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公开(公告)号：US12083345B2
公开(公告)日：2024-09-10
申请号：US17383170
申请日：2021-07-22
Applicant: Medtronic, Inc.
Inventor： Tarek D. Haddad , Donald R. Musgrove , Andrew Radtke , Eric D. Corndorf , Paul J. DeGroot
CPC classification number: A61N1/365 , A61N1/3621 , A61N1/37223 , A61N1/37235
Abstract: Techniques are disclosed for a multi-tier system for delivering therapy to a patient. In one example, a first device senses parametric data for a patient and determines, based on a first analysis of the parametric data, that the patient is experiencing a treatable event. In response, the first device establishes wireless communication with a second device and transmits the parametric data to the second device. The second device verifies, based on a second analysis of the parametric data, whether the patient is experiencing the treatable event. The second device selects, based on the second analysis of the parametric data, an instruction for responding to the treatable event and transmits the instruction for responding to the treatable event to the first device. In some examples, in response to receiving the instruction, the first device aborts delivery of therapy for the treatable event or proceeds with delivering therapy for the treatable event.
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公开(公告)号：US11918377B2
公开(公告)日：2024-03-05
申请号：US17152328
申请日：2021-01-19
Applicant: Medtronic, Inc.
Inventor： Jian Cao , Arthur K. Lai , Laura A. Chicos , Paul J. DeGroot
CPC classification number: A61B5/6804 , A61B5/053 , A61B5/0816 , A61B5/282 , A61B5/308 , A61B5/6843 , A61B5/7207 , A61B5/7225 , A61B5/725 , A61B2562/06
Abstract: A wearable garment and an arrangement of electrodes configured to measure bioelectrical signals from a patient. The dry electrodes are free from adhesives to hold the electrodes in place on the patient's skin. The arrangement of the electrodes may be configured to limit noise and facilitate accurate signal sensing from the patient even with some amount of relative movement between the electrodes and the patient's skin. The wearable garment may be controllable to change the amount of compression based on the sensed signals from the electrodes, and from other sensors. The garment may maintain a comfortable level of compression until processing circuitry detects a signal of interest, such as a cardiac arrhythmia, irregular respiration, or some other signal. The processing circuitry may cause the wearable garment to increase compression to improve the contact between the electrodes and the patient's skin and improve reception of the measured signals.
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公开(公告)号：US20230001187A1
公开(公告)日：2023-01-05
申请号：US17930994
申请日：2022-09-09
Applicant: Medtronic, Inc.
Inventor： Amy E. Thompson-Nauman , Melissa G.T. Christie , Paul J. DeGroot , Rick D. McVenes
Abstract: Implantable leadless cardiac pacing systems and methods for providing substernal pacing using the leadless cardiac pacing systems are described. In one embodiment, an implantable leadless cardiac pacing system includes a housing, a first electrode on the housing, a second electrode on the housing, and a pulse generator within the housing and electrically coupled to the first electrode and the second electrode. The housing is implanted substantially within an anterior mediastinum of a patient and the pulse generator is configured to deliver pacing pulses to a heart of the patient via a therapy vector formed between the first and second electrodes.
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公开(公告)号：US20220280047A1
公开(公告)日：2022-09-08
申请号：US17246269
申请日：2021-04-30
Applicant: Medtronic, Inc.
Inventor： Robert W. Stadler , Ryan D. Wyszynski , Paul J. DeGroot , Shantanu Sarkar , Paul G. Krause , Kevin T. Ousdigian , Grant A. Neitzell , Christopher D. Koch
IPC: A61B5/0205 , A61B5/00 , A61B5/145 , A61B5/103
Abstract: An example device of a patient includes an antenna configured to wirelessly receive communication from a medical device; and processing circuitry coupled to the antenna and configured to: determine that the received communication indicates that a patient is experiencing an acute health event; in response to the determination, determine one or more physical states of the patient based on sensed data from one or more sensors; confirm that the patient is not experiencing the acute health event based on the determined one or more physical states; and output information based on the confirmation that the patient is not experiencing the acute health event.
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公开(公告)号：US20200289816A1
公开(公告)日：2020-09-17
申请号：US16885837
申请日：2020-05-28
Applicant: Medtronic, Inc.
Inventor： Amy E. Thompson-Nauman , Melissa G.T. Christie , Paul J. DeGroot , Rick D. McVenes
Abstract: Implantable leadless cardiac pacing systems and methods for providing substernal pacing using the leadless cardiac pacing systems are described. In one embodiment, an implantable leadless cardiac pacing system includes a housing, a first electrode on the housing, a second electrode on the housing, and a pulse generator within the housing and electrically coupled to the first electrode and the second electrode. The housing is implanted substantially within an anterior mediastinum of a patient and the pulse generator is configured to deliver pacing pulses to a heart of the patient via a therapy vector formed between the first and second electrodes.
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Patent Agency Ranking
6.发明申请公开(公告)号：US20200282203A1
公开(公告)日：2020-09-10
申请号：US16879281
申请日：2020-05-20
Applicant: Medtronic, Inc.
Inventor： Mark T. Marshall , Jian Cao , Melissa G.T. Christie , Paul J. DeGroot , Vladimir P. Nikolski , Amy E. Thompson-Nauman
Abstract: Implantable medical electrical leads having electrodes arranged such that a defibrillation coil electrode and a pace/sense electrode(s) are concurrently positioned substantially over the ventricle when implanted as described. The leads include an elongated lead body having a distal portion and a proximal end, a connector at the proximal end of the lead body, a defibrillation electrode located along the distal portion of the lead body, wherein the defibrillation electrode includes a first electrode segment and a second electrode segment proximal to the first electrode segment by a distance. The leads may include at least one pace/sense electrode, which in some instances, is located between the first defibrillation electrode segment and the second defibrillation electrode segment.
