-
公开(公告)号：US08473057B2
公开(公告)日：2013-06-25
申请号：US12609901
申请日：2009-10-30
IPC分类号： A61N1/375
CPC分类号： A61N1/375 , A61N1/08 , A61N1/36114 , A61N1/37 , A61N1/3718 , A61N1/37211 , A61N1/37288 , A61N1/3925 , A61N1/3962
摘要： Techniques for minimizing interference between first and second medical devices of a therapy system may include providing an outer housing for at least one of the medical devices that comprises an electrically insulative layer formed over at least the electrically conductive portions (e.g., an electrically conductive layer) of the housing, or providing an electrically insulative pouch around an electrically conductive housing of at least the first medical device. The electrically insulative layer or electrically insulative pouch may reduce or even eliminate shunt-current that flows into the medical device via the housing. The shunt-current may be generated by the delivery of electrical stimulation by the second medical device. In some examples, the techniques may also include shunt-current mitigation circuitry that helps minimize or even eliminate shunt-current that feeds into the first medical device via one or more electrodes electrically connected to the first medical device.
摘要翻译： 用于最小化治疗系统的第一和第二医疗装置之间的干扰的技术可以包括提供用于至少一个医疗装置的外壳，其包括在至少导电部分（例如，导电层）上形成的电绝缘层， 或者提供围绕至少第一医疗装置的导电外壳的电绝缘袋。 电绝缘层或电绝缘袋可以减少甚至消除通过外壳流入医疗装置的分流电流。 分流电流可以通过第二医疗装置的电刺激的传递来产生。 在一些示例中，所述技术还可以包括分流电流缓解电路，其帮助最小化或甚至消除通过电连接到第一医疗设备的一个或多个电极馈入第一医疗设备的分流电流。
-
公开(公告)号：US20100114205A1
公开(公告)日：2010-05-06
申请号：US12609901
申请日：2009-10-30
IPC分类号： A61N1/375
CPC分类号： A61N1/375 , A61N1/08 , A61N1/36114 , A61N1/37 , A61N1/3718 , A61N1/37211 , A61N1/37288 , A61N1/3925 , A61N1/3962
摘要： Techniques for minimizing interference between first and second medical devices of a therapy system may include providing an outer housing for at least one of the medical devices that comprises an electrically insulative layer formed over at least the electrically conductive portions (e.g., an electrically conductive layer) of the housing, or providing an electrically insulative pouch around an electrically conductive housing of at least the first medical device. The electrically insulative layer or electrically insulative pouch may reduce or even eliminate shunt-current that flows into the medical device via the housing. The shunt-current may be generated by the delivery of electrical stimulation by the second medical device. In some examples, the techniques may also include shunt-current mitigation circuitry that helps minimize or even eliminate shunt-current that feeds into the first medical device via one or more electrodes electrically connected to the first medical device.
摘要翻译： 用于最小化治疗系统的第一和第二医疗装置之间的干扰的技术可以包括提供用于至少一个医疗装置的外壳，其包括在至少导电部分（例如，导电层）上形成的电绝缘层， 或者在至少第一医疗装置的导电外壳周围提供电绝缘袋。 电绝缘层或电绝缘袋可以减少甚至消除通过外壳流入医疗装置的分流电流。 分流电流可以通过第二医疗装置的电刺激的传递来产生。 在一些示例中，所述技术还可以包括分流电流缓解电路，其帮助最小化或甚至消除通过电连接到第一医疗设备的一个或多个电极馈入第一医疗设备的分流电流。
-
3.发明授权Method of optimizing mechanical heart rate during delivery of coupled or paired pacing 失效耦合或配对起搏期间机械心率优化的方法公开(公告)号：US07286873B2
公开(公告)日：2007-10-23
申请号：US11096388
申请日：2005-03-31
IPC分类号： A61N1/362
CPC分类号： A61N1/3627 , A61N1/3682 , A61N1/37
摘要： A method of operating a cardiac pacing device that optimizes the mechanical heart rate using coordinated potentiation therapy while maximizing the opportunity for intrinsic AV conduction to occur. The method may include adjusting the timing of extra stimulus intervals during coupled or paired pacing to promote AV conduction and to effect changes in rate according to certain embodiments of the invention. Other embodiments may include adjusting the atrial pacing rate to achieve a desired target rate consistent with AV conduction. A mode switch to a dual-chamber pacing mode may be provided according to certain embodiments of the invention to ensure a ventricular rate that meets or exceeds a minimum mechanical rate.
