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40 results about "Carotid sinus" patented technology

In human anatomy, the carotid sinus is a dilated area at the base of the internal carotid artery just superior to the bifurcation of the internal carotid and external carotid at the level of the superior border of thyroid cartilage. The carotid sinus extends from the bifurcation to the "true" internal carotid artery. The carotid sinus is sensitive to pressure changes in the arterial blood at this level. It is the major baroreception site in humans and most mammals.

Treatment of hypertension

Treatment of hypertension includes implantation of the discharge portion(s) of a catheter and / or electrical stimulation electrode(s) adjacent the tissue(s) to be stimulated. Stimulation pulses, i.e., drug infusion pulses and / or electrical pulses, are supplied by one or more implanted stimulators, through the catheter and possibly also a lead, tunneled subcutaneously between the stimulator and stimulation site. A microstimulator(s) may also / instead deliver electrical stimulation pulses. Stimulation sites include the carotid sinus and carotid body, among other locations. Treatments include drugs used for acute and / or chronic treatment of hypertension. In a number of embodiments, a need for or response to treatment is sensed, and the electrical and / or infusion pulses adjusted accordingly.
Owner:BOSTON SCI NEUROMODULATION CORP

Electrode designs and methods of use for cardiovascular reflex control devices

Devices, systems and methods by which the blood pressure, nervous system activity, and neurohornonal activity may be selectively and controllably reduced by activating baroreceptors. A baroreceptor activation device is positioned near a baroreceptor, preferably in the carotid sinus. The baroreceptor activation device may utilize electrodes to activate the baroreceptors. The electrodes may be adapted for connection to the carotid arteries at or near the carotid sinus, and may be designed to minimize extraneous tissue stimulation.
Owner:CVRX

Techniques for applying, configuring, and coordinating nerve fiber stimulation

Apparatus is provided including an implantable sensor, adapted to sense an electrical parameter of a heart of a subject, and a first control unit, adapted to apply pulses to the heart responsively to the sensed parameter, the pulses selected from the list consisting of: pacing pulses and anti-arrhythmic energy. The apparatus further includes an electrode device, adapted to be coupled to a site of the subject selected from the list consisting of: a vagus nerve of the subject, an epicardial fat pad of the subject, a pulmonary vein of the subject, a carotid artery of the subject, a carotid sinus of the subject, a coronary sinus of the subject, a vena cava vein of the subject, a right ventricle of the subject, and a jugular vein of the subject; and a second control unit, adapted to drive the electrode device to apply to the site a current that increases parasympathetic tone of the subject and affects a heart rate of the subject. The first and second control units are not under common control. At least one of the control units is adapted to coordinate an aspect of its operation with an aspect of operation of the other control unit. Other embodiments are also described.
Owner:MEDTRONIC INC

Parasympathetic pacing therapy during and following a medical procedure, clinical trauma or pathology

ActiveUS20060206155A1Increase parasympathetic toneReduced responseSpinal electrodesHeart stimulatorsParasympathetic ganglionPathology diagnosis
A treatment method is provided, including identifying a subject as one who is selected to undergo an interventional medical procedure, and, in response to the identifying, reducing a likelihood of a potential adverse effect of the procedure by applying an electrical current to a parasympathetic site of the subject selected from the group consisting of: a vagus nerve of the subject, an epicardial fat pad of the subject, a pulmonary vein of the subject, a carotid artery of the subject, a carotid sinus of the subject, a coronary sinus of the subject, a vena cava vein of the subject, a jugular vein of the subject, a right ventricle of the subject, a parasympathetic ganglion of the subject, and a parasympathetic nerve of the subject.
Owner:MEDTRONIC INC

Techniques for reducing pain associated with nerve stimulation

Apparatus is provided including an electrode device and a control unit. The electrode device is configured to be coupled to a site of a subject selected from the group consisting of: a vagus nerve, an epicardial fat pad, a pulmonary vein, a carotid artery, a carotid sinus, a coronary sinus, a vena cava vein, a right ventricle, a right atrium, and a jugular vein. The control unit is configured to drive the electrode device to apply to the site a current in at least first and second bursts, the first burst including a plurality of pulses, and the second burst including at least one pulse, and set (a) a pulse repetition interval (PRI) of the first burst to be on average at least 20 ms, (b) an interburst interval between initiation of the first burst and initiation of the second burst to be less than 10 seconds, (c) an interburst gap between a conclusion of the first burst and the initiation of the second burst to have a duration greater than the average PRI, and (d) a burst duration of the first burst to be less than a percentage of the interburst interval between, the percentage being less than 67%. Other embodiments are also described.
Owner:MEDTRONIC INC

