Digitally controlled cardiac rhythm management
First Claim
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1. A cardiac rhythm management apparatus, comprising:
- a proximal housing, wherein the proximal housing comprises a first energy storage device;
a distal module implantable within a patient'"'"'s heart, wherein the distal module comprises a second energy storage device, at least one electrode and a control module, wherein the control module controls the delivery of at least one electrical stimulus from said second energy storage device to a location in communication with said patient'"'"'s heart; and
a lead, wherein the lead connects the proximal housing to the distal module and is configured to communicate one or more digital signals between the proximal housing and the distal module.
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Abstract
A cardiac rhythm management apparatus includes a proximal housing, a distal housing and a lead. The proximal housing includes a first energy storage device. The distal module is implantable within a patient'"'"'s heart, and includes a second energy storage device, at least one electrode, and a control module. The control module controls the delivery of at least one electrical stimulus from the second energy storage device to a location in communication with the patient'"'"'s heart. The lead connects the proximal housing to the distal module and is configured to communicate one or more digital signals between the proximal housing and the distal module.
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Citations
60 Claims
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1. A cardiac rhythm management apparatus, comprising:
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a proximal housing, wherein the proximal housing comprises a first energy storage device;
a distal module implantable within a patient'"'"'s heart, wherein the distal module comprises a second energy storage device, at least one electrode and a control module, wherein the control module controls the delivery of at least one electrical stimulus from said second energy storage device to a location in communication with said patient'"'"'s heart; and
a lead, wherein the lead connects the proximal housing to the distal module and is configured to communicate one or more digital signals between the proximal housing and the distal module. - View Dependent Claims (2, 3)
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4. An implantable therapeutic apparatus, comprising:
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a proximal housing, wherein the proximal housing comprises an energy storage device;
a distal module, wherein the distal module comprises an electrode and a control module, wherein the control module controls the delivery of at least one electrical stimulus to the patient via said electrode; and
a lead, wherein the lead connects the proximal housing to the distal module and is configured to communicate one or more digital signals between the proximal housing and the distal module. - View Dependent Claims (5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28)
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29. A cardiac rhythm management apparatus for delivering one or more electrical pulses to a patient'"'"'s heart, comprising:
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a proximal housing, wherein said proximal housing is configured to be implanted within a medical patient, and wherein said proximal housing is configured to store electrical energy;
a distal module configured to be implanted within a heart, wherein said distal module comprises a first energy storage device, and a control module;
an electrode, operable to deliver one or more electrical pulses from said first energy storage device to the heart; and
a lead, wherein said lead is configured to communicate one or more digital signals between said proximal housing and said distal module, and wherein said control module controls communication of said one or more digital signals on the lead. - View Dependent Claims (30, 31, 32, 33, 34, 35, 36, 37, 38, 39)
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40. An apparatus for treating cardiovascular disease in a medical patient, the apparatus comprising:
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a housing;
a distal module comprising a sensor, operable to generate a sensor signal indicative of a fluid pressure within a left atrium of a heart;
a lead, wherein the lead is configured to communicate one or more digital signals between the housing and the distal module;
a signal processor, operable to generate a processor output indicative of a treatment, wherein said processor output is based at least in part on the sensor signal; and
a signaling device, operable to generate a treatment signal indicative of a therapeutic treatment, wherein said treatment signal is based at least in part on said processor output. - View Dependent Claims (41, 42, 43, 44)
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45. A method of managing a cardiac rhythm in a medical patient, comprising:
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implanting a proximal housing in a location external to the patient'"'"'s heart wherein said proximal housing stores energy;
implanting a distal module in the patient'"'"'s heart;
implanting a lead in the patient to couple said proximal housing and said distal module;
transferring at least a portion of said stored energy from said proximal housing to said distal module through one or more digital signals;
storing said transferred energy in said distal module;
using at least a portion of the transferred energy in the distal module to deliver one or more electrical pulses to the heart, thereby managing a cardiac rhythm in the patient. - View Dependent Claims (46, 47, 48)
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49. A method of managing a cardiac rhythm in a medical patient, comprising:
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implanting a proximal housing, a distal module, and a lead coupling said proximal housing and said distal module in a patient;
transferring energy from said proximal housing to said distal module through one or more digital signals; and
delivering one or more electrical pulses to the heart from said distal module, wherein said one or more electrical pulses comprise at least a portion of the energy received from the proximal housing, thereby managing a cardiac rhythm in the patient.
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50. A physiologic monitoring apparatus comprising:
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an implantable first component operable to connect to an implantable therapeutic device (ITD), wherein said implantable first component comprises a transducer and a communicator, wherein said transducer is operable to convert a physiologic signal to an electrical signal, and wherein said communicator is operable to communicate with an external second apparatus component receiver; and
a removable telemetry antenna operable to be removed and replaced with said ITD. - View Dependent Claims (51)
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52. A physiological monitoring device comprising:
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a proximal housing adapted to be implanted within a patient at a location external to an organ to be monitored;
a distal module adapted to be implanted within the patient at a location at least partially internal to the organ to be monitored;
a lead, said lead having at least a first end, a second end, and a connector attached to said first end, wherein said lead is connected to said distal module at said second end, and wherein said lead is configured to conduct power and data signals between the distal module and the proximal housing, and wherein the connector is adapted to interchangeably connect to an antenna coil or a cardiac rhythm management device provided within said proximal housing. - View Dependent Claims (53, 54, 55)
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56. A cardiac rhythm management device comprising:
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a proximal housing, wherein said proximal housing is configured to be implanted within a patient, wherein said proximal housing is configured to store electrical energy, and wherein said proximal housing is adapted to be implanted at a location external to a heart;
a distal module adapted to be implanted within the heart, and to provide electrical energy received from said proximal housing to said heart, wherein said distal module is configured to provide defibrillation protection to said heart; and
a lead, wherein said lead electrically couples said proximal housing and said distal module, and wherein said lead provides said electrical energy from said proximal housing to said distal module.
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57. A flexible lead for implantation within a human body, comprising:
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a lead length, wherein said lead length extends from a first end to a second end, wherein said first end is coupled to a proximal housing implanted at a first location within a human body, and said second end is coupled to a distal housing implanted at a second location within a human body; and
at least two conductors, wherein said at least two conductors extend from the first end to the second end, and wherein said at least two conductors are in electrical communication with at least three electrodes, and wherein said at least three electrodes are greater in quantity than said at least two conductors. - View Dependent Claims (58, 59, 60)
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Specification