摘要翻译： 一种操作心脏起搏装置的方法，其使用协同增强疗法优化机械心率，同时最大限度地发挥固有AV传导的机会。 该方法可以包括根据本发明的某些实施例在耦合或配对起搏期间调整额外刺激间隔的时间以促进AV传导并且实现速率变化。 其他实施例可以包括调整心房起搏速率以实现与AV传导一致的期望目标速率。 可以根据本发明的某些实施例提供到双室起搏模式的模式切换，以确保满足或超过最小机械速率的心室率。
-
公开(公告)号：US09854982B2
公开(公告)日：2018-01-02
申请号：US13482880
申请日：2012-05-29
申请人： James Calvin Allan , Erik C. Griswold , William J. Havel , Steven L. Waldhauser , Kelly M. Wien , Kendra Yasger , Rudolph A. Beasley , Jon D. Schell , Don H. Tran
发明人： James Calvin Allan , Erik C. Griswold , William J. Havel , Steven L. Waldhauser , Kelly M. Wien , Kendra Yasger , Rudolph A. Beasley , Jon D. Schell , Don H. Tran
CPC分类号： A61B5/0215 , A61B5/0031 , A61B5/042 , A61B5/686 , A61B6/00 , A61M25/04 , A61N1/36564
摘要： In one example, this disclosure is directed to a method for intravascular implantation of an implantable medical device comprising positioning a distal end of an elongated outer sheath forming an inner lumen adjacent a target site within a vasculature of a patient, and partially deploying an implantable medical device from the distal opening, wherein the implantable medical device includes an expandable fixation element. A portion of the expandable fixation element assumes an expanded position when the implantable medical device is partially deployed from the distal opening. The method including advancing the distal end of the outer sheath within the vasculature with the implantable medical device partially deployed from the distal opening, and monitoring at least one of the vasculature and the portion of the expandable fixation element for deflection to determine when the size of the portion of the expandable fixation element corresponds to the size of the vasculature.
-
5.发明申请METHOD AND APPARATUS FOR POST-SHOCK EVALUATION USING TISSUE OXYGENATION MEASUREMENTS 有权使用组织氧化测量法进行后期评估的方法和装置公开(公告)号：US20110066206A1
公开(公告)日：2011-03-17
申请号：US12845843
申请日：2010-07-29
IPC分类号： A61N1/365
CPC分类号： A61B5/14551 , A61B5/1459 , A61B5/6846 , A61B5/7285 , A61N1/36557 , A61N1/3925 , A61N1/3956
摘要： A method and device for delivering therapy that includes an electrode to sense cardiac signals and to deliver a therapy, a monitoring module detecting a cardiac event in response to the sensed cardiac signals using first detection criteria, a sensor emitting light and detecting emitted light scattered by a tissue volume adjacent the sensor to generate a corresponding detected light intensity output signal, a control module coupled to the sensor to control light emission of the sensor in response to delivering the therapy, and a controller coupled to the monitoring module, the therapy delivery module and the sensor, the controller configured to determine tissue oxygenation measurements in response to the output signal, determine a tissue oxygenation trend in response to the tissue oxygenation measurements, determine a recovery index in response to the determined tissue oxygenation trend, and control one or both of detecting a cardiac event by the monitoring module and delivery of therapy by the therapy delivery module in response to the determined recovery index.