Stimulus regimens for cardiovascular reflex control

ActiveUS20050251212A1Reduces excessive blood pressureDeleterious effectElectrotherapyAngle modulation detailsNervous systemRegimen
Devices, systems and methods by which the blood pressure, nervous system activity, and neurohormonal activity may be selectively and controllably reduced by activating baroreceptors. A baroreceptor activation device is positioned near a baroreceptor, for example a baroreceptor in the carotid sinus. A control system may be used to modulate the baroreceptor activation device. The control system may utilize an algorithm defining a stimulus regimen which promotes long term efficacy and reduces power requirements / consumption.
Owner:CVRX

Techniques for reducing pain associated with nerve stimulation

Apparatus is provided including an electrode device and a control unit. The electrode device is configured to be coupled to a site of a subject selected from the group consisting of: a vagus nerve, an epicardial fat pad, a pulmonary vein, a carotid artery, a carotid sinus, a coronary sinus, a vena cava vein, a right ventricle, a right atrium, and a jugular vein. The control unit is configured to drive the electrode device to apply to the site a current in at least first and second bursts, the first burst including a plurality of pulses, and the second burst including at least one pulse, and set (a) a pulse repetition interval (PRI) of the first burst to be on average at least 20 ms, (b) an interburst interval between initiation of the first burst and initiation of the second burst to be less than 10 seconds, (c) an interburst gap between a conclusion of the first burst and the initiation of the second burst to have a duration greater than the average PRI, and (d) a burst duration of the first burst to be less than a percentage of the interburst interval between, the percentage being less than 67%. Other embodiments are also described.
Owner:MEDTRONIC INC

Vagal stimulation for anti-embolic therapy

Apparatus (20) for treating a subject (30) suffering from spontaneous atrial fibrillation includes an electrode device (22), adapted to be coupled to a site of the subject (30) selected from the list consisting of: a vagus nerve (24) of the subject (30), an epicardial fat pad of the subject (30), a pulmonary vein of the subject (30), a carotid artery of the subject (30), a carotid sinus of the subject (30), a vena cava vein of the subject (30), and an internal jugular vein of the subject (30), and a control unit (32), adapted to drive the electrode device (22) to apply an electrical current to the site, and to configure the current to maintain the spontaneous AF for at least about 24 hours, so as to modify blood flow within the atria and reduce risk of thromboembolic events.
Owner:MEDTRONIC INC

Parasympathetic stimulation for treating ventricular arrhythmia

InactiveUS7904151B2Reduce riskFew potential side effectHeart defibrillatorsCardiac arrhythmiaCarotid sinus
Apparatus is provided including an implantable sensor, adapted to sense an electrical parameter of a heart of a subject, and a first control unit, adapted to apply pulses to the heart responsively to the sensed parameter, the pulses selected from the list consisting of: pacing pulses and anti-arrhythmic energy. The apparatus further includes an electrode device, adapted to be coupled to a site of the subject selected from the list consisting of: a vagus nerve of the subject, an epicardial fat pad of the subject, a pulmonary vein of the subject, a carotid artery of the subject, a carotid sinus of the subject, a coronary sinus of the subject, a vena cava vein of the subject, a right ventricle of the subject, and a jugular vein of the subject; and a second control unit, adapted to drive the electrode device to apply to the site a current that increases parasympathetic tone of the subject and affects a heart rate of the subject. The first and second control units are not under common control. At least one of the control units is adapted to coordinate an aspect of its operation with an aspect of operation of the other control unit. Other embodiments are also described.
Owner:MEDTRONIC INC

