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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:US10532212B2
公开(公告)日:2020-01-14
申请号:US15280538
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
Abstract: An intracardiac ventricular pacemaker is configured to detect a ventricular diastolic event from a motion signal received by a pacemaker control circuit from a motion sensor. The control circuit starts an atrial refractory period having an expiration time set based on a time of the detection of the ventricular diastolic event. The control circuit detects an atrial systolic event from the motion signal after expiration of the atrial refractory period and controls a pulse generator of the pacemaker to deliver a pacing pulse to a ventricle of a patient's heart at a first atrioventricular pacing time interval after the atrial systolic event detection.
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公开(公告)号:US10286214B2
公开(公告)日:2019-05-14
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
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:US10517542B2
公开(公告)日:2019-12-31
申请号:US14964529
申请日:2015-12-09
Applicant: Medtronic, Inc.
Inventor: Vinod Sharma , Eduardo N Warman , Yong K Cho , Shantanu Sarkar
IPC: A61B5/00 , G16H20/00 , G16H50/30 , G16H50/20 , A61B5/0205 , A61B5/044 , A61B5/145 , G16H15/00 , A61B5/046 , A61B5/0464 , A61B5/053 , A61B5/11
Abstract: Provided is a method, system and/or apparatus for determining prospective heart failure event risk. Acquired from a device memory are a heart failure patient's current and preceding risk assessment periods. Counting detected data observations in the current risk assessment period for a current risk assessment total amount and counting detected data observations in the preceding risk assessment period for a preceding risk assessment period total amount. Associating the current risk assessment and preceding risk assessment total amounts with a lookup table to acquire prospective risk of heart failure (HF) event for the preceding risk assessment period and the current risk assessment period. Employing weighted sums of the prospective risk of the HF event for the preceding risk assessment period and the current risk assessment period to calculate a weighted prospective risk of the HF event for a patient. Displaying on a graphical user interface the weighted prospective risk of the HF event for the patient.
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公开(公告)号:US10449366B2
公开(公告)日:2019-10-22
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
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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公开(公告)号:US10328270B2
公开(公告)日:2019-06-25
申请号:US15377717
申请日:2016-12-13
Applicant: Medtronic, Inc.
Inventor: Wade M Demmer , Yong K Cho , Mark K Erickson , Todd J Sheldon
Abstract: An intracardiac pacemaker system is configured to produce physiological atrial event signals by a sensing circuit of a ventricular intracardiac pacemaker and select a first atrial event input as the physiological atrial event signals. The ventricular intracardiac pacemaker detects atrial events from the selected first atrial event input, determines if input switching criteria are met, and switches from the first atrial event input to a second atrial event input in response to the input switching criteria being met. The second atrial event input includes broadcast atrial event signals produced by a second implantable medical device and received by the ventricular intracardiac pacemaker.
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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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公开(公告)号:US10226630B2
公开(公告)日:2019-03-12
申请号:US15005533
申请日:2016-01-25
Applicant: Medtronic, Inc.
Inventor: Saul E Greenhut , Robert T Taepke , David R Bloem , Yong K Cho , Donna M Salmi
IPC: A61B5/02 , A61N1/365 , A61B5/0215 , A61B5/024 , A61B5/00 , A61M5/142 , A61M5/172 , A61N1/39 , A61B5/042 , A61N1/372
Abstract: Various techniques for measuring cardiac cycle length and pressure metrics based on pulmonary artery pressures are described. One example method described includes identifying a point within a derivative signal of a cardiovascular pressure signal without reference to electrical activity of a heart, initiating a time window from the identified point in the derivative signal, identifying a point within the cardiovascular signal within the time window, and determining at least one of a systolic pressure or diastolic pressure based on the identified point.
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公开(公告)号:US10207116B2
公开(公告)日:2019-02-19
申请号:US15366993
申请日:2016-12-01
Applicant: Medtronic, Inc.
Inventor: Todd J Sheldon , Yong K Cho , Wade M Demmer , Mark K Erickson , Vincent E Splett
Abstract: An intracardiac ventricular pacemaker is configured to operate in in a selected one of an atrial-tracking ventricular pacing mode and a non-atrial tracking ventricular pacing mode. A control circuit of the pacemaker determines at least one motion signal metric from the motion signal, compares the at least one motion signal metric to pacing mode switching criteria; and responsive to the pacing mode switching criteria being satisfied, switches from the selected one of the non-atrial tracking pacing mode and the atrial tracking pacing mode to the other one of the non-atrial tracking pacing mode and the atrial tracking pacing mode for controlling ventricular pacing pulses delivered by the pacemaker.
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