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Class 607/15 - Selecting plural stimulation patterns


Subclass of Class 607 - Surgery: light, thermal, and electrical application
Definition: Subject matter wherein multiple stored patterns of stimuli are applied
No. of patents: 131
Last issue date: 04/26/2011


1        
NumberTitleIssue Date
7933651Cardiac template generation based on patient response information
Cardiac treatment methods and devices provide for templates representative of past tachyarrhythmia events, each template associated with a therapy. Methods involve providing a cardiac waveform representative of a patient's cardiac activity and identifying a portion ...
04/26/2011
7865241System and method for cardiac rhythm management with synchronized pacing protection period
A device and method for cardiac rhythm management in which a heart chamber is paced in accordance with a pacing mode that employs sense signals from the opposite chamber. A protection period triggered by the sensing of intrinsic activity in the paced chamber is used...
01/04/2011
7463925Methods and systems for promoting ventricular pacing
A device and method for multi chamber pacing a patient's heart having heart failure and intrinsic conduction, wherein ventricular tracking is used to pace the ventricle when the sinus rate exceeds a preset atrial maximum tracking rate. The ventricular tracking pacem...
12/09/2008
7440802System and method for managing refractory periods in a cardiac rhythm management device with biventricular sensing
A method and system for managing refractory periods in a cardiac rhythm management device configured for biventricular or biatrial sensing. Refractory periods for each channel of the pacemaker are provided by interval timers that are triggered by sensed or paced eve...
10/21/2008
7403818System and method for cardiac rhythm management with synchronized pacing protection period
A device and method for cardiac rhythm management in which a heart chamber is paced in accordance with a pacing mode that employs sense signals from the opposite chamber. A protection period triggered by the sensing of intrinsic activity in the paced chamber is used...
07/22/2008
7392083System and method for timing synchronized pacing
A device and method for cardiac rhythm management in which a heart chamber is paced in accordance with sense signals from the opposite chamber or other distant cardiac site. The method is particularly useful in delivering cardiac resynchronization therapy. ...
06/24/2008
7392088Capture detection for multi-chamber pacing
Multi-chamber pacing may result in capture of one chamber, capture of multiple chambers, fusion, or non-capture. Approaches for detecting various capture conditions during multi-chamber pacing are described. Pacing pulses are delivered to left and right heart chambe...
06/24/2008
7373203Cardiac rhythm management system with prevention of double counting of events
A cardiac rhythm management system recognizes patterns of interval durations, distinguishing between events in different heart chambers even though signals associated with those different heart chambers are processed using a commonly shared sensing circuit. A therap...
05/13/2008
7363078Intracardiac polarization signal stabilization
Polarization signals, which represent voltages measured at a pacemaker electrode, are not constant and may drift. Polarization signal drift, which often precedes undesirable pace polarization artifacts, is more significant when the pacemaker is inhibited from provid...
04/22/2008
7363081System and method for providing preventive overdrive pacing and antitachycardia pacing using an implantable cardiac stimulation device
Techniques for enabling both preventive overdrive pacing and antitachycardia pacing (ATP) within an implantable device are provided. The device gains the benefits of overdrive pacing for preventing the onset of a tachycardia and, if one nevertheless occurs, ATP is e...
04/22/2008
7349737Adjustment of the atrial sensitivity and of the atrial stimulation energy in an active implantable medical device such as double chamber cardiac pacemaker
An active implantable medical device, such as a double chamber pacemaker or defibrillator or cardiovertor, having an improved adjustment of atrial sensitivity and of atrial stimulation energy. This device includes control algorithms for suspecting a loss of atrial d...
03/25/2008
7328066Implantable cardiac stimulation device, system and method that identifies and prevents impending arrhythmias of the atria
An implantable cardiac stimulation device includes a system that identifies and prevents the occurrence of impending atrial arrhythmias. A sensing circuit senses atrial activity of a patient's heart to provide an atrial activity signal. A processor compares the atri...
02/05/2008
7317942Dynamic discrimination utilizing anti-tachy pacing therapy in an implantable medical device
A method and medical device for discriminating an arrhythmia that includes an input circuit sensing cardiac signals and a microprocessor identifying an event associated with the sensed cardiac signals as a first arrhythmia event. A first circuit delivers a first the...