摘要翻译： 一种用于递送疗法的方法和装置，其包括用于感测心脏信号并递送治疗的电极，监测模块，响应于使用第一检测标准的所感测到的心脏信号检测心脏事件，发射光并检测由 与所述传感器相邻的组织体积以产生相应的检测到的光强度输出信号;控制模块，耦合到所述传感器以响应于递送所述治疗来控制所述传感器的光发射;以及控制器，耦合到所述监测模块，所述治疗递送模块 以及所述传感器，所述控制器被配置为响应于所述输出信号确定组织氧合测量，响应于组织氧合测量确定组织氧合趋势，响应于所确定的组织氧合趋势确定恢复指数，并且控制一个或两个 通过监测模块检测心脏事件并进行治疗 y由治疗递送模块响应于确定的恢复指数。
-
6.发明申请METHOD AND APPARATUS FOR POST-SHOCK EVALUATION USING TISSUE OXYGENATION MEASUREMENTS 有权使用组织氧化测量法进行后期评估的方法和装置公开(公告)号：US20110066204A1
公开(公告)日：2011-03-17
申请号：US12845818
申请日：2010-07-29
IPC分类号： A61B5/1455 , A61N1/365
CPC分类号： A61B5/14551 , A61B5/1459 , A61B5/6846 , A61B5/7285 , A61N1/36557 , A61N1/3925 , A61N1/3956
摘要： A method and device for delivering therapy that includes an electrode to sense cardiac signals and to deliver a therapy, a therapy delivery module coupled to the electrode to deliver a therapy via the electrode in response to the sensed cardiac signals, a sensor emitting light and detecting emitted light scattered by a tissue volume adjacent the sensor to generate a corresponding detected light intensity output signal, a control module coupled to the sensor to control light emission of the sensor in response to delivering the therapy; and a controller coupled to the therapy delivery module and the sensor, the controller configured to determine a tissue oxygenation measurement in response to the output signal, and determine whether the delivered therapy was successful in restoring cardiac hemodynamic function in response to the tissue oxygenation measurement.
摘要翻译： 一种用于递送治疗的方法和装置，其包括用于感测心脏信号并递送治疗的电极，治疗递送模块，其耦合到所述电极，以响应于感测到的心脏信号经由所述电极递送治疗;发射光和检测的传感器 发射由邻近传感器的组织体积散射的光，以产生相应的检测到的光强度输出信号;控制模块，其耦合到所述传感器，以响应于递送所述治疗来控制所述传感器的光发射; 以及耦合到所述治疗递送模块和所述传感器的控制器，所述控制器被配置为响应于所述输出信号确定组织氧合测量，并且确定所递送的治疗是否成功响应于所述组织氧合测量来恢复心脏血液动力学功能。
-
7.发明申请公开(公告)号：US20100030229A1
公开(公告)日：2010-02-04
申请号：US12432028
申请日：2009-04-29
IPC分类号： A61B17/00
CPC分类号： A61B17/3468 , A61B17/3462 , A61B17/3472 , A61B2017/00026 , A61B2017/0003 , A61B2017/00561 , A61B2017/306 , A61B2017/320044 , A61B2017/320056 , A61M5/425 , A61M5/427 , A61M2005/1586 , A61N1/046 , A61N1/0504
摘要： A medical device system for advancing a subcutaneous device to a desired implant site that includes a strap extending along a length from a proximal end to a distal end, a first flange and a second flange extending along a portion of the length of the strap, a base portion extending along a portion of the length of the strap between the first flange and the second flange, and an indentation extending from the proximal end to the distal end of the strap, the indentation formed by the first flange, the second flange, and the base portion, wherein the first flange and the second flange include curved bottom portions that make contact with and compress a tissue layer to position the tissue layer within the indentation during the placement of the subcutaneous device.
