公开(公告)号：US08774919B2

公开(公告)日：2014-07-08

申请号：US13602321

申请日：2012-09-04

Applicant: Thomas Doerr ,  Ingo Weiss

Inventor： Thomas Doerr ,  Ingo Weiss

IPC: A61M1/12 ,  A61N1/39 ,  A61M1/10 ,  A61N1/362 ,  A61N1/365

CPC classification number: A61M1/1086 ,  A61M1/10 ,  A61M1/1005 ,  A61M1/12 ,  A61M1/122 ,  A61M1/127 ,  A61M2205/3331 ,  A61M2230/65 ,  A61N1/3627 ,  A61N1/36521 ,  A61N1/3956

Abstract: A cardiac therapy device having a cardiac assist pump, a defibrillation unit, and a control unit, which is connected to the cardiac assist pump and the defibrillation unit to control them. The cardiac assist pump is implemented in case of use to pump blood from a ventricle into an associated artery and thus relieve the respective ventricle. The defibrillation unit is implemented for automatic defibrillation of a ventricular fibrillation and the control unit is implemented to activate the cardiac assist pump and the defibrillation unit in a coordinated manner in case of a ventricular fibrillation such that the cardiac assist pump first increases its performance to initially cause a pressure relief of at least one assisted ventricle in case of use and the defibrillation unit only subsequently delivers a defibrillation shock, when a ventricular pressure relief is provided.

Abstract translation: 一种具有心脏辅助泵，除颤单元和控制单元的心脏治疗装置，其连接到心脏辅助泵和除颤单元以控制它们。 心脏辅助泵在用于将血液从心室泵送到相关动脉中并因此减轻相应心室的情况下被实施。 除颤单元被实施用于心室颤动的自动除颤，并且控制单元被实现为在心室颤动的情况下以协调的方式激活心脏辅助泵和除颤单元，使得心脏辅助泵首先将其性能提高到最初 在使用情况下导致至少一个辅助心室的压力减轻，并且当提供心室压力释放时，除颤单元仅随后递送除颤电击。

公开(公告)号：US08768430B2

公开(公告)日：2014-07-01

申请号：US12972466

申请日：2010-12-18

Applicant: Thomas Doerr ,  Ingo Weiss

Inventor： Thomas Doerr ,  Ingo Weiss

IPC: A61B5/103 ,  A61N1/37 ,  A61B5/00 ,  A61B5/11 ,  A61B5/06 ,  G01R33/28

CPC classification number: G01R33/285 ,  A61B5/065 ,  A61B5/103 ,  A61B5/1116 ,  A61B5/686 ,  A61B5/6869 ,  A61B5/7203 ,  A61B2560/029 ,  A61N1/37 ,  A61N1/3718

Abstract: Allows the specificity of an automatic MRT detection to be increased in a simple manner. This is achieved using an automatically calibrating position sensor, so that the user does not have to perform additional calibration of this sensor. Incorrect sensor calibrations are thus eliminated as well.

Abstract translation: 允许以简单的方式增加自动MRT检测的特异性。 这是通过使用自动校准位置传感器实现的，因此用户不需要对该传感器进行额外的校准。 因此也消除了不正确的传感器校准。

公开(公告)号：US08676327B2

公开(公告)日：2014-03-18

申请号：US12402821

申请日：2009-03-12

Applicant: Thomas Doerr ,  Ingo Weiss ,  Andreas Neumann

Inventor： Thomas Doerr ,  Ingo Weiss ,  Andreas Neumann

IPC: A61N1/00

CPC classification number: A61B5/6864 ,  A61B5/02405 ,  A61B5/0452 ,  A61B2562/0219 ,  A61N1/36082

Abstract: Neurostimulator (20) comprising a signal generator (40) for generating stimulation pulses, connected or connectable to at least one electrode (10) implantable in the brain of a patient, comprising a signal generator control unit (36) connected to the signal generator (40) and designed to control the delivery of stimulation pulses and to make adjustments in signal generator settings as needed, comprising a device connected to the signal generator control unit (36) for determination and analysis of the heart rate of a patient (30, 32, 34), characterized in that the signal generator control unit (36) is designed to check on the health status of a patient and/or the success of a treatment using at least one heart-rate-dependent characteristic quantity determined by the device for determination and analysis of the heart rate (30, 32, 34) and to make an adjustment in the signal generator settings if necessary.

