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1. 发明申请

WO2006104845A1 SYSTEM AND METHOD FOR VENTRICULAR PACING WITH PROGRESSIVE CONDUCTION CHECK INTERVAL 审中-公开
标题翻译：具有逐步导通检查间隔的静脉瓣的系统和方法
公开(公告)号：WO2006104845A1
公开(公告)日：2006-10-05
申请号：PCT/US2006/010590
申请日：2006-03-23
申请人： MEDTRONIC, INC. , BETZOLD, Robert, A.
发明人： BETZOLD, Robert, A.
IPC分类号： A61N1/362
CPC分类号： A61N1/368 , A61N1/3688
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 general includes longer intervals between subsequent attempts. A maximum interval is provided such that conduction checks are not repeated sequentially at the same time of day when at this maximum interval.
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。这些传导检查根据预定的模式进行，通常在后续尝试之间包括更长的间隔。提供最大间隔，使得在该最大间隔的同一天的相同时间不顺序重复传导检查。

2. 发明申请

WO2004093973A3 ATRIAL TRACKING RECOVERY TO RESTORE CARDIAC RESYNCHRONIZATION THERAPY IN DUAL CHAMBER TRACKING MODES 审中-公开
标题翻译：双向跟踪模式恢复心脏再生治疗的ATRIAL跟踪恢复
公开(公告)号：WO2004093973A3
公开(公告)日：2005-02-24
申请号：PCT/US2004011582
申请日：2004-04-15
申请人： MEDTRONIC INC , KLECKNER KAREN K , BETZOLD ROBERT A , LYNN THOMAS G JR
发明人： KLECKNER KAREN K , BETZOLD ROBERT A , LYNN THOMAS G JR
IPC分类号： A61N1/362 , A61N1/368 , A61N1/18 , A61N1/20 , A61N1/22 , A61N1/24 , A61N1/26 , A61N1/28 , A61N1/30 , A61N1/40
CPC分类号： A61N1/3627 , A61N1/3684
摘要： A feature named "atrial tracking recovery" (ATR) provides a means of restoring delivery of cardiac pacing therapy upon identification of an AR-VS pattern of cardiac activity. The present invention incorporates a method of monitoring such patterns to determine if they are terminable. Once the AR-VS pattern is identified, according to the present invention the PVARP is shortened to allow sensing of the atrial event, which previously was unable to initiate an SAV interval. Subsequent SAV intervals are shortened until an atrial event is sensed so that a ventricular pacing stimulus is delivered after the SAV interval expires. Since the SAV interval is normally programmed to an interval that is shorter than the intrinsic conduction time, ventricular pacing stimulus is provided after the SAV ends, thereby effectively restoring delivery of a ventricular pacing modality such as cardiac resynchronization therapy (CRT).
摘要翻译：称为“心房跟踪恢复”（ATR）的特征提供了在识别心脏活动的AR-VS模式时恢复心脏起搏治疗递送的方法。本发明包括监视这些模式以确定它们是否可终止的方法。一旦AR-VS模式被识别，根据本发明，PVARP被缩短以允许感测心房事件，其先前不能发起SAV间隔。随后的SAV间隔被缩短直到心房事件被感测到，使得在SAV间隔期满之后输出心室起搏刺激。由于SAV间隔通常被编程为短于内在传导时间的间隔，所以在SAV结束之后提供心室起搏刺激，从而有效地恢复心室再同步治疗（CRT）之类的心室起搏模式的传递。

3. 发明申请

WO2006115836A1 SYSTEM AND METHOD FOR VENTRICULAR PACING WITH AV INTERVAL MODULATION 审中-公开
标题翻译：用于AV间隔调制的静脉瓣的系统和方法
公开(公告)号：WO2006115836A1
公开(公告)日：2006-11-02
申请号：PCT/US2006/014094
申请日：2006-04-14
申请人： MEDTRONIC. INC. , BETZOLD, Robert, A. , SWEENEY, Michael, O.
发明人： BETZOLD, Robert, A. , SWEENEY, Michael, O.
IPC分类号： A61N1/362
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。

4. 发明申请

WO2011049939A1 IMPROVEMENT TO MINIMUM VENTRICULAR PACING TO BREAK THE REPETITIVE AR-VS PATTERN 审中-公开
标题翻译：对最小的静脉瓣的改进，以破坏重复的AR-VS模式
公开(公告)号：WO2011049939A1
公开(公告)日：2011-04-28
申请号：PCT/US2010/053178
申请日：2010-10-19
申请人： MEDTRONIC, INC. , BETZOLD, Robert, A. , BAUMGART, Kevin, E.
发明人： BETZOLD, Robert, A. , BAUMGART, Kevin, E.
IPC分类号： A61N1/368
CPC分类号： A61N1/368 , A61N1/36507 , A61N1/372
摘要： An implantable cardiac pacing device delivering minimum ventricular pacing and an associated method control intervals timed by the device during sensing and pacing. An atrial-only pacing mode is set in response to sensing intrinsic ventricular events in the ventricular chamber. A first post-ventricular atrial refractory period is set following each of a plurality of ventricular events sensed in the ventricular chamber, and atrial events each being sensed during first post-ventricular atrial refractory periods are detected. A second post-ventricular atrial refractory period is set in response to detecting the atrial events each being sensed during the first post-ventricular atrial refractory period.
摘要翻译：一种植入式心脏起搏装置，可在检测和起搏过程中提供最小心室起搏和相关方法控制间隔。心房起搏模式是为了响应感测室心室内的心室事件而设定的。在室心室中感测到的多个心室事件中的每一个之后设置第一心室后心房不应期，并且检测在第一室后房心不应期期间感测到的心房事件。响应于检测在第一次室后心房不良期间感测到的心房事件而设定第二心室后不应期。

