Patent application number | Description | Published |
20080200959 | System and method to deliver therapy in presence of another therapy - Various aspects relate to a method. In various embodiments, a therapy of a first therapy type is delivered, and it is identified whether a therapy of a second therapy type is present to affect the therapy of the first therapy type. Delivery of the therapy is controlled based on the presence of the therapy of the second therapy type. Some embodiments deliver the therapy of the first type using one set of parameters in the presence of a therapy of a second type, and deliver the therapy of the first type using another set of parameters when the therapy of the second type is not present. In various embodiments, one of the therapy types includes a cardiac rhythm management therapy, and the other includes a neural stimulation therapy. Other aspects and embodiments are provided herein. | 08-21-2008 |
20080208270 | HIGH VOLTAGE CAPACITOR ROUTE WITH INTEGRATED FAILURE POINT - An implantable medical device may have a circuit failure mode. The disclosed circuit may have an integrated failure point designed to fail prior to those portions of the circuit. The integrated failure point may include a narrowed portion of a high voltage lead and a grounded lead having a narrow gap separating the grounded lead from the narrowed portion of the high voltage lead. During a high stress fault condition the narrowed portion of the high voltage lead acts as a fuse, forming a vaporized cloud of metal, which shorts current in the high voltage lead across the narrow gap to the grounded lead, thus protecting the remaining portion of the circuit from the high stress condition. | 08-28-2008 |
20090012574 | IMPLANTABLE MEDICAL DEVICE WITH TEMPERATURE MEASURING AND STORING CAPABILITY - An implantable medical device such as a cardiac pacemaker or implantable cardioverter/defibrillator with the capability of storing body temperature measurements taken periodically and/or when triggered by particular events. | 01-08-2009 |
20090132061 | SYSTEM AND METHOD FOR RECOVERING FROM TRANSIENT FAULTS IN AN IMPLANTABLE MEDICAL DEVICE - A system and method is disclosed for system fault recovery by an implantable medical device which employs a global fault response. The system enables the device to consistently recover from transient faults while maintaining a history of the reason for the device fault. Upon detection of a fault, the primary controller of the device signals a reset controller which then issues a reset command. All sub-systems of the primary device controller are then reset together rather than resetting individual sub-systems independently to ensure deterministic behavior. | 05-21-2009 |
20090156957 | PAINLESS NON-STIMULATING LEAD IMPEDANCE MEASUREMENT - This document discusses, among other things, an apparatus comprising, a plurality of electrodes configured to deliver defibrillation countershock energy to a subject, an impedance measurement circuit communicatively coupled to the electrodes and configured to measure the impedance between any two of the electrodes using a non-stimulating excitation signal, and a controller communicatively coupled to the impedance measurement circuit and configured to calculate the impedance of a shock vector, wherein the shock vector includes a first electrode and a second electrode electrically connected together, and a third electrode, and wherein the controller calculates the impedance using measured impedances between the three electrodes when none of them are electrically connected. | 06-18-2009 |
20090157127 | TELEMETRY DURING SAFETY MODE OPERATION - This document discusses, among other things, n implantable device comprising a communication circuit configured to communicate with an external device, a logic circuit communicatively coupled to the communication circuit, and a processor, communicatively coupled to the logic circuit and the communication circuit. The processor is configured to communicate information with the external device, via the communication circuit and the logic circuit, using a set of communication messages. While in a device safety mode, the processor is held in an inactive state and the logic circuit is configured to communicate with the external device using a subset of the set of communication messages. | 06-18-2009 |
20090157132 | DEFIBRILLATION SHOCK OUTPUT CIRCUIT - This document discusses, among other things, techniques for generating and delivering a high voltage defibrillation shock using an implantable cardiac rhythm management device. An output energy delivery bridge can be programmed to provide desired shock vectors or polarities. A bootstrapped fully solid-state switch control voltage generation circuit is described. Automatic polarity or vector reconfiguration embodiments are described, such as in response to an unsuccessful attempt to convert the heart to a normal rhythm. | 06-18-2009 |
20090157146 | IMPLANTABLE MEDICAL DEVICE WITH HALL SENSOR - An operating mode of an implantable medical device can be selected using at least one of a current or a voltage provided in response to a magnetic field sensed using a Hall effect sensor. | 06-18-2009 |
