公开(公告)号：US08626311B2

公开(公告)日：2014-01-07

申请号：US13432999

申请日：2012-03-28

Applicant: Jonathan H. Kelly ,  James Kalgren ,  Gang Wu ,  James O. Gilkerson

Inventor： Jonathan H. Kelly ,  James Kalgren ,  Gang Wu ,  James O. Gilkerson

IPC: A61N1/08

CPC classification number: A61N1/37247 ,  A61N1/37276

Abstract: Embodiments of the invention are related to systems for interfacing with implantable medical devices, amongst other things. In an embodiment, the invention includes an external medical system including a processor and a telemetry circuit in communication with the processor, the processor configured to communicate with an implanted medical device. The system can be configured to query a system user after a first period of time in which indicators of system use are not detected. The system can be further configured to deactivate one or more data transmission features of the implanted medical device after a second period of time in which one or more indicators of system use are not detected. Other embodiments are also included herein.

Abstract translation: 本发明的实施例涉及用于与可植入医疗装置进行接口的系统。 在一个实施例中，本发明包括外部医疗系统，其包括与处理器通信的处理器和遥测电路，所述处理器被配置为与植入的医疗设备进行通信。 该系统可以被配置为在没有检测到系统使用指示符的第一时间段之后查询系统用户。 该系统还可被配置成在未检测到系统使用的一个或多个指示符的第二时间段之后停用植入的医疗设备的一个或多个数据传输特征。 本文还包括其它实施例。

公开(公告)号：US08538522B2

公开(公告)日：2013-09-17

申请号：US13327428

申请日：2011-12-15

Applicant: Jeffrey E. Stahmann ,  James O. Gilkerson ,  Krzysztof Z. Siejko ,  James Kalgren ,  Yinghong Yu

Inventor： Jeffrey E. Stahmann ,  James O. Gilkerson ,  Krzysztof Z. Siejko ,  James Kalgren ,  Yinghong Yu

IPC: A61N1/368 ,  A61N1/362 ,  A61N1/36

CPC classification number: A61N1/368

Abstract: One way in which cardiac resynchronization therapy may be delivered is to only deliver paces to the left ventricle. If left ventricular pacing is inhibited during a cardiac cycle, it may be desirable to deliver a right ventricular safety pace to prevent asystole. Methods and devices for implementing right ventricular safety pacing in the context of multi-site left ventricular-only pacing are described.

Abstract translation: 进行心脏再同步治疗的一种方法是仅向左心室输送步伐。 如果在心动周期期间左心室起搏被抑制，则可能需要递送右心室安全步速以防止心搏停止。 描述了在多局部左心室起搏背景下实施右心室安全起搏的方法和装置。

公开(公告)号：US08374694B2

公开(公告)日：2013-02-12

申请号：US12273708

申请日：2008-11-19

Applicant: Jonathan H. Kelly ,  Gang Wu ,  James Kalgren

Inventor： Jonathan H. Kelly ,  Gang Wu ,  James Kalgren

IPC: A61N1/00

CPC classification number: A61N1/37264 ,  A61N1/37235 ,  A61N1/37252

Abstract: A system and method for handling data received from an implantable medical device (IMD) is provided. The method includes communicating a device parameter value of an IMD device parameter from the IMD to an external device and determining, at the external device, that the communicated device parameter value is at an improper value. Additionally, in response to the determining that the communicated device parameter value is at an improper value, automatically performing at least one of re-programming the IMD device parameter with a selected substitute device parameter value, ignoring, or purging non-programmable data.

