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1.发明申请IMPLANTABLE MEDICAL DEVICE (IMD) SENSING MODIFICATIONS RESPONSIVE TO DETECTED PACING PULSES 审中-公开植入式医疗设备（IMD）对检测到的皮肤脉搏的感觉改变公开(公告)号：US20150305640A1
公开(公告)日：2015-10-29
申请号：US14686947
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
Abstract: In situations in which an implantable medical device (IMD) (e.g., an extravascular ICD) is co-implanted with a leadless pacing device (LPD), it may be important that the IMD knows when the LPD is delivering pacing, such as anti-tachycardia pacing (ATP). Techniques are described herein for detecting, with the IMD 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 IMD includes a pace pulse detector that detects, based on the processing of sensed electrical signals, delivery of a pacing pulse from a second implantable medical device and blank, based on the detection of the pacing pulse, the sensed electrical signal to remove the pacing pulse from the sensed electrical signal.
Abstract translation: 在可植入医疗装置（IMD）（例如，血管外ICD））与无引线起搏装置（LPD）共同植入的情况下，IMD知道LPD何时发出起搏， 心动过速起搏（ATP）。 本文描述了用于利用IMD和基于感测到的电信号，起搏脉冲和调整操作来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，IMD包括步速脉冲检测器，其基于感测到的电信号的处理，基于起搏脉冲的检测来检测来自第二可植入医疗设备和空白的起搏脉冲的传送，感测到的电信号 以从感测到的电信号中去除起搏脉冲。
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公开(公告)号：US20190167360A1
公开(公告)日：2019-06-06
申请号：US16270978
申请日：2019-02-08
Applicant: Medtronic, Inc.
Inventor： Scott A. HARELAND
Abstract: A method and system for determining a target location for a medical device having complex geometry relative to an anatomical feature, and for navigating and positioning the medical device at the target location. The system may include a medical device including a treatment element having a centroid, one or more navigation electrodes, and a longitudinal axis and a navigation system in communication with the one or more navigation electrodes, the navigation system including a processing unit. The processing unit may be programmed to define a plane that approximates a surface of the anatomical feature, define a centroid of the anatomical feature, define a vector that is normal to the plane and extends away from the centroid of the anatomical feature, and determine a target location for the treatment element of the medical device based on the vector to assist the user in placing the device for treatment.
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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：US20200167922A1
公开(公告)日：2020-05-28
申请号：US16776059
申请日：2020-01-29
Applicant: Medtronic, Inc.
Inventor： Scott A. HARELAND
IPC: G06T7/00 , G06T7/60 , G06T3/60 , G06K9/62 , A61B5/02 , A61B34/20 , A61B5/00 , A61B5/107 , G06K9/00 , G06T7/12 , G06T7/70
Abstract: A method and system for automatic location of a target treatment structure, such as a pulmonary vein ostium, from an anatomical image. The method includes calculating a most likely path of blood flow through a pulmonary vein based on a cross-sectional area minimization technique and calculating pulmonary vein geometry as a function of length. For example, a pulmonary vein ostium may be located by analyzing a change in pulmonary vein dimensional size or other anatomical factors, such as absolute size. The method may also include determining tissue thickness at the pulmonary vein ostium or other treatment size for treatment dose optimization. The method may be an algorithm performed by a processing unit of a navigation system or other component of a medical system.
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公开(公告)号：US20180068439A1
公开(公告)日：2018-03-08
申请号：US15259744
申请日：2016-09-08
Applicant: Medtronic, Inc.
Inventor： Scott A. HARELAND
CPC classification number: G06T7/0012 , A61B5/02007 , A61B5/1076 , A61B5/489 , A61B5/6853 , A61B5/6856 , A61B34/20 , G06K9/00147 , G06K9/6215 , G06T3/60 , G06T7/004 , G06T7/60 , G06T2207/30004
Abstract: A method and system for automatic location of a target treatment structure, such as a pulmonary vein ostium, from an anatomical image. The method includes calculating a most likely path of blood flow through a pulmonary vein based on a cross-sectional area minimization technique and calculating pulmonary vein geometry as a function of length. For example, a pulmonary vein ostium may be located by analyzing a change in pulmonary vein dimensional size or other anatomical factors, such as absolute size. The method may also include determining tissue thickness at the pulmonary vein ostium or other treatment size for treatment dose optimization. The method may be an algorithm performed by a processing unit of a navigation system or other component of a medical system.
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Patent Agency Ranking
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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公开(公告)号：US20200289209A1
公开(公告)日：2020-09-17
申请号：US16890414
申请日：2020-06-02
Applicant: Medtronic, Inc.