20090177110 | IMPEDANCE MEASUREMENT AND DEMODULATION USING IMPLANTABLE DEVICE - An implantable medical device performs impedance measurement and demodulation, such as for obtaining lead impedance measurements, or thoracic impedance measurements, such as for extracting respiration, cardiac stroke, or fluid status information. A 4-point FIR filter demodulator can be used to demodulate a two-phase current excitation waveform. The demodulator can also be used to measure noise for triggering a noise response. Among other things, an increased excitation current level can be used when noise is deemed to be present. | 07-09-2009 |
20090189082 | METHOD AND APPARATUS FOR RADIATION EFFECTS DETECTION - This document discusses, among other things, an implantable apparatus comprising a solid state electronic circuit and a sensor. The sensor is configured to detect an exposure of the solid state electronic circuit to ionizing radiation, and generate an indication of a non-single-event-upset (non-SEU) effect to the solid state electronic circuit from the exposure to ionizing radiation. | 07-30-2009 |
20090192563 | METHOD AND APPARATUS FOR ADJUSTING CARDIAC EVENT DETECTION THRESHOLD BASED ON DYNAMIC NOISE ESTIMATION - An implantable cardiac rhythm management (CRM) device includes a sensing and detection circuit that senses at least one cardiac signal and detects cardiac electrical events from the sensed cardiac signal using a detection threshold that is adjusted based on a dynamic noise estimation. The sensed cardiac signal is filtered to produce a filtered cardiac signal having a signal frequency band and a noise signal having a noise frequency band. The noise frequency band is substantially different from the signal frequency band. A dynamic noise floor is produced based on the noise signal and used as the minimum value for the detection threshold. A cardiac electrical is detected when the amplitude of the filtered cardiac signal exceeds the detection threshold. | 07-30-2009 |
20090234400 | Apparatus and method for treating ventricular tachyarrhythmias - A system and method for selectively treating a ventricular tachycardia based on sensed atrial and ventricular intervals from the patient's heart. A detection window of the ten most recent atrial and ventricular intervals are analyzed for the occurrence of either tachycardia or fibrillation. When a majority of the sensed intervals are satisfied, the apparatus starts a duration time interval. Ventricular intervals and atrial intervals are compare, ventricular interval greater than the atrial interval by a bias factor the system delivers tachycardia therapy to the heart. Alternatively, the method withholds tachycardia therapy to the heart when the atrial rate is classified as atrial fibrillation and the ventricular response is unstable. | 09-17-2009 |
20090287263 | MEDICAL DEVICE WITH LIQUID FILLED HOUSING - Embodiments of the invention are related to medical devices filled with a liquid composition, amongst other things. In an embodiment, the invention includes a hermetically sealed housing defining an interior volume, a component module disposed within the interior volume, the component module comprising a circuit board, the component module displacing a portion of the interior volume. A liquid composition can be disposed within the housing, the liquid composition filling at least 80% of the interior volume not displaced by the component module. Other embodiments are also included herein. | 11-19-2009 |
20100049281 | SYSTEMS FOR PROVIDING NEURAL MARKERS FOR SENSED AUTONOMIC NERVOUS SYSTEM ACTIVITY - In various method embodiments, a neural activity signal is sensed, a feature from the sensed neural activity signal is extracted, and a neural marker for the extracted feature is created. The neural marker includes information regarding the extracted feature. Various device embodiments comprise a port to receive a neural activity signal, and a feature extractor adapted to receive and process the neural activity signal to produce a neural marker that includes information for the neural activity signal. Various device embodiments comprise a display, a memory adapted to store a neural marker associated with a sensed neural activity signal, and a controller adapted to communicate with the memory and the display to provide a representation of the neural marker on the display. | 02-25-2010 |
20100088539 | System and Method for Providing Fault Tolerant Processing in an Implantable Medical Device - Embodiments herein generally relate to implantable medical devices and, specifically, to a system and method for providing fault tolerant processing in an implantable medical device. In an embodiment a system for providing fault tolerant processing in an implantable medical device is provided. The system can include an implantable medical device comprising a processor and memory store configured to execute a plurality of threads, temporal and spatial constraints assigned to one or more of the threads, and a kernel. The kernel can include a scheduler and a thread monitor configured to monitor execution of threads against the temporal and spatial constraints, and further configured to issue a response upon violation of either of the constraints by one of the plurality of threads. In an embodiment a method for providing fault tolerant processing in an implantable medical device is provided. Other embodiments are also included herein. | 04-08-2010 |
