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41.
公开(公告)号:US20240299753A1
公开(公告)日:2024-09-12
申请号:US18603376
申请日:2024-03-13
Applicant: MEDTRONIC, INC.
Inventor: Subham Ghosh
CPC classification number: A61N1/36578 , A61N1/3622 , A61N1/36585 , A61N1/3702 , A61N1/37205 , A61N1/3756 , A61N1/368
Abstract: A cardiac pacemaker that delivers cardiac pacing therapy that includes delivering the cardiac pacing therapy from a cardiac pacing device, sensing a pacing event from a plurality of electrodes of the pacing device, and sensing an electromechanical signal from an electromechanical sensor of the pacing device. A pre-ejection period is determined in response to the sensed electromechanical signal, and a left ventricular ejection time is determined in response to the sensed electromechanical signal. The pacemaker device performs one or both of adjusting a pacing parameter setting and generating an alert in response to the determined pre-ejection period and the determined left ventricular ejection time.
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公开(公告)号:US20230293893A1
公开(公告)日:2023-09-21
申请号:US18201643
申请日:2023-05-24
Applicant: MEDTRONIC, INC.
Inventor: Subham Ghosh
CPC classification number: A61N1/36585 , A61N1/3624 , A61N1/368 , A61N1/3937 , A61N1/3706 , A61N1/3956 , A61N1/36578
Abstract: An implantable medical device includes a plurality of electrodes to detect electrical activity, a motion detector to detect mechanical activity, and a controller to determine at least one electromechanical interval based on at least one of electrical activity and mechanical activity. The activity detected may be in response to delivering a pacing pulse according to an atrioventricular (AV) pacing interval using the second electrode. The electromechanical interval may be used to adjust the AV pacing interval. The electromechanical interval may be used to determine whether cardiac therapy is acceptable or whether atrial or ventricular remodeling is successful.
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公开(公告)号:US20230172521A1
公开(公告)日:2023-06-08
申请号:US17969961
申请日:2022-10-20
Applicant: Medtronic, Inc.
Inventor: Subham Ghosh
CPC classification number: A61B5/367 , A61B5/339 , A61B5/7475 , A61B5/282
Abstract: Determination of cardiac conduction system pacing therapy benefit may be performed by the systems, methods, devices, and interfaces described herein. For example, various metrics of activation time dispersion may be generated based on electrical activity monitored by a plurality of external electrodes such as, e.g., a left-sided metric of dispersion and a global metric of dispersion. Such various metrics of activation time dispersion may be used to determined whether cardiac conduction system pacing would be beneficial.
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公开(公告)号:US11642533B2
公开(公告)日:2023-05-09
申请号:US17086127
申请日:2020-10-30
Applicant: Medtronic, Inc.
Inventor: Subham Ghosh , Tarek D. Haddad , Marc C. Steckler , Karen J. Kleckner , Elizabeth A. Schotzko
CPC classification number: A61N1/36592 , A61N1/3682 , A61N1/371 , A61N1/3702
Abstract: Systems and methods are described herein for evaluation and adjustment cardiac therapy. The systems and methods may initially evaluate a first pacing parameter while other pacing parameters are fixed to, for example, nominal values, and determine an effective setting for the first pacing parameter. Then, a second pacing parameter may be evaluated while the first pacing parameter is fixed to the previously-determined effective setting. Each evaluation may not test every possible setting for the pacing parameters, and instead, may utilize various processes to limit the settings to a subset of settings to test.
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公开(公告)号:US11547858B2
公开(公告)日:2023-01-10
申请号:US16369948
申请日:2019-03-29
Applicant: Medtronic, Inc.
Inventor: Subham Ghosh , Aleksandre Sambelashvili , Jeffrey Gillberg , Manfred Justen , Sean Farrell
Abstract: Systems, methods, and devices are described herein for evaluation, adjustment, and delivery of adaptive cardiac therapy. The systems, methods, and devices may utilize electrical heterogeneity information to determine and/or select one or more pacing settings and pacing type or configurations for a plurality of different heart rates. The adaptive cardiac therapy may deliver cardiac therapy at selected pacing settings such as, for example, A-V and/or V-V intervals, according to a presently measured heart rate and switch between left ventricular-only or biventricular cardiac pacing therapy also according to the presently measured heart rate.
