2523results about "Heart stimulators" patented technology

A tool has an outer assembly, which includes a deployment tube, extending around, and moveable with respect to an inner assembly of the tool; the inner assembly includes a single pull wire and a distal member configured to engage an end of an implantable medical device. The deployment tube includes an articulating segment located just proximal to an enlarged distal-most portion, which contains the device and the distal member. Relatively soft and stiff sections of a composite sidewall define the articulating segment and extend alongside one another, such that, when the pull wire is actuated, the composite sidewall causes bending of the segment in two directions. A handle assembly of the tool includes a control member for the pull wire, and may further include a flushing subassembly that has a connector port located at an end of the handle assembly that is opposite a proximal port of the handle.

An intravascular blood pump comprises a pump casing having a blood flow inlet and a blood flow outlet, and an impeller arranged in said pump casing so as to be rotatable about an axis of rotation, wherein the impeller has blades sized and shaped for conveying blood from the blood flow inlet to the blood flow outlet. The blood pump further comprises a drive unit for rotating the impeller, the drive unit comprising a plurality of posts arranged about the axis of rotation, wherein each of the posts includes a shaft portion and a head portion. Coil windings around the posts are sequentially controllable so as to create a rotating magnetic field. The drive unit further comprises a back plate which engages ends of the shaft portions of the posts opposite the head portions.

Various systems, devices, and methods are disclosed herein for treating acute myocardial infarction (AMI) patients using a heart pump controlled in a manner that maximizes mechanical unloading of the left ventricle in the presence of cardiovascular instability and minimizes myocardial oxygen consumption (MVO2) and consequentially infarct size to prevent the development of subsequent heart failure. In a closed feedback system, the system can include a sensor configured to generate an output used to measure or calculate a left ventricular systolic pressure (LSVP) within the left ventricle of a heart and a controller coupled to a heart pump. The controller can be configured to measure or calculate the LVSP based on the output of the sensor and to control an operation of the heart pump to maximize mechanical unloading of the left ventricle based on the measured or calculated LVSP.

A blood pump system includes a catheter, a pump housing disposed distal of a distal end of the catheter, a rotor positioned at least partially in the pump housing, a controller, and an electrode coupled a distal region of the blood pump. The electrode can be used to sense electrocardiogram (EKG) signals and transmit the signals to a controller of the blood pump. The operation of the blood pump can be adjusted based on the EKG signal and on cardiac parameters derived from the EKG signal. Further, the controller can determine a need for defibrillation or pacing of the patient's heart based on the signal and can administer treatment with electrical shocks to the heart via the electrode coupled to the blood pump. The use of an electrode with a blood pump already in place in the heart allows for more efficient and safer treatment of serious cardiac conditions.

To provide a system for transmitting blood pressure reduction electrical stimulation to the heart of a patient capable of determining a desirable AV delay.SOLUTION: The atrium is paced and the ventricle is paced with a given (arbitrary) delay to obtain a desired blood pressure change. Then, the atrium is sensed, the ventricle is paced, the blood pressure change is observed, and the resulting blood pressure change is compared with the paced-atrium-paced-ventricle desired blood pressure change. In the case where the blood pressure changes are not substantially equal, the timing of the sensed-atrium-paced-ventricle stimulation is adjusted on the basis of the comparison. The new modified resulting blood pressure change is observed, and the modified blood pressure change is compared with the paced-atrium-paced-ventricle desired blood pressure change. Adjustment and observation may be repeated until the timing of the sensed-atrium-paced-ventricle stimulation achieves the same blood pressure change as the desired blood pressure change of the paced-atrium-paced-ventricle stimulation.SELECTED DRAWING: Figure 9

Systems, devices, and methods for electroporation ablation therapy are disclosed. A device may include a linear shaft including a distal portion positionable near a tissue wall. The linear shaft may be configured to deflect to position the distal portion near the tissue wall. The device may include a plurality of electrodes disposed on the distal portion of the linear shaft, wherein the plurality of electrodes are configured to generate a pulsed electric field that produces an ablation zone in the tissue wall having a depth that is independent of the orientation of the distal portion relative to the tissue wall.