01/08/2008
7305265Heart treatment equipment for treating heart failure
In a heart treatment equipment provided with a stimulating mechanism for both the ventricles, the both ventricle stimulation is made optimized in order to inhibit the decrease of the cardiac output when a heart rate increase or the vagus nerve stimulation is perform...
12/04/2007
7292887Apparatus and method for spatially and temporally distributing cardiac electrical stimulation
A cardiac electro-stimulatory device and method for operating same in which stimulation pulses are distributed among a plurality of electrodes fixed at different sites of the myocardium in order to reduce myocardial hypertrophy brought about by repeated pacing at a ...
11/06/2007
7292886Bifocal cardiac stimulation device and methods
A cardiac stimulation system for implantation in a patient is disclosed. The cardiac stimulation system comprises first and second electrodes configured for positioning in a bifocal arrangement. A first lead system is adapted for carrying the first and second electr...
11/06/2007
7289849Atrial pacing therapy for treating mitral regurgitation
A method and apparatus are disclosed for treating mitral regurgitation with electrical stimulation. By providing pacing stimulation to the left atrium during ventricular systole, a beneficial effect is obtained which can prevent or reduce the extent of mitral regurg...
10/30/2007
7286878Multiplexed electrode array extension
An apparatus and method for selectively interacting with electrically excitable tissue of a patient are provided. The apparatus includes an implantable pulse generator having a number of output sources that transmit pulse signals. An extension unit couples the impla...
10/23/2007
7272438Mode switching heart stimulation apparatus and method
In a heart stimulation device a mode of operation is switched in response to detection of atrial tachyarrhythmia such as atrial fibrillation. The stimulation device may initially operate in a normal mode of pacing then, upon detection of atrial tachyarrhythmia, the ...
09/18/2007
7266411Implantable cardiac stimulation device and method providing dynamic sensing configurations for bichamber stimulation and tachyarrhythmia detection
An implantable cardiac stimulation device provides bichamber pacing and dynamic bichamber and single chamber sensing. The device includes a sensing circuit that senses activity of a heart, a lead system coupled to a plurality of chambers of the heart, and a cardiac ...
09/04/2007
7257443Method and apparatus for detecting oscillations in cardiac rhythm with electrogram signals
A cardiac rhythm management device is configured to detect oscillations in cardiac rhythm by comparing electrogram signals during successive heart beats. Upon detection of electrical alternans, the device may adjust its operating behavior to compensate for the delet...
08/14/2007
7257442Mode switching algorithm for AV block
An apparatus and method is presented for treating patients with sinus node dysfunction who have apparently normal intrinsic AV conduction and thus do not require ventricular pacing unless there is an unexpected AV conduction failure. In one embodiment, a cardiac dev...
08/14/2007
7254441Fully inhibited dual chamber pacing mode
A pacing mode is provided, in one embodiment, that permits missed or skipped ventricular beats. The mode monitors a full cardiac cycle (A-A interval) for the presence of intrinsic ventricular activity. If ventricular activity is present, a flag is set that is valid ...
08/07/2007
7251526Active implantable medical device of the defibrillator, cardiovertor and/or antitachycardia pacemaker type, having a high maximum frequency for antibradycardia stimulation
An active implantable medical device of the defibrillator, cardiovertor and/or antitachycardia pacemaker type having a high maximum frequency for antibradycardia stimulation. This device provides antibradycardia stimulation at a stimulation frequency that has a prog...
07/31/2007
7239914Rate smoothing control
A rate smoothing function used in implantable pulse generators uses detected triggering events, which cause the rate smoothing function to be activated or deactivated, and detected parameter adjusting events, which cause parameter(s) of the rate smoothing function t...
07/03/2007
7239916Method and apparatus for automatic implantable medical lead recognition and configuration
An automated identification and configuration system for use with an implantable medical device (IMD) is disclosed. The system includes a first communication circuit that is attached to, or otherwise carried by, a detachable component associated with the IMD such as...
