公开(公告)号：US20050004606A1

公开(公告)日：2005-01-06

申请号：US10839268

申请日：2004-05-05

申请人： Jeffrey Stahmann ,  Andrew Kramer ,  Hugh Calkins

发明人： Jeffrey Stahmann ,  Andrew Kramer ,  Hugh Calkins

IPC分类号： A61N1/362

CPC分类号： A61N1/368 ,  A61N1/3622 ,  A61N1/3627 ,  A61N1/3684

摘要： Safety pacing in multi-site cardiac rhythm management (CRM) devices is provided. According to various method embodiments, a first cardiac signal from a first cardiac region and a second cardiac signal from a second cardiac region are sensed. The first cardiac region is paced to maintain at least a minimum cardiac rate, and the second cardiac region is paced to maintain at least the minimum cardiac rate when a pace in the first cardiac region is inhibited. Other aspects and embodiments are provided herein.

摘要翻译： 提供了多站点心律管理（CRM）设备中的安全起搏。 根据各种方法实施例，感测来自第一心脏区域的第一心脏信号和来自第二心脏区域的第二心脏信号。 第一心脏区域起搏以保持至少最小心率，并且当第一心脏区域中的步调被抑制时，第二心脏区域起搏以保持至少最小心率。 本文提供了其它方面和实施例。

公开(公告)号：US20080046017A1

公开(公告)日：2008-02-21

申请号：US11891896

申请日：2007-08-14

申请人： Jeffrey Stahmann ,  Andrew Kramer ,  Julio Spinelli

发明人： Jeffrey Stahmann ,  Andrew Kramer ,  Julio Spinelli

IPC分类号： A61N1/362

CPC分类号： A61N1/3627 ,  A61N1/3622 ,  A61N1/368 ,  A61N1/3684 ,  A61N1/3716

摘要： A cardiac rhythm management system for coordination therapy includes a pulse generator to generate pacing and discharging of recharge pulses. A pulse delivery controller coupled to the pulse generator, times the delivery of the pacing and discharging of recharge pulses in a desired sequence. A therapy circuit coupled to the pulse delivery controller, receives the timed pulses from the pulse delivery controller and delivers the timed pulses to one or more electrodes disposed in or around a heart to communicate the timed pacing and discharging of recharge pulses to different sites of a heart, to avoid any interactions resulting from the electric fields surrounding the electrodes during a multiple site pacing required by the coordination therapy.

摘要翻译： 用于协调治疗的心律管理系统包括产生起搏和再充电脉冲放电的脉冲发生器。 耦合到脉冲发生器的脉冲传送控制器以期望的顺序对起搏的递送和再充电脉冲的放电进行倍增。 耦合到脉冲传送控制器的治疗电路接收来自脉冲传送控制器的定时脉冲，并将定时脉冲传送到设置在心脏中或周围的一个或多个电极，以将定时起搏和再充电脉冲的放电传达到不同部位 心脏，以避免由协调治疗所需的多个位置起搏期间由电极周围的电场引起的任何相互作用。

公开(公告)号：US20070135853A1

公开(公告)日：2007-06-14

申请号：US11673098

申请日：2007-02-09

申请人： Andrew Kramer ,  Jeffrey Stahmann

发明人： Andrew Kramer ,  Jeffrey Stahmann

IPC分类号： A61N1/365

CPC分类号： A61N1/3627 ,  A61N1/362 ,  A61N1/3621 ,  A61N1/3622 ,  A61N1/365 ,  A61N1/368 ,  A61N1/3682 ,  A61N1/3684 ,  A61N1/3688 ,  A61N1/3702 ,  A61N1/395 ,  A61N1/3962 ,  A61N1/3987

摘要： A cardiac rhythm management device which employs pacing therapy to regularize the ventricular rhythm. Such ventricular rate regularization may be employed within bradycardia pacemakers, ventricular resynchronization devices, or implantable cardioverter/defibrillators.

