专利快速检索-快速检索全球专利，免费商用专利数据库-IPRDB

1. 发明授权

US06701188B2 Controlling noise sources during telemetry 有权
标题翻译：在遥测中控制噪声源
公开(公告)号：US06701188B2
公开(公告)日：2004-03-02
申请号：US09947691
申请日：2001-09-06
申请人： John C. Stroebel , Forrest C. M. Pape , Paul J. Huelskamp , David J. Peichel , Chris T. House , James H. Ericksen
发明人： John C. Stroebel , Forrest C. M. Pape , Paul J. Huelskamp , David J. Peichel , Chris T. House , James H. Ericksen
IPC分类号： A61N1362
CPC分类号： A61N1/3975 , A61N1/3718 , A61N1/3956 , A61N1/3981
摘要： The invention presents techniques for reducing the interference to telemetry from an implanted medical device caused by a source of controllable noise. In the context of an implanted system that includes a defibrillator system and a telemetry system, for example, the invention reduces the interference by suspending energy storage during telemetry. The invention further provides for suspending energy storage operation gradually rather than abruptly, by gradually reducing the duty cycle of a clock that controls the energy storage.
摘要翻译：本发明提出了用于减少由可控噪声源引起的植入式医疗装置对遥测的干扰的技术。在包括除颤器系统和遥测系统的植入系统的上下文中，例如，本发明通过在遥测期间暂停能量存储来减少干扰。本发明还通过逐渐降低控制能量存储的时钟的占空比来进一步提供暂停而不是突然地暂停能量存储操作。

2. 发明授权

US06754527B2 System and method for reducing noise in an implantable medical device 有权
标题翻译：用于减少植入式医疗装置中的噪声的系统和方法
公开(公告)号：US06754527B2
公开(公告)日：2004-06-22
申请号：US09948069
申请日：2001-09-06
申请人： John C. Stroebel , Forrest C. M. Pape , Paul J. Huelskamp
发明人： John C. Stroebel , Forrest C. M. Pape , Paul J. Huelskamp
IPC分类号： A61N139
CPC分类号： A61N1/3975 , A61N1/3718 , A61N1/3981 , Y10S128/901
摘要： A system and method for reducing the amount of noise causes by inductive elements within an implantable medical device. In particular, the invention provides a system for gradually initiating and terminating the current flow within inductive elements such as transformers that are used to charge energy storage devices such as high-voltage capacitors of an implantable cardio/defibrillator. This more gradual change in the rate of current flow prevents ground shifts and subsequent noise spikes within the device. This, in turn, allows cardiac signals to be sensed more accurately by sensing circuits, preventing oversensing, and minimizing the occurrence of inappropriate shock delivery.
摘要翻译：用于减少由可植入医疗装置内的感应元件引起的噪音量的系统和方法。特别地，本发明提供一种用于逐渐启动和终止电流元件（例如变压器）内的电流的系统，所述变压器用于对诸如可植入的心/除颤器的高压电容器等能量存储装置进行充电。电流流动速率的这种逐渐变化可防止器件内的接地位移和随后的噪声尖峰。这反过来又允许通过感测电路更精确地感测心脏信号，防止过度感染，并且使不适当的电击递送的发生最小化。

3. 发明申请

US20090204168A1 IMPLANTABLE MEDICAL DEVICE BUS SYSTEM AND METHOD 有权
标题翻译：可植入医疗设备总线系统和方法
公开(公告)号：US20090204168A1
公开(公告)日：2009-08-13
申请号：US12366946
申请日：2009-02-06
申请人： Todd A. Kallmyer , Kevin K. Walsh , Javaid Masoud , Xander Evers , John C. Stroebel , James H. Ericksen , Mark A. Stockburger , Paul J. Huelskamp
发明人： Todd A. Kallmyer , Kevin K. Walsh , Javaid Masoud , Xander Evers , John C. Stroebel , James H. Ericksen , Mark A. Stockburger , Paul J. Huelskamp
IPC分类号： A61N1/37
CPC分类号： G06F13/14 , A61N1/372
摘要： A bus system is provided for implantable medical devices. The bus system provides for flexible and reliable communication between subsystems in an implantable medical device. The bus system facilitates a wide variety of communications between various subsystems. These various subsystems can include one or more sensing devices, processors, data storage devices, patient alert devices, power management devices, signal processing and other devices implemented to perform a variety of different functions.
摘要翻译：为可植入医疗设备提供总线系统。总线系统提供可植入医疗设备中的子系统之间的灵活和可靠的通信。总线系统有助于各种子系统之间的各种通信。这些各种子系统可以包括一个或多个感测设备，处理器，数据存储设备，患者警报设备，电力管理设备，信号处理以及执行各种不同功能的其他设备。

