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公开(公告)号:US11724114B2
公开(公告)日:2023-08-15
申请号:US17020369
申请日:2020-09-14
发明人: Pujitha Weerakoon , David M. Wagenbach , Philip L. Weiss , Goran N. Marnfeldt , Kiran K. Gururaj
CPC分类号: A61N1/3758 , A61N1/36062 , A61N1/025 , A61N1/0534 , A61N1/378
摘要: An implantable pulse generator (IPG) is disclosed having an improved ability to steer anodic and cathodic currents between the IPG's electrodes. Each electrode node has at least one PDAC/NDAC pair to source/sink or sink/source a stimulation current to an associated electrode node. Each PDAC and NDAC receives a current with a magnitude indicative of a total anodic and cathodic current, and data indicative of a percentage of that total that each PDAC and NDAC will produce in the patient's tissue at any given time, which activates a number of branches in each PDAC or NDAC. Each PDAC and NDAC may also receive one or more resolution control signals specifying an increment by which the stimulation current may be adjusted at each electrode. The current received by each PDAC and NDAC is generated by a master DAC, and is preferably distributed to the PDACs and NDACs by distribution circuitry.
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公开(公告)号:US11712188B2
公开(公告)日:2023-08-01
申请号:US16815133
申请日:2020-03-11
申请人: Medtronic, Inc.
发明人: Subham Ghosh
摘要: Systems and methods may monitor electrical activity of a patient's heart using electrodes during delivery of cardiac therapy and determine a degree of posterior left bundle branch engagement based on the monitored electrical activity. The systems and methods may adjust the cardiac therapy based on the degree of posterior left bundle branch engagement.
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公开(公告)号:US11684408B2
公开(公告)日:2023-06-27
申请号:US17378100
申请日:2021-07-16
CPC分类号: A61B18/1206 , A61B18/1233 , A61B18/14 , A61B18/1492 , A61N1/3718 , A61B5/352 , A61B34/20 , A61B2018/00351 , A61B2018/00357 , A61B2018/00375 , A61B2018/00577 , A61B2018/00613 , A61B2018/00839 , A61B2018/1293 , A61N1/056 , A61N1/362
摘要: Systems, devices, and methods for electroporation ablation therapy are disclosed, with a protection device for isolating electronic circuitry, devices, and/or other components from a set of electrodes during a cardiac ablation procedure. A system can include a first set of electrodes disposable near cardiac tissue of a heart and a second set of electrodes disposable in contact with patient anatomy. The system can further include a signal generator configured to generate a pulse waveform, where the signal generator coupled to the first set of electrodes and configured to repeatedly deliver the pulse waveform to the first set of electrodes. The system can further include a protection device configured to selectively couple and decouple an electronic device to the second set of electrodes.
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公开(公告)号:US11679268B2
公开(公告)日:2023-06-20
申请号:US16593739
申请日:2019-10-04
申请人: Medtronic, Inc.
发明人: Tarek D Haddad , Athula I Abeyratne , Mark L. Brown , Donald R Musgrove , Andrew Radtke , Mugdha V Tasgaonkar
IPC分类号: A61N1/39 , A61B5/00 , A61B5/363 , A61N1/37 , G16H10/60 , G16H50/30 , G16H50/20 , G06N20/00 , G06N3/02
CPC分类号: A61N1/3956 , A61B5/363 , A61B5/7264 , A61B5/7275 , A61B5/7282 , A61N1/3706 , G06N3/02 , G06N20/00 , G16H10/60 , G16H50/20 , G16H50/30
摘要: Techniques are disclosed for a multi-tier system for predicting cardiac arrhythmia in a patient. In one example, a computing device processes parametric patient data and provider data for a patient to generate a long-term probability that a cardiac arrhythmia will occur in the patient within a first time period. In response to determining that the cardiac arrhythmia is likely to occur within the first time period, the computing device causes a medical device to process the parametric patient data to generate a short-term probability that the cardiac arrhythmia will occur in the patient within a second time period. In response to determining that the cardiac arrhythmia is likely to occur within the second time period, the medical device performs a remediative action to reduce the likelihood that the cardiac arrhythmia will occur.
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公开(公告)号:US20230181912A1
公开(公告)日:2023-06-15
申请号:US17989599
申请日:2022-11-17
申请人: MEDTRONIC, INC.
CPC分类号: A61N1/3718 , A61N1/37217 , A61N1/36542
摘要: Implantable medical devices include a first sensor for detecting a magnetic field that indicates an exposure mode of operation is appropriate. The implantable medical devices include a second sensor for detecting whether an MRI characteristic is present that indicates whether MRI or non-MRI post exposure diagnostics and other actions should be implemented and may also indicate whether the exposure mode should be MRI or non-MRI specific. An MRI post exposure diagnostic may perform pacing capture threshold tests and the post exposure pacing amplitude output may be kept at a higher than normal level. The second sensor may be an overvoltage clamp circuit of a telemetry coil that indicates whether an overvoltage condition on the telemetry coil is occurring to indicate whether an MRI characteristic is present. The second sensor may be a second threshold magnetic sensor, an accelerometer, or a microphone to indicate whether an MRI characteristic is present.
