Patent application number | Description | Published |
20100234912 | FLEXIBLE NEURAL STIMULATION ENGINE - A method for implementing a neural stimulation therapy mode in an implantable medical device (IMD) comprising the acts of mapping respective device states, defined by one or more timer states that include at least one neural event timer or one or more indications of one or more sensed physiologic events, to associated device actions in a stored neural table, storing an event represented as a device status word and a time stamp in a queue in response to an action input, and comparing one or more current timer states or one or more indications of one or more sensed physiologic events to a device state contained in the neural table and, if found to match, causing performance of one or more associated device actions, wherein the device actions include one or more of a neural stimulation energy delivery or a change in one or more timer states. | 09-16-2010 |
20100298900 | CARDIAC PACEMAKER WITH TABLE-BASED PACING MODE IMPLEMENTATION - A device and method for implementing a bradycardia pacing mode are disclosed which is mostly hardware-based but still allows the flexibility for making major changes in brady behavior normally found only in firmware-based implementations. The brady behavior of the device is encapsulated by a table in an area of RAM referred to as brady RAM, and the brady behavior can be changed by re-loading the brady RAM with a different table. | 11-25-2010 |
20110098773 | ESTIMATION OF DEDICATED BIPOLAR PACING VECTOR THRESHOLD - Methods and devices are described that allow estimation of an electrostimulation capture threshold, such as a dedicated bipolar pacing vector threshold. In an example, an equal-energy assumption between first and second pacing vectors can be used to estimate an electrostimulation capture threshold of a second pacing vector from a measured electrostimulation capture threshold of the first pacing vector and impedances of the first and second pacing vectors. In an example, a relationship between first and second pacing vectors can be determined from measured data, and a parameter of the relationship can be used with a measurement of an electrostimulation capture threshold of the first pacing vector to estimate an electrostimulation capture threshold of the second pacing vector. | 04-28-2011 |
20110098774 | ESTIMATION OF DEDICATED BIPOLAR PACING VECTOR THRESHOLD - Methods and devices are described that allow estimation of an electrostimulation capture threshold, such as a dedicated bipolar pacing vector threshold. In an example, an equal-energy assumption between first and second pacing vectors can be used to estimate an electrostimulation capture threshold of a second pacing vector from a measured electrostimulation capture threshold of the first pacing vector and impedances of the first and second pacing vectors. In an example, a relationship between first and second pacing vectors can be determined from measured data, and a parameter of the relationship can be used with a measurement of an electrostimulation capture threshold of the first pacing vector to estimate an electrostimulation capture threshold of the second pacing vector. | 04-28-2011 |
20120303082 | Adjusting Cardiac Pacing Response Sensing Intervals - Discrimination between different types of possible cardiac pacing responses may depend on the timing of expected features that are sensed within a temporal framework. The temporal framework may include classification intervals, blanking periods and appropriately timed back up paces. The classification intervals and blanking periods of the temporal framework are intervals of time that have time parameters that include start time, end time, and length. The relationships and timing parameters of the elements of the temporal framework, e.g., blanking periods, classification intervals, delay periods, and backup pacing, should support detection of features used to discriminate between different types of pacing responses. As the system learns the morphology of the particular patient by analyzing the waveform of the pacing response signal, the temporal framework for pacing response determination may be adjusted to accommodate the individual patient. | 11-29-2012 |
20130138174 | AUTOTHRESHOLD WITH SENSING FROM PACING CATHODE - Cardiac electrostimulation energy is delivered to a heart chamber of a subject according to a normal pacing mode using a set of implantable pacing electrodes. When a threshold test for the heart chamber is initiated and a sensing electrode independent from the set of pacing electrodes is unavailable for the heart chamber, cardiac electrostimulation energy is delivered to the subject according to a threshold test mode. The threshold test mode includes sensing a cardiac activity signal from a subject using a set of sensing electrodes that includes an electrode common to the set of pacing electrodes, and changing the electrostimulation energy and sensing a resulting cardiac activity signal using the set of sensing electrodes to determine the optimum electrostimulation energy for capture of the heart chamber. | 05-30-2013 |
