Implantable Medical Device for Stimulating the His Bundle of a Human or Animal Heart Employing an Adapted Impedance Measurement

    公开(公告)号:US20220355117A1

    公开(公告)日:2022-11-10

    申请号:US17768721

    申请日:2020-10-22

    IPC分类号: A61N1/365 A61N1/05

    摘要: An implantable medical device for stimulating a human/animal heart, comprising a housing, a processor, a memory unit, a stimulation unit configured to stimulate the His bundle, and a detection unit configured to detect an electrical signal at the His bundle. The device performs: a) stimulating the His bundle with a stimulation pulse delivered by the stimulation unit; b) measuring an electric signal at the His bundle with the detection unit upon termination of a first period of time starting upon delivering of the stimulation pulse, wherein the first period of time is from 35 ms to 500 ms; c) measuring an impedance of the same heart with the detection unit upon termination of a second period of time starting upon delivering of the stimulation pulse, wherein the second period of time is equal to or longer than the first period of time and is from 50 ms to 500 ms.

    Implantable Medical Device Having a His Bundle Electrode Lead Port

    公开(公告)号:US20220387804A1

    公开(公告)日:2022-12-08

    申请号:US17770186

    申请日:2020-10-22

    IPC分类号: A61N1/375 A61N1/368 A61N1/372

    摘要: An implantable medical device for stimulating a human/animal heart, comprising a first electrode lead port for receiving an electrode lead. The first electrode lead port comprises a first marking element and a second marking element, wherein the first marking element indicates a first kind of electrode lead that can be received by the first electrode lead port and for an operation of which the first electrode lead port is designed to be configured, wherein the first kind of electrode lead is a His bundle electrode lead , wherein the second marking element indicates a second kind of electrode lead that can be received by the first electrode lead port and for an operation of which the first electrode lead port is designed to be configured. The second kind of electrode lead includes one of an atrial electrode lead, a right ventricular electrode lead, and a left ventricular electrode lead.

    METHOD FOR PROGRAMMING AN IMPLANTABLE MEDICAL DEVICE

    公开(公告)号:US20220387809A1

    公开(公告)日:2022-12-08

    申请号:US17770456

    申请日:2020-10-22

    摘要: A method for programming an implantable medical device for stimulating a human or animal heart with the help of a programming device. The method comprises the following steps: a) providing a first input parameter to the programming device, the first input parameter being indicative whether a first stimulation unit is to be used to stimulate the His bundle of a heart; b) if the first input parameter indicates that the first stimulation unit is to be used to stimulate the His bundle of the heart, supporting a user of the programming device to configure the implantable medical device for His bundle pacing by automatically proposing at least one stimulation parameter and an assigned stimulation parameter value specifically adapted for His bundle pacing; c) allowing programming of the implantable medical device by allowing setting the at least one stimulation parameter value.

    PROGRAMMING DEVICE FOR PROGRAMMING AN IMPLANTABLE MEDICAL DEVICE FOR STIMULATING A HUMAN OR ANIMAL HEART

    公开(公告)号:US20220379126A1

    公开(公告)日:2022-12-01

    申请号:US17770474

    申请日:2020-10-22

    IPC分类号: A61N1/372 A61N1/368 A61N1/375

    摘要: A programming device for programming an implantable medical device for stimulating a human or animal heart, wherein the following steps are performed: a) allowing to select one of at least two electrode lead configurations for stimulating a human or animal heart, wherein the at least two electrode lead configurations comprise a second electrode lead configuration in which at least one electrode lead is connected to an electrode lead port, the electrode lead port being configured to receive an electrode lead for stimulating a second cardiac region or detecting an electric signal at the second cardiac region, wherein the second cardiac region is a part of a ventricular conduction system of the heart, wherein the at least one electrode lead is intended to be implanted or is implanted in the second cardiac region; b) generating and releasing a notification signal if the second electrode lead configuration is selected.

    IMPLANTABLE SYSTEM FOR DETECTING ELECTRICAL SIGNALS OF A HUMAN HEART OR AN ANIMAL HEART

    公开(公告)号:US20210068671A1

    公开(公告)日:2021-03-11

    申请号:US16997114

    申请日:2020-08-19

    发明人: Frank Becker

    IPC分类号: A61B5/0245 A61B5/00

    摘要: An implantable system detecting electrical signals of a human or animal heart includes a processor, a memory unit, a first detection unit for atrial activity, a second detection unit for right ventricular activity and a third detection unit for left ventricular activity. The system automatically performs steps at regular intervals including detecting an intrinsic right atrial activity using the first detection unit; detecting an intrinsic right ventricular activity using the second detection unit; determining a time between the intrinsic right atrial activity and the intrinsic right ventricular activity, and storing this time as atrioventricular conduction time. Additionally or alternatively the steps include detecting an intrinsic right ventricular activity using the second detection unit; detecting an intrinsic left ventricular activity using the third detection unit; and determining a time between the intrinsic right ventricular activity and the intrinsic left ventricular activity, and storing this time as interventricular conduction time.