07/03/2007
7233824Secure and efficacious therapy delivery for an extra-systolic stimulation pacing engine
An extra-systolic stimulation (ESS) therapy addresses cardiac dysfunction including heart failure. ESS therapy employs atrial and/or ventricular extra-systoles via pacing-level stimulation to a heart. These extra-systoles must be timed correctly to achieve beneficia...
06/19/2007
7231253IMD connector header with grommet retainer
An implantable medical device (IMD) includes a connector header for making electrical and mechanical connections with a proximal connector assembly of an electrical medical lead and includes a retainer for retaining a penetrable grommet within a header grommet apert...
06/12/2007
7231249Methods, apparatus, and systems for multiple stimulation from a single stimulator
Methods, apparatus, and systems are provided to stimulate multiple sites in a heart. A controller senses electrical activity associated with sinus rhythm of the heart. A signal generator is configured to generate an electrical signal for stimulating the heart. Based...
06/12/2007
7215998Synchronous pacemaker with AV interval optimization
A system and method for use in an implanted cardiac pacing device, whereby an optimal AV delay is determined at or near lower rate (pacing) limit (LRL) by determining measuring the variance, or instability, of the QT interval for a set of intervals. In one embodimen...
05/08/2007
7212857Implantable cardiac device for restoring inter-chamber synchrony and method
An implantable cardiac device returns activations of corresponding right and left chambers of a heart to inter-chamber synchrony. A sensing circuit senses intracardiac signals representing right and left chamber ventricular electrical activity. A detector determines...
05/01/2007
7190245Multi-stable micro electromechanical switches and methods of fabricating same
A micro electromechanical (MEMS) switch suitable for use in medical devices is provided, along with methods of producing and using MEMS switches. In one aspect, a micro electromechanical switch including a moveable member configured to electrically cooperate with a ...
03/13/2007
7191001System and method for managing refractory periods in a cardiac rhythm management device with biventricular sensing
A method and system for managing refractory periods in a cardiac rhythm management device configured for biventricular or biatrial sensing. Refractory periods for each channel of the pacemaker are provided by interval timers that are triggered by sensed or paced eve...
03/13/2007
7191002Anti-tachycardia pacing methods and devices
An improved method and device for performing anti-tachycardia pacing (ATP) to convert a ventricular tachycardia (VT) to normal sinus rhythm. Pairs of pacing/sensing electrodes are placed in or on each of the left and right ventricles. Each pair of electrodes is shor...
03/13/2007
7187972Bi-ventricular pacing in the face of rapidly conducting atrial tachyarrhythmia
Methods and devices (e.g., pacemakers or ICDs with pacemaker functions) are provided for maintaining a high percentage of bi-ventricular pacing after a pacemaker switches from an atrial tracking bi-ventricular pacing mode to a non-atrial tracking bi-ventricular paci...
03/06/2007
7184834Method and apparatus for improving specificity of atrial tachycardia detection techniques in dual-unipolar or dual-bipolar implantable cardiac stimulation systems
Techniques are provided for allowing Automatic Mode Switching (AMS) to be exploited within dual unipolar systems employing Combipolar sensing. Relative refractory windows are opened within both the atrial and ventricular refractory periods for the purposes of determ...
02/27/2007
7184816Cardiac stimulating and detecting device, system and method for identifying far field signals
In an implantable heart stimulating device, system and method, a control circuit has first and second circuits for sensing and pacing. The first circuit can be connected to a first electrode member suited to be positioned in or at a first ventricle of the heart. The...
02/27/2007
7181282Implantable cardiac device with PVC density monitoring, and therapy control and method
An implantable cardiac device provides a learned premature ventricular contraction density function responsive to detected premature ventricular contractions. A current premature ventricular contraction density is then compared to the learned premature ventricular c...
02/20/2007
7181281ICD using MEMS for optimal therapy
An exemplary method includes detecting movement of an in vivo oscillator using one or more in vivo sensors, receiving information from at least one of the one or more sensors, and deciding whether to switch an implanted cardiac therapy device from a lower tier of an...
02/20/2007
7181278Apparatus and method for ventricular rate regularization
A cardiac rhythm management device which employs pacing therapy to regularize the ventricular rhythm. Such ventricular rate regularization may be employed within bradycardia pacemakers, ventricular resynchronization devices, or implantable cardioverter/defibrillator...
02/20/2007
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