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    • 1. 发明授权
    • Fault-tolerant elective replacement indication for implantable medical
device
    • 用于可植入医疗器械的容错选择性替代指示
    • US5402070A
    • 1995-03-28
    • US275863
    • 1994-07-15
    • Michael B. SheltonRoss O. StarksonCraig L. SchmidtH. Toby Markowitz
    • Michael B. SheltonRoss O. StarksonCraig L. SchmidtH. Toby Markowitz
    • A61N1/37A61N1/378G01R31/36
    • G01R31/3662A61N1/3708A61N1/378
    • A pacemaker having a fault-tolerant elective replacement indicator (ERI) triggering scheme in which transient excursions of parameters used as criteria for triggering ERI are rejected as triggering events. Periodic assessments of certain indicia of battery depletion are made, and subjected to a long-term low-pass filtering operation in order to reduce the effects of transient excursions of the indicia which result from non-ERI conditions. Over a long period of time (e.g., a day) predetermined threshold values of the indicia of interest must be exceeded a predetermined number of times in order for the device to issue an ERI. In one disclosed embodiment of the invention, the battery's loaded terminal voltage and internal impedance are used as indicators of the battery's depletion level. Periodically, these values are measured and converted to digital values. The digital values are subjected to a low-pass filtering operation to prevent temporary or transient excursions of the impedance and voltage curves from causing ERI to be triggered. In another disclosed embodiment of the invention, a long term fading average of periodically measured values is maintained. When the measured values are found to fulfill the ERI criteria, assessment of the parameters of interest is performed at an increased rate. While assessments are performed at the increased rate, the continuously updated fading average value must fulfill the ERI triggering criteria at least a predetermined number of times before ERI is triggered. If the fading average fails to fulfill the ERI triggering criteria the required number of times, assessments are resumed at the first, slower periodic rate.
    • 具有容错选择性替换指示符(ERI)触发方案的起搏器,其中用作触发ERI的标准的参数的瞬时偏移作为触发事件被拒绝。 进行电池耗尽的某些标记的定期评估,并进行长期低通滤波操作,以减少由非ERI条件引起的标记的瞬时偏移的影响。 在一段长时间(例如,一天)中,为了使设备发布ERI,必须超过预定次数的预定阈值。 在本发明的一个公开的实施例中,电池的负载端子电压和内部阻抗被用作电池耗尽水平的指标。 定期测量这些值并将其转换为数字值。 对数字值进行低通滤波操作,以防止阻抗和电压曲线的暂时或瞬时偏移导致ERI被触发。 在本发明的另一个公开实施例中,维持周期性测量值的长期衰落平均值。 当发现测量值达到ERI标准时,以增加的速率进行感兴趣参数的评估。 虽然以增加的速率进行评估,但连续更新的衰落平均值必须在触发ERI之前至少达到预定次数的ERI触发标准。 如果衰落平均值不符合所需次数的ERI触发标准,则以第一个较慢的周期速率恢复评估。
    • 2. 发明授权
    • Fault-tolerant elective replacement indication for implantable medical
device
    • 用于可植入医疗器械的容错选择性替代指示
    • US5370668A
    • 1994-12-06
    • US81746
    • 1993-06-22
    • Michael B. SheltonRoss O. StarksonCraig L. SchmidtH. Toby Markowitz
    • Michael B. SheltonRoss O. StarksonCraig L. SchmidtH. Toby Markowitz
    • A61N1/37A61N1/378G01R31/36
    • G01R31/3662A61N1/3708A61N1/378
    • A pacemaker having a fault-tolerant elective replacement indicator (ERI) triggering scheme in which transient excursions of parameters used as criteria for triggering ERI are rejected as triggering events. Periodic assessments of certain indicia of battery depletion are made, and subjected to a long-term low-pass filtering operation in order to reduce the effects of transient excursions of the indicia which result from non-ERI conditions. Over a long period of time (e.g., a day) predetermined threshold values of the indicia of interest must be exceeded a predetermined number of times in order for the device to issue an ERI. In one disclosed embodiment of the invention, the battery's loaded terminal voltage and internal impedance are used as indicators of the battery's depletion level. Periodically, these values are measured and converted to digital values. The digital values are subjected to a low-pass filtering operation to prevent temporary or transient excursions of the impedance and voltage curves from causing ERI to be triggered. In another disclosed embodiment of the invention, a long term fading average of periodically measured values is maintained. When the measured values are found to fulfill the ERI criteria, assessment of the parameters of interest is performed at an increased rate. While assessments are performed at the increased rate, the continuously updated fading average value must fulfill the ERI triggering criteria at least a predetermined number of times before ERI is triggered. If the fading average fails to fulfill the ERI triggering criteria the required number of times, assessments are resumed at the first, slower periodic rate.
    • 具有容错选择性替换指示符(ERI)触发方案的起搏器,其中用作触发ERI的标准的参数的瞬时偏移作为触发事件被拒绝。 进行电池耗尽的某些标记的定期评估,并进行长期低通滤波操作,以减少由非ERI条件引起的标记的瞬时偏移的影响。 在一段长时间(例如,一天)中,为了使设备发布ERI,必须超过预定次数的预定阈值。 在本发明的一个公开的实施例中,电池的负载端子电压和内部阻抗被用作电池耗尽水平的指标。 定期测量这些值并将其转换为数字值。 对数字值进行低通滤波操作,以防止阻抗和电压曲线的暂时或瞬时偏移导致ERI被触发。 在本发明的另一个公开实施例中,维持周期性测量值的长期衰落平均值。 当发现测量值达到ERI标准时,以增加的速率进行感兴趣参数的评估。 虽然以增加的速率进行评估,但连续更新的衰落平均值必须在触发ERI之前至少达到预定次数的ERI触发标准。 如果衰落平均值不符合所需次数的ERI触发标准,则以第一个较慢的周期速率恢复评估。
    • 10. 发明授权
    • Implantable medical device with a nonhermetic battery
    • 具有非密封电池的可植入医疗器械
    • US07263401B2
    • 2007-08-28
    • US10835233
    • 2004-04-29
    • Erik R. ScottCarl D. WahlstrandRobert M. SkimeCraig L. Schmidt
    • Erik R. ScottCarl D. WahlstrandRobert M. SkimeCraig L. Schmidt
    • A61N1/00H01J5/00
    • A61N1/375A61N1/378
    • An implantable medical device (IMD) including a nonhermetic battery is described. The IMD includes components and a power source module that includes the nonhermetic battery. The IMD also includes a barrier to substantially impede movement of substances from the nonhermetic battery to the components. The barrier may include a hermetic feedthrough, a gel, a polymer, or a solid electrolyte within the nonhermetic battery, and a seal member. The barrier may also be a material that encapsulates the nonhermetic battery and a getter within the IMD. In some embodiments, the IMD comprises a modular IMD including an interconnect member. In that case, the barrier may include a material that fills at least a portion of a void defined by the interconnect member. A length and a cross-sectional area of the interconnect member may also act as a barrier.
    • 描述了包括非密封电池的可植入医疗装置(IMD)。 IMD包括组件和包含非密封电池的电源模块。 IMD还包括阻止物质从非密封电池移动到部件的屏障。 阻挡层可以包括非密封电池内的密封馈通,凝胶,聚合物或固体电解质,以及密封构件。 屏障还可以是在IMD内封装非密封电池和吸气剂的材料。 在一些实施例中,IMD包括包括互连构件的模块化IMD。 在这种情况下,阻挡层可以包括填充由互连构件限定的空隙的至少一部分的材料。 互连构件的长度和横截面积也可以用作屏障。