Abstract translation: 提供了一种用于处理从可植入医疗装置（IMD）接收的数据的系统和方法。 该方法包括将IMD设备参数的设备参数值从IMD传送到外部设备，并在外部设备确定所传送的设备参数值处于不正确的值。 此外，响应于确定所传送的设备参数值处于不正确的值，自动执行用所选择的替代设备参数值重新编程IMD设备参数，忽略或清除不可编程数据中的至少一个。

公开(公告)号：US20120296385A1

公开(公告)日：2012-11-22

申请号：US13476651

申请日：2012-05-21

Applicant: James O. Gilkerson ,  David L. Perschbacher ,  James Kalgren ,  Les N. Peterson ,  Mitchell Lanz

Inventor： James O. Gilkerson ,  David L. Perschbacher ,  James Kalgren ,  Les N. Peterson ,  Mitchell Lanz

IPC: A61N1/37 ,  A61N1/39

CPC classification number: A61N1/368 ,  A61N1/3686 ,  A61N1/37211 ,  A61N1/37247 ,  A61N2001/083 ,  G06F19/00 ,  G06F19/3481 ,  G16H40/63

Abstract: In one aspect a system includes an external communication device configured to interrogate a pulse generator, an external programmer device communicatively coupled to the external communication device; the external programmer device configured to receive a listing of valid electrode pairs from the pulse generator through the external communication device, the external programmer device configured to prevent a pacing, sensing, or shocking vector from being programmed by the user if a pair of electrodes needed for the vector are not included within the listing of valid electrode pairs. In another aspect a system includes an implantable medical device configured to detect the presence or absence of electrodes on an implanted stimulation lead coupled to the implantable medical device and to generate a valid electrode pair listing and compare the programmed electrode pairs with the valid electrode pair listing. Other embodiments are also included herein.

Abstract translation: 在一个方面，一种系统包括配置成询问脉冲发生器的外部通信设备，通信地耦合到外部通信设备的外部编程器设备; 所述外部编程器装置被配置为通过所述外部通信装置从所述脉冲发生器接收有效电极对的列表，所述外部编程器装置被配置为防止起搏，感测或震动矢量被用户编程，如果需要一对电极 对于矢量不包括在有效电极对的列表中。 在另一方面，一种系统包括可植入医疗装置，其被配置为检测在植入式刺激引线上是否存在与可植入医疗装置相连的电极，并产生有效的电极对列表，并将编程电极对与有效电极对列表进行比较 。 本文还包括其它实施例。

公开(公告)号：US08055343B2

公开(公告)日：2011-11-08

申请号：US11551269

申请日：2006-10-20

Applicant: Rajesh Krishan Gandhi ,  William J. Linder ,  Michael J. Lyden ,  Nicholas J. Stessman ,  Jonathan H. Kelly ,  James Kalgren

Inventor： Rajesh Krishan Gandhi ,  William J. Linder ,  Michael J. Lyden ,  Nicholas J. Stessman ,  Jonathan H. Kelly ,  James Kalgren

IPC: A61N1/08

CPC classification number: A61N1/378 ,  A61N1/3627 ,  A61N1/3708 ,  A61N1/3975

Abstract: One aspect of this disclosure relates to a system for dynamic battery management in implantable medical devices. An embodiment of the system includes two or more devices for measuring battery capacity for an implantable medical device battery. The embodiment also includes a controller connected to the measuring devices. The controller is adapted to combine the measurements from the measuring devices using a weighted average to determine battery capacity consumed. According to various embodiments, at least one of the measuring devices includes a coulometer. At least one of the measuring devices includes a capacity-by-voltage device, according to an embodiment. The system further includes a display in communication with the controller in various embodiments. The display is adapted to provide a depiction of battery longevity in units of time remaining in the life of the implantable medical device battery, according to various embodiments. Other aspects and embodiments are provided herein.