摘要翻译： 一种心律管理装置，其采用起搏治疗来使心室节律正常化。 心动过速起搏器，心室再同步装置或植入式心律转复器/去纤颤器中可采用这种心室率正常化。

公开(公告)号：US20070016260A1

公开(公告)日：2007-01-18

申请号：US11522691

申请日：2006-09-18

申请人： Kenneth Baker ,  David Perschbacher ,  Andrew Kramer ,  Jeffrey Stahmann

发明人： Kenneth Baker ,  David Perschbacher ,  Andrew Kramer ,  Jeffrey Stahmann

IPC分类号： A61N1/362

CPC分类号： A61N1/3627 ,  A61N1/3684

摘要： A device and method for improving tachyarrhythmia detection when the ventricles are resynchronized by delivering paces to both ventricles separated by a specified offset interval. Timing of escape intervals and tachyarrhythmia detection is based upon senses from one of the ventricles designated as a rate ventricle. A reversion pacing mode is provided in order to prevent tachyarrhythmia detection from being compromised when the rate ventricle is paced after the other ventricle.

摘要翻译： 通过向两个心室分配指定的偏移间隔来逐步重新同步心室，从而改善快速性心律失常检测的装置和方法。 逃避间隔和快速性心律失常检测的时间是基于指定为速率心室的心室之一的感觉。 提供回波起搏模式，以便当速率心室在另一脑室之后起搏时，防止快速性心律失常检测受到损害。

公开(公告)号：US20060259083A1

公开(公告)日：2006-11-16

申请号：US11125503

申请日：2005-05-10

申请人： Imad Libbus ,  Andrew Kramer ,  William Linder ,  Jeffrey Stahmann

发明人： Imad Libbus ,  Andrew Kramer ,  William Linder ,  Jeffrey Stahmann

IPC分类号： A61N1/36

CPC分类号： A61N1/37 ,  A61N1/36114 ,  A61N1/36125 ,  A61N1/362 ,  A61N1/36514 ,  A61N1/36564 ,  A61N1/36592 ,  A61N1/3987

摘要： Various aspects relate to a method. In various embodiments, a therapy of a first therapy type is delivered, and it is identified whether a therapy of a second therapy type is present to affect the therapy of the first therapy type. Delivery of the therapy is controlled based on the presence of the therapy of the second therapy type. Some embodiments deliver the therapy of the first type using one set of parameters in the presence of a therapy of a second type, and deliver the therapy of the first type using another set of parameters when the therapy of the second type is not present. In various embodiments, one of the therapy types includes a cardiac rhythm management therapy, and the other includes a neural stimulation therapy. Other aspects and embodiments are provided herein.

公开(公告)号：US20060241699A1

公开(公告)日：2006-10-26

申请号：US11110542

申请日：2005-04-20

申请人： Imad Libbus ,  Andrew Kramer ,  William Linder ,  Jeffrey Stahmann

发明人： Imad Libbus ,  Andrew Kramer ,  William Linder ,  Jeffrey Stahmann

IPC分类号： A61N1/38

CPC分类号： A61N1/36114 ,  A61N1/3962

摘要： Various aspects of the present subject matter relate to a system. Various embodiments of the system comprise at least one port to connect to at least one lead with at least one electrode, at least one stimulator circuit and at least one controller. The at least one stimulator circuit is connected to the at least one port and is adapted to deliver neural stimulation to a neural stimulation target using the at least one electrode. The at least one controller is adapted to determine when another energy discharge other than the neural stimulation to the neural stimulation target is occurring and to prevent delivery of the neural stimulation simultaneously with the other energy discharge. Other aspects and embodiments are provided herein.

摘要翻译： 本主题的各个方面涉及系统。 系统的各种实施例包括至少一个端口，以连接至少一个引线与至少一个电极，至少一个刺激器电路和至少一个控制器。 所述至少一个刺激器电路连接到所述至少一个端口，并且适于使用所述至少一个电极将神经刺激递送到神经刺激靶。 所述至少一个控制器适于确定何时发生除了对神经刺激靶的神经刺激以外的其他能量放电，并且防止神经刺激与另一能量放电同时传送。 本文提供了其它方面和实施例。

公开(公告)号：US20050165453A1

公开(公告)日：2005-07-28

申请号：US11085755

申请日：2005-03-21

申请人： Jeffrey Stahmann ,  Andrew Kramer

发明人： Jeffrey Stahmann ,  Andrew Kramer

IPC分类号： A61N1/362 ,  A61N1/368

CPC分类号： A61N1/3627 ,  A61N1/368

摘要： A device and method for cardiac rhythm management in which a cardiac site is paced in accordance with a pacing mode that employs sense signals from a different cardiac site. A protective period triggered by the sensing of intrinsic activity at the paced site is used to delay pacing by a protective delay interval without otherwise disturbing the pacing algorithm.