Inventor： Scott A. HARELAND
Abstract: A method and system for determining a target location for a medical device having complex geometry relative to an anatomical feature, and for navigating and positioning the medical device at the target location. The system may include a medical device including a treatment element having a centroid, one or more navigation electrodes, and a longitudinal axis and a navigation system in communication with the one or more navigation electrodes, the navigation system including a processing unit. The processing unit may be programmed to define a plane that approximates a surface of the anatomical feature, define a centroid of the anatomical feature, define a vector that is normal to the plane and extends away from the centroid of the anatomical feature, and determine a target location for the treatment element of the medical device based on the vector to assist the user in placing the device for treatment.
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公开(公告)号：US20180374214A1
公开(公告)日：2018-12-27
申请号：US16117540
申请日：2018-08-30
Applicant: Medtronic, Inc.
Inventor： Scott A. HARELAND
CPC classification number: G06T7/0012 , A61B5/02007 , A61B5/1076 , A61B5/489 , A61B5/6853 , A61B5/6856 , A61B34/20 , A61B2034/2053 , G06K9/00147 , G06K9/6215 , G06T3/60 , G06T7/12 , G06T7/60 , G06T7/70 , G06T2207/10081 , G06T2207/10088 , G06T2207/20044 , G06T2207/20168 , G06T2207/30004 , G06T2207/30048 , G06T2207/30101
Abstract: A method and system for automatic location of a target treatment structure, such as a pulmonary vein ostium, from an anatomical image. The method includes calculating a most likely path of blood flow through a pulmonary vein based on a cross-sectional area minimization technique and calculating pulmonary vein geometry as a function of length. For example, a pulmonary vein ostium may be located by analyzing a change in pulmonary vein dimensional size or other anatomical factors, such as absolute size. The method may also include determining tissue thickness at the pulmonary vein ostium or other treatment size for treatment dose optimization. The method may be an algorithm performed by a processing unit of a navigation system or other component of a medical system.
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公开(公告)号：US20180064495A1
公开(公告)日：2018-03-08
申请号：US15259782
申请日：2016-09-08
Applicant: Medtronic, Inc.
Inventor： Scott A. HARELAND
CPC classification number: A61B34/20 , A61B5/065 , A61B5/066 , A61B5/068 , A61B18/1492 , A61B90/37 , A61B2018/0022 , A61B2018/00345 , A61B2034/2053 , A61B2034/2065 , A61B2090/365 , A61M2025/0166
Abstract: A method and system for determining a location of a treatment element relative to an anatomical feature and for estimating contact between the treatment element and the anatomical feature in the context of a navigation system. The system may include a medical device including at least one treatment element and at least one navigation electrode and a navigation system in communication with the one or more navigation electrodes, the navigation system including a processing unit. The processing unit may be programmed to determine a plurality of points that define a surface geometry of the at least one treatment element, calculate a distance between each of the points and a closest point on the anatomical feature, and estimate the likelihood of contact between the points.
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公开(公告)号：US20160367305A1
公开(公告)日：2016-12-22
申请号：US14741637
申请日：2015-06-17
Applicant: Medtronic, Inc.
Inventor： Scott A. HARELAND
CPC classification number: A61B18/02 , A61B18/1233 , A61B2018/00642 , A61B2018/0066 , A61B2018/00779 , A61B2018/00827 , A61B2018/00898 , A61B2018/0212 , A61B2018/0262 , G01M3/40
Abstract: A fault-detection method, system, and device for a cryosurgical system that avoids a false-positive detection of a fault condition, such as fluid ingress within the system. The fault-detection mechanism may generally include a driver having an active mode and an inactive mode, the driver generating an output signal when the driver is in active mode, a detector, the detector capable of receiving the driver output signal, and a detector verification controller in communication with the driver and the detector, the detector verification controller changing the driver from the active mode to the inactive mode when the detector receives the driver output signal. The controller may determine a true fault condition if the controller determines there is a correlation between the signal received by the detector and the driver output signal. All other possible fault conditions may be ignored if the controller determines that the signals are not correlated.
Abstract translation: 一种用于冷冻手术系统的故障检测方法，系统和装置，其避免了错误状态的假阳性检测，例如系统内的流体入口。 故障检测机构通常可以包括具有活动模式和非活动模式的驱动器，当驾驶员处于活动模式时，驾驶员产生输出信号，检测器，能够接收驱动器输出信号的检测器和检测器验证 控制器与驱动器和检测器通信，检测器验证控制器在检测器接收到驱动器输出信号时将驱动器从激活模式改变为非活动模式。 如果控制器确定检测器接收到的信号与驱动器输出信号之间存在相关性，则控制器可以确定真实故障状况。 如果控制器确定信号不相关，则可能会忽略所有其他可能的故障条件。
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