William J. Combs - Eden Prarie MN Catherine R. Condie - St. Anthony MN Roy Martin - Maple Grove MN Dwight H. Warkentin - St. Paul MN John D. Wahlstrand - Shoreview MN David L. Thompson - Fridley MN Li Wang - White Bear Township MN
Assignee:
Medtronic, Inc. - Minneapolis MN
International Classification:
A61B 500
US Classification:
600547, 607 9
Abstract:
An impedance monitor for discerning edema through evaluation of respiratory rate. Preferred embodiment includes edema monitor and trigger to initiate diagnostic reporting or corrective action when activated. Recording of Long Term Average and Short Term Average values for secondary edema measure based on DC signal level are described as are methods and apparatus for removing unwanted recurring noise.
Method And Apparatus For Discrimination Atrial Fibrillation Using Ventricular Rate Detection
Li Wang - White Bear Lake MN, US Mark L. Brown - North Oaks MN, US
Assignee:
Medtronic, Inc. - Minneapolis MN
International Classification:
A61B005/0452
US Classification:
600515, 600518
Abstract:
A method and apparatus for method for discriminating heart rhythms includes computing a first predetermined number of RR intervals from received QRS intervals, and computing a median RR interval corresponding to a predetermined number of the first predetermined number of RR intervals. A predetermined beat-to-beat variation and a corresponding predetermined count are determined based on the computed median RR interval. Beat-to-beat variation differences between the first predetermined number of RR intervals are computed and a determination is made as to whether the computed beat-to-beat variation differences are greater than the predetermined beat-to-beat variation, and as to whether a number of the computed beat-to-beat variation differences that are greater than the predetermined beat-to-beat variation is greater than the predetermined count. The heart rhythm is identified as an irregular rhythm in response to the number being greater than or equal to the predetermined count.
Method And Apparatus For Impedance Signal Localizations From Implanted Devices
A patient monitoring system including an implantable medical device for monitoring a plurality of physiological factors contributing to physiological conditions of a patient's heart by measuring a first impedance affected by the plurality of physiological factors, across one of a plurality of vectors, and a second impedance affected by the plurality of physiological factors, across a second one of the plurality of vectors subsequent to determining the first impedance. A change in impedance is determined based upon the first impedance and the second impedance measurements. Using an equation ΔZ=α*Q+α*Q, where Qis a fractional resistivity change of a first contributing physiological impedance factor, Qis a fractional resistivity change of a second physiological impedance factor, αis an impedance sensitivity factor for physiological impedance factor Q, and αis an impedance sensitivity factor for physiological impedance factor Q, the value of one of the contributing physiological impedance factors is determined. The contributing physiological impedance factors may include lung resistivity, blood resistivity, heart muscle resistivity, skeletal muscle resistivity, heart volume and lung volume.
Cardiac Activity Sensing During Pacing In Implantable Devices
A method and device for sensing cardiac activity that includes a first plurality of electrodes forming a first electrode configuration to sense cardiac activity, a second plurality of electrodes forming a second electrode configuration to sense cardiac activity, and a third plurality of electrodes to deliver a stimulation pulse in response to the sensed cardiac activity. A microprocessor determines whether an escape interval associated with the delivered stimulation pulse is less than a rate limit interval, and a control circuit switches from the first plurality of electrodes to the second plurality of electrodes in response to the escape interval being less than the rate limit interval.
Method And Apparatus For Identifying Lead-Related Conditions Using Impedance Trends And Oversensing Criteria
Bruce D. Gunderson - Plymouth MN, US Amisha S. Patel - Maple Grove MN, US Chad A. Bounds - St. Paul MN, US Li Wang - White Bear Township MN, US
Assignee:
Medtronic, Inc. - Minneapolis MN
International Classification:
A61N 1/08
US Classification:
607 27
Abstract:
A method and apparatus for detecting a lead-related condition that includes determining whether a first oversensing criteria is satisfied, determining whether a second oversensing criteria is satisfied, determining whether an impedance criteria has been satisfied, and generating an alert in response to more than one of the first oversensing criteria, the second over sensing criteria and the impedance criteria being satisfied.
