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    Bachmann's bundle electrode for atrial defibrillation
    1.
    发明授权
    Bachmann's bundle electrode for atrial defibrillation 失效
    巴赫曼的束电极用于心房除颤

    公开(公告)号：US08116885B2

    公开(公告)日：2012-02-14

    申请号：US10896648

    申请日：2004-07-22

    申请人： Xiangsheng Zheng ,  Michael E. Benser ,  Raymond E. Ideker ,  Gregory P. Walcott ,  Steven D. Girouard

    发明人： Xiangsheng Zheng ,  Michael E. Benser ,  Raymond E. Ideker ,  Gregory P. Walcott ,  Steven D. Girouard

    IPC分类号： A61N1/00

    CPC分类号： A61N1/0563 ,  A61N2001/0585

    摘要： An implantable system for the defibrillation of the atria of a patient's heart comprises (a) a first catheter configured for insertion into the right atrium of the heart; a first atrial defibrillation electrode carried by the first catheter and positioned to stimulate Bachmann's bundle, or positioned at the atrial septum of the heart (i.e., an atrial septum electrode); (b) a second atrial defibrillation electrode which together with the first atrial defibrillation electrode provides a pair of atrial defibrillation electrodes that are configured for orientation in or about the patient's heart to effect atrial defibrillation, and (c) a pulse generator operatively associated with the pair of atrial defibrillation electrodes for delivering a first atrial defibrillation pulse to the heart of the patient. The second electrode may be configured for positioning through the coronary sinus ostium and in the coronary sinus or a vein on the surface of the left ventricle, such as the great vein. An additional electrode configured for positioning in the superior vena cava, right atrium (including the right atrial appendage, or the right ventricle may also be included, and the pulse generator may be configured or programmed for concurrently delivering a first defibrillation pulse through the additional electrode and the atrial septum electrode, and a second defibrillation pulse through the atrial septum electrode and the second electrode. Electrode assemblies and methods useful for carrying out the invention are also disclosed.

    摘要翻译： 用于对患者心脏的心房进行除颤的可植入系统包括（a）构造成用于插入心脏右心房的第一导管; 由第一导管携带并定位成刺激巴赫曼氏束或定位在心脏的心房隔膜（即心房隔膜电极）处的第一心房除颤电极; （b）第二心房除颤电极，与第一心房除颤电极一起提供一对心房除颤电极，其构造成用于在患者心脏内或周围定向以实现心房除颤，以及（c）与 一对心房除颤电极，用于将第一心房除颤脉冲输送到患者的心脏。 第二电极可以被配置用于定位穿过冠状窦口和冠状窦或左心室表面的静脉，例如大静脉。 还可以包括配置用于定位在上腔静脉，右心房（包括右心耳或右心室）中的附加电极，并且脉冲发生器可以被配置或编程为用于同时递送第一除颤脉冲通过附加电极 以及通过心房隔膜电极和第二电极的第二除颤脉冲，还公开了用于实施本发明的电极组件和方法。

    IMPLANTABLE MEDICAL DEVICE WITH COORDINATED VENTRICULAR OVERDRIVE AND TRIGGER MODE PACING
    2.
    发明申请
    IMPLANTABLE MEDICAL DEVICE WITH COORDINATED VENTRICULAR OVERDRIVE AND TRIGGER MODE PACING 审中-公开
    具有协调的心脏超声和触发模式的可植入医疗装置

    公开(公告)号：US20090270936A1

    公开(公告)日：2009-10-29

    申请号：US12111876

    申请日：2008-04-29

    申请人： Michael E. Benser ,  Euljoon Park

    发明人： Michael E. Benser ,  Euljoon Park

    IPC分类号： A61N1/36

    CPC分类号： A61N1/3622 ,  A61N1/3624 ,  A61N1/3688

    摘要： A method and system are provided for providing coordinated ventricular overdrive and triggered pacing through an implantable system. A lead senses signals from a heart to obtain sensed signals representative of tachycardia occurring in at least one chamber of the heart. The lead includes an electrode. A control module detects tachycardia in at least one chamber of the heart and based thereon, initiates an overdrive pacing mode and a triggered pacing mode. The control module controls delivery of overdrive pacing pulses through the electrode to a first chamber of the heart in accordance with the overdrive pacing mode. The control module controls delivery of a triggered pacing pulse through the electrode to the first chamber of the heart in accordance with the triggered pacing mode. The triggered pacing pulse is temporally interspersed with the overdrive pacing pulses. The triggered pacing pulse may be delivered at a time that is independent of, and unrelated to, the timing of the overdrive pacing pulses.

