Method and apparatus for adjusting the sensing threshold of a cardiac rhythm management device

Number of patents in Portfolio can not be more than 2000

United States of America Patent

PATENT NO 6418343
SERIAL NO

09410403

Stats

ATTORNEY / AGENT: (SPONSORED)

Importance

Loading Importance Indicators... loading....

Abstract

See full text

A method and apparatus for automatically adjusting the sensing threshold of cardiac rhythm management devices. The invention is particularly suited for implementation in devices such as implantable cardiac pacemakers and implantable cardioverter/defibrillators. A method and apparatus are provided in which a noise level and signal level for a sensing channel are determined for each cardiac cycle with the sensing threshold of the channel being adjusted in accordance therewith.

Loading the Abstract Image... loading....

First Claim

See full text

Family

Loading Family data... loading....

Patent Owner(s)

Patent OwnerAddressTotal Patents
CARDIAC PACEMAKERS, INC.ST PAUL, MN3004

International Classification(s)

  • [Classification Symbol]
  • [Patents Count]

Inventor(s)

Inventor Name Address # of filed Patents Total Citations
Hartley, Jesse W Lino Lakes, MN 107 5740
Mepham, Laura Shoreview, MN 5 228
Zhang, Geng Vadnais Heights, MN 32 821
Zhu, Qingsheng Little Canada, MN 196 7373

Cited Art Landscape

Patent Info (Count) # Cites Year
 
Cardiac Pacemakers, Inc. (4)
5269300 Automatic sensitivity control in an implantable cardiac rhythm management system 31 1992
5658317 Threshold templating for digital AGC 161 1995
5755738 Automatic sensing level adjustment for implantable cardiac rhythm management devices 63 1997
* 5957857 Apparatus and method for automatic sensing threshold determination in cardiac pacemakers 100 1998
 
INTERMEDICS, INC. (2)
4880004 Implantable cardiac stimulator with automatic gain control and bandpass filtering in feedback loop 154 1988
4903699 Implantable cardiac stimulator with automatic gain control 34 1988
 
PACESETTER, INC. (3)
4779617 Pacemaker noise rejection system 139 1986
5365932 Cardiac signal sensing device having sensitivity automatically controlled in response to metabolic demand 123 1993
5713934 Evoked and spontaneous cardiac activity detection in a dual-chamber electronic pacemaker and method 14 1995
 
SORIN CRM SAS (1)
5564430 Automatic control of the sensing threshold for monitoring cardiac rhythm in a implantable device 53 1994
 
VITATRON MEDICAL, B.V. (1)
5913880 Pacemaker with automatic sensitivity adjustment 11 1997
 
ELA MEDICAL S.A. (1)
5339820 Implantable cardiac monitoring and/or control devices having automatic sensitivity control, apparatus and methods therefor 47 1992
 
MEDTRONIC, INC. (3)
5117824 Apparatus for monitoring electrical physiologic signals 424 1990
5374282 Automatic sensitivity adjust for cardiac pacemakers 56 1991
5683431 Verification of capture by sensing evoked response across cardioversion electrodes 254 1996
 
TELCTRONICS N.V. (1)
4708144 Automatic sensitivity control for a pacemaker 49 1986
* Cited By Examiner

Patent Citation Ranking

Forward Cite Landscape

Patent Info (Count) # Cites Year
 
Other [Check patent profile for assignment information] (5)
* 2009/0171,407 METHOD AND APPARATUS FOR MINIMIZING POST-INFARCT VENTRICULAR REMODELING 3 2009
* 2009/0192,563 METHOD AND APPARATUS FOR ADJUSTING CARDIAC EVENT DETECTION THRESHOLD BASED ON DYNAMIC NOISE ESTIMATION 1 2009
* 2009/0254,141 APPARATUS AND METHOD FOR REVERSAL OF MYOCARDIAL REMODELING WITH ELECTRICAL STIMULATION 10 2009
8050762 Method and system for detecting capture with cancellation of pacing artifact 0 2010
9623252 Method and apparatus to perform electrode combination selection 0 2016
 
ST. JUDE MEDICAL AB (2)
8000790 Device for adjusting the sensitivity level of an implantable medical device 0 2003
* 2007/0078,488 Device for adjusting the sensitivity level of an implantable medical device 1 2003
 
