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公开(公告)号:US20250114619A1
公开(公告)日:2025-04-10
申请号:US18983323
申请日:2024-12-16
Applicant: Medtronic, Inc.
Inventor: David J. PEICHEL , Jonathan P. ROBERTS , James D. REINKE , Michael B. TERRY
Abstract: A device, such as an IMD, having a tissue conductance communication (TCC) transmitter controls a drive signal circuit and a polarity switching circuit by a controller of the TCC transmitter to generate an alternating current (AC) ramp on signal having a peak amplitude that is stepped up from a starting peak-to-peak amplitude to an ending peak-to-peak amplitude according to a step increment and step up interval. The TCC transmitter is further controlled to transmit the AC ramp on signal from the drive signal circuit and the polarity switching circuit via a coupling capacitor coupled to a transmitting electrode vector coupleable to the IMD. After the AC ramp on signal, the TCC transmitter transmits at least one TCC signal to a receiving device.
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公开(公告)号:US20240407703A1
公开(公告)日:2024-12-12
申请号:US18812367
申请日:2024-08-22
Applicant: Medtronic, Inc.
Inventor: James D. REINKE , Xusheng ZHANG , Vinod SHARMA , Vladimir P. NIKOLSKI , Michael B. TERRY , Scott A. HARELAND , Daniel L. HANSEN , Donna M. SALMI
Abstract: In situations in which an implantable medical device (e.g., a subcutaneous ICD) is co-implanted with a leadless pacing device (LPD), it may be important that the subcutaneous ICD knows when the LPD is delivering pacing, such as anti-tachycardia pacing (ATP). Techniques are described herein for detecting, with the ICD and based on the sensed electrical signal, pacing pulses and adjusting operation to account for the detected pulses, e.g., blanking the sensed electrical signal or modifying a tachyarrhythmia detection algorithm. In one example, the ICD includes a first pace pulse detector configured to obtain a sensed electrical signal and analyze the sensed electrical signal to detect a first type of pulses having a first set of characteristics and a second pace pulse detector configured to obtain the sensed electrical signal and analyze the sensed electrical signal to detect a second type of pulses having a second set of characteristics.
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公开(公告)号:US20230285759A1
公开(公告)日:2023-09-14
申请号:US18320192
申请日:2023-05-18
Applicant: Medtronic, Inc.
Inventor: David J. PEICHEL , Jonathan P. ROBERTS , James D. REINKE , Michael B. TERRY
CPC classification number: A61N1/37217 , A61N1/37288 , A61N1/3756 , A61N1/3956 , A61N1/3975 , A61N1/05
Abstract: A device, such as an IMD, having a tissue conductance communication (TCC) transmitter controls a drive signal circuit and a polarity switching circuit by a controller of the TCC transmitter to generate an alternating current (AC) ramp on signal having a peak amplitude that is stepped up from a starting peak-to-peak amplitude to an ending peak-to-peak amplitude according to a step increment and step up interval. The TCC transmitter is further controlled to transmit the AC ramp on signal from the drive signal circuit and the polarity switching circuit via a coupling capacitor coupled to a transmitting electrode vector coupleable to the IMD. After the AC ramp on signal, the TCC transmitter transmits at least one TCC signal to a receiving device.
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公开(公告)号:US20210267527A1
公开(公告)日:2021-09-02
申请号:US17321167
申请日:2021-05-14
Applicant: Medtronic, Inc.
Inventor: James D. REINKE , Xusheng ZHANG , Vinod SHARMA , Vladimir P. NIKOLSKI , Michael B. TERRY , Scott A. HARELAND , Daniel L. HANSEN , Donna M. SALMI
Abstract: In situations in which an implantable medical device (e.g., a subcutaneous ICD) is co-implanted with a leadless pacing device (LPD), it may be important that the subcutaneous ICD knows when the LPD is delivering pacing, such as anti-tachycardia pacing (ATP). Techniques are described herein for detecting, with the ICD and based on the sensed electrical signal, pacing pulses and adjusting operation to account for the detected pulses, e.g., blanking the sensed electrical signal or modifying a tachyarrhythmia detection algorithm. In one example, the ICD includes a first pace pulse detector configured to obtain a sensed electrical signal and analyze the sensed electrical signal to detect a first type of pulses having a first set of characteristics and a second pace pulse detector configured to obtain the sensed electrical signal and analyze the sensed electrical signal to detect a second type of pulses having a second set of characteristics.
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5.
公开(公告)号:US20190160291A1
公开(公告)日:2019-05-30
申请号:US16203939
申请日:2018-11-29
Applicant: Medtronic, Inc.
Inventor: David J. PEICHEL , James D. REINKE , Jonathan P. ROBERTS , Michael B. TERRY
Abstract: A device is configured to transmit tissue conductance communication (TCC) signals by generating multiple TCC signals by a TCC transmitter of the IMD. The generated TCC signals are coupled to a transmitting electrode vector via a coupling capacitor to transmit the plurality of TCC signals to a receiving medical device via a conductive tissue pathway. A voltage holding circuit holds the coupling capacitor at a DC voltage for a time interval between two consecutively transmitted TCC signals.
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公开(公告)号:US20190183374A1
公开(公告)日:2019-06-20
申请号:US16278960
申请日:2019-02-19
Applicant: Medtronic, Inc.
