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公开(公告)号:US12005263B2
公开(公告)日:2024-06-11
申请号:US18050462
申请日:2022-10-27
Applicant: Medtronic, Inc.
Inventor: Yanina Grinberg , Paul D. Baker , Lonny V. Cabelka , Craig W. Dorma , Timothy A. Ebeling , Michael W. Heinks , James Vander Heyden , Joseph Ippolito , Joel R. Lauer , Robert T. Sawchuk , Brian W. Schousek
CPC classification number: A61N1/3962 , A61N1/05 , A61N1/36507 , A61N1/3925 , A61N1/39622 , A61N1/3981 , A61N1/3987
Abstract: An extra-cardiovascular implantable cardioverter defibrillator (ICD) having a high voltage therapy module is configured to control a high voltage charging circuit to charge a capacitor to a pacing voltage amplitude to deliver charge balanced pacing pulses. The capacitor is chargeable to a shock voltage amplitude that is greater than the pacing voltage amplitude. The ICD is configured to enable switching circuitry of the high voltage therapy module to discharge the capacitor to deliver a first pulse having a first polarity and a leading voltage amplitude corresponding to the pacing voltage amplitude for pacing the patient's heart via a pacing electrode vector selected from extra-cardiovascular electrodes. The high voltage therapy module delivers a second pulse after the first pulse. The second pulse has a second polarity opposite the first polarity and balances the electrical charge delivered during the first pulse.
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公开(公告)号:US11517756B2
公开(公告)日:2022-12-06
申请号:US16525908
申请日:2019-07-30
Applicant: Medtronic, Inc.
Inventor: Mark T. Marshall , Timothy A. Ebeling
Abstract: This disclosure is directed to a curvilinear medical electrical lead. For example, a medical electrical lead includes a lead body, a high voltage electrode positioned on the lead body, the high voltage electrode comprising a proximal coated portion, a distal coated portion, and an uncoated portion. Additionally, the medical electrical lead includes a first low voltage electrode and a second low voltage electrode distal to the first low voltage electrode, wherein a first line passes through the first low voltage electrode and the second low voltage electrode, wherein a second line passes through the first low voltage electrode and the uncoated portion, the second line forming a first angle with the first line, and wherein a third line passes through the second low voltage electrode and the uncoated portion, the third line forming a second angle with the first line.
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公开(公告)号:US11413469B2
公开(公告)日:2022-08-16
申请号:US16696129
申请日:2019-11-26
Applicant: Medtronic, Inc.
Inventor: Jian Cao , Timothy A. Ebeling , Saul E. Greenhut , Michael W. Heinks , Irving J. Sanchez , Paul R. Solheim , Xusheng Zhang , Gerald P. Arne
Abstract: An implantable medical device system capable of sensing cardiac electrical signals includes a sensing circuit, a therapy delivery circuit and a control circuit. The sensing circuit is configured to receive a cardiac electrical signal and sense a cardiac event in response to the signal crossing a cardiac event sensing threshold. The therapy delivery circuit is configured to deliver an electrical stimulation therapy to a patient's heart via the electrodes coupled to the implantable medical device. The control circuit is configured to control the sensing circuit to set a starting value of the cardiac event sensing threshold and hold the starting value constant for a sense delay interval. The control circuit is further configured to detect an arrhythmia based on cardiac events sensed by the sensing circuit and control the therapy delivery circuit to deliver the electrical stimulation therapy in response to detecting the arrhythmia.
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公开(公告)号:US20210038905A1
公开(公告)日:2021-02-11
申请号:US17068011
申请日:2020-10-12
Applicant: Medtronic, Inc.
Inventor: Jian Cao , Gerald P. Arne , Timothy A. Ebeling , Yanina Grinberg , Michael W. Heinks , Paul R. Solheim , Xusheng Zhang
Abstract: An implantable medical device system is configured to sense cardiac events in response to a cardiac electrical signal crossing a cardiac event sensing threshold. A control circuit is configured to determine a drop time interval based on a heart rate and control a sensing circuit to hold the cardiac event sensing threshold at a threshold value during the drop time interval.
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公开(公告)号:US11951320B2
公开(公告)日:2024-04-09
申请号:US18061870
申请日:2022-12-05
Applicant: Medtronic, Inc.
Inventor: Mark T. Marshall , Timothy A. Ebeling
CPC classification number: A61N1/39622 , A61B5/287 , A61N1/0565 , A61N1/3621 , A61N1/3918
Abstract: A medical electrical lead includes a lead body, a high voltage electrode positioned on the lead body, the high voltage electrode comprising a proximal coated portion, a distal coated portion, and an uncoated portion. Additionally, the medical electrical lead includes a first low voltage electrode and a second low voltage electrode distal to the first low voltage electrode, wherein a first line passes through the first low voltage electrode and the second low voltage electrode, wherein a second line passes through the first low voltage electrode and the uncoated portion, the second line forming a first angle with the first line, and wherein a third line passes through the second low voltage electrode and the uncoated portion, the third line forming a second angle with the first line.