Cardiac Pacemakers, Inc. (101)
* 6915160 Dynamically optimized multisite cardiac resynchronization device 68 2002
6965797 Method and apparatus for assessing and treating myocardial wall stress 52 2002
* 2004/0054,381 Method and apparatus for assessing and treating myocardial wall stress 20 2002
7191004 Capture verification using an evoked response reference 81 2002
7162301 Method and system for detecting capture with cancellation of pacing artifact 45 2002
* 2004/0127,949 Method and system for detecting capture with cancellation of pacing artifact 1 2002
7477932 Cardiac waveform template creation, maintenance and use 60 2003
* 2004/0243,014 Cardiac waveform template creation, maintenance and use 56 2003
7292887 Apparatus and method for spatially and temporally distributing cardiac electrical stimulation 17 2003
* 2004/0030,357 Apparatus and method for spatially and temporally distributing cardiac electrical stimulation 6 2003
7103410 Apparatus and method for reversal of myocardial remodeling with electrical stimulation 32 2003
* 2004/0049,236 Apparatus and method for reversal of myocardial remodeling with electrical stimulation 7 2003
* 6915417 Quick starting external programmer for implantable medical device 6 2003
8521284 Cardiac response classification using multisite sensing and pacing 1 2003
7774064 Cardiac response classification using retriggerable classification windows 8 2003
* 7392087 Method and apparatus for adjusting the sensing threshold of a cardiac rhythm management device 3 2004
* 2005/0004,613 Method and apparatus for adjusting the sensing threshold of a cardiac rhythm management device 2 2004
7155275 Method and apparatus for adjusting cardiac event detection threshold based on dynamic noise estimation 13 2004
* 2006/0085,038 Method and apparatus for adjusting cardiac event detection threshold based on dynamic noise estimation 13 2004
8229561 Atrial retrograde management 1 2004
7930029 Template initialization for evoked response detection 2 2004
7908006 Cardiac pacing response classification using an adaptable classification interval 3 2004
7734347 Cardiac pacing response classification based on waveform feature variability 23 2004
7587240 Atrial capture verification 25 2004
* 2006/0129,193 Template initialization for evoked response detection 21 2004
* 2006/0129,195 Cardiac pacing response classification based on waveform feature variability 23 2004
* 2006/0129,194 Cardiac pacing response classification using an adaptable classification interval 41 2004
* 2006/0129,199 Atrial retrograde management 30 2004
* 2006/0129,197 Atrial capture verification 27 2004
7366567 Method for treating myocardial infarction 12 2005
7574260 Adaptive windowing for cardiac waveform discrimination 9 2005
* 2006/0247,693 Non-captured intrinsic discrimination in cardiac pacing response classification 33 2005
7676259 Dynamically optimized multisite cardiac resynchronization device 7 2005
* 2005/0216,066 Dynamically optimized multisite cardiac resynchronization device 18 2005
7457666 Retrograde atrial sensing for identifying sub-threshold atrial pacing 11 2005
* 2006/0271,122 Retrograde atrial sensing for identifying sub-threshold atrial pacing 0 2005
7111159 Quick starting external programmer for implantable medical device 2 2005
* 2005/0240,755 Quick starting external programmer for implantable medical device 4 2005
7529921 Fast initialization of medical device system having multiple operating systems 24 2005
* 2006/0133,362 Fast initialization of medical device system having multiple operating systems 37 2005
7548782 Method for reversal of myocardial remodeling with electrical stimulation 12 2006
* 2008/0058,880 SYSTEM AND METHOD FOR PACING 0 2006
* 2006/0293,716 APPARATUS AND METHOD FOR REVERSAL OF MYOCARDIAL REMODELING WITH ELECTRICAL STIMULATION 9 2006
8209013 Therapeutic electrical stimulation that avoids undesirable activation 13 2006
7515955 Method and apparatus for adjusting cardiac event detection threshold based on dynamic noise estimation 5 2006
* 2007/0088,399 METHOD AND APPARATUS FOR ADJUSTING CARDIAC EVENT DETECTION THRESHOLD BASED ON DYNAMIC NOISE ESTIMATION 7 2006
8290590 Dynamic morphology based atrial automatic threshold 2 2006
7801610 Methods and systems for management of atrial retrograde conduction and pacemaker mediated tachyarrhythmia 3 2006
* 2008/0119,905 Dynamic morphology based atrial automatic threshold 7 2006
* 2008/0119,902 Methods and systems for management of atrial retrograde conduction and pacemaker mediated tachyarrhythmia threshold 9 2006
* 8406879 Rate adaptive cardiac pacing systems and methods 1 2006
7702393 Method and system for detecting capture with cancellation of pacing artifact 0 2007
* 2007/0129,766 Method and system for detecting capture with cancellation of pacing artifact 1 2007
7676267 Capture verification using an evoked response reference 1 2007
* 2007/0156,196 Capture verification using an evoked response reference 1 2007
8265736 Method and apparatus to perform electrode combination selection 17 2007
8560067 Apparatus for spatially and temporally distributing cardiac electrical stimulation 0 2007
8090442 Apparatus and method for spatially and temporally distributing cardiac electrical stimulation 1 2007
* 2008/0097,541 APPARATUS AND METHOD FOR SPATIALLY AND TEMPORALLY DISTRIBUTING CARDIAC ELECTRICAL STIMULATION 9 2007
* 2008/0097,538 APPARATUS AND METHOD FOR SPATIALLY AND TEMPORALLY DISTRIBUTING CARDIAC ELECTRICAL STIMULATION 8 2007
8831726 Cardiac response classification using multiple classification windows 0 2008
8050761 Method for treating myocardial infarction 0 2008
* 2008/0208,274 Method for treating myocardial infarction 5 2008
8260421 Method for reducing phrenic nerve stimulation 13 2008
8185202 Implantable cardiac device for reduced phrenic nerve stimulation 13 2008
8055342 Method and apparatus for adjusting the sensing threshold of a cardiac rhythm management device 1 2008
* 2008/0262,559 Method and apparatus for adjusting the sensing threshold of a cardiac rhythm management device 25 2008
8145310 Non-captured intrinsic discrimination in cardiac pacing response classification 2 2008
9037239 Method and apparatus to perform electrode combination selection 4 2008
8155741 Retrograde atrial sensing for identifying sub-threshold atrial pacing 1 2008
8606357 Cardiac waveform template creation, maintenance and use 1 2008
8649866 Method and apparatus for phrenic stimulation detection 5 2009
7899532 Method and apparatus for minimizing post-infarct ventricular remodeling 1 2009
8798742 Method and apparatus for adjusting cardiac event detection threshold based on dynamic noise estimation 0 2009
8046066 Apparatus for reversal of myocardial remodeling with pre-excitation 3 2009
8145296 Adaptive windowing for cardiac waveform discrimination 8 2009
7957803 Atrial capture verification 11 2009
8027725 Capture verification using an evoked response reference 0 2010
8452405 Methods and systems for mitigating the occurrence of arrhythmia during atrial pacing 1 2010
8612001 Method and apparatus for minimizing post-infarct ventricular remodeling 0 2011
8369948 Apparatus for reversal of myocardial remodeling with pre-excitation 1 2011
8406878 Method for treating myocardial infarction 0 2011
9008771 Non-captured intrinsic discrimination in cardiac pacing response classification 0 2012
8880172 Retrograde atrial sensing for identifying sub-threshold atrial pacing 0 2012
8615297 Method and apparatus to perform electrode combination selection 7 2012
9227073 Dynamic morphology based atrial automatic threshold 0 2012
8738133 Rate adaptive cardiac pacing systems and methods 0 2012
8634913 Apparatus for reversal of myocardial remodeling with pre-excitation 0 2013
9216292 Dynamic morphology based atrial automatic threshold 0 2013
9539429 Method and apparatus to perform electrode combination selection 0 2013
9533160 Method and apparatus to perform electrode combination selection 0 2013
8843199 Cardiac response classification using multisite sensing and pacing 1 2013
9095265 Cardiac waveform template creation, maintenance and use 0 2013
8983602 Method and apparatus to perform electrode combination selection 1 2013
8996112 Method and apparatus for phrenic stimulation detection 0 2014
9008775 Method and apparatus to perform electrode combination selection 4 2014
9414756 Method and apparatus for adjusting cardiac event detection threshold based on dynamic noise estimation 0 2014
9308375 Cardiac response classification using multisite sensing and pacing 0 2014
9352160 Method and apparatus for phrenic stimulation detection 0 2015
9427588 Method and apparatus to perform electrode combination selection 1 2015
9555253 Method and apparatus for phrenic stimulation detection 0 2016
 
