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公开(公告)号:US12274888B2
公开(公告)日:2025-04-15
申请号:US18311861
申请日:2023-05-03
Applicant: Medtronic, Inc.
Inventor: Jian Cao , Saul E. Greenhut , Xusheng Zhang
IPC: A61B5/0464 , A61B5/00 , A61B5/283 , A61B5/316 , A61B5/341 , A61B5/349 , A61B5/35 , A61B5/352 , A61B5/363 , A61N1/39 , A61B5/364
Abstract: A medical device, such as an extra-cardiovascular implantable cardioverter defibrillator (ICD), senses R-waves from a first cardiac electrical signal by a first sensing channel and stores a time segment of a second cardiac electrical signal acquired by a second sensing channel in response to each sensed R-wave. The ICD determines morphology match scores from the stored time segments of the second cardiac electrical signal and, based on the morphology match scores, withholds detection of a tachyarrhythmia episode. In some examples, the ICD detects T-wave oversensing based on the morphology match scores and withholds detection of a tachyarrhythmia episode in response to detecting the T-wave oversensing.
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公开(公告)号:US12161475B2
公开(公告)日:2024-12-10
申请号:US16910832
申请日:2020-06-24
Applicant: Medtronic, Inc.
Inventor: Michael T. Hemming , Saul E. Greenhut
IPC: A61B5/0205 , A61B5/00 , A61B5/024 , A61B5/316 , A61B5/318 , A61B5/352 , A61B5/361 , A61B5/363 , A61N1/365 , A61N1/372 , A61N1/375 , A61N1/39 , A61B5/02 , A61N1/362
Abstract: An implantable medical device includes a memory storing criteria for transitioning between states of a cardiac cycle model, the states including a P-wave state. The device also includes sensing circuitry that senses a cardiac signal that varies as a function of a cardiac cycle of a patient, and also includes processing circuitry coupled to the sensing circuitry. The processing circuitry is configured to detect an R-wave in the sensed cardiac signal, to determine an elapsed time since the detection of the R-wave, to determine one or more morphological values of a post-R-wave segment of the cardiac signal to compare the elapsed time and the one or more morphological values to the stored criteria for transitioning between the plurality of states of the cardiac cycle model, and to detect a P-wave in the sensed cardiac signal in response to a transition to the P-wave state of the cardiac cycle model.
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公开(公告)号:US11931589B2
公开(公告)日:2024-03-19
申请号:US17012745
申请日:2020-09-04
Applicant: Medtronic, Inc.
Inventor: James K. Carney , Saul E. Greenhut , Jonathan L. Kuhn , James D. Reinke , David J. Peichel , James W. Busacker
IPC: A61N1/372 , A61B5/00 , A61B5/29 , A61N1/365 , A61N1/39 , H04B13/00 , A61N1/362 , A61N1/368 , A61N1/375
CPC classification number: A61N1/37288 , A61B5/0031 , A61B5/29 , A61B5/4836 , A61N1/365 , A61N1/37276 , A61N1/3925 , A61N1/3962 , H04B13/005 , A61B5/0024 , A61B5/7282 , A61B2560/0209 , A61N1/3627 , A61N1/3684 , A61N1/37205 , A61N1/3756
Abstract: Systems, devices, and techniques for establishing communication between two medical devices are described. In one example, an implantable medical device comprises communication circuitry, therapy delivery circuitry, and processing circuitry configured to initiate a communication window during which the implantable second medical device is capable of receiving the information related to a cardiac event detected by a first medical device, the communication window being one of a plurality of communication windows defined by a communication schedule that corresponds to a transmission schedule in which the first medical device is configured to transmit the information, control the communication circuitry to receive, from the first medical device, the information related to the cardiac event that is indicative of a timing of the cardiac event with respect to a timing of the communication window, schedule and control delivery of a therapy according to the information related to the cardiac event.
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公开(公告)号:US20220151523A1
公开(公告)日:2022-05-19
申请号:US17649627
申请日:2022-02-01
Applicant: Medtronic, Inc.