Abstract translation: 神经刺激器（20），包括用于产生刺激脉冲的信号发生器（40），所述刺激脉冲连接或连接到可植入患者脑部的至少一个电极（10），包括连接到所述信号发生器的信号发生器控制单元（36） 40），并且被设计成控制刺激脉冲的传送并且根据需要进行信号发生器设置的调整，包括连接到信号发生器控制单元（36）的装置，用于确定和分析患者的心率（30,32 ，34），其特征在于，所述信号发生器控制单元（36）设计成使用由所述装置确定的至少一个基于心率的特征量来检查患者的健康状况和/或治疗成功 确定和分析心率（30,32,34），并在必要时进行信号发生器设置的调整。

公开(公告)号：US08428721B2

公开(公告)日：2013-04-23

申请号：US12627004

申请日：2009-11-30

Applicant: Thomas Doerr

Inventor： Thomas Doerr

IPC: A61N1/00

CPC classification number: A61N1/3752 ,  A61N1/05 ,  A61N1/37241

Abstract: An adapter for temporary sterile electric connection of an implantable medical electronic device to an electrode line that is to be connected to the implantable medical electronic device during implantation for undistorted transmission of measured values detectable on the electrode line to the device.

Abstract translation: 一种用于将植入式医疗电子设备临时无菌电连接到电极线的适配器，该电极线将在植入期间连接到可植入医疗电子设备，用于在电极线上可检测的测量值的未失真传输到设备。

公开(公告)号：US20130023945A1

公开(公告)日：2013-01-24

申请号：US13539412

申请日：2012-06-30

Applicant: Thomas DOERR

Inventor： Thomas DOERR

IPC: A61N1/39

CPC classification number: A61N1/3918 ,  A61N1/0563 ,  A61N1/3962

Abstract: An implantable defibrillation arrangement comprising a defibrillation device having a sensing component and a defibrillation component, and an electrode lead comprising a lead body, a plug, a sensing electrode for sensing cardiac action potentials with a first electrode supply lead, and a defibrillation electrode for transmitting shock pulses to cardiac tissue with a second electrode supply lead, wherein a switching unit is provided to switch the sensing electrode to the potential of the defibrillation electrode in response to the output of a defibrillation shock by the defibrillation component.

Abstract translation: 一种可植入除颤装置，包括具有感测部件和除颤部件的除颤装置，以及包括引线体，插塞，用于利用第一电​​极供给引线感测心脏动作电位的感测电极的电极引线，以及用于发送的除颤电极 用第二电极供应引线对心脏组织进行冲击脉冲，其中提供切换单元以响应于除颤组件的除颤电击的输出将感测电极切换到除颤电极的电位。

公开(公告)号：US07833191B2

公开(公告)日：2010-11-16

申请号：US12401989

申请日：2009-03-11

Applicant: Erhard Flach ,  Thomas Doerr

Inventor： Erhard Flach ,  Thomas Doerr

IPC: A61M31/00

CPC classification number: A61N1/0534 ,  A61M25/0138 ,  A61M25/0147 ,  A61M25/0158

Abstract: Controllable catheter (10) having an elongated shaft (13) which is subdivided into multiple shaft segments, at least two of which are designed as tilt segments (12) and are each connected to at least one adjustment device, so that they can be tilted about a desired tilt angle with respect to the longitudinal axis of the shaft (13), wherein each of the at least one adjustment device is individually controllable and allows individual tilting of a corresponding tilt segment about a desired tilt angle.