4. 发明授权

US06721592B2 Automatic electrogram measurement 有权
标题翻译：自动电描记测量
公开(公告)号：US06721592B2
公开(公告)日：2004-04-13
申请号：US09952717
申请日：2001-09-12
申请人： David Peichel , Tho Huynh , Forrest C. M. Pape , Robert A. Neumann , John C. Stroebel , Robert A. Gabler , James E. Willenbring
发明人： David Peichel , Tho Huynh , Forrest C. M. Pape , Robert A. Neumann , John C. Stroebel , Robert A. Gabler , James E. Willenbring
IPC分类号： A61B50452
CPC分类号： A61B5/0456 , A61N1/3704
摘要： Techniques for monitoring the magnitudes of representative filtered EGM signals over time. In a typical implementation, a group of digital peak values is generated in a time period and a representative digital peak value is selected for the time period. By comparing representative peak values for several time periods, changes in signal efficacy can be identified.
摘要翻译：用于随时间监视代表性滤波EGM信号幅度的技术。在典型的实现中，在一段时间内产生一组数字峰值，并在该时间段内选择代表性的数字峰值。通过比较几个时间段的代表性峰值，可以确定信号功效的变化。

5. 发明授权

US07913015B2 Implantable medical device bus system and method 有权
标题翻译：植入式医疗器械总线系统及方法
公开(公告)号：US07913015B2
公开(公告)日：2011-03-22
申请号：US12366946
申请日：2009-02-06
申请人： Todd A. Kallmyer , Kevin K. Walsh , Javaid Masoud , Xander Evers , John C. Stroebel , James Ericksen , Mark A. Stockburger , Paul J. Huelskamp
发明人： Todd A. Kallmyer , Kevin K. Walsh , Javaid Masoud , Xander Evers , John C. Stroebel , James Ericksen , Mark A. Stockburger , Paul J. Huelskamp
IPC分类号： G06F13/36
CPC分类号： G06F13/14 , A61N1/372
摘要： A bus system is provided for implantable medical devices. The bus system provides for flexible and reliable communication between subsystems in an implantable medical device. The bus system facilitates a wide variety of communications between various subsystems. These various subsystems can include one or more sensing devices, processors, data storage devices, patient alert devices, power management devices, signal processing and other devices implemented to perform a variety of different functions.
摘要翻译：为可植入医疗设备提供总线系统。总线系统提供可植入医疗设备中的子系统之间的灵活和可靠的通信。总线系统有助于各种子系统之间的各种通信。这些各种子系统可以包括一个或多个感测设备，处理器，数据存储设备，患者警报设备，电力管理设备，信号处理以及执行各种不同功能的其他设备。

6. 发明授权

US06731983B2 Pacemaker having adaptive arrhythmia detection windows 有权
标题翻译：起搏器具有适应性心律失常检测窗口
公开(公告)号：US06731983B2
公开(公告)日：2004-05-04
申请号：US10082981
申请日：2002-02-25
申请人： James H. Ericksen , Robert A. Betzold , Catherine R. Condie , Jeffrey M. Gillberg , Robert W. Stadler , John C. Stroebel , Troy E. Jackson
发明人： James H. Ericksen , Robert A. Betzold , Catherine R. Condie , Jeffrey M. Gillberg , Robert W. Stadler , John C. Stroebel , Troy E. Jackson
IPC分类号： A61N136
CPC分类号： A61N1/3622 , A61N1/3682
摘要： A device-implemented software system operates a detection window and adjusts PAV as needed after confirming the presence or detection of evidence of an arrhythmia. The detection window is monitored based on a preferred length. If the detection window is shorter than required, intervals are adjusted for a specific pacing rate. Further, the software system provides means for selecting detection over pacing based on an analysis of a preferred length in the presence of evidence of an arrhythmia.
摘要翻译：设备实现的软件系统在确认存在或检测到心律失常的证据之后，根据需要操作检测窗口并调整PAV。基于优选的长度来监视检测窗口。如果检测窗口比要求短，则根据特定的起搏速度对间隔进行调整。此外，软件系统提供了在存在心律失常证据的情况下基于优选长度的分析来选择起搏检测的手段。

