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    • 3. 发明授权
    • Medical implantable lead and a method for attaching the same
    • 医用可植入引线及其附着方法
    • US09114251B2
    • 2015-08-25
    • US12596607
    • 2008-04-25
    • Rolf HillOlof Stegfeldt
    • Rolf HillOlof Stegfeldt
    • A61N1/04A61N1/05
    • A61N1/0573
    • A medical implantable lead of the type being adapted to be implanted into a human or animal body and attached with a distal end to an organ inside the body, has a helix of a helical wire in the distal end which is adapted to be screwed into the organ. In addition to the first helix, the lead also has a second helix of a helical wire, the second helix having the same diameter, the same pitch and being intertwined with the helical wire of the first helix and which, upon rotation of the first helix, will be rotated and screwed into the tissue. The first helix is electrically non-conductive whereas the second helix is electrically conductive. In a method for attaching a medical implantable lead to an organ inside a human or animal body, such a medical lead is employed and fixed to tissue in vivo.
    • 该类型的医用可植入引线适于被植入到人或动物体中并且与远端连接到身体内部的器官,具有在远端中的螺旋线的螺旋,其适于拧入 器官。 除了第一螺旋之外,引线还具有螺旋线的第二螺旋,第二螺旋具有相同的直径,相同的间距并与第一螺旋的螺旋线缠结,并且在第一螺旋旋转时 ,将旋转并拧入组织。 第一螺旋是非导电的,而第二螺旋是导电的。 在用于将医用可植入引线附着到人或动物体内的器官的方法中,使用这种医用引线并在体内固定到组织。
    • 4. 发明授权
    • Medical implantable lead with fixation detection
    • 具有固定检测的医用植入式铅
    • US09101332B2
    • 2015-08-11
    • US14518870
    • 2014-10-20
    • ST. JUDE MEDICAL AB
    • Sara HallanderMarcus Helgesson
    • A61N1/00A61B5/00A61N1/05A61B5/04
    • A61B5/6882A61B5/04A61B5/686A61B5/6869A61N1/05A61N1/0573
    • A lead comprises a mechanical switch at a proximal end of a rotatable shaft. The mechanical switch has a first position to electrically connect a first electric conductor to a second electric conductor for electrically activating a pin and has a second position to electrically connect the first electric conductor to the rotatable shaft for electrically activating a helix. Proper fixation of the helix to an organ is determined by inserting a stylet into the mechanical switch to render the pin electrically active and the helix electrically inactive. Upon determination of proper fixation of the helix to the organ, the stylet is removed from the mechanical switch to render the helix electrically active and the pin electrically inactive.
    • 引线包括在可旋转轴的近端处的机械开关。 机械开关具有将第一电导体电连接到用于电激活销的第二电导体的第一位置,并且具有将第一电导体电连接到可旋转轴的第二位置,用于电激活螺旋。 通过将探针插入机械开关来确定螺旋到器官的正确固定,以使引脚电活动并且螺旋电不起作用。 在确定螺旋对器官的适当固定后,将探针从机械开关中移除,使螺旋电活动并且引脚电气不活动。
    • 6. 发明授权
    • Method and device for detecting noise
    • 检测噪声的方法和装置
    • US08972010B2
    • 2015-03-03
    • US13502497
    • 2009-11-30
    • Allan OlsonLars KarlssonMarcus Berner
    • Allan OlsonLars KarlssonMarcus Berner
    • A61N1/00A61N1/37A61N1/365
    • A61N1/37A61N1/36521A61N1/3718
    • The present invention generally relates to implantable medical devices, such as pacemakers, and, in particular, to a method and an implantable medical device capable of detecting the presence of noise caused by external noise sources. Voltages and/or impedances are measured over one or several electrode configurations. Based on the measured voltages and/or impedances, noise parameters are calculated, which are compared with reference values to detect the presence of noise. In another aspect of the invention, at least two different electrode configurations with different noise pick-up areas are used in the measurement. Relations between the noise parameters of the at least two vectors are calculated and compared with reference relations to detect the presence of noise.
    • 本发明总体上涉及诸如起搏器的可植入医疗装置,特别涉及能够检测由外部噪声源引起的噪声的存在的方法和可植入医疗装置。 电压和/或阻抗是通过一个或几个电极配置来测量的。 基于测量的电压和/或阻抗,计算噪声参数,将其与参考值进行比较以检测噪声的存在。 在本发明的另一方面,在测量中使用具有不同噪声拾取区域的至少两种不同的电极配置。 计算至少两个矢量的噪声参数之间的关系并与参考关系进行比较以检测噪声的存在。
    • 9. 发明授权
    • Method and system for stimulating a heart of a patient
    • 刺激患者心脏的方法和系统
    • US08812109B2
    • 2014-08-19
    • US13593334
    • 2012-08-23
    • Andreas BlomqvistKjell Noren
    • Andreas BlomqvistKjell Noren
    • A61N1/00
    • A61N1/00A61N1/3627A61N1/36514A61N1/36564A61N1/3682A61N1/3684
    • In an implantable medical device and a method for stimulating a heart of a patient, at least one left atrial pressure (LAP) signal over a cardiac cycle is obtained. The A-wave is identified using the LAP signal and a maximum positive rate of change of the A-wave of the LAP signal is determined. The maximum positive rate of change of the A-wave corresponds to the rate which the pressure in the atrium raises as the atria contraction forces more blood into the ventricle during the very last stage of diastole. Further, AV and/or VV delay is adjusted in response to the maximum positive rate of change of the A-wave, wherein a reduction of the maximum positive rate of change of the A-wave indicates an AV and/or VV delay providing an enhanced hemodynamic performance.
    • 在可植入医疗装置和刺激患者心脏的方法中,获得心动周期上的至少一个左心房压力(LAP)信号。 使用LAP信号识别A波,并确定LAP信号的A波的最大正比率。 A波的最大阳性变化率对应于心房收缩期间压力升高的速率,因为心房收缩在舒张期的最后阶段迫使更多的血液进入心室。 此外,AV和/或VV延迟响应于A波的最大正的变化速率而被调整,其中A波的最大正的变化率的减小表示AV和/或VV延迟提供 增强血液动力学性能。