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公开(公告)号:US20220395683A1
公开(公告)日:2022-12-15
申请号:US17745083
申请日:2022-05-16
Applicant: Medtronic Inc.
Inventor: Zhongping Yang , Thomas A. Anderson , Kaileigh E. Rock , Matthew D. Bonner , Kathryn E. Hilpisch , Wade M. Demmer
Abstract: An implantable medical device configured to deliver pacing therapy, the implantable medical device including a device body configured to position within a heart, where the device body comprises a proximal body portion and a distal body portion and defines a longitudinal axis extending through the proximal body portion and the distal body portion, the proximal body portion is configured to rotate around the longitudinal axis relative to distal body portion, and a leadlet mechanically coupled to the device body, where the leadlet mechanically supports an electrode configured to deliver pacing therapy, and where in response to the proximal body portion rotating relative to the distal body portion, the device body is configured to alter an extension length of the leadlet.
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公开(公告)号:US20220111216A1
公开(公告)日:2022-04-14
申请号:US17558832
申请日:2021-12-22
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
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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公开(公告)号:US20220062630A1
公开(公告)日:2022-03-03
申请号:US17450922
申请日:2021-10-14
Applicant: Medtronic, Inc.
Inventor: Zhongping Yang , Becky L. Dolan , Xin Chen , Thomas A. Anderson , Berthold Stegemann , Maurice Verbeek
Abstract: A pacemaker has a housing and a therapy delivery circuit enclosed by the housing for generating pacing pulses for delivery to a patient's heart. An electrically insulative distal member is coupled directly to the housing and at least one non-tissue piercing cathode electrode is coupled directly to the insulative distal member. A tissue piercing electrode extends away from the housing.
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公开(公告)号:US20210154477A1
公开(公告)日:2021-05-27
申请号:US17105603
申请日:2020-11-26
Applicant: Medtronic, Inc.
Inventor: Andrea J. Asleson , Wade M. Demmer , Nathan A. Grenz , Ruth N. Klepfer , Alexander R. Mattson , Kevin Seifert , Zhongping Yang
Abstract: Systems, devices, and methods may be used to deliver and provide cardiac pacing therapy to a patient. Leads or leadlets carrying one or more left ventricular electrodes may be positioned in or near the interventricular septum to sense and pace left ventricular signals of the patient's heart. In one example, a leadlet including one or more left ventricular electrodes may extend in the coronary sinus from a leadless implantable medical device located in the right atrium.
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公开(公告)号:US10780281B2
公开(公告)日:2020-09-22
申请号:US15934517
申请日:2018-03-23
Applicant: Medtronic, Inc.
Inventor: Subham Ghosh , Zhongping Yang
IPC: A61N1/368 , A61B5/0408 , A61N1/365 , A61N1/37 , A61N1/362 , A61N1/04 , A61B5/04 , A61B5/00 , A61B5/0456 , A61B5/0464 , A61B5/0472
Abstract: Cardiac electrical heterogeneity information may be used to determine whether one or more ventricle from atrium (VfA) paced settings for VfA pacing therapy are acceptable. Cardiac electrical heterogeneity information may be generated during VfA pacing, and then evaluated to determine whether the VfA paced settings are acceptable.
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公开(公告)号:US10758733B2
公开(公告)日:2020-09-01
申请号:US15705690
申请日:2017-09-15
Applicant: Medtronic, Inc.
Inventor: Zhongping Yang , Thomas A. Anderson , Yong K. Cho , Becky L. Dolan , Rick D. Mcvenes
Abstract: An implantable medical device has a housing having a proximal end, a distal end and an outer sidewall extending from the proximal end to the distal end. A fixation sheath includes a housing sheath portion extending along the outer sidewall of the housing, and a fixation member portion extending from the housing sheath portion. The housing sheath portion is advanceable from a first position along the outer sidewall of the housing in which the fixation member portion is retracted toward the proximal end of the housing to a second position along the outer sidewall of the housing in which the fixation member portion is deployed to extend away from the housing distal end for anchoring the implantable medical device at an implant site.
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公开(公告)号:US20200261725A1
公开(公告)日:2020-08-20
申请号:US16780036
申请日:2020-02-03
Applicant: Medtronic, Inc.
Inventor: Zhongping Yang , Derek Young
Abstract: A lead-in-lead system may include a first implantable lead having a first electrode and a second implantable lead having a second electrode guided by the first implantable lead to an implantation site. The second electrode may be implanted in a patient's heart distal to the first electrode at the same implantation site or at a second implantation site. Various methods may be used to deliver the lead-in-lead system to one or more implantation sites including at the triangle of Koch for ventricle-from-atrium (VfA) therapy, at the right ventricular septal wall for dual bundle-branch pacing, or in the coronary vasculature for left side sensing and pacing.
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公开(公告)号:US20200230415A1
公开(公告)日:2020-07-23
申请号:US16840083
申请日:2020-04-03
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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公开(公告)号:US20190290910A1
公开(公告)日:2019-09-26
申请号:US16361970
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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公开(公告)号:US10398892B2
公开(公告)日:2019-09-03
申请号:US15216466
申请日:2016-07-21
Applicant: Medtronic, Inc.
Inventor: Thomas A. Anderson , Andrea J. Asleson , Michael D. Eggen , McKenna Rose Redmond , Zhongping Yang
Abstract: A catheter assembly includes a cap and a spring-biased tethering member coupled thereto. The cap includes first and second portions, and a transition zone extending therebetween. A girth of the first portion is sized to fit within a distal-most opening of the catheter assembly; and a girth of the second portion tapers from a first size at the transition zone, which is too large to fit within the distal-most opening, to a smaller size at a distal end of the cap. The spring-biased tethering member holds the cap in open and closed positions, when the cap first portion extends within the distal-most opening, and when the cap is separated from the distal-most opening, respectively. At the closed position, the first portion is approximately concentric with the distal-most opening, and at the open position, an entirety of the cap is laterally offset from the distal-most opening.
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