Method And Apparatus For Impedance Signal Localizations From Implanted Devices
Method and apparatus for monitoring a plurality of physiological factors contributing to physiological conditions of a heart, that determines a first impedance, corresponding to the plurality of physiological factors, across a plurality of vectors, and a second impedance, corresponding to the plurality of physiological factors, across the plurality of vectors subsequent to determining the first impedance. A relative change in impedance corresponding to the plurality of vectors is determined in response to the first impedance and the second impedance, first minimally contributing physiological factors of the plurality of physiological factors associated with a first physiological factor of the plurality of physiological factors are determined, and relative change in tissue resistivity corresponding to the first physiological factor in response to physiological factors of the plurality of physiological factors other than the first minimal contributing physiological factors and the relative change in impedance are determined.
Embodiments of close loop optimization of atrio-ventricular (A-V) delay interval and/or inter-ventricular (V-V) timing are disclosed. An implantable medical device includes a housing that supports a processing means adapted for implantation in a patient. There can be two or more electrodes electrically coupled to the processing means where the two or more electrodes can be used for sensing a patient's cardiac signals, which include a far-field EGM. The processing means can determine a width of a P-wave from the sensed far-field EGM. Also included can be a means for delivering an adapted cardiac pacing therapy based upon the width of the P-wave, including revised A-V delay and/or V-V temporal intervals.
Method And Apparatus For Detecting Change In Intrathoracic Electrical Impedance
Robert W. Stadler - Shoreview MN, US Li Wang - White Bear Township MN, US
Assignee:
Medtronic, Inc. - Minneapolis MN
International Classification:
A61N 1/365
US Classification:
607 17, 607 28, 600506, 600507, 600547, 600484
Abstract:
A method and apparatus for detection of changes in impedance a patient that includes generating measured impedances, generating an adaptive baseline trend of the measured impedances corresponding to a first time period, generating a short term trend of the measured impedances corresponding to a second time period less than the first time period, and generating a metric of impedance change between the adaptive baseline trend and one of a most recent measured impedance and the short term trend of the measured impedances.
Social Justice Initiative, University of Texas El Paso El Paso, TX Oct 2010 to Aug 2011 Research AssociateSchool of Communication Studies, Ohio University Athens, OH Jun 2008 to Jun 2010 ABDSchool of Communication Studies, Ohio University Athens, OH Jan 2005 to Jun 2006 Assistant to Graduate DirectorSchool of Communication Studies, Ohio University Athens, OH Sep 2002 to Jun 2006 Teaching AssociateSchool of Communication Studies, Ohio University Athens, OH Sep 2004 to Dec 2005 Research AssociateSchool of Communication Studies, Ohio University Athens, OH Sep 2003 to Jun 2004 Undergraduate Internship CoordinatorInternational Student Union, Ohio University Athens, OH Sep 2003 to Jun 2004 PresidentOhio University Athens, OH Sep 2000 to Jun 2003 Graduate AssistantExhibition Division, China National Pharmaceutical Foreign Trade Corporation (SINOPHARM)
Feb 1999 to Jul 2000 President
Education:
School of Communication Studies, Ohio University Athens, OH 2010 Doctor of Philosophy in Organizational CommunicationSchool of Communication Studies, Ohio University Athens, OH Master of Science in Organizational CommunicationBeijing Foreign Studies University Bachelor of Arts in English
Skills:
Project Management, Event Planning, Communication, Program Evaluation, Research Method, Training
Aug 2011 to 2000 Software DevelperUniversity of Wisconsin-Madison Madison, WI Jul 2004 to Jun 2011 Research AssistantUniversity of Wisconsin-Madison Madison, WI Jul 2004 to May 2011 Teaching AssistantInstitute for Mathematics and Its Application Minneapolis, MN Jul 2009 to Jul 2009 Summer projectNational Center for Atmospheric Research Boulder, CO Jul 2008 to Aug 2008 Summer Project
Education:
University of Wisconsin Madison, WI May 2011 Ph.D in MathematicsMath Department of University of Wisconsin-Madison Madison, WI American Physical Society
Dr. Wang graduated from the Shanghai Second Med Univ, Shanghai City, Shanghai, China in 1993. She works in Sammamish, WA and specializes in Family Medicine. Dr. Wang is affiliated with Swedish Medical Center - First Hill.
Li Wang (1997-2001), Amanda Prather (1994-1997), John Jacob (1985-1987), Vadim Bukchin (1999-2001), Josh Alper (1985-1987), Christopher Adams (1997-2000)