摘要:
A cardiac therapy method with duration timer is disclosed, using an implanted cardiac pulse generator. A patient's heartbeat is sensed and the intervals between heartbeats are averaged. The number of temporary storage bins, in the form of RAM locations, are provided, including a sinus bin, a low rate tachycardia bin, a high rate tachycardia bin, and a fibrillation bin. The storage bin corresponding to the cardiac rhythm band of the determined average heartbeat interval is incremented. A maximum count limit is assigned to each storage bin. When the first bin reaches its maximum count limit, a diagnosis of the patient's cardiac rhythm is provided. Upon detection of a tachycardia, a duration timer is started and the tachycardia is treated in accordance with a programmed routine. If sinus is detected during the predetermined time period, then the duration timer is cleared. If fibrillation is detected during the predetermined time period, then the duration timer is cleared and fibrillation is treated by delivering a high energy shock to the heart.
摘要:
A cardiac therapy method is disclosed, using an implanted cardiac pulse generator. A patient's heartbeat is sensed and the intervals between heartbeats are averaged. The number of temporary storage bins, in the form of RAM locations, are provided, including a sinus bin, a low rate tachycardia bin, a high rate tachycardia bin, and a fibrillation bin. The storage bin corresponding to the cardiac rhythm band of the determined average heartbeat interval is incremented. A maximum count limit is assigned to each storage bin. When the first bin reaches its maximum count limit, a diagnosis of the patient's cardiac rhythm is provided. Upon detection of a tachycardia, a duration timer is started and the tachycardia is treated in accordance with a programmed routine. If sinus is detected during the predetermined time period, then the duration timer is cleared. If fibrillation is detected during the predetermined time period, then the duration timer is cleared and fibrillation is treated by delivering a high energy shock to the heart.
摘要:
A method for cardiac defibrillation is described, for use with an implanted defibrillator. A patient's R-waves are sensed to detect the R-R intervals. If an arrhythmia is detected, the charging of a capacitor is commenced. Determination are made whether the arrhythmia is still in progress and whether the capacitor is charged a predetermined amount. If the arrhythmia is not still in progress, the charging is discontinued. If the arrhythmia is still in progress and the capacitors are charged a predetermined amount, another R-R interval is detected and if the R-R interval is shorter than a selected amount, a shock is delivered to the heart.
摘要:
The electrolytic cell of the preferred embodiment includes an electrode pair and a cavitating jet. The electrode pair includes a cathode electrode and an anode electrode and defines an electrical path between the cathode electrode and the anode electrode. The cavitating jet, which is located along the electrical path between the cathode electrode and the anode electrode, functions to cavitate a fluid, such as water. The electrode pair and the cavitating jet cooperate to initiate a plasma state in the water. The water in the plasma state acts a virtual electrode with a higher current density than the cathode electrode and/or anode electrode. The plasma virtual electrode, through thermolysis and/or electrolysis, produces hydrogen.
摘要:
A control system alters one or more characteristics of an ablating element to ablate tissue. In one aspect, the control system delivers energy nearer to the surface of the tissue by changing the frequency or power. In another aspect, the ablating element delivers focused ultrasound which is focused in at least one dimension. The ablating device may also have a number of ablating elements with different characteristics such as focal length. The invention provides an ablation apparatus and methods for ablating tissue wherein the ablation apparatus may have ablating elements that are moveable relative to the tissue to be ablated without the need to relocate the apparatus as a whole.
摘要:
Treatment or control of sleep apnea by achieved using a device or method for stimulation of expiration muscles. Somatic or expiratory muscle stimulation instead of a mask during sleep may regularize breathing. An apnea belt around the thorax may detect respiration by monitoring stretch and provide electrical stimulation to muscles used for expiration.
摘要:
A system and method for controlling epilepsy and other neurological disorders by providing electrical stimulation to a patient's brain in response to detected neurological conditions. An implantable device includes a stimulation subsystem coupled to a stimulation electrode to provide responsive electrical brain stimulation in response to an event detected via an on-board processor's analysis of data received from a detection subsystem coupled to a detection electrode located in a different portion of the patient's brain.
摘要:
An implantable neurostimulator system adapted to provide therapy for various neurological disorders is capable of varying therapy delivery strategies based on the context, physiological or otherwise, into which the therapy is to be delivered. Responsive and scheduled therapies can be varied depending on various sensor measurements, calculations, inferences, and device states (including elapsed times and times of day) to deliver an appropriate course of therapy under the circumstances.
摘要:
An interactive implantable medical device system includes an implantable medical device and a network-enabled external device capable of bi-directional communication and interaction with the implantable medical device. The external device is programmed to interact with other similarly-enabled devices. The system facilitates improved patient care by eliminating unnecessary geographic limitations on implantable medical device interrogation and programming, and by allowing patients, physicians, and other users to access medical records, history, and information and to receive status and care-related alerts and messages anywhere there is access to a communications network.
摘要:
A power supply down-conversion, regulation, and low battery detection system has application in an implantible defirillator but is also directly applicable to any battery powered implantible device. Battery voltage is down-converted by a high efficiency switched capacitor voltage divider to a suitable intermediate voltage. This voltage is then linearly regulated down to the desired output voltage. A second regulator, which takes current directly from the battery, supports the output voltage in the event that the load current cannot be supplied by the voltage downconverter. A low battery detect circuit shuts down high current circuitry in the system in the event that battery voltage drops to a level such that the regulated output voltage is endangered.