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公开(公告)号:US12064637B2
公开(公告)日:2024-08-20
申请号:US17486285
申请日:2021-09-27
申请人: Medtronic, Inc.
IPC分类号: A61N1/37 , A61B5/00 , A61B5/024 , A61B7/00 , A61B7/04 , A61N1/365 , A61N1/372 , A61N1/36 , A61N1/362
CPC分类号: A61N1/3704 , A61B5/0031 , A61B5/024 , A61B5/4029 , A61B5/7217 , A61B7/005 , A61B7/006 , A61B7/04 , A61N1/36578 , A61N1/3702 , A61N1/37241 , A61N1/37258 , A61N1/36135 , A61N1/3627 , A61N1/37282
摘要: A method and device for detecting phrenic nerve stimulation (PNS) in, or using, a cardiac medical device. A test signal sensitive to contraction of a diaphragm of a patient may be sensed and signal artifacts of the test signal within each of a first window of the test signal prior to a predetermined cardiac signal and a second window of the test signal subsequent to the predetermined cardiac signal may be determined. The PNS beat criteria may be evaluated, for example, using the test signal, which may be a heart sounds signal.
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公开(公告)号:US20240189611A1
公开(公告)日:2024-06-13
申请号:US18582388
申请日:2024-02-20
发明人: Steven E. Sjoquist , David P. Finch , Erick M. Roane , Zoie R. Engman , Jonathan P. Niegowski , Dusan Beblavy , Martin Pribula , Peter Curila , Martin Kolesár
IPC分类号: A61N1/39 , A61B5/00 , A61B5/024 , A61B5/361 , A61B5/363 , A61N1/04 , A61N1/372 , G06F21/33 , H04L9/32 , H04L9/40
CPC分类号: A61N1/3904 , A61B5/02438 , A61N1/046 , A61N1/0484 , A61N1/3987 , A61N1/3993 , G06F21/33 , H04L9/3268 , H04L63/0823 , A61B5/361 , A61B5/363 , A61B5/6805 , A61B5/74 , A61N1/37258 , A61N1/3925
摘要: Disclosed are embodiments directed to security methods applied to connections between components in a distributed (networked) system including medical and non-medical devices, providing secure authentication, authorization, patient and device data transfer, and patient data association and privacy for components of the system.
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3.
公开(公告)号:US20240165414A1
公开(公告)日:2024-05-23
申请号:US18429714
申请日:2024-02-01
申请人: Pacesetter, Inc.
CPC分类号: A61N1/37252 , A61N1/056 , A61N1/3702 , A61N1/3706 , A61N1/37223 , A61N1/37258 , A61N1/37512 , A61N1/3756 , H04B13/005 , H04W76/10 , A61N1/3727
摘要: External devices, methods for use therewith, and systems including an external device and an implantable medical device (IMD) are described. A method includes receiving at the external device, using each of first, second, and third subsets of at least three external electrodes, conductive communication pulses transmitted by the IMD, and determining, for each subset of the external electrodes, a respective metric indicative of power and/or quality of the conductive communication pulses received from the IMD using the subset of external electrodes. The method further includes identifying, based on results of the determining, a preferred one of the first, second, and third subsets of the at least three external electrodes, and using the preferred one of the first, second, and third subsets of the at least three external electrodes to receive further conductive communication pulses transmitted by the IMD.
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公开(公告)号:US11883669B2
公开(公告)日:2024-01-30
申请号:US17499618
申请日:2021-10-12
申请人: Medtronic, Inc.
发明人: Jonathon E. Giftakis , Peter J. Kovach , Warren W. Ball , Jonathan C. Werder , Nina M. Graves , David C. Ullestad , Sarah B. Alme
CPC分类号: A61N1/36132 , A61N1/36135 , A61N1/37247 , G16H20/40 , A61N1/37258 , G06Q10/10 , G16H40/63
摘要: An indication that a patient event occurred may be used to evaluate the efficacy of at least one therapy program and/or adjust therapy delivery to the patient. In some examples, the patient event indication includes patient input that may be received via an event indication button of a programming device. In some examples, therapy delivery may be adjusted by adjusting at least one therapy parameter value, switching therapy programs or therapy program groups or restarting a therapy cycle of a medical device.
