James H. Ericksen - North Oaks MN Robert A. Betzold - Fridley MN Catherine R. Condie - Shoreview MN Jeffrey M. Gillberg - Coon Rapids MN Robert W. Stadler - Shoreview MN John C. Stroebel - Blaine MN Troy E. Jackson - New Brighton MN
Assignee:
Medtronic, Inc. - Minneapolis MN
International Classification:
A61N 136
US Classification:
607 14
Abstract:
A device-implemented software system operates a detection window and adjusts PAV as needed after confirming the presence or detection of evidence of an arrhythmia. The detection window is monitored based on a preferred length. If the detection window is shorter than required, intervals are adjusted for a specific pacing rate. Further, the software system provides means for selecting detection over pacing based on an analysis of a preferred length in the presence of evidence of an arrhythmia.
Method And Apparatus For Monitoring Heart Rate And Abnormal Respiration
Donald N. Jensen - Roseville MN Linda L. Ruetz - New Brighton MN Catherine R. Condie - Shoreview MN Yong Kyun Cho - Maple Grove MN Ulla Strobel - Zurich, CH Scott Davie - St. Paul MN
Assignee:
Medtronic, Inc. - Minneapolis MN
International Classification:
A61N 1365
US Classification:
600536, 600547, 607 18
Abstract:
An implantable device having enhanced capabilities for monitoring a patients heart rate and respiration trends over extended periods of time is disclosed. The information collected by the implantable device may be stored and telemetered to an associated external device such as a device programmer for display and analysis. Heart rates are measured by measuring the time intervals between sensed depolarizations of a chamber of the patients heart and preceding sensed depolarizations or delivered pacing pulses. Intervals may be measured in the ventricle and/or atrium of the patients heart. According to another aspect of the invention, an implanted impedance sensor is employed to monitor minute ventilation. The heart rate and minute ventilation data is used to develop long-term trend data used for diagnostic purposes. In one embodiment of the invention, heart interval and minute ventilation measurements are taken only during defined time periods of the night and/or day when the patient is at rest.
Implantable Medical Device (Imd) System Configurable To Subject A Patient To A Stress Test And To Detect Myocardial Ischemia Within The Patient
Catherine R. Condie - Shoreview MN, US Robert W. Stadler - Shoreview MN, US Lee Stylos - Stillwater MN, US
Assignee:
Medtronic, Inc. - Minneapolis MN
International Classification:
A61N001/362
US Classification:
607 11
Abstract:
Various implantable medical devices (IMDs) are disclosed for implantation in a patient. The IMD includes pacing circuitry configured to selectively produce pacing pulses at a programmable pacing rate. In one embodiment, the IMD is configurable to subject a patient to a stress test. The IMD may be configurable to subject the patient to the stress test at the time specified by stored timing information, or in response to a signal (e. g. , from a patient activator). Another embodiment of the implantable medical device (IMD) includes sensor circuitry, a memory for storing data, and a control unit. The sensor circuitry produces sensor data relating to cardiac condition. The control unit is configurable to store the sensor data in the memory until a trigger signal is received. Methods are described for performing a stress test in a patient with an IMD, and for subsequently reproducing cardiac operational states.
Yong Kyun Cho - Maple Grove MN, US Catherine R. Condie - Shoreview MN, US
Assignee:
Medtronic, Inc. - Minneapolis MN
International Classification:
A61N001/365
US Classification:
607 18, 607 27
Abstract:
An automatic rate response sensor mode switch is implemented in an implantable medical device to monitor and isolate any sensor in an integrated sensor scheme. The isolated sensor is based on identification of problems associated with the sensor. The implantable medical device will switch to operate with the remainder sensor(s). Specifically, an algorithm tests and determines sensor status to initiate and operate the sensor mode switch. The software continuously monitors, isolates or qualifies a sensor to come back on-line automatically.
Method And Apparatus For Rate Responsive Adjustments In An Implantable Medical Device
Catherine R. Condie - Shoreview MN, US John D. Wahlstrand - Shoreview MN, US Gerald A. Portzline - Fridley MN, US Yong Kyun Cho - Maple Grove MN, US John S. Brandstetter - Coon Rapids MN, US Luc R. Mongeon - Minneapolis MN, US
Assignee:
Medtronic, Inc. - Minneapolis MN
International Classification:
A61N 1/365
US Classification:
607 20, 607 18
Abstract:
A method and an apparatus for performing rate responsive control in an implantable medical device using a scaling factor. Sensor data is acquired using a sensor operatively coupled with the implantable medical device. At least one setpoint for controlling a rate of therapy is generated, the setpoint being based upon the sensor data. A scaling factor adjustment process is performed for scaling the internal sensor data to correlate the sensor data to the setpoint. The rate of therapy is adjusted based upon the scaling factor adjustment.
Method And Apparatus For Injection Of External Data Within An Implantable Medical Device
Catherine R. Condie - Shoreview MN, US Gerald A. Portzline - Fridley MN, US Yong Kyun Cho - Maple Grove MN, US John S. Brandstetter - Coon Rapids MN, US Luc R. Mongeon - Minneapolis MN, US Lucy M. Nichols - Maple Grove MN, US Steve R Hornberger - Minneapolis MN, US
Assignee:
Medtronic, Inc. - Minneapolis MN
International Classification:
A61N 1/365
US Classification:
607 30, 607 18, 600510
Abstract:
A method and an apparatus for performing implementing external data into an implantable medical device. A first stress test is performed using an external sensor. External data resulting from the initial stress test is acquired. An external data injection process is performed. The external data injection process includes providing the external data to the implantable medical device. A second stress test is performed, the second stress test being substantially similar to the first stress test. Internal data resulting from the second stress test is acquired. Internal data resulting from the second stress test along with the external data resulting from the first stress test, are processed.
User Interface For Programming Rate Response Technical Field
Catherine R. Condie - Shoreview MN, US Marilyn C. Rochat - Golden Valley MN, US
Assignee:
Medtronic, Inc. - Minneapolis MN
International Classification:
A61N 1/05 A61B 5/04
US Classification:
607 59, 607 30, 600523
Abstract:
A programmer including a user interface, and techniques for programming a rate responsive implantable medical device using such a programmer and user interface are presented. The programmer may retrieve currently programmed rate response parameters and optimization target values of an implantable medical device. The programmer may display the currently programmed rate response parameters and optimization target values via a user interface. The programmer may also generate a current rate response curve and a current target rate histogram, and display the current rate response curve and current target rate histogram via the user interface. The programmer may receive changes to the displayed currently programmed rate response parameters and/or target values made by a user via the user interface, generate a pending rate response curve and/or a pending target rate histogram based on these changes, and display the pending rate response curve and/or pending target rate histogram via the user interface.
Method And Apparatus To Detect And Monitor The Frequency Of Obstructive Sleep Apnea
Donald N. Jensen - Derwood MD, US Catherine R. Condie - Shoreview MN, US Yong K. Cho - Maple Grove MN, US
Assignee:
Medtronic, Inc. - Minneapolis MN
International Classification:
A61B 5/053
US Classification:
600547, 607 18
Abstract:
The present invention provides a method and apparatus for detecting and monitoring obstructive sleep apnea. The apparatus includes an intracardiac impedance sensor to measure intracardiac impedance, a movement sensor to measure an amount of movement of a patient, and a controller operatively coupled to said intracardiac impedance sensor and said movement sensor, said controller adapted to receive at least one of an intracardiac impedance and the amount of movement of the patient and detect obstructive sleep apnea based upon said intracardiac impedance and said movement.
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