公开(公告)号：US20070255158A1

公开(公告)日：2007-11-01

申请号：US11380811

申请日：2006-04-28

Applicant: Christopher Stancer ,  John Mertz ,  Thomas Adamski

Inventor： Christopher Stancer ,  John Mertz ,  Thomas Adamski

IPC: A61B5/02

CPC classification number: A61N1/375 ,  A61B5/0422 ,  A61N1/0504 ,  A61N1/3756

Abstract: Apparatus and method according to the disclosure relate to promoting flow of body fluids in and around and between a substantially planar cardiac-sensing electrode and a shroud member utilizing spacing therebetween and/or one or more apertures, notches, slots and the like. For example, a relatively recessed area or aperture formed in an exemplary resin-based shroud member includes apertures that cooperate to promote flow of body fluids therearound.

Abstract translation: 根据本公开的装置和方法涉及利用它们之间的间隔和/或一个或多个孔，凹口，槽等来促进基本上平面的心脏感测电极和护罩构件之中和周围的体液流动。 例如，在示例性的基于树脂的护罩构件中形成的相对凹陷的区域或孔包括协作以促进其周围的体液流动的孔。

公开(公告)号：US20060217778A1

公开(公告)日：2006-09-28

申请号：US11086837

申请日：2005-03-22

Applicant: James Strom ,  Scott Brabec ,  John Nicholson ,  Michael Fletcher ,  Thomas Adamski ,  Christopher Stancer

Inventor： James Strom ,  Scott Brabec ,  John Nicholson ,  Michael Fletcher ,  Thomas Adamski ,  Christopher Stancer

IPC: A61N1/375

CPC classification number: A61N1/375 ,  A61N1/0504 ,  A61N1/3756

Abstract: The present invention provides a subcutaneous (or submuscular) single or multiple-electrode array including various embodiments of a surround shroud coupled to a peripheral portion of an implantable medical device (IMD). The shroud incorporates a plurality of substantially planar electrodes mechanically coupled within recessed portions of the shroud. These electrodes electrically couple to IMD circuitry to monitor cardiac activity of a subject. Temporal recordings of the detected cardiac activity are referred to herein as an extra-cardiac electrogram (EC-EGM). The recordings can be stored upon computer readable media within an IMD at various resolution (e.g., continuous beat-by-beat, periodic, triggered, mean value, average value, etc.). Real time or stored EC-EGM signals can be provided to remote equipment via telemetry. For example, when telemetry, or programming, head of an IMD programming apparatus is positioned within range of an IMD the programmer receives some or all of the EC-EGM signals.

Abstract translation: 本发明提供包括耦合到可植入医疗装置（IMD）的周边部分的环绕护罩的各种实施例的皮下（或肌肉下）单电极阵列或多电极阵列。 护罩包括多个基本上平面的电极，机械耦合在护罩的凹陷部分内。 这些电极电耦合到IMD电路以监测受试者的心脏活动。 检测到的心脏活动的时间记录在本文中称为心外电图（EC-EGM）。 记录可以以各种分辨率（例如，连拍，逐周期，触发，平均值，平均值等）存储在IMD内的计算机可读介质上。 可以通过遥测提供实时或存储的EC-EGM信号到远程设备。 例如，当遥测或编程时，IMD编程设备的头部位于IMD的范围内，程序员接收部分或全部EC-EGM信号。

公开(公告)号：US20070255157A1

公开(公告)日：2007-11-01

申请号：US11380801

申请日：2006-04-28

Applicant: Christopher Stancer ,  Daniel Greeninger ,  John Mertz

Inventor： Christopher Stancer ,  Daniel Greeninger ,  John Mertz

IPC: A61B5/02

CPC classification number: A61B5/042 ,  A61B5/4839 ,  A61B2562/125 ,  A61N1/05

Abstract: Certain aspects of the present disclosure described and depicted herein utilize substantially planar electrodes having one or more time-release coatings or material on at least a portion of the exposed surfaces thereof, or all surfaces of the planar portions and the elongated conductor portion thereof. The coatings or materials can include one or more synthetic and/or naturally-occurring biologically-, genetically- and/or pharmacologically-active materials that tend to reduce risk of infection, encourage tissue ingrowth, and/or induce other physiologic benefit and the like. In the event that an increase in surface area of the electrodes is desired and/or a means of retaining more of the time-release coating(s), an additional layer of material can be applied over a part of the electrode surface (e.g., titanium nitride, platinum black, or the like).

