公开(公告)号：US20160310746A1

公开(公告)日：2016-10-27

申请号：US14693933

申请日：2015-04-23

Applicant: Medtronic, Inc.

Inventor： Saul E. GREENHUT ,  Michael T. HEMMING

IPC: A61N1/37 ,  A61N1/39

CPC classification number: A61N1/3702 ,  A61B5/021 ,  A61B5/04085 ,  A61B5/0422 ,  A61B5/0452 ,  A61B5/0456 ,  A61B5/0464 ,  A61B5/1118 ,  A61B5/686 ,  A61N1/3621 ,  A61N1/3622 ,  A61N1/3625 ,  A61N1/371 ,  A61N1/3925 ,  A61N1/3956 ,  A61N1/3962 ,  G06K9/0053 ,  G06K9/00543

Abstract: A medical device is configured to deliver a high-energy electrical stimulation pulse to a patient that produces a post-stimulation polarization signal. A cardiac signal analyzer of the medical device is configured to detect a cardiac electrical signal superimposed on the post-stimulation polarization signal, determine at least one feature of the detected cardiac electrical signal, compare the feature to criteria that differentiate an intrinsic cardiac event during the post-stimulation polarization signal from an evoked response signal and identify the detected cardiac electrical signal as the intrinsic cardiac event if the feature meets the criteria.

Abstract translation: 医疗设备被配置为向产生刺激后的极化信号的患者传送高能电刺激脉冲。 医疗装置的心脏信号分析器被配置为检测叠加在刺激后极化信号上的心电信号，确定检测到的心电信号的至少一个特征，将该特征与区分内源心脏事件的标准进行比较 来自诱发响应信号的刺激后极化信号，并且如果特征满足标准，则将检测到的心电信号识别为内在心脏事件。

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

IPC: A61N1/372 ,  A61N1/39 ,  A61N1/365 ,  H04B13/00

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.

公开(公告)号：US20170173343A1

公开(公告)日：2017-06-22

申请号：US15450182

申请日：2017-03-06

Applicant: Medtronic, Inc.

Inventor： Saul E. GREENHUT ,  Michael T. HEMMING

IPC: A61N1/37 ,  A61B5/0464 ,  G06K9/00 ,  A61N1/362 ,  A61N1/39 ,  A61B5/042 ,  A61B5/00

CPC classification number: A61N1/3702 ,  A61B5/021 ,  A61B5/04085 ,  A61B5/0422 ,  A61B5/0452 ,  A61B5/0456 ,  A61B5/0464 ,  A61B5/1118 ,  A61B5/686 ,  A61N1/3621 ,  A61N1/3622 ,  A61N1/3625 ,  A61N1/371 ,  A61N1/3925 ,  A61N1/3956 ,  A61N1/3962 ,  G06K9/0053 ,  G06K9/00543

Abstract: A medical device is configured to deliver a high-energy electrical stimulation pulse to a patient that produces a post-stimulation polarization signal. A cardiac signal analyzer of the medical device is configured to detect a cardiac electrical signal superimposed on the post-stimulation polarization signal, determine at least one feature of the detected cardiac electrical signal, compare the feature to criteria that differentiate an intrinsic cardiac event during the post-stimulation polarization signal from an evoked response signal and identify the detected cardiac electrical signal as the intrinsic cardiac event if the feature meets the criteria.

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

IPC: A61N1/372 ,  A61N1/375 ,  A61N1/39

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.

公开(公告)号：US20190083790A1

公开(公告)日：2019-03-21

申请号：US16196320

申请日：2018-11-20

Applicant: Medtronic, Inc.

Inventor： Saul E. GREENHUT ,  Michael T. HEMMING

IPC: A61N1/37 ,  G06K9/00 ,  A61N1/39 ,  A61N1/362

Abstract: A medical device is configured to deliver a high-energy electrical stimulation pulse to a patient that produces a post-stimulation polarization signal. A cardiac signal analyzer of the medical device is configured to detect a cardiac electrical signal superimposed on the post-stimulation polarization signal, determine at least one feature of the detected cardiac electrical signal, compare the feature to criteria that differentiate an intrinsic cardiac event during the post-stimulation polarization signal from an evoked response signal and identify the detected cardiac electrical signal as the intrinsic cardiac event if the feature meets the criteria.

公开(公告)号：US20160113586A1

公开(公告)日：2016-04-28

申请号：US14522938

申请日：2014-10-24

Applicant: Medtronic, Inc.

Inventor： Michael T. HEMMING ,  Saul E. GREENHUT

IPC: A61B5/00 ,  A61B5/04 ,  A61B5/0402

CPC classification number: A61B5/7203 ,  A61B5/04012 ,  A61B5/0402 ,  A61B5/0452 ,  A61B5/0538 ,  A61B5/1107 ,  A61B5/686 ,  A61N1/365 ,  A61N1/3718

Abstract: The disclosure describes techniques and systems for filtering noise from a physiological signal. In one example, one or more processors are configured to receive a signal indicative of physiological activity of a patient, wherein the signal comprises noise at one or more frequencies, and filter the noise from the signal according to a noise rejection model, wherein the noise rejection model predicts the noise at the one or more frequencies. The one or more processors may also be configured to, responsive to initiation of a blanking period for the signal, advance the noise rejection model in time during the blanking period, and, responsive to termination of the blanking period, filter, based on the noise rejection model advanced in time, the noise at the one or more frequencies from the signal.

Abstract translation: 本公开描述了用于从生理信号滤波噪声的技术和系统。 在一个示例中，一个或多个处理器被配置为接收指示患者的生理活动的信号，其中所述信号包括一个或多个频率的噪声，并且根据噪声抑制模型对来自信号的噪声进行滤波，其中噪声 拒绝模型预测在一个或多个频率的噪声。 一个或多个处理器还可以被配置为响应于信号的消隐周期的启动，在消隐周期期间及时推进噪声抑制模型，并且响应于消隐周期的终止，基于噪声进行滤波 拒绝模式及时提前，噪声在一个或多个频率的信号。