Invention Grant
US08942806B2 Methods for setting cardiac pacing parameters in relatively high efficiency pacing systems 有权
在较高效率起搏系统中设置心脏起搏参数的方法

  • Patent Title: Methods for setting cardiac pacing parameters in relatively high efficiency pacing systems
  • Patent Title (中): 在较高效率起搏系统中设置心脏起搏参数的方法
  • Application No.: US14149277
    Application Date: 2014-01-07
  • Publication No.: US08942806B2
    Publication Date: 2015-01-27
  • Inventor: Todd J SheldonWade M Demmer
  • Applicant: Medtronic, Inc.
  • Applicant Address: US MN Minneapolis
  • Assignee: Medtronic, Inc.
  • Current Assignee: Medtronic, Inc.
  • Current Assignee Address: US MN Minneapolis
  • Agent Evans M. Mburu
  • Priority: WOPCT/US2012/048123 20120725
  • Main IPC: A61N1/368
  • IPC: A61N1/368 A61N1/37 A61N1/375 A61N1/372
Methods for setting cardiac pacing parameters in relatively high efficiency pacing systems
Abstract:
According to some methods, for example, preprogrammed in a microprocessor element of an implantable cardiac pacing system, at least one of a number of periodic pacing threshold searches includes steps to reduce an evoked response amplitude threshold for evoked response signal detection. The reduction may be to a minimum value measurable above zero, for example, as determined by establishing a ‘noise floor’. Alternately, amplitudes of test pacing pulses and corresponding post pulse signals are collected and reviewed to search for a break, to determine a lower value to which the evoked response threshold may be adjusted without detecting noise. Subsequent to reducing the threshold, if no evoked response signal is detected for a test pulse applied at or above a predetermined maximum desirable pulse energy, an operational pacing pulse energy is set to greater than or equal to the maximum desirable in conjunction with a reduction in pacing rate.
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