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21. 发明申请

WO2003089044A2 TASK-ORIENTED INDUCTION CAPABILITIES FOR ICDS AND PROGRAMMERS 审中-公开
标题翻译：面向ICDS和程序员的面向任务的电感能力
公开(公告)号：WO2003089044A2
公开(公告)日：2003-10-30
申请号：PCT/US2003/010088
申请日：2003-04-02
申请人： MEDTRONIC, INC.
发明人： KRAUSE, Paul, G. , OUSDIGIAN, Kevin, T. , ERICKSEN, James, H. , DEGROOT, Paul, J. , PADMANABHAN, Seema , WILLENBRING, James, E.
IPC分类号： A61N
CPC分类号： A61N1/3943 , A61N1/37247
摘要： The invention provides systems to prevent the delivery of anti-tachycardia pacing (ATP) following a defibrillation threshold (DFT) induction at implant. An algorithm that classifies episodes as induced or spontaneous is implemented, thereby enabling the ATP during charging feature to be operable only when spontaneous episodes are detected while temporarily suspending the ATP feature during the delivery of defibrillation shock after induction has been confirmed. Further, a user interface enables users to interact with an implantable medical device (IMD), particularly for setting a defibrillation threshold (DFT) or a 50 Hz burst from a single programmer screen. The user interface includes various functionalities to promote quick user access to parameters that govern diagnosis, therapy and other features of the IMD. A single screen enables the user to complete automatic and/or manual DFT inductions or a 50 Hz burst from a programmer interface while acquiring associated documentation from the same interface.
摘要翻译：本发明提供了防止在植入物中除颤阈值（DFT）诱导后递送抗心动过速起搏（ATP）的系统。实施了将发作分类为诱导或自发的算法，从而使得在充电特征期间的ATP仅在检测到自发发作时才可操作，同时在确认诱导后的除颤休克期间暂时停止ATP特征。此外，用户界面使得用户能够与可植入医疗装置（IMD）进行交互，特别是用于从单个编程器屏幕设置除颤阈值（DFT）或50Hz脉冲串。用户界面包括各种功能，以促进用户快速访问管理IMD诊断，治疗和其他功能的参数。单个屏幕使用户能够在从同一接口获取相关文档的同时，从编程器接口完成自动和/或手动DFT感应或50 Hz突发。

22. 发明申请

WO2003011391A2 METHOD AND APPARATUS TO CONTROL DELIVERY OF HIGH-VOLTAGE AND ANTI-TACHY PACING THERAPY IN AN IMPLANTABLE MEDICAL DEVICE 审中-公开
标题翻译：用于控制在可植入医疗装置中提供高电压和抗紫外线治疗的方法和装置
公开(公告)号：WO2003011391A2
公开(公告)日：2003-02-13
申请号：PCT/US2002/023779
申请日：2002-07-25
申请人： MEDTRONIC, INC.
发明人： DEGROOT, Paul, J. , OUSDIGIAN, Kevin, T. , PADMANABHAN, Vasant , KRAUSE, Paul, G. , SHARMA, Vinod
IPC分类号： A61N
CPC分类号： A61N1/3622 , A61N1/3688 , A61N1/3925 , A61N1/3956 , A61N1/3962 , A61N1/3987
摘要： A system and method for delivering both anti-tachy pacing (ATP) _therapy and high-voltage shock therapy in response to detection of abnormal cardiac rhythms is disclosed. The system controls the time between delivering ATP therapy and the charging of high-voltage capacitors in preparation for shock delivery based on a predetermined set of criteria. In one embodiment, the inventive system operates in an ATP During Capacitor Charging (ATP-DCC) mode wherein all, or substantially all, of the ATP therapy is delivered during charging of the high-voltage capacitors. Based on evaluation of the predetermined set of criteria, the system may switch to an additional ATP Before Capacitor Charging (ATP-BCC) mode, wherein substantially all of the ATP therapy is delivered prior to charging of the high-voltage capacitor. According to one aspect of the invention, the predetermined set of criteria is based, at least in part, on the effectiveness of previously-delivered ATP therapy.
摘要翻译：公开了一种用于响应于异常心律的检测而提供抗起搏起搏（ATP）治疗和高压休克疗法的系统和方法。该系统基于预定的一组标准来控制ATP治疗与高压电容器的充电之间的时间，以准备冲击输送。在一个实施例中，本发明的系统在ATP电容器充电（ATP-DCC）模式中工作，其中在高压电容器的充电期间全部或基本上全部ATP治疗被递送。基于对预定标准集合的评估，系统可以切换到在电容器充电（ATP-BCC）模式之外的另外的ATP，其中在高压电容器充电之前基本上全部ATP治疗被递送。根据本发明的一个方面，预定的一组标准至少部分地基于先前传递的ATP治疗的有效性。