公开(公告)号：US20070288062A1

公开(公告)日：2007-12-13

申请号：US11733332

申请日：2007-04-10

申请人： Jeffrey Stahmann ,  Andrew Kramer

发明人： Jeffrey Stahmann ,  Andrew Kramer

IPC分类号： A61N1/365

CPC分类号： A61N1/3622 ,  A61N1/3621 ,  A61N1/3624 ,  A61N1/3627 ,  A61N1/3684 ,  A61N1/3688 ,  A61N1/395 ,  A61N1/3962

摘要： A method for operating a cardiac pacemaker in which the mode of operation of the pacemaker is altered in response to detecting an episode of atrial tachycardia. In accordance with the invention, the pacemaker's pacing mode is altered in a manner that attempts to maintain hemodynamic stability during the atrial tachycardia. Such a mode switch is particularly applicable to pacemaker patients suffering from some degree of congestive heart failure.

摘要翻译： 一种用于操作心脏起搏器的方法，其中起搏器的操作模式响应于检测心房心动过速的发作而改变。 根据本发明，起搏器的起搏模式以在心房心动过速期间维持血液动力学稳定性的方式改变。 这种模式切换特别适用于患有某种程度充血性心力衰竭的起搏器患者。

公开(公告)号：US20070118179A1

公开(公告)日：2007-05-24

申请号：US11654942

申请日：2007-01-18

申请人： Andrew Kramer ,  Albert Maarse ,  Jeffrey Stahmann ,  Rene Wentkowski

发明人： Andrew Kramer ,  Albert Maarse ,  Jeffrey Stahmann ,  Rene Wentkowski

IPC分类号： A61N1/362

CPC分类号： A61N1/3627 ,  A61N1/3622 ,  A61N1/368

摘要： A device and method for multi chamber pacing a patient's heart having heart failure and intrinsic conduction, wherein ventricular tracking is used to pace the ventricle when the sinus rate exceeds a preset atrial maximum tracking rate. The ventricular tracking pacemaker increases the range of pacing the ventricle. The ventricular tracking minimizes the loss of ventricular pacing caused by intrinsic conduction when the sinus rate is below an atrial maximum tracking rate, and it induces a new ventricular pacing behavior for sinus rates above the atrial maximum tracking rate without any significant pacing hysteresis as the sinus rate returns towards the lower rate limit.

摘要翻译： 一种用于多室起搏具有心力衰竭和内在传导的患者心脏的装置和方法，其中当窦速率超过预设的心房最大跟踪率时，使用心室跟踪来调节心室。 心室跟踪起搏器增加心室起搏的范围。 当窦速度低于心房最大跟踪率时，心室跟踪最小化由内在传导引起的心室起搏损失，并且其诱导窦速率高于心房最大跟踪率的新的心室起搏行为，而没有任何明显的起搏滞后作为窦 利率回到较低的汇率限制。

公开(公告)号：US20070043396A1

公开(公告)日：2007-02-22

申请号：US11589608

申请日：2006-10-30

申请人： Jeffrey Stahmann ,  Rene Wentkowski ,  Andrew Kramer ,  James Kalgren

发明人： Jeffrey Stahmann ,  Rene Wentkowski ,  Andrew Kramer ,  James Kalgren

IPC分类号： A61N1/362

CPC分类号： A61N1/36507 ,  A61N1/3627 ,  A61N1/3684

摘要： A system and method recording sensing and pacing events in a cardiac rhythm management device. The method may be particularly useful in assessment of pacing parameters for ventricular resynchronization therapy.

摘要翻译： 在心律管理装置中记录感测和起搏事件的系统和方法。 该方法在评价心室再同步治疗的起搏参数方面特别有用。