Abstract translation: 可控导管（10）具有细长轴（13），细长轴（13）被细分为多个轴段，其至少两个被设计为倾斜段（12），并且各自连接到至少一个调节装置，使得它们可以倾斜 围绕关于轴（13）的纵向轴线的期望的倾斜角度，其中所述至少一个调节装置中的每一个都是单独可控的，并且允许相应的倾斜段围绕期望的倾斜角度单独倾斜。

公开(公告)号：US20090306731A1

公开(公告)日：2009-12-10

申请号：US12475629

申请日：2009-06-01

Applicant: Thomas Doerr

Inventor： Thomas Doerr

IPC: A61N1/39

CPC classification number: A61N1/3962 ,  A61N1/3702 ,  A61N1/3925 ,  A61N1/395

Abstract: An implantable cardiac stimulator includes a cardioversion/defibrillation unit connected to at least one electrode pair for generation and delivery of cardioversion or defibrillation shocks; an atrial sensing unit detecting atrial contraction, and outputting an atrial sensing signal indicating a atrial event when an atrial contraction is detected; a ventricular sensing unit detecting ventricular contraction, and outputting a ventricular sensing signal when a ventricular contraction is detected; a tachycardia detection unit connected to the atrial and ventricular sensing units and detecting a tachycardia, and classifying it as a ventricular tachycardia (VT) or as a supraventricular tachycardia (SVT); and a treatment control unit designed to trigger at least one atrial cardioversion shock when a ventricular rhythm detected by the ventricular sensing unit is faster than a programmed frequency limit, and the tachycardia detection unit classifies an SVT as an atrial fibrillation (AFib).

Abstract translation: 植入式心脏刺激器包括与至少一个电极对连接的心脏复律/除颤单元，用于产生和递送心脏复律或除颤电击; 心房感知单元检测心房收缩，并且当检测到心房收缩时输出指示心房事件的心房感测信号; 检测心室收缩的心室感测单元，并且当检测到心室收缩时输出心室感测信号; 连接到心房和心室感测单元并检测心动过速并将其分类为室性心动过速（VT）或作为室上性心动过速（SVT）的心动过速检测单元; 以及治疗控制单元，其被设计成当由心室感测单元检测到的心室节律快于编程频率极限时触发至少一个心房复律冲击，并且心动过速检测单元将SVT分类为心房颤动（AFib）。

公开(公告)号：US20090306729A1

公开(公告)日：2009-12-10

申请号：US12480093

申请日：2009-06-08

Applicant: Thomas Doerr

Inventor： Thomas Doerr

IPC: A61N1/39

CPC classification number: A61N1/3962 ,  A61N1/3622

Abstract: An electrotherapy system, particularly an implantable heart stimulator, is configured as an electronic implant for electrical anti-tachycardia therapy of the heart, and includes at least one programmable therapy sequence (i.e. a sequence of several therapies that are delivered, one after the other, to treat a VT/VF episode). The implant has a therapy success memory for storing therapy success statistics for each therapy, as well as a therapy control unit that is configured to automatically undertake adaptation of the order of the therapies within a therapy sequence as a function of currently stored therapy success statistics.

Abstract translation: 电疗系统，特别是可植入心脏刺激器，被配置为用于心脏的电抗心动过速治疗的电子植入物，并且包括至少一个可编程治疗序列（即，一系列递送的几种疗法， 治疗VT / VF发作）。 植入物具有用于存储每个治疗的治疗成功统计的治疗成功记忆，以及治疗控制单元，其被配置为根据当前存储的治疗成功统计信息自动地进行治疗序列内治疗的顺序的适应。