20100106224 | IMPLANTABLE MEDICAL DEVICE WITH TWO OR MORE TELEMETRY SYSTEMS - An implantable medical device comprises a near field telemetry module, a far field telemetry module, and a processor in electrical communication with the near field telemetry module and the far field telemetry module. The processor is configured to establish, in relation to a communication signal received by the near field telemetry module, a time period during which communication via the far field telemetry module is available, authenticate a far field communication session using the far field telemetry module, and communicate using the far field telemetry module upon authentication of the communication session. | 04-29-2010 |
20100152816 | TELEMETRY DUTY CYCLE MANAGEMENT SYSTEM FOR AN IMPLANTABLE MEDICAL DEVICE - An implantable medical device comprising a far field RF transmitter and receiver, a controller circuit communicatively coupled to the RF transmitter and receiver, and a wakeup timer circuit integral to, or communicatively coupled to, the controller. The controller is configured to initiate power up of the RF transmitter and receiver during a wakeup interval defined by the wakeup timer circuit, detect a digital key received from a second device during the wakeup interval, transmit a response using the RF transmitter when the digital key is received, and receive a communication from the second device and resynchronize the wake-up timer according to a time of the communication. | 06-17-2010 |
20100204758 | METHOD AND APPARATUS FOR INTRA-BODY ULTRASOUND COMMUNICATION - An intra-body ultrasonic signal can be converted into a first electrical signal, a local oscillator signal can be generated in an implantable system. The first electrical signal and the local oscillator signal can be mixed in an implantable system, such as to generate a demodulated signal, processed, such as using a filter. The filtered, demodulated signal can be further processed, such as implantably determining a peak amplitude of the first portion of the demodulated signal received from the filter over a time interval, implantably generating a dynamic tracking threshold that starts at an amplitude proportional the first portion of the demodulated signal and exponentially decays over a time interval, and determining a noise floor in the absence of a received intra-body ultrasonic signal and implantably comparing the peak amplitude and the tracking threshold and generate the digital output based on the difference. | 08-12-2010 |
20110046689 | CARDIAC PACEMAKER WITH PACING RATE MONITORING - A pacing monitoring system is described for incorporation in an implantable pacemaker that monitors the pacing rate and/or cumulative pace count in order to protect a patient from excessive pacing. The system includes monitoring circuitry that is configured to operate in multiple monitoring zones, where each zone is adapted to prevent excessively high-rate pacing during a particular mode of device operation. | 02-24-2011 |
20110066199 | HIGH VOLTAGE CAPACITOR ROUTE WITH INTEGRATED FAILURE POINT - An implantable medical device may have a circuit failure mode. The disclosed circuit may have an integrated failure point designed to fail prior to those portions of the circuit. The integrated failure point may include a narrowed portion of a high voltage lead and a grounded lead having a narrow gap separating the grounded lead from the narrowed portion of the high voltage lead. During a high stress fault condition the narrowed portion of the high voltage lead acts as a fuse, forming a vaporized cloud of metal, which shorts current in the high voltage lead across the narrow gap to the grounded lead, thus protecting the remaining portion of the circuit from the high stress condition. | 03-17-2011 |
20110066211 | IMPLANTABLE MEDICAL DEVICE WITH TWO OR MORE TELEMETRY SYSTEMS - An implantable medical device comprises a near field telemetry module to wirelessly receive first information into the IMD, a far field telemetry module to wirelessly receive second information into the IMD, and a processor in electrical communication with the near field telemetry module and the far field telemetry module. The processor is configured to establish, in relation to a communication signal received by the near field telemetry module, a time period during which communication via the far field telemetry module is available, and operate the IMD according to the received second information upon receiving third information via the near field telemetry link. | 03-17-2011 |