23. 发明公开

EP2493561A1 IMPLANTABLE MEDICAL DEVICE NOISE MODE 审中-公开
标题翻译： rush模式可植入医疗装置
公开(公告)号：EP2493561A1
公开(公告)日：2012-09-05
申请号：EP10717007.8
申请日：2010-05-03
申请人： Medtronic, Inc.
发明人： BENNETT, Tommy, D. , DEGROOT, Paul, J. , KLECKNER, Karen, Jean
IPC分类号： A61N1/362
CPC分类号： A61N1/37 , A61N1/3688 , A61N1/3718
摘要： Techniques for activating an alternative operating mode in an implantable medical device based on a determination that the device is within a relatively high noise environment or otherwise exposed to relatively high noise. The implantable medical device can automatically detect its presence in a high noise environment and automatically revert to the alternative operating mode, the device may be manually switched to alternative operating mode, or a hybrid manual/automatic approach may be used to switch the device to alternative operating mode.

24. 发明授权

EP1501592B1 METHOD AND APPARATUS FOR DELAYING A VENTRICULAR TACHYCARDIA THERAPY 有权
标题翻译：方法和装置耽误了治疗室性心动过速
公开(公告)号：EP1501592B1
公开(公告)日：2011-10-19
申请号：EP03723877.1
申请日：2003-04-02
申请人： Medtronic, Inc.
发明人： BURNES, John, E. , DEGROOT, Paul, J.
IPC分类号： A61N1/362
CPC分类号： A61N1/3621 , A61N1/3962
摘要： A device and method to detect slow ventricular tachycardia, deliver anti-tachycardia pacing therapies, and delay a scheduled shock therapy if the ventricular tachycardia is not terminated or accelerated. Preferably, a shock therapy is delayed after verifying hemodynamic stability based on a hemodynamic sensor. After a shock is delayed, the device operates in a high alert mode for redetecting an accelerated tachycardia. Anti-tachycardia pacing therapies are repeated during the shock delay. A number of conditions can trigger delivery of the delayed shock therapy including a specified period of elapsed time; determination that the patient is likely to be asleep; detection of myocardial ischemia; detection of compromised hemodynamics, or detection of a substantially prone position or sudden change in position. A delayed shock therapy may be triggered by the patient and repeated delivery of painful shock therapies in patients that are not seriously compromised by a recurring, slow ventricular tachycardia is avoided.

25. 发明公开

EP1587580A1 SLOW RISE DEFIBRILLATION WAVEFORMS FOR A PULSE MODULATED CIRCUIT 审中-公开
标题翻译：缓缓升起除颤FOR脉冲调制电路
公开(公告)号：EP1587580A1
公开(公告)日：2005-10-26
申请号：EP03812488.9
申请日：2003-12-03
申请人： MEDTRONIC, INC.
发明人： BELK, Paul, A. , DEGROOT, Paul, J.
IPC分类号： A61N1/39
CPC分类号： A61N1/3906
摘要： The present invention provides structures and methods for delivering a complex slow-rise defibrillation waveform wherein in lieu of the simple truncation of prior art defibrillation waveforms, when a predetermined amplitude is reached for an ascending waveform (e.g., a ramp waveform), the waveform transitions to an exponential decay portion for a period of time and at the expiration of the period of time, a truncation occurs. In the event that a first complex bi-phasic ramp wave form is implemented, a second opposite polarity waveform may be delivered. Said second waveform is preferably of similar shape to the first waveform, but of a less magnitude amplitude, although the second waveform may comprise a traditional waveform. The implementation and feasibility of the waveforms according to the present invention in an ICD or an AED is relatively simple while providing significant advantages not previously known or used in the prior art.

26. 发明公开

EP1501600A2 COMBINED ANTI-TACHYCARDIA PACING (ATP) AND HIGH VOLTAGE THERAPY FOR TREATING VENTRICULAR ARRHYTHMIAS 有权
标题翻译：联合抗心动过速 - PACE和高压治疗室性心律失常的治疗
公开(公告)号：EP1501600A2
公开(公告)日：2005-02-02
申请号：EP03747564.7
申请日：2003-03-10
申请人： Medtronic, Inc.
发明人： OUSDIGIAN, Kevin, T. , PADMANABHAN, Vasant , DEGROOT, Paul, J. , SHARMA, Vinod , KASZAS, Cameron, J. , KRAUSE, Paul, G. , OLSON, Walter, H.
IPC分类号： A61N1/39
CPC分类号： A61N1/3962 , A61N1/3987
摘要： The present invention provides a system and method for treating an arrhythmia of the heart. The system and method involves delivery of anti-tachy pacing (ATP) pulses to the heart, possibly followed by the delivery of a high-voltage shock. ATP delivery is controlled such that the time of delivery of any high-voltage shock is not affected by the prior delivery of the ATP pulses. System control may be accomplished using one or more programmable parameters, which may include a user-specified shock energy.

