Controlled delivery of electrical pacing therapy for treating mitral regurgitation
    1.
    发明申请
    Controlled delivery of electrical pacing therapy for treating mitral regurgitation 审中-公开
    用于治疗二尖瓣反流的电起搏治疗的控制递送

    公开(公告)号:US20060173505A1

    公开(公告)日:2006-08-03

    申请号:US11116955

    申请日:2005-04-28

    IPC分类号: A61N1/362

    摘要: A method and apparatus are disclosed for treating mitral or tricuspid regurgitation with electrical stimulation. By providing pacing stimulation to a selected region of the left ventricle, such as one in proximity to the mitral valve apparatus or papillary muscles in a manner that pre-excites the region during early ventricular systole, a beneficial effect is obtained which can prevent or reduce the extent of mitral regurgitation.

    摘要翻译: 公开了一种用于用电刺激治疗二尖瓣或三尖瓣反流的方法和装置。 通过在左心室的选定区域(例如在二尖瓣装置或乳头肌附近的区域)以在早期心室收缩期间预激活该区域的方式提供起搏刺激,可以获得有益效果,其可以预防或减少 二尖瓣反流的程度。

    Electrical pacing therapy for treating mitral regurgitation
    2.
    发明申请
    Electrical pacing therapy for treating mitral regurgitation 审中-公开
    用于治疗二尖瓣反流的电起搏治疗

    公开(公告)号:US20060173504A1

    公开(公告)日:2006-08-03

    申请号:US11046215

    申请日:2005-01-28

    IPC分类号: A61N1/362

    摘要: A method and apparatus are disclosed for treating mitral or tricuspid regurgitation with electrical stimulation. By providing pacing stimulation to a selected region of the left ventricle, such as one in proximity to the mitral valve apparatus in a manner which pre-excites the region during early ventricular systole, a beneficial effect is obtained which can prevent or reduce the extent of mitral regurgitation.

    摘要翻译: 公开了一种用于用电刺激治疗二尖瓣或三尖瓣反流的方法和装置。 通过以在早期心室收缩期间预激活该区域的方式向左心室的选定区域(例如二尖瓣装置附近的一个)提供起搏刺激,可获得有益效果,其可以防止或减少 二尖瓣反流。

    Linear stimulation of the heart for improved hemodynamic benefit
    3.
    发明申请
    Linear stimulation of the heart for improved hemodynamic benefit 审中-公开
    心脏的线性刺激改善血液动力学效益

    公开(公告)号:US20050102000A1

    公开(公告)日:2005-05-12

    申请号:US10981019

    申请日:2004-11-03

    IPC分类号: A61N1/362 A61N1/368 A61N1/36

    CPC分类号: A61N1/3627 A61N1/3684

    摘要: A method and apparatus for linear stimulation of the heart to resynchronize contraction for improved hemodynamic benefit. Linear stimulation may be accomplished using a linear source, which may comprise an elongated electrode or plurality of electrodes arranged so as to linearly stimulate the heart. A linear source may be coupled to the left ventricle, and one or more additional electrodes may be positioned so as to stimulate a separate region of the left ventricle or one or more additional chambers of the heart as well. Application of an electrical stimulus by the linear source may function to stimulate a larger region of the heart, thereby enhancing the resynchronization effect as well as providing other hemodynamic benefits.

    摘要翻译: 用于线性刺激心脏以重新同步收缩以改善血液动力学益处的方法和装置。 线性刺激可以使用线性源实现,线性源可以包括细长电极或多个电极,其布置成线性刺激心脏。 线性源可以耦合到左心室,并且可以定位一个或多个附加电极,以便也刺激心脏的左心室或一个或多个另外的腔室的单独区域。 通过线性源的电刺激的应用可以起到刺激心脏的较大区域的作用,从而增强再同步效应以及提供其它血液动力学优点。

    Apparatus and method for temporary treatment of acute heart failure decompensation

    公开(公告)号:US20060167511A1

    公开(公告)日:2006-07-27

    申请号:US11044971

    申请日:2005-01-27

    IPC分类号: A61N1/36

    CPC分类号: A61N1/3627 A61N1/368

    摘要: A system for providing temporary therapy, such as cardiac resynchronization therapy, to a patient suffering a decompensation event. The system can include a device having an external module for generating electrical stimuli, a first lead coupled to the module and implanted into an atrial region of a patient's heart, and a second lead coupled to the module and implanted into a ventricular region of the patient's heart. The device can also include a storage module coupled to the external module to store data associated with physiological data measured by the device. The external module is configured to temporarily generate electrical stimuli that are delivered by at least one of the first and second leads to provide therapy cardiac resynchronization therapy to the heart. A network can be coupled to the device to allow data stored in the device to be downloaded through the network to a central repository.