公开(公告)号：US20090264947A1

公开(公告)日：2009-10-22

申请号：US12426325

申请日：2009-04-20

Applicant: Thomas DOERR ,  Peter Schneider ,  Torsten Lang

Inventor： Thomas DOERR ,  Peter Schneider ,  Torsten Lang

IPC: A61N1/362 ,  A61B5/04 ,  A61N1/05 ,  A61N1/39

CPC classification number: A61N1/3622

Abstract: Implantable cardiac stimulator, with chamber stimulation unit connectable to left/right ventricular stimulation electrode to generate/deliver chamber stimulation pulses for stimulation of ventricle; ventricular sensing unit (VSU) to detect respective chamber contraction and deliver ventricular sensing signal when chamber contraction detected; optional atrial stimulation unit, connectable to atrial stimulation electrode to generate atrial stimulation pulses to stimulate atrium; atrial sensing unit, to detect atrial contraction, deliver atrial sensing signal indicating respective atrial event; tachycardia detection unit, connected to VSU to detect and categorize ventricular/supraventricular tachycardia; treatment control unit (TCU), triggers chamber stimulation unit to deliver antitachycardiac stimulation (ATP); analyzer unit, connected to atrial sensing unit and TCU. Analyzes atrial events from sensing unit before/during/after delivering antitachycardiac stimulation for atrial rhythm pattern during ventricular ATP by comparison atrial rhythm pattern immediately before ATP and to trigger TCU as function of ATP response signal representing comparison result for selection of the following antitachycardiac treatment.

Abstract translation: 可植入式心脏刺激器，室内刺激单元可连接到左/右心室刺激电极，以产生/输送室刺激脉冲以刺激心室; 心室感测单元（VSU），用于在检测到房室收缩时检测各室收缩并输送心室感测信号; 可选的心房刺激单元，可连接到心房刺激电极，产生心房刺激脉冲刺激心房; 心房感知单元，用于检测心房收缩，传送指示各心房事件的心房感知信号; 心动过速检测单元，连接到VSU以检测和分类室性/室上性心动过速; 治疗控制单元（TCU），触发腔室刺激单元以提供抗心动过速刺激（ATP）; 分析仪单元，连接到心房感应单元和TCU。 通过在ATP前立即比较心房心律，并在ATP前作为ATP反应信号，作为ATP反应信号的函数，代替比较结果选择下列抗心律失常药物治疗，分析心房ATP前心房心律刺激心律失常心律前后心房发作情况。

公开(公告)号：US20090264945A1

公开(公告)日：2009-10-22

申请号：US12403266

申请日：2009-03-12

Applicant: Thomas Doerr ,  Frank Tscherch ,  Ulrich Tietze

Inventor： Thomas Doerr ,  Frank Tscherch ,  Ulrich Tietze

IPC: A61N1/39 ,  A61N1/362

CPC classification number: A61N1/371 ,  A61N1/3627 ,  A61N1/3684 ,  A61N1/3962

Abstract: An implantable cardiac stimulator having an at least partially electrically conductive housing, a ventricular stimulation unit connectable to left ventricular or right ventricular stimulation electrode and designed to generate ventricular stimulation pulses for stimulation of heart ventricle, having terminal for right ventricular defibrillation electrode. Has far-field electrogram detection unit (FFEDU) and stimulation success detecting unit (SSDU), of which FFEDU has first input connected to the terminal for right ventricular defibrillation electrode and second input connected to housing. FFEDU detects far-field electrocardiogram based on electric potentials applied to inputs and deliver these potentials to SSDU. SSDU has electrogram input and signal input receives a far-field electrogram generated by FFEDU and receives stimulation signal that represents a ventricular stimulation pulse generated and delivered by ventricular stimulation unit and analyzes section of received far-field electrogram immediately following delivery of ventricular stimulation impulse to determine whether it represents an effective or ineffective ventricular stimulation.

Abstract translation: 一种植入式心脏刺激器，其具有至少部分导电的壳体，心室刺激单元，其可连接到左心室或右心室刺激电极，并被设计成产生用于刺激心室的心室刺激脉冲，具有用于右心室除颤电极的端子。 具有远场电描记图检测单元（FFEDU）和刺激成功检测单元（SSDU），其中FFEDU首先输入连接到右心室除颤电极的端子，第二输入连接到外壳。 FFEDU根据施加到输入端的电位检测远场心电图，并将这些电位传递给SSDU。 SSDU具有电描记图输入，并且信号输入接收由FFEDU产生的远场电描记图并接收表示由心室刺激单元生成和递送的心室刺激脉冲的刺激信号，并且在心室刺激脉冲递送后立即分析所接收的远场电描记的部分 确定它是否代表有效或无效的心室刺激。