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1. 发明申请

WO1997025100A1 ADAPTIVE, PERFORMANCE-OPTIMIZING COMMUNICATION SYSTEM FOR COMMUNICATING WITH AN IMPLANTED MEDICAL DEVICE 审中-公开
标题翻译：自适应，性能优化通信系统，用于与医疗设备进行通信
公开(公告)号：WO1997025100A1
公开(公告)日：1997-07-17
申请号：PCT/US1997000230
申请日：1997-01-06
申请人： MEDTRONIC, INC.
发明人： MEDTRONIC, INC. , GOEDEKE, Steven, D. , HAUBRICH, Gregory, J. , KEIMEL, John, G. , THOMPSON, David, L.
IPC分类号： A61N01/372
CPC分类号： A61N1/37252 , A61N1/37223 , A61N1/37247 , A61N1/3727 , G06F19/00 , Y10S128/903
摘要： An adaptive, performance-optimizing communication system for communicating with an implanted medical device in which signals are transmitted and received in accordance with predetermined, interrelated operational parameters, such as transmission rate, transmitter power, and the like. Various aspects of system performance, including bit error rate in received signals, the strength of received signals, the signal-to-noise ratio of received signals, the presence of local RF noise and non-telemetry related RF signals, and the like, are dynamically monitored by the communication system, to determine whether predetermined system performance goals are being met. If it is determined that one or more system performance goals are not being met, one or more operational parameters may be automatically adjusted so that desired performance can be achieved.
摘要翻译：一种用于与植入式医疗装置进行通信的自适应性能优化通信系统，其中根据预定的相互关联的操作参数（诸如传输速率，发射机功率等）来发送和接收信号。系统性能的各个方面，包括接收信号中的误码率，接收信号的强度，接收信号的信噪比，本地RF噪声和非遥测相关RF信号的存在等等。由通信系统动态监视，以确定是否满足预定的系统性能目标。如果确定没有满足一个或多个系统性能目标，则可以自动调整一个或多个操作参数，从而可以实现期望的性能。

2. 发明授权

EP0939662B1 WORLDWIDE PATIENT LOCATION AND DATA TELEMETRY SYSTEM FOR IMPLANTABLE MEDICAL DEVICES 失效
标题翻译： WORLDWIDE PATIENTENORTUNGS-和数据遥测系统植入式医疗器械
公开(公告)号：EP0939662B1
公开(公告)日：2003-05-02
申请号：EP96919421.6
申请日：1996-06-13
申请人： MEDTRONIC, INC.
发明人： DUFFIN, Edwin, G. , THOMPSON, David, L. , GOEDEKE, Steven, D. , HAUBRICH, Gregory, J.
IPC分类号： A61N1/372
CPC分类号： A61N1/37282 , A61B5/1112 , G06F19/00 , G06F19/3418
摘要： A system for communicating with a medical device implanted in an ambulatory patient and for locating the patient in order to selectively monitor device function, alter device operating parameters and modes and provide emergency assistance to and communications with a patient (41). The implanted device includes a telemetry transceiver for communicating data and operating instructions between the implanted device and an external patient communications control device that is either worn by or located in proximity to the patient within the implanted device transceiving range. The control device preferably includes a communication link with a remote medical support network, a global positioning satellite receiver for receiving positioning data identifying the global position of the control device, and a patient activated link for permitting patient initiated personal communication with the medical support network (89). A system controller in the control device controls data and voice communications to and from the medical support network. The communications link may comprise a world wide satellite network, hardwired telephone network, a cellular telephone network or other personal communications system.

3. 发明申请

WO2005079908A2 IMPLANTABLE MEDICAL DEVICES WITH DUAL-MEMORY SUPPORT 审中-公开
标题翻译：具有双存储器支持的可植入医疗器械
公开(公告)号：WO2005079908A2
公开(公告)日：2005-09-01
申请号：PCT/US2005/005154
申请日：2005-02-17
申请人： MEDTRONIC, INC. , GOEDEKE, Steven, D.
发明人： GOEDEKE, Steven, D.
IPC分类号： A61N
CPC分类号： A61N1/37264 , A61N1/025 , A61N1/37211 , A61N1/37229
摘要： The invention is directed to implantable medical devices (IMDs) with dual-memory support. An IMD is designed to detect the presence or absence of a programmable non-volatile memory, such as flash memory. The IMD processor determines whether operation instructions reside in non-programmable non-volatile memory or in programmable non-volatile memory as a function of an output from a detector circuit.
摘要翻译：本发明涉及具有双存储器支持的可植入医疗装置（IMD）。 IMD被设计为检测可编程非易失性存储器（例如闪存）的存在或不存在。 IMD处理器根据检测器电路的输出确定操作指令是否位于非可编程非易失性存储器或可编程非易失性存储器中。