To provide a system for transmitting blood pressure reduction electrical stimulation to the heart of a patient capable of determining a desirable AV delay.SOLUTION: The atrium is paced and the ventricle is paced with a given (arbitrary) delay to obtain a desired blood pressure change. Then, the atrium is sensed, the ventricle is paced, the blood pressure change is observed, and the resulting blood pressure change is compared with the paced-atrium-paced-ventricle desired blood pressure change. In the case where the blood pressure changes are not substantially equal, the timing of the sensed-atrium-paced-ventricle stimulation is adjusted on the basis of the comparison. The new modified resulting blood pressure change is observed, and the modified blood pressure change is compared with the paced-atrium-paced-ventricle desired blood pressure change. Adjustment and observation may be repeated until the timing of the sensed-atrium-paced-ventricle stimulation achieves the same blood pressure change as the desired blood pressure change of the paced-atrium-paced-ventricle stimulation.SELECTED DRAWING: Figure 9

The invention relates to an intelligent heart electrophysiological signal analysis and Jiangshi connecting line optimization system and method, and belongs to the technical field of electrocardio systems, the system comprises a plurality of modules for cooperative work, a data acquisition module is used for acquiring human body 12-lead electrocardiogram and intracardiac electrogram signals and executing a pace-making stimulation function; the signal preprocessing module filters received signals, the feature extraction module extracts time domain, frequency domain and nonlinear features, the deep learning module identifies abnormal heart rhythms by using a pre-training model, the parameter tuning module dynamically adjusts model parameters and optimizes and analyzes the parameters, and the Jiangshi connecting line optimization module improves signal quality. The intelligent monitoring module automatically monitors multiple indexes, the display interface module visually displays an electrocardiogram, the system compatible module is connected with multiple devices, and the control module coordinates all the modules to ensure efficient operation of the system.

Techniques for remote monitoring of a patient and corresponding medical device(s) are described. The remote monitoring comprises determining identification data and identifying implantable medical device (IMD) information, initiating an imaging device and determining an imaging program, receiving one or more frames of image data including image(s) of an implantation site, identifying an abnormality at the implantation site, triggering a supplemental image capture mode, receiving one or more supplemental images of the implantation site, and outputting the one or more supplemental images of the implantation site.

A prosthetic cardiac valve includes a frame and plurality of prosthetic leaflets coupled to the frame so as to allow blood flow in one direction. An antenna is mechanically coupled to the frame, and includes a magnetic core and one or more coils wound about the magnetic core. At at least one location along a length of the magnetic core, a planar space bound by an outer perimeter of the magnetic core, in a plane perpendicular to a central longitudinal axis of the frame, has (a) a shorter dimension, which is measured along a ray that radiates radially outward from the central longitudinal axis and intersects a centroid defined by the planar space, and (b) a longer dimension, which is measured perpendicular to the shorter dimension in the plane, and is at least 150% of the shorter dimension. Other embodiments are also described.

Systems and methods for controlling blood pressure by controlling atrial pressure and atrial stretch are disclosed. In some embodiments, a stimulation circuit may be configured to deliver a stimulation pulse to at least one cardiac chamber of a heart of a patient, and at least one controller may be configured to execute delivery of one or more stimulation patterns of stimulation pulses to the at least one cardiac chamber, wherein at least one of the stimulation pulses stimulates the heart such that an atrial pressure resulting from atrial contraction of an atrium overlaps in time a passive pressure build-up of the atrium, such that an atrial pressure of the atrium resulting from the stimulation is a combination of the atrial pressure resulting from atrial contraction and the passive pressure build-up and is higher than an atrial pressure of the atrium would be without the stimulation, and such that the blood pressure of the patient is reduced.

A system comprises processing circuitry and memory comprising program instructions that, when executed by the processing circuitry, cause the processing circuitry to: apply a first set of rules to first patient parameter data for a first determination of whether sudden cardiac arrest of a patient is detected; determine that a one or more context criteria of the first determination are satisfied; and in response to satisfaction of the context criteria, apply a second set of rules to second patient parameter data for a second determination of whether sudden cardiac arrest of the patient is detected. At least the second set of rules comprises a machine learning model, and the second patient parameter data comprises at least one patient parameter that is not included in the first patient parameter data.