    Systems, devices and methods relating to endocardial pacing for resynchronization
    8.
    发明授权
    Systems, devices and methods relating to endocardial pacing for resynchronization 有权
    与心内膜起搏相关的系统,装置和方法用于再同步

    公开(公告)号:US08825155B2

    公开(公告)日:2014-09-02

    申请号:US13223919

    申请日:2011-09-01

    摘要: Disclosed are certain methods, apparatus, and processor-readable mediums that may be used to treat a conduction abnormality of the heart. In one example, the apparatus includes an implantable pacing profile generator configured to generate a specified pacing electrostimulation profile for delivery to a heart via electrodes located near a septal region of the right ventricle of the heart near the His bundle, the pacing profile including a first pulse for delivery via a first electrode; and a second pulse for delivery via a second electrode; and wherein the first and second pulses are at least partially concurrent in time and opposite in polarity to each other.

    摘要翻译: 公开了可用于治疗心脏传导异常的某些方法,装置和处理器可读介质。 在一个示例中,该装置包括植入式起搏分布生成器,其被配置为产生指定的起搏电刺激曲线,用于经由靠近His束的位于心脏右心室附近的电极的电极递送至心脏,起搏曲线包括第一 用于经由第一电极传送的脉冲; 以及用于经由第二电极传送的第二脉冲; 并且其中所述第一和第二脉冲在时间上至少部分同时并且彼此极性相反。

    Devices and methods for steering electrical stimulation in cardiac rhythm management
    9.
    发明授权
    Devices and methods for steering electrical stimulation in cardiac rhythm management 有权
    用于在心律管理中转向电刺激的装置和方法

    公开(公告)号:US08326423B2

    公开(公告)日:2012-12-04

    申请号:US12147317

    申请日:2008-06-26

    IPC分类号: A61N1/372

    CPC分类号: A61N1/37 A61N1/3627

    摘要: Tools and methods are particularly suited for certain cardiac conditions involving use of a catheter for pacing of the right and left ventricles from a lead in the right ventricle, e.g., to facilitate mechanically and/or electrically synchronous contractions for resynchronization. Certain aspects involve pacing and/or mapping by delivering pulses to a cardiac site useful for improving heart function as measured, e.g., by QRS width, fractionation, late LV activation timing, mechanical synchronicity of free wall and septal wall, effective throughput/pressure, or a combination thereof. In one embodiment, a catheter arrangement includes a fixation mechanism to attach the catheter arrangement to heart tissue, individually-addressable electrodes for providing pacing signals to the heart tissue, and an elongated structure that supports the fixation mechanism and the electrodes. The elongated structure is used to direct an end thereof to the target region in the right ventricle, and deliver an electrical pacing signal to different portions within the target region of the heart when the fixation mechanism is operative to attach to heart tissue and also when the fixation mechanism is not attaching the catheter arrangement to heart tissue.

    摘要翻译: 工具和方法特别适合于某些心脏状况,包括使用导管将右心室和左心室从右心室中的引线起搏,例如为了促进用于再同步的机械和/或电同步收缩。 某些方面涉及通过将脉搏递送到心脏位置,用于改善心脏功能,例如通过QRS宽度,分级,晚期LV激活时间,游离壁和间隔壁的机械同步性,有效吞吐量/压力, 或其组合。 在一个实施例中,导管装置包括用于将导管装置附接到心脏组织的固定机构,用于向心脏组织提供起搏信号的单独寻址电极,以及支撑固定机构和电极的细长结构。 细长结构用于将其末端引导到右心室中的目标区域,并且当固定机构可操作地附接到心脏组织时,以及当心脏组织工作时,将电起搏信号递送到心脏的目标区域内的不同部分 固定机构不将导管装置附接到心脏组织。

    APPARATUS AND METHOD FOR OUTPUTTING HEART SOUNDS
    10.
    发明申请
    APPARATUS AND METHOD FOR OUTPUTTING HEART SOUNDS 有权
    用于输出心脏声音的装置和方法

    公开(公告)号:US20120209130A1

    公开(公告)日:2012-08-16

    申请号:US13456795

    申请日:2012-04-26

    IPC分类号: A61B5/0402 A61B7/00

    摘要: An apparatus for outputting heart sounds includes an implantable system and an external system. The implantable system includes a sensor for generating sensed signals representing detected heart sounds, an interface circuit and a control circuit for receiving the sensed signals, generating data representing the heart sounds therefrom, and transmitting the data to the external system via the interface circuit. The external system includes an interface circuit for communicating with the implantable system, and a control circuit for receiving the data representing the heart sounds and for generating control signals that cause an output device to generate outputs representing the sounds. The implantable system may also include a sensor(s) for detecting cardiac electrical signals. In this case, outputs representing the cardiac electrical signals are also output.

    摘要翻译: 用于输出心音的装置包括可植入系统和外部系统。 可植入系统包括用于产生表示检测到的心音的感测信号的传感器,接口电路和用于接收感测信号的控制电路,产生表示心音的数据,以及经由接口电路将数据发送到外部系统。 外部系统包括用于与可植入系统进行通信的接口电路,以及用于接收表示心脏声音的数据的控制电路,以及用于产生使输出设备产生表示声音的输出的控制信号。 可植入系统还可以包括用于检测心脏电信号的传感器。 在这种情况下,还输出表示心电信号的输出。