4. 发明申请

WO2005070498A1 DEVICE AND METHOD FOR REDUCING IMPLANTABLE DEFIBRILLATOR VOLUME 审中-公开
标题翻译：用于减少可植入的剔除器体积的装置和方法
公开(公告)号：WO2005070498A1
公开(公告)日：2005-08-04
申请号：PCT/US2005/001068
申请日：2005-01-12
申请人： MEDTRONIC, INC. , GOEDEKE, Steven, D. , PAPE, Forrest, C.M.
发明人： GOEDEKE, Steven, D. , PAPE, Forrest, C.M.
IPC分类号： A61N1/39
CPC分类号： A61N1/375 , A61N1/3968 , A61N1/3975
摘要： A battery/capacitor assembly for use in an implantable medical device comprises a battery and at least one capacitor housed in a unitary metal encasement. Either the battery, capacitor, or both may be coated with an insulating layer (e.g. plastic). In addition, a metallic layer may be disposed between the battery and the at least one capacitor.
摘要翻译：用于可植入医疗装置的电池/电容器组件包括电池和容纳在单一金属外壳中的至少一个电容器。电池，电容器或两者都可以涂覆有绝缘层（例如塑料）。此外，金属层可以设置在电池和至少一个电容器之间。

5. 发明申请

WO2005033727A1 TIMING OF MRI DATA ACQUISITION INVOLVING IMPLANTABLE MEDICAL DEVICES 审中-公开
标题翻译：涉及可植入医疗器械的MRI数据采集时序
公开(公告)号：WO2005033727A1
公开(公告)日：2005-04-14
申请号：PCT/US2004/031749
申请日：2004-09-28
申请人： MEDTRONIC, INC. , ZEIJEMAKER, Volkert, A. , GOEDEKE, Steven, D.
发明人： ZEIJEMAKER, Volkert, A. , GOEDEKE, Steven, D.
IPC分类号： G01R33/567
CPC分类号： G01R33/5673 , A61N1/3718
摘要： The invention is directed to techniques in which magnetic resonance imaging (MRI) is coordinated with the operation of an implantable medical device (IMD). By using an IMD to sense conditions, MRI can be improved because the sensed conditions can accurately define timing for application of electromagnetic radiation bursts. Moreover, by applying stimulation pulses specifically to coordinate the electromagnetic radiation bursts, the MRI may also be improved. In one embodiment, a cardiac pacemaker is used to sense the ECG of the subject and transmit the ECG to the MRI scanner. Moreover, the pacemaker may be used to alter the heart frequency of the subject (e.g. induction of arrhythmia).
摘要翻译：本发明涉及其中磁共振成像（MRI）与可植入医疗装置（IMD）的操作协调的技术。通过使用IMD来感测条件，可以改善MRI，因为感测的条件可以准确地定义施加电磁辐射突发的定时。此外，通过特异地施加刺激脉冲来协调电磁辐射脉冲串，也可以改善MRI。在一个实施例中，使用心脏起搏器来感测对象的ECG并将ECG发送到MRI扫描仪。此外，起搏器可用于改变受试者的心脏频率（例如心律失常的诱发）。

6. 发明申请

WO2003092794A2 MEANS TO CONNECT A SMALL DIAMETER LEAD 审中-公开
标题翻译：意思是连接一个小直径的引线
公开(公告)号：WO2003092794A2
公开(公告)日：2003-11-13
申请号：PCT/US2003/011196
申请日：2003-04-10
申请人： MEDTRONIC, INC.
发明人： BELDEN, Elisabeth , BLAHA, Eric, V. , BONDE, Eric , COBIAN, Ryan, K. , GOEDEKE, Steven, D. , HAUBRICH, Gregory, J. , HESS, Douglas, N. , NERISON, Nels , SOMMER, John, L. , THOMPSON, David, L. , WERDER, Jonathan, C.
IPC分类号： A61N1/00
CPC分类号： A61N1/37252 , A61B5/0031 , A61B2560/0219 , A61N1/025 , A61N1/37223 , A61N1/3752 , A61N2001/0585