20130138175 | HYBRID AUTOTHRESHOLD - An apparatus comprises a control circuit that initiates a normal pacing mode for delivery of electrostimulation energy to the heart chamber. In response to an indication to initiate a threshold test, the control circuit determines an electrode configuration used to deliver the electrostimulation energy in the normal pacing mode, selects a first threshold test mode when a sensing electrode independent from the set of pacing electrodes is unavailable for the heart chamber, wherein a cardiac activity signal is sensed using a set of sensing electrodes that includes an electrode common to the set of pacing electrodes, and selects a second threshold test mode when a sensing electrode independent from the set of pacing electrodes is available for the heart chamber, wherein the cardiac activity signal is sensed using a set of sensing electrodes that excludes an electrode common to the set of pacing electrodes. | 05-30-2013 |
Patent application number | Description | Published |
20090105780 | Pacing Output Determination Based on Selected Capture Threshold Values - Approaches for adjusting the pacing energy delivered by a pacemaker are provided. Adjusting the pacing energy involves performing a plurality of capture threshold tests, each capture threshold test measuring a capture threshold of the heart. One or more measured captured thresholds are selected, including at least one capture threshold that is higher relative to other measured capture thresholds acquired by the plurality of capture threshold tests. The pacing energy is adjusted based on the one or more selected capture thresholds. | 04-23-2009 |
20100262207 | Methods and Systems for Managing Fusion and Noise in Cardiac Pacing Response Classification - Methods and systems for detecting noise in cardiac pacing response classification processes involve determining that a cardiac response classification is possibly erroneous if unexpected signal content is detected. The unexpected signal content may comprise signal peaks that have polarity opposite to the polarity of peaks used to determine the cardiac response to pacing. Fusion/noise management processes include pacing at a relatively high energy level until capture is detected after a fusion, indeterminate, or possibly erroneous pacing response classification is made. The relatively high energy pacing pulses may be delivered until capture is detected or until a predetermined number of paces are delivered. | 10-14-2010 |
20100286739 | Cardiac Rhythm Pacing Rate Selection for Automatic Capture Threshold Testing - Cardiac devices and methods that select pacing rates for automatic threshold tests based on a patient's hemodynamic need. A sensor-indicated pacing rate corresponding to a patient's hemodynamic need is determined. A test pacing rate is selected from either the sensor-indicated rate or another rate. Capture threshold testing is performed using the selected pacing rate. | 11-11-2010 |
20130013020 | Methods and Systems for Managing Fusion and Noise in Cardiac Pacing Response Classification - Methods and systems for detecting noise in cardiac pacing response classification processes involve determining that a cardiac response classification is possibly erroneous if unexpected signal content is detected. The unexpected signal content may comprise signal peaks that have polarity opposite to the polarity of peaks used to determine the cardiac response to pacing. Fusion/noise management processes include pacing at a relatively high energy level until capture is detected after a fusion, indeterminate, or possibly erroneous pacing response classification is made. The relatively high energy pacing pulses may be delivered until capture is detected or until a predetermined number of paces are delivered. | 01-10-2013 |
Patent application number | Description | Published |
20090108815 | Energy Capture Circuit - An energy capture circuit for capturing energy in response to an input pulse. The circuit is constructed and arranged to transfer input energy in time divided portions among subcircuits. This includes a storage means, a clock means, at least two subcircuits, and at least one transfer circuit. Each subcircuit includes a first inductive means in operative communication with the input source, a rectifying means for producing a positive current in operative communication with the first inductive means, a capacitive means in operative communication with the rectifying means, and a switch means in operative communication with the capacitive means. At least one transfer circuit is in operative communication with each of the switch means of the at least two subcircuits. The output of the clock means is in operative communication with both a first switch means and an inverter means, the inverter means having an output in operative communication with a second switch means. | 04-30-2009 |
20110121792 | Energy Capture Circuit - An energy capture circuit for capturing energy in response to an input pulse. The circuit is constructed and arranged to transfer input energy in time divided portions among subcircuits. This includes a storage means, a clock means, at least two subcircuits, and at least one transfer circuit. Each subcircuit includes a first inductive means in operative communication with the input source, a rectifying means for producing a positive current in operative communication with the first inductive means, a capacitive means in operative communication with the rectifying means, and a switch means in operative communication with the capacitive means. At least one transfer circuit is in operative communication with each of the switch means of the at least two subcircuits. The output of the clock means is in operative communication with both a first switch means and an inverter means, the inverter means having an output in operative communication with a second switch means. | 05-26-2011 |