Inventor: James D. REINKE , Xusheng ZHANG , Vinod SHARMA , Vladimir P. NIKOLSKI , Michael B. TERRY , Scott A. HARELAND , Daniel L. HANSEN , Donna M. SALMI
IPC: A61B5/0464 , A61B5/00 , A61B5/04 , A61N1/39 , A61N1/37
CPC classification number: A61B5/0464 , A61B5/04017 , A61B5/686 , A61N1/371 , A61N1/3962
Abstract: In situations in which an implantable medical device (e.g., a subcutaneous ICD) is co-implanted with a leadless pacing device (LPD), it may be important that the subcutaneous ICD knows when the LPD is delivering pacing, such as anti-tachycardia pacing (ATP). Techniques are described herein for detecting, with the ICD and based on the sensed electrical signal, pacing pulses and adjusting operation to account for the detected pulses, e.g., blanking the sensed electrical signal or modifying a tachyarrhythmia detection algorithm. In one example, the ICD includes a first pace pulse detector configured to obtain a sensed electrical signal and analyze the sensed electrical signal to detect a first type of pulses having a first set of characteristics and a second pace pulse detector configured to obtain the sensed electrical signal and analyze the sensed electrical signal to detect a second type of pulses having a second set of characteristics.
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公开(公告)号:US20190160293A1
公开(公告)日:2019-05-30
申请号:US16204505
申请日:2018-11-29
Applicant: Medtronic, Inc.
Inventor: James D. REINKE , Joel B. ARTMANN , Michael T. HEMMING , David J. PEICHEL , Jonathan P. ROBERTS , Michael B. TERRY , Eric R. WILLIAMS
Abstract: A system, such as an IMD system, includes a tissue conductance communication (TCC) transmitter configured to generate a beacon signal by generating a carrier signal and modulating a first property of the carrier signal according to a first type of modulation. The TCC transmitter is configured to generate a data signal subsequent to the beacon signal by generating the carrier signal and modulating a second property of the carrier signal different than the first property according to a second type of modulation different than the first type of modulation.
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8.
公开(公告)号:US20150305642A1
公开(公告)日:2015-10-29
申请号:US14687053
申请日:2015-04-15
Applicant: Medtronic, Inc.
Inventor: James D. REINKE , Xusheng ZHANG , Vinod SHARMA , Vladimir P. NIKOLSKI , Michael B. TERRY , Scott A. HARELAND , Daniel L. HANSEN , Donna M. SALMI
IPC: A61B5/0464 , A61B5/00 , A61B5/04 , A61N1/37
CPC classification number: A61B5/0464 , A61B5/04017 , A61B5/686 , A61N1/371 , A61N1/3962
Abstract: In situations in which an implantable medical device (e.g., a subcutaneous ICD) is co-implanted with a leadless pacing device (LPD), it may be important that the subcutaneous ICD knows when the LPD is delivering pacing, such as anti-tachycardia pacing (ATP). Techniques are described herein for detecting, with the ICD and based on the sensed electrical signal, pacing pulses and adjusting operation to account for the detected pulses, e.g., blanking the sensed electrical signal or modifying a tachyarrhythmia detection algorithm. In one example, the ICD includes a first pace pulse detector configured to obtain a sensed electrical signal and analyze the sensed electrical signal to detect a first type of pulses having a first set of characteristics and a second pace pulse detector configured to obtain the sensed electrical signal and analyze the sensed electrical signal to detect a second type of pulses having a second set of characteristics.
Abstract translation: 在可植入医疗器械(例如皮下ICD)与无引线起搏器(LPD)共同植入的情况下,皮下ICD知道LPD何时发出起搏,例如抗心动过速起搏 (ATP)。 本文描述了用于利用ICD并基于所感测到的电信号,用于检测起搏脉冲和调整操作以考虑检测到的脉冲的技术,例如消隐感测的电信号或修改快速性心律失常检测算法。 在一个示例中,ICD包括构造成获得感测到的电信号并分析所感测的电信号以检测具有第一组特性的第一类型的脉冲的第一步调脉冲检测器和被配置成获得所感测的电 信号并分析所感测的电信号以检测具有第二组特性的第二类型的脉冲。
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公开(公告)号:US20190160292A1
公开(公告)日:2019-05-30
申请号:US16204172
申请日:2018-11-29
Applicant: Medtronic, Inc.
Inventor: David J. PEICHEL , Jonathan P. ROBERTS , James D. REINKE , Michael B. TERRY
Abstract: A device, such as an IMD, having a tissue conductance communication (TCC) transmitter controls a drive signal circuit and a polarity switching circuit by a controller of the TCC transmitter to generate an alternating current (AC) ramp on signal having a peak amplitude that is stepped up from a starting peak-to-peak amplitude to an ending peak-to-peak amplitude according to a step increment and step up interval. The TCC transmitter is further controlled to transmit the AC ramp on signal from the drive signal circuit and the polarity switching circuit via a coupling capacitor coupled to a transmitting electrode vector coupleable to the IMD. After the AC ramp on signal, the TCC transmitter transmits at least one TCC signal to a receiving device.
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公开(公告)号:US20190160290A1
公开(公告)日:2019-05-30
申请号:US16202418
申请日:2018-11-28
Applicant: Medtronic, Inc.
Inventor: Jonathan P. ROBERTS , Michael T. HEMMING , David J. PEICHEL , James D. REINKE , Michael B. TERRY
Abstract: A device includes a tissue conduction communication (TCC) transmitter that generates a TCC signal including a carrier signal having a peak-to-peak amplitude and a carrier frequency cycle length including a first polarity pulse for a first half of the carrier frequency cycle length and a second polarity pulse opposite the first polarity pulse for a second half of the carrier frequency cycle length. Each of the first polarity pulse and the second polarity pulse inject a half cycle charge into a TCC pathway. The TCC transmitter starts transmitting the TCC signal with a starting pulse having a net charge that is half of the half cycle charge and transmits alternating polarity pulses of the carrier signal consecutively following the starting pulse.
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