CN110536718B - 可植入医疗设备和与可植入医疗设备一起使用的方法 - Google Patents

可植入医疗设备和与可植入医疗设备一起使用的方法 Download PDF

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CN110536718B
CN110536718B CN201880025389.1A CN201880025389A CN110536718B CN 110536718 B CN110536718 B CN 110536718B CN 201880025389 A CN201880025389 A CN 201880025389A CN 110536718 B CN110536718 B CN 110536718B
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enabled
differential amplifiers
receiver
differential
offset correction
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CN110536718A (zh
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K.J.卡罗尔
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Pioneer Corp
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Pioneer Corp
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/37205—Microstimulators, e.g. implantable through a cannula
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/378—Electrical supply
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/056—Transvascular endocardial electrode systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/0587—Epicardial electrode systems; Endocardial electrodes piercing the pericardium
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A61N1/37—Monitoring; Protecting
    • A61N1/3702—Physiological parameters
    • A61N1/3704—Circuits specially adapted therefor, e.g. for sensitivity control
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A61N1/37—Monitoring; Protecting
    • A61N1/3706—Pacemaker parameters
    • A61N1/3708—Pacemaker parameters for power depletion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/37211—Means for communicating with stimulators
    • A61N1/37217—Means for communicating with stimulators characterised by the communication link, e.g. acoustic or tactile
    • A61N1/37223—Circuits for electromagnetic coupling
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/37211—Means for communicating with stimulators
    • A61N1/37235—Aspects of the external programmer
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/37211—Means for communicating with stimulators
    • A61N1/37252—Details of algorithms or data aspects of communication system, e.g. handshaking, transmitting specific data or segmenting data
    • A61N1/37288—Communication to several implantable medical devices within one patient
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/375—Constructional arrangements, e.g. casings
    • A61N1/3756—Casings with electrodes thereon, e.g. leadless stimulators
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39—Heart defibrillators
    • A61N1/3956—Implantable devices for applying electric shocks to the heart, e.g. for cardioversion
    • A61N1/3962—Implantable devices for applying electric shocks to the heart, e.g. for cardioversion in combination with another heart therapy
    • H—ELECTRICITY
    • H03—ELECTRONIC CIRCUITRY
    • H03F—AMPLIFIERS
    • H03F3/00—Amplifiers with only discharge tubes or only semiconductor devices as amplifying elements
    • H03F3/38—DC amplifiers with modulator at input and demodulator at output; Modulators or demodulators specially adapted for use in such amplifiers
    • H—ELECTRICITY
    • H03—ELECTRONIC CIRCUITRY
    • H03F—AMPLIFIERS
    • H03F3/00—Amplifiers with only discharge tubes or only semiconductor devices as amplifying elements
    • H03F3/45—Differential amplifiers
    • H—ELECTRICITY
    • H04—ELECTRIC COMMUNICATION TECHNIQUE
    • H04B—TRANSMISSION
    • H04B13/00—Transmission systems characterised by the medium used for transmission, not provided for in groups H04B3/00 - H04B11/00
    • H04B13/005—Transmission systems in which the medium consists of the human body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/056—Transvascular endocardial electrode systems
    • A61N2001/0585—Coronary sinus electrodes
    • H—ELECTRICITY
    • H03—ELECTRONIC CIRCUITRY
    • H03F—AMPLIFIERS
    • H03F2200/00—Indexing scheme relating to amplifiers
    • H03F2200/375—Circuitry to compensate the offset being present in an amplifier

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Cardiology (AREA)
  • Physics & Mathematics (AREA)
  • Power Engineering (AREA)
  • Biophysics (AREA)
  • Computer Networks & Wireless Communication (AREA)
  • Signal Processing (AREA)
  • Acoustics & Sound (AREA)
  • Electromagnetism (AREA)
  • Vascular Medicine (AREA)
  • Physiology (AREA)
  • Electrotherapy Devices (AREA)
CN201880025389.1A 2017-05-25 2018-04-19 可植入医疗设备和与可植入医疗设备一起使用的方法 Active CN110536718B (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US15/605,756 US10722724B2 (en) 2017-05-25 2017-05-25 Always on receiver with offset correction for implant to implant communication in an implantable medical system
US15/605,756 2017-05-25
PCT/US2018/028392 WO2018217340A1 (en) 2017-05-25 2018-04-19 Always on receiver with offset correction for implant to implant communication in an implantable medical system

Publications (2)