7. 发明授权

US08744579B2 LV threshold measurement and capture management 有权
标题翻译： LV阈值测量和捕获管理
公开(公告)号：US08744579B2
公开(公告)日：2014-06-03
申请号：US12700454
申请日：2010-02-04
申请人： Purvee P. Parikh , John C. Stroebel , Todd J. Sheldon , Karen J. Kleckner
发明人： Purvee P. Parikh , John C. Stroebel , Todd J. Sheldon , Karen J. Kleckner
IPC分类号： A61N1/00
CPC分类号： A61N1/3627 , A61N1/3684 , A61N1/371
摘要： The invention provides methods and apparatus for determining in a non-tracking pacing mode (e.g., DDI/R, VVI/R) whether a ventricular pacing stimulus is capturing a paced ventricle, including some or all of the following aspects. For example, increasing a ventricular pacing rate a nominal amount to an overdrive pacing rate higher than a most recent heart rate and evaluating a conduction interval from a first pacing ventricle to a second sensing ventricle and then continuing to monitor the underlying rate to ensure that a threshold testing pacing rate will not exceed a predetermined minimum interval and providing pacing stimulation to the first ventricle and sensing the second ventricle to determine whether the pacing stimulation to the first ventricle was one of sub-threshold and supra-threshold. The methods and apparatus are especially useful in conjunction with ensuring actual delivery of a ventricular pacing regime (e.g., cardiac resynchronization therapy or “CRT”).
摘要翻译：本发明提供了用于在非跟踪起搏模式（例如，DDI / R，VVI / R）中确定心室起搏刺激是否捕获节奏心室的方法和装置，包括以下方面中的一些或全部。例如，将心室起搏速率提高到高于最近心率的超速起搏速率的标称值，并评估从第一起搏心室到第二感测心室的传导间隔，然后继续监测潜在速率，以确保阈值测试起搏速率不会超过预定的最小间隔，并且向第一脑室提供起搏刺激并且感测第二脑室以确定对第一脑室的起搏刺激是否是子阈值和超阈值之一。所述方法和装置与确保心室起搏方案（例如，心脏再同步治疗或“CRT”）的实际递送相结合特别有用。

8. 发明授权

US5902325A Method and apparatus for detecting cardiac capture 失效
标题翻译：用于检测心脏捕获的方法和装置
公开(公告)号：US5902325A
公开(公告)日：1999-05-11
申请号：US126469
申请日：1998-07-30
申请人： Catherine R. Condie , Daniel J. Baxter , William J. Combs , Daniel J. Greeninger , Karen J. Kleckner , H. Toby Markowitz , John C. Stroebel , John D. Wahlstrand
发明人： Catherine R. Condie , Daniel J. Baxter , William J. Combs , Daniel J. Greeninger , Karen J. Kleckner , H. Toby Markowitz , John C. Stroebel , John D. Wahlstrand
IPC分类号： A61N1/365 , A61N1/37
CPC分类号： A61N1/36521 , A61N1/3712 , A61N1/3714
摘要： A method and apparatus for automatic determination of a pacemaker patient's pacing stimulation threshold. Circuitry is provided in a pacemaker for obtaining a signal reflecting cardiac impedance, which is known to reliably reflect certain aspects of cardiac function. Circuitry is also provided for monitoring the cardiac impedance waveform during a predetermined capture detect window following delivery of stimulating pulses. One or more values are derived which characterize the morphology of the impedance waveform during the capture detect window associated with each stimulation pulse delivered. These values are compared to predetermined control values in order to assess whether a stimulation pulse has achieved cardiac capture. The assessment of whether cardiac capture has been achieved is also based partly upon the conventional sensing of atrial and/or ventricular cardiac signals occurring during the capture detect window. In one embodiment of the invention, the control values against which impedance waveform characterization values are compared are obtained by delivering a series of stimulation pulses having sufficient energy to ensure that capture is achieved, and by monitoring the impedance waveform during delivery of these pulses.
摘要翻译：一种用于自动确定起搏器患者起搏刺激阈值的方法和装置。在起搏器中提供电路以获得反映心脏阻抗的信号，这已知可靠地反映心脏功能的某些方面。还提供电路用于在传送刺激脉冲之后的预定捕获检测窗口期间监测心脏阻抗波形。导出一个或多个值，其表征在与递送的每个刺激脉冲相关联的捕获检测窗口期间阻抗波形的形态。将这些值与预定的控制值进行比较，以便评估刺激脉冲是否已经实现心脏捕获。是否已经实现心脏捕获的评估也部分地基于在捕获检测窗口期间发生的心房和/或心室心脏信号的常规感测。在本发明的一个实施例中，通过递送具有足够能量的一系列刺激脉冲来确定阻抗波形表征值被比较的控制值，以确保实现捕获，并且通过在传送这些脉冲期间监视阻抗波形来获得。

