摘要:
A medical device production and supply information management system for just-in-time inventory control at the manufacturing facility, vendor stocks, material/product tracking, distribution and shipping management, to thereby reduce inventory at all points in the product manufacturing distribution/delivery chain. The system is implemented using a preferably Web-enabled information network and data communication with a programmer. The programmer provides access to product information, specification and related data for implanted medical devices from which build-to-order or build-to-replenish commands are issued to the manufacturing center. The system is interactive within the information management system that is integrally and seamlessly connected with patients, hospitals, sales offices and related consumption hubs, including manufacturing facilities.
摘要:
In one embodiment, a testing regimen is implemented to reduce test time. Specifically, a structure and method to power up and stabilize all die on the wafer prior to testing each die is implemented. More specifically, parallel powering schemes including die stabilization procedures are used to ready the wafer for testing. A wafer probe tester is indexed from one die to the next for an uninterrupted testing of all die in the wafer subsequent to all die power up and stabilization.
摘要:
Cardiac pacing systems are disclosed for providing multi-site pacing in a single heart chamber or multi-chamber pacing in two or more heart chambers employing N pacing channels and miniaturized electrical isolation circuitry in up to N−1 pacing channels to minimize the effects of leakage currents generated during delivery of a pacing pulse in any one pacing channel from affecting sense amplifiers in the other pacing channels. Isolation of a the pace/sense electrodes from leakage currents is effected employing monolithic isolation circuit means. An isolated current replicator employing giant magnetoresistive (GMR) sense elements in conjunction with isolated planar cells fabricated in monolithic form is incorporated into conventional VLSI circuitry. Or, the monolithic isolation circuit means is formed of a micro-mechanical fabricated (MEMS) isolation transformer comprising low-loss input and output coils separated by an insulation layer that isolates the input coil from the output coil.
摘要:
An automated identification and configuration system for use with an implantable medical device (IMD) is disclosed. The system includes a first communication circuit that is attached to, or otherwise carried by, a detachable component associated with the IMD such as a medical lead. The communication circuit stores data such as model numbers, serial numbers, technical data, and/or calibration information that describes the additional component. This information may be transferred by the first communications circuit to a second communications circuit that is external to the additional component. This transferred data can be used to automatically configure the internal circuitry and connection functions of the IMD to properly interface with, and support, the additional component. For example, the data can be used to automatically adjust amplifier gains or other sensor circuitry, or to configure a connector block to properly couple to the component. The data may further be entered into a patient record on an external programmer, or may be transferred to a central storage location to be generally accessible to health care providers. In one embodiment, the first communication circuit is a passive RF transponder. This first communication circuit may include a receiver as well as a transmitter to allow the circuit to programmably receive data at the time of component manufacture.
摘要:
An implantable medical device (IMD) uses a solid-state sensor for detecting the application of an external magnetic field, the sensor comprises one or more magnetic field responsive microelectromechanical (MEM) switch fabricated in an IC coupled to a switch signal processing circuit of the IC that periodically determines the state of each MEM. The MEM switch comprises a moveable contact suspended over a fixed contact by a suspension member such that the MEM switch contacts are either normally open or normally closed. A ferromagnetic layer is formed on the suspension member, and the suspended contact is attracted or repelled toward or away from the fixed contact. The ferromagnetic layer, the characteristics of the suspension member, and the spacing of the switch contacts may be tailored to make the switch contacts close (or open) in response to a threshold magnetic field strength and/or polarity. A plurality of such magnetically actuated MEM switches are provided to cause the IMD to change operating mode or a parameter value and to enable or effect programming and uplink telemetry functions.
摘要:
In one embodiment, a testing regimen is implemented to reduce test time. Specifically, a structure and method to power up and stabilize all die on the wafer prior to testing each die is implemented. More specifically, parallel powering schemes including die stabilization procedures are used to ready the wafer for testing. A wafer probe tester is indexed from one die to the next for an uninterrupted testing of all die in the wafer subsequent to all die power up and stabilization.
摘要:
Power consumption in medical devices is reduced through the operation of circuits at clock speeds of lower levels to adequately complete desired functions during predetermined time periods (e.g., blanking interval, upper rate interval, etc.) just-in-time prior to subsequent required functional processes; by providing supply voltages tailored for various circuits of an integrated circuit; by operating two or more circuits of an integrated circuit at different clock frequencies; by changing the supply voltage level “on the fly” as required by specific circuit timing functions required for various circuitry based on clock frequencies used to control operation of such circuitry; and/or by tailoring back gate bias or adjusting back gate bias “on the fly” for circuits based on the supply voltage level applied to the circuits.
摘要:
Power consumption in medical devices is reduced through the use and operation of multiple digital signal processing systems. Each processor of the multiple systems performs at least one particular function in a predetermined time period. The multiple digital signal processors of such systems can be operated at lower clock frequencies relative to those that would be required by one of such processors to complete the multiple functions within the predetermined time period. With reduced clock frequency, power consumption is reduced. Further, with reduced clock speed, supply voltages applied to such digital signal processors may also be reduced.
摘要:
Methods and apparatus for interrogation of implantable medical device (IMD) information, including programmed parameter values, operating modes and programmed changes thereof and data stored in the IMD, by emission of audible sounds by the IMD are disclosed. The IMD includes an audio transducer that emits audible sounds including voiced statements or musical tones stored in analog memory correlated to a programming or interrogation operating algorithm or to a warning trigger event. The audible sounds can comprise the sole uplink transmission or may augment the contemporaneous uplink RF transmission of stored data, and/or programmed operating modes and parameters and/or device operations and states in an interrogation or during programming. To conserve energy, the audible sounds accompanying interrogation and programming of the IMD are at a low volume that preferably cannot be heard without use of an external audio amplifier or stethoscope. Voiced statements warning of battery energy depletion or imminent delivery of a therapy are emitted at a higher volume that is sufficient to be heard by the patient, so that the patient can take appropriate action. The volume of audible sounds confirming programmed changes made by a patient using a limited function programmer or magnet is also increased so that the patient can hear them.
摘要:
In a reproduction method and apparatus, a marking particle image is formed on an image-supporting member. A moving web supports a receiver member to advance the receiver member into a nip defined between the image-supporting member and a transfer roller. The web is in the nip during transfer so that the receiver member is between the web and the image-supporting member. An electrical transfer field is established in the nip for electrostatically transferring the marking particle image to the receiver member. A support roller presses against a portion of a roller surface of the transfer roller that does not form the nip to reduce bending of a portion of the rolling surface of the transfer roller that is associated with the nip.