PACESETTER, INC. (3)
7463926 Automatic signal amplitude measurement system in the setting of abnormal rhythms 0 2005
8082036 Automatic signal amplitude measurement system in the setting of abnormal rhythms 0 2008
* 2009/0082,826 AUTOMATIC SIGNAL AMPLITUDE MEASUREMENT SYSTEM IN THE SETTING OF ABNORMAL RHYTHMS 0 2008
 
CAMERON HEALTH, INC. (2)
8116867 Methods and devices for tachyarrhythmia sensing and high-pass filter bypass 3 2005
8014851 Signal analysis in implantable cardiac treatment devices 4 2006
 
ELA MEDICAL S.A. (1)
* 2004/0122,480 Adjustment of the atrial sensitivity in an active implantable medical device such as cardiac pacemaker 0 2003
 
MEDTRONIC, INC. (3)
7783354 Method and apparatus for identifying cardiac and non-cardiac oversensing using intracardiac electrograms 42 2003
* 2004/0015,197 Method and apparatus for identifying cardiac and non-cardiac oversensing using intracardiac electrograms 69 2003
* 2010/0280,567 METHOD AND APPARATUS FOR IDENTIFYING CARDIAC AND NON-CARDIAC OVERSENSING USING INTRACARDIAC ELECTROGRAMS 3 2010
 
ELA MEDICAL S.A.S. (1)
* 7483745 Adjustment of the atrial sensitivity in an active implantable medical device such as cardiac pacemaker 1 2003
* Cited By Examiner