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    • 1. 发明授权
    • Implantable medical device having a controlled diagnostic function
    • 具有受控诊断功能的可植入医疗器械
    • US07333853B2
    • 2008-02-19
    • US10305548
    • 2002-11-26
    • Scott Thomas MazarBruce H. Kenknight
    • Scott Thomas MazarBruce H. Kenknight
    • A61N1/00
    • A61N1/37211A61N1/37282
    • Methods and systems for providing an implantable medical device with a controlled diagnostic function adapted to convert from a monitoring mode to a therapeutic mode upon sensing an actionable cardiovascular event are disclosed. A preferred embodiment uses an interactive control module to selectively control a plurality of gated circuits that turn the sensing, therapeutic and communications functions of the device on and off to conserve battery power and extend the life of the device. Some embodiments of a system disclosed herein also can be configured as a component of an Advanced Patient Management System that helps better monitor, predict and manage chronic diseases.
    • 公开了用于提供具有受控诊断功能的可植入医疗装置的方法和系统,其适于在感测到可行动的心血管事件时从监测模式转换为治疗模式。 优选实施例使用交互式控制模块来选择性地控制多个门控电路,其开启和关闭设备的感测,治疗和通信功能以节省电池电力并延长设备的使用寿命。 本文公开的系统的一些实施例还可以被配置为高级患者管理系统的组件,其有助于更好地监测,预测和管理慢性疾病。
    • 8. 发明授权
    • Positive fixation device
    • 正固定装置
    • US5314462A
    • 1994-05-24
    • US888492
    • 1992-05-27
    • Ronald W. Heil, Jr.Wickham, Jr. Robert W.Bruce H. Kenknight
    • Ronald W. Heil, Jr.Wickham, Jr. Robert W.Bruce H. Kenknight
    • A61N1/05A61N1/39A61N1/00
    • A61N1/0573
    • An implantable defibrillation electrode including a conductive distal end portion and a non-conductive proximal end portion is provided with at least a major portion of the length of the distal end portion having a preconfigured shape and being resiliently deformable into a generally straight condition. The distal end portion includes distal and proximal ends and at least one of those ends is hollow and has hook structure shiftably supported therein for movement longitudinally thereof from a retracted position at least substantially contained within the hollow end and an extended position at least substantially fully outwardly projected from the hollow end. Spring structure is provided for yieldingly biasing the hook structure from the extended position toward the retracted position and axial thrust developing structure is slidingly telescoped through the proximal end portion and operatively associated with the hook structure for exerting an axial thrust thereon from the terminal end of the proximal end portion in order to effect shifting of the hook structure from the retracted position to the extended position.
    • 包括导电远端部分和非导电近端部分的可植入除颤电极设置有远端部分的长度的至少大部分具有预先配置的形状并且可弹性变形为大致直线的状态。 远端部分包括远端和近端,并且这些端部中的至少一个端部是中空的并且具有可移动地支撑在其中的钩结构,用于使其纵向移动,从至少基本上容纳在中空端部内的缩回位置和至少基本上完全向外的延伸位置 从中空端突出。 提供弹簧结构用于使挂钩结构从延伸位置朝向缩回位置有效地偏置,并且轴向推力显影结构通过近端部分滑动伸缩并与钩结构可操作地相关联,从而从其上端施加轴向推力 近端部分,以便实现钩结构从缩回位置到延伸位置的移动。
    • 9. 发明授权
    • System and method for providing temporary stimulation therapy to optimize chronic electrical performance for electrodes used in conjunction with a cardiac rhythm management system
    • 用于提供临时刺激疗法以优化与心律管理系统结合使用的电极的慢性电性能的系统和方法
    • US07110815B2
    • 2006-09-19
    • US10139916
    • 2002-05-06
    • Ronald W. Heil, Jr.Bruce H. Kenknight
    • Ronald W. Heil, Jr.Bruce H. Kenknight
    • A61N1/362
    • A61N1/3625A61N1/30
    • A system and method for stimulating a human heart including a sensing module coupled through a lead to an electrode associated with a tissue of the human heart for sensing electrical activity of the heart. A controller module may be coupled to the sensing module. The controller module may select between a temporary stimulation therapy and a chronic stimulation therapy. Also included is a therapy module coupled to the controller, the therapy module communicating a plurality of anodic pulses to the heart through the lead when providing the temporary stimulation therapy. The amplitude, frequency, and duration of the anodic pulses may be varied, and biphasic pacing may also be used. The electrode may be a drug-eluting electrode for delivery of a drug. After an event occurs, the controller module may transition to the chronic stimulation therapy that may include cathodic stimulation.
    • 一种用于刺激人心脏的系统和方法,包括通过引线耦合到与人心脏组织相关联的电极的感测模块,用于感测心脏的电活动。 控制器模块可以耦合到感测模块。 控制器模块可以在临时刺激疗法和慢性刺激疗法之间进行选择。 还包括耦合到控制器的治疗模块,所述治疗模块在提供临时刺激治疗时通过引线将多个阳极脉冲传送到心脏。 阳极脉冲的振幅,频率和持续时间可以改变,并且也可以使用双相起搏。 电极可以是用于递送药物的药物洗脱电极。 发生事件之后,控制器模块可以转变到可能包括阴极刺激的慢性刺激治疗。