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US5861007A Expired / Lapsed US ⏱️ 0.0 years remaining

Adaptive search AV and auto PVARP adaptation to same with additional benefit

Assignee: Medtronic Inc
•
Filing: 1997-02-26
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Granted: 1999-01-19
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Expires: 2017-02-26
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Abstract

Abstract An AV search method and apparatus is taught with some variation described. It allows a pacemaker to find the appropriate AV interval so as to avoid pacing in the ventricle when it is not necessary, even if there is intermittent AV conduction in the patient. Also, an adaptive PVARP method and apparatus is disclosed that allows the PVARP and AV interval to be adjusted together automatically.

Inventors

  • 👤 Michael F. Hess
  • 👤 H. Toby Markowitz
  • 👤 James W. Busacker

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-11-09 22:33
CPC Classifications
A; A61; A61N; A61N1/00; A61N1/18; A61N1/32; A61N1/36; A61N1/362; A61N1/3627; A61N1/365; A61N1/368; A61N1/3682

Claims Analysis

Total Claims: 9
Claim 1
Independent Claim 166 words
A method to determine if AV conduction is occurring so as to eliminate a substantial number of unnecessary ventricular paces wherein a pacemaker for performing such method has a stored and updatable value for an AV interval upon which it makes a determination of when to deliver a next ventricular pacing pulse, said method comprising the steps: storing a predetermined number of AV event cycles' timing values, providing a first testing step in one heart beat cycle in a set of successive heart beat cycles to determine whether a Ventricular Sense (VS) event would occur after a scheduled Ventricular Pace(VP) by extending the AV interval in a successive heart beat cycle so as to allow said VS to occur in a first lengthened AV interval, then determining if said VS occurred after applying the first lengthened AV interval, and then, lengthening the first lengthened AV interval used to determine the time to generate a VP if said VS did occur within said first lengthened AV interval.
Claim 2
Independent Claim 166 words
A method to determine if AV conduction is occurring so as to eliminate a substantial number of unnecessary ventricular paces wherein a pacemaker for performing such method has a stored and updatable value for an AV interval upon which it makes a determination of when to deliver a next ventricular pacing pulse, said method comprising the steps: storing a predetermined number of AV event cycles' timing values, providing a first testing step in one heart beat cycle in a set of successive heart beat cycles to determine whether a Ventricular Sense (VS) event would occur after a scheduled Ventricular Pace(VP) by extending the AV interval in a successive heart beat cycle so as to allow said VS to occur in a first lengthened AV interval, then determining if said VS occurred after applying the first lengthened AV interval, and then, lengthening the first lengthened AV interval used to determine the time to generate a VP if said VS did occur within said first lengthened AV interval.
Claim 3
Dependent Claim 38 words
The method set forth in claim 1 wherein if the AV interval is not caused to be lengthened during said lengthening step, attenuating a value for determining how often said first testing is repeated with respect to time.
Claim 4
Dependent Claim 36 words
The method of claim 1 wherein said testing step comprises determining whether more than a predetermined amount of said stored event cycles either ended in a VP event or a VS event within Fusion Tolerance (FT).
Claim 5
Dependent Claim 81 words
The method of claim 3 wherein said testing step further comprises determining whether more than said predetermined number of stored event cycles ended in VS that were shorter than Too Short Tolerance (TST), and if so shortening the AV interval value kept by the pacemaker, but if not and less than or the same number of stored event cycles ended in a VP or a VS within FT, then, leaving the current value of said pacemaker maintained AV interval as is.
Claim 6
Dependent Claim 30 words
The method of claim 4 further comprising the step of determining whether the value for AV interval kept by the pacemaker is within range of predetermined max and min values.
Claim 7
Dependent Claim 34 words
A method as set forth in claim 5 and further comprising the step of attenuating a value for determining the amount of times said search AV algorithm is implemented per a given time period.
Claim 8
Dependent Claim 212 words
An implantable dual chamber pulse generator (IPG) capable of determining if AV conduction is occurring so as to eliminate a substantial number of unnecessary ventricular paces wherein said IPG maintains in memory an updatable value for an AV interval upon which value said IPG makes a determination of when to deliver a next ventricular pacing pulse, said IPG further comprising: means for determining whether a Ventricular Sense(VS) event would occur after a scheduled Ventricular Pace(VP) by causing a temporary extension to the AV interval value so as to allow said VS to occur within a heartbeat cycle in which said extension was applied, means for lengthening by successive increments or calculated values said maintained AV interval if said VS did occur within said lengthened AV interval and means for storing values for Sense AV intervals and Pace AV intervals, such that said means for lengthening said AV interval value allows for the adding to or subtracting from said stored values for said Sense AV interval and for said Paced AV interval such that the stored and updatable value for the AV interval is added to or subtracted from said Pace AV interval value after an atrial pace but added to or subtracted from said Sense AV interval value after an atrial sense.
Claim 9
Dependent Claim 212 words
An implantable dual chamber pulse generator (IPG) capable of determining if AV conduction is occurring so as to eliminate a substantial number of unnecessary ventricular paces wherein said IPG maintains in memory an updatable value for an AV interval upon which value said IPG makes a determination of when to deliver a next ventricular pacing pulse, said IPG further comprising: means for determining whether a Ventricular Sense(VS) event would occur after a scheduled Ventricular Pace(VP) by causing a temporary extension to the AV interval value so as to allow said VS to occur within a heartbeat cycle in which said extension was applied, means for lengthening by successive increments or calculated values said maintained AV interval if said VS did occur within said lengthened AV interval and means for storing values for Sense AV intervals and Pace AV intervals, such that said means for lengthening said AV interval value allows for the adding to or subtracting from said stored values for said Sense AV interval and for said Paced AV interval such that the stored and updatable value for the AV interval is added to or subtracted from said Pace AV interval value after an atrial pace but added to or subtracted from said Sense AV interval value after an atrial sense.

References Cited (Backward Citations)

US4091817A Cited
US4284082A Cited
US4554920A Cited
US5085215A Cited
US5144950A Cited
US5318594A Cited
US5282838A Cited
US5334220A Cited
US5507782A Cited

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2002-01-18 2002-07-20 2003-01-19 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2006-01-18 2006-07-20 2007-01-19 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2010-01-18 2010-07-20 2011-01-19 $7700.00 Window Closed / Lapsed

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