20110112592 | NEURAL STIMULATION SYSTEM TO PREVENT SIMULTANEOUS ENERGY DISCHARGES - Various aspects of the present subject matter relate to a system. Various embodiments of the system comprise at least one port to connect to at least one lead with at least one electrode, at least one stimulator circuit and at least one controller. The at least one stimulator circuit is connected to the at least one port and is adapted to deliver neural stimulation to a neural stimulation target using the at least one electrode. The at least one controller is adapted to determine when another energy discharge other than the neural stimulation to the neural stimulation target is occurring and to prevent delivery of the neural stimulation simultaneously with the other energy discharge. Other aspects and embodiments are provided herein. | 05-12-2011 |
20110160803 | IMPLANTABLE DEVICE WITH BIAS FOR MRI - An ambulatory or implantable device, such as a pacer, defibrillator, or other cardiac rhythm management device, can tolerate magnetic resonance imaging (MRI) or other noise without turning on an integrated circuit diode by selectively providing a bias voltage that can overcome an expected induced voltage resulting from the MRI or other noise. | 06-30-2011 |
20110160807 | IMPLANTABLE MEDICAL DEVICE INCLUDING CONTROLLABLY ISOLATED HOUSING - An implantable medical device or some other ambulatory medical device, such as a pacer, defibrillator, or other cardiac rhythm management device can include an electrical energy delivery circuit, such as including an integrated circuit comprising a first electrostimulation output terminal, a can terminal, and a switch control output. The ambulatory or implantable device can include at least two switches in series, each including a respective substrate electrically separate from the integrated circuit, and from each other, the switches configured to controllably isolate a conductive housing of the implantable medical device from the can terminal of the integrated circuit, such as in response to the switch control output. | 06-30-2011 |
20110166449 | METHOD AND APPARATUS FOR RADIATION EFFECTS DETECTION - An implantable medical apparatus comprises a solid state electronic circuit, an ionizing radiation exposure sensor, an ionizing radiation dose rate sensor, and a controller circuit. The ionizing radiation exposure sensor is configured to detect an exposure of the solid state electronic circuit to ionizing radiation, and generate an indication of a non-single-event-upset (non-SEU) effect to the solid state electronic circuit from the exposure to ionizing radiation, wherein the sensor comprises an accumulated ionizing radiation exposure sensor. The controller circuit is configured to blank the indication from the accumulated ionizing radiation exposure sensor when the radiation dose rate sensor indicates that flux ionizing radiation exceeds a flux ionizing radiation threshold. | 07-07-2011 |
20110172730 | IMPLANTABLE MEDICAL DEVICE WITH EMBEDDED PROGRAMMABLE NON-VOLATILE MEMORY - A method comprising providing a programmable non-volatile memory (PNVM) circuit fabricated together with a processor on an integrated circuit chip (IC) in an implantable medical device (IMD), partitioning the PNVM circuit into a plurality of portions based on how often that the processor accesses a portion, and selectively providing power or selectively restricting power to one or more of the portions according to how often that the processor accesses a portion. | 07-14-2011 |
20110224747 | IMPLANTABLE DEFIBRILLATION OUTPUT CIRCUIT - An implantable defibrillation circuit can include an output circuit. The output circuit can include a first switch configured to controllably connect a first supply node to a first output node, a second switch configured to controllably connect a second supply node to the first output node through a first rectifier, and the second switch can be configured to inhibit the first switch from connecting the first supply node to the first output node when the second supply node is connected to the first output node through the second switch. In an example, the first and second switches can include insulated gate bipolar transistors. | 09-15-2011 |
20110282407 | IMPLANTABLE CARDIOVERTER DEFIBRILLATOR WITH PROGRAMMABLE CAPACITOR CHARGING LEVEL - An implantable cardioverter defibrillator (ICD) has a programmable ICD energy level corresponding to the maximum defibrillation energy deliverable with each defibrillation shock pulse. The ICD energy level is programmable within the maximum energy capacity of the defibrillation capacitor(s) of the ICD. In various embodiments, after a user enters the ICD energy level, one or more corresponding ICD performance parameters are presented. Restrictions are applied to the energy level programming of the ICD to ensure the predictability of the one or more ICD performance parameters. | 11-17-2011 |
20120004694 | THERAPY CIRCUIT PROTECTION FOR IMPLANTABLE MEDICAL DEVICE - A medical device can include a therapy circuit configured to provide a specified electrostimulation therapy to a tissue site, the specified electrostimulation therapy including a scheduled completion, the therapy circuit including a protection circuit configured to adjust specification of the electrostimulation therapy being provided so as to provide an adjusted electrostimulation therapy before the scheduled completion. The medical device can include a monitoring circuit comprising a comparator. The monitoring circuit can be configured to trigger the protection circuit to inhibit the therapy circuit when the therapy circuit output parameter exceeds the specified threshold as indicated by the comparator. | 01-05-2012 |