Devices, systems and methods deliver implantable medical devices for atrioventricular (VfA) cardiac treatment. The VfA device can be implanted in the right atrium (RA), where electrodes extend from the right atrium into the left ventricular myocardium. A flexible lead or other probe can be advanced to a potential implantation site and used to identify the precise location of an implanted medical device, such as an electrode, a small lead, a lead, or an intracardiac device. Some methods may include locating a potential implantation site in the Koch triangle in the right atrium of the patient's heart; attaching a retaining sheath to the right atrial endocardium of the potential implantation site; and implanting the medical device via a guidewire at the potential implantation site. An implantable medical device may include an intracardiac housing and a small lead that can be delivered by these methods.

Provided herein are methods of treating a patient comprising providing a medical apparatus comprising an external system and an implantable system, implanting the implantable system, and delivering at least one of power or data to the implantable system with the external system. The external system comprises: at least one external antenna configured to transmit a first transmission signal to the implantable system; an external transmitter configured to drive the at least one external antenna; an external power supply; and an external controller. The implantable system comprises: at least one implantable antenna configured to receive the first transmission signal from the first external device; an implantable receiver; at least one implantable functional element configured to interface with the patient; an implantable controller; an implantable energy storage assembly; and an implantable housing surrounding at least the implantable controller and the implantable receiver. Medical apparatus are also provided.

Systems and methods for controlling blood pressure by controlling atrial pressure and atrial stretch are disclosed. In some embodiments, a stimulation circuit may be configured to deliver a stimulation pulse to at least one cardiac chamber of a heart of a patient, and at least one controller may be configured to execute delivery of one or more stimulation patterns of stimulation pulses to the at least one cardiac chamber, wherein at least one of the stimulation pulses stimulates the heart such that an atrial pressure resulting from atrial contraction of an atrium overlaps in time a passive pressure build-up of the atrium, such that an atrial pressure of the atrium resulting from the stimulation is a combination of the atrial pressure resulting from atrial contraction and the passive pressure build-up and is higher than an atrial pressure of the atrium would be without the stimulation, and such that the blood pressure of the patient is reduced.

Provided is a medical apparatus for a patient comprising an external system and an implantable system. The external system can be configured to transmit one or more transmission signals, each transmission signal comprising at least power or data. The implantable system can be configured to receive the one or more transmission signals from the external system. The external system comprises a first external device comprising at least one external antenna configured to transmit a first transmission signal to the implantable system. The implantable system comprises a first implantable device comprising at least one implantable antenna configured to receive the first transmission signal from the first external device. At least one of the external antenna or implantable antenna comprises an antenna assembly comprising: at least one transmitting / receiving antenna; and at least one shielding element positioned between the at least one transmitting / receiving antenna and an interfering component.

A method and apparatus for treatment of hypertension and heart failure by increasing secretion of endogenous atrial hormones by pacing of the heart. Pacing is done during the ventricular refractory period resulting in premature atrial contraction that does not result in ventricular contraction. Pacing results in the atrial wall stress, peripheral vasodilation, ANP secretion. Concomitant reduction of the heart rate is monitored and controlled as needed with backup pacing.

A method and apparatus for treatment of hypertension and heart failure by increasing secretion of endogenous atrial hormones by pacing of the heart. Pacing is done during the ventricular refractory period resulting in premature atrial contraction that does not result in ventricular contraction. Pacing results in the atrial wall stress, peripheral vasodilation, ANP secretion. Concomitant reduction of the heart rate is monitored and controlled as needed with backup pacing.