Parasympathetic stimulation for prevention and treatment of atrial fibrillation

A method is provided, including identifying that a subject is at risk of suffering from atrial fibrillation (AF). Responsively to the identifying, a risk of an occurrence of an episode of the AF is reduced by applying an electrical current to a site of the subject selected from the group consisting of: a vagus nerve, a sinoatrial (SA) node fat pad, a pulmonary vein, a carotid artery, a carotid sinus, a coronary sinus, a vena cava vein, a jugular vein, an azygos vein, an innominate vein, and a subclavian vein, and configuring the current to stimulate autonomic nervous tissue in the site. Other embodiments are also described.
Owner:MEDTRONIC INC

Parasympathetic stimulation for treating ventricular arrhythmia

Apparatus is provided including an implantable sensor, adapted to sense an electrical parameter of a heart of a subject, and a first control unit, adapted to apply pulses to the heart responsively to the sensed parameter, the pulses selected from the list consisting of: pacing pulses and anti-arrhythmic energy. The apparatus further includes an electrode device, adapted to be coupled to a site of the subject selected from the list consisting of: a vagus nerve of the subject, an epicardial fat pad of the subject, a pulmonary vein of the subject, a carotid artery of the subject, a carotid sinus of the subject, a coronary sinus of the subject, a vena cava vein of the subject, a right ventricle of the subject, and a jugular vein of the subject; and a second control unit, adapted to drive the electrode device to apply to the site a current that increases parasympathetic tone of the subject and affects a heart rate of the subject. The first and second control units are not under common control. At least one of the control units is adapted to coordinate an aspect of its operation with an aspect of operation of the other control unit. Other embodiments are also described.
Owner:MEDTRONIC INC

Shockwave nerve therapy system and method

ActiveUS20140046229A1Reduce and block activationModulate neural activitySurgeryChiropractic devicesBaroreceptor functionBiological activation
Disclosed herein are intravascular systems and methods for modulating the activation of neural activity using shock wave devices. Such systems and methods may be used to modulate the activity of the renal plexus and / or baroreceptors of the carotid sinus for the treatment of hypertension.
Owner:SHOCKWAVE MEDICAL

Techniques for prevention of atrial fibrillation

A method is provided, including identifying that a subject is at risk of suffering from atrial fibrillation (AF). Responsively to the identifying, a risk of an occurrence of an episode of the AF is reduced by applying an electrical current to a site of the subject selected from the group consisting of: a vagus nerve, a sinoatrial (SA) node fat pad, a pulmonary vein, a carotid artery, a carotid sinus, a coronary sinus, a vena cava vein, a jugular vein, an azygos vein, an innominate vein, and a subclavian vein, and configuring the current to stimulate autonomic nervous tissue in the site. Other embodiments are also described.
Owner:MEDTRONIC INC

Techniques for prevention of atrial fibrillation

ActiveUS20070179543A1Prevent electrical remodelingReduce riskSpinal electrodesHeart defibrillatorsInnominate veinBiology
A method is provided, including identifying that a subject is at risk of suffering from atrial fibrillation (AF). Responsively to the identifying, a risk of an occurrence of an episode of the AF is reduced by applying an electrical current to a site of the subject selected from the group consisting of: a vagus nerve, a sinoatrial (SA) node fat pad, a pulmonary vein, a carotid artery, a carotid sinus, a coronary sinus, a vena cava vein, a jugular vein, an azygos vein, an innominate vein, and a subclavian vein, and configuring the current to stimulate autonomic nervous tissue in the site. Other embodiments are also described.
Owner:MEDTRONIC INC

Method for surgically implanting an electrode device

InactiveUS20080161894A1Reduce riskFew potential side effectSpinal electrodesSurgeryCarotid sinusRight ventricles
Apparatus is provided including an implantable sensor, adapted to sense an electrical parameter of a heart of a subject, and a first control unit, adapted to apply pulses to the heart responsively to the sensed parameter, the pulses selected from the list consisting of: pacing pulses and anti-arrhythmic energy. The apparatus further includes an electrode device, adapted to be coupled to a site of the subject selected from the list consisting of: a vagus nerve of the subject, an epicardial fat pad of the subject, a pulmonary vein of the subject, a carotid artery of the subject, a carotid sinus of the subject, a coronary sinus of the subject, a vena cava vein of the subject, a right ventricle of the subject, and a jugular vein of the subject; and a second control unit, adapted to drive the electrode device to apply to the site a current that increases parasympathetic tone of the subject and affects a heart rate of the subject. The first and second control units are not under common control. At least one of the control units is adapted to coordinate an aspect of its operation with an aspect of operation of the other control unit. Other embodiments are also described.
Owner:MEDTRONIC INC

