Medtronic, Inc.

David W Hoffman

Carl D Wahlstrand

Nathan Andrew Torgerson

Timothy J Davis

Leroy L Perz

James D Reinke

James W Busacker

Robert John Schuelke

Russell E Anderson

Kevin L Bright

Ren Zhou

Virginia De La Riva

A system, method and implantable medical for concurrently providing a therapeutic output to a patient while communicating transcutaneously with an external device. The therapeutic output is provided to the patient with an implantable medical device wherein an electromagnetic signal is associated with at least one of recharging of a rechargeable power source and providing the therapeutic output. Bi-directional transcutaneous communication is conducted via via telemetry between the implantable medical device and an external device using a telemetry signal while the telemetry signal and the electromagnetic signal occur simultaneously.

Concurrent delivery of treatment therapy with telemetry in an implantable medical device

A system, method and implantable medical for providing switched power while providing transcutaneous telemetry communication with an implanted medical device having an internal power source. An electronics module is adapted to supply the therapeutic output to the patient. A telemetry module is configured for transcutaneous telemetry communication. The telemetry module obtains power from the telemetry signal during transcutaneous telemetry communication.

Switched power using telemetry in an implantable medical device

Two mechanisms work together to adjust two variables independently so that the gain of an input amplifier used to find physiologic signals in an implantable medical device can be automatically adjusted to enhance the signal to noise ratio of the electrical input to said amplifier. The first determines whether there has been too long a time between senses found in the body's electrical input to the amplifier and if true, and no other conditions override that consideration, it adjusts the value of a long term average parameter which is used as a referent parameter to adjust the actual parameter that is used as the referent for making either a threshold level adjustment or gain change, depending on the structure of the particular design's circuitry and/or software. One set of adjustments to the gain referent parameter depends on the relative size of the long term average parameter and the gain referent parameter. The mechanisms preferably employ counting registers, the one which adjusts the gain referent having a process to weight input signals such that those of different types get different weights, and the other mechanism only accepting certain of the input signals. Input signals to the two mechanisms can be either physiologically based or from stimulation pulses issued from an implanted device, such as, for example a pacemaker.

Method for automatically adjusting the sensitivity of cardiac sense

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Inver Grove Heights, MN, United States of America

David W Hoffman