Medtronic, Inc.

Robert T Taepke

Yong Kyun Cho

Tommy Dean Bennett

Saul E Greenhut

Donna M Salmi

David R Bloem

Gust H Bardy

Keith Alan Miesel

Walter H Olson

David K Peterson

Lee Stylos

Barbro M Kjellstrom

John T Meador

Louis E Halperin

Robert W Stadler

Karen J Kleckner

Douglas A Hettrick

Shantanu Sarkar

William John Havel

D Curtis Deno

Jonathan P Roberts

Tom Dean Bennett

Joseph Berglund

Ya Guo

Joel R Lauer

Robert C Beck

Richard J Shaw

Various techniques for measuring cardiac cycle length and pressure metrics based on pulmonary artery pressures are described. One example method described includes identifying a point within a derivative signal of a cardiovascular pressure signal without reference to electrical activity of a heart, initiating a time window from the identified point in the derivative signal, identifying a point within the cardiovascular signal within the time window, and determining at least one of a systolic pressure or diastolic pressure based on the identified point.

Measurement of cardiac cycle length and pressure metrics from pulmonary arterial pressure

A fixation device configured to anchor an implantable medical device within a patient includes a temporary biodegradable fixation mechanism configured to secure the device after implantation until the temporary fixation mechanism biodegrades and a chronic fixation mechanism configured to promote tissue growth that secures the device to tissue of the patient before the temporary fixation mechanism biodegrades.

Medical device fixation

An example system may include at least one pressure sensor configured to measure a cardiovascular pressure signal and another medical device configured to measure an electrical depolarization signal of the heart. The system determines a plurality of cardiovascular pressure metrics based on the measured cardiovascular pressure signal, including at least one cardiovascular pressure metric indicative of a timing of at least one cardiac pulse. The system also determines a metric indicative of a timing of at least one heart depolarization within the measured electrical depolarization signal. The system compares the timing of the at least one cardiac pulse to the timing of the at least one depolarization, and determines whether to discard the plurality of cardiovascular pressure metrics based on whether the timings substantially agree.

Verification of pressure metrics

Heart failure decompensation is detected by sensing at least one physiological signal. Values of at least two different heart failure variables are derived using one or more physiological signals and a threshold for the first heart failure variable is adjusted in response to the value of the second heart failure variable. The value of the first heart failure variable is compared to first threshold for detecting a heart failure condition.

Heart failure decompensation determination

Detection of volume depletion, particularly after an incidence of volume overload is disclosed. Various methods, systems, and devices are disclosed that sense and analyze a physiological parameter related to a patient's fluid level in order to warn patients of potentially dangerous volume depletion conditions while minimizing false notifications.

Volume depletion detection

A method and apparatus for detection of changes in physiologic parameters of a patient that includes generating measured physiologic parameters, generating an adaptive baseline trend of the measured physiologic parameters corresponding to a first time period, generating a short term trend of the measured physiologic parameters corresponding to a second time period less than the first time period, and generating a metric of physiologic parameter change between the adaptive baseline trend and one of a most recent measured physiologic parameter and the short term trend of the measured physiologic parameters.

Method and apparatus for detecting change in physiologic parameters

A system and method are provided for sensing cardiac electrogram (EGM) signals and ventricular pressure signals and for using the sensed EGM and sensed pressure signals for estimating stroke volume (SV). A measure of cardiac output can be computed from the estimated SV and a heart rate determined from the EGM signals. The sensed ventricular pressure signal and the sensed EGM signal are used to derive landmark points such as an estimated pulmonary diastolic pressure, a mean pulmonary artery pressure, a peak right ventricular pressure (RVP), and various time intervals used in computing an area or a pulse contour integral. The pulse contour integral is used to estimate SV. The estimated pulmonary diastolic pressure, mean pulmonary artery pressure and CO computed from the estimated SV can be used to compute a pulmonary vascular resistance.

Method and apparatus for continuous pulse contour cardiac output

Medical device data is transferred using a universal adaptor between an implanted medical device and hospital monitoring systems. The universal adaptor is an interface compatible with various built-in hospital monitoring network comprised of equipment from a variety of manufacturers. The universal adaptor includes a telemetry circuitry, a calibration system for atmospheric pressure and an analog interface. The calibration system relates to barometric correction and includes an external pressure reference system.

Universal interface for implantable medical device data management

An implantable barometric pressure sensor coupled with an implantable medical device (IMD) provides a barometric pressure related, reference pressure value for use in combination with an absolute pressure value measured by an implantable absolute pressure sensor coupled to the IMD. In one embodiment, the barometric pressure sensor is implanted under the skin and subcutaneous tissue layer at or near the implant site of the IMD. In variations of this embodiment, the barometric pressure is formed as part of a connector module of the IMD or extends from the connector module. In a further embodiment, a percutaneous access device is provided which is adapted to be implanted to extend through the skin and subcutaneous tissue layer of the patient and is coupled with the barometric pressure sensor to provide for an air chamber extending between the atmosphere and the barometric pressure sensor. The barometric pressure sensor is preferably enclosed within an air chamber of the implantable medical device, and a catheter extends between the air chamber of the implantable medical device and the percutaneous access device. Or the barometric pressure sensor is enclosed within an air chamber of the percutaneous access device, and a lead extends between the barometric pressure sensor and the implantable medical device.

Implantable medical device for sensing absolute blood pressure and barometric pressure

A barometric pressure sensor for deriving reference pressure data for use in combination with absolute pressure data derived by an implantable medical device (IMD) is disclosed. The barometric pressure sensor is located in a sensing module adapted to be located with the patient's body having a module housing enclosing an air chamber which encloses the barometric pressure sensor. An air vent extends through the module housing for venting the air chamber to atmospheric pressure outside the module housing. A protective vent cover extends across the air vent formed of a material capable of air passage and capable of inhibiting passage of moisture, liquids, and particulate contaminants through the air vent and into the air chamber. In one embodiment, the sensing module is adapted to be worn or carried by the patient and includes operating circuitry and a power supply for powering the barometric pressure sensor and periodically storing sensed atmospheric pressure values as reference pressure data. In another embodiment, the sensing module comprises a percutaneous access device which is adapted to be implanted in the skin and subcutaneous tissue layer of the patient and includes the protective vent cover extending across the air vent formed in the percutaneous access device. The percutaneous access device is coupled with the barometric pressure sensor to provide for an air chamber extending between the protective vent cover and the barometric pressure sensor. The barometric pressure sensor is preferably enclosed within an air chamber of the implantable medical device, and a catheter extends between the air chamber of the implantable medical device and the percutaneous access device.

Barometric pressure sensor for use with implantable absolute pressure

Implantable medical device for sensing absolute blood pressure and

A sensor lead for use in conjunction with an implantable monitoring or therapeutic device. The lead is provided with a V-shaped bend near its distal end, and carries a blood parameter sensor distal to the V-shaped bend. The blood parameter sensor may be, for example, an oxygen sensor, a pulse sensor or a flow sensor. The V-shaped bend facilitates the location of the sensor in an internal jugular vein, allowing the sensor to be used to monitor blood flow from the brain.

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Coon Rapids, MN, United States of America

Robert T Taepke