Device and procedure to treat cardiac atrial arrhythmias

A non-invasive vagal stimulation device and method. The device comprises a body having a vibration member. The stimulation is created by the vibration member which has a vibratory rate that can be adjusted from being off to a preferred operating range. The non-invasive stimulation method consists of placing the non-invasive stimulation device in the vicinity of the carotid artery bifrication where arises a carotid sinus and body which contain afferent sensory nerves that travel to medulla oblongata of brain, and either applying pressure in place, or moving the device along the target arm. The method can be accomplished either with the vibration feature of the device turned on or off.
Owner:NEUROSIGNAL TECH

Combined parasympathetic stimulation and drug therapy

InactiveUS20080125843A1Enhancing and sustaining efficacyImprove efficiencyHeart defibrillatorsMedical devicesNervous systemMyelitis
A method is provided for treating a subject, including applying a current to a site of the subject selected from the list consisting of: a vagus nerve of the subject, an epicardial fat pad of the subject, a pulmonary vein of the subject, a carotid artery of the subject, a carotid sinus of the subject, a vena cava vein of the subject, and an internal jugular vein of the subject. The method also includes configuring the current so as to treat a condition of the subject selected from the list consisting of: an autoimmune disease, an autoimmune inflammatory disease, multiple sclerosis, encephalitis, myelitis, immune-mediated neuropathy, myositis, dermatomyositis, polymyositis, inclusion body myositis, inflammatory demyelinating polyradiculoneuropathy, Guillain Barre syndrome, myasthenia gravis, inflammation of the nervous system, inflammatory bowel disease, Crohn's disease, ulcerative colitis, SLE (systemic lupus erythematosus), rheumatoid arthritis, vasculitis, polyarteritis nodosa, Sjogren syndrome, mixed connective tissue disease, glomerulonephritis, thyroid autoimmune disease, sepsis, meningitis, a bacterial infection, a viral infection, a fungal infection, sarcoidosis, hepatitis, and portal vein hypertension.
Owner:MEDTRONIC INC

Device and procedure to treat cardiac atrial arrhythmias

InactiveUS7011638B2ElectrotherapyChiropractic devicesCarotid bifurcationNon invasive
A non-invasive vagal stimulation device and method. The device comprises a body having a vibration member. The stimulation is created by the vibration member which has a vibratory rate that can be adjusted from being off to a preferred operating range. The non-invasive stimulation method consists of placing the non-invasive stimulation device in the vicinity of the carotid artery bifrication where arises a carotid sinus and body which contain afferent sensory nerves that travel to medulla oblongata of brain, and either applying pressure in place, or moving the device along the target arm. The method can be accomplished either with the vibration feature of the device turned on or off.
Owner:ORTIZ & LOPEZ PLLC

Vagal stimulation for cardioversion of atrial fibrillation

Apparatus (20) for treating a subject (30) suffering from spontaneous atrial fibrillation includes an electrode device (22), adapted to be coupled to a site of the subject (30) selected from the list consisting of: a vagus nerve (24) of the subject (30), an epicardial fat pad of the subject (30), a pulmonary vein of the subject (30), a carotid artery of the subject (30), a carotid sinus of the subject (30), a vena cava vein of the subject (30), and an internal jugular vein of the subject (30), and a control unit (32), adapted to drive the electrode device (22) to apply an electrical current to the site, and to configure the current to maintain the spontaneous AF for at least about 24 hours, so as to modify blood flow within the atria and reduce risk of thromboembolic events.
Owner:MEDTRONIC INC

ECG input to implantable pulse generator using carotid sinus leads

A monitoring device is provided to monitor a patient. The monitoring device includes at least one lead having an electrode. The lead is positioned proximate a location within the patient's body, and the lead is adapted to sense cardiac electrical activity. The monitoring device also includes a control system coupled to the at least one lead to receive a signal representative of the cardiac electrical activity.
Owner:CVRX

