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    • 4. 发明授权
    • Implantable medical device with electrode fault detection
    • 带电极故障检测的可植入医疗器械
    • US09238143B2
    • 2016-01-19
    • US13446158
    • 2012-04-13
    • Thomas Doerr
    • Thomas Doerr
    • A61N1/08A61N1/372
    • A61N1/37241A61N2001/083
    • An exemplary implantable medical device includes an electrode lead connector having at least one electrical contact for connection of an electrode lead, and an analyzing unit which is connected to the electrode lead connector and is designed to detect and evaluate a response signal present at the at least one electrical connector in response to known electromagnetic irradiation. The analyzing unit may compare a signal modulation resulting from an electromagnetic irradiation of the electrode lead with a reference signal modulation. The electrode lead may be classified as defective if the deviation exceeds a threshold deviation. If a second antenna is available, the analyzing unit may compare response signals resulting from electromagnetic irradiation of the electrode lead and the second antenna. If the ratio of response signals exceeds a threshold, the electrode lead may be classified as defective.
    • 示例性可植入医疗装置包括具有用于连接电极引线的至少一个电触头的电极引线连接器和连接到电极引线连接器的分析单元,其被设计成检测和评估至少存在的响应信号 一个电连接器响应于已知的电磁辐射。 分析单元可以将由电极引线的电磁辐射产生的信号调制与参考信号调制进行比较。 如果偏差超过阈值偏差,则电极引线可能被分类为有缺陷的。 如果第二天线可用,则分析单元可以比较由电极引线和第二天线的电磁辐射产生的响应信号。 如果响应信号的比例超过阈值,则电极引线可能被分类为有缺陷的。
    • 5. 发明授权
    • Maintenance system for maintaining an energy accumulator arrangement
    • 维持蓄能器装置的维护系统
    • US09220914B2
    • 2015-12-29
    • US13084624
    • 2011-04-12
    • Thomas DoerrVolker Lang
    • Thomas DoerrVolker Lang
    • A61N1/37A61N1/39A61N1/378
    • A61N1/3975A61N1/3708A61N1/378A61N1/3937
    • An energy accumulator arrangement for an electromedical implant includes a battery, a capacitor, and a charging device which is designed to supply an electric charge from the battery to the capacitor according to a charging program. A maintenance system for maintaining the energy accumulator arrangement includes a monitoring device contained in the implant which captures a physical parameter value of the energy accumulator arrangement; an evaluation unit for evaluating the captured physical parameter value and generating a resulting evaluation result signal; a transceiver contained in the implant which sends the captured physical parameter value to the evaluation unit, and receive the evaluation result signal generated by the evaluation unit; and additionally a control unit contained in the implant which controls the charging device and the monitoring device, and adapts the charging program as a function of the evaluation result signal.
    • 用于电动植入物的蓄能器装置包括电池,电容器和充电装置,其被设计成根据充电程序从电池向电容器提供电荷。 用于维持蓄能器装置的维护系统包括:包含在植入物中的监测装置,其捕获蓄能器装置的物理参数值; 评估单元,用于评估所捕获的物理参数值并产生所得到的评估结果信号; 包含在所述植入物中的收发器,其将所捕获的物理参数值发送到所述评估单元,并且接收由所述评估单元生成的评估结果信号; 以及附加地包含在植入物中的控制单元,其控制充电装置和监视装置,并且根据评估结果信号调整充电程序。
    • 8. 发明授权
    • Implantable electronic therapy device
    • 植入电子治疗装置
    • US08965495B2
    • 2015-02-24
    • US13195560
    • 2011-08-01
    • Thomas Doerr
    • Thomas Doerr
    • A61B5/04A61N1/362
    • A61N1/3621
    • An implantable electronic therapy device, having a therapy unit, a heart rate capturing unit, a contractility determination unit, and an evaluation and control unit. The therapy unit delivers an antitachycardiac therapy. The heart rate capturing unit determines a ventricular heart rate from an input signal, and the contractility determination unit generates from an input signal, a contraction signal reflecting a contractility of a ventricle. The evaluation and control unit is connected to the therapy unit, the heart rate capturing unit, and the contractility determination unit actuates the therapy unit to administer an antitachycardiac therapy when the heart rate capturing unit detects an increase in the heart rate above a specified threshold value and the contractility determination unit supplies a contraction signal which is not physiologically adequate for the increase in the heart rate.