20120016433 | APPARATUS AND METHOD FOR TREATING VENTRICULAR TACHYARRHYTHMIAS - A system and method for selectively treating a ventricular tachycardia based on sensed atrial and ventricular intervals from the patient's heart. A detection window of the ten most recent atrial and ventricular intervals are analyzed for the occurrence of either tachycardia or fibrillation. When a majority of the sensed intervals are satisfied, the apparatus starts a duration time interval. Ventricular intervals and atrial intervals are compare, ventricular interval greater than the atrial interval by a bias factor the system delivers tachycardia therapy to the heart. Alternatively, the method withholds tachycardia therapy to the heart when the atrial rate is classified as atrial fibrillation and the ventricular response is unstable. | 01-19-2012 |
20120041519 | SAFETY CONTROL SYSTEM FOR IMPLANTABLE NEURAL STIMULATOR - A neural stimulation system includes a safety control system that prevents delivery of neural stimulation pulses from causing potentially harmful effects. The neural stimulation pulses are delivered to one or more nerves to control the physiological functions regulated by the one or more nerves. Examples of such harmful effects include unintended effects in physiological functions associated with autonomic neural stimulation and nerve injuries caused by excessive delivery of the neural stimulation pulses. | 02-16-2012 |
20120046703 | METHOD AND DEVICE FOR COMPREHENSIVE ANTI-TACHYARRHYTHMIA THERAPY - A method and apparatus for delivering therapy to treat ventricular tachyarrhythmias is described. In one embodiment, neural stimulation, anti-tachycardia pacing, and shock therapy are employed in a progressive sequence upon detection of a ventricular tachycardia. | 02-23-2012 |
20120046708 | IMPLANTABLE MEDICAL DEVICE WITH TEMPERATURE MEASURING AND STORING CAPABILITY - An implantable medical device such as a cardiac pacemaker or implantable cardioverter/defibrillator with the capability of storing body temperature measurements taken periodically and/or when triggered by particular events. | 02-23-2012 |
20120116471 | DYNAMIC BATTERY MANAGEMENT IN AN IMPLANTABLE DEVICE - One aspect of this disclosure relates to a system for dynamic battery management in implantable medical devices. An embodiment of the system includes two or more devices for measuring battery capacity for an implantable medical device battery. The embodiment also includes a controller connected to the measuring devices. The controller is adapted to combine the measurements from the measuring devices using a weighted average to determine battery capacity consumed. According to various embodiments, at least one of the measuring devices includes a coulometer. At least one of the measuring devices includes a capacity-by-voltage device, according to an embodiment. The system further includes a display in communication with the controller in various embodiments. The display is adapted to provide a depiction of battery longevity in units of time remaining in the life of the implantable medical device battery, according to various embodiments. Other aspects and embodiments are provided herein. | 05-10-2012 |
20120116482 | LOW-POWER SYSTEM AND METHODS FOR NEUROMODULATION - An apparatus comprises an electrostimulation energy storage capacitor, a circuit path communicatively coupled to the electrostimulation energy storage capacitor and configured to provide quasi-constant current neural stimulation through a load from the electrostimulation energy storage capacitor, a current measuring circuit communicatively coupled to the circuit path and configured to obtain a measure of quasi-constant current delivered to the load, and a control circuit communicatively coupled to the current measuring circuit, wherein the control circuit is configured to initiate adjustment of the voltage level of the storage capacitor for a subsequent delivery of quasi-constant current according to a comparison of the measured load current to a specified load current value. | 05-10-2012 |
20120143274 | DEFIBRILLATION SHOCK OUTPUT CIRCUIT - This document discusses, among other things, techniques for generating and delivering a high voltage defibrillation shock using an implantable cardiac rhythm management device. An output energy delivery bridge can be programmed to provide desired shock vectors or polarities. A bootstrapped fully solid-state switch control voltage generation circuit is described. Automatic polarity or vector reconfiguration embodiments are described, such as in response to an unsuccessful attempt to convert the heart to a normal rhythm. | 06-07-2012 |