Publication Number Publication Date
CN110536718A CN110536718A (zh) 2019-12-03
CN110536718B true CN110536718B (zh) 2021-05-11

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Country Link
US (2) US10722724B2 (enExample)
EP (1) EP3630276B1 (enExample)
JP (1) JP7026141B2 (enExample)
CN (1) CN110536718B (enExample)
WO (1) WO2018217340A1 (enExample)

Families Citing this family (28)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10758737B2 (en) 2016-09-21 2020-09-01 Cardiac Pacemakers, Inc. Using sensor data from an intracardially implanted medical device to influence operation of an extracardially implantable cardioverter
WO2018057626A1 (en) 2016-09-21 2018-03-29 Cardiac Pacemakers, Inc. Implantable cardiac monitor
WO2018081017A1 (en) 2016-10-27 2018-05-03 Cardiac Pacemakers, Inc. Implantable medical device with pressure sensor
US10413733B2 (en) 2016-10-27 2019-09-17 Cardiac Pacemakers, Inc. Implantable medical device with gyroscope
WO2018081133A1 (en) 2016-10-27 2018-05-03 Cardiac Pacemakers, Inc. Implantable medical device having a sense channel with performance adjustment
US10737102B2 (en) 2017-01-26 2020-08-11 Cardiac Pacemakers, Inc. Leadless implantable device with detachable fixation
US10905872B2 (en) 2017-04-03 2021-02-02 Cardiac Pacemakers, Inc. Implantable medical device with a movable electrode biased toward an extended position
US10821288B2 (en) 2017-04-03 2020-11-03 Cardiac Pacemakers, Inc. Cardiac pacemaker with pacing pulse energy adjustment based on sensed heart rate
US10722724B2 (en) 2017-05-25 2020-07-28 Pacesetter, Inc. Always on receiver with offset correction for implant to implant communication in an implantable medical system
EP3668592B1 (en) 2017-08-18 2021-11-17 Cardiac Pacemakers, Inc. Implantable medical device with pressure sensor
WO2019036568A1 (en) 2017-08-18 2019-02-21 Cardiac Pacemakers, Inc. IMPLANTABLE MEDICAL DEVICE COMPRISING A FLOW CONCENTRATOR AND A RECEPTION COIL PROVIDED AROUND THE FLOW CONCENTRATOR
US11235163B2 (en) 2017-09-20 2022-02-01 Cardiac Pacemakers, Inc. Implantable medical device with multiple modes of operation
US11185703B2 (en) 2017-11-07 2021-11-30 Cardiac Pacemakers, Inc. Leadless cardiac pacemaker for bundle of his pacing
CN111432874A (zh) 2017-12-01 2020-07-17 心脏起搏器股份公司 从心室植入的无引线心脏起搏器检测搜索窗口内心房收缩定时基准的方法和系统
CN111417432B (zh) 2017-12-01 2024-04-30 心脏起搏器股份公司 具有复归行为的无引线心脏起搏器
EP3717063B1 (en) 2017-12-01 2023-12-27 Cardiac Pacemakers, Inc. Systems for detecting atrial contraction timing fiducials and determining a cardiac interval from a ventricularly implanted leadless cardiac pacemaker
CN111417433B (zh) 2017-12-01 2024-04-30 心脏起搏器股份公司 从心室植入的无引线心脏起搏器检测心室充盈期间心房收缩定时基准的方法和系统
US11529523B2 (en) 2018-01-04 2022-12-20 Cardiac Pacemakers, Inc. Handheld bridge device for providing a communication bridge between an implanted medical device and a smartphone
CN111556773A (zh) 2018-01-04 2020-08-18 心脏起搏器股份公司 无逐搏通信的双腔起搏
US11297569B2 (en) * 2018-10-05 2022-04-05 Qualcomm Incorporated Wakeup signaling resource occasions
WO2020205401A1 (en) * 2019-03-29 2020-10-08 Cardiac Pacemakers, Inc. Systems and methods for treating cardiac arrhythmias
EP3946556B1 (en) 2019-03-29 2024-06-19 Cardiac Pacemakers, Inc. Systems for treating cardiac arrhythmias
EP3721789B1 (en) * 2019-04-12 2023-07-26 BIOTRONIK SE & Co. KG Intra-cardiac communications to provide direct timing information without electrical interferences
WO2021050679A1 (en) 2019-09-11 2021-03-18 Cardiac Pacemakers, Inc. Tools and systems for implanting and/or retrieving a leadless cardiac pacing device with helix fixation
WO2021050685A1 (en) 2019-09-11 2021-03-18 Cardiac Pacemakers, Inc. Tools and systems for implanting and/or retrieving a leadless cardiac pacing device with helix fixation
US11722108B2 (en) 2021-11-30 2023-08-08 Pacesetter, Inc. Fully-differential preamplifier
US12113649B2 (en) * 2021-11-30 2024-10-08 Pacesetter, Inc. Fully-differential receiver for receiving conducted communication signals
CN114587374B (zh) * 2022-03-18 2024-09-03 苏州无双医疗设备有限公司 一种植入式医疗设备及前端电路

