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    • 10. 发明授权
    • Multiple pacing output channels
    • 多起搏输出通道
    • US07184833B2
    • 2007-02-27
    • US10680695
    • 2003-10-07
    • Vincent P. GanionGlenn C. Zillmer
    • Vincent P. GanionGlenn C. Zillmer
    • A61N1/00A61B5/04
    • A61N1/3627A61N1/3684
    • An implantable medical device includes two or more pacing output channels coupled to a single unipolar electrode or bipolar electrode pair. The implantable medical device can control each pacing output channel to deliver pacing pulses via the single electrode or electrode pair at different times and with different amplitudes. In some embodiments, the implantable medical device is used to deliver extra-systolic stimulation therapy. In such embodiments, a first pacing output channel can be controlled to deliver pacing pulses via the electrode or electrode pair with an amplitude sufficient to depolarize a chamber of the heart. A second pacing output channel is controlled to deliver extra-systolic pulses, which can have a lower amplitude than the pacing pulses, via the electrode or electrode pair an extra-systolic interval after sensed or paced depolarizations of the chamber. In some embodiments, the implantable medical device delivers ESS therapy and cardiac resynchronization therapy (CRT).
    • 可植入医疗装置包括耦合到单个单极电极或双极电极对的两个或多个起搏输出通道。 可植入医疗装置可以控制每个起搏输出通道在不同时间和不同振幅下通过单个电极或电极对输送起搏脉冲。 在一些实施例中,可植入医疗装置用于输送收缩期刺激疗法。 在这样的实施例中,可以控制第一起搏输出通道,以经由电极或电极对以足以使心脏腔室去极化的振幅来输送起搏脉冲。 控制第二起搏输出通道,以经由电极或电极对经过感觉或起搏去极化之后的收缩期间隔来传送脉冲,其可以具有比起搏脉冲更低的振幅。 在一些实施例中,可植入医疗装置递送ESS治疗和心脏再同步治疗(CRT)。