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US4969464A Expired / Lapsed US ⏱️ 0.0 years remaining

Pacemaker with improved automatic output regulation

Assignee: Pacesetter Inc
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Filing: 1989-08-07
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Granted: 1990-11-13
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Expires: 2009-08-07
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Abstract

Abstract A pacemaker which is provided with an improved automatic regulation circuit which is capable of distinguishing between a fusion beat and loss of capture. The failure to sense an evoked potential following a stimulus may be due to either. The cause is determined by generating a high-energy back-up pulse shortly after the stimulus. Failure to capture by the back-up pulse is an indication that there was just a fusion beat; the sensing of an evoked potential is an indication that the stimulus failed to capture.

Inventors

  • 👤 Francis J. Callaghan
  • 👤 William Vollmann

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-30 15:41
CPC Classifications
A; A61; A61N; A61N1/00; A61N1/18; A61N1/32; A61N1/36; A61N1/362; A61N1/365; A61N1/36507; A61N1/37; A61N1/3706; A61N1/371; A61N1/3712; Y; Y10; Y10S; Y10S128/00; Y10S128/903

Claims Analysis

Total Claims: 10
Claim 1
Independent Claim 64 words
A pacemaker for pacing and telemetering fusion beat information comprising means for generating pacing pulses; means for sensing an evoked potential following generation of a pacing pulse; said sensing means including means for determining the presence of a fusion beat; and means responsive to said determining means for generating a fusion beat marker in a telemetry marker channel for transmission of fusion beat information.
Claim 2
Dependent Claim 64 words
A pacemaker for pacing and telemetering fusion beat information comprising means for generating pacing pulses; means for sensing an evoked potential following generation of a pacing pulse; said sensing means including means for determining the presence of a fusion beat; and means responsive to said determining means for generating a fusion beat marker in a telemetry marker channel for transmission of fusion beat information.
Claim 3
Dependent Claim 65 words
An implantable pacemaker comprising means for applying pacing pulses to a patient's heart; means for periodically determining the capture threshold of the patient's heart; means responsive to said determining means for adjusting the energy of said pacing pulses to ensure heart capture; and means for storing values indicative to on-going capture threshold changes over at least the preceding week for telemetering out of the pacemaker.
Claim 4
Dependent Claim 65 words
An implantable pacemaker comprising means for applying pacing pulses to a patient's heart; means for periodically determining the capture threshold of the patient's heart; means responsive to said determining means for adjusting the energy of said pacing pulses to ensure heart capture; and means for storing values indicative to on-going capture threshold changes over at least the preceding week for telemetering out of the pacemaker.
Claim 5
Dependent Claim 23 words
An implantable pacemaker in accordance with claim 2 wherein at least one value is stored for each of at least seven consecutive days.
Claim 6
Independent Claim 75 words
A method of operating a pacemaker for pacing and telemetering fusion beat information comprising the steps of generating pacing pulses; sensing an evoked potential following generation of one of said pacing pulses; using the results of said sensing step for determining the presence of a fusion beat; and, responsive to the determination of the presence of a fusion beat, generating a fusion beat marker in a telemetry marker channel for transmission of fusion beat information.
Claim 7
Independent Claim 75 words
A method of operating a pacemaker for pacing and telemetering fusion beat information comprising the steps of generating pacing pulses; sensing an evoked potential following generation of one of said pacing pulses; using the results of said sensing step for determining the presence of a fusion beat; and, responsive to the determination of the presence of a fusion beat, generating a fusion beat marker in a telemetry marker channel for transmission of fusion beat information.
Claim 8
Independent Claim 64 words
A method of operating an implantable pacemaker comprising the steps of applying pacing pulses to a patient's heart; periodically determining the capture threshold of the patient's heart; responsive to said determining step adjusting the energy of said pacing pulses to ensure heart capture; and storing values indicative of on-going capture threshold changes over at least the preceding week for telemetering out of the pacemaker.
Claim 9
Independent Claim 64 words
A method of operating an implantable pacemaker comprising the steps of applying pacing pulses to a patient's heart; periodically determining the capture threshold of the patient's heart; responsive to said determining step adjusting the energy of said pacing pulses to ensure heart capture; and storing values indicative of on-going capture threshold changes over at least the preceding week for telemetering out of the pacemaker.
Claim 10
Dependent Claim 27 words
A method of operating an implantable pacemaker in accordance with claim 5 wherein at least one value is stored for each of at least seven consecutive days.

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 1993-11-12 1994-05-14 1994-11-13 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 1997-11-12 1998-05-14 1998-11-13 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2001-11-12 2002-05-14 2002-11-13 $7700.00 Window Closed / Lapsed

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