20120150250 | SYSTEM AND METHOD TO DELIVER THERAPY IN PRESENCE OF ANOTHER THERAPY - Various aspects relate to a method. In various embodiments, a therapy of a first therapy type is delivered, and it is identified whether a therapy of a second therapy type is present to affect the therapy of the first therapy type. Delivery of the therapy is controlled based on the presence of the therapy of the second therapy type. Some embodiments deliver the therapy of the first type using one set of parameters in the presence of a therapy of a second type, and deliver the therapy of the first type using another set of parameters when the therapy of the second type is not present. In various embodiments, one of the therapy types includes a cardiac rhythm management therapy, and the other includes a neural stimulation therapy. Other aspects and embodiments are provided herein. | 06-14-2012 |
20120150261 | IMPLANTABLE MEDICAL DEVICE WITH HALL SENSOR - An implantable medical device can include a Hall effect sensor. The Hall effect sensor can include a first pair of electrical contacts and a second pair of electrical contacts. In an example, the Hall effect sensor can be configured to sense a magnetic field and can be configured to provide a voltage corresponding to a magnitude of the sensed magnetic field. | 06-14-2012 |
20130033966 | METHOD AND APPARATUS FOR INTRA-BODY ULTRASOUND COMMUNICATION - An intra-body ultrasonic signal can be converted into a first electrical signal, a local oscillator signal can be generated in an implantable system. The first electrical signal and the local oscillator signal can be mixed in an implantable system, such as to generate a demodulated signal, processed, such as using a filter. The filtered, demodulated signal can be further processed, such as implantably determining a peak amplitude of the first portion of the demodulated signal received from the filter over a time interval, implantably generating a dynamic tracking threshold that starts at an amplitude proportional the first portion of the demodulated signal and exponentially decays over a time interval, and determining a noise floor in the absence of a received intra-body ultrasonic signal and implantably comparing the peak amplitude and the tracking threshold and generate the digital output based on the difference. | 02-07-2013 |
20130138170 | MANAGING CROSS THERAPY SENSING IN A MULTIPLE THERAPY IMPLANTABLE DEVICE - An apparatus comprises a cardiac signal sensing circuit configured to sense an electrical cardiac signal from at least one of an atrium or ventricle of a heart of a subject, a therapy circuit configured to provide electrical pacing therapy and electrical autonomic neural modulation therapy to the subject, and a control circuit. The control circuit is configured to initiate delivery of the autonomic modulation neural therapy, and the control circuit includes a signal detection circuit configured to detect delivery of the autonomic neural modulation therapy in the sensed cardiac signal. The control circuit is configured to change, in response to detecting the delivery, a sensitivity of the cardiac signal sensing circuit during delivery of the autonomic neural modulation therapy. | 05-30-2013 |
20130150927 | SAFETY CONTROL SYSTEM FOR IMPLANTABLE NEURAL STIMULATOR - A neural stimulation system includes a safety control system that prevents delivery of neural stimulation pulses from causing potentially harmful effects. The neural stimulation pulses are delivered to one or more nerves to control the physiological functions regulated by the one or more nerves. Examples of such harmful effects include unintended effects in physiological functions associated with autonomic neural stimulation and nerve injuries caused by excessive delivery of the neural stimulation pulses. | 06-13-2013 |
20130208383 | ELECTROSTATIC DISCHARGE PROTECTION CIRCUIT - An integrated circuit for an implantable medical device can include a substrate, a first capacitor, and an electrostatic discharge (ESD) protection circuit. The first capacitor can include an electrically conductive lower polysilicon terminal and an electrically conductive upper polysilicon terminal that can be separated from the lower polysilicon terminal by a first capacitor dielectric material. The ESD protection circuit can include an ESD shunt transistor and a second capacitor. The ESD shunt transistor can be configured to be normally off, but can be configured to turn on and conduct between first and second power supply rails in response to an ESD event exceeding a specified ESD event threshold value. The second capacitor can includes a first substrate terminal and an electrically conductive second polysilicon terminal that can be separated from the first substrate terminal by a second capacitor dielectric material. | 08-15-2013 |
20130245718 | SYSTEMS AND METHODS FOR MONITORING NEUROSTIMULATION DOSING - Various implantable device embodiments may comprise a neural stimulator configured to deliver a neurostimulation therapy with stimulation ON times and stimulation OFF times where a dose of the neurostimulation therapy is provided by a number of neurostimulation pulses over a period of time. The neural stimulator may be configured to monitor the dose of the delivered neurostimulation therapy against dosing parameters. The neural stimulator may be configured to declare a fault if the monitored dose does not favorably compare to a desired dose for the neurostimulation therapy, or may be configured to record data for the monitored dose of the delivered neurostimulation therapy, or may be configured to both record data for the monitored dose of the delivered neurostimulation therapy and declare a fault if the monitored dose does not favorably compare to a desired dose for the neurostimulation therapy. | 09-19-2013 |