7. 发明申请

WO2004066834A1 PATIENT MONITORING DEVICE WITH MULTI-ANTENNA RECEIVER 审中-公开
标题翻译：具有多天线接收器的患者监护装置
公开(公告)号：WO2004066834A1
公开(公告)日：2004-08-12
申请号：PCT/US2004/002172
申请日：2004-01-27
申请人： MEDTRONIC, INC.
发明人： GOEDEKE, Steven, D.
IPC分类号： A61B5/00
CPC分类号： A61B5/0031 , A61B2560/0456 , A61M2205/3507
摘要： A patient monitoring device incorporates a receiver capable of single-antenna or multi-antenna operation. Multi-antenna operation permits the monitoring device to take advantage of spatial diversity for improved communication with an implantable medical device in the presence of fading. However, the small size of many patient monitoring devices can make the incorporation of multiple antennas difficult. To permit spatial diversity operation, a base station includes at least a second antenna that can be coupled to the patient monitoring device. Alternatively, the base station may have one or more high quality antennas that are used by patient monitoring device instead of the antenna in the patient monitoring device when the patient monitoring device is coupled to the base station.
摘要翻译：患者监测装置包括能够进行单天线或多天线操作的接收机。多天线操作允许监控设备利用空间分集来改善与存在衰落的可植入医疗设备的通信。然而，许多患者监测装置的小尺寸可以使多个天线的并入变得困难。为了允许空间分集操作，基站包括可耦合到患者监视设备的至少第二天线。或者，当患者监视设备耦合到基站时，基站可以具有由患者监视设备代替病人监视设备中的天线使用的一个或多个高质量天线。

8. 发明申请

WO2003092794A3 MEANS TO CONNECT A SMALL DIAMETER LEAD 审中-公开
公开(公告)号：WO2003092794A3
公开(公告)日：2003-11-13
申请号：PCT/US2003/011196
申请日：2003-04-10
申请人： MEDTRONIC, INC.
发明人： BELDEN, Elisabeth , BLAHA, Eric, V. , BONDE, Eric , COBIAN, Ryan, K. , GOEDEKE, Steven, D. , HAUBRICH, Gregory, J. , HESS, Douglas, N. , NERISON, Nels , SOMMER, John, L. , THOMPSON, David, L. , WERDER, Jonathan, C.
IPC分类号： H01R13/52
摘要： The present invention provides a practical, multi-polar, in-line connector system for use in connecting implantable medical devices (IMD) and associated non-standard, low profile medical electrical leads. In addition, the present invention provides a system that uses tool less, frictional, sealed, compressive electrical connections for most or all of the electrical interconnections between an IMD and a low profile lead. A protective sleeve seals the lead connector to the non-standard port to prevent intrusion of body fluids therein. In addition, optional microchip-based circuitry coupled to the sleeve enables wireless communication and remote programming for diverse IMDs. Memory associated with the circuitry can store, update and reprogram a wide variety of information relevant to the IMD, the patient, and the attending physician, among others. For example, the microchip may be used to identify the lead type and characteristics, as well as other useful data.