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公开(公告)号:US11672975B2
公开(公告)日:2023-06-13
申请号:US16888462
申请日:2020-05-29
申请人: ATACOR MEDICAL, INC.
发明人: Rick Sanghera , Matthew Rollins , John Beck , William Born , Shahn Sage , Alan Marcovecchio
CPC分类号: A61N1/0597 , A61B17/3468 , A61N1/05 , A61N1/37 , A61B2017/00367 , A61B2017/00867
摘要: Systems, methods, and devices to facilitate insertion of certain leads with electrode(s) into patients are described. Leads can be implanted to work in conjunction with a cardiac pacemaker or cardiac defibrillator. A lead for cardiac therapy may be inserted into an intercostal space associated with the cardiac notch of a patient. Devices for delivery may include, for example, a delivery system coupled with an electrical lead and having a handle, a component advancer and insertion tips. The handle is configured to be actuated by an operator and the component advancer is configured to advance an electrical lead into the patient. The insertion tips can be configured to close around the electrical lead within the component advancer, to push through biological tissue, and to open to enable the lead to advance into the patient. The electrical lead can also be maintained in a particular orientation during the advancement into the patient.
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公开(公告)号:US20230149725A1
公开(公告)日:2023-05-18
申请号:US17987691
申请日:2022-11-15
申请人: Tigran Khachatryan
发明人: Tigran Khachatryan
CPC分类号: A61N1/3937 , A61N1/37217 , A61N1/025 , A61N1/39622 , A61N1/3706
摘要: An implantable medical device configured to be planted within a subject. The medical device comprises: a first unit configured to detect pulses and output a first pulse to perform a first treatment; a second unit configured to output a second pulse to perform a second treatment; and_a control unit electrically connected to the first unit and the second unit. The control unit is configured to monitor activities of the first unit and the second unit. The control unit is also configured to prevent the first unit from mistakenly outputting the first pulses or failing to output the first pulses when a first body part of the subject needs the first pulses for the first treatment.
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公开(公告)号:US20230149721A1
公开(公告)日:2023-05-18
申请号:US18056472
申请日:2022-11-17
申请人: Medtronic, Inc.
发明人: John C. Stroebel , Maureen E. Lybarger , Mohac Tekmen , Greggory R. Herr , John D. Golnitz , Kristen J. Cattin , Eric A. Schilling , Eric R. Williams , Teresa A. Whitman , Mikayle A Holm , Michelle M. Galarneau , Tara M. Treml , Derek W. Prusener
CPC分类号: A61N1/3702 , A61B5/352 , A61B5/358
摘要: A method includes detecting, by an implantable medical device (IMD), attachment to the IMD of at least one implantable medical lead with at least one electrode; and triggering by the IMD, based on the detecting of the attachment to the IMD of the at least one medical lead, a device test sequence in which the IMD performs the following qualification tests over an evaluation period: detecting an impedance for at least one electrical path that includes the at least one electrode to determine a connection status of the IMD to the at least one electrode; and comparing EGM (electrogram) amplitudes of the patient over an EGM test period against a predetermined threshold.
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公开(公告)号:US20230147266A1
公开(公告)日:2023-05-11
申请号:US17524545
申请日:2021-11-11
申请人: Neuralink Corp.
发明人: Amir Mazaheripour , Joshua S. Hess , Andrew D. Wong , Amir M. Foudeh , Ava S.K. Greenwood , Alan R. Mardinly , Alejandro J. Tenorio , Ian C.C. Switzer
CPC分类号: G01R31/2829 , G01R31/002 , A61N1/3704 , G06F1/182 , A61B5/0031
摘要: Accelerated testing apparatuses for implants are described, as well as methods for accelerated testing implants. The accelerated testing apparatus includes a cabinet having multiple bays and a vessel insertable and removable from any of the multiple bays. The vessel includes a watertight basin, a radio-frequency (RF) transparent lid configured to mate with the basin, and a plurality of fixtures within the vessel. Each fixture is adapted to anchor a device-under-test while submersed within the vessel. The accelerated testing apparatus also includes a reservoir disposed within the cabinet, a heater connected with the reservoir, a pump configured to circulate liquid between the reservoir and the vessel, an antenna within the cabinet for communication with the device-under-test, and at least one computer server operatively connected with the antenna.
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公开(公告)号:US11633610B2
公开(公告)日:2023-04-25
申请号:US17022774
申请日:2020-09-16
申请人: Pacesetter, Inc.
摘要: Implantable medical devices (IMDs) described herein, and methods for use therewith described herein, reduce how often an IMD accepts a false message and/or reduce adverse effects of an IMD accepting a false message. Such IMDs can be leadless pacemakers (LPs), or implantable cardio defibrillators (ICDs), but are not limited thereto. Such embodiments can be used help multiple IMDs (e.g., multiple LPs) implanted within a same patient maintain synchronous operation, such as synchronous multi-chamber pacing.
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