摘要翻译： 一种用于将皮下装置推进到期望的植入部位的医疗装置系统，所述植入部位包括沿着从近端到远端的长度延伸的带，沿着带的长度的一部分延伸的第一凸缘和第二凸缘， 所述基部沿着所述带的所述长度的第一凸缘和所述第二凸缘之间的部分延伸，以及从所述带的近端延伸到所述远端，所述凹陷由所述第一凸缘，所述第二凸缘和 所述基部部分，其中所述第一凸缘和所述第二凸缘包括弯曲的底部部分，所述弯曲的底部部分在所述皮下装置的放置期间与所述组织层接触并将所述组织层定位在所述凹陷内。
-
公开(公告)号：US07181273B2
公开(公告)日：2007-02-20
申请号：US10418853
申请日：2003-04-18
申请人： William J. Havel , Paul J. Degroot , Paul M. Stein
发明人： William J. Havel , Paul J. Degroot , Paul M. Stein
IPC分类号： A61N1/39
CPC分类号： A61N1/3987 , A61N1/3956
摘要： An implantable medical device (IMD) provides for adaptive timing of the delivery of cardioversion shocks. In particular, the invention IMD provides for an adaptive cardioversion synchronization delay with respect to a cardiac event, such as a sensed P-wave or R-wave. When cardioversion with a first synchronization delay fails to terminate a tachycardia, for example, cardioversion may be attempted again with a second synchronization delay. The IMD may keep track of whether each synchronization delay is effective in terminating the tachycardia, and may employ a historically effective synchronization delay when applying cardioversion therapy to treat a subsequent tachycardia episode.
摘要翻译： 可植入医疗设备（IMD）提供了心脏复律冲击的适应性定时。 特别地，本发明IMD提供关于心脏事件（例如感测的P波或R波）的自适应心脏复律同步延迟。 当具有第一同步延迟的心脏复律不能终止心动过速时，例如，可以以第二同步延迟再次尝试心脏复律。 IMD可以跟踪每个同步延迟是否有效终止心动过速，并且当应用心脏复律治疗以治疗随后的心动过速发作时，可以采用历史上有效的同步延迟。
-
公开(公告)号：US09308107B2
公开(公告)日：2016-04-12
申请号：US13595636
申请日：2012-08-27
申请人： William J. Havel
发明人： William J. Havel
CPC分类号： A61F2/954 , A61F2/07 , A61F2/966 , A61F2002/065 , A61F2002/067
摘要： A system for treating a body vessel may include a delivery device and a prosthesis retained on the delivery device. The prosthesis may include a main body and first and second legs each extending from the main body. The main body may include a lumen, and the first leg may include a lumen in fluid communication with the lumen of the main body. The second leg may include a tubular graft body and a stent attached to the graft body. The prosthesis may have a predeployment configuration in which the graft body of the second leg is inverted into and positioned within the lumen of the first leg, and the stent is positioned outside of the inverted graft body. The prosthesis may have a deployed configuration in which the second leg extends outward from the main body, and the stent is positioned within a lumen of the graft body.
摘要翻译： 用于治疗身体血管的系统可以包括输送装置和保留在输送装置上的假体。 假体可以包括主体以及从主体延伸的第一和第二腿。 主体可以包括腔，并且第一腿可以包括与主体的内腔流体连通的内腔。 第二腿部可以包括管状移植体和附接到移植物体的支架。 假体可以具有预部署构造，其中第二腿的移植物体被倒置并位于第一腿的内腔内，并且支架位于倒置的移植物体的外侧。 假体可以具有展开构造，其中第二腿从主体向外延伸，并且支架位于移植物主体的内腔内。
-
公开(公告)号：US09101389B2
公开(公告)日：2015-08-11
申请号：US12431926
申请日：2009-04-29
CPC分类号： A61B17/3468 , A61B17/3462 , A61B17/3472 , A61B2017/00026 , A61B2017/0003 , A61B2017/00561 , A61B2017/306 , A61B2017/320044 , A61B2017/320056 , A61M5/425 , A61M5/427 , A61M2005/1586 , A61N1/046 , A61N1/0504
摘要： An apparatus for guiding the placement of a subcutaneous device that includes a strap having an indentation configured for a fold of skin and fat layer to be positioned within the indentation as the subcutaneous device is advanced to a desired implantation site.
摘要翻译： 一种用于引导皮下装置的放置的装置，所述装置包括当皮下装置前进到期望的植入部位时具有构造成用于皮肤和脂肪层的折叠的凹陷的带以定位在凹陷内。
-
-
-
-
-
-
-
-
-
搜索结果
41 条记录 (耗时 0.033 秒)