9. 发明申请

WO2003008037A2 METHOD AND APPARATUS FOR AUTOMATIC IMPLANTABLE MEDICAL LEAD RECOGNITION AND CONFIGURATION 审中-公开
标题翻译：方法和装置用于自动可植入医疗领域的识别和配置
公开(公告)号：WO2003008037A2
公开(公告)日：2003-01-30
申请号：PCT/US2002/023294
申请日：2002-07-10
申请人： MEDTRONIC,INC.
发明人： THOMPSON, David, L. , GOEDEKE, Steven, D. , HAUBRICH, Gordon, J. , COBIAN, Ryan , BONDE, Eric , SOMMER, John, L. , WERDER, Jonathan, C. , NERISON, Nels , BLAHA, Eric, V.
IPC分类号： A61N1/00
CPC分类号： A61N1/37252 , A61B5/0031 , A61B2560/0219 , A61N1/025 , A61N1/05 , A61N1/37223 , A61N1/3752 , A61N2001/0585
摘要： An automated identification and configuration system for use with an implantable medical device (IMD) is disclosed. The system includes a first communication circuit that is attached to, or otherwise carried by, a detachable component associated with the IMD such as a medical lead. The communication circuit stores data such as model numbers, serial numbers, technical data, and/or calibration information that describes the additional component. This information may be transferred by the first communications circuit to a second communications circuit that is external to the additional component. This transferred data can be used to automatically configure the internal circuitry and connection functions of the IMD to properly interface with, and support, the additional component. For example, the data can be used to automatically adjust amplifier gains or other sensor circuitry, or to configure a connector block to properly couple to the component. The data may further be entered into a patient record on an external programmer, or may be transferred to a central storage location to be generally accessible to health care providers. In one embodiment, the first communication circuit is a passive RF transponder. This first communication circuit may include a receiver as well as a transmitter to allow the circuit to programmably receive data at the time of component manufacture.
摘要翻译：公开了一种用于可植入医疗装置（IMD）的自动识别和配置系统。该系统包括第一通信电路，其连接到与IMD相关联的可拆卸部件（例如医疗引线）或由其携带。通信电路存储诸如型号，序列号，技术数据和/或描述附加组件的校准信息的数据。该信息可以由第一通信电路传送到附加组件外部的第二通信电路。该传输的数据可用于自动配置IMD的内部电路和连接功能，以正确地连接和支持附加组件。例如，数据可用于自动调整放大器增益或其他传感器电路，或配置连接器块以正确耦合到组件。数据可以进一步输入到外部编程器上的病人记录中，或者可以被传送到中央存储位置，以便卫生保健提供者通常可访问。在一个实施例中，第一通信电路是无源RF应答器。该第一通信电路可以包括接收器以及发射器，以允许电路在组件制造时可编程地接收数据。

10. 发明申请

WO1997000708A1 WORLDWIDE PATIENT LOCATION AND DATA TELEMETRY SYSTEM FOR IMPLANTABLE MEDICAL DEVICES 审中-公开
标题翻译：全球患者位置和可移植医疗设备的数据远程系统
公开(公告)号：WO1997000708A1
公开(公告)日：1997-01-09
申请号：PCT/US1996010325
申请日：1996-06-13
申请人： MEDTRONIC, INC.
发明人： MEDTRONIC, INC. , DUFFIN, Edwin, G. , THOMPSON, David, L. , GOEDEKE, Steven, D. , HAUBRICH, Gregory, J.
IPC分类号： A61N01/372
CPC分类号： A61N1/37282 , A61B5/1112 , G06F19/00 , G06F19/3418
摘要： A system for communicating with a medical device (10) implanted in an ambulatory patient and for locating the patient in order to selectively monitor device function, alter device operating parameters and modes and provide emergency assistance to and communications with a patient (10). The implanted device (10) includes a telemetry transceiver for communicating data and operating instructions between the implanted device and an external patient communications control device (20) that is either worn by or located in proximity of the patient within the implanted device transceiving range. The control device preferably includes a communication link with a remote medical support network (50), a global positioning satellite (80) receiver for receiving positioning data identifying the global position of the control device, and a patient activated link for permitting patient initiated personal communication with the medical support network (50). A system controller (24) in the control device (20) controls data and voice communications for selectively transmitting patient initiated personal communications and global positioning data to the medical support network (50), and for receiving and initiating re-programming of the implanted device operating modes and parameters in response to instructions received from the medical support network (50). The communications link between the medical support network and the patient communications control device may comprise a worldwide satellite network, hard-wired telephone network, a cellular telephone network (82) or other personal communications system.
摘要翻译：一种用于与植入在步行病人中的医疗装置（10）进行通信并用于定位患者以便选择性地监测装置功能，改变装置操作参数和模式以及向患者（10）提供紧急援助并与患者（10）进行通信的系统。植入装置（10）包括遥测收发器，用于在植入装置和外部患者通信控制装置（20）之间传送数据和操作指令，外部患者通信控制装置（20）在植入装置收发范围内由患者佩戴或位于患者附近。控制装置优选地包括与远程医疗支持网络（50）的通信链路，用于接收识别控制设备的全局位置的定位数据的全球定位卫星（80）接收器，以及用于允许患者发起的个人通信的患者激活的链路与医疗支持网络（50）。控制装置（20）中的系统控制器（24）控制数据和语音通信，用于选择性地将患者发起的个人通信和全球定位数据发送到医疗支持网络（50），并且用于接收和启动植入设备的重新编程操作模式和参数，以响应从医疗支持网络（50）接收的指令。医疗支持网络和患者通信控制设备之间的通信链路可以包括全球卫星网络，硬连线电话网络，蜂窝电话网络（82）或其他个人通信系统。

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