20130267893 | IMPLANTABLE NEURAL STIMULATOR WITH MODE SWITCHING - Various aspects of the present subject matter relate to an implantable device. Various device embodiments comprise at least one port to connect to at least one lead with at least electrode, stimulation circuitry connected to the at least one port and adapted to provide at least one neural stimulation therapy to at least one neural stimulation target using the at least one electrode, sensing circuitry connected to the at least one port and adapted to provide a sensed signal, and a controller connected to the stimulation circuitry to provide the at least one neural stimulation therapy and to the sensing circuitry to receive the sensed signal. In response to a triggering event, the controller is adapted to switch between at least two modes. Other aspects and embodiments are provided herein. | 10-10-2013 |
20130317561 | SYSTEM AND METHOD TO DELIVER THERAPY IN PRESENCE OF ANOTHER THERAPY - Various aspects relate to a method. In various embodiments, a therapy of a first therapy type is delivered, and it is identified whether a therapy of a second therapy type is present to affect the therapy of the first therapy type. Delivery of the therapy is controlled based on the presence of the therapy of the second therapy type. Some embodiments deliver the therapy of the first type using one set of parameters in the presence of a therapy of a second type, and deliver the therapy of the first type using another set of parameters when the therapy of the second type is not present. In various embodiments, one of the therapy types includes a cardiac rhythm management therapy, and the other includes a neural stimulation therapy. Other aspects and embodiments are provided herein. | 11-28-2013 |
20140022678 | ELECTROSTATIC DISCHARGE PROTECTION CIRCUIT FOR IMPLANTABLE MEDICAL DEVICE - An implantable medical device can include an integrated circuit comprising an electrostatic discharge (ESD) protection circuit. The ESD protection circuit can include an active circuit, a first passive circuit, and a second passive circuit. For example, at least one of the first or second passive circuits can include an array of capacitors in a series configuration, a parallel configuration, or a combination of series and parallel configurations. The first and second passive circuits can be configured to establish a specified time constant, and, in response to an applied ESD, the first and second passive circuits can provide a control signal to active circuit to switch the active circuit from a substantially non-conductive mode to a substantially conductive mode. | 01-23-2014 |
20140052207 | THERAPY DELIVERY ARCHITECTURE FOR IMPLANTABLE MEDICAL DEVICE - An implantable medical device (IMD) may include multiple power supply circuits and an electrostimulation therapy output circuit configured to, in response to a control signal specifying an electrostimulation therapy, controllably connect any one or more of the first or second power supply circuits to any one or more of a first electrostimulation output node or a second electrostimulation output node to deliver an electrostimulation. In an embodiment, the IMD may include an electrostimulation therapy return circuit configured to establish a return path for the electrostimulation delivered via one or more of the first electrostimulation output node or the second electrostimulation output node. | 02-20-2014 |
20140214107 | DYNAMIC BATTERY MANAGEMENT IN AN IMPLANTABLE DEVICE - One aspect of this disclosure relates to a system for dynamic battery management in implantable medical devices. An embodiment of the system includes two or more devices for measuring battery capacity for an implantable medical device battery. The embodiment also includes a controller connected to the measuring devices. The controller is adapted to combine the measurements from the measuring devices using a weighted average to determine battery capacity consumed. According to various embodiments, at least one of the measuring devices includes a coulometer. At least one of the measuring devices includes a capacity-by-voltage device, according to an embodiment. The system further includes a display in communication with the controller in various embodiments. The display is adapted to provide a depiction of battery longevity in units of time remaining in the life of the implantable medical device battery, according to various embodiments. Other aspects and embodiments are provided herein. | 07-31-2014 |
20140296699 | IMPLANTABLE DEVICE WITH BIAS FOR MRI - An ambulatory or implantable device, such as a pacer, defibrillator, or other cardiac rhythm management device, can tolerate magnetic resonance imaging (MRI) or other noise without turning on an integrated circuit diode by selectively providing a bias voltage that can overcome an expected induced voltage resulting from the MRI or other noise. | 10-02-2014 |
