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Title:
安全ノイズモードの備わった埋め込み型心臓刺激装置
Document Type and Number:
Japanese Patent JP4633780
Kind Code:
B2
Abstract:
An implantable medical device for electrically stimulating the heart to beat generally includes a processor, a plurality of electrodes, a sense amplifier, a pulse generator, and a heart status monitor. The processor can determine when the patient has entered an environment of high electromagnetic interference. When this occurs, the processor forces the implantable device into a safe noise mode. While in the same noise mode (which preferably continues while the patient is experiencing the electromagnetic interference), the implantable device paces the heart on demand and inhibits pacing during the vulnerable period. The processor determines when the vulnerable period is occurring and when the heart needs to be paced by monitoring a status signal from the heart status monitor. The status signal generated by the heart status monitor preferably is not sensitive to the electromagnetic interference, and thus the processor can determine the bio-mechanical state of the heart during a cardiac cycle even in the face of high electromagnetic interference. The heart status monitor preferably includes an impedance measurement circuit, but may include any type of cardiac sensor that can generate a status signal from which the processor can determine the beginning and ending of the vulnerable period. Accordingly, even during a period of high electromagnetic interference, the implantable device can provide on demand pacing support to the patient.

Inventors:
David Prucci
Patrick Jay Paul
Application Number:
JP2007324858A
Publication Date:
February 16, 2011
Filing Date:
December 17, 2007
Export Citation:
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Assignee:
Intermedics Incorporated
International Classes:
A61N1/37; A61N1/365
Domestic Patent References:
JP8500758A
JP8206238A
JP6246009A
JP61048380A
Foreign References:
WO1996041203A1
WO1996016696A1
WO1996015827A1
Attorney, Agent or Firm:
Hironobu Onda
Makoto Onda
Atsushi Honda
Miho Ikegami