Techniques for prevention of atrial fibrillation

ActiveUS20080177338A1Prevent electrical remodelingReduce riskSpinal electrodesExternal electrodesInnominate veinAtrial cavity
A method is provided, including identifying that a subject is at risk of suffering from atrial fibrillation (AF). Responsively to the identifying, a risk of an occurrence of an episode of the AF is reduced by applying an electrical current to a site of the subject selected from the group consisting of: a vagus nerve, a sinoatrial (SA) node fat pad, a pulmonary vein, a carotid artery, a carotid sinus, a coronary sinus, a vena cava vein, a jugular vein, an azygos vein, an innominate vein, and a subclavian vein, and configuring the current to stimulate autonomic nervous tissue in the site. Other embodiments are also described.
Owner:MEDTRONIC INC

Shockwave nerve therapy system and method

ActiveUS9237984B2Reduce and block activationModulate neural activitySurgeryVibration massageBaroreceptor functionBiological activation
Disclosed herein are intravascular systems and methods for modulating the activation of neural activity using shock wave devices. In one embodiment, the system is used to treat the nerves in the renal plexus. In a second embodiment, the system is used to treat the baroreceptors in the carotid sinus. In a preferred embodiment, the shock wave generator is in the form of electrodes mounted within an inflatable balloon.
Owner:SHOCKWAVE MEDICAL

Hypertension descending device

Disclosed is a hypertension descending device capable of curing a hypertension disease by stimulating a patient's Acupuncture point Renying (or referred to as “carotid sinus”) by repeated cold pressure vibration. The hypertension descending device is designed to allow common users to use it easily, and provides a good hypertension descent effect by stimulating the patient's carotid sinus (Acupuncture point Renying) portion while maintaining a uniform cooling temperature of the contact tip, which is in contact with the patient's carotid sinus (Acupuncture point Renying) portion.
Owner:AHN MOON HWI +1

Hypertension descending device

Disclosed is a hypertension descending device capable of curing a hypertension disease by stimulating a patient's Acupuncture point Renying (or referred to as “carotid sinus”) by repeated cold pressure vibration. The hypertension descending device is designed to allow common users to use it easily, and provides a good hypertension descent effect by stimulating the patient's carotid sinus(Acupuncture point Renying) portion while maintaining a uniform cooling temperature of the contact tip, which is in contact with the patient's carotid sinus(Acupuncture point Renying) portion.
Owner:PHYSIOCUE

Skin-outer carotid sinus massage blood-pressure-reducing device

InactiveCN105943348ADrop in timeRealize individualized and intelligent blood pressure reductionVibration massageEvaluation of blood vesselsMassageCarotid sinus
The invention belongs to the field of medical apparatus and instruments, and in particular relates to a skin-outer carotid sinus massage blood-pressure-reducing device. The skin-outer carotid sinus massage blood-pressure-reducing device comprises a carotid sinus massage part, a pressure monitoring part, a control part, a display part, an electrocardiogram monitoring part and a fixing part, wherein a microprocessor of the control part analyzes a pressure signal from the pressure monitoring part, so that the massage mode of the carotid sinus massage part fixed to the local skin-outer part of the carotid sinus is adjusted, and thus the feedback blood pressure reduction is realized. The skin-outer carotid sinus massage blood-pressure-reducing device is used for treating high blood pressure, is a noninvasive blood pressure reducing device, is convenient to use, is safe and effective, and has a great clinical application value.
Owner:张健

Magnetic stimulation physiotherapy device functioning through carotid sinus

The present invention provides a magnetic stimulation physiotherapy device functioning through carotid sinus. The device comprises a pulse generator, a circulating water cooling box, a handle, magnetic stimulation coils, isolation pads, a cable, a U-shaped clamp and a water-cooled tube. The magnetic stimulation physiotherapy device functioning through carotid sinus can employ a principle of a carotid sinus being sensitive to physical stimulation to treat hypertension. Compared to a traditional carotid sinus electrical stimulation technology, the magnetic stimulation physiotherapy device functioning through carotid sinus can generate magnetic fields with high, middle and low frequencies through a time-varying current, the magnetic fields with high, middle and low frequencies penetrate tissue to be focused at the carotid sinus, and electromagnetic induction generates a treatment eddy current. The magnetic stimulation coils are not in direct contact with tissue, there are no potential risks caused by a similar electrical stimulation technology, and invasive surgery is not needed.
Owner:徐格林 +1
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