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公开(公告)号:US12004863B2
公开(公告)日:2024-06-11
申请号:US17732461
申请日:2022-04-28
Applicant: Medtronic, Inc.
Inventor: Xusheng Zhang , Jian Cao , Saul E. Greenhut
IPC: A61B5/363 , A61B5/00 , A61B5/021 , A61B5/316 , A61B5/341 , A61B5/349 , A61B5/352 , A61N1/362 , A61N1/365 , A61N1/37 , A61N1/39 , A61B5/0245 , H03H21/00
CPC classification number: A61B5/363 , A61B5/02108 , A61B5/316 , A61B5/341 , A61B5/349 , A61B5/352 , A61B5/7203 , A61N1/3621 , A61N1/365 , A61N1/3702 , A61N1/3925 , A61B5/0245 , A61B5/4836 , A61N1/3704 , A61N1/3956 , A61N1/3962 , A61N1/3987 , H03H21/0012
Abstract: A medical device system, such as an extra-cardiovascular implantable cardioverter defibrillator ICD, senses R-waves from a first cardiac electrical signal by a first sensing channel and stores a time segment of a second cardiac electrical signal in response to each sensed R-wave. The medical device system determines a morphology parameter correlated to signal noise from time segments of the second cardiac electrical signal, detects a noisy signal segment based on the signal morphology parameter; and withholds detection of a tachyarrhythmia episode in response to detecting a threshold number of noisy signal segments.
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72.
公开(公告)号:US11911622B2
公开(公告)日:2024-02-27
申请号:US17468058
申请日:2021-09-07
Applicant: Medtronic, Inc.
Inventor: Robert W. Stadler , Subham Ghosh , Jian Cao , Andrea Grammatico , Sarah Meloni , Xiaohong Zhou
CPC classification number: A61N1/3684 , A61B5/353 , A61B5/366 , A61N1/37512
Abstract: An implantable medical device system is configured to generate signals representing activity of a heart of a patient; determine, based on the signals, an intrinsic delay of the heart of the patient; determine whether the intrinsic delay is indicative of a first-degree heart block being present in the heart of the patient; determine a patient-specific timing regime for conduction system pacing based on whether the intrinsic delay is indicative of the first-degree heart block being present in the heart of the patient; and administer cardiac pacing to a native conduction system of the heart of the patient based on the timing regime.
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公开(公告)号:US11826153B2
公开(公告)日:2023-11-28
申请号:US18148040
申请日:2022-12-29
Applicant: Medtronic, Inc.
Inventor: Elise J. Higgins , Mark L. Brown , Jian Cao
IPC: A61B5/36 , A61B5/363 , A61B5/00 , A61B5/024 , A61B5/287 , A61B5/316 , A61B5/352 , A61B5/361 , A61N1/39 , A61B5/366
CPC classification number: A61B5/363 , A61B5/02405 , A61B5/287 , A61B5/316 , A61B5/352 , A61B5/361 , A61B5/7264 , A61N1/3925 , A61N1/3956 , A61N1/3987 , A61B5/002 , A61B5/366 , A61B5/4836 , A61B2560/028 , A61N1/395 , A61N1/39622
Abstract: A medical device is configured to detect an atrial tachyarrhythmia episode. The device senses a cardiac signal, identifies R-waves in the cardiac signal attendant ventricular depolarizations and determines classification factors from the R-waves identified over a predetermined time period. The device classifies the predetermined time period as one of unclassified, atrial tachyarrhythmia and non-atrial tachyarrhythmia by comparing the determined classification factors to classification criteria. A classification criterion is adjusted from a first classification criterion to a second classification criterion after at least one time period being classified as atrial tachyarrhythmia. An atrial tachyarrhythmia episode is detected by the device in response to at least one subsequent time period being classified as atrial tachyarrhythmia based on the adjusted classification criterion.
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公开(公告)号:US11786739B2
公开(公告)日:2023-10-17
申请号:US16995965
申请日:2020-08-18
Applicant: Medtronic, Inc.
Inventor: Maureen E. Lybarger , Jian Cao , Wade M. Demmer , Michael W. Heinks , Jean E. Hudson , Michael Kemmerer , James J. St. Martin , Todd J. Sheldon
CPC classification number: A61N1/3624 , A61B5/352 , A61N1/365
Abstract: A medical device is configured to set a post-atrial time interval in response to an atrial event and generate an event time signal in response to a ventricular electrical signal crossing an R-wave sensing threshold during the post-atrial time interval. The device accumulates oversensing evidence in response to the event time signal and adjusts a ventricular sensing control parameter based on the accumulated oversensing evidence in some examples.
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公开(公告)号:US11678897B2
公开(公告)日:2023-06-20
申请号:US17143544
申请日:2021-01-07
Applicant: MEDTRONIC INC.