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2005067563A2 (en) * 2004-01-12 2005-07-28 Calypso Medical Technologies, Inc. Instruments with location markers and methods for tracking instruments through anatomical passageways
WO2012101467A1 (en) * 2011-01-24 2012-08-02 Tredefin S.A. Efficient low noise differential amplifier, reutilizing the bias current
CN102901902A (zh) * 2011-07-28 2013-01-30 飞思卡尔半导体公司 半导体器件的并联电源连接的测试方法
CN104716914A (zh) * 2013-12-16 2015-06-17 现代自动车株式会社 差分放大器的偏移校正设备及其方法
CN105099474A (zh) * 2014-05-16 2015-11-25 美国亚德诺半导体公司 接收器中的偏移补偿
CN105979655A (zh) * 2016-06-22 2016-09-28 成都飞凯瑞科技有限公司 一种基于低通滤波电路的光控led用信号处理系统

Family Cites Families (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4390020A (en) * 1983-02-17 1983-06-28 Medtronic, Inc. Implantable medical device and power source depletion control therefor
SE9201602D0 (sv) * 1992-05-21 1992-05-21 Siemens Elema Ab Anordning foer att minska stroemfoerbrukningen hos medicinsk, i maenniskokroppen implanterbar, elektrisk utrustning
US5713934A (en) 1995-10-12 1998-02-03 Pacesetter, Inc. Evoked and spontaneous cardiac activity detection in a dual-chamber electronic pacemaker and method
US9168383B2 (en) * 2005-10-14 2015-10-27 Pacesetter, Inc. Leadless cardiac pacemaker with conducted communication
EP2496936B1 (en) 2009-10-16 2018-02-21 Microchips Biotech, Inc. Multi-channel potentiostat for biosensor arrays and method of operation
US8805502B2 (en) * 2011-12-27 2014-08-12 Cardiac Pacemakers, Inc. Managing cross therapy delivery in a multiple therapy implantable device
US9561382B2 (en) * 2014-11-03 2017-02-07 Pacesetter, Inc. System and method for low power communication between implantable devices
US9614481B2 (en) * 2015-03-31 2017-04-04 Analog Devices, Inc. Apparatus and methods for chopping ripple reduction in amplifiers
KR102432873B1 (ko) * 2016-02-05 2022-08-17 에스케이하이닉스 주식회사 리시버 회로 및 이를 이용하는 시스템
US10722724B2 (en) 2017-05-25 2020-07-28 Pacesetter, Inc. Always on receiver with offset correction for implant to implant communication in an implantable medical system

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2005067563A2 (en) * 2004-01-12 2005-07-28 Calypso Medical Technologies, Inc. Instruments with location markers and methods for tracking instruments through anatomical passageways
WO2012101467A1 (en) * 2011-01-24 2012-08-02 Tredefin S.A. Efficient low noise differential amplifier, reutilizing the bias current
CN102901902A (zh) * 2011-07-28 2013-01-30 飞思卡尔半导体公司 半导体器件的并联电源连接的测试方法
CN104716914A (zh) * 2013-12-16 2015-06-17 现代自动车株式会社 差分放大器的偏移校正设备及其方法
CN105099474A (zh) * 2014-05-16 2015-11-25 美国亚德诺半导体公司 接收器中的偏移补偿
CN105979655A (zh) * 2016-06-22 2016-09-28 成都飞凯瑞科技有限公司 一种基于低通滤波电路的光控led用信号处理系统

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US10722724B2 (en) 2020-07-28
JP2020520715A (ja) 2020-07-16
US11207534B2 (en) 2021-12-28
WO2018217340A1 (en) 2018-11-29
US20180339160A1 (en) 2018-11-29
EP3630276A1 (en) 2020-04-08
JP7026141B2 (ja) 2022-02-25
EP3630276B1 (en) 2021-10-20
CN110536718A (zh) 2019-12-03
US20200078595A1 (en) 2020-03-12

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