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公开(公告)号:US11547864B2
公开(公告)日:2023-01-10
申请号:US17068011
申请日:2020-10-12
Applicant: Medtronic, Inc.
Inventor: Jian Cao , Gerald P. Arne , Timothy A. Ebeling , Yanina Grinberg , Michael W. Heinks , Paul R. Solheim , Xusheng Zhang
Abstract: An implantable medical device system is configured to sense cardiac events in response to a cardiac electrical signal crossing a cardiac event sensing threshold. A control circuit is configured to determine a drop time interval based on a heart rate and control a sensing circuit to hold the cardiac event sensing threshold at a threshold value during the drop time interval.
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公开(公告)号:US11524169B2
公开(公告)日:2022-12-13
申请号:US15425169
申请日:2017-02-06
Applicant: Medtronic, Inc.
Inventor: Yanina Grinberg , Paul D. Baker , Lonny V. Cabelka , Craig W. Dorma , Timothy A. Ebeling , Michael W. Heinks , James Vander Heyden , Joseph Ippolito , Joel R. Lauer , Robert W. Sawchuk , Brian W. Schousek
Abstract: An extra-cardiovascular implantable cardioverter defibrillator (ICD) having a high voltage therapy module is configured to control a high voltage charging circuit to charge a capacitor to a pacing voltage amplitude to deliver charge balanced pacing pulses. The capacitor is chargeable to a shock voltage amplitude that is greater than the pacing voltage amplitude. The ICD is configured to enable switching circuitry of the high voltage therapy module to discharge the capacitor to deliver a first pulse having a first polarity and a leading voltage amplitude corresponding to the pacing voltage amplitude for pacing the patient's heart via a pacing electrode vector selected from extra-cardiovascular electrodes. The high voltage therapy module delivers a second pulse after the first pulse. The second pulse has a second polarity opposite the first polarity and balances the electrical charge delivered during the first pulse.
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公开(公告)号:US11666763B2
公开(公告)日:2023-06-06
申请号:US16895402
申请日:2020-06-08
Applicant: Medtronic, Inc.
Inventor: Xusheng Zhang , Yanina Grinberg , Paul R. Solheim , Troy E. Jackson , Timothy A. Ebeling , Vladimir P. Nikolski
CPC classification number: A61N1/3622 , A61N1/3624 , A61N1/36507 , A61N1/37217 , A61N1/3987 , A61N1/39622 , A61N1/3756 , A61N1/37512 , A61N1/3918
Abstract: An implantable medical device system is configured to detect a tachyarrhythmia from a cardiac electrical signal and start an ATP therapy delay period. The implantable medical device determines whether the cardiac electrical signal received during the ATP therapy delay period satisfies ATP delivery criteria. A therapy delivery module is controlled to cancel the delayed ATP therapy if the ATP delivery criteria are not met and deliver the delayed ATP therapy if the ATP delivery criteria are met.
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公开(公告)号:US20230129026A1
公开(公告)日:2023-04-27
申请号:US18069218
申请日:2022-12-20
Applicant: Medtronic, Inc.
Inventor: Jian Cao , Gerald P. Arne , Timothy A. Ebeling , Yanina Grinberg , Michael W. Heinks , Paul R. Solheim , Xusheng Zhang
Abstract: An implantable medical device system is configured to sense cardiac events in response to a cardiac electrical signal crossing a cardiac event sensing threshold. A control circuit is configured to determine a drop time interval based on a heart rate and control a sensing circuit to hold the cardiac event sensing threshold at a threshold value during the drop time interval.
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公开(公告)号:US20230098932A1
公开(公告)日:2023-03-30
申请号:US18061870
申请日:2022-12-05
Applicant: Medtronic, Inc.
Inventor: Mark T. Marshall , Timothy A. Ebeling
Abstract: This disclosure is directed to a curvilinear medical electrical lead. For example, a medical electrical lead includes a lead body, a high voltage electrode positioned on the lead body, the high voltage electrode comprising a proximal coated portion, a distal coated portion, and an uncoated portion. Additionally, the medical electrical lead includes a first low voltage electrode and a second low voltage electrode distal to the first low voltage electrode, wherein a first line passes through the first low voltage electrode and the second low voltage electrode, wherein a second line passes through the first low voltage electrode and the uncoated portion, the second line forming a first angle with the first line, and wherein a third line passes through the second low voltage electrode and the uncoated portion, the third line forming a second angle with the first line.
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