Inventor: Jonathan L. Kuhn , Can Cinbis , Saul E. Greenhut
IPC: A61B5/1455 , A61B5/00 , A61B5/0215 , A61B5/11 , A61B5/1459
Abstract: This disclosure is related to devices, systems, and techniques for performing patient parameter measurements. In some examples, a medical device system includes an optical sensor configured to measure ambient light and a tissue oxygen saturation parameter and processing circuitry configured to determine that a current measurement of the tissue oxygen saturation parameter is prompted and control the optical sensor to perform an ambient light measurement associated with the current measurement of the tissue oxygen saturation parameter. The processing circuitry is further configured to determine, based on the ambient light measurement, at least one of whether to control the optical sensor to perform the current measurement of the tissue oxygen saturation parameter, when to control the optical sensor to perform the current measurement of the tissue oxygen saturation parameter, or whether to include the current measurement of the tissue oxygen saturation parameter in a trend of the tissue oxygen saturation parameter.
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公开(公告)号:US20200315481A1
公开(公告)日:2020-10-08
申请号:US16910832
申请日:2020-06-24
Applicant: Medtronic, Inc.
Inventor: Michael T. Hemming , Saul E. Greenhut
IPC: A61B5/046 , A61N1/365 , A61B5/0464 , A61B5/00 , A61B5/0456 , A61N1/372 , A61N1/39 , A61N1/375 , A61B5/04 , A61B5/0402
Abstract: An implantable medical device includes a memory storing criteria for transitioning between states of a cardiac cycle model, the states including a P-wave state. The device also includes sensing circuitry that senses a cardiac signal that varies as a function of a cardiac cycle of a patient, and also includes processing circuitry coupled to the sensing circuitry. The processing circuitry is configured to detect an R-wave in the sensed cardiac signal, to determine an elapsed time since the detection of the R-wave, to determine one or more morphological values of a post-R-wave segment of the cardiac signal to compare the elapsed time and the one or more morphological values to the stored criteria for transitioning between the plurality of states of the cardiac cycle model, and to detect a P-wave in the sensed cardiac signal in response to a transition to the P-wave state of the cardiac cycle model.
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公开(公告)号:US10773088B2
公开(公告)日:2020-09-15
申请号:US15484430
申请日:2017-04-11
Applicant: Medtronic, Inc.
Inventor: James K. Carney , Saul E. Greenhut , Jonathan L. Kuhn , James D. Reinke , David J. Peichel , James W. Busacker
IPC: A61N1/372 , A61N1/365 , A61N1/39 , A61B5/00 , H04B13/00 , A61N1/368 , A61N1/375 , A61B5/042 , A61N1/362
Abstract: Systems, devices, and techniques for establishing communication between two medical devices are described. In one example, an implantable medical device comprises communication circuitry, therapy delivery circuitry, and processing circuitry configured to initiate a communication window during which the implantable second medical device is capable of receiving the information related to a cardiac event detected by a first medical device, the communication window being one of a plurality of communication windows defined by a communication schedule that corresponds to a transmission schedule in which the first medical device is configured to transmit the information, control the communication circuitry to receive, from the first medical device, the information related to the cardiac event that is indicative of a timing of the cardiac event with respect to a timing of the communication window, schedule and control delivery of a therapy according to the information related to the cardiac event.
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公开(公告)号:US10694967B2
公开(公告)日:2020-06-30
申请号:US15786832
申请日:2017-10-18
Applicant: Medtronic, Inc.
Inventor: Michael T. Hemming , Saul E. Greenhut
IPC: A61B5/046 , A61N1/365 , A61B5/0464 , A61B5/00 , A61B5/0456 , A61N1/372 , A61N1/39 , A61N1/375 , A61B5/04 , A61B5/0402 , A61N1/362 , A61B5/02 , A61B5/024 , A61B5/0205
Abstract: An implantable medical device includes a memory storing criteria for transitioning between states of a cardiac cycle model, the states including a P-wave state. The device also includes sensing circuitry that senses a cardiac signal that varies as a function of a cardiac cycle of a patient, and also includes processing circuitry coupled to the sensing circuitry. The processing circuitry is configured to detect an R-wave in the sensed cardiac signal, to determine an elapsed time since the detection of the R-wave, to determine one or more morphological values of a post-R-wave segment of the cardiac signal to compare the elapsed time and the one or more morphological values to the stored criteria for transitioning between the plurality of states of the cardiac cycle model, and to detect a P-wave in the sensed cardiac signal in response to a transition to the P-wave state of the cardiac cycle model.