    • 一种可植入电子治疗装置,具有治疗单元,心率捕获单元,收缩力确定单元和评估和控制单元。 治疗单位提供抗心律失常疗法。 心率捕获单元从输入信号确定心室心率,并且收缩力确定单元从输入信号产生反映心室收缩力的收缩信号。 评估和控制单元连接到治疗单元,心率捕获单元和收缩力确定单元致动治疗单元以在心率捕获单元检测到心率增加高于指定阈值时进行抗心律失调治疗 并且收缩性判定单元提供在生理上不足以增加心率的收缩信号。
    • 9. 发明授权
    • Ventricular heart stimulator
    • 心室心脏刺激器
    • US08886305B2
    • 2014-11-11
    • US12407703
    • 2009-03-19
    • Thomas DoerrFrank TscherchUlrich Tietze
    • Thomas DoerrFrank TscherchUlrich Tietze
    • A61N1/05A61N1/39A61N1/362A61N1/368A61N1/37
    • A61N1/3925A61N1/3622A61N1/368A61N1/3682A61N1/3684A61N1/3704A61N1/3962
    • The invention relates to an implantable ventricular heart stimulator (10), comprising an at least partially electrically conductive housing (12), an electrode line terminal for connection of a ventricular defibrillation electrode line (20) and a terminal for a defibrillation electrode (26). According to the invention, the heart stimulator has a far-field electrocardiogram detection unit (70) which has a first input connected to the terminal for the ventricular defibrillation electrode and has a second input connected to the electrically conductive housing and designed or configured to generate a far-field electrocardiogram on the basis of the electric potentials applied to the two inputs during operation. The inventive heart stimulator also has a far-field electrocardiogram evaluation unit (72) which is connected to the far-field electrocardiogram detection unit and is designed to detect signal features characteristic of atrial depolarizations in a far-field electrocardiogram generated by the far-field electrocardiogram detection unit.
    • 本发明涉及可植入心室心脏刺激器(10),其包括至少部分导电的壳体(12),用于连接心室除颤电极线(20)和用于除颤电极(26)的端子的电极线端子, 。 根据本发明,心脏刺激器具有远场心电图检测单元(70),其具有连接到心室除颤电极的端子的第一输入端,并且具有连接到导电壳体的第二输入端,并被设计或构造成产生 基于在操作期间施加到两个输入端的电位的远场心电图。 本发明的心脏刺激器还具有远场心电图评估单元(72),其连接到远场心电图检测单元,并被设计成检测由远场产生的远场心电图中心房去极化特征的信号特征 心电图检测单元。
    • 10. 发明授权
    • Implantable cardiac therapy device
    • 植入式心脏治疗装置
    • US08774919B2
    • 2014-07-08
    • US13602321
    • 2012-09-04
    • Thomas DoerrIngo Weiss
    • Thomas DoerrIngo Weiss
    • A61M1/12A61N1/39A61M1/10A61N1/362A61N1/365
    • A61M1/1086A61M1/10A61M1/1005A61M1/12A61M1/122A61M1/127A61M2205/3331A61M2230/65A61N1/3627A61N1/36521A61N1/3956
    • A cardiac therapy device having a cardiac assist pump, a defibrillation unit, and a control unit, which is connected to the cardiac assist pump and the defibrillation unit to control them. The cardiac assist pump is implemented in case of use to pump blood from a ventricle into an associated artery and thus relieve the respective ventricle. The defibrillation unit is implemented for automatic defibrillation of a ventricular fibrillation and the control unit is implemented to activate the cardiac assist pump and the defibrillation unit in a coordinated manner in case of a ventricular fibrillation such that the cardiac assist pump first increases its performance to initially cause a pressure relief of at least one assisted ventricle in case of use and the defibrillation unit only subsequently delivers a defibrillation shock, when a ventricular pressure relief is provided.
    • 一种具有心脏辅助泵,除颤单元和控制单元的心脏治疗装置,其连接到心脏辅助泵和除颤单元以控制它们。 心脏辅助泵在用于将血液从心室泵送到相关动脉中并因此减轻相应心室的情况下被实施。 除颤单元被实施用于心室颤动的自动除颤,并且控制单元被实现为在心室颤动的情况下以协调的方式激活心脏辅助泵和除颤单元,使得心脏辅助泵首先将其性能提高到最初 在使用情况下导致至少一个辅助心室的压力减轻,并且当提供心室压力释放时,除颤单元仅随后递送除颤电击。