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7.发明申请IMPLANTABLE MEDICAL DEVICE SYSTEM HAVING IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR (ICD) SYSTEM AND SUBSTERNAL LEADLESS PACING DEVICE 有权具有可植入式减速器（ICD）系统和后置式无铅装置的可植入医疗装置系统公开(公告)号：US20140330326A1
公开(公告)日：2014-11-06
申请号：US14261460
申请日：2014-04-25
Applicant: Medtronic, Inc.
Inventor： Amy E. Thompson-Nauman , Melissa G.T. Christie , Paul J. DeGroot , Rick D. McVenes
IPC: A61N1/39
CPC classification number: A61N1/3918 , A61N1/362 , A61N1/37288 , A61N1/375 , A61N1/39 , A61N1/3962
Abstract: Implantable cardiac systems and methods for providing substernal pacing in an ICD system are described. In one example, an implantable cardiac system comprises an ICD system and an implantable leadless pacing device (LPD) communicatively coupled to the ICD system. The ICD system includes an ICD and an implantable defibrillation lead having a proximal portion coupled to the ICD and a distal portion having a defibrillation electrode configured to deliver a defibrillation shock to a heart of the patient. The LPD includes a housing, a first electrode on the housing, a second electrode on the housing, and a pulse generator within the housing and electrically coupled to the first electrode and the second electrode. The housing of the LPD is implanted substantially within an anterior mediastinum of the patient and the pulse generator is configured to deliver pacing pulses to a heart via the first and second electrodes.
Abstract translation: 描述了可植入心脏系统和在ICD系统中提供次要起搏的方法。 在一个示例中，可植入心脏系统包括通信地耦合到ICD系统的ICD系统和可植入无引线起搏装置（LPD）。 ICD系统包括ICD和可植入除颤引线，其具有耦合到ICD的近端部分和具有除颤电极的远端部分，该除颤电极构造成将除颤电击递送到患者的心脏。 LPD包括壳体，壳体上的第一电极，壳体上的第二电极，以及壳体内的脉冲发生器，并电耦合到第一电极和第二电极。 LPD的壳体基本上植入患者的前纵隔中，并且脉冲发生器构造成经由第一和第二电极将起搏脉冲输送到心脏。
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8.发明授权公开(公告)号：US11134881B2
公开(公告)日：2021-10-05
申请号：US16531390
申请日：2019-08-05
Applicant: Medtronic, Inc.
Inventor： Jian Cao , Mark L. Brown , Elise J. Higgins , Paul J. DeGroot
IPC: A61B5/363 , A61B5/00 , A61B5/024 , G16H50/30 , G16H40/63 , G16H40/67 , A61B5/316 , A61B5/333 , A61B5/339 , A61B5/352 , A61B5/366 , A61N1/362 , A61N1/365 , A61N1/39 , A61B5/0245 , A61B5/283
Abstract: A system for detecting an atrial tachyarrhythmia episode includes a medical device having sensing circuitry configured to receive a cardiac electrical signal from electrodes coupled to the medical device and a processor configured to detect an atrial tachyarrhythmia episode in response to a time duration of the cardiac electrical signal classified as an atrial tachyarrhythmia being greater than or equal to a first detection threshold. The processor is configured to determine if detection threshold adjustment criteria are met based on at least the detected first atrial tachyarrhythmia episode and adjust the first detection threshold to a second detection threshold different than the first detection threshold in response to the detection threshold adjustment criteria being met.
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公开(公告)号：US10556117B2
公开(公告)日：2020-02-11
申请号：US14261456
申请日：2014-04-25
Applicant: Medtronic, Inc.
Inventor： Amy E. Thompson-Nauman , Melissa G. T. Christie , Paul J. DeGroot , Rick D. McVenes , Becky L. Dolan
IPC: A61N1/39
Abstract: An implantable cardiac defibrillator (ICD) system includes an ICD implanted subcutaneously in a patient, a defibrillation lead having a proximal portion coupled to the ICD and a distal portion having a defibrillation electrode configured to deliver a defibrillation or cardioversion shock to a heart of the patient, and a pacing lead that includes a distal portion having one or more electrodes and a proximal portion coupled to the ICD. The distal portion of the pacing lead is implanted at least partially along a posterior side of a sternum of the patient within the anterior mediastinum. The ICD is configured to provide pacing pulses to the heart of the patient via the pacing lead and provide defibrillation shocks to the patient via the defibrillation lead. As such, the implantable cardiac system provides pacing from the substernal space for an extravascular ICD system.
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公开(公告)号：US10525272B2
公开(公告)日：2020-01-07
申请号：US15661365
申请日：2017-07-27
Applicant: Medtronic, Inc.
Inventor： Amy E. Thompson-Nauman , Melissa G. T. Christie , Paul J. DeGroot , Rick D. McVenes
Abstract: Implantable cardiac systems and methods for providing substernal pacing in an ICD system are described. In one example, an implantable cardiac system comprises an ICD system and an implantable leadless pacing device (LPD) communicatively coupled to the ICD system. The ICD system includes an ICD and an implantable defibrillation lead having a proximal portion coupled to the ICD and a distal portion having a defibrillation electrode configured to deliver a defibrillation shock to a heart of the patient. The LPD includes a housing, a first electrode on the housing, a second electrode on the housing, and a pulse generator within the housing and electrically coupled to the first electrode and the second electrode. The housing of the LPD is implanted substantially within an anterior mediastinum of the patient and the pulse generator is configured to deliver pacing pulses to a heart via the first and second electrodes.
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