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    • 61. 发明申请
    • BANDPASS FILTER CLOCK
    • BANDPASS过滤器时钟
    • WO1991010472A1
    • 1991-07-25
    • PCT/US1991000366
    • 1991-01-17
    • MEDTRONIC, INC.
    • MEDTRONIC, INC.PAGLIOLO, Joseph, P.ANDERSON, Russell, E.WEISPFENNING, Richard, F.BETZOLD, Robert, A.
    • A61N01/36
    • A61N1/368
    • A ventricular sense amplifier (30) for an implantable pulse generator has a digital logic (64) controlling the switching clock of switched capacitor bandpass filter (62) for minimization of transients during the period just preceding, during and following an atrial paced event. The timing is modified to discontinue switching during this period. This ensures that transients occurring as a result of functionally disconnecting and subsequently reconnecting the sensing lead with the sense amplifier are not propagated within the switched capacitor bandpass filter (62). An alternative approach is to increase the clocking rate during the blanked period to ensure that the transients created by the atrial pace or by disconnecting and reconnecting the sensing lead are rapidly processed by the switched capacitor bandpass filter and that processing is completed shortly following the atrial paced event. This alternative approach requires a gate at the sense amplifier output to disable propagation of any transients processed.
    • 用于可植入脉冲发生器的心室读出放大器(30)具有控制切换电容带通滤波器(62)的开关时钟的数字逻辑(64),用于在心房起搏事件之前,期间和之后的期间使瞬变最小化。 在此期间修改了停止切换的时间。 这确保了在开关电容器带通滤波器(62)内不传播作为功能断开并随后使感测放大器与感测放大器重新连接的瞬变。 另一种方法是在空白期间增加时钟频率,以确保通过开关电容带通滤波器快速地处理由心房速度产生的瞬变或断开和重新连接感测引线的瞬变,并且在心房起搏后不久完成处理 事件。 这种替代方法需要在读出放大器输出端的栅极来禁止所处理的任何瞬变的传播。
    • 65. 发明申请
    • METHOD AND APPARATUS FOR DIAGNOSIS AND TREATMENT OF ARRHYTHMIAS
    • ARRHYTHMIAS诊断和治疗方法与装置
    • WO1998025669A1
    • 1998-06-18
    • PCT/US1997019032
    • 1997-10-20
    • MEDTRONIC, INC.
    • MEDTRONIC, INC.PRIEVE, Kathleen, AliceGRAHAM, William, A., P.PETERSON, David, Karl
    • A61N01/362
    • A61N1/3925A61N1/3621A61N1/37252
    • An implantable anti-arrhythmia device such as a defibrillator or anti-tachycardia pacemaker with an associated patient activator. The arrhythmia detection function is divided between the patient and the implanted device, rather than merely providing patient activation or a patient override. The implantable device is provided with a tachyarrhythmia recognition mechanism, which operates essentially continuously, and which, upon meeting a first set of criteria, will trigger delivery of an anti-arrhythmia therapy such as pacing, cardioversion or defibrillation. The patient is provided with an activator which informs the implanted device that the patient believes that anti-arrhythmia therapy is necessary. In response to receipt of the activation signal, the implanted device defines a time interval thereafter during which a second, less stringent set of arrhythmia detection criteria must be met, in response to which the device will deliver a cardioversion or defibrillation pulse.
    • 可植入的抗心律失常装置,例如除颤器或具有相关患者激活剂的抗心动过速起搏器。 心律失常检测功能在患者和植入装置之间分开,而不仅仅是提供患者激活或患者超驰。 可植入装置具有快速性心律失常识别机制,其基本上连续运行,并且在满足第一组标准时将触发诸如起搏,复律或除颤之类的抗心律失常治疗的递送。 患者被提供有激活剂,其通知植入装置患者认为需要抗心律失常治疗。 响应于接收到激活信号,植入的装置定义了之后的时间间隔,在此期间,必须满足第二个较不严格的心律失常检测标准,响应于该装置将递送心脏复律或除颤脉冲。
    • 70. 发明申请
    • MINIMALLY INVASIVE IMPLANTABLE DEVICE FOR MONITORING PHYSIOLOGIC EVENTS
    • 用于监测生理事件的最小的入侵可植入设备
    • WO1998002209A2
    • 1998-01-22
    • PCT/US1997012443
    • 1997-07-09
    • MEDTRONIC, INC.
    • MEDTRONIC, INC.WARKENTIN, Dwight, H.RIFF, Kenneth, M.LEE, Brian, B.CARNEY, James, K.TURI, Gregg
    • A61N01/375
    • A61N1/375
    • A minimally invasive implant, means for insertion, and description of how to most efficiently use it are described in several embodiments. This implant (31) preferably has a segmented looping memory (34) for storing triggered physiologic events. Preferred events for setting autotriggers to record physiologic signals occurring during events include arrhythmias and syncopal events. Preferably the device can function without a microprocessor. An outside device (30A) or other patient activated manual trigger is included. Auto triggers and manually set triggers may be of different sizes. The preferred physiologic events are ECG signals. Electrode (32a, 32b) spacing can be critical. Additional sensors may be provided to the device. Preferred communications with the device is through telemetry such as is used for pacemakers and other implanted devices.
    • 在几个实施例中描述了微创植入物,用于插入的手段和如何最有效地使用它的描述。 该植入物(31)优选地具有用于存储触发的生理事件的分段循环存储器(34)。 设置自动跟踪器记录事件中发生的生理信号的首选事件包括心律失常和晕厥事件。 优选地,该装置可以在没有微处理器的情况下工作。 包括外部设备(30A)或其他患者激活的手动触发器。 自动触发器和手动设置触发器可能具有不同的大小。 优选的生理事件是ECG信号。 电极(32a,32b)的间距可能很重要。 可以向设备提供附加的传感器。 与设备的首选通信是通过诸如用于起搏器和其他植入设备的遥测。