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公开(公告)号:US11833350B2
公开(公告)日:2023-12-05
申请号:US16834135
申请日:2020-03-30
申请人: Farapulse, Inc.
发明人: Raju Viswanathan , Gary Long , Jean-Luc Pageard
CPC分类号: A61N1/327 , A61B18/1206 , A61B18/1492 , A61N1/37247 , A61N1/37258 , A61B2017/00154 , A61B2018/0016 , A61B2018/00267 , A61B2018/00285 , A61B2018/00488 , A61B2018/00577 , A61B2018/00613 , A61B2018/1472 , A61B2218/002 , A61B2218/007
摘要: Systems, devices, and methods for electroporation ablation therapy are disclosed in the context of esophageal ablation. An ablation device may include a first catheter defining a longitudinal axis and a lumen therethrough. A balloon may be coupled to the first catheter. The balloon may be configured to transition between a deflated configuration and an inflated configuration. A second catheter may extend from a distal end of the first catheter lumen. A set of splines including electrodes formed on a surface of each of the splines may couple to the distal end of the first catheter lumen and a distal portion of the second catheter. The second catheter may be configured for translation along the longitudinal axis to transition the set of splines between a first configuration and a second configuration.
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6.
公开(公告)号:US11766570B2
公开(公告)日:2023-09-26
申请号:US17380307
申请日:2021-07-20
申请人: Pacesetter, Inc.
CPC分类号: A61N1/37254 , A61B5/0031 , A61N1/37258 , G16H40/60
摘要: Embodiments described herein relate to implantable medical devices (IMDs) and methods for use therewith. Such a method includes, during each of a plurality of message alert periods during which a communication capability of the IMD is enabled, determining whether a valid message is detected. In response to determining that no valid message was detected during a message alert period, the communication capability of the IMD is temporarily disable for a disable period. A length of the disable period may be increased in response to no valid message being detected during two consecutive message alert periods. A length of the disable period may be dependent on an operational mode of the IMD, such that the length of the disable period differs for different operational modes. The IMD may also enter a noise state, and remain in the noise state until the IMD receives a specified number of valid messages.
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7.
公开(公告)号:US11744478B2
公开(公告)日:2023-09-05
申请号:US16511932
申请日:2019-07-15
申请人: Medtronic, Inc.
发明人: Vinod Sharma , Jodi L. Redemske
IPC分类号: A61N1/365 , A61B5/0537 , A61B5/0538 , A61B5/00 , A61N1/372 , A61N1/37
CPC分类号: A61B5/0537 , A61B5/0538 , A61B5/7275 , A61N1/36521 , A61N1/3702 , A61N1/37258
摘要: A health care system acquires data determines whether a patient is at risk of hypervolemia or hypovolemia. The method comprises (a) acquiring from a device memory a patient's absolute intrathoracic impedance data over a pre-specified time period, (b) determining a running average of the intrathoracic impedance data over the pre-specified time period, and (c) determining by the system whether the running average of the intrathoracic impedance data over the pre-specified time period exceeds one of a first and second range, the first range being a higher value boundary of intrathoracic electrical impedance and the second range being a lower value boundary of intrathoracic electrical impedance.