27. 发明公开

EP4185373A1 DETECTION OF TREATABLE EVENTS 审中-实审
公开(公告)号：EP4185373A1
公开(公告)日：2023-05-31
申请号：EP21755244.7
申请日：2021-07-22
申请人： Medtronic, Inc.
发明人： HADDAD, Tarek, D. , MUSGROVE, Donald, R. , RADTKE, Andrew , CORNDORF, Eric, D. , DEGROOT, Paul, J.
IPC分类号： A61N1/39 , A61N1/362 , A61N1/372 , A61B5/00

28. 发明公开

EP1503824A2 TASK-ORIENTED INDUCTION CAPABILITIES FOR ICDS AND PROGRAMMERS 有权
标题翻译：面向任务的感应技能FOR ICDS和编程
公开(公告)号：EP1503824A2
公开(公告)日：2005-02-09
申请号：EP03746935.0
申请日：2003-04-02
申请人： Medtronic, Inc.
发明人： KRAUSE, Paul, G. , OUSDIGIAN, Kevin, T. , ERICKSEN, James, H. , DEGROOT, Paul, J. , PADMANABHAN, Seema , WILLENBRING, James, E.
IPC分类号： A61N1/39 , A61N1/372
CPC分类号： A61N1/3943 , A61N1/37247
摘要： The invention provides systems to prevent the delivery of anti-tachycardia pacing (ATP) following a defibrillation threshold (DFT) induction at implant. An algorithm that classifies episodes as induced or spontaneous is implemented, thereby enabling the ATP during charging feature to be operable only when spontaneous episodes are detected while temporarily suspending the ATP feature during the delivery of defibrillation shock after induction has been confirmed. Further, a user interface enables users to interact with an implantable medical device (IMD), particularly for setting a defibrillation threshold (DFT) or a 50 Hz burst from a single programmer screen. The user interface includes various functionalities to promote quick user access to parameters that govern diagnosis, therapy and other features of the IMD. A single screen enables the user to complete automatic and/or manual DFT inductions or a 50 Hz burst from a programmer interface while acquiring associated documentation from the same interface.

29. 发明公开

EP1501592A1 METHOD AND APPARATUS FOR DELAYING A VENTRICULAR TACHYCARDIA THERAPY 有权
标题翻译：方法和装置耽误了治疗室性心动过速
公开(公告)号：EP1501592A1
公开(公告)日：2005-02-02
申请号：EP03723877.1
申请日：2003-04-02
申请人： Medtronic, Inc.
发明人： BURNES, John, E. , DEGROOT, Paul, J.
IPC分类号： A61N1/362
CPC分类号： A61N1/3621 , A61N1/3962
摘要： A device and method to detect slow ventricular tachycardia, deliver anti-tachycardia pacing therapies, and delay a scheduled shock therapy if the ventricular tachycardia is not terminated or accelerated. Preferably, a shock therapy is delayed after verifying hemodynamic stability based on a hemodynamic sensor. After a shock is delayed, the device operates in a high alert mode for redetecting an accelerated tachycardia. Anti-tachycardia pacing therapies are repeated during the shock delay. A number of conditions can trigger delivery of the delayed shock therapy including a specified period of elapsed time; determination that the patient is likely to be asleep; detection of myocardial ischemia; detection of compromised hemodynamics, or detection of a substantially prone position or sudden change in position. A delayed shock therapy may be triggered by the patient and repeated delivery of painful shock therapies in patients that are not seriously compromised by a recurring, slow ventricular tachycardia is avoided.

30. 发明公开

EP1455897A2 CONTROL OF ARBITRARY WAVEFORMS FOR CONSTANT DELIVERED ENERGY 审中-公开
标题翻译：，任何波形用于生成恒能量控制水平
公开(公告)号：EP1455897A2
公开(公告)日：2004-09-15
申请号：EP02804520.1
申请日：2002-12-03
申请人： Medtronic, Inc.
发明人： HAVEL, William, J. , DEGROOT, Paul, J. , SINNER, Thomas, W. , KUEHN, Kevin , KEMMETMUELLER, Gary , WOLD, Warren, W.
IPC分类号： A61N1/39
CPC分类号： A61N1/3906 , A61N1/3912 , A61N1/3937
摘要： The present invention outlines structures and methods for delivering a controllable amount of energy to a patient by automatically compensating for the load impedance detected by an implantable-cardioverter defibrillator (ICD). The invention employs high speed, switching power converter technology for the efficient generation of high energy, arbitrary waveforms. Unlike a linear amplifier, switching power converters deliver high-energy waveforms with an efficiency that is independent of the size and amplitude of the desired waveform. An ICD that uses a switching power converter to deliver the desired energy to the patient stores the energy to be delivered in a storage capacitor. The converter then transforms this energy into an arbitrarily shaped output voltage-controlled or current-controlled waveform by switching the storage capacitor in and out of the output circuit at a high rate of speed. Preferably, the waveform comprises a ramp-type waveform.

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