Abstract: A cardiac simulator including a patient warning apparatus, having a sensor for detecting patient reaction to a warning stimulus and means for adjusting the magnitude of said warning stimulus to obtain a preselected level of reaction. The cardiac stimulator is an implantable pacemaker or defibrillator or combination which can be programmed to produce a warning stimulus whenever a condition exists requiring patient notification or warning. A warning pulse stimulus generator directs electrical current to a warning electrode. Alternatively, a controlled switch may re-direct a stimulation pulse to the warning electrode. The sensor for detecting the reaction of the patient to the applied warning stimulus may be an accelerometer or motion/vibration transducer or other sensor capable of detecting a reaction to a warning stimulus. Means for adjusting the level of the stimulus directed to the patient's skeletal muscle regulate the stimulus until a pre-selected magnitude of reaction has been achieved.

Abstract: A method and apparatus is disclosed for an analog-to-digital converter (ADC) to minimize power consumption. The ADC of the present invention minimizes the number of clock cycles required to determine the correct digital code for a particular sample point on an electrogram signal, thus making it possible to turn off some or all of the ADC logic during idle periods. The ADC includes prediction logic that provides a starting point for subsequent digital code representations of the electrogram signal. The prediction logic receives recent code conversions values to predict a current digital code value. This predicted digital code is converted to an analog value and compared with the actual electrogram signal. Next, the ADC adds (or subtracts) a constant value (C) to (or from) the predicted code and compares the result to the electrogram signal.

Abstract: A method and apparatus is disclosed for use in an implantable device that communicates with an external device through pulse position modulation. A timing generator is provided as part of said implantable device that determines the phase uncertainty between an external signal and an internal cock signal. The phase uncertainty then is added to the preset delay period to more precisely control the position of the response. The phase uncertainty is measured by a dual slope circuit that varies a state variable (which can be a digital timer, a capacitor voltage, or the like) at a fixed rate with either a positive or negative slope. When the external signal is detected, the state variable is reset and then decreased at a fixed rate until the next positive edge of the clock signal. The state variable then is increased at the same rate until the subsequent positive clock edge. The resulting variable value is proportional to the phase uncertainty.