Inventor: Alan Cheng , Jian Cao , Zhongping Yang
CPC classification number: A61B17/22012 , A61N1/0573 , A61N7/00 , A61B2017/22014 , A61M2025/09183 , A61N1/362 , A61N1/3956 , A61N2007/0004 , A61N2007/0047
Abstract: A surgical method treats infections on a lead positioned at least partially within a patient's body. The surgical method includes uncoupling the lead from a pulse generator. The lead is then coupled to an ultrasound wave generator. Ultrasound waves are propagated from the ultrasound wave generator through the lead. Systems are disclosed.
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公开(公告)号:US11576607B2
公开(公告)日:2023-02-14
申请号:US16805057
申请日:2020-02-28
Applicant: Medtronic, Inc.
Inventor: Elise J. Higgins , Mark L. Brown , Jian Cao
IPC: A61B5/363 , A61B5/00 , A61B5/024 , A61B5/287 , A61B5/316 , A61B5/352 , A61B5/361 , A61N1/39 , A61B5/366
Abstract: A medical device is configured to detect an atrial tachyarrhythmia episode. The device senses a cardiac signal, identifies R-waves in the cardiac signal attendant ventricular depolarizations and determines classification factors from the R-waves identified over a predetermined time period. The device classifies the predetermined time period as one of unclassified, atrial tachyarrhythmia and non-atrial tachyarrhythmia by comparing the determined classification factors to classification criteria. A classification criterion is adjusted from a first classification criterion to a second classification criterion after at least one time period being classified as atrial tachyarrhythmia. An atrial tachyarrhythmia episode is detected by the device in response to at least one subsequent time period being classified as atrial tachyarrhythmia based on the adjusted classification criterion.
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公开(公告)号:US11547864B2
公开(公告)日:2023-01-10
申请号:US17068011
申请日:2020-10-12
Applicant: Medtronic, Inc.
Inventor: Jian Cao , Gerald P. Arne , Timothy A. Ebeling , Yanina Grinberg , Michael W. Heinks , Paul R. Solheim , Xusheng Zhang
Abstract: An implantable medical device system is configured to sense cardiac events in response to a cardiac electrical signal crossing a cardiac event sensing threshold. A control circuit is configured to determine a drop time interval based on a heart rate and control a sensing circuit to hold the cardiac event sensing threshold at a threshold value during the drop time interval.
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78.
公开(公告)号:US11534603B2
公开(公告)日:2022-12-27
申请号:US16879281
申请日:2020-05-20
Applicant: Medtronic, Inc.
Inventor: Mark T. Marshall , Jian Cao , Melissa G. T. Christie , Paul J. DeGroot , Vladimir P. Nikolski , Amy E. Thompson-Nauman
Abstract: Implantable medical electrical leads having electrodes arranged such that a defibrillation coil electrode and a pace/sense electrode(s) are concurrently positioned substantially over the ventricle when implanted as described. The leads include an elongated lead body having a distal portion and a proximal end, a connector at the proximal end of the lead body, a defibrillation electrode located along the distal portion of the lead body, wherein the defibrillation electrode includes a first electrode segment and a second electrode segment proximal to the first electrode segment by a distance. The leads may include at least one pace/sense electrode, which in some instances, is located between the first defibrillation electrode segment and the second defibrillation electrode segment.
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公开(公告)号:US20220225937A1
公开(公告)日:2022-07-21
申请号:US17152328
申请日:2021-01-19
Applicant: Medtronic, Inc.
Inventor: Jian Cao , Arthur K. Lai , Laura A. Chicos , Paul J. DeGroot
Abstract: A wearable garment and an arrangement of electrodes configured to measure bioelectrical signals from a patient. The dry electrodes are free from adhesives to hold the electrodes in place on the patient's skin. The arrangement of the electrodes may be configured to limit noise and facilitate accurate signal sensing from the patient even with some amount of relative movement between the electrodes and the patient's skin. The wearable garment may be controllable to change the amount of compression based on the sensed signals from the electrodes, and from other sensors. The garment may maintain a comfortable level of compression until processing circuitry detects a signal of interest, such as a cardiac arrhythmia, irregular respiration, or some other signal. The processing circuitry may cause the wearable garment to increase compression to improve the contact between the electrodes and the patient's skin and improve reception of the measured signals.
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公开(公告)号:US10219718B2
公开(公告)日:2019-03-05
申请号:US14520938
申请日:2014-10-22
Applicant: Medtronic, Inc.
Inventor: Jian Cao , Elise Higgins
Abstract: A method and medical device for determining a cardiac episode that includes sensing a cardiac signal, identifying the signal sensed during a predetermined time interval as one of a cardiac event, a non-cardiac event, and an unclassified event, determining a number of identified cardiac events, determining a number of identified unclassified events, and determining whether the cardiac episode is occurring in response to the number of identified cardiac events being greater than a cardiac event count threshold and the number of identified unclassified events being less than an unclassified event count threshold.
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