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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
Applicant: BIOTRONIK SE & Co. KG
Inventor： Thomas Doerr , Sergey Ershov , Torsten Radtke , Ulrich Busch , Peter Schneider , Stefan Paule , Frank Becker
IPC: A61N1/372 , A61N1/368 , A61B5/0538
Abstract: 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
Applicant: BIOTRONIK SE & Co. KG
Inventor： Thomas Doerr , Sergey Ershov , Torsten Radtke , Ulrich Busch , Peter Schneider , Stefan Paule , Frank Becker
IPC: A61N1/368
Abstract: 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
Applicant: BIOTRONIK SE & Co. KG
Inventor： Thomas Doerr , Sergey Ershov , Torsten Radtke , Ulrich Busch , Peter Schneider , Stefan Paule , Frank Becker
Abstract: 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：US11311737B2
公开(公告)日：2022-04-26
申请号：US16835638
申请日：2020-03-31
Applicant: BIOTRONIK SE & CO. KG
Inventor： Thomas Doerr , Sergey Ershov , Torsten Radtke , Martin Roemer , Ingo Weiss
Abstract: An implantable system for stimulating a heart contains a processor, a memory, a stimulator, and a first detection unit for detecting a cardiac rhythm disturbance of a cardiac region. The memory includes a computer-readable program, which prompts the processor to carry out the following steps: a) detecting via the first detection unit whether a cardiac rhythm disturbance is present in a cardiac region of a heart of a patient; b) when a cardiac rhythm disturbance is present, selecting a stimulation strategy based on a selection criterion; c) stimulating the cardiac region in which the cardiac rhythm disturbance was detected by way of the stimulator, using the selected stimulation strategy; d) detecting a success and/or an efficiency of the conducted stimulation; e) comparing the success and/or the efficiency to a predefinable success and/or efficiency criterion; and f) if the predefinable success and/or efficiency criterion was not achieved, optimizing the stimulation strategy.
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公开(公告)号：US11684787B2
公开(公告)日：2023-06-27
申请号：US16835619
申请日：2020-03-31
Applicant: BIOTRONIK SE & CO. KG
Inventor： Thomas Doerr , Sergey Ershov , Torsten Radtke , Martin Roemer , Ingo Weiss
CPC classification number: A61N1/37282 , A61N1/08 , A61N1/3621 , A61N1/36128 , A61N1/39622 , G16H20/00
Abstract: An implantable system for the diagnostic and/or therapeutic treatment of a human or animal patient contains a processor, a memory, a treatment unit and a remote data transmission unit. The system is characterized in that the memory includes a computer-readable program which prompts the processor to carry out the following steps when the program is being executed on the processor: a) ascertaining whether a treatment functionality of the treatment unit could jeopardize a patient in whom the system was implanted if a diagnostic and/or therapeutic treatment of the patient corresponding to the treatment functionality were to be carried out; b) deactivating the treatment functionality when a potential risk for the patient was ascertained; c) receiving reactivation data by way of the remote data transmission unit; and d) reactivating the deactivated treatment functionality based on the received reactivation data.
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Patent Agency Ranking
公开(公告)号：US11672987B2
公开(公告)日：2023-06-13
申请号：US16825678
申请日：2020-03-20
Applicant: BIOTRONIK SE & CO. KG
Inventor： Thomas Doerr , Sergey Ershov , Torsten Radtke , Martin Roemer , Ingo Weiss
CPC classification number: A61N1/3624 , A61N1/025 , A61N1/36507 , A61N1/371 , A61N5/0601 , A61N5/0613 , A61D99/00 , A61N2005/0626
Abstract: An implantable system stimulates a human or animal heart. The system contains a processor, a memory unit, an atrial stimulation unit, a ventricular stimulation unit, and a detection unit for detecting atrial tachycardia. The memory unit stores a computer-readable program that prompts the processor to: a) detect by the detection unit whether atrial tachycardia to be treated is present in the heart; b) when atrial tachycardia to be treated is present, carrying out a ventricular conditioning stimulation by way of the ventricular stimulation unit; and c) applying atrial antitachycardia pacing in the form of a stimulation pulse sequence of 2 to 20 pulses or a high-frequency burst having a frequency of up to 50 Hz and a duration of up to 60 seconds by way of the atrial stimulation unit as the ventricular conditioning stimulation is being carried out and/or thereafter.
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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
Applicant: BIOTRONIK SE & Co. KG
Inventor： Thomas Doerr , Sergey Ershov , Torsten Radtke , Ulrich Busch , Peter Schneider , Stefan Paule , Frank Becker
Abstract: 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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公开(公告)号：US11998749B2
公开(公告)日：2024-06-04
申请号：US17767647
申请日：2020-09-24
Applicant: BIOTRONIK SE & Co. KG
Inventor： Thomas Doerr , Sergey Ershov , Torsten Radtke , Martin Roemer
CPC classification number: A61N1/365 , A61N1/3621 , A61N1/39622
Abstract: An implantable medical device which performs the following steps during operation: a) performing a detection of whether the implantable medical device is in an implanted state; b) if it is detected that the implantable medical device is in an implanted state, activating a first diagnostic or therapeutic function of the implantable medical device, and subsequently activating a second diagnostic or therapeutic function of the implantable medical device, wherein the second diagnostic or therapeutic function is activated only after the fulfillment of at least one activation criterion selected from the group consisting of an elapse of a first time period from the activation of the first diagnostic or therapeutic function, an elapse of a second time period from the detection that the implantable medical device is in an implanted state, and a passing of a function test.
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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
Applicant: BIOTRONIK SE & Co. KG
Inventor： Thomas Doerr , Sergey Ershov , Torsten Radtke , Ulrich Busch , Peter Schneider , Stefan Paule , Frank Becker
Abstract: 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
Applicant: BIOTRONIK SE & Co. KG
Inventor： Thomas Doerr , Sergey Ershov , Torsten Radtke , Ulrich Busch , Peter Schneider , Frank Becker , Stefan Paule
Abstract: 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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