Abstract translation: 本公开的一个方面涉及用于可植入医疗装置中的动态电池管理的系统。 该系统的实施例包括用于测量可植入医疗装置电池的电池容量的两个或更多个装置。 该实施例还包括连接到测量装置的控制器。 控制器适于使用加权平均值来组合来自测量装置的测量值，以确定消耗的电池容量。 根据各种实施例，测量装置中的至少一个包括电量计。 根据实施例，至少一个测量装置包括逐个电容装置。 该系统还包括在各种实施例中与控制器通信的显示器。 根据各种实施例，该显示器适于以可植入医疗装置电池的寿命中剩余的时间单位提供电池寿命的描绘。 本文提供了其它方面和实施例。

公开(公告)号：US08032208B2

公开(公告)日：2011-10-04

申请号：US12169432

申请日：2008-07-08

Applicant: Jeffrey E. Stahmann ,  Rene H. Wentkowski ,  James Kalgren ,  Par Lindh

Inventor： Jeffrey E. Stahmann ,  Rene H. Wentkowski ,  James Kalgren ,  Par Lindh

IPC: A61B5/044

CPC classification number: A61B5/044 ,  A61N1/37247 ,  G06F19/00 ,  G06Q50/24 ,  G16H10/60 ,  G16H15/00 ,  G16H40/63

Abstract: Systems, devices and methods are provided for displaying statistical distributions of cardiac events. A device embodiment comprises circuitry adapted to communicate with a medical device that is adapted to acquire data regarding cardiac events occurring at two or more cardiac sites, and display means for displaying a histogram of the data as two or more statistical distributions for the two or more cardiac sites. The histogram includes a number of histogram bins. At least one of the histogram bins includes both a representation for at least a portion of a statistical distribution of a cardiac event for a first cardiac site and a representation for at least a portion of a statistical distribution of a cardiac event for a second cardiac site. Other embodiments are provided herein.

Abstract translation: 提供系统，设备和方法来显示心脏事件的统计分布。 设备实施例包括适于与适于获取关于在两个或更多个心脏部位发生的心脏事件的数据的医疗设备通信的电路，以及用于将数据的直方图显示为两个或更多个的两个或多个统计分布的显示装置 心脏部位。 直方图包括多个柱状图仓。 直方图箱中的至少一个包括用于第一心脏位点的心脏事件的统计分布的至少一部分的表示和用于第二心脏位点的心脏事件的统计分布的至少一部分的表示 。 本文提供了其他实施例。

公开(公告)号：US07899534B2

公开(公告)日：2011-03-01

申请号：US11624035

申请日：2007-01-17

Applicant: Par Lindh ,  James Kalgren ,  Jeffrey E. Stahmann ,  Rene H. Wentkowski

Inventor： Par Lindh ,  James Kalgren ,  Jeffrey E. Stahmann ,  Rene H. Wentkowski

IPC: A61N1/362

CPC classification number: A61N1/37247 ,  A61N1/3627 ,  A61N1/37235

Abstract: A medical device programmer and a method of operation in which a first data value is received and used in the execution of one or more algorithms. One or more suggested pulse generator settings are calculated from the one or more algorithms based on the first data value, and the one or more suggested pulse generator settings are displayed on an interactive display screen of the medical device programmer. In one embodiment, the first data value is a duration interval of a QRS complex. From the duration interval, suggestions are made as to one or more ventricular chambers in which to provide pacing pulses. Additionally, pacing intervals for an AV delay are suggested based on measured P-R intervals, or pacing intervals for an LV offset are suggested based on a measured duration interval of a V-V-interval between a right ventricular event and a left ventricular event.

Abstract translation: 一种医疗设备编程器和操作方法，其中在执行一个或多个算法时接收并使用第一数据值。 基于第一数据值从一个或多个算法计算一个或多个建议的脉冲发生器设置，并且一个或多个建议的脉冲发生器设置显示在医疗设备编程器的交互式显示屏幕上。 在一个实施例中，第一数据值是QRS复数的持续时间间隔。 从持续时间间隔，建议一个或多个心室，其中提供起搏脉冲。 另外，基于测量的P-R间隔建议AV延迟的起搏间隔，或者基于右心室事件和左心室事件之间的V-V间隔的测量持续时间间隔来建议LV偏移的起搏间隔。

公开(公告)号：US20110046692A1

公开(公告)日：2011-02-24

申请号：US12941377

申请日：2010-11-08

Applicant: James Kalgren ,  Rene H. Wentkowski ,  Jeffrey E. Stahmann

Inventor： James Kalgren ,  Rene H. Wentkowski ,  Jeffrey E. Stahmann

IPC: A61N1/362

CPC classification number: A61B5/0006 ,  A61B5/044 ,  A61B5/743 ,  A61B5/7445 ,  G06F19/00

Abstract: A system and method for correlating health related data for display. The system includes a medical device recording data and a display producing device which correlates the data and simultaneously displays different types of data or displays two sets of the same type of data along with the circumstances at which the two sets of data were recorded. Such displays aid a physician in prescribing and ascertaining the efficacy of cardiac therapies.