The wire comprises an insulating layer, an electrode tip assembly and an anchoring component, the electrode tip assembly comprises an operating part and an electrode tip, the electrode tip is arranged at the far end of the operating part, and the electrode tip assembly can move between a first position and a second position relative to the insulating layer; the electrode tip assembly at the first position is located in the insulating layer, the electrode tip of the electrode tip assembly at the second position extends out of the insulating layer, the surface of the electrode tip is not smooth, and the area of the minimum cross section of the electrode tip is 4.0 mm < 2 >. According to the lead for pace-making, the electrode tip is provided with the non-smooth surface, so that the electrode tip can be slowly inserted into ventricular septal myocardial tissue even if a conical structure is not adopted, and is easy to screw in. The arrangement can ensure that the cross section is not similar to a conical structure and has a small-area cross section, the cross section is not easy to break when being inserted into heart tissue, and the cross section area is small, so that the damage to normal myocardium when the lead is pulled out is small.

Systems and methods for managing machine-generated alert notifications of medical events detected from one or more patients are described herein. An embodiment of a data management system may receive an adjudication of a medical event episode including an episode characterization. A storage unit stores an association between one or more episode characterizations and corresponding detection algorithms for detecting a medical event having respective episode characterizations. An episode management circuit may detect from a subsequent episode, using the stored association, a medical event having an episode characterization of at least one medical event episode presented for adjudication, and schedule presenting at least a portion of the subsequent episode based on the detection.

A urinary dysfunction treatment apparatus is provided. The apparatus comprises an implantable constriction device configured to constrict at least one portion of the tissue wall of a patient's urethra to at least restrict the flow of urine, an operation device for operating the constriction device to change the constriction of the urethra, a control unit for controlling the operation device, wherein the control unit is configured to: control the operation device to constrict the urethra, and control the operation device to release the urethra, and a source of energy for supplying energy to the operation device. The control unit is configured to determine a current state of the source of energy, and wherein the control unit is connected to an internal signal transmitter configured to transmit information related to the current state of the source of energy.

A system and method of detecting presence of arrythmia in an electrocardiogram (ECG) signal. The method comprises steps of applying a decomposition algorithm to one or more portions of the ECG signal, each portion corresponding to at least one heartbeat. The method also comprises, for each portion, selecting at least one output of the decomposition algorithm; providing the selected at least one output to a first trained convolutional neural network (CNN) arrangement, the first CNN arrangement generating coefficients of a predetermined size; and inputting the coefficients of the predetermined size to a second trained CNN arrangement, the second CNN arrangement trained to output a classification of whether arrythmia is present in the portion of the ECG.

The invention provides an intelligent electrical stimulation system based on cloud AI and a control method. The intelligent electrical stimulation system based on the cloud AI comprises a wrist stimulator which comprises a first acquisition module and a stimulation module; the mobile terminal is in communication connection with the wrist stimulator; the mobile terminal is in communication connection with a cloud server, the AI model module outputs a stimulation parameter set based on the first data and user pre-stored data, and the first data is transmitted to the cloud server by the wrist stimulator through the mobile terminal; the optimization processing module adjusts the stimulation parameter set based on user tolerance data and transmits the adjusted stimulation parameter set to the wrist stimulator. The intelligent electrical stimulation system based on the cloud AI can realize accurate monitoring of tremor of a user, personalized electrical stimulation treatment, real-time output of a corresponding stimulation parameter set according to the tolerance condition of the user, and personalized optimization of a treatment scheme.

Computer implemented methods and systems are provided that comprise, under control of one or more processors of a medical device, where the one or more processors are configured with specific executable instructions. The methods and systems include sensing circuitry configured to define a sensing channel to collect biological signals, memory configured to store program instructions, a processor configured to implement the program instructions to at least one of analyze the biological signals, manage storage of the biological signals or deliver a therapy, and communication circuitry configured to wirelessly communicate with at least one other implantable or external device, the communication circuitry configured to transition between a sleep state, a partial awake state and a fully awake state. When in the fully awake state, the communication circuitry is configured to execute tasks and actions associated with a communications protocol startup (CPS) instruction set that includes an advertisement scanning related (ASR) instruction subset and a non-ASR instruction subset. When in the partially awake state, the communication circuitry is configured to execute, as the ASR instruction subset, transmit advertising notices over one or more channels according to a wireless communications protocol, scan the one or more channels for a connection request from an external device. When a connection request is not received, return to the sleep state, without performing actions or tasks associated with the non-ASR instruction subset of the CPA instruction set.

