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81.发明申请公开(公告)号：US20160114162A1
公开(公告)日：2016-04-28
申请号：US14821098
申请日：2015-08-07
Applicant: Medtronic, Inc.
Inventor： Todd J. Sheldon , Wade M. Demmer , Margaret G. Guo
IPC: A61N1/368 , A61B5/04 , A61N1/365 , A61B5/0452
CPC classification number: A61N1/368 , A61B5/04012 , A61B5/0452 , A61N1/36514 , A61N1/3702
Abstract: An intracardiac pacemaker is configured to filter a raw cardiac electrical signal received by the pacemaker to produce a filtered cardiac electrical signal, analyzes the filtered cardiac electrical signal to establish cardiac event sensing criteria that discriminate P-waves from T-waves and R-waves all present in the raw cardiac electrical signal, and sense the P-waves from the filtered cardiac electrical signal when the established cardiac event sensing criteria are met. Sensed P-waves may be used for controlling atrial-synchronized ventricular pacing delivered by the pacemaker.
Abstract translation: 心脏起搏器被配置为过滤由起搏器接收的原始心脏电信号以产生经滤波的心电信号，分析经过滤的心脏电信号以建立心脏事件感测标准，其将P波与T波和R波全部区分开 存在于原始心脏电信号中，并且当满足建立的心脏事件感测标准时，从过滤的心电信号中感测P波。 感测的P波可用于控制起搏器输送的心房同步心室起搏。
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公开(公告)号：US20140121719A1
公开(公告)日：2014-05-01
申请号：US13665492
申请日：2012-10-31
Applicant: MEDTRONIC, INC.
Inventor： Matthew D. Bonner , Saul E. Greenhut , Todd J. Sheldon , Wade M. Demmer
IPC: A61N1/365
CPC classification number: A61N1/3682 , A61N1/0573 , A61N1/36578 , A61N1/3756 , A61N1/3987
Abstract: A device includes a signal generator module, a processing module, and a housing. The signal generator module is configured to deliver pacing pulses to an atrium. The processing module is configured to detect a ventricular activation event and determine a length of an interval between the ventricular activation event and a previous atrial event that preceded the ventricular activation event. The processing module is further configured to schedule a time at which to deliver a pacing pulse to the atrium based on the length of the interval and control the signal generator module to deliver the pacing pulse at the scheduled time. The housing is configured for implantation within the atrium. The housing encloses the stimulation generator and the processing module.
Abstract translation: 一种装置包括信号发生器模块，处理模块和壳体。 信号发生器模块被配置为向心房输送起搏脉冲。 处理模块被配置为检测心室激活事件并且确定心室激活事件与心室激活事件之前的先前心房事件之间的间隔的长度。 处理模块还被配置为基于间隔的长度来安排将起搏脉冲传送到心房的时间，并且控制信号发生器模块以在预定的时间传送起搏脉冲。 外壳被配置为在心房内植入。 外壳包围刺激发生器和处理模块。
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83.发明授权公开(公告)号：US12233267B2
公开(公告)日：2025-02-25
申请号：US17936977
申请日：2022-09-30
Applicant: Medtronic, Inc.
Inventor： Wade M. Demmer , Todd J. Sheldon
Abstract: An implantable medical device is configured determine a numerical value of a variable that is monitored by the implantable medical device and convert the numerical value to a data sequence of modulated electrical stimulation rate intervals. The implantable medical device delivers electrical stimulation pulses according to the data sequence of modulated stimulation rate intervals to cause a modulated rate of activation of excitable tissue of a patient corresponding to the modulated stimulation rate intervals. The modulated rate of activation is detectable by a rate monitor for demodulation to the numerical value of the monitored variable data value. In some examples, the implantable medical device is a pacemaker delivering cardiac pacing pulses according to modulated pacing rate intervals to cause a modulated heart rate of the patient detectable by a heart rate monitor for demodulation to the numerical value of the monitored variable.
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公开(公告)号：US12194303B2
公开(公告)日：2025-01-14
申请号：US17681678
申请日：2022-02-25
Applicant: Medtronic, Inc.
Inventor： Juliana E. Pronovici , James W. Busacker , Keelia M. Escalante , Vincent P. Ganion , Greggory R. Herr , Todd J. Sheldon , Vincent E. Splett
Abstract: A pacemaker is configured to operate in an atrial synchronous ventricular pacing mode and, after expiration of a conduction check time interval, switch to an asynchronous ventricular pacing mode that includes setting a ventricular pacing interval to a base pacing rate interval. The pacemaker is further configured to determine when atrioventricular block detection criteria are satisfied during the asynchronous ventricular pacing mode and, responsive to the atrioventricular block detection criteria being satisfied, switch back to the atrial synchronous ventricular pacing mode.
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公开(公告)号：US20240207620A1
公开(公告)日：2024-06-27
申请号：US18602538
申请日：2024-03-12
Applicant: MEDTRONIC, INC.
Inventor： Hyun J. Yoon , Wade M. Demmer , Matthew J. Hoffman , Robert A. Betzold , Jonathan D. Edmonson , Michael L. Ellingson , Mark K. Erickson , Ben W. Herberg , Juliana E. Pronovici , James D. Reinke , Todd J. Sheldon , Paul R. Solheim
CPC classification number: A61N1/3718 , A61N1/3684 , A61N1/3688 , A61N1/3925 , A61N1/39622
Abstract: Implantable medical systems enter an exposure mode of operation, either manually via a down linked programming instruction or by automatic detection by the implantable system of exposure to a magnetic disturbance. A controller then determines the appropriate exposure mode by considering various pieces of information including the device type including whether the device has defibrillation capability, pre-exposure mode of therapy including which chambers have been paced, and pre-exposure cardiac activity that is either intrinsic or paced rates. Additional considerations may include determining whether a sensed rate during the exposure mode is physiologic or artificially produced by the magnetic disturbance. When the sensed rate is physiologic, then the controller uses the sensed rate to trigger pacing and otherwise uses asynchronous pacing at a fixed rate.