5. 发明申请

WO2008042733A3 REPLACEMENT INDICATOR TIMER FOR IMPLANTABLE MEDICAL DEVICES 审中-公开
标题翻译：用于植入式医疗设备的替换指示器定时器
公开(公告)号：WO2008042733A3
公开(公告)日：2008-06-26
申请号：PCT/US2007079805
申请日：2007-09-28
申请人： MEDTRONIC INC , BETZOLD ROBERT A , BUSACKER JAMES W
发明人： BETZOLD ROBERT A , BUSACKER JAMES W
IPC分类号： A61N1/00 , A61N1/37
CPC分类号： A61N1/3708
摘要： A system and method is provided for reliably indicating that an implantable medical device is in need of replacement. An implantable medical device includes a battery and a replacement indicator timer. The battery provides power to the implantable medical device. The replacement indicator timer counts a replacement time period to a determined replacement date for the implantable medical device. The replacement indicator timer starts the counting when an operational characteristic of the battery reaches a selected value.
摘要翻译：提供了用于可靠地指示可植入医疗装置需要更换的系统和方法。可植入医疗装置包括电池和替换指示器计时器。电池为植入式医疗设备提供电力。替换指示器计时器将替换时间段计数为植入式医疗设备的确定替换日期。当电池的操作特性达到选定值时，更换指示器计时器开始计数。

6. 发明申请

WO2008042733A2 REPLACEMENT INDICATOR TIMER FOR IMPLANTABLE MEDICAL DEVICES 审中-公开
标题翻译：可移植医疗器械替换指示器定时器
公开(公告)号：WO2008042733A2
公开(公告)日：2008-04-10
申请号：PCT/US2007/079805
申请日：2007-09-28
申请人： MEDTRONIC, INC. , BETZOLD, Robert, A. , BUSACKER, James, W.
发明人： BETZOLD, Robert, A. , BUSACKER, James, W.
IPC分类号： A61N1/00 , A61N1/37
CPC分类号： A61N1/3708
摘要： A system and method is provided for reliably indicating that an implantable medical device is in need of replacement. An implantable medical device includes a battery and a replacement indicator timer. The battery provides power to the implantable medical device. The replacement indicator timer counts a replacement time period to a determined replacement date for the implantable medical device. The replacement indicator timer starts the counting when an operational characteristic of the battery reaches a selected value.
摘要翻译：提供了可靠地指示可植入医疗装置需要更换的系统和方法。可植入医疗装置包括电池和替换指示器计时器。电池为可植入医疗设备提供电力。替换指示器定时器将替换时间段计数到确定的可植入医疗装置的替换日期。当电池的操作特性达到选定值时，替换指示器定时器开始计数。

7. 发明申请

WO2004093973A2 ATRIAL TRACKING RECOVERY TO RESTORE CARDIAC RESYNCHRONIZATION THERAPY IN DUAL CHAMBER TRACKING MODES 审中-公开
标题翻译：双向跟踪模式恢复心脏再生治疗的ATRIAL跟踪恢复
公开(公告)号：WO2004093973A2
公开(公告)日：2004-11-04
申请号：PCT/US2004/011582
申请日：2004-04-15
申请人： MEDTRONIC, INC. , KLECKNER, Karen, K. , BETZOLD, Robert, A. , LYNN, Thomas, G., Jr.
发明人： KLECKNER, Karen, K. , BETZOLD, Robert, A. , LYNN, Thomas, G., Jr.
IPC分类号： A61N
CPC分类号： A61N1/3627 , A61N1/3684
摘要： A feature named "atrial tracking recovery" (ATR) provides a means of restoring delivery of cardiac pacing therapy upon identification of an AR-VS pattern of cardiac activity. The present invention incorporates a method of monitoring such patterns to determine if they are terminable. Once the AR-VS pattern is identified, according to the present invention the PVARP is shortened to allow sensing of the atrial event, which previously was unable to initiate an SAV interval. Subsequent SAV intervals are shortened until an atrial event is sensed so that a ventricular pacing stimulus is delivered after the SAV interval expires. Since the SAV interval is normally programmed to an interval that is shorter than the intrinsic conduction time, ventricular pacing stimulus is provided after the SAV ends, thereby effectively restoring delivery of a ventricular pacing modality such as cardiac resynchronization therapy (CRT).
摘要翻译：称为“心房跟踪恢复”（ATR）的特征提供了在识别心脏活动的AR-VS模式时恢复心脏起搏治疗递送的方法。本发明包括监视这些模式以确定它们是否可终止的方法。一旦AR-VS模式被识别，根据本发明，PVARP被缩短以允许感测心房事件，其先前不能发起SAV间隔。随后的SAV间隔被缩短直到心房事件被感测到，使得在SAV间隔期满之后输出心室起搏刺激。由于SAV间隔通常被编程为短于内在传导时间的间隔，所以在SAV结束之后提供心室起搏刺激，从而有效地恢复心室再同步治疗（CRT）之类的心室起搏模式的传递。

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