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公开(公告)号：US10350416B2
公开(公告)日：2019-07-16
申请号：US14810559
申请日：2015-07-28
Applicant: Medtronic, Inc.
Inventor： Matthew D Bonner , Mark K Erickson , Todd J Sheldon
IPC: A61N1/375 , A61N1/365 , A61N1/05 , A61N1/37 , A61B5/00 , A61N1/368 , A61N1/372 , A61B5/0456 , A61B5/042
Abstract: An implantable medical device having a housing that encloses a pulse generator and a sensing module includes a housing-based cathode electrode electrically coupled to the pulse generator and to the sensing module. A sensing extension extending from the housing proximal end includes an anode electrode electrically coupled to the sensing module for sensing cardiac electrical signals. The sensing extension includes a flotation member that causes the sensing extension to extend away from the housing along a direction of flowing blood when the implantable medical device is deployed within a cardiovascular system of a patient.
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公开(公告)号：US09981135B2
公开(公告)日：2018-05-29
申请号：US14645038
申请日：2015-03-11
Applicant: Medtronic, Inc.
Inventor： Yong K Cho , Wade M Demmer , Michael D Eggen , Kathryn Hilpisch , Michael F Hess , Todd J Sheldon , Saul E Greenhut
IPC: A61N1/37 , A61N1/365 , A61N1/362 , A61N1/375 , A61N1/36 , A61B5/00 , A61B5/0464 , A61N1/372 , A61B5/0402
CPC classification number: A61N1/3706 , A61B5/0402 , A61B5/0464 , A61B5/686 , A61N1/36 , A61N1/3622 , A61N1/36592 , A61N1/37205 , A61N1/3756
Abstract: A medical device system including at least a first implantable medical device and a second implantable medical device is configured to establish by a control module of the first implantable medical device whether the second implantable medical device is present in a patient and self-configure an operating mode of the control module in response to establishing that the second implantable medical device is present.
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公开(公告)号：US09789317B2
公开(公告)日：2017-10-17
申请号：US14632317
申请日：2015-02-26
Applicant: Medtronic, Inc.
Inventor： Saul E Greenhut , Wade M Demmer , Todd J Sheldon
CPC classification number: A61N1/36514 , A61N1/37
Abstract: An implantable pacemaker is configured to sense a cardiac electrical signal received by a pair of electrodes coupled to the pacemaker, start a pacing escape interval to control a time that a pacing pulse is delivered in a heart chamber, and detecting if the sensed cardiac electrical signal is a crosstalk event that is an electrical pulse delivered to the patient by a different device than the implantable pacemaker. The implantable pacemaker withholds restarting the pacing escape interval in response to sensing the cardiac electrical signal based on detecting the sensed cardiac electrical signal as the crosstalk event.
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4.发明授权Sensing and atrial-synchronized ventricular pacing in an intracardiac pacemaker 有权在心脏起搏器中的感觉和心房同步心室起搏公开(公告)号：US09592392B2
公开(公告)日：2017-03-14
申请号：US14821141
申请日：2015-08-07
Applicant: Medtronic, Inc.
Inventor： Wade M Demmer , Todd J Sheldon , Margaret G Guo
CPC classification number: A61N1/36592 , A61B5/04017 , A61N1/3704
Abstract: A pacemaker implantable in a chamber of a patient's heart is configured to produce a filtered cardiac electrical signal by filtering a raw cardiac signal by an adjustable filter of a sensing module of the pacemaker. The sensing module is configured to receive the raw cardiac electrical signal comprising R-waves, T-waves and P-waves via electrodes coupled to the sensing module. The pacemaker is further configured to determine if the T-waves are distinct from the P-waves in the filtered cardiac electrical signal and adjust the filter to increase a difference between a feature of the P-waves and a feature of the T-waves in the filtered cardiac signal when the T-waves are not distinct from the P-waves.
Abstract translation: 可植入患者心脏的室中的起搏器被配置为通过由起搏器的感测模块的可调节过滤器过滤原始心脏信号来产生过滤心电信号。 感测模块被配置为通过耦合到感测模块的电极来接收包括R波，T波和P波的原始心电信号。 起搏器进一步被配置为确定T波是否与滤波心电信号中的P波不同，并调整滤波器以增加P波特征与T波特征之间的差异 当T波不与P波不同时，滤波后的心脏信号。
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公开(公告)号：US20160143661A1
公开(公告)日：2016-05-26
申请号：US14548958
申请日：2014-11-20
Applicant: Medtronic, Inc.
Inventor： Ronan Wood , Todd J Sheldon , Matthew D Bonner , Sean Ward , Paula McDonnell
CPC classification number: A61B17/3468 , A61B17/00234 , A61B2017/00022 , A61B2017/00243 , A61B2017/00292 , A61B2017/00323 , A61N1/362 , A61N1/37205 , A61N1/3756
Abstract: An inner member of an improved assembly for a delivery system includes a first segment formed by a multi-lumen tubing surrounded by a braided tubing, and a second segment formed by a single-lumen tubing that extends within a distal portion of the braided tubing. The single-lumen tubing accommodates an antenna of a medical device, is in fluid communication with three lumens of the multi-lumen tubing, and opens into a flared distal end of the inner member. A distal-most portion of an outer tube of the system contains the flared distal end and an enclosure of the medical device abutting the distal end. A pull wire of the assembly extends within another lumen of the multi-lumen tubing and between the single-lumen tubing and the distal extent of the braided tubing, and is coupled to a pull band mounted in a cone member that forms the flared distal end.