20140296725 | METHOD AND APPARATUS FOR ADJUSTING CARDIAC EVENT DETECTION THRESHOLD BASED ON DYNAMIC NOISE ESTIMATION - An implantable cardiac rhythm management (CRM) device includes a sensing and detection circuit that senses at least one cardiac signal and detects cardiac electrical events from the sensed cardiac signal using a detection threshold that is adjusted based on a dynamic noise estimation. The sensed cardiac signal is filtered to produce a filtered cardiac signal having a signal frequency band and a noise signal having a noise frequency band. The noise frequency band is substantially different from the signal frequency band. A dynamic noise floor is produced based on the noise signal and used as the minimum value for the detection threshold. A cardiac electrical is detected when the amplitude of the filtered cardiac signal exceeds the detection threshold. | 10-02-2014 |
20140316487 | VAGAL NERVE STIMULATOR WITH MODE SWITCHING - Various aspects of the present subject matter relate to an implantable device. Various device embodiments comprise at least one port to connect to at least one lead with at least electrode, stimulation circuitry connected to the at least one port and adapted to provide at least one neural stimulation therapy to at least one neural stimulation target using the at least one electrode, sensing circuitry connected to the at least one port and adapted to provide a sensed signal, and a controller connected to the stimulation circuitry to provide the at least one neural stimulation therapy and to the sensing circuitry to receive the sensed signal. In response to a triggering event, the controller is adapted to switch between at least two modes. Other aspects and embodiments are provided herein. | 10-23-2014 |
20140324114 | SYSTEM AND METHOD TO DELIVER THERAPY IN PRESENCE OF ANOTHER THERAPY - Various aspects relate to a method. In various embodiments, a therapy of a first therapy type is delivered, and it is identified whether a therapy of a second therapy type is present to affect the therapy of the first therapy type. Delivery of the therapy is controlled based on the presence of the therapy of the second therapy type. Some embodiments deliver the therapy of the first type using one set of parameters in the presence of a therapy of a second type, and deliver the therapy of the first type using another set of parameters when the therapy of the second type is not present. In various embodiments, one of the therapy types includes a cardiac rhythm management therapy, and the other includes a neural stimulation therapy. Other aspects and embodiments are provided herein. | 10-30-2014 |
20150057558 | LEADLESS PACEMAKER WITH TRIPOLAR ELECTRODE - A leadless implantable medical device comprises a first electrode configured to deliver electrical pacing energy, a second electrode configured to sense intrinsic electrical cardiac activity, and a third electrode configurable to both deliver electrical pacing energy and sense intrinsic electrical cardiac activity. The first and third electrodes are used for delivering electrical pacing energy and the second and third electrodes are used to sense intrinsic electrical cardiac activity. None of the first, second and third electrodes are incorporated into a lead. | 02-26-2015 |
20150057721 | LEADLESS PACEMAKER WITH IMPROVED CONDUCTED COMMUNICATION - A leadless implantable medical device can include a hermetically scaled housing including a cylindrical body, a first surface at a first capped end of the cylindrical body, and a second surface at a second capped end of the cylindrical body. A first electrode can be located at the first capped end and a second electrode can be located on the second surface. The first and second electrodes include conductive portions configured for contacting one or both of tissue and fluid, and wherein the cylindrical body includes a length and the conductive portions of the first and second electrodes are separated substantially by the length of the cylindrical body. The device example also includes a therapy circuit configured to deliver electrical cardiac stimulating energy using the first and second electrodes, and a telemetry circuit configured to communicate with a second separate device. | 02-26-2015 |
20150088155 | MECHANICAL CONFIGURATIONS FOR A MULTI-SITE LEADLESS PACEMAKER - Devices or methods such as for stimulating excitable tissue or sensing physiologic response or other signals are described. An implantable apparatus can comprise an electrostimulation electrode assembly that can include an electrostimulation unit, at least first and second electrodes, and a fixation guide. The electrostimulation unit can generate electrostimulation for stimulating excitable tissue to achieve desired diagnostic or therapeutic effects. The first and second electrodes, coupled to the electrostimulation unit, can deliver the electrostimulation to two or more stimulation sites such as inside two or more heart chambers or on the surface of the heart. The fixation guide can engage and retain a maneuvering device used for steerably positioning and securing the first and second electrostimulation electrodes at respective stimulation site. | 03-26-2015 |