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    • 3. 发明授权
    • Implantable cardiac defibrillation assembly including a self-evaluation system and method
    • 植入式心脏除颤组件包括自我评估系统和方法
    • US07194304B1
    • 2007-03-20
    • US10702562
    • 2003-11-05
    • Gene A. BornzinEric FalkenbergMark W. KrollGabriel A. Mouchawar
    • Gene A. BornzinEric FalkenbergMark W. KrollGabriel A. Mouchawar
    • A61N1/365
    • A61N1/3943
    • An implantable cardiac defibrillation assembly includes at least one implantable lead having a defibrillation electrode adapted for placement in a chamber of the heart. The lead includes a connector. The assembly further includes an implantable defibrillation device having a pulse generator that provides defibrillation pulses and that is configured to receive the connector to couple the defibrillation electrode to the pulse generator. The device further includes a system that evaluates and conditions the assembly to provide defibrillation therapy to the heart without requiring arrhythmia induction of the heart. The system may condition the device for defibrillation therapy by reforming the defibrillation output capacitor and evaluate defibrillation lead DC resistance, and R wave sensing and detection. In addition, the system may estimate defibrillation thresholds and electrical fields and condition the device by setting the device to provide an output voltage above the estimated threshold. All of the foregoing may be accomplished without inducing ventricular fibrillation.
    • 植入式心脏除颤组件包括至少一个可植入引线,其具有适于放置在心脏腔室中的除颤电极。 引线包括一个连接器。 组件还包括具有脉冲发生器的可植入除颤装置,该脉冲发生器提供除颤脉冲,并且被配置为接收连接器以将除颤电极耦合到脉冲发生器。 该装置还包括一个系统,该系统评估和调节组件以向心脏提供除颤疗法,而不需要心律的心律失常诱导。 该系统可以通过重整除颤输出电容器并评估去纤颤引导直流电阻和R波感测和检测来调节器件进行除颤治疗。 此外,系统可以通过设置设备来提供高于估计阈值的输出电压来估计除颤阈值和电场并调节设备。 所有上述可以在不引起心室颤动的情况下完成。
    • 7. 发明授权
    • Method and apparatus for dynamically adjusting overdrive pacing parameters
    • 动态调整超速起搏参数的方法和装置
    • US06904317B2
    • 2005-06-07
    • US10043472
    • 2002-01-09
    • Joseph J. FlorioGene A. BornzinPeter BoileauEric FalkenbergJanice Barstad
    • Joseph J. FlorioGene A. BornzinPeter BoileauEric FalkenbergJanice Barstad
    • A61N1/362A61N1/36
    • A61N1/3621
    • Dynamic overdrive pacing adjustment techniques are described for use in implantable cardiac stimulation devices. In a first technique, an overdrive pacing unit of a microcontroller of the implantable device operates to optimize various control parameters that affect overdrive pacing so as to achieve a desired degree of overdrive pacing for the particular patient in which the stimulation device is implanted. Parameters to be optimized include the number of overdrive beats paced once overdrive pacing is trigged, the overdrive pacing response function, the recovery rate, and various base rates. The control parameters are adjusted in a hierarchical order of priority until the desired degree of overdrive pacing is achieved. Adjustment of the number of overdrive beats, the recovery rate, and various base rates is iteratively performed by using incremental numerical adjustments. Adjustment of the overdrive pacing response function may be performed by selecting among a set of fixed predetermined linear response functions. In a second technique, the overdrive pacing unit operates to optimize the shape of a single non-linear dynamic overdrive pacing response function so as to achieve the desired degree of overdrive pacing for the patient. The second technique may either be employed alone or in combination with the first, hierarchical optimization technique.
    • 动态超速起搏调节技术被描述用于可植入心脏刺激装置。 在第一技术中,可植入装置的微控制器的过驱动起搏单元操作以优化影响过驱动起搏的各种控制参数,以便为其中植入刺激装置的特定患者达到期望程度的过速起搏。 要优化的参数包括一旦超速起搏起搏起搏,超速起搏响应功能,恢复速率和各种基准速率起搏的过载跳动次数。 控制参数以优先级的等级顺序进行调整,直到达到期望的过速起搏程度。 通过使用增量数值调整迭代地执行过载跳动次数的调整,恢复率和各种基本速率。 可以通过在一组固定的预定线性响应函数中进行选择来执行过速起搏响应功能的调整。 在第二种技术中,超速起搏单元操作以优化单个非线性动态超速起搏响应功能的形状,以便达到病人期望程度的超速起搏起搏。 第二种技术可以单独使用,也可以与第一层级优化技术结合使用。
    • 10. 发明授权
    • Combined programming wand and PSA for pacemaker and ICD programmer system
    • 组合编程棒和PSA用于起搏器和ICD程序员系统
    • US07103414B1
    • 2006-09-05
    • US10829907
    • 2004-04-21
    • John W. PooreEric FalkenbergGene A. Bornzin
    • John W. PooreEric FalkenbergGene A. Bornzin
    • A61N1/18A61N1/372
    • A61N1/37235
    • A combined programming wand and PSA for physician programmers. A programmer/PSA wand can be connected to known programmers and PSA application software can be installed on the programmer to provide a system with the functionality of a PSA and a programmer in a single piece of clinical equipment. The programmer/PSA wand includes electronics to sense, pace, and shock to facilitate evaluation of indwelling leads during implantation of the implantable device and leads to facilitate programming of the device. The system includes one or more displays and control inputs that can provide information to a clinician at a single point that is typically provided with separate programmer and PSA equipment. The system provides increased efficiency, reduced opportunities for errors and/or equipment malfunction, and integrated data collection.
    • 用于医师程序员的组合编程棒和PSA。 程序员/ PSA棒可以连接到已知的程序员,PSA应用软件可以安装在程序员上,以便在单个临床设备中为系统提供PSA和程序员的功能。 编程器/ PSA棒包括用于感测,速度和冲击的电子装置,以便在植入可植入装置期间评估留置线,并且促进装置的编程。 该系统包括一个或多个显示器和控制输入,其可以在通常具有单独的编程器和PSA设备的单个点向临床医生提供信息。 该系统提供更高的效率,减少错误和/或设备故障的机会以及集成的数据收集。