Abstract translation: 用于输送系统的改进的组件的内部构件包括由被编织管围绕的多腔管道形成的第一段和由在编织管道的远端部分内延伸的单腔管道形成的第二段。 单腔管容纳医疗装置的天线，与多腔管的三个流体流体连通，并且通向内部构件的扩口远端。 系统的外管的最远部分包含扩张的远端和邻近远端的医疗装置的外壳。 组合件的拉线在多腔管的另一内腔内延伸，并且在单腔管和编织管的远端范围之间延伸，并且连接到安装在锥形构件中的拉带，该拉带形成扩张的远端 。
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Patent Agency Ranking
公开(公告)号：US20160129263A1
公开(公告)日：2016-05-12
申请号：US14538486
申请日：2014-11-11
Applicant: Medtronic, Inc.
Inventor： Wade M Demmer , Todd J Sheldon
CPC classification number: A61N1/3702 , A61N1/3627 , A61N1/365 , A61N1/36507 , A61N1/37205 , A61N1/3756
Abstract: In some examples, a leadless pacing device (hereinafter, “LPD”) is configured for implantation in a ventricle of a heart of a patient, and is configured to switch between an atrio-ventricular synchronous pacing mode and an asynchronous ventricular pacing mode in response to detection of one or more sensing events, which may be, for example, undersensing events. In some examples, an LPD is configured to switch from a sensing without pacing mode to an atrio-ventricular synchronous pacing mode in response to determining, for a threshold number of cardiac cycles, a ventricular depolarization was not detected within a ventricular event detection window that begins at an atrial activation event.
Abstract translation: 在一些示例中，无引线起搏装置（以下称为“LPD”）被配置用于植入患者心脏的心室中，并且被配置为响应于心房间同步起搏模式和异步心室起搏模式之间的切换 以检测一个或多个感测事件，其可以是例如不足感的事件。 在一些示例中，响应于确定对于阈值数量的心动周期，在心室事件检测窗口内未检测到心室去极化，LPD被配置为从不具有起搏模式的感测切换到心室同步起搏模式 从心房激活事件开始。
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公开(公告)号：US20150119950A1
公开(公告)日：2015-04-30
申请号：US14063766
申请日：2013-10-25
Applicant: Medtronic, Inc.
Inventor： Wade M Demmer , Todd J Sheldon , Robert W Stadler , Xusheng Zhang
CPC classification number: A61N1/3712 , A61N1/3601 , A61N1/36114 , A61N1/371
Abstract: A medical device system performs a method for determining pacing threshold data. Signals are received from a cardiac capture sensor and a phrenic nerve stimulation sensor. A cardiac capture threshold is determined from the cardiac capture sensor signal and a phrenic nerve stimulation threshold is determined from the phrenic nerve stimulation sensor signal for multiple pacing electrode vectors.
Abstract translation: 医疗装置系统执行用于确定起搏阈值数据的方法。 从心脏捕获传感器和膈神经刺激传感器接收信号。 从心脏捕获传感器信号确定心脏捕获阈值，并且从多个起搏电极载体的膈神经刺激传感器信号确定膈神经刺激阈值。
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公开(公告)号：US10052494B2
公开(公告)日：2018-08-21
申请号：US14657001
申请日：2015-03-13
Applicant: Medtronic, Inc.
Inventor： Todd J Sheldon , Wade M Demmer , Teresa A Whitman
CPC classification number: A61N1/3962 , A61B5/0464 , A61B5/686 , A61B5/6869 , A61N1/3621 , A61N1/36542 , A61N1/36578 , A61N1/36585
Abstract: An implantable medical device system includes a pacemaker and an implantable cardioverter defibrillator (ICD). The pacemaker is configured to confirm a hemodynamically unstable rhythm based on an activity metric determined from an activity sensor signal after detecting a ventricular tachyarrhythmia and withhold anti-tachycardia pacing (ATP) pulses in response to confirming the hemodynamically unstable rhythm. The pacemaker may deliver ATP when a hemodynamically unstable rhythm is not confirmed based on the activity metric. The ICD is configured to detect the ATP and withhold a shock therapy in response to detecting the ATP in some examples.
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公开(公告)号：US20180117337A1
公开(公告)日：2018-05-03
申请号：US15342699
申请日：2016-11-03
Applicant: Medtronic, Inc.
Inventor： Wade M Demmer , Yong K Cho , Mark K Erickson , Michael F Hess , Todd J Sheldon , Vincent E Splett
CPC classification number: A61N1/36542 , A61N1/0573 , A61N1/36578 , A61N1/3682 , A61N1/3684 , A61N1/37205 , A61N1/3756
Abstract: An intracardiac ventricular pacemaker having a motion sensor is configured to produce a motion signal including an atrial systolic event and at least one ventricular diastolic event. The pacemaker is configured to set an atrial refractory period, detect a change in a ventricular diastolic event metric and adjust the atrial refractory period in response to detecting the change. The pacemaker sets set an atrioventricular pacing interval in response to detecting the atrial systolic event from the motion signal after expiration of the atrial refractory period.
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公开(公告)号：US20180085588A1
公开(公告)日：2018-03-29
申请号：US15280339
申请日：2016-09-29
Applicant: Medtronic, Inc.
Inventor： Vincent E Splett , Todd J Sheldon , Yong K Cho , Wade M Demmer , Mark K Erickson
CPC classification number: A61N1/36578 , A61N1/3682 , A61N1/3684 , A61N1/37205 , A61N1/3756
Abstract: An intracardiac ventricular pacemaker having a motion sensor is configured to produce a motion signal including an atrial systolic event and a ventricular diastolic event indicating a passive ventricular filling phase, set a detection threshold to a first amplitude during an expected time interval of the ventricular diastolic event and to a second amplitude lower than the first amplitude after an expected time interval of the ventricular diastolic event. The pacemaker is configured to detect the atrial systolic event in response to the motion signal crossing the detection threshold and set an atrioventricular pacing interval in response to detecting the atrial systolic event.
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