Abstract translation: 将健康相关数据相关联以进行显示的系统和方法。 该系统包括记录数据的医疗设备和显示产生设备，其与数据相关并且同时显示不同类型的数据或显示两组相同类型的数据以及记录两组数据的情况。 这样的显示器有助于医师处方和确定心脏疗法的功效。

公开(公告)号：US20100049279A1

公开(公告)日：2010-02-25

申请号：US12605407

申请日：2009-10-26

Applicant: Michael Seeberger ,  Scott Vanderlinde ,  James Kalgren ,  Par Lindh ,  Kristine M. Larsen-Kelly ,  Mitchell Lanz ,  Jeffrey M. Thompson ,  John A. Dyjach

Inventor： Michael Seeberger ,  Scott Vanderlinde ,  James Kalgren ,  Par Lindh ,  Kristine M. Larsen-Kelly ,  Mitchell Lanz ,  Jeffrey M. Thompson ,  John A. Dyjach

IPC: A61N1/08 ,  H04Q5/22

CPC classification number: A61N1/37252 ,  G06F19/00 ,  G16H40/40 ,  G16H40/63

Abstract: This document describes, among other things, a method of operating a medical device comprising updating a regulatory approval status stored in at least one of the medical device or a second device operable to communicate with the medical device, and enabling or disabling the at least one function in the medical device based on the regulatory approval status. The regulatory approval status corresponds to at least one function performable by the medical device.

Abstract translation: 该文件尤其描述了一种操作医疗设备的方法，包括更新存储在医疗设备或可操作以与医疗设备通信的第二设备中的至少一个中的管理批准状态，以及启用或禁用至少一个 功能在医疗器械基础上的监管审批状态。 监管批准状态对应于医疗​​设备可执行的至少一个功能。

公开(公告)号：US20100016996A1

公开(公告)日：2010-01-21

申请号：US12566212

申请日：2009-09-24

Applicant: Jeff West ,  Jay A. Tzucker ,  Mahesh Maddali ,  James Kalgren

Inventor： Jeff West ,  Jay A. Tzucker ,  Mahesh Maddali ,  James Kalgren

IPC: G05B13/02

CPC classification number: G16H40/63 ,  G06F19/00 ,  Y10S128/924 ,  Y10S439/909 ,  Y10S706/924

Abstract: This document discusses, among other things, a user interface capable of resolving interactions between programmable parameters for operation of a personal medical device. Programming these devices is a difficult task when many parameters are involved. The medical device interface attempts to reduce and minimize constraint violations between interdependent parameters using an initial set of parameter values supplied by user (typically a physician) input, and constraint violations describing invalid parameter values. A user is given the option to select one or more parameters to remain constant. If possible, a set of parameter values with less egregious constraint violations is displayed to the user. A user is prompted to accept the set of parameter values and program the medical device.

Abstract translation: 本文件还讨论了能够解决用于个人医疗设备的操作的可编程参数之间的交互的用户界面。 当涉及许多参数时，对这些设备进行编程是一项艰巨的任务。 医疗设备接口尝试使用用户（通常是医师）输入提供的初始参数值集合以及描述无效参数值的约束违例来减少并最小化相互依赖参数之间的约束违规。 用户可以选择一个或多个参数保持不变。 如果可能，向用户显示一组不太严重的约束违规的参数值。 提示用户接受一组参数值并对医疗设备进行编程。