Abstract translation: 本文描述和描述的本公开的某些方面利用在其暴露表面的至少一部分或其平面部分及其细长导体部分的所有表面上具有一个或多个时间释放涂层或材料的基本上平面的电极。 涂层或材料可以包括一种或多种合成和/或天然存在的生物，遗传和/或药理学活性的材料，其倾向于降低感染的风险，鼓励组织向内生长和/或诱导其他生理学益处 。 在需要电极的表面积的增加和/或保留更多的时间释放涂层的手段的情况下，可以在电极表面的一部分上施加附加的材料层（例如， 氮化钛，铂黑等）。

公开(公告)号：US08219199B2

公开(公告)日：2012-07-10

申请号：US12388926

申请日：2009-02-19

Applicant: Steven D. Goedeke ,  Michael E. Nowak ,  Christopher Stancer

Inventor： Steven D. Goedeke ,  Michael E. Nowak ,  Christopher Stancer

IPC: A61N1/08

CPC classification number: A61N1/37 ,  A61N1/3718

Abstract: An implantable medical device (IMD) can include an implantable pulse generator (IPG), such as a cardiac pacemaker or an implantable cardioverter-defibrillator (ICD). At least one lead is coupled to the IMD at a proximal end to the anatomic tissue of a patient at a distal end. According to various embodiments, a one-quarter wavelength open circuit terminated transmission line forms a stub filter to attenuate an interfering signal, such as those created by an MRI scanner during an MRI procedure. By cancelling the interfering signal, both the IMD and patient are protected from any adverse effects caused by the interfering signal.

Abstract translation: 可植入医疗装置（IMD）可以包括可植入脉冲发生器（IPG），例如心脏起搏器或植入式心律转复除颤器（ICD）。 至少一个引线在远端处的患者的解剖组织的近端处连接到IMD。 根据各种实施例，四分之一波长开路端接传输线形成短截线滤波器以衰减干扰信号，例如在MRI过程期间由MRI扫描仪产生的干扰信号。 通过消除干扰信号，保护IMD和患者免受干扰信号引起的任何不利影响。

公开(公告)号：US20060217777A1

公开(公告)日：2006-09-28

申请号：US11085843

申请日：2005-03-22

Applicant: James Strom ,  Scott Brabec ,  John Nicholson ,  Michael Fletcher ,  Thomas Adamski ,  Christopher Stancer

Inventor： James Strom ,  Scott Brabec ,  John Nicholson ,  Michael Fletcher ,  Thomas Adamski ,  Christopher Stancer

IPC: A61N1/375

CPC classification number: A61N1/375 ,  A61N1/0504 ,  A61N1/3756

Abstract: The present invention provides a subcutaneous (or submuscular) single or multiple-electrode array that provides various embodiments of a compliant surround shroud coupled to a peripheral portion of an implantable medical device (IMD). The shroud incorporates a plurality of substantially planar electrodes mechanically coupled within recessed portions of the shroud. These electrodes electrically couple to IMD circuitry to monitor cardiac activity of a subject. Temporal recordings of the detected cardiac activity are referred to herein as an extra-cardiac electrogram (EC-EGM). The recordings can be stored upon computer readable media within an IMD at various resolution (e.g., continuous beat-by-beat, periodic, triggered, mean value, average value, etc.). Real time or stored EC-EGM signals can be provided to remote equipment via telemetry. For example, when telemetry, or programming, head of an IMD programming apparatus is positioned within range of an IMD the programmer receives some or all of the EC-EGM signals.

Abstract translation: 本发明提供皮下（或肌内）单电极阵列或多电极阵列，其提供耦合到可植入医疗装置（IMD）的周边部分的顺应性环绕护罩的各种实施例。 护罩包括多个基本上平面的电极，机械耦合在护罩的凹陷部分内。 这些电极电耦合到IMD电路以监测受试者的心脏活动。 检测到的心脏活动的时间记录在本文中称为心外电图（EC-EGM）。 记录可以以各种分辨率（例如，连拍，逐周期，触发，平均值，平均值等）存储在IMD内的计算机可读介质上。 可以通过遥测提供实时或存储的EC-EGM信号到远程设备。 例如，当遥测或编程时，IMD编程设备的头部位于IMD的范围内，程序员接收部分或全部EC-EGM信号。

公开(公告)号：US20100211129A1

公开(公告)日：2010-08-19

申请号：US12388926

申请日：2009-02-19

Applicant: Steven D. GOEDEKE ,  Michael E. NOWAK ,  Christopher STANCER

Inventor： Steven D. GOEDEKE ,  Michael E. NOWAK ,  Christopher STANCER

IPC: A61N1/00

CPC classification number: A61N1/37 ,  A61N1/3718

Abstract: An implantable medical device (IMD) can include an implantable pulse generator (IPG), such as a cardiac pacemaker or an implantable cardioverter-defibrillator (ICD). At least one lead is coupled to the IMD at a proximal end to the anatomic tissue of a patient at a distal end. According to various embodiments, a one-quarter wavelength open circuit terminated transmission line forms a stub filter to attenuate an interfering signal, such as those created by an MRI scanner during an MRI procedure. By cancelling the interfering signal, both the IMD and patient are protected from any adverse effects caused by the interfering signal.

Abstract translation: 可植入医疗装置（IMD）可以包括可植入脉冲发生器（IPG），例如心脏起搏器或植入式心律转复除颤器（ICD）。 至少一个引线在远端处的患者的解剖组织的近端处连接到IMD。 根据各种实施例，四分之一波长开路端接传输线形成短截线滤波器以衰减干扰信号，例如在MRI过程期间由MRI扫描仪产生的干扰信号。 通过消除干扰信号，保护IMD和患者免受干扰信号引起的任何不利影响。