    摘要翻译： 提供了一种方法和系统，用于通过可植入系统提供协调的心室过度驱动和触发起搏。 引线感测来自心脏的信号以获得代表在心脏的至少一个腔室中发生的心动过速的感测信号。 引线包括电极。 控制模块在心脏的至少一个室中检测心动过速，并且基于此，启动过速起搏模式和触发的起搏模式。 控制模块根据超速起搏模式控制过驱动起搏脉冲通过电极传递到心脏的第一腔室。 控制模块根据触发的起搏模式控制触发的起搏脉冲通过电极传递到心脏的第一腔室。 触发起搏脉冲在时间上散布着超速起搏脉冲。 触发的起搏脉冲可以在与过速起搏脉冲的定时无关并且不相关的时间被传送。

    Inter-atrial septum or superior vena cava electrodes for atrial defibrillation
    4.
    发明授权
    Inter-atrial septum or superior vena cava electrodes for atrial defibrillation 失效

    公开(公告)号：US07020518B2

    公开(公告)日：2006-03-28

    申请号：US10087340

    申请日：2002-03-01

    申请人： Xiangsheng Zheng ,  Michael E. Benser ,  Raymond E. Ideker ,  Gregory P. Walcott ,  Steven D. Girouard

    发明人： Xiangsheng Zheng ,  Michael E. Benser ,  Raymond E. Ideker ,  Gregory P. Walcott ,  Steven D. Girouard

    IPC分类号： A61N1/39

    CPC分类号： A61N1/0563 ,  A61N1/395 ,  A61N1/3956 ,  A61N2001/0585

    摘要： An implantable system for the defibrillation of the atria of a patient's heart comprises (a) a first catheter configured for insertion into the right atrium of the heart, preferably without extending into the right ventricle of the heart; a first atrial defibrillation electrode carried by the first catheter and positioned at the atrial septum of the heart (i.e., an atrial septum electrode); (b) a second atrial defibrillation electrode which together with the first atrial defibrillation electrode provides a pair of atrial defibrillation electrodes that are configured for orientation in or about the patient's heart to effect atrial defibrillation, and (c) a pulse generator operatively associated with the pair of atrial defibrillation electrodes for delivering a first atrial defibrillation pulse to the heart of the patient. The second electrode may be configured for positioning through the coronary sinus ostium and in the coronary sinus or a vein on the surface of the left ventricle, such as the great vein. An additional electrode configured for positioning in the superior vena cava, right atrium (including the right atrial appendage, or the right ventricle may also be included, and the pulse generator may be configured or programmed for concurrently delivering a first defibrillation pulse through the additional electrode and the atrial septum electrode, and a second defibrillation pulse through the atrial septum electrode and the second electrode. Electrode assemblies and methods useful for carrying out the invention are also disclosed.

    Atrial Fibrillation Detection Based On Pulmonary Artery Pressure Data
    5.
    发明申请
    Atrial Fibrillation Detection Based On Pulmonary Artery Pressure Data 审中-公开
    基于肺动脉压数据的心房颤动检测

    公开(公告)号：US20130204147A1

    公开(公告)日：2013-08-08

    申请号：US13366106

    申请日：2012-02-03

    申请人： Andreas Blomqvist ,  Michael E. Benser

    发明人： Andreas Blomqvist ,  Michael E. Benser

    IPC分类号： A61B5/0215 ,  A61B5/021

    CPC分类号： A61B5/0215 ,  A61B5/0002 ,  A61B5/02405 ,  A61B5/7282

    摘要： Atrial fibrillation (AF) is detected based on pulmonary artery pressure (PAP) data. In some embodiments, PAP data generated by a PAP sensor device implanted in or near the pulmonary artery of a patient is processed to determine whether the patient is suffering from AF. In some aspects, detection of AF is based on identifying cycle-to-cycle variations of one or more parameters derived from the PAP data.

