Medtronic, Inc.

Other

Brian W Schousek

Eric A Schilling

Ryan P Lahm

Ronald A Drake

Lester O Stener

Lonny V Cabelka

Michael W Heinks

Yanina Grinberg

Timothy A Ebeling

Joel R Lauer

Joseph Ippolito

Mark W Shepler

Craig W Dorma

James Vander Heyden

Theresa Jean Schousek

Paul D Baker

Robert T Sawchuk

Nathan A Grenz

Robert W Sawchuk

An extra-cardiovascular implantable cardioverter defibrillator (ICD) having a high voltage therapy module is configured to control a high voltage charging circuit to charge a capacitor to a pacing voltage amplitude to deliver charge balanced pacing pulses. The capacitor is chargeable to a shock voltage amplitude that is greater than the pacing voltage amplitude. The ICD is configured to enable switching circuitry of the high voltage therapy module to discharge the capacitor to deliver a first pulse having a first polarity and a leading voltage amplitude corresponding to the pacing voltage amplitude for pacing the patient's heart via a pacing electrode vector selected from extra-cardiovascular electrodes. The high voltage therapy module delivers a second pulse after the first pulse. The second pulse has a second polarity opposite the first polarity and balances the electrical charge delivered during the first pulse.

Charge balanced cardiac pacing from high voltage circuitry of an extra-cardiovascular implantable cardioverter defibrillator system

A high contrast instrument, such as a radiopaque portion, can be captured and/or viewed in an image that is acquired with an imaging system, such as with a fluoroscopic imaging system. A statistical model can be used to assist in identifying a possible or probable location of a target. A user may move the instrument coil to the statistically probable location of the target to, for example, perform a procedure or carry out a task.

Guidance system for localization and cannulation of the coronary sinus

Systems, methods, and interfaces are described herein for assisting in a user in configuring cardiac therapy. A projection of a phrenic nerve stimulation map may be projected on a graphical depiction of a portion of a patient's heart. The phrenic nerve stimulation map may indicate to a user the regions of the patient's heart that may have a likelihood of stimulating the patient's phrenic nerve.

Systems, methods, and interfaces for configuring cardiac therapy

The invention includes a direct current energy source monitor which automatically detects the nominal voltage of the direct current energy source to which it is attached. The invention further includes a direct current energy source monitor which is self-powered from the direct current energy source being monitored. The multiple nominal voltage direct current energy source monitor includes an analog-to-digital converter configured to measure voltage from a direct current energy source being monitored and generate a digital output corresponding thereto. The apparatus includes a programmable control device configured to receive the digital output from the analog-to-digital converter and to look up a nominal voltage corresponding to the digital output, and is further configured to calculate a relative charge of the direct current energy source as compared to a full charge on the direct current energy source. The direct current energy source monitor can include a voltage controlled oscillator configured to receive the voltage of the direct current energy source being monitored and generate a frequency output proportional to the received voltage. The programmable control device is configured use the frequency output to determine the received voltage from the direct current energy source. The direct current energy source monitor preferably includes a calibration circuit configured to periodically calibrate the voltage controlled oscillator. The calibration circuit is configured to generate known voltages which are supplied to the voltage controlled oscillator. The voltage controlled oscillator is governed by a transfer function, wherein its output is a function of the input. The coefficients of the transfer function are calculated by the programmable control device based on the known voltages applied to the voltage controlled oscillator and the output produced by the voltage controlled oscillator in response thereto.

Universal battery monitor

An event counter is disclosed which, in one embodiment, provides a reaction timer to time a user's response time to an event. In a second embodiment, the event counter provides a counting device to count the number of occurrences of events or the magnitude of an event. The invention uses a commercially available stopwatch to time the response time. The start/stop switch of the stopwatch is connected to a signal generator such as a piezoelectric element. In one variation, the internal piezoelectric element used as a beeper in the stopwatch is used as the signal generator. In a second variation, the event timer is further provided with a circuit to allow a higher voltage LED to be driven by a lower voltage of the system battery. In yet another variation, the event timer further includes a random delay circuit to randomly delay the start time of the stopwatch. Random delay is provided without a microprocessor by using a variable current switch and two RC circuits having different tau values. The differential voltage of the two RC circuits is used to activate the start/stop switch.

Event counter and method for driving a circuit device

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Houlton, WI, United States of America

Brian W Schousek