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公开(公告)号:US10470681B2
公开(公告)日:2019-11-12
申请号:US15606216
申请日:2017-05-26
Applicant: Medtronic, Inc.
Inventor: Saul E. Greenhut , Jian Cao , Xusheng Zhang
IPC: A61B5/04 , A61B5/024 , A61B5/0245 , A61B5/0464 , A61N1/39 , A61B5/042 , A61N1/02 , A61N1/05 , A61N1/365 , A61N1/37 , A61B5/00 , A61B5/0456 , A61B5/021 , A61N1/36 , A61N1/00
Abstract: A medical device, such as an extra-cardiovascular implantable cardioverter defibrillator (ICD), senses R-waves from a first cardiac electrical signal by a first sensing channel and stores a time segment of a second cardiac electrical signal acquired by a second sensing channel in response to each sensed R-wave. The medical device determines at least one noise parameter from a group of the stored time segments of the second cardiac electrical signal, detects noise based on the noise parameter, and withholds detection of a tachyarrhythmia episode in response to detecting the noise.
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公开(公告)号:US20190110707A1
公开(公告)日:2019-04-18
申请号:US15786832
申请日:2017-10-18
Applicant: Medtronic, Inc.
Inventor: Michael T. Hemming , Saul E. Greenhut
IPC: A61B5/046 , A61B5/00 , A61N1/365 , A61B5/0464
CPC classification number: A61B5/046 , A61B5/0031 , A61B5/02028 , A61B5/0205 , A61B5/02405 , A61B5/04012 , A61B5/0402 , A61B5/0456 , A61B5/0464 , A61B5/686 , A61B5/726 , A61N1/3622 , A61N1/36507 , A61N1/36521 , A61N1/37211 , A61N1/3756 , A61N1/39622
Abstract: An implantable medical device includes a memory storing criteria for transitioning between states of a cardiac cycle model, the states including a P-wave state. The device also includes sensing circuitry that senses a cardiac signal that varies as a function of a cardiac cycle of a patient, and also includes processing circuitry coupled to the sensing circuitry. The processing circuitry is configured to detect an R-wave in the sensed cardiac signal, to determine an elapsed time since the detection of the R-wave, to determine one or more morphological values of a post-R-wave segment of the cardiac signal to compare the elapsed time and the one or more morphological values to the stored criteria for transitioning between the plurality of states of the cardiac cycle model, and to detect a P-wave in the sensed cardiac signal in response to a transition to the P-wave state of the cardiac cycle model.
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10.
公开(公告)号:US09889303B2
公开(公告)日:2018-02-13
申请号:US14510637
申请日:2014-10-09
Applicant: Medtronic, Inc.
Inventor: Mark L. Brown , Saul E. Greenhut , Troy E. Jackson
IPC: A61N1/00 , A61N1/365 , A61N1/368 , A61N1/375 , A61B5/0452 , A61N1/372 , A61B5/00 , A61B5/04 , A61B5/0428 , A61N1/37
CPC classification number: A61N1/365 , A61B5/04012 , A61B5/0428 , A61B5/0452 , A61B5/4836 , A61B5/686 , A61B5/725 , A61B5/7282 , A61N1/368 , A61N1/3704 , A61N1/371 , A61N1/37205 , A61N1/3756
Abstract: A method for sensing far-field R-waves in a leadless, intracardiac pacemaker implanted in an atrium of a patient's heart may involve sensing an electrical signal generated by the heart with two electrodes and a first sensing channel and/or a second sensing channel of the pacemaker, comparing a first timing marker from the first sensing channel with a second timing marker from the second sensing channel, and either determining that the sensed signal is a P-wave, if the first and second timing markers indicate that the sensed signal was sensed by the first and second sensing channels within a predetermined threshold of time from one another, or determining that the sensed signal is a far-field R-wave, if the sensed signal is sensed by the second sensing channel and not sensed by the first sensing channel.
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