9. 发明授权

US07738955B2 System and method for ventricular pacing with AV interval modulation 有权
标题翻译：使用AV间期调制的心室起搏的系统和方法
公开(公告)号：US07738955B2
公开(公告)日：2010-06-15
申请号：US11115605
申请日：2005-04-27
申请人： Michael O. Sweeney , David A. Casavant , Robert A. Betzold , Paul A. Belk , Thomas J. Mullen , John C. Stroebel
发明人： Michael O. Sweeney , David A. Casavant , Robert A. Betzold , Paul A. Belk , Thomas J. Mullen , John C. Stroebel
IPC分类号： A61N1/372
CPC分类号： A61N1/368 , A61N1/3682
摘要： A pacing protocol is provided that reduces or minimizes ventricular pacing in favor of intrinsic conduction. When operating in a mode that provides ventricular pacing, a series of conduction checks are performed to determine if intrinsic conduction has returned. These conduction checks occur according to a predetermined pattern that generally includes longer intervals between subsequent attempts. The AV interval provided for dual chamber based pacing is modulated and generally moves from a larger value to a nominal value as the interval between unsuccessful conduction checks increases.
摘要翻译：提供起搏方案，其减少或最小化心室起搏以有利于内在传导。当以提供心室起搏的模式操作时，执行一系列导通检查以确定是否内部传导已经返回。这些传导检查根据通常在后续尝试之间具有较长间隔的预定模式进行。为双室起搏提供的AV间隔被调制，并且通常从较大的值移动到不成功的传导检查之间的间隔增加到标称值。

10. 发明申请

US20100137935A1 LV THRESHOLD MEASUREMENT AND CAPTURE MANAGEMENT 有权
标题翻译： LV阈值测量和捕获管理
公开(公告)号：US20100137935A1
公开(公告)日：2010-06-03
申请号：US12700454
申请日：2010-02-04
申请人： Purvee P. Parikh , John C. Stroebel , Todd J. Sheldon , Karen J. Kleckner
发明人： Purvee P. Parikh , John C. Stroebel , Todd J. Sheldon , Karen J. Kleckner
IPC分类号： A61N1/08 , A61N1/362
CPC分类号： A61N1/3627 , A61N1/3684 , A61N1/371
摘要： The invention provides methods and apparatus for determining in a non-tracking pacing mode (e.g., DDI/R, VVI/R) whether a ventricular pacing stimulus is capturing a paced ventricle, including some or all of the following aspects. For example, increasing a ventricular pacing rate a nominal amount to an overdrive pacing rate higher than a most recent heart rate and evaluating a conduction interval from a first pacing ventricle to a second sensing ventricle and then continuing to monitor the underlying rate to ensure that a threshold testing pacing rate will not exceed a predetermined minimum interval and providing pacing stimulation to the first ventricle and sensing the second ventricle to determine whether the pacing stimulation to the first ventricle was one of sub-threshold and supra-threshold. The methods and apparatus are especially useful in conjunction with ensuring actual delivery of a ventricular pacing regime (e.g., cardiac resynchronization therapy or “CRT”).
摘要翻译：本发明提供了用于在非跟踪起搏模式（例如，DDI / R，VVI / R）中确定心室起搏刺激是否捕获节奏心室的方法和装置，包括以下方面中的一些或全部。例如，将心室起搏速率提高到高于最近心率的超速起搏速率的标称值，并评估从第一起搏心室到第二感测心室的传导间隔，然后继续监测潜在速率，以确保阈值测试起搏速率不会超过预定的最小间隔，并且向第一脑室提供起搏刺激并且感测第二脑室以确定对第一脑室的起搏刺激是否是子阈值和超阈值之一。所述方法和装置与确保心室起搏方案（例如，心脏再同步治疗或“CRT”）的实际递送相结合特别有用。

你已经成功收藏专利！

检索式保存成功!

IPRDB

热门服务

关于我们

友情链接

联系方式