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Patent Agency Ranking
公开(公告)号：US12005259B2
公开(公告)日：2024-06-11
申请号：US17404517
申请日：2021-08-17
Applicant: Medtronic, Inc.
Inventor： Hyun J. Yoon , Vincent P. Ganion , Yanina Grinberg , Saul E. Greenhut , Todd J. Sheldon , Paul R. Solheim , Eric R. Williams
CPC classification number: A61N1/36542 , A61N1/3622 , A61N1/3624 , A61N1/3655
Abstract: A medical device is configured to generate an acceleration signal and a temperature signal. The device is configured to determine an activity metric from the acceleration signal that is representative of patient physical activity. In response to determining that the activity metric is equal to or greater than a previously determined activity metric, the device is configured to adjust a target cardiac pacing rate based at least on a temperature change determined from the temperature signal. The device may include a pulse generator for generating cardiac pacing pulses based on the target cardiac pacing rate.
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公开(公告)号：US11998344B2
公开(公告)日：2024-06-04
申请号：US17474387
申请日：2021-09-14
Applicant: Medtronic, Inc.
Inventor： Shantanu Sarkar , Wade M. Demmer , Todd J. Sheldon , Vincent E. Splett
CPC classification number: A61B5/363 , A61B5/361 , A61B5/686 , A61N1/3622 , A61N1/3956 , A61B5/0031 , A61B5/287 , A61B5/316 , A61B5/352 , A61B5/7264 , A61N1/3624
Abstract: An implantable medical device is configured to determine a first atrial arrhythmia score from ventricular events sensed by a sensing circuit of an implantable medical device and determine a second atrial arrhythmia score from an intraventricular signal comprising atrial mechanical event signals attendant to atrial systole and produced by a sensor of the implantable medical device. An atrial arrhythmia is detected based on the first atrial arrhythmia score and the second atrial arrhythmia score.
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公开(公告)号：US20240173555A1
公开(公告)日：2024-05-30
申请号：US18434640
申请日：2024-02-06
Applicant: Medtronic, Inc.
Inventor： Matthew D. Bonner , Saul E. Greenhut , Todd J. Sheldon , Wade M. Demmer
IPC: A61N1/375 , A61N1/05 , A61N1/365 , A61N1/368 , H01M50/124
CPC classification number: A61N1/37512 , A61N1/0587 , A61N1/368 , A61N1/37518 , A61N1/3756 , A61N1/36507 , A61N1/36578 , H01M50/124
Abstract: A device includes a signal generator module, a processing module, and a housing. The signal generator module is configured to deliver pacing pulses to an atrium. The processing module is configured to detect a ventricular activation event and determine a length of an interval between the ventricular activation event and a previous atrial event that preceded the ventricular activation event. The processing module is further configured to schedule a time at which to deliver a pacing pulse to the atrium based on the length of the interval and control the signal generator module to deliver the pacing pulse at the scheduled time. The housing is configured for implantation within the atrium. The housing encloses the stimulation generator and the processing module.
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公开(公告)号：US20230390566A1
公开(公告)日：2023-12-07
申请号：US18453110
申请日：2023-08-21
Applicant: Medtronic, Inc.
Inventor： Wade M. Demmer , Yong K. Cho , Michael F. Hess , Todd J. Sheldon
CPC classification number: A61N1/3787 , A61B5/318 , A61N1/37512 , A61N1/3684 , A61N1/37288 , A61N1/3756 , A61N1/3708
Abstract: Techniques for minimizing rate of depletion of a non-rechargeable power source, to extend the operational lifetime of an implantable medical device that includes the non-rechargeable power source, by enforcing operational-mode-specific communication protocols whereby inter-device communication between the implantable medical device and another implantable medical device is such that level of power draw from the non-rechargeable power source by the implantable medical device is less than level of power draw from the rechargeable power source by the another implantable medical device for the implantable medical devices to engage in communication with each other.
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公开(公告)号：US20230364430A1
公开(公告)日：2023-11-16
申请号：US18227552
申请日：2023-07-28
Applicant: MEDTRONIC, INC.
Inventor： Hyun J. Yoon , Wade M. Demmer , Matthew J. Hoffman , Robert A. Betzold , Jonathan D. Edmonson , Michael L. Ellingson , Ben W. Herberg , Juliana E. Pronovici , James D. Reinke , Todd J. Sheldon , Paul R. Solheim
CPC classification number: A61N1/3718 , A61N1/3931 , A61N1/3956 , A61N1/3684
Abstract: Implantable medical systems enter an exposure mode of operation, either manually via a down linked programming instruction or by automatic detection by the implantable system of exposure to a magnetic disturbance. A controller then determines the appropriate exposure mode by considering various pieces of information including the device type including whether the device has defibrillation capability, pre-exposure mode of therapy including which chambers have been paced, and pre-exposure cardiac activity that is either intrinsic or paced rates. Additional considerations may include determining whether a sensed rate during the exposure mode is physiologic or artificially produced by the magnetic disturbance. When the sensed rate is physiologic, then the controller uses the sensed rate to trigger pacing and otherwise uses asynchronous pacing at a fixed rate.
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