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公开(公告)号：US11819696B2
公开(公告)日：2023-11-21
申请号：US17770201
申请日：2020-10-22
发明人： Thomas Doerr , Sergey Ershov , Torsten Radtke , Ulrich Busch , Peter Schneider , Stefan Paule , Frank Becker
CPC分类号： A61N1/36521 , A61B5/0538 , A61N1/056 , A61N1/365 , A61N1/368 , A61N1/3684 , A61N1/36585 , A61N1/3752 , A61N1/37223 , A61N1/37235 , A61N1/37247 , A61N1/37252
摘要： An implantable medical device for stimulating a human or animal heart. In operation, the device performs the following steps: a) sensing an atrial electric signal a the first detection unit; b) sensing an electric signal at the His bundle with a second detection unit upon termination of a first time period starting upon sensing the atrial electric signal with the first detection unit and/or starting upon applying a stimulation pulse, wherein the first time period lies in a range of from 10 ms to 100 ms; c) classifying the electric signal sensed with the second detection unit as His bundle activity signal or as ventricular activity signal.
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公开(公告)号：US11707627B2
公开(公告)日：2023-07-25
申请号：US17769911
申请日：2020-10-22
发明人： Thomas Doerr , Sergey Ershov , Torsten Radtke , Ulrich Busch , Peter Schneider , Frank Becker , Stefan Paule
CPC分类号： A61N1/36521 , A61B5/0538 , A61N1/056 , A61N1/365 , A61N1/368 , A61N1/3684 , A61N1/36585 , A61N1/3752 , A61N1/37223 , A61N1/37235 , A61N1/37247 , A61N1/37252
摘要： An implantable medical device for stimulating a human/animal heart having a stimulation unit which stimulates the His bundle and a detection unit which detects an electrical signal at the His bundle. The device performs: a) determining a first value of a parameter of a first measuring pulse measured between a first electrode pole and a housing; b) determining a second value of the same parameter of a second measuring pulse measured between the first electrode pole and a second electrode pole; c) comparing the first and second values; d) determining, based on the comparing step, whether the first or second measuring pulses enables a higher available level control range of the analog-to-digital converter; e) measuring an impedance in a unipolar manner between the first electrode pole and the housing or in a bipolar manner between the first electrode pole and the second electrode pole depending on the determining step.
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公开(公告)号：US20220387807A1
公开(公告)日：2022-12-08
申请号：US17771038
申请日：2020-10-22
发明人： Thomas Doerr , Sergey Ershov , Torsten Radtke , Ulrich Busch , Peter Schneider , Stefan Paule , Frank Becker
摘要： A programming device for programming an implantable medical device for stimulating a human or animal heart, wherein the programming device carries out the steps: a) allowing to select one of at least two electrode lead configurations for stimulating a heart, wherein the at least two electrode lead configurations comprise: i) a first electrode lead in which an atrial electrode lead and a right ventricular electrode lead are connected to electrode lead ports, and ii) a second electrode lead in which an atrial electrode lead and a His bundle electrode lead are connected to electrode lead ports; b) allowing to select a first timing parameter value if the first electrode lead is selected and to select a second timing parameter value if the second electrode lead is selected, wherein the first timing parameter value is an atrioventricular interval and the second timing parameter value is an atrial-His interval.
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公开(公告)号：US20220387809A1
公开(公告)日：2022-12-08
申请号：US17770456
申请日：2020-10-22
发明人： Thomas Doerr , Sergey Ershov , Torsten Radtke , Ulrich Busch , Peter Schneider , Stefan Paule , Frank Becker
IPC分类号： A61N1/372 , A61N1/368 , A61B5/0538
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.
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公开(公告)号：US20220387798A1
公开(公告)日：2022-12-08
申请号：US17770201
申请日：2020-10-22
发明人： Thomas Doerr , Sergey Ershov , Torsten Radtke , Ulrich Busch , Peter Schneider , Stefan Paule , Frank Becker
IPC分类号： A61N1/368
摘要： An implantable medical device for stimulating a human or animal heart. In operation, the device performs the following steps: a) sensing an atrial electric signal a the first detection unit; b) sensing an electric signal at the His bundle with a second detection unit upon termination of a first time period starting upon sensing the atrial electric signal with the first detection unit and/or starting upon applying a stimulation pulse, wherein the first time period lies in a range of from 10 ms to 100 ms; c) classifying the electric signal sensed with the second detection unit as His bundle activity signal or as ventricular activity signal.
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公开(公告)号：US20220379112A1
公开(公告)日：2022-12-01
申请号：US17770705
申请日：2020-10-22
发明人： Thomas Doerr , Sergey Ershov , Torsten Radtke , Ulrich Busch , Peter Schneider , Stefan Paule , Frank Becker
摘要： An implantable medical device for stimulating a human or animal heart, comprising a first processor, a first memory unit, a stimulation unit configured to stimulate a first cardiac region of a human or animal heart, and a detection unit configured to detect an electric signal at the first cardiac region of the same heart, wherein the detection unit comprises i) an electrode lead having an electrode pole and ii) a first channel for measuring electric signals provided by the electrode lead. A maximum sensitivity of the first channel of the detection unit is adjustable in dependence on a stimulation site of the electrode pole, wherein the maximum sensitivity of the first channel lies in a range of from 0.1 mV to 0.4 mV if the electrode pole is intended to detect electric signals at the His bundle of the heart.
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公开(公告)号：US20220387804A1
公开(公告)日：2022-12-08
申请号：US17770186
申请日：2020-10-22
发明人： Thomas Doerr , Sergey Ershov , Torsten Radtke , Ulrich Busch , Peter Schneider , Stefan Paule , Frank Becker
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.
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公开(公告)号：US20220387797A1
公开(公告)日：2022-12-08
申请号：US17769911
申请日：2020-10-22
发明人： Thomas Doerr , Sergey Ershov , Torsten Radtke , Ulrich Busch , Peter Schneider , Frank Becker , Stefan Paule
摘要： An implantable medical device for stimulating a human/animal heart having a stimulation unit which stimulates the His bundle and a detection unit which detects an electrical signal at the His bundle. The device performs: a) determining a first value of a parameter of a first measuring pulse measured between a first electrode pole and a housing; b) determining a second value of the same parameter of a second measuring pulse measured between the first electrode pole and a second electrode pole; c) comparing the first and second values; d) determining, based on the comparing step, whether the first or second measuring pulses enables a higher available level control range of the analog-to-digital converter; e) measuring an impedance in a unipolar manner between the first electrode pole and the housing or in a bipolar manner between the first electrode pole and the second electrode pole depending on the determining step.
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公开(公告)号：US20220379126A1
公开(公告)日：2022-12-01
申请号：US17770474
申请日：2020-10-22
发明人： Thomas Doerr , Sergey Ershov , Torsten Radtke , Ulrich Busch , Peter Schneider , Stefan Paule , Frank Becker
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.
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