A method for assessing a physiological status of a patient is described herein. The method includes placing at least one pressure sensor in an anterior mediastinal space of the patient. Pressure signal data received from the at least one pressure sensor is amplified and filtered to separate the pressure signal data into different frequency bands. A set of pressure curves is generated based on the separated pressure signals in different frequency bands, and a physiological status of the patient is assessed based at least in part on the set of pressure curves.

The invention relates to the technical field of medical instruments, and discloses a method and application of intelligent cardiac pacemaker equipment based on biofeedback regulation, the intelligent cardiac pacemaker equipment based on biofeedback regulation comprises a shell, the interior of the shell is provided with a pulse generator, the pulse generator is used for conducting an electrical stimulation signal to cardiac tissue, and the pulse generator is connected with a cathode and an anode through a control module; the storage battery is mounted on one side in the shell and is used for supplying power to the pulse generator; the control module comprises an information acquisition module used for acquiring physiological information of a user in real time; the signal processing module is used for receiving and preprocessing the physiological signals; and the intelligent regulation and control module is combined with the output data of the signal processing module to regulate and control the working state of the pulse generator. By integrating the information acquisition module, the signal processing module and the intelligent regulation and control module, physiological information of a user is monitored in real time, and the working state of the pulse generator is accurately regulated, so that effective electrical stimulation on the heart is realized, and normal physiological rhythm of the heart is ensured.

The invention discloses an electrode track generation method and a related device. The electrode is implanted into a target part of a user; the electrode track generation method comprises the steps that an image file of a target part of a user is obtained, the image file comprises image data of different positions of the target part, electrode data of an electrode in each piece of image data is extracted, and the electrode data at least comprises electrode coordinates; performing fitting processing on the electrode data of the electrode to obtain an initial electrode track of the electrode; and according to the electrode configuration parameters of the electrode, performing fusion processing on the initial electrode trajectory to obtain a target electrode trajectory of the electrode. According to the method, the accuracy and applicability of the electrode track can be improved, and the layout and form of the electrode can be visually known.

A dual chamber LP system includes an aLP and a vLP that collectively provide AAI+VVI operation, and selectively transition from the AAI+VVI operation to collectively providing coordinated dual chamber operation (e.g., DDD operation, but not limited thereto), and vice versa. While providing the AAI operation, the aLP performs atrial pacing when an intrinsic atrial event is not detected within a specified AA interval, performs atrial sensing, and inhibits the atrial pacing when the intrinsic atrial event is detected within the specified AA interval. While providing the VVI operation, the vLP performs ventricular pacing when an intrinsic ventricular event is not detected within a specified VV interval, performs ventricular sensing, and inhibits the ventricular pacing when the intrinsic ventricular event is detected within the specified VV interval.

A method of delivering a pacing lead may include locating a potential implantation site adjacent to or within the triangle of Koch region of a patient's heart. The method may include advancing a pacing lead to the potential implantation site. The pacing lead has an elongate body and a fixation element coupled to a distal portion and attachable to the right-atrial endocardium adjacent to or within the triangle of Koch region. The method may include implanting the pacing lead at the potential implantation site to or sense electrical activity of the left ventricle in the basal and / or septal region of the left ventricular myocardium of the patient's heart. The pacing lead may include a lumen configured to receive a guide wire. A sheath of a delivery system used to deliver the pacing lead may include two or more curves to facilitate implanting the pacing lead at the implantation site.

A pacing system (100) for wireless extra-cardiac pacing of a heart (303) of a patient (301). The pacing system (100) includes a generator (102), a transmitter (104), and an implant device (106). The generator (102) is configured to generate energy. The transmitter (104) is configured to transmit the energy generated by the generator (102). The implant device (106) including an expandable stent that is configured to be implanted in the heart (303) of the patient (301), the implant device (106) including a receiver (220) that is configured to receive the energy that is transmitted by the transmitter (220), the implant device including a transducer (222) that is configured to transduce the energy into a pacing stimulus that is configured to pace the heart (303).