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公开(公告)号:US11304641B2
公开(公告)日:2022-04-19
申请号:US15995661
申请日:2018-06-01
Applicant: Medtronic, Inc.
Inventor: Subham Ghosh , Karen Kleckner , Melissa Rhodes , Jordyn Reich
Abstract: Systems, interfaces, and methods are described herein for evaluation and adjustment cardiac therapy. The systems, interfaces, and methods may utilize, or include, a graphical user interface to display various information with respect to a plurality of external electrodes and electrical activity monitored using such external electrodes and to allow a user to adjust what information to display.
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公开(公告)号:US20220031221A1
公开(公告)日:2022-02-03
申请号:US17368260
申请日:2021-07-06
Applicant: Medtronic, Inc.
Inventor: Ruth N. Klepfer , Manfred Justen , Subham Ghosh , Jeffrey M. Gillberg
Abstract: Cardiac electrical activity is monitored from tissue of the patient using the plurality of external electrodes. One or more cardiac metrics of the patient are generated based on the monitored electrical activity. It is determined whether the patient is a candidate for a cardiac resynchronization therapy (CRT) device based on a first global dyssynchrony metric using the one or more cardiac metrics if the patient has a right bundle branch block. It is determined whether the patient is a candidate for a cardiac resynchronization therapy (CRT) device based on a second global dyssynchrony metric using the one or more cardiac metrics if the patient does not have a right bundle branch block.
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公开(公告)号:US11235159B2
公开(公告)日:2022-02-01
申请号:US16361996
申请日:2019-03-22
Applicant: Medtronic, Inc.
Inventor: Zhongping Yang , Thomas A. Anderson , Brian P. Colin , William J. Clemens , Subham Ghosh , Jeffrey M. Gillberg , Maurice T. I. Verbeek , Toine Camps , Lilian Kornet , Berthold Stegemann , Jean Rutten
Abstract: VfA cardiac therapy uses an implantable medical device or system. The implantable medical device includes a tissue-piercing electrode implanted in the basal and/or septal region of the left ventricular myocardium of the patient's heart from the triangle of Koch region of the right atrium through the right atrial endocardium and central fibrous body. The device may include a right atrial electrode, a right atrial motion detector, or both. The device may be implanted completely within the patient's heart or may use one or more leads to implant electrodes in the patient's heart. The device may be used to provide cardiac therapy, including single or multiple chamber pacing, atrioventricular synchronous pacing, asynchronous pacing, triggered pacing, cardiac resynchronization pacing, or tachycardia-related therapy. A separate medical device may be used to provide some functionality for cardiac therapy, such as sensing, pacing, or shock therapy.
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49.
公开(公告)号:US11219769B2
公开(公告)日:2022-01-11
申请号:US15142176
申请日:2016-04-29
Applicant: Medtronic, Inc.
Inventor: Subham Ghosh
IPC: A61N1/37 , A61N1/365 , A61B5/00 , A61B5/282 , A61B5/349 , A61B5/366 , A61N1/04 , A61N1/05 , A61N1/362 , A61N7/00
Abstract: Methods and systems of evaluating cardiac pacing in candidate patients for cardiac resynchronization therapy and cardiac resynchronization therapy patients are disclosed. The methods and systems disclosed allow treatments to be personalized to patients by measuring the extent of tissue capture from cardiac pacing under various therapy parameter conditions. Systems and methods of optimizing right ventricle only cardiac pacing are also disclosed.
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公开(公告)号:US11058880B2
公开(公告)日:2021-07-13
申请号:US16362015
申请日:2019-03-22
Applicant: Medtronic, Inc.
Inventor: Zhongping Yang , Subham Ghosh
Abstract: VfA cardiac therapy uses an implantable medical device or system. The implantable medical device includes a tissue-piercing electrode implanted in the basal and/or septal region of the left ventricular myocardium of the patient's heart from the triangle of Koch region of the right atrium through the right atrial endocardium and central fibrous body. The device may include a right atrial electrode, a right atrial motion detector, or both. The device may be implanted completely within the patient's heart or may use one or more leads to implant electrodes in the patient's heart. The device may be used to provide cardiac therapy, including single or multiple chamber pacing, atrioventricular synchronous pacing, asynchronous pacing, triggered pacing, cardiac resynchronization pacing, or tachycardia-related therapy. A separate medical device may be used to provide some functionality for cardiac therapy, such as sensing, pacing, or shock therapy.
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