the second signal, and the value indicative of systolic pressure, can be used to determine the value indicative of diastolic pressure.
摘要:
Implantable systems, and methods for use therewith, for monitoring arterial blood pressure on a chronic basis are provided herein. A first signal indicative of electrical activity of a patient's heart, and a second signal indicative of mechanical activity of the patient's heart, are obtained using implanted electrodes and an implanted sensor. By measuring the times between various features of the first signal relative to features of the second signal, values indicative of systolic pressure and diastolic pressure can be determined. In specific embodiments, such features are used to determine a peak pulse arrival time (PPAT), which is used to determine the value indicative of systolic pressure. Additionally, a peak-to-peak amplitude at the maximum peak of the second signal, and the value indicative of systolic pressure, can be used to determine the value indicative of diastolic pressure.
摘要:
An exemplary method includes detecting ventricular fibrillation, delivering a low voltage cardiac stimulus, determining whether the low voltage cardiac stimulus terminated the ventricular fibrillation, and delivering a higher voltage cardiac stimulus if the low voltage cardiac stimulus did not terminate the ventricular fibrillation. In one example, the delivering the low voltage cardiac stimulus occurs within approximately 10 event intervals from the detected onset of ventricular fibrillation; otherwise, delivery of an appropriate higher voltage cardiac stimulus occurs. Other exemplary methods, devices, systems, etc., are also disclosed.
摘要:
An implantable cardioverter-defibrillator has a housing containing cardioverter-defibrillator circuitry and a capacitor assembly. The capacitor assembly includes at least two flat capacitors each having opposed major surfaces. Each capacitor has an anode contact at one major surface, and a cathode contact at the opposite major surface. The anode contact of one of the capacitors contacts the cathode contact of the other. Each capacitor contact may be a thin metal plate covering the entire surface of the capacitor, with each plate connected to corresponding interleaved cathode or anode flat sheets between the plates. A non-conductive perimeter may enclose the sheets and connect the plates to each other.
摘要:
An implantable cardiac pacemaker having a housing containing pacing circuitry, a signal generator, and an electromagnetic transducer. The transducer has an electrical input line connected to the signal generator, and an electrical output line connected to the pacing circuitry. Consequently, a forcing motion on the transducer sends an electrical signal to the pacing circuitry, and operation of the signal generator causes the transducer to vibrate. The pacemaker may also include a disablement switch connected to the signal generator, with the signal generator operating in response to activation of the switch to cause the transducer to generate an audible warning tone while the pacemaker is disabled.
摘要:
Energy efficient methods and systems for using multi-dimensional activity sensors with implantable cardiac devices are provided. In certain embodiments the output of a passive activity sensor (used for rate responsive pacing) is used to trigger temporary use of a relatively high power multi-dimensional activity sensor. In other embodiments, the output of a relatively low power oxygen saturation sensor is used to trigger temporary use of a relatively high power multi-dimensional activity sensor. This description is not intended to be a complete description of, or limit the scope of, the invention.
摘要:
Embodiments of the present invention relate to implantable sensors for obtaining hemodynamic data and/or physiologic data. More specifically, embodiments of the present invention enable additional sensing hardware to be added into implantable devices more quickly and less expensively. Additionally, embodiments of the present invention enable such adding of additional sensing hardware with little or no effect on the conventional functions of the implantable device to which the sensor hardware is being added.
摘要:
A method of manufacturing a capacitor for use in an implantable cardiac defibrillator by forming a set of conductive sheets with the same profile having a sacrificial portion. An alignment figure is formed in each sheet, and the sheets are stacked and aligned by registering the alignment figures with each other. The sacrificial portions are removed from each of the sheets, which are secured together and positioned in a capacitor housing. Each sheet may include two major portions joined by the sacrificial portion, so that each major portion may become part of a separate capacitor stack after the sacrificial portion is removed, doubling manufacturing throughput.
摘要:
A capacitor having a housing defining a chamber, and having at least two internal alignment elements in the chamber. A plurality of capacitor layers, each having alignment holes formed therein to precisely fit the housing's alignment elements, is positioned within the chamber, with the alignment holes mating with the alignment elements. The housing may be electrically conductive and used to connect some capacitor elements, in which case the alignment elements include non conductive spacers that contact the alignment holes of the sheets. The housing may also include external index elements for precisely positioning the housing in registration with fixtures used for manufacturing processes requiring precise alignment.