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公开(公告)号:US20230191135A1
公开(公告)日:2023-06-22
申请号:US18015135
申请日:2021-06-29
发明人: Daniel Meese
CPC分类号: A61N1/371 , A61N1/025 , A61N1/37247 , A61N1/37258
摘要: Apparatus and methods for the management and safety monitoring of temporary cardiac pacing devices adapted to monitor a cardiac pacing device, the apparatus comprising; electrical connections with the heart and with the pacing device; a signal acquisition module adapted to acquire via the electrical connections cardiac signals indicative of cardiac operation, pacing impulses emitted by the pacing device, evoked signals emitted from the heart in response to the pacing impulses, and any unidentified noise signals; a processor adapted to receive from the signal acquisition module and to analyse the cardiac and evoked signals, the pacing impulses and any noise signals; a data store, and a display, wherein the processor is adapted to: i. establish a base level operation of the heart and pacing device and to store the associated quality, size and/or timing values of the cardiac and evoked signals and the pacing impulses in the date store; ii, receive instantaneous values of quality, size and/or timing values of the cardiac and evoked signals and the pacing impulses and to cause the display to show these values; iii. compare the instantaneous values against the values in the data store to establish differences therebetween; iv. analyse; a, any noise signal received, b. the instantaneous values received at step ii above, and c. any difference(s) at step iii above in terms of its/their quality, size and timing, and v, raise an alarm in the event a noise signal occurs and/or no evoked signal is received,
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公开(公告)号:US20190200940A1
公开(公告)日:2019-07-04
申请号:US16296601
申请日:2019-03-08
申请人: Ivan Osorio
发明人: Ivan Osorio
IPC分类号: A61B5/00 , G16H50/30 , A61N1/365 , A61B5/08 , A61B5/021 , A61B5/0245 , A61F7/00 , A61B5/11 , A61N1/39 , A61N1/36 , A61B5/16 , A61M5/172 , A61B5/0452 , A61B5/0205
CPC分类号: A61B5/746 , A61B5/0205 , A61B5/02055 , A61B5/021 , A61B5/02455 , A61B5/0452 , A61B5/0826 , A61B5/1118 , A61B5/162 , A61B5/4094 , A61B5/4836 , A61B5/4839 , A61B5/7275 , A61F7/00 , A61M5/1723 , A61M2230/06 , A61M2230/20 , A61M2230/201 , A61M2230/208 , A61M2230/30 , A61M2230/42 , A61M2230/63 , A61N1/36064 , A61N1/36139 , A61N1/36142 , A61N1/36514 , A61N1/36585 , A61N1/37247 , A61N1/37258 , A61N1/3987 , G06F19/00 , G16H50/30
摘要: A method for determining and responding in real-time to an increased risk of death relating to a patient with epilepsy is provided. The method includes receiving cardiac data and determining a cardiac index based upon the cardiac data. The method includes determining an increased risk of death associated with epilepsy if the indices are extreme, issuing a warning of the increased risk of death and logging information related to the increased risk of death. Also presented is a second method for determining and responding in real-time to an increased risk of death relating to a patient with epilepsy comprising receiving at least one of arousal data, responsiveness data or awareness data and determining an arousal index, a responsiveness index or an awareness index, where the indices are based on arousal data, responsiveness data or awareness data respectively. The second method includes determining an increased risk of death related to epilepsy if indices are extreme values, issuing a warning of the increased risk of death and logging information related to the increased risk of death. A computer readable program storage device is also provided. Also provided is a method for receiving body data, determining a cardiac, an arousal, a responsiveness, or a kinetic index, determining an increased or increasing risk of death over a first time window relating to a patient with epilepsy and issuing a warning and logging relevant information.
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公开(公告)号:US20190200926A1
公开(公告)日:2019-07-04
申请号:US16297808
申请日:2019-03-11
发明人: Edward J. Donnelly , Thomas E. Kaib , Marshal W. Linder , Steven J. Szymkiewicz , Jason T. Whiting , Shane S. Volpe
IPC分类号: A61B5/00 , G16H50/20 , A61B5/0205 , G16H40/63 , A61B5/11 , A61N1/04 , A61N1/365 , A61N1/372 , A61N1/39
CPC分类号: A61B5/6804 , A61B5/02055 , A61B5/021 , A61B5/02438 , A61B5/04085 , A61B5/0816 , A61B5/11 , A61B5/1112 , A61B5/1117 , A61B5/1455 , A61B5/4818 , A61B5/6805 , A61B5/721 , A61B2560/045 , A61B2562/0219 , A61N1/0484 , A61N1/36535 , A61N1/36542 , A61N1/36585 , A61N1/37247 , A61N1/37258 , A61N1/39 , A61N1/3987 , A61N1/3993 , G16H40/63 , G16H50/20
摘要: A wearable defibrillator includes garment configured to be worn by a patient, treatment electrodes configured to apply electric current to the patient, and an alarm module configured to provide audio, visual, and haptic notifications. The notifications are configured to indicate that an electric current will be administered imminently, and prompt the patient to provide a response input. The wearable defibrillator includes a motion sensor configured to detect motion and a lack of motion of the patient, and a controller in electrical communication with the alarm module and the motion sensor. The controller is configured to monitor for the response input, cause administration of the electric current to be delayed or cancelled if the response input is received and motion of the patient is detected, and cause administration of the electric current to be delivered if no response input from the patient is received and a lack of motion is detected.
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