    摘要翻译： 基于肺动脉压（PAP）数据检测心房颤动（AF）。 在一些实施例中，处理由植入在患者的肺动脉中或附近的PAP传感器装置生成的PAP数据，以确定患者是否患有AF。 在一些方面，AF的检测基于识别从PAP数据导出的一个或多个参数的周期到周期的变化。

    System and Method for Controlling Ventricular Pacing During AF Based on Underlying Ventricular Rates Using an Implantable Medical Device
    7.
    发明申请
    System and Method for Controlling Ventricular Pacing During AF Based on Underlying Ventricular Rates Using an Implantable Medical Device 有权
    使用植入式医疗器械，在基于心室率的房颤期间控制心室起搏的系统和方法

    公开(公告)号：US20100249862A1

    公开(公告)日：2010-09-30

    申请号：US12410386

    申请日：2009-03-24

    申请人： Peter Boileau ,  Michael E. Benser

    发明人： Peter Boileau ,  Michael E. Benser

    IPC分类号： A61N1/365

    CPC分类号： A61N1/3622 ,  A61N1/3702

    摘要： Techniques are provided for controlling ventricular pacing during an episode of atrial fibrillation (AF) for use by a pacemaker, implantable cardioverter-defibrillator (ICD) or other implantable medical device. In one example, upon detection of AF, the underlying intrinsic ventricular rate of the patient is determined prior to delivering any ventricular pacing. Then, a ventricular pacing procedure—such as dynamic ventricular overdrive (DVO) pacing—is activated to reduce ventricular rate variability to mitigate the adverse effects of AF. The ventricular pacing procedure employed during AF is controlled based on a maximum ventricular rate set relative to the underlying intrinsic ventricular rate so as to keep an overall ventricular rate below the maximum rate.

    摘要翻译： 提供技术用于在心房颤动（AF）发作期间控制心室起搏，以供起搏器，可植入式心律转复除颤器（ICD）或其他可植入医疗装置使用。 在一个实例中，在检测到AF后，在递送任何心室起搏之前确定患者的潜在内在心室率。 然后，启动心室起搏手术，例如动态心室超速（DVO）起搏 - 以减少心室率变异性，以减轻AF的不良反应。 在AF期间使用的心室起搏过程基于相对于潜在的内部心室率设定的最大心室率进行控制，以保持总体心率低于最大速率。

    Multi-variable feedback control of stimulation for inspiratory facilitation
    8.
    发明授权
    Multi-variable feedback control of stimulation for inspiratory facilitation 失效
    吸气辅助刺激的多变量反馈控制

    公开(公告)号：US07672729B2

    公开(公告)日：2010-03-02

    申请号：US11624106

    申请日：2007-01-17

    申请人： Steve Koh ,  Michael E. Benser

    发明人： Steve Koh ,  Michael E. Benser

    IPC分类号： A61N1/36

    CPC分类号： A61N1/3601

    摘要： An exemplary method includes delivering stimulation according to one or more stimulation parameters to cause contraction of the diaphragm, monitoring chest activity related to respiration and, in response to the monitoring, adjusting one or more of the one or more stimulation parameters during contraction of the diaphragm and continuing the delivering. Various other exemplary methods, devices, systems, etc., are also disclosed.

    摘要翻译： 示例性方法包括根据一个或多个刺激参数递送刺激以引起隔膜的收缩，监测与呼吸相关的胸部活动，并且响应于该监测，在隔膜收缩期间调整一个或多个刺激参数中的一个或多个 并继续交付。 还公开了各种其它示例性方法，装置，系统等。